Pediatric Emergency Transport: Communication and Coordination Are Key to Improving Outcomes
Whether you are at the referring facility, the accepting facility, or part of the transport team, communication and coordination during emergency transport are essential to ensuring the best possible outcomes for patients. This issue discusses the process of interfacility transfer, the role of the emergency clinicians involved with the transfer, and commonly used diagnostic studies and treatments needed during interfacility transfers of pediatric patients. Includes 4 AMA PRA Category (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - April 2, 2018 Category: Emergency Medicine Source Type: research

Corticosteroid Use in Management of Pediatric Emergency Conditions
Although corticosteroids have been used for over half a century, their use for management of many pediatric conditions is controversial. This issue reviews the evidence-based role of corticosteroid use for management of acute asthma exacerbations, croup, acute pharyngitis, anaphylaxis, acute spinal injury, and bacterial meningitis. Includes 4 AMA PRA Category (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - March 2, 2018 Category: Emergency Medicine Source Type: research

Acute Gastroenteritis: Evidence-Based Management of Pediatric Patients
This issue reviews the common etiologies of acute gastroenteritis, discusses more-severe conditions that should be considered in the differential diagnosis, and provides evidence-based recommendations for management of acute gastroenteritis in patients with mild-to-moderate dehydration, severe dehydration, and hypoglycemia. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - February 2, 2018 Category: Emergency Medicine Source Type: research

Best Practices in Managing Child and Adolescent Behavioral Health Emergencies
This issue reviews medical pathologies and underlying causes that can result in psychiatric presentations and summarizes evidence-based practices to evaluate, manage, and refer patients with behavioral health emergencies. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - December 21, 2017 Category: Emergency Medicine Source Type: research

Diagnosis and Management of Group A Streptococcal Pharyngitis and Associated Complications
This issue reviews the signs and symptoms of GAS pharyngitis, as well as associated complications, and provides recommendations for appropriate treatment that focuses on reducing the severity and duration of symptoms, reducing the incidence of nonsuppurative complications, and reducing transmission. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - November 21, 2017 Category: Emergency Medicine Source Type: research

Management of Airway Obstruction and Stridor in Pediatric Patients
This issue discusses the most common as well as the life-threatening etiologies of acute and chronic stridor and its management in the emergency department. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - October 19, 2017 Category: Emergency Medicine Source Type: research

Pediatric Wound Care and Management in the Emergency Department (Trauma CME)
This issue reviews evidence-based recommendations for wound care and management, including wound cleansing and irrigation, anxiolysis/sedation techniques, closure methods, and post-repair wound care. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - September 20, 2017 Category: Emergency Medicine Source Type: research

Pediatric Orthopedic Injuries: Evidence-Based Management in the Emergency Department (Trauma CME)
This issue reviews the etiology and pathophysiology of child-specific fractures, as well as common injuries of the upper and lower extremities. Evidence-based recommendations for management of pediatric fractures, including appropriate diagnostic studies and treatment, are also discussed. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - August 21, 2017 Category: Emergency Medicine Source Type: research

Pediatric Heat-Related Illness: Recommendations for Prevention and Management
This issue presents evidence-based recommendations and best practices in heat-illness resuscitation, including managing children who are obese, have special needs or take medications, and advocacy for prevention strategies. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - July 19, 2017 Category: Emergency Medicine Source Type: research

Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment (Trauma CME)
This issue provides guidance regarding factors that contribute to abuse in children, key findings on history and physical examination that should trigger an evaluation for physical abuse, and laboratory and radiologic tests to perform when child abuse is suspected. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - June 21, 2017 Category: Emergency Medicine Source Type: research

Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment
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Source: Pediatric Emergency Medicine Practice - June 15, 2017 Category: Emergency Medicine Source Type: research

Vascular Access in Pediatric Patients in the Emergency Department: Types of Access, Indications, and Complications
In this issue, the indications and complications of peripheral intravenous access, intraosseous access, and central venous access are reviewed. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - May 17, 2017 Category: Emergency Medicine Source Type: research

Acute Kidney Injury in Pediatric Patients: Diagnosis and Management in the Emergency Department
This issue compares 3 classification systems for the diagnosis and staging of acute kidney injury and reviews the etiologies that lead to kidney injury in children. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - April 20, 2017 Category: Emergency Medicine Source Type: research

Syncope In Pediatric Patients: A Practical Approach To Differential Diagnosis And Management In The Emergency Department
This issue will highlight critical diseases that cause syncope, identify high-risk "red flags," and enable the emergency clinician to develop a cost-effective, minimally invasive algorithm for the diagnosis and treatment of pediatric syncope. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - March 27, 2017 Category: Emergency Medicine Source Type: research

Pneumothorax In Pediatric Patients: Management Strategies To Improve Patient Outcomes
In this issue, aspects of the history and physical examination, the use of various diagnostic imaging modalities, and the range of interventions available to the emergency clinician are discussed. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - February 24, 2017 Category: Emergency Medicine Source Type: research

Diphtheria, Pertussis, And Tetanus: Evidence-Based Management Of Pediatric Patients In The Emergency Department
This issue reviews the epidemiology, pathophysiology, diagnosis, and current recommended emergency management of these conditions. Disease-specific medications, as well as treatment of the secondary complications, are examined in light of the best current evidence. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - January 24, 2017 Category: Emergency Medicine Source Type: research

Altered Level Of Consciousness: Evidence-Based Management In The Emergency Department
This issue provides a review of the etiologies of altered level of consciousness as well as guidance for the management and disposition of patients with this condition. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - December 22, 2016 Category: Emergency Medicine Source Type: research

Vaccine-Preventable Diseases In Pediatric Patients: A Review Of Measles, Mumps, Rubella, And Varicella
This issue provides a review of the clinical features, differential diagnoses, potential complications, and treatment options for measles, mumps, rubella, and varicella. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - November 23, 2016 Category: Emergency Medicine Source Type: research

Managing Acute Complications Of Sickle Cell Disease In Pediatric Patients
This issue provides a current review of evidence-based management of the most common acute complications of sickle cell disease seen in pediatric patients in the emergency department. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - October 25, 2016 Category: Emergency Medicine Source Type: research

Severe Traumatic Brain Injury In Children: An Evidence-Based Review Of Emergency Department Management (Trauma CME)
This issue discusses methods to maintain adequate oxygenation, maximize management of intracranial hypertension, and optimize blood pressure in the emergency department to improve neurologic outcomes following pediatric severe traumatic brain injury. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - September 23, 2016 Category: Emergency Medicine Source Type: research

Carbon Monoxide Poisoning In Children: Diagnosis And Management In The Emergency Department
This review discusses the limitations of routine pulse oximetry and carboxyhemoglobin measurement in determining carbon monoxide exposure, and notes effects of co-ingestions and comorbidities. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - August 22, 2016 Category: Emergency Medicine Source Type: research

Acute Rheumatic Fever: An Evidence-Based Approach To Diagnosis And Initial Management
This issue focuses on the clinical evaluation and treatment of patients with acute rheumatic fever by offering a thorough review of the literature on diagnosis and recommendations on appropriate treatment. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - July 25, 2016 Category: Emergency Medicine Source Type: research

Ebola Virus Disease: Epidemiology, Clinical Presentation, And Diagnostic And Therapeutic Modalities
Ebola virus disease (EVD) is a severe multisystem disease. Prehospital personnel, hospitals, and clinicians must be prepared to provide care for patients with EVD, with special attention to rigorous infection control in order to limit the spread of infection. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - June 22, 2016 Category: Emergency Medicine Source Type: research

Procedural Ultrasound In Pediatric Patients: Techniques And Tips For Accuracy And Safety
This issue will review the adult literature and the available pediatric literature comparing ultrasound guidance to more traditional approaches. Methods for using ultrasound guidance to perform various procedures, and the pitfalls associated with each procedure, will also be described. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - May 25, 2016 Category: Emergency Medicine Source Type: research

Congenital Heart Disease In Pediatric Patients: Recognizing The Undiagnosed And Managing Complications In The Emergency Department
This review focuses on the recognition and initial management of patients with undiagnosed congenital heart disease presenting to the ED and touches on considerations for postoperative infants and children with complex congenital heart disease. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - April 21, 2016 Category: Emergency Medicine Source Type: research

Pediatric Ingestions: Emergency Department Management
This issue provides a review of these studies as well as consensus guidelines addressing the initial resuscitation, diagnosis, and treatment of common pediatric ingestions. Also discussed are current recommendations for decontamination, administration of antidotes for specific toxins, and management of ingested foreign bodies. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - March 20, 2016 Category: Emergency Medicine Source Type: research

Cervical Spinal Injury In Pediatric Blunt Trauma Patients: Management In The Emergency Department (Trauma CME)
This issue reviews current approaches to prehospital immobilization, identification of low-risk patients who may be clinically cleared from immobilization, a rational approach to the use of radiologic imaging, and the existing evidence for medical management of spinal cord injuries. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - February 24, 2016 Category: Emergency Medicine Source Type: research

Ventriculoperitoneal Shunt Complications In Children: An Evidence-Based Approach To Emergency Department Management
This review summarizes the literature on complications of ventriculoperitoneal shunts, examines the literature regarding the workup and management of patients with ventriculoperitoneal shunts, and makes recommendations for the management of these patients in the emergency department. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - January 24, 2016 Category: Emergency Medicine Source Type: research

Diagnostic Emergency Ultrasound: Assessment Techniques In The Pediatric Patient
This issue focuses on common indications for diagnostic ultrasound, as found in the pediatric literature or extrapolated from adult literature where pediatric evidence is scarce. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - December 19, 2015 Category: Emergency Medicine Source Type: research

Management Of Fever And Suspected Infection In Pediatric Patients With Central Venous Catheters
This issue focuses on the approach to fever in pediatric patients with central venous catheters and the management and disposition of patients with possible catheter-associated bloodstream infections. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - November 18, 2015 Category: Emergency Medicine Source Type: research

Pediatric Chest Tubes And Pigtails: An Evidence-Based Approach To The Management Of Pleural Space Diseases
This issue of Pediatric Emergency Medicine Practice reviews the use of chest tubes and pigtail catheters in pediatric patients, techniques and indications for placement, and possible complications. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - October 23, 2015 Category: Emergency Medicine Source Type: research

Inhaled Foreign Bodies In Pediatric Patients: Proven Management Techniques In The Emergency Department
In this issue, an in-depth review of the etiology, pathophysiology, diagnosis, and treatment of inhaled foreign bodies is presented. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - September 18, 2015 Category: Emergency Medicine Source Type: research

Hemophilia And Von Willebrand Disease In Children: Emergency Department Evaluation And Management
This review focuses on the epidemiology, pathophysiology, common presentations, evaluation strategies, and emergency management of these bleeding disorders. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - August 19, 2015 Category: Emergency Medicine Source Type: research

Endotracheal Intubation In Pediatric Patients Using Video Laryngoscopy: An Evidence-Based Review
This issue of Pediatric Emergency Medicine Practice will discuss the emergence of video laryngoscopy into the pediatric and emergency medicine settings. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - July 29, 2015 Category: Emergency Medicine Source Type: research

Myocarditis And Pericarditis In The Pediatric Patient: Validated Management Strategies
This issue of Pediatric Emergency Medicine Practice provides an evidence-based approach to the evaluation and management of myocarditis and pericarditis in the pediatric patient, with an emphasis on recent advances in diagnosis and treatment. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - June 23, 2015 Category: Emergency Medicine Source Type: research

Best Practices In The Emergency Department Management Of Children With Special Needs
This issue of Pediatric Emergency Medicine Practice focuses on identification and management of common problems with enteral feeding tubes, tracheostomies, and ventricular shunts, and will include a discussion on performing emergency procedures in children with autism and other cognitive disabilities. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - May 30, 2015 Category: Emergency Medicine Source Type: research

Optimizing Emergency Management To Reduce Morbidity And Mortality In Pediatric Burn Patients (Trauma CME)
This issue of Pediatric Emergency Medicine Practice will focus on optimizing emergency management to reduce morbidity and mortality in pediatric burn patients. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - April 26, 2015 Category: Emergency Medicine Source Type: research

Septic Shock: Recognizing And Managing This Life-Threatening Condition In Pediatric Patients
This issue of Emergency Medicine Practice will focus on the recognizing and managing Septic Shock (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - March 23, 2015 Category: Emergency Medicine Source Type: research

Emergency Department Management Of Seizures In Pediatric Patients
This issue of Pediatric Emergency Medicine Practice will focus on the emergency department management of seizures in pediatric patients. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - February 24, 2015 Category: Emergency Medicine Source Type: research

Evidence-Based Management Of Skin And Soft-Tissue Infections In Pediatric Patients In The Emergency Department
This issue of Pediatric Emergency Medicine Practice will focus on the management of children with skin and soft-tissue infections, based on the current literature. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - January 24, 2015 Category: Emergency Medicine Source Type: research

Evidence-Based Management of Kawasaki Disease In The Emergency Department
This issue reviews the presentation, diagnostic criteria, and management of Kawasaki disease in the emergency department. Emergency clinicians should consider Kawasaki disease as a diagnosis in pediatric patients presenting with prolonged fever, as prompt evaluation and management can significantly decrease the risk of serious cardiac sequelae. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - December 30, 2014 Category: Emergency Medicine Source Type: research

Emergency Department Management Of Upper Gastrointestinal Bleeding In Pediatric Patients
This issue of Pediatric Emergency Medicine Practice discusses common differential diagnoses of upper gastrointestinal bleeding and the initial clinical evaluation and management of children with a suspected upper gastrointestinal bleed. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - November 25, 2014 Category: Emergency Medicine Source Type: research

Evidence-Based Management Of Neonatal Vomiting In The Emergency Department
A systematic approach in the emergency department, as outlined in this review, is required to identify the serious causes of vomiting in the neonate. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - October 31, 2014 Category: Emergency Medicine Source Type: research

Pediatric Blunt Abdominal Trauma In The Emergency Department: Evidence-Based Management Techniques (Trauma CME)
This issue discusses common mechanisms and injuries seen in children with blunt abdominal trauma and takes a closer look at current evaluation and management techniques. The mainstays of diagnostic evaluation include laboratory, sonography, and computed tomography studies. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - September 29, 2014 Category: Emergency Medicine Source Type: research

Pediatric Blunt Abdominal Trauma In The Emergency Department: Evidence-Based Management Techniques
This issue discusses common mechanisms and injuries seen in children with blunt abdominal trauma and takes a closer look at current evaluation and management techniques. The mainstays of diagnostic evaluation include laboratory, sonography, and computed tomography studies. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - September 24, 2014 Category: Emergency Medicine Source Type: research

An Evidence-Based Approach To The Management Of Hematuria In Children In The Emergency Department
This review will outline the current literature regarding evaluation and management of pediatric patients who present to the emergency department with hematuria. Obtaining a thorough history and the appropriate diagnostic tests will be discussed in depth. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - August 29, 2014 Category: Emergency Medicine Source Type: research

Pediatric Envenomations: Don't Get Bitten By An Unclear Plan Of Care (Trauma CME)
This review presents the basic epidemiology of bites and stings of spiders, bees and wasps, fire ants, scorpions, and snakes, but it primarily focuses on the underlying pathophysiology and clinical presentation of the envenomated patient. While the pathophysiology and much of the presentation and treatment are the same for both children and adults, there are occasionally subtle differences, which will be highlighted. The management and disposition of pediatric patients for each type of bite or sting will also be discussed. (Source: Pediatric Emergency Medicine Practice)
Source: Pediatric Emergency Medicine Practice - August 1, 2014 Category: Emergency Medicine Source Type: research