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Table of Contents
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 1, 2015 Category: Emergency Medicine Source Type: research

Editorial Board
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - September 1, 2015 Category: Emergency Medicine Source Type: research

The Intersection of Quality Improvement and Pediatric Airway Management
Over the last few decades, we have seen significant changes in the approach to improving health care. During the 1990s, we witnessed the integration of evidence-based practice into medicine. The concept of applying rigorous and reliable evidence from high-quality research studies to improve clinical practice quickly spread across disciplines. Explanations behind medical decision making now regularly include phrases like “the data would suggest…” and “there is evidence to support…” More recently, quality improvement and patient safety have become the popular buzzwords in medicine. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 25, 2015 Category: Emergency Medicine Authors: Joshua Nagler Tags: Guest Editor's Preface Source Type: research

A Modern and Practical Review of Rapid-Sequence Intubation in Pediatric Emergencies
Rapid-sequence intubation is the standard for definitive airway management in the emergency department and requires multiple stepwise tasks where the sequence and timing of steps are important. Optimal performance of this critical procedure can be challenging, and common pitfalls exist that emergency providers may encounter when performing rapid-sequence intubation in children. Prolonged and/or failed endotracheal intubation attempts and adverse effects are not infrequent, especially in neonates and young children. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 24, 2015 Category: Emergency Medicine Authors: Matthew R. Mittiga, Andrea S. Rinderknecht, Benjamin T. Kerrey Source Type: research

From White Count to White Out
We present a 6-month-old boy with failure to thrive who was referred to the emergency department by his primary care doctor for leukocytosis and was found to be hypoxic with diffuse infiltrates on chest radiograph. Our patient was admitted and eventually diagnosed with Pneumocystis jirovecii pneumonia secondary to hyper immunoglobulin M syndrome. Even though P jirovecii pneumonia is not a common cause of hypoxia in infants, this case illustrates the need for pediatric emergency physicians to be cognizant of this rare but life threatening cause of hypoxia. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 23, 2015 Category: Emergency Medicine Authors: Ji Won Kim Tags: Emergi-Quiz Clinical Puzzler Source Type: research

Video Laryngoscopy in the Pediatric Emergency Department: Advantages and Approaches
Gaining facility in pediatric advanced airway management is challenging. Inherent differences in the pediatric airway anatomy as well as the relative infrequency of clinical opportunities to develop these complex psychomotor skills are contributing factors. Videolaryngoscopy offers both technical and educational advantages over direct laryngoscopy. Data are emerging to support its growing use in emergency medicine. This review summarizes the relevant evidence regarding video laryngoscopy in emergent pediatric intubation. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 23, 2015 Category: Emergency Medicine Authors: Israel Green-Hopkins, Matthew Eisenberg, Joshua Nagler Source Type: research

Epiglottitis
should be considered in the differential diagnosis of any child with acute upper airway obstruction, although the incidence has decreased dramatically since the introduction of the conjugate Haemophilus influenzae type b vaccine. Despite this decline, there are still more than 3000 admissions per year for this disease. Recent attention toward the potential for noncompliance with vaccination guidelines suggests that this incidence may increase. Airway management takes precedence over all other interventions and requires multidisciplinary coordination between emergency medicine, anesthesiology, and otolaryngology providers....
Source: Clinical Pediatric Emergency Medicine - August 18, 2015 Category: Emergency Medicine Authors: Eelam A. Adil, Ajman Adil, Rahul K. Shah Source Type: research

The Role of Supraglottic Airways in Pediatric Emergency Medicine
Supraglottic airway (SGA) devices have been shown to be a critical tool in pediatric airway management. The role of the SGA in emergency scenarios has increased dramatically, as its advantages are widely recognized. Studies have shown that SGAs are safe and effective in providing lifesaving oxygenation and gas exchange in both the normal and difficult pediatric airway and during resuscitation. They allow for rapid oxygenation and ventilation in the vast majority of children and are the ideal rescue device for failed facemask ventilation. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 17, 2015 Category: Emergency Medicine Authors: Andrea Huang, Narasimhan Jagannathan Source Type: research

Foreign Body Aspiration in Children
Foreign body aspiration (FBA) is an important cause of morbidity and mortality in pediatrics. Most cases occur in children younger than 3 years, and the classic triad of choking, cough, and unilateral wheezing or decreased air entry is seen in only a minority of patients. Oftentimes, the diagnosis can be challenging when an aspiration event is not directly witnessed. Management depends on the acuity of the presentation. Patients with evidence of complete upper airway obstruction should have age-appropriate basic life support maneuvers performed. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - July 28, 2015 Category: Emergency Medicine Authors: David A. Lowe, Ronald Vasquez, Vincenzo Maniaci Source Type: research

Noninvasive Ventilation in Pediatric Acute Respiratory Illness
This article describes the properties of different modalities of NIV and reviews the medical literature regarding use of NIV in pediatric patients with acute respiratory illness. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - July 18, 2015 Category: Emergency Medicine Authors: Robyn Wing, Carrie C. Armsby Source Type: research

Technology-Enhanced Simulation Training for Pediatric Intubation
Performance of endotracheal intubation in the pediatric emergency department is a specialized skill, requiring effort to both attain and maintain competence. Skills training can be approached through the “learn, see, practice, prove, do, maintain” framework. Technology-enhanced simulation should be used to assist this process, providing the opportunity for health care practitioners to practice and refine their skills while minimizing the risks to patient safety. Effective simulation-based training programs must incorporate evidence-based instructional design features. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - July 15, 2015 Category: Emergency Medicine Authors: Beth Emerson, Michael Shepherd, Marc Auerbach Source Type: research

Acute Pelvic Pain in the Adolescent: A Case Report
Diagnosis and treatment of acute pelvic pain in adolescent females require differentiating among a broad differential diagnosis that includes potentially serious illness across several organ systems. The case presented provides an illustration of the assessment and management of acute pelvic pain, and key teaching points about important potential causes. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2015 Category: Emergency Medicine Authors: M. Samuels-Kalow, C. Mollen Source Type: research

“Speaking Up” for Patient Safety in the Pediatric Emergency Department
Communication breakdowns in high-risk areas such as emergency medicine and pediatrics impede care and threaten patient safety. A pervasive problem is the failure of clinicians to speak up with ideas, questions, or concerns. Honest lapses in communication occur with the distractions and interruptions of the emergency department despite the best intentions; in contrast, failures to speak up represent conscious choices to remain silent over giving voice to concerns. The complex socialization process in health care, authority gradients, and past experiences with disruptive and rude behavior influence clinicians from all profes...
Source: Clinical Pediatric Emergency Medicine - June 1, 2015 Category: Emergency Medicine Authors: Walter Eppich Source Type: research

Table of Contents
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2015 Category: Emergency Medicine Source Type: research

Editorial Board
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2015 Category: Emergency Medicine Source Type: research