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Simulation for Systems Integration in Pediatric Emergency Medicine
Systems integration in health care applies systems engineering and risk management principles to improve patient care. A systems perspective recognizes that health care is a complex adaptive system, comprising many components with multifaceted interrelationships. Systems engineering and risk management seek to understand the system as a whole, its components, and their interrelationships. Simulation provides a medium, through which patient care experiences can be recreated, to systematically observe, modify, and evaluate health care delivery. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 13, 2016 Category: Emergency Medicine Authors: Jennifer Reid, Kimberly Stone, Lennox Huang, Ellen S. Deutsch Source Type: research

Simulation Applied to Pediatric Emergency Medicine: From Luxury to Necessity
The application of simulation to pediatric emergency medicine (PEM) has seen incredible advances that have positively influenced the practice of PEM in many institutions. Not long ago, simulation was viewed as a luxury, providing educators with a powerful training modality for learners of all levels.1 Over time, innovators in PEM have capitalized on the benefits of simulation by using the controlled, standardized simulated environment as a means to assess health care systems and to identify latent safety threats. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 11, 2016 Category: Emergency Medicine Authors: Adam Cheng Tags: Guest Editor ’s Preface Source Type: research

Simulation for High-Stakes Assessment in Pediatric Emergency Medicine
Simulation is becoming a standard assessment modality in pediatric emergency medicine, but its use for high-stakes assessment has not been well described. We aimed to explore literature pertinent to the use of simulation for high-stakes assessment and describe applicable assessment instruments. In this article, we describe potential means by which simulation can be used in a high-stakes manner, along with future developments in assessment methodology for pediatric emergency medicine. A wide array of potentially useful simulation-based assessment instruments exists, although further validity evidence will be needed for thei...
Source: Clinical Pediatric Emergency Medicine - June 7, 2016 Category: Emergency Medicine Authors: Aaron W. Calhoun, Farhan Bhanji, Jonathan Sherbino, Rose Hatala Source Type: research

Screen-Based Simulation and Virtual Reality for Pediatric Emergency Medicine
Screen-based simulation (SBS) and 3-dimensional virtual reality (3D VR) applied to pediatric emergency medicine (PEM) leverage digital technology to represent patients, populations, situations, and/or environments. SBS and 3D VR provide realistic, dynamic, safe opportunities for training and testing provider competency, systems-based practice, and environments. SBS engages the user to interact with a computer or mobile device screen to access and respond to content. Virtual reality adds the element of movement and/or allows manipulation of the SBS. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 3, 2016 Category: Emergency Medicine Authors: Todd P. Chang, Debra Weiner Source Type: research

The Past, Present, and Future of Simulation-based Education for Pediatric Emergency Medicine
The pediatric emergency medicine (PEM) environment is well suited for simulation-based activities, be they educational interventions for PEM learners, evaluations of the interface between health providers and the environment that they work in, or research investigations using simulation as a tool to answer specific clinical questions. As such, PEM has been among the leaders in the integration of this modality for clinical training. Traditionally, simulation has been used extensively for the dissemination of clinical training in the areas of clinical knowledge and its application, and the clinical, technical, and teamwork s...
Source: Clinical Pediatric Emergency Medicine - June 3, 2016 Category: Emergency Medicine Authors: Vincent J. Grant, Meg Wolff, Mark Adler Source Type: research

Respiratory Distress in the Newborn: An Approach for the Emergency Care Provider
The emergency care provider has a crucial role in the evaluation and management of respiratory distress in the newborn and can see infants presenting at time of birth to many months old. Respiratory distress in the newborn is important to recognize as it can present anywhere along a spectrum of severity from tachypnea to respiratory failure. In addition, it may represent a primary respiratory disease or be the harbinger of a systemic illness or problem in another organ system. Timely assessment, recognition of signs of newborn respiratory distress, and proper newborn airway management and assisted ventilation are the key i...
Source: Clinical Pediatric Emergency Medicine - May 31, 2016 Category: Emergency Medicine Authors: Suzanne Suprenant, Meghan A. Coghlan Source Type: research

Emesis in the Neonate: Recommendations for Initial Management
The symptom of emesis in the neonate is common and caused by a myriad of clinical states, some pathologic and some benign. There are many clinical data points that steer the astute clinician toward certain diagnoses and away from others. The focus of this article is to provide a framework for evaluating a neonate that presents to an emergency department with emesis. After reading this article, the emergency department clinician will have a better understanding of the clinical presentation and evaluation of surgical and nonsurgical etiologies of emesis in the neonate. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - May 31, 2016 Category: Emergency Medicine Authors: Ann G. Downey Source Type: research

Care of the High-Risk Newborn in the Emergency Department
Neonatal intensive care unit graduates can be more complex than the average infant. They often have an intricate and long medical history but appear to be only a few days or weeks old. Former preterm infants also have a variety of unique medical conditions that make them less resistant to normal childhood illnesses, have a greater readmission rates, and have a higher mortality. The goal of this article is to address the acute presentation of the high-risk former preterm infant and offer ways to care for them upon presentation to the emergency department. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - May 31, 2016 Category: Emergency Medicine Authors: Marin Arnolds, Patrick J. Myers, Bree Andrews Source Type: research

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

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