Pediatric Emergency Medicine

For further information, please e-mail Dedie.rosales@dchstx.org

Department: PEDIATRICS
Rotation Title: PEDIATRIC EMERGENCY MEDICINE
Faculty: Dr. Edgar Cortes, Dr. Jo-Ann Nesiama, Dr. Jacobo Lastrache, Dr. Jamal
Rana, Dr. Pradeep Pradmanbanha, and other Coastal Bend Emergency Physicians, surgical specialists, medical subspecialists
Location: Driscoll Children's Hospital Emergency Department
Duration: 4 weeks
Number of Students: Maximum - 3
When Offered: All Year
Rotation Hours: 8 hour rotation - to be discussed with faculty
Prerequisite(s): 4th Year Status

Goals-The faculty will strive to:

• Develop the skills, attitudes and knowledge that constitute a good foundation in pediatric emergency medicine
• Help identify the signs and symptoms of emergent problems as well as common diagnoses which present to the emergency department
• Demonstrate appropriate resuscitation and stabilization of critically ill or injured children in the emergency department
• Emphasize cost-effective utilization of ancillary data including labs, imaging studies, monitoring techniques, etc.
• Suggest logical and efficient approaches to care of patients applying the principles of decision making and problem solving as part of an interdisciplinary team
• Assist the student in acquiring the procedural skills commonly used in emergency department and discuss and demonstrate more advanced procedural skills including but not limited to ER intubation, interosseous or central venous lines, arterial lines, etc.
• Review other issues that are emergency medicine oriented, including but not limited to EMS-C, medical/legal/ethical issues, toxicology, analgesia and anesthesia in the emergency department, universal precautions, injury wound and burn care, environmental emergencies, etc.

Objectives-At the end of the rotation, the student will be able to:

• Identify patients with an emergent problem in a reasonable time and distinguish from less ill patients
• Evaluate patients with common diagnoses and obtain a problem oriented history and physical; formulate plan for assessment, management and disposition
• Assist in evaluation and stabilization of children with multiple trauma or critically illness including assisting in securing oral or nasal airways, mechanical ventilation intubation, starting fluids, etc.
• Interpret commonly used ancillary data. Be aware of age appropriate norms, interpret results in the context of a specific pattern; and correlate results with clinical diagnosis
• Observe or perform basic pediatric procedures including but not limited to IV line placement, lumbar puncture, suturing and bladder catheterization. Be familiar with the uses of more advanced procedures such as arterial lines, interosseous lines, central venous lines, etc.
• Be familiar with other emergency department issues as outlined under Goals above.

Learning Activities:

• Check with Medical Student Coordinator for conference/lecture times. Conferences are held in the 4th floor conference room. There is a sign-in sheet available for all students. If sheets cannot be located, please ask the Chief Resident. On Fridays, Grand Rounds is held at 12:30 PM in the Auditorium.
• Interactive discussion and review with attending physician (policy is for an attending physician to see all patients). Patient assessment and care will be discussed as well as hypothetical situations
• Review recent literature pertaining to pediatric emergency medicine in an informal setting. Material assigned by attending physician
• Participate in mock codes or disaster drills which may take place during rotation (will not occur during all rotations)
• Interaction with other students and residents with or without participation of attending physician

Learning Resources:

• Textbooks, collection of journal references
• Clinic staff, physicians and nurses, available to work with the student.
• Medical Library on hospital campus and library at Texas A&M University - Corpus Christi

Evaluation:

• Course and Faculty evaluation required upon completion of rotation
• Daily supervision and feedback based on day's activities
• Clinical evaluation form (100%) to be completed by the physician preceptor with whom the student has worked