Pediatric Emergency Medicine

The educational objectives for the Emergency Medicine resident while on the Medical ICU rotation are as follows:

Patient Care:

  • Demonstrate ability to rapidly perform history and physical exams in critically ill patients.

  • Demonstrate the ability to perform the following procedures: endotracheal and nasotracheal intubations, cricothyrotomy, needle thoracostomy, central intravenous placement, Swan-Ganz placement, transvenous cardiac pacing, arterial line placement, ABG, and foley catheterization.

  • Demonstrate the ability to manage a patient on a ventilator.

  • Demonstrate appropriate prioritization of diagnostic and therapeutic interventions in critically ill patients.


Medical Knowledge:

  • Describe the dosages, indications, and contraindications of pharmacologic interventions for shock, cardiac failure, dysrhythmias, sepsis, trauma, toxins, respiratory failure, hepatic failure, renal failure, and neurologic illnesses.

  • Describe the etiologies, hemodynamic issues, and complications of distributive, hypovolemic, cardiogenic, and neurologic shock.

  • Discuss and interpret data from ECG monitors, cardiac outputs, hemodynamic monitoring, pulse oximetry, end tidal CO2 monitors and respirators.

  • Demonstrate appropriate judgment in the management of critically ill patients.

  • Practice Based Learning and Improvement

  • Demonstrate ability to obtain and appraise medical literature applicable to the management and treatment of critically ill patients.


Interpersonal and Communication Skills:

  • Demonstrate an understanding of the appropriate use of consultants in critically ill patients.



  • Demonstrate an understanding of the ethical and legal principles applicable to the care of the critically ill patients.


The Emergency Medicine resident will accomplish these objectives in the following manner:

  • Attend and participate in daily Medical ICU teaching rounds

  • Attend all conferences given by the Department of Medicine while on rotation.

  • Evaluate and manage patients under the supervision of Medical ICU faculty and fellows.  Progressive patient care responsibilities are at the discretion of the Medical ICU faculty based on the resident’s clinical experiences, didactic knowledge, psychomotor skills, procedural abilities and credentialing.

  • Discuss and interpret results of all ancillary testing with supervisory faculty.

  • Perform procedures under faculty supervision commensurate with their post-graduate level of training and skill.



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