Clinical Pediatric Emergency Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Pediatric Disaster Readiness
Imagine waking up after a major hurricane and realizing your dream of losing your child within that storm was not a dream at all. It was real—your child was missing. Alive? Injured somewhere? Dead? Imagine living with this constant guttural need to find your child and not being able to reconnect until 6 months later. Unfortunately, that was a reality for many parents as a result of Hurricane Katrina in 2005. This story resonates and serves as a constant reminder for child advocates that preparing for the needs of children as a result of disasters is a critical component to our ability as a community and nation to respond...
Source: Clinical Pediatric Emergency Medicine - November 4, 2014 Category: Emergency Medicine Authors: Jeffery S. Upperman, Bridget M. Berg, Natalie E. Demeter Tags: Guest Editor's Preface Source Type: research

The Impact of Trauma Systems on Disaster Preparedness: A Systematic Review
We examined the impact of trauma systems on disaster preparedness and determined which features of trauma systems enable improved response to disasters. Twenty-two articles were analyzed, including reports of various trauma systems' previous disaster response, comparisons of preparedness in areas with trauma systems to those without, and examinations of the role of trauma systems in preparing for and responding to disasters. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - October 9, 2014 Category: Emergency Medicine Authors: Shelby L. Bachman, Natalie E. Demeter, Gwendolyn G. Lee, Rita V. Burke, Thomas W. Valente, Jeffrey S. Upperman Source Type: research

Office Readiness, Personal Preparedness, and the Role of the Medical Home in Community Resiliency
On any given day in the United States, most children needing medical services receive care through a pediatric medical home. The same medical home has a critical and underutilized role in disaster readiness, response, and recovery. Pediatricians can effectively help families and children prepare for crisis and address physical and behavioral sequelae after an event. To be available to patients, practices also need to take steps to minimize disruption and ensure their own continuance of operations. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - October 3, 2014 Category: Emergency Medicine Authors: Scott Needle Source Type: research

Topics in Emergency Pediatric Surgery in the Infant and School-Age Population
This article will describe the evaluation, diagnosis, and treatment of emergency department presentations of common pediatric surgical illnesses seen in early childhood. The 3 conditions chosen are acute abdominal pain from intussusception, gastrointestinal bleed from Meckel's diverticulum, and nonbloody emesis from hypertrophic pyloric stenosis. Each of these disease processes is associated with a common presentation of age, signs, and symptoms. Detailed discussions follow each case presentation to summarize the diagnosis and treatment pathway. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 10, 2014 Category: Emergency Medicine Authors: Blair A. Wormer, Erin Rowell Source Type: research

What if a Pilot was Too Busy for the Checklist? Emergency Department Safety and the Timeout Process
The objective of this article is to illustrate the value of the timeout process for invasive procedures occurring in pediatric patients in the emergency department setting. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 6, 2014 Category: Emergency Medicine Authors: Marybeth Browne Source Type: research

Emergency Airway Management for Pediatric Blunt Neck Trauma
Pediatric laryngotracheal injuries as a result of blunt neck trauma are exceedingly rare, but they have the potential for fatal consequences if not identified and managed appropriately. Two cases on the spectrum of laryngotracheal trauma are presented followed by an overview of pediatric laryngotracheal trauma with a focus on acute airway management. Special considerations must be taken into account when evaluating and treating children with laryngotracheal injuries. Standard orotracheal intubation by direct laryngoscopy is risky, and awake tracheostomy is often not feasible. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 5, 2014 Category: Emergency Medicine Authors: David J. Hernandez, Kris R. Jatana, Stephen R. Hoff, Jeffrey C. Rastatter Source Type: research

Acute Scrotal Pain in Pediatric Emergency Medicine: Assessment, Diagnosis, Management, and Treatment
Acute scrotal pain is frequently encountered within pediatric emergency medicine and requires thoughtful and timely evaluation. The differential diagnosis for scrotal pain is broad and includes conditions such as epididymitis, torsion of the appendix testis, testicular torsion, trauma, and incarcerated hernia. Some of these conditions represent surgical emergencies and thus need to be identified expeditiously. Obtaining a careful history and physical examination is essential to the evaluation of a child with acute scrotal pain. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 1, 2014 Category: Emergency Medicine Authors: Edward C. Diaz, Deborah Kimball, Edward M. Gong Source Type: research

Pediatric Surgical Emergencies: Keys To Success
Successful treatment of pediatric surgery emergencies requires the timely evaluation and prompt recognition of the surgical problem. Key to making this happen is a close working relationship between surgeons and emergency medicine physicians. The articles in this issue are aimed toward strengthening this relationship by offering pediatric emergency medicine physicians a better understanding of the surgeon's perspective on a variety of pediatric surgery emergencies. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 1, 2014 Category: Emergency Medicine Authors: Erin Rowell Tags: Guest Editor's Preface Source Type: research

Complex Transfer of Care of Surgical Patients in the Emergency Department: Ethical and Resource Utilization Issues
The emergency department (ED) presentation of a medically and surgically complex pediatric patient with a request to transfer medical care creates challenges for efficient evaluation and treatment. A case study of a female infant with a cloacal anomaly who presented to the ED of an academic tertiary children's hospital where she was previously unknown addresses the issues involved, including resource utilization, long ED length of stay, and establishing new physician-patient relationships. The ultimate goal is to efficiently treat acute medical and surgical issues and to establish a trusting relationship between providers,...
Source: Clinical Pediatric Emergency Medicine - September 1, 2014 Category: Emergency Medicine Authors: Rowell Erin Source Type: research

Cutting Edge: Emergency Pediatric Surgical Care at Lurie Children's
The maturation of our pediatric emergency medicine program has been accelerated by the 3-mile move to our new, 23-story, state-of-the-art facility in downtown Chicago. The number of annual emergency department (ED) visits at Lurie Children's decreased from 61 500 in 2011 to 52 900 in 2013, an indication that we are less often being used as the back-up or as an alternative for the primary care office. The severity of illness and injuries we presently see has skyrocketed, as evidenced by the hospital admission rate from the ED. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 1, 2014 Category: Emergency Medicine Authors: Marleta Reynolds Tags: Commentary Source Type: research

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

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

Evaluation of the Adolescent Female With Acute Lower Abdominal Pain
The clinical evaluation of acute lower abdominal pain in an adolescent female presents a unique diagnostic challenge. Because of the intraabdominal presence of female reproductive organs, the differential diagnosis of abdominal pain in these patients includes diseases of the ovaries, fallopian tubes, and uterus in addition to the typical diseases considered in other patients presenting with acute abdominal pain. Diseases such as ovarian torsion, ovarian masses, pelvic inflammatory disease, tuboovarian abscess, and ectopic pregnancy must be considered alongside more common causes of abdominal pain. (Source: Clinical Pediatr...
Source: Clinical Pediatric Emergency Medicine - August 9, 2014 Category: Emergency Medicine Authors: Jonathan F. Bean, Erin Rowell Source Type: research

Neonatal “Near Misses” Encountered in the Emergency Department
Pediatric surgical diseases may present in a delayed fashion to the emergency department. In addition, these cases may have abnormal presentations when compared with presentations in the setting of the neonatal intensive care unit. A high degree of suspicion on the part of emergency physicians will allow for prompt and definitive consultation and treatment of our youngest patients. Here we present 3 such cases that were encountered in our emergency department that show the importance of a high index of suspicion. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 9, 2014 Category: Emergency Medicine Authors: Fredrick J. Bohanon, Brittany M. Graham, Ravi S. Radhakrishnan Source Type: research

Clinical Evaluation of Acute Appendicitis
One of the most common causes of surgical abdominal pain among children is appendicitis. History of present illness and physical examination are important in distinguishing appendicitis from other etiologies of abdominal pain, and surgical decisions can be made sometimes on these findings alone. The addition of laboratory results and various imaging modalities can help in equivocal cases. Ultrasound and computed tomography, and more recently magnetic resonance imaging, are beneficial in the diagnosis of acute appendicitis. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 9, 2014 Category: Emergency Medicine Authors: Emily E.K. Murphy, Loren Berman Source Type: research