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.

Movin' and Shakin'
This is a case of a 14-year-old adolescent boy with a history of exercise-induced syncope who presents in status epilepticus after collapsing while running. On subsequent exercise stress testing, he was noted to develop runs of ventricular tachycardia, consistent with catecholaminergic polymorphic ventricular tachycardia. This case highlights the importance of cardiac evaluation in athletes with syncope, and also, understanding all therapeutic effects of medications. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2013 Category: Emergency Medicine Authors: Ryan Caltagirone Tags: Emergi-Quiz Clinical Puzzlers Source Type: research

Meningitis in Children: Diagnosis and Treatment for the Emergency Clinician
This article provides a review of the evaluation and management of meningitis in young children. It highlights the most common causes of meningitis and the most current treatment recommendations. Since the development of the hemophilus and pneumococcal conjugate vaccines, pediatric bacterial meningitis has been diagnosed less frequently. Viral meningitis is far more common and tends to be a less severe disease. It is very important to maintain a high index of suspicion and a low threshold for evaluation of meningitis in febrile young infants younger than 3 months. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2013 Category: Emergency Medicine Authors: Gabriella Cardone Richard, Marcos Lepe Source Type: research

Neonatal Herpes Simplex Virus Infection
This article reviews the clinical features, diagnosis, and recommended treatment of neonatal HSV. The 3 clinical classifications of neonatal HSV infection are described and include: disseminated, central nervous system, and skin, eye, or mouth diseases. A comprehensive medical evaluation is described for the neonate with suspected HSV, including tests to identify the virus and to classify neonates accurately, because treatment and prognosis differ between disease classifications. Also presented are current recommendations for treatment of acute illness with parenteral acyclovir, as well as long-term oral acyclovir after ac...
Source: Clinical Pediatric Emergency Medicine - June 1, 2013 Category: Emergency Medicine Authors: A. Chantal Caviness Source Type: research

Infections in Returned Travelers
Infection in the returned traveler can be challenging to evaluate in the emergency department. Diagnostic evaluation should be driven by region of travel, activities undertaken while abroad, physical examination findings (including disease severity and duration), and knowledge of the most common pathogens seen in a given area. Etiologic agents may be divided into 3 categories: diseases distributed globally, diseases that are almost exclusively imported to a given country, and disease seen domestically and internationally, although at different frequencies. Particular importance should be given to the identification of trea...
Source: Clinical Pediatric Emergency Medicine - June 1, 2013 Category: Emergency Medicine Authors: Andrea T. Cruz Source Type: research

Bioterrorism and the Pediatric Patient: An Update
This article reviews updates in the detection, diagnosis, and management of the organisms and toxins considered to be at highest risk for bioterrorist use. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2013 Category: Emergency Medicine Authors: Erin E. Endom Source Type: research

A Biomarker-Based Approach to Infectious Disease in the Pediatric Emergency Department
In modern pediatric emergency medicine, biomarker-based assays that enable quick bedside diagnostics and subsequent disease management can be valuable. There is a growing need for novel, disease-specific biomarkers that can improve the outcome of pediatric infectious diseases commonly encountered in the emergency department (ED). Viral respiratory infections, central nervous system infections, sepsis, and septic shock are acute disease states frequently encountered in the ED. In this review, we describe a host of novel biomarkers, including a diverse set of cytokines, chemokines, and nitric oxide–based metabolites. Based...
Source: Clinical Pediatric Emergency Medicine - June 1, 2013 Category: Emergency Medicine Authors: Mayank Aranke, Asad I. Mian Source Type: research

Bite Wound Infections
This article will review the epidemiology, management, and prevention of animal bite infections, including those from humans, dogs, cats, and other vertebrates. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2013 Category: Emergency Medicine Authors: Mark A. Ward Source Type: research

Daycaritis
Healthy infants and toddlers who attend day care centers are at increased risk for contracting common childhood illnesses such as viral upper and lower respiratory illnesses, viral gastrointestinal infections, and acute and chronic otitis media. The author proposes that this high frequency of common infections be termed daycaritis. Daycaritis imposes significant social and economic burdens on both the family and the health care system. This review describes the most common infections seen in day care attendees, preventative measures to decrease the rates of illness, and a practical approach to diagnosis and management in t...
Source: Clinical Pediatric Emergency Medicine - June 1, 2013 Category: Emergency Medicine Authors: Pamela Bailey Source Type: research

It's All About the Kids
As I approach my 23rd year of practicing pediatric emergency medicine, I am amazed that I still have enthusiasm and energy for my work. Shouldn't I be “burnt out” by now? Each year, patient volume increases, and I expect this trend to continue as a result of the inevitable heath care reform. Although not every day is exciting and fun, overall, I feel very lucky and blessed to be able to do what I do. Several factors that contribute to my longevity in our field will, hopefully, carry me through the next decade of my career. The primary one is the kids themselves. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2013 Category: Emergency Medicine Authors: Pamela Bailey Tags: Guest Editor's Preface Source Type: research

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

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

Shake It Up! What's Going On?
This is the case of a 4-year-old girl who presented to the emergency department with acute development of seizures and respiratory failure. The patient had sustained full thickness burns a few days prior covering 20% total body surface area. She was treated with home topical therapies including a lidocaine containing gel. She had resultant lidocaine toxicity and hyponatremic, hypochloremic dehydration. This case report reviews the differential diagnosis of decreased mental status and seizures. The patient's diagnoses of lidocaine toxicity, full thickness burns, dehydration, and child abuse are discussed. Lidocaine toxicity...
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: Jessica Chen Tags: Emergi-Quiz Clinical Puzzlers Source Type: research

“I Don't Want To Brush My Teeth!” The Case of an 8-Year-Old With Gingival Bleeding
Gingival bleeding is a relatively uncommon chief complaint in the pediatric population. The differential diagnosis is broad, and both the patient's clinical presentation and medical history must be taken into account when formulating a differential diagnosis. The following is a case of a child with trisomy 21 who presented to the emergency department with oral bleeding in the setting of a normal complete blood count and coagulation studies. The patient underwent a workup for coagulopathies, malignancy, and nutritional deficiencies and was found to have vitamin C deficiency, also known as scurvy. This case illustrates a rar...
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: Saranya Srinivasan Tags: Emergi-Quiz Clinical Puzzlers Source Type: research

Delirium in the Pediatric Population: A 17-Year-Old Girl With Baclofen Withdrawal-Induced Psychosis
We report a case of new onset psychosis in a teenager that was initially thought to be caused by a primary psychiatric disorder but was later discovered to be secondary to withdrawal from baclofen therapy. Although withdrawal from oral baclofen has been known to cause delirium in adults and in patients with intrathecal pump malfunction, this report shows that oral baclofen withdrawal can also manifest as psychosis in the pediatric population. It is important for emergency care providers to recognize symptoms of delirium from sources such as medication withdrawal, especially in a pediatric patient, because the treatment dif...
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: Christine Cherella, James G. MacKenzie, Agnes K. Costello Source Type: research

Management of Pediatric Patients With Autistic Spectrum Disorders in the Emergency Department
Children and adolescents with autistic spectrum disorders present a special challenge in the emergency department setting due to highly individualized emotional-behavioral and communicative characteristics. When an autistic patient presents with agitated behavior, the emergency care provider must consider both emotional and somatic etiologies as well as which treatment modalities best serve the patient. Effective communication with parents, caretakers, and outpatient providers provides useful insights into likely etiologies of agitation as well as effective management strategies. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2013 Category: Emergency Medicine Authors: James G. MacKenzie, Gathi Abraham, Shannon M. Goebel Source Type: research