A 16-year-old morbidly obese female presents to the ED with breathing difficulty, chest pain, and wheezing for the past 30 minutes. She denies any prior history of asthma, but states that she was treated and released from the hospital one day earlier foran acute allergic reaction to an unknown agent. Today’s episode occurred suddenly, and the patient states that she was sitting on the couch when her symptoms began. She denies any known allergies, and reports no other medical history. She is noted to have very poor air entry in both lung fields and is in obvious distress. Anaphylaxis treatment pathway is initiated. A few minutes later, she reports intermittent sharp stabbing pain in her chest, lasting 8-10 seconds each time. The following rhythm is noted on the monitor, and corresponds with her acute pain episodes.
The pediatric emergency medicine section would like to express its heart-felt congratulations to Nathan Kupperman, MD, FACEP, and Marianne Gausche-Hill, MD, FACEP, for their tremendous accomplishments in pediatric emergency medicine. Dr.Kupperman is the recipient of the Jim Seidel award for outstanding contributions to the field of pediatric emergency medicine. Dr. Marianne Gausche-Hill is the recipient of the Steve Miller award for excellence in education and mentorship.
The Pediatric Emergency Medicine Section received 3 section awards for 2013. The Section received the Outstanding Section Web Page Award, Outstanding Newsletter Award, and an Award of Distinction for Service to Section.
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1st Place: Dr. Saranya Srinivasan, Dr. Julia Pratt, and Dr. Deborah R. Liu $500 ACEP gift voucher
2nd Place: Dr. Robert M. Lapus $250 ACEP gift voucher
3rd Place: Dr. Briana Fieramosca and Dr. Joshua Rocker $125 ACEP gift voucher
Hypoglycemia is one of the most common side effects of insulin treatment of diabetes. Current management of type 1 diabetes includes a regimen of strict glycemic control with intensive insulin therapy. This tight control of blood glucose levels is key in reducing the risk of microvascular complications and improving daily quality of life. However, the risk of hypoglycemia increases with this treatment model.
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