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Table of Contents
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2017 Category: Emergency Medicine Source Type: research

Editorial Board
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2017 Category: Emergency Medicine Source Type: research

Pearls in Pediatric Wound Management
Lacerations are one of the most commonly encountered pediatric problems in the acute care setting. The majority of pediatric lacerations can be repaired without subspecialty consultation and therefore have become a staple of urgent care medicine. Although most pediatric lacerations are small and heal without sequelae, mismanagement can lead to unsightly scars and infection. Therefore, maintenance of wound care skills by urgent care providers is crucial to providing high-quality wound care. The fundamentals of laceration management are relatively unchanged; however, there have been considerable advances in aspects of wound ...
Source: Clinical Pediatric Emergency Medicine - February 15, 2017 Category: Emergency Medicine Authors: Nidhya Navanandan, Marisa Renna-Rodriguez, Michael C. DiStefano Source Type: research

Nonpenetrating Eye Injuries in Children
Ocular trauma is common in children, occurring from a variety of mechanisms in recreation and athletics. Differentiating simple eye injuries from those requiring urgent or emergent ophthalmologic evaluation is critical in acute care settings such as emergency departments and urgent care centers. A thorough eye examination is key to the diagnosis of nonpenetrating eye trauma, and a high index of suspicion should be maintained for any patient complaining of visual deficits or ocular pain. Although most eye injuries are minor, early ophthalmology consultation or referral should be considered for select injuries. (Source: Clin...
Source: Clinical Pediatric Emergency Medicine - February 9, 2017 Category: Emergency Medicine Authors: Jeremy M Root, Shipra Gupta, Nazreen Jamal Source Type: research

Pediatric Urgent Care —The Right Fit, Right Time
When I started my pediatric emergency medicine (PEM) career 10 years ago, I thought every hospital would eventually have a dedicated pediatric emergency department (ED). A decade later, I ′m now watching medicine steer in a very different direction. Value-based care, accountable care, convenience care, telemedicine, high-deductible insurance plans, and changes in pediatric reimbursement are all pushing children out of EDs and inpatient units. Meanwhile, pediatricians are struggling to compete with new disruptive models that are driving routine acute care visits elsewhere. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 6, 2017 Category: Emergency Medicine Authors: David J. Mathison Tags: Guest Editor's Preface Source Type: research

Pain-Less Practice: Techniques to Reduce Procedural Pain and Anxiety in Pediatric Acute Care
This article introduces the concept of a “PainLESS Practice”—an evidence-based, tiered approach to procedural pain and anxiety management in acute care. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 6, 2017 Category: Emergency Medicine Authors: Kristin Olsen, Eric Weinberg Source Type: research

Telemedicine and Pediatric Urgent Care: A Vision into the Future
Telemedicine is a diverse, rapidly expanding, and evolving field of medicine. For pediatric urgent care centers and their patients, telemedicine can provide convenience, improve access to care, increase efficiency, and expand reach. Use cases of telemedicine in pediatric urgent care include kiosks, load balancing, “hub and spoke” and “satellite” models, direct-to-consumer offerings, subspecialty consultations, and mentorship. Quality, reimbursement, licensure, and various technical issues are some of the significant challenges to telemedicine. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 5, 2017 Category: Emergency Medicine Authors: Mordechai D. Raskas, Kari Gali, Dana Aronson Schinasi, Shayan Vyas Source Type: research

Evaluation and Active Management of Mild Traumatic Brain Injury in Pediatric Acute Care: Time to Standardize
This article describes a pathway for pediatric providers in urgent or emergency care centers using a standardized Screen-Inform-Prevent process. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - January 31, 2017 Category: Emergency Medicine Authors: Gerard A. Gioia Source Type: research

The New Medical Neighborhood – Where Does Pediatric Urgent Care Fit in?
Pediatric acute care delivery has changed dramatically in the last 20 years. While acute care options were once limited to only primary care and the emergency department, additional options now include retail based clinics, urgent care centers, and telehealth. These alternate settings have proliferated because of convenience, low relative cost, and the appeal of a patient-centric model aimed at customer service and efficiency of care. The patient-centered medical home has been slow to accept these changes with concerns about fragmentation of care and disruption to the medical home. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - January 26, 2017 Category: Emergency Medicine Authors: Toni Clare Hogencamp, Amanda Montalbano Source Type: research

Screening for Intimate Partner Violence in the Pediatric Emergency Department
Intimate partner violence (IPV) and teen dating violence (TDV) are widespread, preventable public health problems in the United States. Children exposed to IPV between their caregivers and adolescent victims of TDV suffer not only immediate risks to their physical safety, but also long-term health sequelae. The emergency department presents a unique opportunity for physicians to screen for various forms of family violence and intervene on behalf of the victims. Screening for IPV and TDV is widely recommended by national health organizations including the American College of Emergency Physicians. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - November 30, 2016 Category: Emergency Medicine Authors: Colleen Bressler, Farah W. Brink, Kristin G. Crichton Source Type: research

Table of Contents
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - November 30, 2016 Category: Emergency Medicine Source Type: research

Editorial Board
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - November 30, 2016 Category: Emergency Medicine Source Type: research

A Teenage Girl With Altered Mental Status and Sinus Tachycardia
A previously healthy 13-year-old adolescent girl presented with loss of consciousness, slurred speech, abnormal upper extremity movements, and progressive difficulty walking. She developed headache the morning of presentation that was then followed by slurred speech, flexion of her upper extremities, and then loss of consciousness. Her examination was remarkable for sinus tachycardia, unresponsiveness, and repeated upper extremity movements. She was intubated for airway protection and extubated on hospital day 2 when her mental status improved. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - November 30, 2016 Category: Emergency Medicine Authors: Mariann Nocera Tags: Emergi-Quiz Clinical Puzzler Source Type: research

Sexually Transmitted Infections in Child Abuse
Sexual abuse of children and adolescents places these victims at risk of contracting sexually transmitted infections (STIs) and represents an important public health issue. The timely diagnosis and management of STIs can prevent negative long-term health effects and have important forensic implications. The emergency department is a common setting for patients to initially present with reported sexual abuse, and it is important for emergency care providers to have an understanding of the recommended approach to STI screening and management of these patients. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - November 7, 2016 Category: Emergency Medicine Authors: Heather N. Williams, Megan M. Letson, Jennifer J. Tscholl Source Type: research

Child Abuse by Poisoning
Intentional childhood poisoning is an uncommon form of child abuse but has a very high risk of morbidity and mortality. Patients present with four main categories of illness: metabolic derangements (salt and water ingestion), gastrointestinal symptoms (laxative and ipecac poisoning), hemorrhagic disease (warfarin and superwarfarin exposures), and neurologic symptoms (central nervous system depression or excitation). While widely available, routine urine drug screens are of limited value so clinicians must have a high index of suspicion to make these diagnoses. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - November 7, 2016 Category: Emergency Medicine Authors: Elizabeth Hines Source Type: research