Nathan Kuppermann is an American pediatrician and emergency physician who is a member of the National Academy of Medicine. He serves as a distinguished professor in the Departments of Emergency Medicine and Pediatrics at the UC Davis School of Medicine, [1] educating future physicians about the fields he is adept in. Additionally, he holds the esteemed Bo Tomas Brofeldt Endowed Chair in emergency medicine. [2] Dr. Kuppermann has made many notable contributions as the founding chair of the Pediatric Emergency Care Applied Research Network (PECARN), [3] and subsequently as the chair of the global Pediatric Emergency Research Network (PERN). [4] [5] His contributions to pediatric emergency research and care highlights his dedication to improving the well-being of young patients across the world.
Kuppermann received his B.SC in Biology at Stanford University. [6] He completed his Doctorate in Medicine at the University of California, San Francisco School of Medicine [7] and continued on to Harvard University, School of Public Health for his Masters in Public Health. [8]
He is both a pediatric emergency physician and clinical epidemiologist. Kuppermann has been a federally-funded investigator [9] [10] [11] for many years and has particular interests in the clinical efficiency and utility of laboratory testing in the setting of the Pediatric Emergency Department. [12] His research has specially emphasized the laboratory evaluation of young febrile children [13] , evaluation of children at risk of diabetic ketoacidosis-related cerebral edema [14] and laboratory and radiographic evaluation of the pediatric trauma patient.
Kuppermann’s early research addressed the identification of young children presenting to the emergency department (ED) with infectious emergencies. [15] These studies focused on distinguishing young febrile children with serious bacterial infections (SBIs) from those with viral illnesses. [16] [17] His studies derived and validated prediction rules in order to aid ED clinicians in risk stratifying infants at low and high-risk of SBIs, and his studies centered on meningitis, bacteremia, and urinary tract infections [18] .
Kuppermann has extensive experience performing large, multicenter randomized controlled trials and observational studies pertaining to pediatric trauma.
Kuppermann has been studying trauma in children for over 20 years and has been particularly active in research pertaining to traumatic brain injuries (TBI) in children. In an important study headed by Kuppermann, [19] he enrolled ~45,000 children that experience head trauma to discover how to greatly reduce radiation exposure caused by unnecessary CT scans. This was done by determining the risk of pediatric TBIs from relevant predictive factors which gives providers more insight whether or not a CT scan is warranted. Similarly, Kuppermann has served as senior investigator/co-PI in research pertaining to pediatric abdominal trauma [20] through which he derived a highly accurate prediction rule for CT use, the largest of which enrolled >12,000 children with abdominal trauma. The CT prediction rule is now widely practiced today.
His other notable research pertains to diabetic ketoacidosis (DKA) in children, [21] [22] [23] and he has been involved in this research for over 20 years. He has served as a PI and Primary co-I on several extramural grants related to DKA and cerebral injury/edema in children, and one of his earliest research collaborations of the topic resulted in a highly-cited publication in the New England Journal of Medicine. [21]
Kuppermann's >300 publications has been cited roughly 20 thousand times and has an h-index of 74. [24]
Kuppermann has been a leader in multicenter research in emergency services for children, and he has worked to increase the evidence base in pediatric emergency medicine. He served as the Chair of the Pediatric Emergency Medicine Collaborative Research Committee (PEMCRC) of the American Academy of Pediatrics from 1996-2000. Through this committee, he conducted various research studies in which thousands of children were enrolled.
Kuppermann was Chair of the Steering Committee of PECARN since its inception in 2001 until late in 2008. [3] This network is funded by HRSA/MCHB and EMSC and consists of 22 geographically and demographically diverse hospital pediatric emergency departments which evaluate ~ 1,300,000 children annually. Since its creation, PECARN has published more than 200 peer-reviewed publications and secured more than $150 million in extramural funding, [25] and from 2019-2023, Kuppermann was re-funded to participate in PECARN with a $2.8 million award. As a leader of PECARN, his work has helped shape the future concerning pediatric emergency care and advanced the ability to perform large-scale, multicenter research across the country. [26]
Dr. Kuppermann has been working with and supporting a health clinic in Kathmandu, Nepal since 1987 [27] and has returned many times. He has worked clinically there, has served as an educator and fund-raiser, and participated in acute earthquake medical relief in 2015. In 2021 he helped found a non-profit "Friends for Health Nepal”(FFHN), [27] which he serves as president, to help support the clinic.
Most currently, Kuppermann has investigated novel biomarkers and measured the host response to distinguish viral from bacterial infections in young febrile infants. [18]
Ongoing Projects:
A randomized controlled trial of abdominal ultrasound (FAST) in children with blunt torso trauma [28]
09/07/2022 – 08/31/2027
Headache Assessment of Children for Emergent Intracranial Abnormalities [29]
07/01/2020 – 06/30/2025
PRagMatic Pediatric Trial of Balanced versus Normal Saline Fluid in Sepsis (PRoMPT BOLUS) [30]
04/01/2020 – 03/31/2025
Emergency Medical Service for Children Network Development [31]
9/01/2019 – 8/31/2023
RNA Biosignatures: A Paradigm Change for the Management of Febrile Infants [32]
8/21/2015 – 4/30/2023
Maureen Andrew Mentor Award, Society for Pediatric Research(2022) [33]
Hibbard Williams Extraordinary Achievement Award(2020) [34]
Faculty Distinguished Research Award, UC Davis(2020) [35]
Chancellor’s Departmental Achievement Award for Diversity and Community for Emergency Medicine(2020) [36]
Dean’s Team Award for Excellence for the Pediatric Emergency Care Applied Research Network (PECARN), UC Davis School of Medicine(2018) [37]
Distinguished Professor, UC Davis School of Medicine(2018)
Inaugural winner of SAEM Scientific Mentoring Award in Pediatric Emergency Medicine(2017)
Dean’s Team Award for Excellence in Mentoring, UC Davis School of Medicine(2017)
UC Davis School of Medicine Research Award(2016) [38]
Best Scientific Abstract, American Academy of Pediatrics Section on Emergency Medicine(2015)
American College of Emergency Physicians (ACEP) EBSCO/PEMSoft Achievement Award(2015) [39]
Ludwig-Seidel Award, American Academy of Pediatrics(2012) [40]
Best Scientific Abstract, American Academy of Pediatrics Section on Emergency Medicine(2012)
Best Scientific Paper, American Academy of Pediatrics Section on Emergency Medicine(2011)
American College of Emergency Physicians Outstanding Research Award(2011) [41]
Elected to the National Academy of Medicine(Institute of Medicine)(2010) [41]
EMSC National Hero’s Award: Outstanding Research Project(2010) [42]
Society for Academic Emergency Medicine (SAEM) Excellence in Research Award(2010) [43]
Miller-Sarkin Mentoring award, Academic Pediatric Association(2009) [44]
Dean’s Excellence in Research Award, UC Davis School of Medicine(2008) [45]
Willis Wingert Award (mentor for Best Scientific Paper by a Trainee), EM, AAP(2008)
Pediatric Emergency Medicine and Critical Care Research Award, AAP(2008)
Emergency Medical Service for Children (EMSC) National Hero’s Award: Outstanding Research(2007) [46]
Outstanding Contribution to Faculty Development and Diversity, UC Davis School of Med(2007)
Pediatric Emergency Medicine and Critical Care Research Award(2006)
Dean’s Team Award for Excellence in Mentoring, UC Davis School of Medicine(2003) [47]
Fulbright Distinguished Scholar, U.K.(2003) [48]
Pediatric Emergency Medicine and Critical Care Research Award(2002)
Outstanding Consultant, Annals of Emergency Medicine(2000)
Academic Teacher of the Year Award, Emergency Medicine, UC Davis School of Medicine(2000)
Outstanding Faculty Clinical Instructor, UC Davis School of Medicine(1998)
The Role Model Award, Department of Pediatrics, UC Davis School of Medicine(1997, 1999)
Pediatric Emergency Medicine and Critical Care Research Award, AAP(1996)
Fellow’s Teaching Award, Children’s Hospital, Boston, MA(1992)
Outstanding Teaching Resident Award, Dept of Pediatrics, Harbor-UCLA, Torrance, CA(1987, 1989)
Alpha Omega Alpha Medical Honor Society, UC San Francisco School of Medicine(1985)
Pediatrics also spelled paediatrics or pædiatrics, is the branch of medicine that involves the medical care of infants, children, adolescents, and young adults. In the United Kingdom, pediatrics covers many of their youth until the age of 18. The American Academy of Pediatrics recommends people seek pediatric care through the age of 21, but some pediatric subspecialists continue to care for adults up to 25. Worldwide age limits of pediatrics have been trending upward year after year. A medical doctor who specializes in this area is known as a pediatrician, or paediatrician. The word pediatrics and its cognates mean "healer of children", derived from the two Greek words: παῖς and ἰατρός. Pediatricians work in clinics, research centers, universities, general hospitals and children's hospitals, including those who practice pediatric subspecialties.
Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion and occasionally loss of consciousness. A person's breath may develop a specific "fruity" smell. The onset of symptoms is usually rapid. People without a previous diagnosis of diabetes may develop DKA as the first obvious symptom.
A febrile seizure, also known as a fever fit or febrile convulsion, is a seizure associated with a high body temperature but without any serious underlying health issue. They most commonly occur in children between the ages of 6 months and 5 years. Most seizures are less than five minutes in duration, and the child is completely back to normal within an hour of the event. There are two types: simple febrile seizures and complex febrile seizures. Simple febrile seizures involve an otherwise healthy child who has at most one tonic-clonic seizure lasting less than 15 minutes in a 24-hour period. Complex febrile seizures have focal symptoms, last longer than 15 minutes, or occur more than once within 24 hours. About 80% are classified as simple febrile seizures.
Congenital rubella syndrome (CRS) occurs when a human fetus is infected with the rubella virus via maternal-fetal transmission and develops birth defects. The most common congenital defects affect the ophthalmologic, cardiac, auditory, and neurologic systems.
Roseola, also known as sixth disease, is an infectious disease caused by certain types of human herpes viruses. Most infections occur before the age of three. Symptoms vary from absent to the classic presentation of a fever of rapid onset followed by a rash. The fever generally lasts for three to five days, while the rash is generally pink and lasts for less than three days. Complications may include febrile seizures, with serious complications being rare.
Arkansas Children's Hospital (ACH) is a pediatric hospital with a Level I trauma center in Little Rock, Arkansas. It is among the largest in the United States, serving infants, children, teens, and young adults from birth to age 21. ACH is affiliated with the University of Arkansas for Medical Sciences and serves as a teaching hospital with the UAMS College of Medicine's Department of Pediatrics. ACH staff consists of more than 505 physicians, 200 residents, and 4,400 support staff. The hospital includes 336 licensed beds, and offers three intensive care units. The campus spans 36 city blocks and has a floor space of over 1,200,000 square feet (110,000 m2).
UC Davis Medical Center (UCDMC) is part of UC Davis Health and a major academic health center located in Sacramento, California. It is owned and operated by the University of California as part of its University of California, Davis campus. The medical center sits on a 142-acre (57 ha) campus (often referred to as the Sacramento Campus to distinguish it from the main campus in nearby Davis) located between the Elmhurst, Tahoe Park, and Oak Park residential neighborhoods. The site incorporates the land and some of the buildings of the former Sacramento Medical Center (which was acquired from the County of Sacramento in 1973) as well as much of the land (and two buildings) previously occupied by the California State Fair until its 1967 move to a new location.
Morgan Stanley Children's Hospital of NewYork-Presbyterian is a women's and children's hospital at 3959 Broadway, near West 165th Street, in the Washington Heights neighborhood of Manhattan, New York City. It is a part of NewYork-Presbyterian Hospital and the Columbia University Irving Medical Center. The hospital treats patients aged 0–21 from New York City and around the world. The hospital features a dedicated regional ACS designated pediatric Level 1 Trauma Center and is named after financial firm Morgan Stanley, which largely funded its construction through philanthropy.
UCSF Benioff Children's Hospital Oakland formerly known as Children's Hospital Oakland, is a pediatric acute care hospital located in Oakland, California. The hospital has 191 beds and is affiliated with the UCSF School of Medicine. The hospital provides comprehensive pediatric specialties and subspecialties to infants, children, teens and young adults aged 0–21 throughout Northern California. UCSF Benioff Children's Hospital Oakland also features a Level 1 Pediatric Trauma Center, one of five in the state.
Nationwide Children's Hospital is a nationally ranked pediatric acute care teaching hospital located in the Southern Orchards neighborhood of Columbus, Ohio. The hospital has 673 pediatric beds and is affiliated with the Ohio State University College of Medicine. The hospital provides comprehensive pediatric specialties and subspecialties to infants, children, teens, and young adults aged 0–21 throughout Ohio and surrounding regions. Nationwide Children's Hospital also sometimes treats adults that require pediatric care. Nationwide Children's Hospital also features an ACS-verified Level 1 Pediatric Trauma Center, one of four in the state. The hospital has affiliations with the nearby Ohio State University Wexner Medical Center. Nationwide Children's Hospital is located on its own campus and has more than 1,379 medical staff members and over 11,909 total employees.
Pediatric dentistry is the branch of dentistry dealing with children from birth through adolescence. The specialty of pediatric dentistry is recognized by the American Dental Association, Royal College of Dentists of Canada, and Royal Australasian College of Dental Surgeons.
A pediatric intensive care unit, usually abbreviated to PICU, is an area within a hospital specializing in the care of critically ill infants, children, teenagers, and young adults aged 0–21. A PICU is typically directed by one or more pediatric intensivists or PICU consultants and staffed by doctors, nurses, and respiratory therapists who are specially trained and experienced in pediatric intensive care. The unit may also have nurse practitioners, physician assistants, physiotherapists, social workers, child life specialists, and clerks on staff, although this varies widely depending on geographic location. The ratio of professionals to patients is generally higher than in other areas of the hospital, reflecting the acuity of PICU patients and the risk of life-threatening complications. Complex technology and equipment is often in use, particularly mechanical ventilators and patient monitoring systems. Consequently, PICUs have a larger operating budget than many other departments within the hospital.
Trauma in children, also known as pediatric trauma, refers to a traumatic injury that happens to an infant, child or adolescent. Because of anatomical and physiological differences between children and adults the care and management of this population differs.
Diana W. Bianchi is the director of the U.S. National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development, a post often called “the nation’s pediatrician.” She is a medical geneticist and neonatologist noted for her research on fetal cell microchimerism and prenatal testing. Bianchi had previously been the Natalie V. Zucker Professor of Pediatrics, Obstetrics, and Gynecology at Tufts University School of Medicine and founder and executive director of the Mother Infant Research Institute at Tufts Medical Center. She also has served as Vice Chair for Research in the Department of Pediatrics at the Floating Hospital for Children at Tufts Medical Center.
Dimitri Alexander Christakis is an American pediatrician, researcher, and author from Seattle, Washington.
Mark Schuster is the Founding Dean and CEO of the Kaiser Permanente Bernard J. Tyson School of Medicine located in Pasadena, California. Schuster assumed his position in 2017, and the school opened in July 2020. Schuster is a physician-scientist known for his work on child, adolescent, and family health.
The Children's Hospital at Montefiore (CHAM) is a nationally ranked pediatric acute care children's teaching hospital located in the Bronx, New York. The hospital has 193 pediatric beds and is affiliated with the Albert Einstein College of Medicine. The hospital is a member of the Montefiore health network and is the only children's hospital in the network. The hospital provides comprehensive pediatric specialties and subspecialties to infants, children, teens, and young adults aged 0–21 throughout the Bronx and New York state. Children's Hospital at Montefiore also sometimes treats adults that require pediatric care. While CHAM does have a pediatric emergency department, they do not have a pediatric trauma center and sends all pediatric trauma cases to the nearby Jacobi Medical Center's level II pediatric trauma center. The Children's Hospital at Montefiore is one of the largest providers of pediatric health services in New York state. The hospital is attached to Montefiore Medical Center and is affiliated with the Ronald McDonald House of New York.
Eliana Perrin is an American pediatrician, researcher, and Bloomberg Distinguished Professor of Primary Care with joint appointments with tenure in the Department of Pediatrics in the School of Medicine and in the School of Nursing at Johns Hopkins University. She was elected a member of the American Pediatric Society in 2021.
James M. Oleske is an American pediatrician and HIV/AIDs researcher who is the emeritus François-Xavier Bagnoud (FXB) Professor of Pediatrics at Rutgers New Jersey Medical School in Newark, New Jersey. He is best known for his pioneering work in identifying HIV/AIDS as a pediatric disease, and treating and researching it beginning in the 1980s. He published one of the first articles identifying HIV/AIDS in children in JAMA in 1983 and was a co-author of one of the articles by Robert Gallo and others identifying the virus in Science in 1984.
Janet Gilsdorf is an American pediatric infectious diseases physician, scientist, and writer at the University of Michigan. Her research has focused on the pathogenic, molecular, and epidemiologic features of the bacterium Haemophilus influenzae. She served as the Director of the Division of Pediatric Infectious Diseases in the University of Michigan Health System from 1989 to 2012 and Co-Director of the Center for Molecular and Clinical Epidemiology of Infectious Diseases at the School of Public Health at the University of Michigan from 2000 – 2015. In addition to her scientific publications, she is also the author of two novels, one memoir, one non-fiction book, and a number of medically-oriented essays.
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