Presentation Transcript
Pediatric Emergency Medicine :Pediatric Emergency Medicine Roger M. Barkin, M.D
Pediatric Emergency Medicine :Pediatric Emergency Medicine US: conjoint specialty board reflecting the biology of emergency medicine and pediatrics.
It’s history is relatively short, but its impact has been tremendous.
History :History 1933 American Board of Pediatrics (AAP)
1968 American College of Emergency Physicians (ACEP)
1976 American Board of Emergency Medicine
(primary board in 1989)
1980 First PEM fellowship established in Philadelphia
1981 Section of Pediatric Emergency Medicine of AAP
1984 Task Force created by ACEP and AAP
1988 Section of Pediatric Emergency Medicine of ACEP
1991 Joint PEM sub-board established
1992 First PEM certification examination
Educational Program :Educational Program Fellowship training
Residency training
PALS and APLS
Nursing and paramedic
Certification :Certification Prior certification in pediatrics or emergency medicine
Two or three year fellowship
Clinical Settings - Hospital :Clinical Settings - Hospital Emergency Department - Goals
Expedite Care
Quality of Care
Marketing
Community Service
Clinical Settings - Hospital :Clinical Settings - Hospital Emergency Department - Requirements
Volume
Institutional philosophical & financial committment
Clinical Settings - Hospital :Clinical Settings - Hospital Emergency Department - Settings
Pediatric specialized facility/area
Mixed use facility
30% of general ED population is pediatric
No differentiation
Clinical Settings - Hospital :Clinical Settings - Hospital Emergency Department - Environment
Interior decorating
Toys
Play areas
Distractive therapy (videos/games)
Clinical Settings - Hospital :Clinical Settings - Hospital Emergency Department - Personnel
Physicians
Nursing
Physician assistants/extenders
Laboratory
Radiology
Clinical Settings - Hospital :Clinical Settings - Hospital Emergency Department - Equipment
Resuscitation
Standard Supplies
Clinical Settings - Hospital :Clinical Settings - Hospital Emergency Department - Observation Units
Educational Programs
PALS
Clinical Settings - PreHospital :Clinical Settings - PreHospital Equipment
Personnel
Training
Clinical Settings - In-patient :Clinical Settings - In-patient Pediatric specialized facility
Mixed-use facility
“Hospital within a hospital”
Clinical Focus :Clinical Focus Protocols
Analgesia and sedation
Rapid sequence induction (RSI)
Trauma
Child abuse/neglect
Special needs children
Slide 16:Equipment and Training
Literature/Research
Slide 17:Education
and
Prevention