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Darria Long Gillespie shared thisThis short piece by Howard Mell MD, MPH, FACEP is a must-read. Grab a tissue, and expect to be viscerally moved by memories of an ER doctor that can come back in a second - even in the apple store - of key moments during COVID.Darria Long Gillespie shared thisI wrote something hard, and it was published yesterday. During the worst of COVID, I helped families say goodbye to the people they loved before we intubated them. I didn't realize how much I'd carried out of those rooms until it caught up with me, years later. This essay for KevinMD is my attempt to put words to it — for me, and for everyone else who was there. If you were on the frontline, some of this may be familiar. If you weren't, maybe it explains something about the people who were. https://lnkd.in/e6mDby3v
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Darria Long Gillespie shared thisAt an academic conference a month ago, I caught up with my colleagues and classmates from Yale Emergency Medicine residency - and - y’all, these are just amazing people. They’re leaders in training, education, AND research - #1 in NIH funding 2021-2024, #2 in 2025 Graduating from Yale School of Medicine emergency medicine residency was a moment of immense accomplishment and pride - and being able to do it alongside these humans is truly a joy. To any prospective medical students or future physicians out there - emergency medicine is probably one of the hardest jobs - and there’s absolutely no job I’d rather have. Congrats Arjun Venkatesh on what you have achieved, and to all the others on the team - exceptional people and leaders including Gail Donofrio Chris Moore Eric Goralnick, MD, MS (and I’m sure I left off some so please feel please tag them!)
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Darria Long Gillespie shared thisBabies and toddlers won’t directly tell you they’re getting too hot - but they WILL give you signs (see list below). Q for you: What are YOUR favorite hacks / tips to prevent littles from overheating? Share with other parents! 1. Flushing or very warm skin - Especially face, chest, or back - Skin may feel hot even if they’re not sweating much - Red cheeks or red feet 2. Unusual quietness- Just staring off into space and just a glazed overlook - Less interactive - Not interested in playing or eating - This is often an early warning sign - Later become truly lethargic 3. Irritability or inconsolable fussiness - Overheating can look like “random” crankiness - Especially concerning if it’s out of character 4. Decreased wet diapers or darker urine - A sign dehydration is already setting in 5. Rapid breathing or heart rate - Subtle, but parents often sense “something feels off” 6. Clammy or sweaty skin - Babies don’t regulate temperature as efficiently as adults 7. Refusing to drink or feed
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Darria Long Gillespie shared thisWas this caption good: One thing the ER teaches quickly: Safe driving isn’t just about your own vehicle. Every day, drivers share the road with people they know nothing about - someone having a medical emergency, someone who is impaired, someone who is distracted, or someone who simply shouldn’t be behind the wheel. You can’t control who you’re sharing the road with, but you can control how aware and attentive you are. Be the driver looking out for everyone else—not the driver everyone else has to look out for.
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Darria Long Gillespie shared thisOh nothing to see here - just a toddler, whose mother is a child safety expert and he refuses any safety guidance :)
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Darria Long Gillespie shared thisUgly ER truth - I’ve heard people refer to motorcycles as “donor cycles”, because of the severe amount of brain and other injury that riders can get. E-bikes? When I see kids (and adults) on the streets with them - it doesn’t feel that much different. Why? (1) You’re driving on the streets - which mean that a person on an e-bike, if hit by a car (with the driver not paying attention / driving a tank / distracted) has ZERO protection. (2) Many people on e-bikes will do after-market modifications to remove the regulators, so the bike can go even faster (and some just intrinsically can go faster). The body is not made to go from 35-55 mph, to a sudden STOP, if it hits something without major injury. The math just doesn’t math here. (3) And no, helmets are not sufficient. Helpful, but not sufficient to protect catastrophic injury. How to keep your child safer? No e-bike. You can start there. If you do wish to give them one, then: No use on public streets. Only in closed areas where they wont come across a vehicle. No after-market adjustments that allow the bike to go > 20mph. Helmet - always! SO happy to share this in partnership with @tc4ip for their #EBikeParentCheck Follow @t4cip on Instagram and LinkedIn. Learn more about T4CIP by visiting www.T4CIP.org.
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Darria Long Gillespie shared thisChoking - every parent’s fear-- AND something that you CAN (and must) respond to immediately. This is one of those moments that there is NOT time to wait for EMS. And yet - it can be confusing to remember the technique for each age. So - here’s your quick refresher - SAVE and SHARE this! -Infants (<1): 5 back blows, 5 chest thrusts (NOTE: I am using the HEEL of my hand here for chest thrusts. The AHA changed that this past October - it used to be 2 fingers, but is now the heel of the hand. It’s not as hard as you do for “back blows”, but the same part of the hand. - Children (>1) and adults: 5 back blows, 5 abdominal thrust (previously known as “Heimlich”). Visit nopanicparenting.com if you’d like our printable “Choking + Poisoning Hazards List” that you can print + post / screenshot and share with anyone who cares for your little. If you’d like to learn more, check out our fully virtual CPR, Choking, and Drowning course at https://lnkd.in/eV9UM6UC - NOW newly available as a subscription option! (or a one-time purchase - whatever you’d prefer to make this easier for you). Because when you know what to do, you don’t panic - you HANDLE it. In health, Dr. Darria
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Darria Long Gillespie shared thisA fever is actually helpful - it’s allows the body to more effectively fight off infections. But, fever can also come at a cost, because it increases your metabolism - which is why a super high fever can make anyone (and especially littles) just feel REALLY crummy. Red flags for children > 3 months with a fever (ie signs to see your doctor) include: The absolute number matters less – if your child exhibits any of these signs, get checked out (regardless of the level of fever) • Age: Younger than 3 months old and has a temp > 100.4 • Symptoms: Have difficulty breathing, seizures, an unusual rash, stiff neck • Behavior: They’re lethargic / way more tired than normal (even after fever medications brought down their fever – if they’re still behaving this way, definitely want to get them checked), inconsolably crying, or “just not themselves” (which is a mama gut feeling / my 6th vital sign!) • Timing: A fever that doesn’t improve after 3-5 days (or fevers that keep coming back) • Some numbers: if < 3 months and T > 100.4. If 3-36 months, and temp > 100.4 for > 3 days, or if their T > 102. Or, older children with an oral or rectal temp of 104 or higher • Medical history: If your child has chronic medical problems • Your gut telling you something is wrong. When a parent says “I know my child and they’re just not behaving like themselves”, that’s my 6th vital sign. If you’re feeling that way, come see us.
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Darria Long Gillespie shared thisA super common (and benign!) newborn rash - Erythema Toxicum Neonatorum (or e-tox for short). Common facts: * Presents in the first 72 hours * More common in higher birth weight, greater gestational age, or males * Starts as small patches or papules (1-3mm diameter) that become pustules, over trunk and limbs (ie parts of the body with hair follicles), but not on hands or soles. * They go away after 5-7 days (and may wax/wane during that period) * Usually no testing is required, unless your doctor is concerned about a potential other cause. Red flags: * Fever (any temp > 100.4 in an infant < 3 months is an immediate doctor visit) * Involvement of the mouth, hands or soles of feet * Blistering or oozing fluid * Behavior changes, refusing to nurse / take bottle, lethargy. * Maternal history of HSV * Any other symptoms of illness (congestion, difficulty breathing) * Doesn’t improve after 2 weeks Got more rash Qs? We see ‘em all the time in the ER - send me your Qs and I’ll cover another in my next installment of WHAT THE FRUITCAKE IS THAT CHILD’S RASH? Xxx, Dr. D . . . NO ADVICE: This resource contains general information about medical conditions and treatments for educational and entertainment purposes, and is not a substitute for hands-on training by a certified professional. The information is not advice and should not be treated as such. If experiencing a medical emergency, call 911 and seek immediate medical assistance from a healthcare professional.
Darria Long Gillespie commented on a post
1mo
This is so needed! I’m excited to see how we can use this for future research in our pediatric injury prevention work! So much potential here. ❤️❤️
Darria Long Gillespie replied to a comment
1mo
Dr. Tyeese Gaines hiiiii Ty!! So happy to see you here!
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Mary Caffrey
If you’re stuck inside in this snowy day in February, spend time with this month’s issue of Evidence-Based Oncology from AJMC - The American Journal of Managed Care. We've launched the first installment in our yearlong look at caregiving in cancer, featuring Neal K. Shah at CareYaya Health Technologies. You can catch up on #policy news including the $1.2 trillion spending bill that included #PBM reform and coverage for #MCED in #Medicare, including a commentary from our Editor in Chief Sucharu Prakash, MD. Also, don't miss Maggie Shaw's interview in our cover package on the leadership change at Sarah Cannon Research Institute. You can find all the coverage from our February issue here on ajmc.com. https://lnkd.in/e9ccbAHH
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