A doctor in the pediatrics department speaking with a group

Division of Emergency Medicine

The Division of Pediatric Emergency Medicine is housed in the Pediatric Emergency Department of the Bristol-Myers Squibb Children’s Hospital. This standalone facility is the primary clinical and educational site for the division.

Overview

The department is capable and equipped to treat a wide range of illnesses and injuries that present from infancy through the young adult ages. As pediatricians, the division is committed to providing a comfortable and pain-free experience, and to that end, we are dedicated to continually improving our pain management service. The division manages the pediatric emergency department 24 hours a day and is fully staffed by pediatric emergency medicine specialists.

About Us

Our pediatricians with unique qualities, caring for the sickest of pediatric patients along with specially trained nurses and technicians dedicated solely to the specialty of pediatric emergency medicine. The division orchestrates various staff members to add to the specialty needs of children. As the first pediatric division in the State of New Jersey, our program has grown from a patient population of 3,000 to its current volume of over 26,000 patients a year.

This evolution has led to the expansion of staff to include many well-trained pediatric emergency medicine specialists, along with general pediatricians to meet our ever-increasing volume demands. Along with the physician expertise comes a unique family experience hosted by Child Life Specialists. These experts in providing comfort and education, while alleviating fears and anxieties, are available in our emergency department 24 hours a day.

The beginning and the continued evolution of the Express Care Section of the division has been very well received and has worked to increase patient satisfaction and decrease patient waiting times in our pediatric emergency department.

Our moderate sedation service sets us apart from many emergency departments in our area. Furthermore, our enhanced radiological experience utilizing fluoroscopy has enabled us to facilitate many procedures without the movement of patients or their admission to the operating room. For those patients who do require admission following their treatment, they are hospitalized in our stand-alone children’s hospital, The Bristol-Myers Squibb Children’s Hospital.

child in hospital

Education

Educational activities continue to be a prime focus for the division. The Division is the primary educational venue for the instruction of pediatric emergency medicine at the Robert Wood Johnson Medical School.

  • In this pursuit, second, third, and fourth-year medical students; pediatric residents of the first, second, and third year, along with family practice residents of the second and third year, receive their pediatric emergency medicine education in the Emergency Department of the Bristol Myers Squibb Children’s Hospital. The Department also instructs residents from the Family Practice program of the Somerset Medical Center and hosts various electives for medical students, emergency medical service students, and residents from other programs throughout the north east.

    Resident educational activities include supervision of PGY1, PGY2, and PGY3 residents during all facets of their rotations in the Pediatric Emergency Department. Furthermore, third-year pediatric residents undertake elective rotations in the Pediatric Emergency Department and are allowed to expand their emergency medicine education.

    The division acts as the primary educational site for pediatric emergency medicine to several young learners. Young learners from the Department of Pediatrics, the Department of General Emergency Medicine, the Department of Family Medicine, and Physician Assistant Students from Rutgers Robert Wood Johnson Medical School are hosted to educational activities in our Pediatric Emergency Department.

    Along with young learners from Rutgers Robert Wood Johnson Medical School, family practice residents from the Somerset Medical Center as well as medical students and residents from other institutions elect to be educated by our division.

    The division holds three meetings each month:

    First Thursday of each month – Attendings Conference
    Third Thursday of each month – General Business Conference
    Fourth Thursday of each month – Literature Review

Community Outreach

The division serves the community in many capacities. Divisional members have presented and participated in discussions and presentations at Emergency Medical Service venues throughout the state’s first aid squads in various communities. The division initiated and presented an Office Preparedness Course in private practitioner’s offices throughout the state.

These venues are a cooperative effort between divisional members and nursing staff that do mock code scenarios followed by discussions to enhance the ability to take care of critically ill children in outpatient facilities. The division is particularly proud of its efforts in initiating and supporting the cardiopulmonary resuscitation training for non-English speaking members of the community. Along with this venue is the holiday party initiated by the division and the Puerto Rican Action Board.

Smiling young boy with bright paint on his hands and body.

Clinical Care Services

The Division of Pediatric Emergency Medicine is comprised of specially trained pediatric physicians with expertise in pediatric emergency medicine. These specialists staff the emergency department at the Bristol-Myers Squibb Children’s Hospital, Robert Wood Johnson University Hospital, 24 hours a day, 7 days a week.

Our clinical services include:

  • As a Level 1 Trauma Center and the state’s only Pediatric Level II trauma center, the division is charged with caring for the most severely injured and sick children, as well as those with the most minor problems.

    The division orchestrates the teaching program for the Robert Wood Johnson Medical School Department of Pediatrics, the Department of Emergency Medicine, and the Department of Family Medicine. First--, second-, and third-year pediatric residents rotate through the emergency department. Educational opportunities are also afforded to residents from other training programs, physician assistant students, nursing students, medical students, and all those who choose to do electives with our division.

    The division is intimately involved in research and academic pursuits in pediatric emergency medicine. 

  • The division has a well-established section in Express Care Medicine in which board-certified general pediatricians are available during the busiest times to treat patients with a wide range of minor problems, expediting their care, and significantly decreasing their time spent in the emergency department. These specially trained general pediatricians augment the division’s academic and educational pursuits and are intimately involved in all continuing medical education processes. 

    The division also affords pediatricians in Central Jersey an Office Preparedness Course. This is a course that incorporates mock code scenarios in physician offices to access and help in the preparation of significant critical care problems that could take place in an office setting. After the course, there is a feedback session in which equipment and physician knowledge is updated and referred to the practice.

    • Diagnosis and treatment of a wide range of illnesses and injuries that present to the emergency department from birth through 21 years of age.
    • A Level 2 pediatric trauma center
    • Child life specialists
    • Moderate sedation services offered 24 hours a day
    • Enhanced radiological techniques including fluoroscopy done in the emergency department
    • Point-of-care ultrasound services performed by pediatric emergency medicine specialists
    • Coordination of emergency medical services for children
    • Coordination of pediatric emergency preparedness for the hospital
    • Office preparedness courses
    • Sports medicine evaluation programs
    • Telemedicine services to non-pediatric emergency departments

Research

The division’s faculty members are intimately involved in many research venues in the department, the community, and the state. Division members have presented at the Pediatric Academic Society meetings in Vancouver along with the Academic Emergency Medicine meetings in Philadelphia. Research activities are taking place concerning alcohol abuse and depression, end-tidal Co2, and pediatric resuscitation along with comparative effective projects about febrile seizures and provider’s activities.

    • Leva, EG, Petrova, A, Fieramosca, B, “Adherence to Clinical Practice Guidelines in Evaluation of Simple Febrile Seizures in Emergency Departments” has been accepted to the SAEM Mid-Atlantic Regional Meeting on February 22, 2014 hosted at Thomas Jefferson University in Philadelphia, PA.
    • Leva, EG, “Comparison of Clinical Management of Young Children With Simple Febrile Seizures in Association with Physicians’ Training”   was accepted to the Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting, Vancouver, BC, Canada, May 6, 2014 Abstract #755075
    • Leva, EG, “Pediatricians’ Expectation Regarding Advance Training in Pediatric Emergency Medicine for Physicians Providing Care to Pediatric Patients in the Emergency Department”  was accepted to the Pediatric Academic Societies and Asian Society for Pediatric Research Joint Meeting, Vancouver, BC, Canada, May 5, 2014 Abstract #756162
    • Leva, EG, “Comparison of Clinical Management of Young Children With Simple Febrile Seizures in Association with Physicians’ Training”   was accepted to the Eastern Society for Pediatric Research Meeting,
    • Philadelphia, PA. March 23, 2104   Abstract #755075
    • Ernest Leva, MD, Associate Professor of Pediatrics  “Adherence To Clinical Practice Guidelines In Evaluation Of Simple Febrile Seizures In The Emergency Department”  Department of Pediatrics, Research Day, June 11, 2013
    • VanArsdale D, Leva E, Petrova A. General Pediatrician’s Expectations Regarding Advanced Training In Pediatric Emergency Medicine For Physicians Providing Care To Pediatric Patients In The Emergency Department.  Poster presentation Department of Pediatrics, Research Day, June 11, 2013
    • VanArsdale D, Leva E, Petrova A. Parental Expectations Regarding Specialty Training In Pediatric Emergency Medicine For Physicians Practicing In A Pediatric Emergency Setting.  Poster presentation Department of Pediatrics, Research Day, June 11, 2013
  • Miele NF, Patel NR, Grieco RDLeva EG.  Direct Bedding, Bedside Registration and Patient Pooling to Improve Pediatric Emergency Department Length of Stay.  Academic Emergency Medicine. 2012:19:S119

    Christina Camacho MDErnest G. Leva, MDFAAP, A Rare Presentation in a Not-So-Rare Disease Henoch-Schonlein Purpura Presenting with Repeated Seizures,  Pediatric Emergency Care 2014,30: 424-426

Contact Us

Robert Wood Johnson University Hospital
1 Robert Wood Johnson Place
New Brunswick, NJ 08901

Phone: 732-235-7893
Fax: 732-235-9340