Graduation Speech
Lewis R. Goldfrank, MD
(June 12, 2019)
Congratulations on your graduation. This milestone and the commencement of your increased independence are a tribute to your fine work. Your future accomplishments will be substantial.
Your team
You as a class will have developed immensely profound bonds.
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“Take one more look. Surgery will prep the neck in the meantime.”
Emergency medicine is a cruel field. The more I learn, the more I realize my deficiencies, my weaknesses, my fears. As I uncover the intricacies and nuances of this specialty, questions continue to arise. The scope of practice is ever growing and self-doubt seems to only grow with experience.
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A look at how to best field one of the most common referrals to the emergency department.
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Pain is typically under-treated in children. Intranasal administration of analgesics has the benefits of rapid, needleless administration and a more rapid onset compared to oral administration. Ketamine is used frequently by the intravenous or intramuscular route for procedural sedation due to its efficacy and safety.
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A brief article on the use and utility of ocular ultrasound in the ED.
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The evaluation and management of febrile neonates remains controversial. Approximately, 10% of these patients will have a serious bacterial infection (SBI). Identification of the febrile neonate at low risk for serious bacterial infection could allow for a reduction in the rates of lumbar puncture, unnecessary antibiotics and hospital admission. The approach to these patients should evolve as the epidemiology changes and new diagnostic tests become available.
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