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Tribute to Michael ShannonEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Michele Burns Ewald, Kenneth D. Mandl Source Type: journals

Developing Pediatric Emergency Preparedness Performance MeasuresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The most obvious deficiency in the current evaluation of disaster response is the lack of objective, quantifiable measures of performance. This frequently leads to assessments that are highly subjective depending on the evaluator, does not provide those who are planning with targets to achieve, and does not allow for measures that they have improved their preparedness. The goal of this article is to offer recommendations for government agencies at the federal, regional, and local levels, public health departments, and health care institutions to aid in the development of pediatric emergency management performance measures....
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: David Markenson, Steven Krug Source Type: journals

Pediatric Aspects of Hospital PreparednessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article emphasizes key emergency response aspects of hospital preparedness for disasters involving children, in particular (1) hospital-based incident command, (2) strategies for operational continuity, (3) pediatric principles of surge capacity, (4) development of decontamination protocols, (5) infection control, (6) sheltering in place, and (7) evacuation strategies. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Stephen Monteiro, Michael Shannon, Thomas J. Sandora, Sarita Chung Source Type: journals

Addressing Disaster Mental Health Needs of Children: Practical Guidance for Pediatric Emergency Health Care ProvidersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides an overview of recent literature on disasters and mental health, covering children's stress reactions, mental health problems that may arise, and risk factors that affect these reactions. Practical guidance for pediatric emergency health care providers is emphasized, including psychological first aid, recommendations for screening questions to facilitate mental health triage, and an overview of effective mental health interventions. It concludes with a discussion of the impact of providing care in the aftermath of a disaster on the health care professional. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: David J. Schonfeld, Robin H. Gurwitch Source Type: journals

Family Reunification—Concepts and ChallengesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article offers an outline for the components of disaster planning and response where considerations for family reunification should occur and describes the challenges and solutions within each. Challenges and solutions are described in 6 areas including practice and planning, clinical services, ancillary support, transportation and accommodations, communication and identification, and psychological support. Family reunification will be more successful if these challenges are understood and solutions are enacted. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Alan L. Nager Source Type: journals

Principles of Pediatric DecontaminationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides an overview of the need for decontamination and the process of decontamination for hospitals. Practical guidance on decontamination methods for children of different ages is presented. Recommendations for training and communication during decontamination are also reviewed. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Dennis Heon, George L. Foltin Source Type: journals

Pediatric Mass Casualty: Triage and Planning for the Prehospital ProviderEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the planning and triage considerations for prehospital providers caring for children in a mass casualty event. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Kristin Lyle, Tonya Thompson, James Graham Source Type: journals

Protecting Children During Disasters: The Federal ViewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will also discuss the H1N1 outbreak that started during the spring 2009. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Terry Adirim Source Type: journals

The Future of Pediatric PreparednessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is part of a collaborative effort by experts in the field of emergency preparedness to complete an overview begun by the late Michael Shannon, MD, MPH, on the current challenges and future directions in pediatric disaster readiness. This particular article, "The Future of Pediatric Preparedness," will offer a perspective on future directions in pediatric preparedness. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: George Foltin, Irwin Redlener Source Type: journals

Challenges Facing Pediatric PreparednessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is part of a collaborative effort by experts in the field of emergency preparedness to complete an overview begun by the late Michael Shannon, MD, MPH, on the current challenges and future directions in pediatric disaster readiness. This particular article, "Challenges Facing Pediatric Preparedness," will review some of the major challenges facing current efforts to enhance pediatric readiness. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Katherine Mason, Michael R. Anderson Source Type: journals

The Role of Pediatric Health Care ProvidersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is part of a collaborative effort by experts in the field of emergency preparedness to complete an overview begun by the late Michael Shannon, MD, MPH, on the current challenges and future directions in pediatric disaster readiness. This particular article, "The Role of Pediatric Health Care Providers," will illustrate the important role of pediatric care experts at all levels of disaster planning, and as a vital resource for pediatric emergency preparedness in the community. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Daniel B. Fagbuyi, Jeffrey Upperman Source Type: journals

Mental Health ConcernsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is part of a collaborative effort by experts in the field of emergency preparedness to complete an overview begun by the late Michael Shannon, MD, MPH, on the current challenges and future directions in pediatric disaster readiness. This particular article, "Mental Health Concerns," will address some of the unique developmental and psychological vulnerabilities of children as disaster victims (or as disaster witnesses) and strategies for timely identification and intervention for mental health concerns in children. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: David J. Schonfeld Source Type: journals

Lessons Learned From Disasters Affecting ChildrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is part of a collaborative effort by experts in the field of emergency preparedness to complete an overview begun by the late Michael Shannon, MD, MPH, on the current challenges and future directions in pediatric disaster readiness. This particular article, "Lessons Learned From Disasters Affecting Children," will address pediatric-specific vulnerabilities to disasters and pediatric patient care considerations in various phases of disaster planning and response, as has been learned from recent experiences. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Debra L. Weiner Source Type: journals

Preparing for Natural DisastersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is part of a collaborative effort by experts in the field of emergency preparedness to complete an overview begun by the late Michael Shannon, MD, MPH, on the current challenges and future directions in pediatric disaster readiness. This particular article, "Preparing for Natural Disasters," will address pertinent clinical and disaster management issues relating to caring for children and families impacted by natural disasters. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Mark Waltzman, Eric Fleegler Source Type: journals

Preparation for Terrorist Threats: Explosive DevicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is part of a collaborative effort by experts in the field of emergency preparedness to complete an overview begun by the late Michael Shannon, MD, MPH, on the current challenges and future directions in pediatric disaster readiness. This particular article, "Preparation for Terrorist Threats: Explosive Devices," will promote a greater awareness of explosive devices as significant terrorism threat and pertinent clinical considerations in caring for pediatric victims of explosive injury. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Deborah A. Mulligan, Leonard Levy, Cecilia F. Rokusek Source Type: journals

Preparation for Terrorist Threats: Radiation InjuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is part of a collaborative effort by experts in the field of emergency preparedness to complete an overview begun by the late Michael Shannon, MD, MPH, on the current challenges and future directions in pediatric disaster readiness. This particular article, "Preparation for Terrorist Threats: Radiation Injury," will address pertinent clinical management issues relating to radioactive agents and the unique vulnerabilities and care needs of children as potential victims of such terrorism. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: David Siegel Source Type: journals

Preparation for Terrorist Threats: Biologic and Chemical AgentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is part of a collaborative effort by experts in the field of emergency preparedness to complete an overview begun by the late Michael Shannon, MD, MPH, on the current challenges and future directions in pediatric disaster readiness. This particular article, "Preparation for Terrorist Threats: Biologic and Chemical Agents," will address pertinent clinical management issues relating to biologic and chemical agents and the unique vulnerabilities and care needs of children as potential victims of such terrorism. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Fred M. Henretig Source Type: journals

Pediatric Preparedness for Disasters: Where Are We Now? Current Challenges and Future DirectionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article, and the nine that follow, represent a collaborative effort by experts in the field of emergency and disaster preparedness, many who were colleagues of the late Michael Shannon, MD, MPH, to complete this overview he had begun for this issue of Clinical Pediatric Emergency Medicine. Each article will address a specific topic area within the broad realm of pediatric disaster readiness, reviewing current challenges and future directions. This series of articles represents a tribute to Michael Shannon and his great legacy of excellence in patient care, teaching and research, and his outstanding leadership and advo...
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Michael Shannon, Carl R. Baum Source Type: journals

The Unfinished SymphonyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I can no longer exactly recall how I learned of Michael Shannon's death on March 10th, the day will likely forever remain a blur. Although we had met many years earlier, I had the great fortune to partner with Michael as an external reviewer for the PEM program at the Hospital for Sick Children in 2005. Over those 2 days in Toronto, we got to know each other fairly well. I had previously been aware that Michael was a remarkable person, I just never knew until then how truly special he was. I remember musing on my journey home that I had met the “Renaissance Man.” (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Steven Krug Tags: Preface Source Type: journals

Pediatric Disaster Readiness: How Far Have We Come?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Numerous events in the United States and abroad have demonstrated the vulnerabilities of children during and after disasters in the past decade. In 2002, an issue of Clinical Pediatric Emergency Medicine (CPEM) focused on pediatric disaster management and explored the consequences to children of a terrorist attack and natural disasters. Unfortunately, experiences continue to remind us that the inclusion of children in the preparation for disasters remains incomplete and results in tragic consequences. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Authors: Sarita Chung Tags: Guest Editor's Preface Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - August 31, 2009 Category: Emergency Medicine Source Type: journals

IMPACT DC: Reconceptualizing the Role of the Emergency Department for Urban Children with AsthmaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
With a grant from the Robert Wood Johnson Foundation, we developed and evaluated an emergency department (ED) based intervention in which patients returned to the ED for a structured 90-minute appointment during the weeks after an acute asthma visit. The intervention, which emphasized disease management using national asthma guidelines, successfully reduced overdependence on EDs for episodic care of asthma while also improving asthma-related quality of life among a cohort of low-income, urban, and largely minority children with moderate to severe asthma and a history of ED recidivism. We have since sustained and grown this...
Source: Clinical Pediatric Emergency Medicine - June 1, 2009 Category: Emergency Medicine Authors: Deborah M. Quint, Stephen J. Teach Source Type: journals

Follow-up Care for Children With Asthma After Emergency Department VisitsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Current guidelines recommend that all children obtain follow-up within 1 to 4 weeks after an emergency department (ED) visit for acute asthma. Follow-up may be an important link to reestablish regular care with the primary care provider, review reasons for the ED visit, and update the home management plan. Obtaining follow-up from the ED can be challenging. Studies have reported baseline follow-up rates between 7% and 44% without intervention. Successful interventions report follow-up rates of 36% to 78%. Studies that demonstrated improved follow-up from the ED found methods to personalize care such as individualized educa...
Source: Clinical Pediatric Emergency Medicine - June 1, 2009 Category: Emergency Medicine Authors: Robert C. Schnitman, Joline Farris, Sharon R. Smith Source Type: journals

Quality Improvement in Pediatric Emergency Department Asthma CareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Asthma is the most common chronic illness during childhood and significantly impacts all aspects of the health care system. Disconnects between the different facets of the health care system exist, leading to less than optimal quality of care. Improving the quality of care received by patients with asthma requires an understanding that systems-based changes are needed. Quality improvement efforts in pediatric asthma care delivery are described in 2 case examples: one involving hospital-wide metered dose inhaler use with phase out of nebulized mask treatment therapy and the second involving emergency department educational ...
Source: Clinical Pediatric Emergency Medicine - June 1, 2009 Category: Emergency Medicine Authors: Charles G. Macias, Binita Patel Source Type: journals

Pharmacogenomics of Acute Asthma: The β2-Adrenergic Receptor Gene as a Model for Future TherapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Asthma is a complex heterozygous multifactorial condition with variability in clinical features and response to treatment, likely related to interactions between genetics and environmental exposures. Pharmacogenomic research seeks to identify and elucidate relationships between genetic variation and therapeutic response. Multiple studies have examined genetic variation in the β2-adrenergic receptor gene and association with asthma phenotypes. Results suggest that single-nucleotide polymorphisms in this gene are associated with greater bronchodilation acutely after albuterol, worse pulmonary function over time with daily a...
Source: Clinical Pediatric Emergency Medicine - June 1, 2009 Category: Emergency Medicine Authors: Kyle A. Nelson Source Type: journals

Noninvasive Ventilation for the Treatment of Acute Lower Respiratory Tract Diseases in ChildrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the effects of NPPV on the pathophysiology of acute lower respiratory tract disease, evidence on the use of NPPV in acutely ill patients, and challenges and potential complications of the use of NPPV specific to children. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2009 Category: Emergency Medicine Authors: Christopher L. Carroll Source Type: journals

Capnographic Monitoring in Respiratory EmergenciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Children with respiratory diseases present commonly to the emergency department. As a continuous, dynamic measure of the ventilatory status, capnography can provide valuable information in the assessment and management of these patients. After a review of the relevant physiology and technology of carbon dioxide monitoring, clinical applications for the use of capnography in patients with respiratory illnesses are discussed. Characteristic waveforms are provided, and their interpretation and clinical significance are discussed. A focus on the current literature investigating the noninvasive monitoring of patients with obstr...
Source: Clinical Pediatric Emergency Medicine - June 1, 2009 Category: Emergency Medicine Authors: Joshua Nagler, Baruch Krauss Source Type: journals

Bronchiolitis: An Evidence-Based Approach to ManagementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bronchiolitis is a common respiratory illness in infancy for which there is a great deal of clinical practice variation, leading to costly resource utilization without clear evidence for benefit. Recent literature has focused on developing a broad base of evidence through systematic reviews and meta-analyses. This review will focus on this literature as it relates to pharmacologic and nonpharmacologic therapies and other management decisions. In addition, it will highlight some emerging evidence regarding the management of bronchiolitis and innovative new therapies. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2009 Category: Emergency Medicine Authors: Jeffrey A. Seiden, Richard J. Scarfone Source Type: journals

Recent Developments in Heliox Therapy for Asthma and BronchiolitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will primarily focus on heliox inhalation therapy and heliox-driven nebulizer therapy for acute asthma exacerbations. The emergence of heliox inhalation therapy for acute viral bronchiolitis will also be addressed. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2009 Category: Emergency Medicine Authors: In K. Kim, Tim Corcoran Source Type: journals

Innovation in Pediatric Respiratory EmergenciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Respiratory illness is a leading reason for children to receive emergency care. Given its clinical importance, efforts to improve respiratory therapy have played a key role in the development of pediatric emergency medicine as both a physician specialty and a broader system of care involving many disciplines and resources. Any attempt to review innovation in pediatric respiratory care is a risky business, given the nearly constant evolution of the literature; however, the articles included here represent a few common principles that are likely to endure. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2009 Category: Emergency Medicine Authors: Joseph J. Zorc Tags: Preface Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2009 Category: Emergency Medicine Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - June 1, 2009 Category: Emergency Medicine Source Type: journals

Legal Issues in Sexual and Reproductive Health Care for AdolescentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Adolescents are frequent visitors to the emergency department (ED), and many use the ED as their only source of care. They may choose to obtain treatment in the ED for the anonymity and privacy it affords and may be unaccompanied by a parent who can provide consent for treatment. The provision of sexual and reproductive health care to adolescents in the ED presents challenges to the medical provider specifically with regard to consent and confidentiality issues. This review discusses the various state and federal laws governing the provision of sexual and reproductive health care services to adolescents, including the diag...
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Authors: Thomas J. Valvano Source Type: journals

Problems of the Foreskin and Glans PenisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conditions that affect the foreskin and glans penis that should be recognized by the emergency medicine practitioner include phimosis, paraphimosis, and inflammatory penile skin conditions, such as balanitis, posthitis, and balanoposthitis. Despite some difficulty in clearly defining phimosis and balanitis/balanoposthitis, paraphimosis remains a true urologic emergency that requires immediate identification and management. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Authors: Craig J. Huang Source Type: journals

Pediatric Scrotal MassesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the anatomical considerations in the pediatric patient, which predispose to the development of scrotal masses. In addition, it reviews the diagnosis and treatment of common scrotal masses, including inguinal hernias and hydroceles, and provides tips to distinguish between simple, communicating, and cord hydroceles. More unusual pediatric diagnoses, such as varicoceles and scrotal and testicular tumors, are also discussed, along with indications for urgent or emergent referral to a pediatric surgeon or urologist. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Authors: Jennifer A. Hagerty, Elizabeth B. Yerkes Source Type: journals

Genitourinary Trauma in BoysEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses both blunt and penetrating injuries to the penis, urethra, and scrotum. The anatomy, epidemiology, pathophysiology, clinical symptoms, and evaluation of each type of injury are discussed. Testicular rupture, urethral disruption, and penile fracture and amputation are acute surgical emergencies that require emergent referral to and management by a qualified urologist. Most of the other conditions can be diagnosed and managed by an emergency physician with access to high-resolution ultrasonography. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Authors: Jennifer Adu-Frimpong Source Type: journals

Diagnosis and Management of Testicular Torsion, Torsion of the Appendix Testis, and EpididymitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the differential diagnosis and management of the acute scrotal pain in the pediatric population, specifically focusing on testicular torsion, epididymitis, and torsion of the appendix testis. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Authors: Shan Yin, Jennifer L. Trainor Source Type: journals

Ovarian Torsion in the Pediatric Emergency Department: Making the Diagnosis and the Importance of AdvocacyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Ovarian torsion is a rare occurrence, but it is frequently considered in the differential diagnosis of a female with abdominal pain. A thorough knowledge of the pathophysiology, clinical presentation, and imaging options will allow the emergency department (ED) provider to facilitate rapid diagnosis and thus improve outcomes. In addition to these topics, success rates of detorsion and the argument for ovarian-sparing surgery are reviewed. The ED provider is encouraged to educate patients regarding these options and to advocate for ovarian-preserving procedures. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Authors: Jennifer Anders Source Type: journals

Emergency Department Evaluation of Acute Pelvic Pain in the Adolescent FemaleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Adolescent females presenting to the emergency department (ED) with acute pelvic pain may have diagnoses with significant morbidity and in some cases, mortality. An adolescent female with a complaint of acute pelvic pain can create a challenging clinical situation for busy ED providers. Differentiating between acute and chronic pain, and determining gynecologic vs other origins is an important first step. A thorough knowledge of adolescent development and the legal requirements of confidential care are helpful in sorting through these complicated complaints. Assessing for sexual activity and risk taking, pregnancy, and oth...
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Authors: Michelle Forcier Source Type: journals

Vaginal Bleeding In the Prepubescent ChildEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the potential causes, clinical presentations, and management of vaginal bleeding in the prepubescent child. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Authors: Bridgette Guthrie Source Type: journals

Vulvovaginitis in the Prepubertal ChildEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will also review management strategies of improved hygiene and sitz baths and the indications for antibiotics. (Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Authors: Jill M. Jasper Source Type: journals

Review of the Prepubertal Gynecologic Examination: Techniques and Anatomic VariationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The prepubescent female genital examination can be challenging. In this article, we describe some techniques that can help to allow the examination to be performed effectively and efficiently. We will review the normal anatomy and anatomic variation present in prepubescent females, as well as how anatomic appearance changes with positioning. We will describe conditions that can distort the normal anatomy, dermatologic conditions that can alter skin color and surface characteristics, and systemic illness with genital findings. Although the differential diagnosis of genital complaints in prepubescent females is broad, skills...
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Authors: Kristin S. Stukus, Noel S. Zuckerbraun Source Type: journals

Genitourinary and Gynecologic EmergenciesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Pediatric gynecologic and genitourinary issues can be challenging to the care provider in the emergency department (ED). Although some of the specific complaints and relevant diagnoses are familiar, others occur infrequently, which precludes the development of clinical expertise that often results from repetitive clinical exposures. The ED physician may serve as the acute care provider for a new concern or may be the recipient of a referral from a primary care provider seeking assistance in the management of a specific clinical problem. The ED physician needs the knowledge and skills to recognize and address common issues;...
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Authors: Elizabeth C. Powell, Jennifer L. Trainor Tags: Guest Editor's Editorial Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Clinical Pediatric Emergency Medicine)
Source: Clinical Pediatric Emergency Medicine - March 1, 2009 Category: Emergency Medicine Source Type: journals