Pediatrics FOCUS ON SSM Cardinal Glennon Children’s Medical Center October/November 2009

SSM Cardinal Glennon Children’s Medical Center
October/November 2009
www.cardinalglennon.com
FOCUS ON
Pediatrics
MEDICAL NEWS FROM SSM CARDINAL GLENNON CHILDREN’S MEDICAL CENTER
AND THE DEPARTMENT OF PEDIATRICS, SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
ON THE COVER
Taking Tianna to Trauma Room 3
Tianna Starke, 11, is quickly taken from Cardinal
Glennon’s helicopter pad to Trauma Room 3. Tianna and
her mother, Tonya Starke, were in an ATV accident in
which Tianna was ejected.
Tianna was immediately surveyed by attending ER
physician Anthony Scalzo, M.D. Tianna’s injuries
included an open fracture of her left humerus, contusions
of her chest overlying her heart, multiple facial
lacerations and facial bone fractures.
Tonya drove an hour and a half before
reaching her daughter’s side.
“I loved how they did it,” she said of the moment she
entered the ER. “They were swarming around my baby,
and each one came to me to introduce themselves and
tell me who they were and what their thoughts were.
It was such a comfort.”
FOCUS ON
Pediatrics
Editor In Chief
Medical Editor
Editor
Writer & Designer
Sherlyn Hailstone
Kenneth Haller, MD
Andrew Sutton
Katelyn Ideus
President
SSM Cardinal Glennon
Children’s Medical Center
Associate Professor of Pediatrics
Saint Louis University
School of Medicine
Physician Services Manager
SSM Cardinal Glennon
Children’s Medical Center
Physician Services Assistant
SSM Cardinal Glennon
Children’s Medical Center
For comments and suggestions, please email [email protected]
Announcements
St. Louis Magazine Best Doctors 2009
Saleem Abdulrauf, M.D.
Neurological Surgery
Gary Albers, M.D.
Pediatric Pulmonology
Teresa Andreone, M.D.
Pediatric Critical Care
Stephen Barenkamp, M.D.
Pediatric Infectious Disease
Glen Fenton, M.D.
Pediatric Specialist
Neurology, Epilepsy
Alan Knutsen, M.D.
Pediatrics Allergy and
Immunology
William Ferguson, M.D.
Pediatric HematologyOncology
Atchawee Luisiri, M.D.
Pediatric Radiology
Casimir Firlit, M.D.
Pediatric Urology
Craig Belsha, M.D.
Pediatric Nephrology
Robert Fleming, M.D.
Pediatric Specialist
Neonatal-Perinatal Medicine
Burt Bromberg, M.D.
Pediatric Cardiology
Andrew Fiore, M.D.
Pediatric Cardiac Surgery
Richard Bucholz, M.D.
Neurological Surgery
Thomas Foy, M.D.
Pediatric Gastroenterology
Victoria Cornelius, M.D.
Internal Medicine and Pediatrics
Jeremy Garrett, M.D.
Pediatric Critical Care
Oscar Cruz, M.D.
Pediatric Ophthalmology
Thomas Geller, M.D.
Pediatric Specialist
Neurology, Neuro-Oncology
Bradley Davitt, M.D.
Pediatric Ophthalmology
David Dempsher, M.D.
Pediatric Endocrinology
Thomas Donovan, M.D.
Pediatric Otolaryngology
Susan Heaney, M.D.
General Pediatrics
William Keenan, M.D.
Pediatric Specialist
Neonatal-Perinatal Medicine
Elizabeth Engel, M.D.
Pediatric Orthopaedic Surgery
Presentations
Ron Mitchell, M.D.
Keynote Speaker: “Pediatric OSA:
Outcomes of Surgical Therapy.”
The Annual meeting of the Israeli Society
of Otolaryngology/Head and Neck
Surgery. March 2009, Eilat, Israel.
Keynote Speaker: “Outcome of
Adenotonsillectomy for Sleep-Disordered
Breathing (SDB) In Children. XIX World
Congress Of Oto-Rhino-Laryngology,
IFOS, Brazil, June 2009
Marilyn Maxwell, M.D.
Internal Medicine and Pediatrics
Ron Mitchell, M.D.
Pediatric Otolaryngology
Jay Noffsinger, M.D.
General Pediatrics and
Pediatric Sports Medicine
Timothy Rice, M.D.
Internal Medicine and Pediatrics
Farouk Sadiq, M.D.
Pediatric Specialist
Neonatal-Perinatal Medicine
Anthony James Scalzo, M.D.
Pediatric Emergency
Medicine
Kenneth Schowengerdt, M.D.
Pediatric Cardiology
Elaine Siegfried, M.D.
Pediatric Dermatology
Blakeslee Noyes, M.D.
Pediatric Pulmonology
John Stith, M.D.
Pediatric Otolaryngology
John Peter, M.D.
Pediatric Emergency
Medicine
Jeffrey Teckman, M.D.
Pediatric Gastroenterology
Howard Place, M.D.
Orthopaedics
Nora Porter, M.D.
Internal Medicine and Pediatrics
Aki Puryear, M.D.
Pediatric Orthopaedic
Surgery
Robert Ream, M.D.
Pediatric Critical Care
Sherida Tollefsen, M.D.
Pediatric Endocrinology
Dennis Vane, M.D.
Pediatric Surgery
Robert Wilmott, M.D.
Pediatric Pulmonology
Ellen Wood, M.D.
Pediatric Nephrology
Awards
Cystic Fibrosis Foundation’s 2009 Quality Care
Award: Recognizing Outstanding QI Processes
and Accomplishments.
To be presented at the US Center and Program
Directors’ meeting at NACFC
Minneapolis, Minnesota
October 17, 2009
Jay Noffsinger, M.D. earns Golden Apple Award
Dr. Jay Noffsinger received his seventh Golden Apple
Award for medical school faculty in clinical years from
the Class of 2009 graduating medical students.
Presented at the pre-commencement ceremony
May 2009
1
Cardinal Glennon Access Center
One number for all consultations and transports
In an effort to improve communication between community
physicians and subspecialists, SSM Cardinal Glennon has
launched the Cardinal Glennon Access Center.
The only 24-hour pediatric consultation and transport line in
the St. Louis metro area, the Cardinal Glennon Access Center
is your direct connection to expert care.
Call 1-888-229-2424 for all:
Emergent Transfers
Urgent Appointments
Physician Consultations
All calls will be answered 24-hours a day by transport-trained
nurses.
Practice Points
with Kenneth Haller, M.D.
Q: What are the basics of H1N1?
It appears that H1N1 influenza is
about as severe as seasonal flu, but it
will affect more young people than
older people.
•
•
•
•
When the H1N1 vaccine becomes
available, the CDC recommends that
the first groups to receive the vaccine
will include:
• Pregnant women
• People who live with or care for
children younger than 6 months
of age
Health care and emergency medical services personnel
with direct patient contact
Children 6 months to 4 years of age
Children 5 to 18 years of age who have chronic medical
conditions
Adults from ages 25-64 years at higher risk for compromised immune systems including HIV
The infectious period for H1N1 is currently unknown and is
thought to be similar to that for seasonal flu. Those infected
are assumed to be shedding the virus from one day prior
to illness onset until resolution of symptoms or seven days
following illness onset.
2
Treatment for H1N1 flu is primarily symptomatic. Patients
should push fluids and get plenty of rest. Remember, no
aspirin for fever. Antibacterials should be used only if there
is evidence of bacterial superinfection. Antivirals including
oseltamivir (Tamiflu) or zanamivir (Relenza) may be effective
if given early. However, since children are at higher risk for
side effects with antivirals, be sure to discuss pros and cons
with parents.
Ways to Prepare Your Practice:
• Develop a Business Continuity Plan
• Inform employees about your plan for coping with
the additional surge in patients
• Develop a plan to operate your facility with significant
staff absenteeism
• Provide immunization against seasonal flu at no cost to
your staff, but ask sick employees to stay home
• Know the pandemic planning and response activities of
the hospitals, outpatient facilities and local public health
in your community. Useful websites are:
www.cdc.gov
www.aap.org
www.dhss.mo.gov
• Know where to turn for up-to-date information in your
local community: www.cardinalglennon.com.
I wish you good luck this flu season!
View Dr. Haller’s H1N1 presentation at:
www.pediatricsondemand.com.
username: ds\r010-online - password: webcme
St. Louis Crisis Nursery
The small, brick home sits tucked away in a St. Charles
neighborhood. A play area in the backyard holding a play
house and several colorful toys is surrounded by a simple
white fence. Inside four little boys and girls are fast asleep - it’s
nap time.
This humble home is one of five St. Louis Crisis Nursery locations in the St. Louis Metro Area that served 6,000 children
last year. Started 23 years ago, the Crisis Nursery provides all
the comforts of a safe, quiet home for children - from birth
to 12 years old - whose families are experiencing a crisis such
as medical situations, homelessness, mental illness or mothers
suffering from post-partum depression.
The Crisis Nursery provides temporary relief, averaging 24
to 72 hours of care per child. During their stay, children are
provided a number of services including:
•
Art therapy
•
•
Developmental screenings
Physicals
With the downward turn of the economy, Community Relations Director Bonnie Define, MA, LPC, NCC, says the
nursery has helped families from diverse backgrounds.
“We work to strengthen families,” Define said. “The goal is
to provide a safe, nurturing environment for children while
working with the family to create long-term stability.”
If you have a patient you feel is in need of this service,
please call (314) 768-3201.
For materials, please email [email protected]
For general information, please visit
http://www.crisisnurserykids.org.
Diversions
Andrew Sutton Physician Services Manager
Dining
Taste by Niche
1831 Sydney Street
St. Louis, MO 63104
Gerard Craft, chef/owner of Benton Park standout Niche, whose
uncompromising standards have
placed his cuisine on the national
culinary scene, has opened Taste by
Niche, a culinary snug with seating
capacity for only 18 people.
Part speakeasy, part private club, Taste is set up for nibbling
before or after going out. An ever-changing variety of small
plates are priced at $8 and cocktails are shaken and stirred by
master mixologist Ted Kilgore.
Young and hip, the pulsating sounds of Coldplay and The
Killers buzzed the room as we sat at the serving bar, scanned
our options and chatted with one of the sous chefs.
We started with a flight of cow’s milk and goat’s milk cheeses.
Rich, buttery and well-balanced with just enough saltiness,
the triple cream Delice de Bourgogne melted in my mouth
and paired well with our chardonnay. We continued with a
charcuterie board of handmade sausages, served with a pair of
the house-made pickles.
This is where the tight confines and the access to the chefs add
another dimension. I actually spoke with the pickle’s creator
for ten minutes about the pickling process and the variations
in each of the pickles available - there are more than five types
available, with more to come.
Moving along, we devoured the spicy pork meatballs and
made quick work of the high note of the evening, the lemon
snapper ceviche. Phenomenal. The roasted radish bruschetta
showcases the creativity that built Craft’s national acclaim.
Dessert choices are narrow, but the red velvet cupcake we
shared made that fact irrelevant.
Service didn’t miss a beat. Where others might rest on reputation and past success, Craft remains steadfast in his pursuit
of excellence. On a busy Saturday night, he stopped to visit
with each table, to thank them for coming and to seek their
feedback. When he and I had a chance to chat, my only
advice was to suspend all advertising. I want this place all to
myself.
Beverages
My wife and I recently took advantage of an unseasonably
cool August evening and popped open a bottle of 2006 Les
Enfants Terribles, a tasty blend of 50 percent Syrah and 50
percent Mouvedre from France’s Rhone Valley. A tongue-incheek reference to the winemaker’s children, this wine is alluring with its dense purple color, quietly fading at the edges.
The jammy nose is pure Syrah, with hints of smoke, hay and
strawberries.
This wine is fruit-forward, with black cherries and cola
providing a delightful backbone. Distinctly layered by the
interplay of Syrah and Mouvedre, the latter creates a long and
complex finish. Slightly tannic, this is a delight today and
will continue to shine for years to come. Available locally for
around $15.00 per bottle.
3
An Evening
Cardinal Glennon Divisio
ED attending Anthony Scalzo, M.D., reads Terrion’s EKG
performed by Cawenda Bryant, RRT. Terrion complained
Dr. Scalzo escorts Tianna from the helicopter pad
of chest pain following the previous day’s football practice.
to Trauma Room 3. Read Tianna’s story on Page 6.
Based on a normal EKG and other tests, Dr. Scalzo
determined that a cardiac cause was unlikely.
5:30pm
5:38pm
Terrion Latimore, 16
Tianna Starke, 11
Chest pain
Brought in via helicopter
EKG
ATV accident
4:48pm
5:15pm
Timmy Johnson, 7
Bike accident
CT
Photography by Stewart Smith
Timmy Johnson, 7
Brought in by ambulance
Bike accident
4
Dr. Scalzo exams Timmy whose front bicyle wheel came
off, throwing him over the handle bars. Timmy’s eyes
rolled to the back of his head, he did not respond to EMS
and there was a contusion on his forehead. His mother,
Jane Johnson, “wanted to come to Cardinal Glennon for
child-specific care.”
Tracey Peterson, RTR, performs Timmy’s CT scan. Timmy also
had a spine film to ensure no serious damage was caused by the
accident.
g in the ED
on of Emergency Medicine
Kevin Germino, M.D., stitches a laceration on
David Liu, M.D., examines Annabell who came in after several seizures. Dekoda’s left ear. While numbing Dekoda’s ear, Dr.
Annabell was born with Angelman Syndrome, a neuro-genetic disorder Germino discussed Dekoda’s sibilings and favorite
TV shows.
that results in intellectual and developmental delay, sleep disturbance,
seizures, jerky movements and an overly happy demeanor.
10:10pm
Dekoda Brown, 5
9:11pm
Ear laceration
Annabell Ward, 2
Stiches
Seizures
7:20pm
Joel Miller, 3
Head wound
9:35pm
Savannah Warner, 17
Neck injury
10:43pm
Savannah Warner, 17
Neck injury
X ray
Left: Plastic Surgery resident Jenn Grosser, M.D., closes Joel’s head wound. Joel ran
into a door while playing. Prior to the stitches, Dr. Scalzo commented on Dr. Grosser’s
technique. “I like that she numbs the area, so we don’t have to give as much procedural
sedation anesthesia,” he said. Above Left: Nathan Wheeler, RN; Emergency attending
Trevor Tredway, M.D.; and ED fellow Kevin Germino, M.D., perform a log roll on
Savannah to check for spinal fractures. Savannah and three other teens were brought
in after an accident at a concert. Above Right: Savannah is x-rayed due to pain in her
upper and lower spine.
5
Emergency Medicine
Tianna Starke
Extended Stays
Sunday, August 2, 5:28pm: Tianna Stake, 11, is rushed to
Trauma Room 3 from the Cardinal Glennon helicopter pad
after an ATV accident. The ER team, headed by attending
physician Anthony Scalzo, M.D., immediately performs a
primary survey to detect any life-threatening injuries and to
determine what to administer for pain management.
Tianna’s injuries include an open fracture to her left humerus,
contusions of her chest overlying her heart, multiple facial
lacerations and facial bone fractures. Dr. Scalzo finds a normal
pulse in Tianna’s left arm and intact motor and sensory
function of her hand. His cardiovascular exam shows no cardiac injury and her airway is intact. Further evaluations include
CBC, coagulation studies, CT brain, CT abdomen and pelvis.
The Orthopedics team performs a partial reduction and
debridement of Tianna’s humerus fracture in Trauma Room 3
before moving her to the OR. Procedural sedation was provided by Dr. Scalzo, ER attending Trevor Tredway, M.D. and
pediatric emergency medicine fellow Kevin Germino, M.D.
Over the next two weeks, Tianna would undergo six surgeries
by orthopaedics and plastic surgery. Surgeons placed a plate
in her humerus, pins in her elbows and were able to close her
wound without a skin graft.
Cardinal Glennon’s Emergency Room staff quickly stabilizes Tianna Starke, 11. Tianna
was transported after an ATV accident. She spent almost three weeks at Cardinal
Glennon, undergoing six surgeries to restructure her left arm.
Kyle Sitton
Monday, July 13: Kyle Sitton, 6, jumped off the back of a
riding lawn mower without telling the driver. He was knocked
over and his legs were caught underneath.
His injuries included a fractured ankle, the loss of a toe and
a large “smiley face” laceration just one centimeter from his
femeral artery.
The laceration was originally wrapped in hopes of keeping the
skin intact, however, he was given a skin graft on August 17
and spent one week at Cardinal Glennon to recover.
Shyanna Hoenig
Friday, July 26: Shyanna Hoenig, 7, was on her way to
the St. Louis Zoo when her family’s van was hit by another
vehicle. Shyanna and six of her family members were sent into
a rock wall at an estimated speed of 55 to 60 miles per hour.
Sitting in the middle of a seat row, Shyanna only had a lap
belt to keep her in place. The belt damaged her intestines,
which required abdominal surgery to remove three sections.
She also suffered an injury to her aorta. She was quickly
transferred from SSM St. Joseph Hospital West to Cardinal
Glennon for pediatric speciality care after the accident.
6
Safe Kids St. Louis recommends that children ride in a booster seat with a three-point belting mechanism until they are
Kyle Sitton and his father, Russ Sitton, play video games in his room. Kyle received a
skin graft and was not allowed to sit or lay on his left side for several weeks.
4 feet, 9 inches tall and weigh between 80 and 100 pounds.
Booster seats cause the lap portion of the belting system to
cross at the child’s lap rather than their abdomen, preventing
serious injury.
Preparing to leave Cardinal Glennon, Shyanna shared her
thoughts on the experience.
“The nurses are nice and the doctors are here to help you. It
might hurt sometimes, but it makes you feel better,” she said.
“The best part is you get stuffed animals and people visit you
and pray for you (seven churches prayed for her) and want
you to get better.”
Emergency Medicine
Preparation
On Sept. 15, the ED participated in a
city-wide, two-hour disaster drill to test its
surge abilities, stressing faculty and staff
beyond what they would normally handle.
ED attending Rachel Charney, M.D., said
another goal was to improve the realism and
educational value of the drill, especially for
residents.
The drill involved ED nursing, ED attendings, multiple subspecialties, trauma surgeons, residents, registration, radiology, lab,
public information officers and the OR.
With the assistance of US Air Force Center for Sustainment of Trauma and Readiness Skills (CSTARS) the ED used
simulators from the SLU Simulation Lab. Volunteer patients were provided by the Missouri Hospital Association. “Hospital disaster drills are essential to
improving our ability to care for our patients
and protect our staff in the event of a real
disaster situation,” Dr. Charney said.
Emergency Medicine
Community Education
Missouri Regional
Poison Center
SLU Simulation Lab
Using high-fidelity simulator mannequins, the SLU Simulation Center trains medical students, physician assistants,
residents, nurses and paramedics.
The Missouri Regional Poison Center at Cardinal Glennon
receives more than 195,000 calls per year from the public,
physicians and other health care professionals.
The Center shares facilities, staff and equipment with the US
Air Force Center for Sustainment of Trauma and Readiness
Skills (CSTARS), which is one of only three such centers in
the nation.
The Poison Center offers many public education and professional education courses, maintaining a high standard to provide professional services in poisoning management, public
education and an academic mission.
Medical Director: Anthony Scalzo, M.D.
Medical Director: Anthony Scalzo, M.D.
For more information, please visit:
www.cardinalglennon.com, support services, poison center.
Pacts/Pals
PALS is a collaboration between the
American Heart Association (AHA)
and the American Academy of Pediatrics. PACTS for Life is a pediatric
trauma and cardiorespiratory support
course.
Oct. 19-21: Provider Course
Nov. 12 and Dec. 15: Renewal Course
Phone: (314) 577-5385
Co-Medical Directors: Anthony Scalzo,
M.D., and Steven Laffey, M.D.
HAZMAT
In collaboration with the Missouri
Regional Poison Center, Cardinal
Glennon is pleased to offer the region’s
only Advanced Hazmat Life Support
(AHLS) Provider Course. The program
gives health professionals a timely and
effective response strategy in the medical management of hazmat incidents.
Oct. 28-30: Provider/Instructor Course
Phone: (314) 577-5385
Medical Director:
Kathy Lehman-Huskamp, M.D.
Pediatrics on
Demand
Oct. 12: “Ocular Trauma Initial
Evaluation and Treatment”
John R. Peter, M.D.
Oct. 26: “Diagnosis and Management
of Bronchiolitis”
Trevor Tredway, M.D.
www.pediatricsondemand.com
Username: ds\r010-online
Password: webcme
Questions?
[email protected]
7
Q&A
Robert Flood, M.D.
Director of Emergency Medicine
Q: What sets Cardinal Glennon apart in terms of service?
A: Our comprehensive team approach that is based on compassionate care. Yes, we have the ED physicians, ED nurses,
transport team, pediatric surgeons, orthopaedic surgeons,
neurosurgeons, anesthesiologists, respiratory therapy and
pharmacy, but we also have the social workers and pastoral
care for every major trauma patient.
It’s more than just medical care, it’s about a family in a very
stressful situation, and we believe in caring for that entire
family.
Q: What are your division’s primary roles in the
community?
A: We go into the community to provide education through
on-site lectures, PALS/PACTS courses, and we’ve published
our evidence-based Clinical Practice Guidelines online.
But the most important thing is being a real-time resource for
consultations. Community physicians know us as a resource
and there is nothing more important than that personal
phone call and the sharing of advice on the spot.
For Clinical Practice Guidelines visit www.cardinalglennon.com,
For Professionals, Emergency Medicine resources.
Q: How do you create the best possible clinical outcomes?
A: While we absolutely practice evidence-based medicine,
there is no substitute for experience. Our physicians average 15 years of experience in practice of pediatric emergency
medicine.
Q: When have you felt most successful in terms of patient
care?
A: It was early in my career when I was a resident. I was
sitting near the door when a triage nurse brought in a child
that was not breathing. I led the resuscitation for that child.
We later found that he was a victim of child abuse and, a
few months later, he was perfectly normal. This experience
was exactly the reason I’m a pediatrician and solidified my
decision to be an emergency physician.
To reach the ED
Please Call:
(314) 577-5666.
To contact Dr. Flood
please call:
(314) 577-5360.
8
Parisa Jamshidi, M.D.
Emergency
Medicine
Faculty
M.D.: Hacettepe University School of Medicine, Ankara, Turkey
Pediatric Residencies: Hacettepe University School of Medicine, Ankara,
Turkey; Children’s Medicial Center of Brooklyn, Brooklyn, NY; Allegheny
University Hospitals, Philadelphia, PA
Fellowship in Pediatric Emergency Medicine: SSM Cardinal Glennon Children’s Medical Center, St. Louis, MO
Steven Laffey, M.D.
PACTS/PALS Co-Medical Director
M.D.: Saint Louis University School of Medicine, Cardinal Glennon Children’s
Medical Center
Residency: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
Fellowship: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
Kathy Lehman-Huskamp, M.D.
Division Liaison for Disaster Management
Rachel Charney, M.D.
Division Liaison for Disaster Management
M.D.: Northwestern University, Chicago, IL
Residency in Pediatrics: St. Louis Childen’s Hospital, St. Louis, MO
Fellowship in Pediatric Emergency Medicine: Washington University School
of Medicine, St. Louis Children’s Hospital
Ann DiMaio, M.D.
Child Protection Team
M.D.: State University of New York, Downstate Medicial Center
Internship and Residency in Pediatrics: The New York Hospital, Cornell
University Medical Center, New York, NY
Fellowship in Pediatric Critical Care: The New York Hospital, Cornell
University Medicial Center
Fellowship in Forensic Pediatrics: Cardinal Glennon Children’s Medical
Center, St. Louis, MO
Faye Doerhoff, M.D.
Associate Pediatric Residency Director
M.D.: University of Missouri School of Medicine, Columbia, MO
Residency: University of Missouri at Columbia Medical Center; University of
Texas Medical Branch
Chief Resident: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
Robert Flood, M.D.
Division Director for Pediatric Emergency Medicine
M.D.: University of Miami Medical School, Miami, FL
Residency in Internal Medicine/Pediatrics: University of Miami, Jackson
Memorial Hospital, Miami, FL
Chief Resident in Pediatrics: University of Miami, Jackson Memorial Hospital, Miami, FL
Fellowship in Pediatric Emergency Medicine: Children’s Hospital Boston,
Boston, MA
James Gerard, M.D.
M.D.: Saint Louis University School of Medicine
Residency: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
Chief Resident: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
Fellowship: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
M.D.: Saint Louis University School of Medicine
Residency: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
Chief Resident: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
Fellowship: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
Albert Nakanishi, M.D.
M.D.: Northeastern Ohio University College of Medicine, Rootstown, OH
Residency: Children’s Hospital of Akron, Akron, OH
MPH: Saint Louis University
John Peter, M.D.
Medical Director for Pediatric Emergency Department
M.D.: Southern Illinois University School of Medicine, Springfield, IL
Residency: Cardinal Glennon Children’s Medical Center, St. Louis, MO
Chief Resident: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
Fellowship: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
Anthony Scalzo, M.D.
Medical Director of Missouri Regional Poison Center
Medical Director of SLU Simulation Center
PACTS/PALS Co-Medical Director
M.D.: Saint Louis University School of Medicine
Residency: Saint Louis University School of Medicine, Cardinal Glennon
Children’s Medical Center
Fellowship: University of Cincinnati, Cincinnati, OH
Teresa Schiff, M.D.
M.D.: Autonomous University of Guadalajara, Guadalajara, Mexico
Residency: University of Illinois College of Medicine, St. Francis Medical
Center, Peoria, IL
Trevor Tredway, M.D.
Pediatric Emergency Medicine Fellowship Director
M.D.: Saint Louis University School of Medicine
Residency: Cardinal Glennon Children’s Medicial Center
Fellowship in Emergency Medicine: Cardinal Glennon Children’s Medical
Center
9
Physician Services Department
1465 South Grand Blvd.
Saint Louis, Missouri 63104-1095
Glennon Care Sites
MISSOURI
SSM DePaul Health Center, Bridgeton, MO
(314) 344-6000
SSM St. Joseph Hospital West
(636) 625-5200
SSM St. Joseph Health Center, St. Charles, MO
(636) 947-5000
St. Anthony’s Medical Center
(314) 543-5226
ILLINOIS
Anderson Hospital, Maryville, IL
(618) 288-5711
Memorial Hospital, Belleville, IL
(618) 233-7750
Non Profit Org
U.S. Postage
PAID
St. Louis, MO
Permit No. 2412