Clinical Pediatric Emergency Medicine 
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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.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 patient outcomes, particularly through improvements in key areas identified by quality and patient safety drivers. An important goal of transport care is to be an effective bridge to the type of intensive care provided by the receiving units. (Source: Cl...
Source: Clinical Pediatric Emergency Medicine - April 13, 2016 Category: Emergency Medicine Authors: Kenny D. Kronforst Source Type: research
Sick or Fussy? Normal and Abnormal Findings in the First Week of Life
“Neonates are not just small children.” Health care providers in the emergency department should recognize presenting signs and symptoms of neonatal clinical problems in order to differentiate “sick” from merely “fussy” newborns. In this review, common neonatal presenting complaints will be discussed with the goal of recognizing normal and abnormal findings in the first 28 days of life. Topics will include respiratory distress, cyanosis, sepsis, meningitis, neonatal seizures, and feeding difficulties in the newborn. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 12, 2016 Category: Emergency Medicine Authors: Rakhee M. Bowker, Kathryn N. Farrow Source Type: research
Neonatal Sepsis
Sepsis is a significant cause of morbidity and mortality for neonates and infants. Neonates are at increased risk for sepsis due to their immature immune system. Bacterial, viral, and fungal organisms may cause sepsis in the young patient. Identifying septic neonates upon presentation to their primary care physician or the emergency department remains a challenge given the nonspecific manifestations of illness. Suspicion for sepsis should prompt evaluation to identify a source to tailor treatment appropriately. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 12, 2016 Category: Emergency Medicine Authors: Stephannie M.B. Voller, Patrick J. Myers Source Type: research
Sick or Fussy? Normal and Abnormal Findings in the First Week of Life
“Neonates are not just small children.” Health care providers in the emergency department should recognize presenting signs and symptoms of neonatal clinical problems in order to differentiate “sick” from merely “fussy” newborns. In this review, common neonatal presenting complaints will be discussed with the goal of recognizing normal and abnormal findings in the first 28 days of life. Topics will include respiratory distress, cyanosis, sepsis, meningitis, neonatal seizures, and feeding difficulties in the newborn. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 12, 2016 Category: Emergency Medicine Authors: Rakhee M. Bowker, Kathryn N. Farrow Source Type: research
Neonatal Sepsis
Sepsis is a significant cause of morbidity and mortality for neonates and infants. Neonates are at increased risk for sepsis due to their immature immune system. Bacterial, viral, and fungal organisms may cause sepsis in the young patient. Identifying septic neonates upon presentation to their primary care physician or the emergency department remains a challenge given the nonspecific manifestations of illness. Suspicion for sepsis should prompt evaluation to identify a source to tailor treatment appropriately. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - April 12, 2016 Category: Emergency Medicine Authors: Stephannie M.B. Voller, Patrick J. Myers Source Type: research
Pediatric Nontraumatic Hip Pathology
This article reviews the common etiologies for hip complaints occurring in the absence of trauma in children. The clinical presentation, evaluation, and management will be discussed as well as relevant existing literature to assist the physician in distinguishing between hip pathologies. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 29, 2016 Category: Emergency Medicine Authors: Desireé Noel Wagner Neville, Noel Zuckerbraun Source Type: research
Pediatric Hand Injuries
The hand is one of the most frequently injured parts of a child's body. Thorough knowledge of the pediatric hand anatomy is necessary to guide the evaluation and management of children presenting with hand injuries. Appropriate and timely management strategies have important functional and cosmetic outcomes and thus should be individualized to the patient's skeletal maturity, injury type, and severity, avoiding complications such as physeal damage and/or growth arrest. Ultimate outcome depends upon initial care. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 29, 2016 Category: Emergency Medicine Authors: Susan K. Yaeger, Mananda S. Bhende Source Type: research
Joint Dislocations in the Pediatric Emergency Department
Joint dislocations occur in the pediatric population and frequently present to the emergency department. Varying degrees of skeletal maturity and the differences of each individual joint mean that management of dislocations requires a unique set of skills. A thorough understanding of classification systems and anatomy is necessary for effective communication with orthopedic consultants as well as in avoiding pitfalls. Knowledge of the likely mechanisms of injury involved can aid in a targeted evaluation and correct diagnosis. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 29, 2016 Category: Emergency Medicine Authors: Neil Desai, Kerry S. Caperell Source Type: research
Table of Contents
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 29, 2016 Category: Emergency Medicine Source Type: research
Editorial Board
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 29, 2016 Category: Emergency Medicine Source Type: research
Adolescent With Weight Loss and Abdominal Pain
This article briefly reviews the emergency department approach to the differential diagnosis of weight loss, pelvic pain, and adnexal masses in adolescent girls with a concise summary of the clinical manifestations and laboratory testing for human immunodeficiency virus among adolescents. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 4, 2016 Category: Emergency Medicine Authors: Amy DeLaroche, Helene Tigchelaar, Nirupama Kannikeswaran, Usha Sethuraman Source Type: research
Pediatric Ankle and Foot Injuries
An understanding of the pediatric bony anatomy is necessary to guide the evaluation and treatment of children who present with injuries of the ankle and foot. All bones can be involved in a fracture, including Salter-Harris fractures of the distal tibia and fibula and a variety of foot fractures. Of special consideration are the Tillaux, Triplane, Lisfranc, Jones, and avulsion of the fifth metatarsal fractures. Treatment of each patient must be individualized and determined by fracture type, severity and displacement, and patient age. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 2, 2016 Category: Emergency Medicine Authors: Kimberly Horner, Melissa Tavarez Source Type: research
Ultrasound-Guided Femoral Nerve Blocks in the Initial Emergency Department Management of Pediatric Femur Fractures
Femur fractures are extremely painful injuries that frequently involve a number of transfers from the field to stretcher to imaging table to hospital bed. Prompt pain relief is essential. Traditionally, systemic analgesia has been provided orally or parenterally. Systemic medicines are frequently limited by deleterious effect on the patient's sensorium and hemodynamic status. Alternatively, regional anesthesia targeting the femoral nerve can control femur fracture pain. A femoral nerve block, historically placed using landmark or nerve stimulator techniques, is now easier, more effective, and better tolerated by emergency ...
Source: Clinical Pediatric Emergency Medicine - February 2, 2016 Category: Emergency Medicine Authors: Keith P. Cross, Fred H. Warkentine Source Type: research
Traumatic Pediatric Orthopedic Emergencies: An Approach to the Evaluation and Management
Pediatric orthopedic injuries are commonly seen in emergency departments, and each injury has a unique management plan that differs from interventions in the adult population. This is largely attributed to the open physes in skeletally immature children, creating a “weak link” for fracture sites to occur. With the advancements in the evaluation and management of traumatic orthopedic emergencies, it is important to review current management trends. This review focuses on changes seen in neurological compromise, vascular compromise, acute compartment syndrome, open fractures and fractures requiring urgent reduction. (Sou...
Source: Clinical Pediatric Emergency Medicine - February 2, 2016 Category: Emergency Medicine Authors: Danielle M. Graff, Jennifer Brey, Sandra Herr Source Type: research
Orthopedic Emergencies in Children
Orthopedic emergencies are common, year-round occurrences in children and a frequent reason for emergency department visits. During the summer months here in Louisville, there are evenings in which my emergency department strongly resembles an orthopedic acute fracture clinic. Providers in many emergency care settings are intimately familiar with the management of a large portion of common conditions. For example, nearly every emergency provider is comfortable with the evaluation, management, disposition, and follow-up for a buckle fracture of the distal radius. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - February 2, 2016 Category: Emergency Medicine Authors: Kerry Caperell Tags: Guest Editor's Preface Source Type: research
