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.

Sports-Related Cervical Spine Injuries
Cervical spine injuries are uncommon in children yet can be associated with significant morbidity and mortality. They are primarily seen after blunt trauma. Injuries can occur to bones, ligaments, muscles, spinal cord, nerves, blood vessels, or in some combination of multiple injuries. Prompt recognition and treatment are essential to limit morbidity and mortality. As a result of developing anatomy, children suffer different types and locations of cervical spine injury as compared with adults. Many traumatic cervical spine injuries as well as cervical spinal cord injuries are not apparent on initial radiographs; this prese...
Source: Clinical Pediatric Emergency Medicine - December 1, 2013 Category: Emergency Medicine Authors: Holly J. Benjamin, David S. Lessman Source Type: research

Sports-Related Concussion
Concussion is a common injury that emergency medicine physicians will be called upon to evaluate. A comprehensive history and physical examination, cognitive evaluation, and balance testing are important in the assessment of a head injury. Assessment tools have been developed and are widely available. Their inclusion in the initial evaluation of suspected concussion may aid diagnosis and management. Athletes should never be allowed to return to play on the same day they suffer a concussion. Follow-up with a primary care physician, sports medicine specialist, or neurologist is recommended before return to play. Accurate ant...
Source: Clinical Pediatric Emergency Medicine - December 1, 2013 Category: Emergency Medicine Authors: Bradley C. Weinberger, Susannah M. Briskin Source Type: research

Sports Medicine Update
Sports medicine is the focus of this theme issue of Clinical Pediatric Emergency Medicine, and it could not be more timely. The management of sports injuries has evolved over the last few years, not only from a clinical perspective but also from regulatory and legal perspectives. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - December 1, 2013 Category: Emergency Medicine Authors: Cynthia R. LaBella Tags: Guest Editor's Preface Source Type: research

Editorial Board
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - December 1, 2013 Category: Emergency Medicine Source Type: research

Table of Contents
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - December 1, 2013 Category: Emergency Medicine Source Type: research

Transport Leadership: Reflections and Opportunities for the Future
This article will briefly review our leadership history and discuss the skills and attributes that will help ensure optimal transport medicine leadership. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 1, 2013 Category: Emergency Medicine Authors: George A. (Tony) Woodward Source Type: research

Pediatric Transport Teams as a Resource for Outreach and Quality Improvement in Community Emergency Departments
This article presents an overview of the state of pediatric emergency care in smaller community hospitals and the patients they transfer for further care and concludes with suggestions on how transport services can implement effective, mutually beneficial, pediatric outreach activities. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 1, 2013 Category: Emergency Medicine Authors: Theresa A. Walls, Todd Bailey, Jessica H. Katznelson Source Type: research

Up, Up, and Away: Aeromedical Transport Physiology
Initially developed by the military through wartime experiences, aeromedical transport has become the cornerstone of many pediatric and neonatal transport programs. Expedited transport of critically ill pediatric patients via rotor- or fixed-wing aircraft may improve outcomes when clinical conditions warrant the rapid delivery of patients to qualified medical centers. However, air transport provides many unique problems for practitioners. Confined space, vibration, noise, and physiologic derangements from high altitude and low cabin pressure are all unique variables encountered during air transport. A sound understanding o...
Source: Clinical Pediatric Emergency Medicine - September 1, 2013 Category: Emergency Medicine Authors: Lee A. Polikoff, John S. Giuliano Source Type: research

On the Move: Simulation to Improve and Assure Transport Team Performance
There are proven benefits to specialized pediatric transport teams. However, there is a need to address a scarcity of clinical practice opportunities and competing demands for technical and nontechnical competence of these teams. Simulation-based training for transport teams should include human factors, crew resource management, and error management training. Simulation-based training is ideally suited to these needs; however, there is a relative paucity of evidence specific to transport medicine. Preliminary work has assessed feasibility and efficacy of simulation-based training for aeromedical transport. Experience sugg...
Source: Clinical Pediatric Emergency Medicine - September 1, 2013 Category: Emergency Medicine Authors: Mary D. Patterson, Gary L. Geis Source Type: research

Beyond Neonatal and Pediatric Specialized Patient Transport: Mobile Extracorporeal Membrane Oxygenation, Maternal-Fetal Transport, and Other Team-Based Roles
Neonatal and pediatric specialty transport teams provide an essential link between community referral centers and tertiary care children’s hospitals. These teams bring neonatal and pediatric critical care capabilities to the patient even before arrival at the destination hospital. Beyond the traditional expectations of interfacility transport teams such as intubation and vasoactive medications, many teams now perform advanced care transfers using mobile extracorporeal membrane oxygenation or have taken the leap to performing maternal-fetal transports. Finally, the skill sets and expertise of hospital-based transport team...
Source: Clinical Pediatric Emergency Medicine - September 1, 2013 Category: Emergency Medicine Authors: Michael T. Meyer Source Type: research

Variations in Interfacility Transport: Approach to Call Intake, Team Composition, and Mode of Transport
This article explores some of the common variations in practice of these specialty teams, particularly in the realms of managing intake calls, selecting team configurations, and choosing modes of transportation. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 1, 2013 Category: Emergency Medicine Authors: David J. Mathison, Elizabeth Berg, Meleya Beaver Source Type: research

Pediatric International Transports: A Single Program's Experience With an Often Difficult Endeavor
Medical transport of an ill or injured child is a complex process that requires a systematic team approach with meticulous anticipation and planning. International transport adds complexity to the process. In this article, we review international transport of the pediatric patient informed by our experience. We discuss the process from initial contact with the referring facility through assumption of care by the transport team. We also address those anticipatory issues that must be planned for before transport as well as some conditions and difficulties that the team may encounter. Finally, we briefly review the physiology...
Source: Clinical Pediatric Emergency Medicine - September 1, 2013 Category: Emergency Medicine Authors: Paul Martinez, Kenneth Patino, Keith Meyer Source Type: research

Legal Issues in Pediatric Transport
The field of pediatric medical transport presents a number of legal questions and challenges. Relevant laws and regulations come from a variety of federal, state, and local agencies. Medical liability arises when a duty to a patient is breached, causing damages. The Emergency Medical Treatment and Active Labor Act requires that a patient receives both a medical screening examination and stabilization of any emergency medical condition. The Health Information Portability and Accountability Act requires that protected health information is kept secure and only disclosed to authorized individuals. At the time of patient hando...
Source: Clinical Pediatric Emergency Medicine - September 1, 2013 Category: Emergency Medicine Authors: Jonathan M. Fanaroff Source Type: research

Measure, Report, Improve: The Quest for Best Practices for High-Quality Care in Critical Care Transport
This article describes examples of quality improvement measurement and benchmarking, reviews important concepts related to continuous quality improvement, and introduces the reader to the consensus quality metrics established by the Ohio Neonatal/Pediatric Transport Quality Improvement Collaborative and by the American Academy of Pediatrics' Section on Transport Medicine. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 1, 2013 Category: Emergency Medicine Authors: Michael T. Bigham, Hamilton P. Schwartz Source Type: research

Pediatric Transport Medicine: Many Miles Traveled
All of us in the practice of pediatric emergency medicine rely on the interfacility transport of patients. If you work at a tertiary care center’s emergency department (ED), you are dependent on transport teams’ safe delivery of patients to you from outside facilities that have exhausted their resources. If you work at a satellite ED, community ED, or urgent care center, you depend on these teams to continue the care you have begun until the patient is safely under the care of the referral center. Lastly, if you are lucky enough to be a medical director of a pediatric transport service, it may even provide some job sec...
Source: Clinical Pediatric Emergency Medicine - September 1, 2013 Category: Emergency Medicine Authors: Hamilton P. Schwartz, Bruce L. Klein Tags: Guest Editors' Preface Source Type: research