Tag: pediatric-emergency-medicine

To CT, or not to CT, That is the Question.

May 12th, 2011
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A 13-month-old girl falls out of her high chair and strikes her forehead on the ceramic floor. She cries right away and vomits one time. A large area of swelling develops in the middle of her forehead. She is seen by a physician at an urgent care center who promptly refers her to the emergency […]

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Posted in Quality Efficiency Utilization

The Value of Resident Education in the Community Pediatric ER

May 6th, 2011
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Pediatric Emergency Medicine in 2011 is an evolving field. From it’s infancy we as Pediatric ER providers have trained and largely practiced in the major medical centers and university hospitals. With population growths in the suburbs and the demand for higher levels of care for children, from an ever more sophisticated community, the growth in […]

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Posted in For Residents

A Chance Encounter with Great Leadership at a Cubs Game

May 3rd, 2011
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You ever know where you will find inspiration, whether that be with a patient, at the grocery store or at a baseball game. I recently attended a conference in Chicago where I visited my cousin Charlie. He invited me out to a Cubs game and a meal at Captain Morgans before the game. Charlie’s wife, […]

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Posted in Leadership

Do the Right Thing – Hold the Inappropriate Antibiotics

January 26th, 2011
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Recently I saw an 18 month old girl on her second course of antibiotics for an “infection”, according to the mother. The child initially had symptoms of fever associated with nasal congestion and cough and sore throat. How she or the treating physician determined she had a sore throat will always be an enigma for […]

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Posted in Quality Efficiency Utilization

Why Can’t We All Just Get Along (and Share Data)

December 14th, 2010
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Sometimes it is the simple things in life that may make all the difference. How about the ability of doctors and hospitals to actually access current information on patients so we do not duplicate testing and procedures? This interesting study from the Kaiser Foundation found that patients who visited multiple emergency departments racked up three […]

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Posted in Future of Healthcare

Pediatric Emergency Medicine in the Community Hospital

August 30th, 2010
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Emergency Departments (ED) across the country are consistently being pushed beyond capacity. The recently passed federal healthcare bill will not likely reduce the stress placed on EDs and volumes may in fact increase as a result of the legislation. Community hospitals in outlying suburban areas have gradually stepped up their pediatric emergency and subspecialty services […]

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Posted in Life in the ER

Risk Management: Rules of the Road for Emergency Medicine

July 9th, 2010
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Risk management are words that strike fear into the hearts of many physicians. It is like seeing police lights in your rear view mirror. There are many physicians who constantly worry about being sued. Ironically, these are the ultraconservative who perform every test possible to exclude any and all potential liability. It’s like driving ten […]

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Posted in Quality Efficiency Utilization