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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

Management of an Unexpected Delivery in the Emergency Department
Successful transition from the intrauterine to extrauterine environment is dependent on several significant physiologic changes that must occur within minutes of birth. Most infants effectively transition at delivery without requiring any special assistance. However, about 10% of infants will require some level of intervention, and 1% will require extensive resuscitative measures at birth. The focus of this article is on the preparation for and management of an unexpected delivery in the emergency department. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 27, 2016 Category: Emergency Medicine Authors: Arika G. Gupta, Mark D. Adler Source Type: research

The Decompensated Neonate in the First Week of Life
The first week of life can be a critical period in which previously subclinical disorders may manifest, causing significant illness. Newborn infants also have different baseline vitals and laboratory parameters, which complicate the initial evaluation of infants. Rapid identification of sick neonates, stabilization, and directed evaluation are keys to minimizing long-term morbidity and mortality. This review targets 5 conditions that present in the first week of life: neonatal sepsis, critical congenital heart disease, inborn errors of metabolism, congenital adrenal hyperplasia, and hemorrhagic disease of the newborn. (Sou...
Source: Clinical Pediatric Emergency Medicine - April 27, 2016 Category: Emergency Medicine Authors: Silena C. Chapman Source Type: research

Management of an Unexpected Delivery in the Emergency Department
Successful transition from the intrauterine to extrauterine environment is dependent on several significant physiologic changes that must occur within minutes of birth. Most infants effectively transition at delivery without requiring any special assistance. However, about 10% of infants will require some level of intervention, and 1% will require extensive resuscitative measures at birth. The focus of this article is on the preparation for and management of an unexpected delivery in the emergency department. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 27, 2016 Category: Emergency Medicine Authors: Arika G. Gupta, Mark D. Adler Source Type: research

The Decompensated Neonate in the First Week of Life
The first week of life can be a critical period in which previously subclinical disorders may manifest, causing significant illness. Newborn infants also have different baseline vitals and laboratory parameters, which complicate the initial evaluation of infants. Rapid identification of sick neonates, stabilization, and directed evaluation are keys to minimizing long-term morbidity and mortality. This review targets 5 conditions that present in the first week of life: neonatal sepsis, critical congenital heart disease, inborn errors of metabolism, congenital adrenal hyperplasia, and hemorrhagic disease of the newborn. (Sou...
Source: Clinical Pediatric Emergency Medicine - April 27, 2016 Category: Emergency Medicine Authors: Silena C. Chapman Source Type: research

Neonatal Death in the Emergency Department: When End-of-Life Care Is Needed at the Beginning of Life
The death of a neonate is devastating for all involved. Each year, critically ill neonates present to emergency departments across the United States. These infants require acute medical interventions with a goal of stabilization. Despite these efforts, hundreds of infants die every year in emergency departments across the United States. Emergency care providers, unaccustomed to providing neonatal end-of-life care, may feel unsure about how to best care for families during resuscitative measures and after neonates die. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 24, 2016 Category: Emergency Medicine Authors: Jessica T. Fry, Natalia Henner Source Type: research

Neonatal Death in the Emergency Department: When End-of-Life Care Is Needed at the Beginning of Life
The death of a neonate is devastating for all involved. Each year, critically ill neonates present to emergency departments across the United States. These infants require acute medical interventions with a goal of stabilization. Despite these efforts, hundreds of infants die every year in emergency departments across the United States. Emergency providers, unaccustomed to providing neonatal end-of-life care, may feel unsure about how to best care for families during resuscitative measures and after neonates die. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 24, 2016 Category: Emergency Medicine Authors: Jessica T. Fry, Natalia Henner Source Type: research

Normal Infant or Sick Newborn: The Challenge of Evaluating an Infant in the Emergency Department
There are about 3,900,000 babies born in the United States every year.1 The vast majority of babies will require no medical care or intervention, but all of them will be thoroughly evaluated before discharge from the newborn nursery. About 10% of infants require limited help in the delivery room, with only 1% requiring significant support.2,3 Just after delivery, most infants quickly transition to routine postdelivery care which consists of being dried, warmed, and placed with the infant ’s mother. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 17, 2016 Category: Emergency Medicine Authors: Patrick J. Myers Tags: Guest Editor ’s Preface Source Type: research

Normal Infant or Sick Newborn: The Challenge of Evaluating an Infant in the Emergency Department
There are about 3,900,000 babies born in the United States every year.1 The vast majority of babies will require no medical care or intervention, but all of them will be thoroughly evaluated before discharge from the newborn nursery. About 10% of infants require limited help in the delivery room, with only 1% requiring significant support.2,3 Just after delivery, most infants quickly transition to routine postdelivery care which consists of being dried, warmed, and placed with the infant’s mother. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 17, 2016 Category: Emergency Medicine Authors: Patrick J. Myers Tags: Guest Editor ’s Preface Source Type: research

Guest Editor’s Preface: Normal Infant or Sick Newborn: The Challenge of Evaluating an Infant in the Emergency Department
There are about 3,900,000 babies born in the United States every year.1 The vast majority of babies will require no medical care or intervention, but all of them will be thoroughly evaluated before discharge from the newborn nursery. About 10% of infants require limited help in the delivery room, with only 1% requiring significant support.2,3 Just after delivery, most infants quickly transition to routine postdelivery care which consists of being dried, warmed, and placed with the infant’s mother. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 17, 2016 Category: Emergency Medicine Authors: Patrick J. Myers Source Type: research

Interhospital Transport of the Neonatal Patient
Regionalized perinatal care has improved neonatal outcomes, but the transport of critically ill neonates from nontertiary centers continues to be affected by the type of care provided during pretransport stabilization and transport itself. Although the use of highly trained personnel during transports has reduced adverse events, there are still opportunities to standardize care and improve patient outcomes, particularly through improvements in key areas identified by quality and patient safety drivers. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 13, 2016 Category: Emergency Medicine Authors: Kenny D. Kronforst Source Type: research