PGY 4, 5, or 6 Pediatric Emergency Medicine trainees can perform the procedures listed below with indirect supervision:

 

 

PGY4

PGY5

PGY6

Differential Diagnosis:

Clinical History

X

X

X

Physical Examination

X

X

X

Interpretation of Laboratory Studies

X

X

X

Interpretation of Plain Radiographs (Skull, Spine, Chest, Abdomen, Extremities)

X

X

X

Cardiopulmonary Resuscitation:

Pediatric Medical Resuscitation <2 years

X

X

X

Pediatric Medical Resuscitation >2 years

X

X

X

Pediatric Trauma Resuscitation <2 years

X

X

X

Pediatric Trauma Resuscitation >2 years

X

X

X

Adult Medical Resuscitation >18 years

X

X

X

Adult trauma Resuscitation >18 years

X

X

X

Airway Maintenance

X

X

X

Emergency Drug Therapy

X

X

X

Rhythm Strip Interpretation

X

X

X

Emergency Vascular Access

X

X

X

Closed Chest Compressions

X

X

X

Cardioversion & Defibrillation

X

X

X

Airway Maintenance:

Bag-Valve-Mask Ventilation

X

X

X

Insertion of Oral Pharyngeal Airway

X

X

X

Endotracheal Intubation/Rapid Sequence Intubation

X

X

X

Cricothyroidotomy-Translaryngeal Ventilation

X

X

X

Tracheostomy Tube Replacement

X

X

X

Use of Mechanical Respirators

X

X

X

Vascular Puncture & Access:

Central Venous Catheterization

X

X

X

Intraosseous Access

X

X

X

Peripheral Venous Catheterization

X

X

X

Arterial Puncture or Catheterization

X

X

X

Umbilical Vessel Catheterization

X

X

X

Additional Specific Skills:

Tube Thoracostomy

X

X

X

Pericardiocentesis

X

X

X

Use of Water Seal Drainage Devices

X

X

X

Emergency Closed Fracture Reduction/Splinting

X

X

X

Closed Dislocation Reduction

X

X

X

Bladder Catheterization

X

X

X

Suprapubic Bladder Puncture

X

X

X

Laceration Repair

X

X

X

Regional Blocks

X

X

X

Foreign Body Removal Techniques

X

X

X

Splinting of Fractures & Dislocations

X

X

X

Incision & Drainage of Superficial Abscesses & Hematomas

X

X

X

Interpreting Arterial Blood Gases

X

X

X

Conversion of Supraventricular Tachycardia

X

X

X

External Cardiac Pacing

X

X

X

Emergency Treatment of 1st, 2nd & 3rd Degree Burns

X

X

X

Emergency Vaginal Delivery

X

X

X

Gastric Intubation (Nasal & Oral)

X

X

X

Diagnostic Peritoneal Lavage

X

X

X

Nasal Packing

X

X

X

Slit Lamp Examination

X

X

X

All other procedures are performed under direct supervision of a faculty member.

 

May 26, 2022