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Pediatric Neurology in the Emergency Department
In 2008, in the preface in the last issue of Clinical Pediatric Emergency Medicine (CPEM) that focused on neurologic conditions in the emergency department (ED), the guest editor wrote that a history and detailed neurologic evaluation are the most useful aspects of the evaluation. The ability to localize a neurologic deficit along the neuroaxis and to formulate a differential diagnosis based on the associated history and time course of the deficits are the cornerstones for the selection of diagnostic studies and therapeutic intervention in the ED. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 25, 2015 Category: Emergency Medicine Authors: Mark S. Wainwright Tags: Guest Editors' Preface Source Type: research

Recognition and Treatment of Anti--Methyl--Aspartate Receptor Encephalitis
Anti–N-methyl-d-aspartate receptor encephalitis should be considered for pediatric patients who present with seizures, dysautonomia, dyskinesias, and psychiatric disturbances. Life-threatening complications from this disorder, including seizures, hypoventilation, bradycardia, and ictal asystole, should be anticipated, and the patient should be closely monitored and supported. Morbidity and mortality can be mitigated with early detection and initiation of immunotherapy and resection of a teratoma, if found. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 16, 2015 Category: Emergency Medicine Authors: Sue Hong, Marisa Klein-Gitelman, Mark S. Wainwright Source Type: research

Recognition and Treatment of -Methyl--Aspartate Receptor Encephalitis
Anti–N-methyl-d-aspartate receptor encephalitis should be considered for pediatric patients who present with seizures, dysautonomia, dyskinesias, and psychiatric disturbances. Life-threatening complications from this disorder, including seizures, hypoventilation, bradycardia, and ictal asystole, should be anticipated, and the patient should be closely monitored and supported. Morbidity and mortality can be mitigated with early detection and initiation of immunotherapy and resection of a teratoma, if found. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 16, 2015 Category: Emergency Medicine Authors: Sue Hong, Marisa Klein-Gitelman, Mark S. Wainwright Source Type: research

Acute Management of Children With Traumatic Brain Injury
Traumatic brain injury (TBI) is a major public health problem in the United States. In children, it is a leading cause of morbidity and mortality. The purpose of this article is to review the epidemiology, pathophysiology, and the evidence for management of children with TBI in the emergency department. The main objectives of TBI management are to stabilize and resuscitate and to avoid secondary brain injury (hypoxemia, hypercapnia, hypotension, hyperthermia, electrolyte imbalance, and seizure). (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 10, 2015 Category: Emergency Medicine Authors: Laurence Ducharme-Crevier, Mark Wainwright Source Type: research

Identifying Common Movement Disorders in the Emergency Department
Identifying movement disorders in the pediatric emergency department can be challenging. It is crucial to recognize which movements are true emergencies or require immediate attention to provide optimal care. The purpose of this article is to facilitate proper identification of the most common acute movement disorders in childhood. By reviewing the phenomenology and etiology, we aim to help emergency physicians formulate accurate differentials and, therefore, manage these appropriately. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 6, 2015 Category: Emergency Medicine Authors: Rebecca García Sosa, Joanna Blackburn Source Type: research

Approach to Central Nervous System Infections in the Emergency Department
This article will focus on the clinical definitions, etiologies, and pathogenic mechanisms of some of the most common central nervous system infections in childhood. In addition, key parts of the initial evaluation including physical examination, laboratory investigations, and neuroimaging as well as treatment and outcomes are discussed. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 5, 2015 Category: Emergency Medicine Authors: Rebecca García Sosa, Leon Epstein Source Type: research

Evaluation and Management of the Child With Suspected Acute Stroke
Pediatric stroke occurs at an incidence of 1.6 to 13/100 000 and may be acute ischemic, hemorrhagic, or of sinus venous thrombosis etiology. As these children present to the emergency department, early consideration for this diagnosis is paramount in beginning medical management to optimize cerebral perfusion and minimize secondary injury. There are many identified risk factors in pediatric stroke including arteriopathies, cardiac disease (specifically congenital heart disease), and infection. Modifiable adult risk factors including hypertension, hyperlipidemia, and diabetes are rarely seen in pediatrics. (Source: Clinical...
Source: Clinical Pediatric Emergency Medicine - February 4, 2015 Category: Emergency Medicine Authors: Lindsey Morgan Source Type: research

Mobilization of Pediatric Medical Personnel for Disasters
This article will highlight some of the important training and organizational issues facing pediatric personnel who are ready, willing, and able to respond to the needs of America's children during times of crisis. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - December 1, 2014 Category: Emergency Medicine Authors: Michael R. Anderson Source Type: research

Table of Contents
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - December 1, 2014 Category: Emergency Medicine Source Type: research

Editorial Board
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - December 1, 2014 Category: Emergency Medicine Source Type: research

Exertional Syncope and a Congenital Cardiac Anomaly
We report on a 9-year-old healthy boy with a left main coronary artery arising from the right sinus of Valsalva coursing between the aorta and pulmonary artery who experienced a myocardial infarction after a syncopal episode during exercise. The high risk of sudden death associated with this anomaly during or immediately after vigorous activity makes immediate diagnosis and surgical intervention paramount. Diagnosis was made by transthoracic echocardiogram and confirmed by autopsy. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - November 22, 2014 Category: Emergency Medicine Authors: Irma Ugalde Source Type: research

Code Triage: Integrating the National Children's Disaster Mental Health Concept of Operations Across Health Care Systems
This article describes the National Children's Disaster Mental Health Concept of Operations (“CONOPS”) model (Schreiber et al, Acad Emerg Med. 2011;18:s59; Schreiber et al, Disaster Med Pub Health Prep. 2012;6:174-181) as a method to address discrepancies between research advances that have been made and the typical methods of providing mental health services to children after disasters. Three key CONOPS strategies are described: (1) the PsySTART Disaster Mental Health Triage System, (2) a child-focused Incident Action Plan (IAP), and (3) a continuum of risk stepped-care model that matches the level of evidence-based t...
Source: Clinical Pediatric Emergency Medicine - November 17, 2014 Category: Emergency Medicine Authors: Merritt Schreiber, Sandra Shields, Stephen Formanski, Judith A. Cohen, Lauren V. Sims Source Type: research

Family Reunification After Disasters
This article highlights current resources available to assist family reunification plans as well as provides input on key concepts and stakeholders necessary for family reunification plans at the state and local levels. This article also discusses research in family reunification practices and addresses next steps to achieve an integrated functional family reunification plan. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - November 17, 2014 Category: Emergency Medicine Authors: Sarita Chung, Nancy Blake Source Type: research

Prioritization of Pediatric Chemical, Biological, Radiologic, Nuclear, and Explosive Disaster Preparedness Education and Training Needs
Children are the members of our population who are most vulnerable to the effects of a chemical, biological, radiological, nuclear, and explosive (CBRNE) attack. It has been more than 12 years since 9/11 and most clinicians who would be providing care to children in the event of another attack still lack the requisite disaster preparedness training. Much of the needed pediatric education and training content for the diagnosis and treatment of the injurious effects of CBRNE agents has recently been both developed and well vetted. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - November 8, 2014 Category: Emergency Medicine Authors: David Siegel, Kandra Strauss-Riggs, Scott Needle Source Type: research

Public-Private Partnerships: A Whole Community Approach to Addressing Children's Needs in Disasters
This article reviews literature on how such partnerships can support a Whole Community approach to meeting children's needs before, during, and after disasters. Recent examples of PPPs supporting planning and response to children's needs in disasters are provided; and these examples demonstrate effectiveness in planning and advocacy at local, regional, and national levels. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - November 8, 2014 Category: Emergency Medicine Authors: Bridget M. Berg, Visanee V. Musigdilok, Tamar M. Haro, Paul Myers Source Type: research