Measles is Back: The Experts Tell You What You Need to Know

For many practicing pediatric emergency physicians, measles feels like a disease from another era. In fact, measles was declared eliminated in the United States in 2000. But over the past several years, declining vaccination rates and increasing global circulation have pushed measles back into the clinical conversation.

The reality is that many emergency clinicians today have never seen a true case of measles. Yet with outbreaks occurring across the country and internationally, the next febrile child with rash in your ED might not just have another viral exanthem.

To help clinicians recognize and manage measles in the emergency department, I spoke with Dr. Danielle Daniels, a pediatric infectious disease specialist at SUNY Upstate, and Dr. Gregory Conners, pediatric emergency physician and Chair of Pediatrics at SUNY Upstate. Their recent review article in Pediatric Emergency Care walks through the key issues clinicians need to know – from early recognition and isolation to testing, complications, and practical ED management. measles-recording

In the conversation below, we discuss:

• Why measles is resurging
• The biggest knowledge gaps among clinicians today
• Early clinical clues (including Koplik spots)
• Isolation and ED workflow
• Testing strategies and complications
• And the three key takeaways every ED clinician should remember when evaluating a febrile rash illness.

Watch the interview below for practical pearls that can help you recognize and manage measles the next time it walks into your emergency department. Check out the podcast-only version as well.

Artificial Intelligence in Pediatric Emergency Medicine | Dr. Jason Fischer on How AI Is Reshaping the ER – Doctors Are People Too

In this conversation, Dr. Jason Fisher (Division Head of Emergency Medicine at SickKids | The Hospital for Sick Children in Toronto) breaks down how artificial intelligence is already being implemented in the pediatric emergency department – and what it means for the future of care delivery. We explore real-world applications of AI across emergency department operations, including predicting patient volumes and admissions at triage, improving patient flow, identifying high-risk patients in real time, and enhancing both provider and patient experience. Dr. Fisher outlines a practical framework for thinking about AI in layers – from operations and workflow to clinical decision-making and longitudinal care. Looking ahead, we discuss the major challenges facing AI integration in pediatric emergency medicine, including regulation, safety, and the growing dependence on centralized AI platforms. Dr. Fisher also shares a compelling vision for the future physician, describing how roles may evolve into “pioneers, guardians, and stewards” in an AI-driven healthcare system. Check out the video conversation and additional AI and Pediatric Emergency Medicine content at http://www.HipPEMcrates.com

1. Artificial Intelligence in Pediatric Emergency Medicine | Dr. Jason Fischer on How AI Is Reshaping the ER 17:02
2. Measles is Back: The Experts Tell You What You Need to Know 24:07
3. Artificial Intelligence in Pediatric Emergency Medicine | A Conversation with Dr. Selin Sagalowsky 18:33
4. Mass Casualty 101: Real-Life ER Disaster Planning with Dr. Matt Harris 43:22
5. Inside THE PITT: A Deep Dive into TV’s Realest ER Drama with Actor Patrick Ball (Dr. Frank Langdon) and Medical Consultant Dr. Sylvia Owusu-Ansah 01:26:59

Dr. Joshua Belfer, MD, is a Pediatric Emergency Medicine physician at the Children’s Hospital of Philadelphia, and is the Founder and Editor-in-Chief of HipPEMcrates. He can be reached at HipPEMcrates@gmail.com.