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Skeletal Manifestations of Child Maltreatment
Musculoskeletal manifestations of child maltreatment represent common presentations to the emergency department. The recognition of child maltreatment is an essential role for the practicing emergency physician, as it can directly prevent further serious injury. Orthopedic trauma in children presents very differently than that in adults. Understanding of the unique properties of pediatric bone as well as the developmental capabilities of children in relation to injury mechanism is essential in the interpretation of these injuries. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - November 3, 2016 Category: Emergency Medicine Authors: Ankur Narain, Mitchell Goldstein Source Type: research

Child Abuse and the Law
Across the United States, child abuse law is governed by state statute. Pediatricians must report suspected child abuse/neglect in accordance with their state's specific reporting requirements; failure to make a timely report creates civil liability exposures and triggers criminal penalties. The pediatrician's initial report may instigate further investigation by child protective services, and the reporting pediatrician may later become involved as a critical fact witness in ensuing legal proceedings, including criminal prosecutions, custody determinations, and medical malpractice controversies. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - October 29, 2016 Category: Emergency Medicine Authors: Jennifer N. Fishe, Frederick L. Moffat Source Type: research

Child Maltreatment: A Decade of Burgeoning Science, With Emergency Departments Still in a Pivotal Role
The emergency department (ED) is a vital entry point to the health care system for children. There are more than 25 million pediatric visits to EDs a year.1 Children who have been maltreated commonly present to the ED due to the acute nature of their injury, lack of access to primary care, expanded hours of operation of the ED, choice of the ED as usual source of care, or because of unrelated conditions but are discovered by ED personnel to have been maltreated.2 Unfortunately, the burden of child abuse has increased since the last time this journal did a special edition devoted to this topic. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - October 26, 2016 Category: Emergency Medicine Authors: Mitchell Goldstein Tags: Guest Editor's Preface Source Type: research

Child Abuse —A Review of Inflicted Intraoral, Esophageal, and Abdominal Visceral Injuries
Recognizing the clinical presentation of a child with abusive injuries is crucial. This review article gives an updated summary on inflicted intraoral, esophageal, and abdominal visceral injuries, including current recommendations on recognition, evaluation, screening value, and management of at risk children. Physical abuse should be suspected in precruising infants with intraoral injuries. When sexual abuse is suspected, referral to specialized centers equipped to conduct comprehensive examination and forensic testing by an experienced provider adhering to chain of evidence protocol is recommended. (Source: Clinical Pedi...
Source: Clinical Pediatric Emergency Medicine - October 26, 2016 Category: Emergency Medicine Authors: Daniel Ta Yo Yu, Thuy L. Ngo, Mitchell Goldstein Source Type: research

Medical Care for Children Who May Have Been Sexually Abused: An Update for 2016
This article provides an overview of current recommendations concerning the medical assessment, including recent updates in the interpretation of examination findings, sexually transmitted infection testing methods, follow-up examinations or testing, and practice recommendations for quality improvement. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - October 17, 2016 Category: Emergency Medicine Authors: Joyce A. Adams, Nancy D. Kellogg, Rebecca Moles Source Type: research

Identifying Victims of Human Trafficking in the Emergency Department
This article provides an overview of child sex and labor trafficking, describes risk factors for exploitation, and reviews the adverse physical and emotional effects associated with human trafficking. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - October 14, 2016 Category: Emergency Medicine Authors: Jordan Greenbaum Source Type: research

Simulation-Based Interprofessional Team Training
Interprofessional team training in medicine evolved out of crisis resource management principles initially used in the aviation industry to improve teamwork and communication skills. With the 1999 publication of the Institute of Medicine report, To Err is Human: Building a Safer Health System, there has been an ever increasing focus on the impact of communication and teamwork on the rate of medical error and quality of patient care. With this is mind, there is a growing acknowledgement of the need for training in these critical skills. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2016 Category: Emergency Medicine Authors: Linda L. Brown, Frank L. Overly Source Type: research

“Let's Talk About It”: Translating Lessons From Health Care Simulation to Clinical Event Debriefings and Coaching Conversations
Despite proven benefits for team and individual performance, a number of perceived barriers limit clinical post –event debriefings, which impacts health care team functioning and patient care. An overemphasis on debriefing after rare events such as cardiac arrest and major trauma resuscitations necessarily means that debriefings will also occur infrequently as well. Similarly, individual coaching conversati ons that would help promote trainee skill acquisition are lacking. This situation stands in stark contrast to other experiential learning domains such as health care simulation, which view structured feedback, coachin...
Source: Clinical Pediatric Emergency Medicine - August 31, 2016 Category: Emergency Medicine Authors: Walter J. Eppich, Paul C. Mullan, Marisa Brett-Fleegler, Adam Cheng Source Type: research

Table of Contents
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2016 Category: Emergency Medicine Source Type: research

Editorial Board
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2016 Category: Emergency Medicine Source Type: research

Simulation-Based Procedural Skills Training in Pediatric Emergency Medicine
Procedural skills are integral to the practice of pediatric emergency medicine, but provider experience is limited by case rarity. Simulation-based medical education allows for the practice of rare procedures without compromising patient safety. Simulation-based procedural training improves provider confidence, knowledge, and performance, and may translate to better patient outcomes. However, optimal instructional designs for simulation-based training remain unclear, and educators have a plethora of didactic approaches and simulator characteristics to consider. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - July 26, 2016 Category: Emergency Medicine Authors: Selin Tuysuzoglu Sagalowsky, Sheri-Ann Wynter, Marc Auerbach, Martin V. Pusic, David O. Kessler Source Type: research

Simulation to Improve Patient Safety in Pediatric Emergency Medicine
Patient safety is the foundation of high-quality health care. Simulation has been integrated with patient safety activities in pediatric emergency medicine to improve knowledge, skills, and attitudes; teamwork and communication; systems and processes; and identification and mitigation of threats to safety. Simulation efforts, coordinated with those of key stakeholders, can be a powerful agent of change at the individual provider, team, and system levels. It is imperative that simulation activities be integrated within the systems infrastructure for maximal impact and dissemination of learnings. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - July 4, 2016 Category: Emergency Medicine Authors: Kimberly P. Stone, Mary D. Patterson, Jennifer R. Reid, Gary L. Geis, Marc Auerbach Source Type: research

Simulation as a Research Tool for Pediatric Emergency Medicine
Simulation-based research (SBR) is the term used to describe research in clinical care, education, or health care systems where simulation is incorporated into the study design. Simulation-based research has increased in prevalence and scope in the past decade, including a growing number of investigations in pediatric emergency medicine (PEM). The conduct of high-quality SBR is faced with a variety of challenges related to study design, sample size, analytic considerations, and the interpretation and/or extrapolation of experimental results to actual clinical care. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 19, 2016 Category: Emergency Medicine Authors: Aaron Donoghue, Jonathan Duff, Yiqun Lin, Adam Cheng Source Type: research