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Hospital and Emergency Medicine

Ensuring rapid, effective emergency care in a child-friendly environment.


Duke Children’s offers an exceptional level of experience and expertise in emergency care in a compassionate, child-friendly environment. Our pediatric emergency space is separate from the adult emergency department and features the state-of-the-art medical technology and monitoring systems necessary to ensure rapid, effective assessment and treatment.

The pediatric hospital emergency medicine service provides emergency care to ill and injured children, adolescents, and young adults, 24 hours a day, seven days a week. We are a level-one trauma center staffed by a team of physicians certified in pediatric emergency medicine and/or pediatrics, including nurses and health professionals specially trained in emergency and trauma care.

Communication with parents is a priority. Families will find themselves surrounded by highly skilled professionals who will keep them informed, guide them through the crisis, and facilitate appropriate follow-up. They also ensure prompt service for children experiencing less serious trauma.

Beyond the walls of the Emergency Department, we strive to promote wellness and educate children and their families about prevention of injuries through a multitude of community outreach projects.


Treatments

At Duke, the pediatric hospital emergency medicine service is dedicated to providing seamless, expert medical care for each child and family. Our highly trained pediatric emergency staff, specialized facilities, and close relationship with the world-renowned Duke University Hospital Emergency Department enable us to offer the very best in emergency care.

We offer care for all medical emergencies (seizures, shock, respiratory distress, etc.) and traumatic injuries (motor vehicle and bicycle crashes, poisoning, drowning, etc.). In the course of diagnosis and treatment, every effort is taken to make children as comfortable as possible while being treated. In addition, parents are encouraged to help relieve their child's anxiety by taking an active role in their child's care whenever possible.

Hospitalist Service

Overview. Our team of pediatric hospitalists provide comprehensive, child-centered care to children admitted to the general pediatric service at Duke University Hospital.  We work with families’ primary care providers throughout the course of their child’s hospital stays to ensure clear communication and continuity of care.In addition to overseeing the child's hospitalization, the hospitalist plans the discharge and return to the child's regular physician.

Benefits for Patients. The benefits to patients who utilize our hospitalist service are numerous. Most important, the highest quality care is available throughout the day or night, seven days a week. The patient sees a doctor as often as needed, whereas under traditional practices, patients typically see their doctors once a day during their routine rounds.

Because hospitalists are directly based at Duke Children's Hospital & Health Center, more timely and effective care is available.  Specifically,  treatments can be modified and follow up on test results can occur immediately, as opposed to waiting until the next day. This hands-on approach not only helps prevent medical complications, but also results in enhanced communication with the patient's family, shorter hospital stays and lower costs.

Benefits for Physicians. The hospitalist service at Duke Children's provides the primary care physician with an additional resource for managing the care of the hospitalized child. The hospitalist begins patient care either in the emergency department or with admission to an inpatient unit and serves as a link with the child, family and primary care physician providing ongoing communication and management to ensure continuity of care and follow-up. The hospitalist collaborates with the primary care physician to plan the discharge and needed follow-up care in the primary care physician's office.

Sedation Service

Our team of pediatric hospitalists provides sedation for children who require diagnostic testing such as MRI, CT and EEG. We also provide sedation for inpatients requiring procedures (e.g., lumbar puncture and vascular line access). Our goal is to minimize or eliminate the pain and emotional stress of treatment.

Safety is our primary concern. We are a small and dedicated team of board-certified pediatricians who have been credentialed by Duke University Hospital to provide these services. We perform a pre-sdeation assessment as well as monitoring during and post-procedure.

Sedation appointments with the pediatric hospitalist are arranged by the department or physician ordering the diagnostic test or procedure. When scheduling sedation services, please advise us of any special needs and significant medical history, including respiratory problems, craniofacial anomalies, cardiac problems, or allergies.

 


For additional information, please download these PDFs:

Sedation: What to Expect [PDF, 56.1KB]
Important information for parents regarding pediatric sedation.

Guidelines for Providers Requesting Moderate Sedation for Radiology Studies [PDF, 19.4KB]


 

Pediatric Emergency Department

Duke Children's offers an exceptional level of experience and expertise in emergency care in a compassionate, child-friendly environment. Our pediatric emergency space is separate from the adult emergency department and features the state-of-the-art medical technology and monitoring systems necessary to ensure rapid, effective assessment and treatment.

The pediatric hospital emergency medicine service provides emergency care to ill and injured children, adolescents, and young adults, 24 hours a day, seven days a week. We are a level-one trauma center staffed by a team of physicians certified in pediatric emergency medicine and/or pediatrics, including nurses and health professionals specially trained in emergency and trauma care.

Communication with parents is a priority. Families will find themselves surrounded by highly skilled professionals who will keep them informed, guide them through the crisis, and facilitate appropriate follow-up. They also ensure prompt service for children experiencing less serious trauma.

Beyond the walls of the Emergency Department, we strive to promote wellness and educate children and their families about prevention of injuries through a multitude of community outreach projects.


Physicians and Staff

Physicians

Name Areas of Special Interest
Donald T. Ellis II, MD Emergency ultrasound, pediatric trauma, procedural sedation, medical education, quality improvement
Kathleen W. Bartlett, MD General pediatric inpatient medicine, pediatric sedation
Richard A. Bloomfield Jr, MD Hospital medicine
Clay Bordley, MD, MPH Pediatric emergency medicine, general inpatient pediatrics, pediatric sedation
James W. Fox, MD Medical education of medical students and residents, evidence-based clinical practice, emergency airway management
Karen S. Frush, MD Patient safety, clinical quality, pediatric emergency medicine, injury prevention
Mikelle L. Key-Solle, MD Comprehensive, family-centered care of hospitalized children
Heather S. McLean, MD Pediatric hospital medicine, performance and quality improvement, pediatric pain and palliative care, resident and medical student education
David Y. Ming, MD General internal medicine and general pediatrics, care of hospitalized adults and children, resident and medical student education
Alyssa M. Stephany, MD Hospital medicine; improving communication with referring providers and primary care providers; clinical education of residents, medical students, and other medical providers; quality improvement and performance improvement
Linton L. Yee, MD Resident and medical student education, sports injuries, head trauma, cardiac emergencies

Hours and Location

Pediatric Emergency Department
Duke University Hospital
2301 Erwin Road
Durham, NC 27710
Tel: 919-416-8206
Fax: 919-286-9219

Hours: 7 days a week, 24 hours a day



Contact Information

Division of Pediatric Emergency Medicine
Department of Surgery
School of Medicine
Duke University Medical Center
P.O. Box 3096
Durham, NC 27710
Tel: 919-664-5537