A doctor in the pediatrics department speaking with a group

Division of Emergency Medicine

Overview

The Division of Pediatric Emergency Medicine and our emergency medicine specialists provide around-the-clock care to more than 26,000 patients a year in the Pediatric Emergency Department of the Bristol-Myers Squibb Children’s Hospital at Robert Wood Johnson University Hospital — New Jersey's first Level II Pediatric Trauma Center.

Clinical Services

The Division of Pediatric Emergency Medicine has been in existence for over 30 years and was the first pediatric division in New Jersey. The Pediatric Emergency Department at Bristol-Myers Squibb Children’s Hospital is the primary clinical and educational site for the division.

Our pediatric emergency medicine specialists and general pediatricians, along with specially trained nurses and technicians, are capable and equipped to care for the most severely injured and sickest children and treat a wide range of illnesses and injuries that present from infancy through young adulthood. The division also orchestrates various ancillary staff and services to meet the needs of our patients and enhance their experience.

Pediatric emergency department staff sit at a computer in the ED

Accordion Content

  • 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, satisfaction, and significantly decreasing their time spent in the emergency department.

    These specially trained general pediatricians also augment the division’s academic and educational pursuits and are intimately involved in all continuing medical education processes.

  • We offer a unique family experience hosted by Child Life Specialists, who are experts in providing comfort and education, while alleviating fears and anxieties, and are available in the emergency department 24 hours a day.

    As pediatricians, the division is also committed to providing a comfort and pain free experience and to that end, we are dedicated to continually to improve our pain management service. 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. Patients who do require admission following their treatment are hospitalized at Bristol-Myers Squibb Children’s Hospital.

    • 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
    • Sports medicine evaluation programs
    • Telemedicine services to non-pediatric emergency departments

Education

Educational activities are a major focus of the Division of Emergency Medicine, which is the primary educational venue for the instruction of pediatric emergency medicine at Robert Wood Johnson Medical School. The division orchestrates the teaching program for the Department of Pediatrics, Department of Emergency Medicine, and the Department of Family Medicine at Robert Wood Johnson Medical School. Second-, third-, and fourth-year medical students, as well as first-, second-, and third-year pediatric residents, and family practice residents in the second and third year all receive their pediatric emergency medicine training with the division in the Pediatric Emergency Department of the Bristol-Myers Squibb Children’s Hospital.

Educational opportunities are also afforded to residents from other training programs, physician assistant students, nursing students, medical students, and others who choose to do electives with our division.

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 afforded the opportunity to expand their emergency medicine education.

A medical student wearing a lab coat smiles

Accordion Content

  • The division acts as the primary educational site for pediatric emergency medicine for students and trainees from various programs and institutions. Learners from Robert Wood Johnson Medical School Department of Pediatrics, the Department of General Emergency Medicine, the Department of Family Medicine, and physician assistant program are hosted to educational activities in our Pediatric Emergency Department, along with medical students and residents from other institutions.

    We hold three meetings each month for prospective students:

    • First Thursday of each month – Attendings Conference
    • Third Thursday of each month – General Business Conference
    • Fourth Thursday of each month – Literature Review
  • The division also offers an office preparedness course for pediatricians in Central Jersey. 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.

Research

Our faculty members are intimately involved in many research venues in the department, the community, and the state, and have presented at the Pediatric Academic Society and at Academic Emergency Medicine meetings. Our research activities address topics including alcohol abuse and depression, end-tidal CO2, and pediatric resuscitation, along with comparative effective projects about febrile seizures and provider’s activities.

A pediatrician examines a young patient's hand

Accordion Content

    • 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

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.

A children's hospital ambulance sits outside of the Bristol-Myers Squibb Children's Hospital at RWJUH

Faculty and Staff

Contact Us

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

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