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Avoiding Misdiagnosis of Abdominal Vascular Catastrophes
Abdominal vascular emergencies are an uncommon entity in emergency medicine, but when they present, they are often catastrophic. These time-sensitive and life-threatening diagnoses are often hidden in nonspecific complaints such as nausea, vomiting, or flank pain, so the emergency physician must remain diligent and consider these in the differential diagnoses. The following is an overview of the more common of these abdominal vascular emergencies, in the hope that they help the Emergency Physician avoid the misdiagnosis and subsequent vascular catastrophe that would follow. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - September 6, 2021 Category: Emergency Medicine Authors: David C. Snow, Kristi Colbenson Source Type: research

Diagnoses of Exclusion in the Workup of Abdominal Complaints
Abdominal pain is a common complaint in the emergency department, comprising 8.8% of all visits. Despite advances in medicine and imaging, 20% to 30% of patients still leave the department without a definitive diagnosis, whichhis can be both distressing for patients and unsatisfying for providers. Diagnoses of exclusion can be perilous, and their application should be carefully considered in order to not overlook more emergent complaints. However, a working knowledge of diagnoses of exclusion can guide therapeutics and specialty referrals that can ultimately provide answers and relief to a patient population often at odds ...
Source: Emergency Medicine Clinics of North America - September 1, 2021 Category: Emergency Medicine Authors: Joseph Wesley Watkins, Zachary Bert Lewis Source Type: research

Diagnostic Applications of Point-of-Care Ultrasound in Pediatric Emergency Medicine
Point-of-care ultrasound has become an essential part of pediatric emergency medicine training and practice. It can have significant clinical benefits, including improving diagnostic accuracy and decreasing length of stay, and does not require radiation exposure for patients. In this review, we summarize the current diagnostic point-of-care ultrasound applications in pediatric emergency medicine, their evidence, and techniques. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - June 30, 2021 Category: Emergency Medicine Authors: Margaret Lin-Martore, Aaron E. Kornblith Source Type: research

Neck Trauma
This article presents a review of the most up-to-date literature on pediatric neck trauma. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - June 30, 2021 Category: Emergency Medicine Authors: Nichole McCollum, Sabrina Guse Source Type: research

Pearls of Pediatric Emergency Medicine
Pediatric Emergency Medicine (PEM) encompasses the management of diverse complaints and disease processes that is predicated on unique anatomic and physiologic traits, continuously changing throughout childhood. Like many other facets of Emergency Medicine, the management of pediatric emergencies continues to evolve over time. This issue of Emergency Medicine Clinics of North America updates emergency medicine physicians and providers on the recent advances of a wide variety of conditions seen in pediatric patients. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - June 30, 2021 Category: Emergency Medicine Authors: Le (Mimi) Lu, Ilene Claudius, Christopher S. Amato Tags: Preface Source Type: research

Pediatric Emergencies
“Kids are not just little adults.” We’ve all heard this saying, and perhaps some of us have even said it ourselves. But what does it mean? Is it meant to suggest that kids are inherently different in some way so as to require different approaches to diagnosis and treatment? Or is this saying m eant to convey that those who care for adults are not also qualified to care for kids? I believe the former is true, but unfortunately, I sometimes find that trainees in emergency medicine are led to believe the latter. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - June 30, 2021 Category: Emergency Medicine Authors: Amal Mattu Tags: Foreword Source Type: research

Pediatric Emergency Medicine
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - June 30, 2021 Category: Emergency Medicine Authors: Le (mimi) Lu, Ilene Claudius, Christopher S. Amato Source Type: research

Copyright
ELSEVIER (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - June 30, 2021 Category: Emergency Medicine Source Type: research

Contributors
AMAL MATTU, MD (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - June 30, 2021 Category: Emergency Medicine Source Type: research

Contents
Amal Mattu (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - June 30, 2021 Category: Emergency Medicine Source Type: research

Forthcoming Issues
Allergy, Inflammatory, and Autoimmune Disorders in Emergency Medicine (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - June 30, 2021 Category: Emergency Medicine Source Type: research

Cardiac Emergencies in Kids
Encountering a child with congenital heart disease after surgical palliation in the emergency department, specifically the single-ventricle or ventricular assist device, without a basic familiarity of these surgeries can be extremely anxiety provoking. Knowing what common conditions or complications may cause these children to visit the emergency department and how to stabilize will improve the chance for survival and is the premise for this article, regardless of practice setting. (Source: Emergency Medicine Clinics of North America)
Source: Emergency Medicine Clinics of North America - June 14, 2021 Category: Emergency Medicine Authors: Ashley M. Strobel, Leen Alblaihed Source Type: research

Emerging and Re-emerging Infections in Children
The role of the emergency provider lies at the forefront of recognition and treatment of novel and re-emerging infectious diseases in children. Familiarity with disease presentations that might be considered rare, such as vaccine-preventable and non-endemic illnesses, is essential in identifying and controlling outbreaks. As we have seen thus far in the novel coronavirus pandemic, susceptibility, severity, transmission, and disease presentation can all have unique patterns in children. Emergency providers also have the potential to play a public health role by using lessons learned from the phenomena of vaccine hesitancy a...
Source: Emergency Medicine Clinics of North America - June 10, 2021 Category: Emergency Medicine Authors: Carol C. Chen, Anne Whitehead Source Type: research

Just Breathe
Anatomically, the airway is ever changing in size, anteroposterior alignment, and point of most narrow dimension. Special considerations regarding obesity, chronic and acute illness, underlying developmental abnormalities, and age can all affect preparation and intervention toward securing a definitive airway. Mechanical ventilation strategies should focus on limiting peak inspiratory pressures and optimizing lung protective tidal volumes. Emergency physicians should work toward minimizing risk of peri-intubation hypoxemia and arrest. With review of anatomic and physiologic principles in the setting of a practical approach...
Source: Emergency Medicine Clinics of North America - June 10, 2021 Category: Emergency Medicine Authors: Megan J. Cobb Source Type: research

Procedural Applications of Point-of-Care Ultrasound in Pediatric Emergency Medicine
This article reviews ultrasound guidance for the following pediatric emergency medicine procedures: soft tissue (abscess incision and drainage, foreign body identification and removal, and peritonsillar abscess drainage), musculoskeletal and neurologic (hip arthrocentesis, peripheral nerve blocks, and lumbar puncture), vascular access (peripheral intravenous access and central line placement), and critical care (endotracheal tube placement, pericardiocentesis, thoracentesis, and paracentesis). By incorporating ultrasound, emergency physicians caring for pediatric patients have the potential to enhance their procedural scop...
Source: Emergency Medicine Clinics of North America - June 10, 2021 Category: Emergency Medicine Authors: Ashkon Shaahinfar, Zahra M. Ghazi-Askar Source Type: research