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Emily Anne Carpenter Rose

丁香诊所 急诊科

急诊科视频 / 时长84分钟

丁香诊所全科培训课程 22:儿童呼吸道疾病治疗方法盘点

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课程介绍

儿童呼吸道疾病非常常见。呼吸道感染表现为发热和咳嗽,多是自限性病毒感染导致,只需要安慰父母即可,没有较好减轻症状的药物,过多治咳嗽的非处方药物可能会抑制儿童呼吸,可给于蜂蜜或蜜汁,对较小的儿童进行吸痰、减轻水肿治疗。

异物吸入可致孩子呼吸窘迫,呈急、慢性发作,若异物卡在下呼吸道,可呈晚期发作,无呼吸窘迫有反复肺炎发生,在鉴别诊断时需要考虑。正确处理方法为儿童可以放在手上进行胸部按压。

哓吼是一种临床诊断,有海豹样咳嗽,不需做影像学检查。轻度可用激素地塞米松治疗,中重度用雾化的肾上腺素并观察 2 h。鉴别诊断有会厌炎、细菌性气管炎、异物吸入、肿瘤等。

毛细支气管炎由病史和查体诊断,由病毒引起,不需做胸片。抗生素治疗无效,可在需要时吸氧、无创正压通气、沙丁胺醇、高渗盐水雾化吸入、雾化肾上腺素。

哮喘是最常见的慢性病入院原因,可服用沙丁胺醇、异丙托溴胺。慢性发作者可用吸入剂、激素(糖皮质激素、泼尼松龙)治疗,以上无效时可以服用硫酸镁,也可服用非特异性肾上腺素、β受体激动剂。

呼吸窘迫多为自限性,告诉家长要孩子多休息、给予蜂蜜、吸痰、吸鼻涕等。

在丁香诊所「全科医生强化培训班」中,来自美国南加州大学医院的儿童急诊副教授 Emily Rose 与大家一起分享《儿童呼吸道疾病治疗方法》。

更多精彩内容请点击此处观看丁香公开课全部课程。

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Emily Anne Carpenter Rose 丁香诊所 急诊科

Emily Anne Carpenter Rose, 美国南加州大学医院儿童急诊副教授、主任。

MD, FAAP, FAAEM, FACEP

Education:
High School: Lincoln High School, Sioux Falls, SD,1995
College or University: Gordon College, Wenham, MA, Bachelor of Science(Biology), Summa Cum Laude, 1999
Jerusalem University College, Jerusalem, Israel, 1996, 1998
GraduateSchool: Gordon Conwell Theological Seminary, Hamilton, MA,(Religious Studies),1999-2000
MedicalSchool:Sanford School of Medicine of the University of South Dakota, Vermillion, SD, Medical Doctor, Magna Cum Laude, 2004
​Internship: Arrowhead Regional Medical Center (Transitional Year), Colton, CA, July2004–June2005
Residency: LAC + USC Medical Center (Emergency Medicine), Los Angeles, CA, July2005–June2008, Chief Resident, Emergency Medicine, LAC + USC, Medical Center, Los Angeles, 2007-2008
Fellowship: Loma Linda University Medical Center (Pediatric Emergency Medicine), Loma Linda, CA, July 2008–June 2010
Honors and Awards:
Faculty of the Year, Graduating Resident Award, Department of Emergency Medicine, LAC+USC Medical Center, Los Angeles, CA, 2013-2014
Faculty of the Year, Emergency Medicine Student Interest Group Award, Keck School of Medicine of the University of Southern California, 2014
Chief Resident Award, Emergency Medicine, LAC+USC Medical Center, Los Angeles, CA, 2007-2008
Transitional OB/GYN Resident of the Year, Arrowhead Regional Medical Center, Colton, 2005
Gerald H. & Jackie Lofgren Memorial Scholarship for Academic Achievement, University of South Dakota School of Medicine, Vermillion, SD, 2003-2004
Alma Carlson Scholarship for Academic Achievement, University of South Dakota School of Medicine, Vermillion, SD, 2002-2003
Ernest & Mina Walkes Scholarship for Academic Achievement, University of South Dakota School of Medicine, Vermillion, SD, 2001-2002
Graham Scholarship for Academic Excellence, Gordon Conwell Theological Seminary, Hamilton, MA, 1999-2000
Phi Alpha Chi Honors Society, Gordon College, Wenham, MA, 1999-present
Premedical Society Selected Member, Gordon College, Wenham, MA, 1996-1999
AJ Gordon Leadership Scholarship, Gordon College, Wenham, MA , 1997-1999
Music Leadership Scholarship, Gordon College, Wenham, MA, 1995-1999
Graduation Speech,「The True Meaning of Success」Lincoln High School, Sioux Falls, SD, 1995

Medical Licensure Number:
A93596, California, 2005-present

Board Certification:
Emergency Medicine, 2009
Pediatric Emergency Medicine, 2011

Professional Background:
Academic Appointments
Assistant Professor, Keck School of Medicine of USC, Clinical Emergency Medicine, Los Angeles, CA, 2010–present
Clinical Administrative Appointments
Interim Chief, Division of Pediatric Emergency Medicine, LAC+USC Department of Emergency Medicine, Los Angeles, CA, 5/2013-8/2013
Director, Keck School of Medicine/LAC+USC Medical Center, Pediatric Emergency Medicine Medical Student Selective, Los Angeles, CA, 2010-present
Coordinator, Pediatric Emergency Medicine Education, Emergency Medicine Residency, LAC+USC Medical Center, Los Angeles, CA, 6/2012-present
Coordinator, Emergency Medicine Education, Pediatric Residency, LAC+USC Medical Center, Los Angeles, CA, 6/2012-present
Track Leader, Pediatric Emergency Medicine, Emergency Medicine Residency, LAC+USC Medical Center, Los Angeles, CA, 11/2014-present
Specific Teaching Responsibilities
Instructor, ACLS, 2005-present
Instructor, PALS, 2008-present
Pediatric Simulation Lab Faculty, Emergency Medicine Student Interest Group (EMSIG), Intraosseous Access, Irvine, CA, 9/22/2012
Pediatric Simulation Lab Faculty,Resusciation Course, Intraosseous Access, Las Vegas, NV, 3/2010, 4/2012, 5/2013, 3/2014
Pediatric Simulation Lab Faculty, EMSIG, Intraosseous Access, LAC+USC Medical Center, Los Angeles, CA, 9/10/2011.
Pediatric Simulation Lab Faculty, EMSIG, Surgical Cricothyrotomy, LAC+USC Medical Center, Los Angeles, CA, 2/29/2012.
Pediatric Simulation Lab Faculty, Resusciation Course, Laryngeal Mask Airway and Bag-Valve Mask, Las Vegas, NV, 5/2013
Pediatric Simulation Lab Faculty, American College of Emergency Physicians Advanced Pediatric Assembly, Intraosseous Lines. New York, NY, 3/18/2014, 3/23/2015
Pediatric Simulation Lab Faculty,Resusciation Course, Central Venous Access, Las Vegas, NV, 3/2014
Pediatric Simulation and Procedure Course Director, APLS, PGY-3 Emergency Medicine Residency, LAC+USC Medical Center, Los Angeles, CA, 6/23/2014
Pediatric Procedure Lab (needle cricothyrotomy and umbilical lines), Department of Emergency Medicine Grand Rounds, LAC+USC Medical Center, 7/24/2014
Pediatric Simulation Lab Faculty, American College of Emergency Physicians Advanced Pediatric Assembly, LMA/Bougie/King/Foreign Body Alternative Airway Station, 3/23/2015

Other:
Emergency Department Attending Physician, Kaiser Permanente Bellflower Hospital, Bellflower, CA, 2007-2008
Emergency Department Attending Physician, Bakersfield Memorial Hospital, Bakersfield, CA, 2007-2008
Emergency Department Attending Physician, California Hospital Medical Center, Los Angeles, CA, 2008-2012
Emergency Department Attending Physician, LAC + USC Medical Center Department of Emergency Medicine, Los Angeles, CA, 2010–present
Urgent Care Attending Physician, LA County Jail, Los Angeles, CA, August 2013-present

Society Memberships:
Distinguished
Fellow, American Academy of Emergency Medicine, 2008-present
Fellow, American Academy of Pediatrics, 2011-present
Fellow, American College of Emergency Physicians, 2013-present
Professional
American Academy of Emergency Medicine (AAEM), 2006-present
American College of Emergency Physicians (ACEP), 2006-present
California Chapter, American College of Emergency Physicians (ACEP), 2009-present
Pediatric Section, American College of Emergency Physicians (ACEP), 2009-present
American Academy of Pediatrics (AAP), 2011-present
American Academy of Pediatrics, Emergency Medicine chapter, 2011-present

Service:
University/Other Committees
MD Evaluation and Recruitment Subcommittee, Keck School of Medicine of USC, Los Angeles, CA, 2012-2013, 2013-2014, 2014-2015
Mentor, Medical Students, Keck School of Medicine of USC, Los Angeles, CA, (advisor for EM-interested students and write SLOEs for 5-10 students/year), 2010-present
Mentor, American Medical Women’s Association, Keck School of Medicine (mentor 2 female medical students per year), 2014-present
Mentor, Residents, Emergency Medicine Residency Program, LAC+USC Department of Emergency Medicine (mentor 1-2 new residents per year and continue mentoring relationships with residents after graduation), 2011-present
Lecture Coordinator, Pediatric Spotlight weekly Pediatric Emergency Medicine lectures for nurses, LAC+USC Medical Center, 1/2011-present
Ouchless ED, coordinator of『ouchless』medications, devices, protocols and child-friendly activities for the Pediatric Emergency Department, LAC+USC Medical Center 10/2011-12/2012
Instructor, Introduction to Clinical Skills Course, Keck School of Medicine, April 2012, 2013, 2014, 2015
Customer Service Workgroup, Emergency MedicinePhysician Representative, July 2012-July 2013
Interqual Physician Secondary Reviewer, August 2012-present
Graduate Medical Education Committee, Pediatric Division Representative, LAC+USC Emergency Medicine Residency Program, October 2012-present
Peer Review Committee, February 2013-present
Faculty Development Committee, Department of Emergency Medicine, LAC+USC Medical Center, August 2013-present
National Committees
American College of Emergency Physicians (ACEP) Pediatric Committee, May 2014-present. (Serve on at least two objectives per year)
Editorships
Section Editor, Pediatric Infectious Disease, PEMSoft, 2012-2014 (55 chapters)
Journal Reviews
The Journal of Emergency Medicine (review approximately 8 submissions/year)
Pediatric Emergency Practice
Other
Sessions Chaired
Increasing the role of the two star. 2011 faculty retreat, LAC + USC Medical Center Department of Emergency Medicine, Los Angeles, CA, 8/2012-9/2012.
Course Director. Pediatric Emergency Medicine Foundation. (HIPPO
EM Pediatric Emergency Medicine Foundation online course; producers [Mel Herbert, Paul Jhun and Aaron Bright]) Los Angeles, CA, 4-6/2014
Course Director. APLS. Pediatric Emergency Medicine Review. Simulation, Procedure Lab and case-based discussion. PGY-4, Emergency Medicine Residency, LAC+USC Medical Center; June,2014, 2015

Research Activities:
Major Areas of Research Interest
Pediatric Trauma. Resuscitation. Medical Education
Research in Progress
The presentation of deep venous thrombosis or venour thromboembolism to the emergency department and the incidence of prothrombotic disorders among these patients.
Buffered versus non-buffered lidocaine use with the J-tip device: Does it matter?
MRI for pediatric acute appendicitis: is CT of the past?
The Flipped Classroom for Medical Education.
更多

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