Fundoscopic images were consistently obtained using the Pan Optic iExaminer system in the pediatric ED particularly in children 2-18 years of age. CA images were obtained in children less than 2 years old, but less consistently.

Objectives The primary objective of this study was to evaluate the management of pain after traumatic injury in the pediatric emergency department (ED) as measured by time to analgesic administration and pain resolution, stratified by triage acuity level. Methods This is a retrospective descriptive study evaluating the management of children who presented with pain after injury to an urban level 1 trauma center. Consecutive enrollment of 1000 patients identified by ICD-9 codes that included all injuries or external causes for injury (700–999 and all E codes) and who had pain identified by triage pain assessment was performed. For analysis, patients were grouped according to triage level. Results Fifty-one percent (511/1000) of patients achieved pain resolution, and an additional 20% (200/1000) of patients had documented improvement in pain score during their ED visit. Triage acuity level 1 group received medications the fastest with a median time of 12 minutes (interquartile range, 10–53 minutes); 65.3% of patients (653/1000) received a pain medication during their ED visit; 54.3% of these patients received oral medications only. Average time to intravenous line placement was 2 hours 35 minutes (SD, 2 hours 55 minutes). Only 1.9% of patients received any medications prior to arrival. Conclusions Higher-acuity patients received initial pain medications and had initial pain score decrease before lower-acuity patients. Given the retrospective nature of the study, we were unable to clearly identify barriers that contributed to delay in or lack of pain treatment in our patient population.

Study Objectives: Sleep is crucial for the optimal function of all human beings, physicians included. As administrations have begun to focus on the well-being of healthcare workers, more studies are needed to determine how current working patterns affect emotional and physical well-being of these workers. It is therefore important to understand the effects of the demands of residency training on sleep quality. The goal of this study was to better evaluate the characteristics of junior physicians' sleep and to determine how shift work impacts sleep quality in these doctors.Methods: This was an IRB-approved, prospective, observational study in which EM residents had sleep characteristics (sleep time, light, deep, and REM sleep) recorded by a Fitbit© device (Charge 3). 34 emergency medicine residents were consented and had their sleep data sent to a secure database, Fitabase ©. Data was recorded from December 2019 to May 2021 for six months total, although some residents opted out of the study early due to the COVID-19 pandemic. Emergency department shifts were 8-10 hours long and coded as either day (starting between 6a-10a), evening (starting between 11a-4p), night shift (starting between 9p-12a), post-night (day after night shift), or off. One way ANOVA test was used to compare sleep times, with Bonferroni Correction post hoc analysis performed to determine between group differences.Results: There were statistically significant differences found between the sleep times based on shift. ANOVA for total time in bed F(4, 2067)