The White House released it’s budget proposal recently and it features a series of cuts to federal spending. While presidential budgets are not law and many lawmakers have already called it “Dead on Arrival”, it does set priorities for budget negotiations moving… Continue Reading
Maybelle Kou, MD is the PEM fellowship director at INOVA Children’s Hospital and a member of the AAP Society on Emergency Medicine Program Directors Committee. She addresses the basics of applying. So I’m interested in applying to Pediatric Emergency Medicine (PEM) Fellowships.… Continue Reading
An interesting article was released a few weeks ago regarding the “best” and “worst” states in which to practice medicine. I’m pretty happy practicing where I do and I hope you can say the same, regardless, I was curious. You… Continue Reading
Sepsis results in high rates of mortality. That is a problem. While some diagnostic and treatment guidelines for pediatric sepsis exist, some areas remain debatable. One of those debates is what is the best first-line vasoactive infusion for children with fluid-refractory shock? Continue Reading
I remember being a medical student on general surgery and drawing the short straw, the straw that meant I had to call the attending surgeon at 1am about a patient in the ED with routine appendicitis. The surgeon answered the phone, strung off a slew of expletives, and finished with the statement, “I’m on my way.” Continue Reading
“Education is the most powerful weapon which you can use to change the world” -Nelson Mandela The time is ripe for me to deepen my understanding of the sociopolitical environment in which I practice. Confession: I am a news junkie… Continue Reading
CPR has to be hard and fast. But “how fast and how hard” can be difficult to figure out while standing on that stool trying to save someone’s life. In adult manikins, using a metronome—that ticking device last seen in music class—during CPR can be effective in maintaining target chest compression rate. Continue Reading
When I started my PEM career 10 years ago, I thought every hospital would eventually have a dedicated pediatric ED where PEM physicians could enhance acute care for children. Now a decade later I’m watching medicine steer in a very… Continue Reading