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Pediatric Emergency Trauma Care: Current Topics And Controversies, Volume I (Trauma CME)
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Pediatric Emergency Trauma Care: Current Topics And Controversies, Volume I (Trauma CME) - $169.00

Includes 18 Pediatric Trauma CME Credits!

This resource reviews aspects of emergency trauma care for pediatric patients including blunt chest trauma, submersion injuries, cervical spine injuries, nonaccidental trauma, and orthopedic trauma in sports. Two issues of PEM Practice one issue of EM Practice Guidelines Update have been reviewed and updated, and two chapters of new content include reviews of updated guidelines as well as evidence-based practical information for patient management.

Included In This Book:

  1. 90 pages of evidence-based content, covering 5 critical topics
  2. 18 AMA PRA Category 1 CreditsTM that are trauma and pediatric specific
  3. Summarized information to help you keep up with current guidelines and best practices
  4. Treatment recommendations to help you determine the critical actions required when caring for pediatric trauma patients
  5. And much more!

To view a sample of Pediatric Emergency Trauma Care, click here.

The 5 topics covered in this volume address some of the most pressing concerns for emergency clinicians:

  1. Blunt Chest Trauma
  2. Drowning And Submersion Injuries
  3. Acute Cervical Spine And Spinal Cord Injury
  4. Nonaccidental Trauma
  5. Orthopedic Trauma In Sports Injuries

Are there multiple clinicians at your institution who need trauma CME? We offer excellent group rates on our resources. Simply click here to learn more

Publication Information

Price: $169

Publication Date: February 28, 2017

CME Expiration Date: February 28, 2020

CME: This enduring material includes 18 AMA PRA Category 1 CreditsTM. (Trauma CME)

Editor and Book Peer Reviewer

David Foster, MD, Assistant Professor, Hofstra Northwell School of Medicine, North Shore University Hospital, Manhasset, NY

Associate Editors

Eric Legome, MD, Chair of Emergency Medicine, Mount Sinai West and Mount Sinai St. Luke's, Vice Chair of Academic Affairs for Emergency Medicine, Mount Sinai Health System, Icahn School of Medicine at Mount Sinai, New York, NY

Lee W. Shockley, MD, MBA, Emergency Physician, CarePoint PC and Rose Medical Center, Denver, CO

Authors

Konstantinos Agoritsas, MD, FAAP, Director, Pediatric Emergency Medicine, NYC Health and Hospitals Kings County; Clinical Assistant Professor, State University of New York, Downstate Medical Center, New York, NY

Rashida Campwala, MD, Fellow, Division of Emergency Medicine, Children’s Hospital of Los Angeles, Los Angeles, CA

David Foster, MD, Assistant Professor, Hofstra Northwell School of Medicine, North Shore University Hospital, Hempstead, NY

Nestor Maldonado, MD, Emergency Medicine and Sports Medicine, North Shore University Hospital, Manhasset, NY

Bryan McCarty, MD, Attending Physician, Department of Emergency Medicine, Primary Care Sports Medicine, North Shore University Hospital, Manhasset, NY

Denis R. Pauzé, MD, FAAP, FACEP, FAAEM, Vice Chair, Operations, Associate Professor of Emergency Medicine and Pediatrics, Department of Emergency Medicine, Albany Medical College, Albany, NY

Daniel K. Pauzé, MD, FACEP, Medical Director, Department of Emergency Medicine, Assistant Professor of Emergency Medicine, Albany Medical College, Albany, NY

Janet Semple-Hess, MD, Attending Physician, Division of Emergency Medicine, Children’s Hospital of Los Angeles, Associate Professor of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA

Michelle Vazquez, MD, Pediatric Emergency Medicine Fellow, Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY

PEM Practice Peer Reviewers

Stuart A. Bradin, DO, FAAP, FACEP, Assistant Professor of Pediatrics and Emergency Medicine, Department of Emergency Medicine, Division of Pediatric Emergency Medicine, The University of Michigan Health System; Attending Physician, Children’s Emergency Services, Ann Arbor, MI

Linda Quan, MD, Professor, Pediatric Emergency Medicine, Department of Pediatrics, University of Washington School of Medicine, Seattle, WA

Mark Waltzman, MD, FAAP, Chief of Pediatrics, South Shore Hospital, Assistant Professor in Pediatrics, Harvard Medical School, Division of Emergency Medicine, Boston Children’s Hospital, Boston, MA

Muhammad Waseem, MD, MS, Research Director, Emergency Medicine, Lincoln Medical & Mental Health Center, Bronx, NY

 

Table of Contents

Chapter 1: Pediatric Blunt Chest Trauma

  1. Update on Evaluation Recommendations for Blunt Chest Trauma in Pediatric Patients
    1. References (3)
  2. Abstract
  3. Case Presentations
  4. Introduction
  5. Critical Appraisal of the Literature
  6. Etiology and Epidemiology
    1. Etiology
      1. Types of Chest Injuries from Blunt Trauma
      2. Mortality
    2. Anatomy and Physiology
  7. Prehospital Care
  8. Emergency Department Evaluation
    1. History
    2. Physical Examination
    3. Emergent Stabilization
    4. A Clinical Decision Rule for Identifying Chest Trauma
  9. Differential Diagnosis
  10. Diagnostic Studies
    1. Laboratory Studies
    2. Electrocardiogram
    3. Imaging Studies
      1. Chest X-ray
      2. Ultrasound
      3. Chest Computed Tomography
      4. Echocardiography
  11. Specific Thoracic Injuries
    1. Tracheobronchial Injury
    2. Pulmonary Contusions and Lacerations
    3. Pneumothorax and Hemothorax
    4. Aortic Injury
    5. Radiographic Findings in Aortic Injuries
    6. Nonaccidental Injury
    7. First-Rib Fracture
    8. Blunt Cardiac Injury
      1. Diagnosing Blunt Cardiac Injury
      2. Commotio Cordis
  12. Treatment
  13. Controversies and Cutting Edge
    1. Chest Computed Tomography Scans and Radiation Exposure
    2. Low-Radiation Computed Tomography Scans
    3. Negative-Pressure Ventilation and Negative Extrathoracic Pressure
  14. Risk Management Pitfalls for Chest Trauma in Children
  15. Disposition
  16. Summary
  17. Case Conclusions
  18. References (110)
  19. CME Questions (10)
  20. Tables & Figures
    1. Prevalence of Thoracic Injuries
    2. Physical Examination Findings to Predict Chest Injuries in the Pediatric Patient
    3. Study Results for Computed Tomography and Chest X-Ray to Identify Significant Blunt Chest Trauma
    4. Multiple Rib Fractures in an Infant With Nonaccidental Trauma
    5. Clinical Pathway for Management of the Pediatric Patient With Suspected Blunt Chest Trauma
    6. Clinical Pathway for Management of the Pediatric Patient With Blunt Chest Trauma and Abnormal Chest X-Ray
    7. Cardiac Tamponade in a 4-Year-Old Girl
    8. Electrocardiographic Representation of the Commotio Cordis Window

Chapter 2: Pediatric Submersion Injuries

  1. Update on the 2016 Recommendations for Management of Drowning Patients by the Wilderness Medical Society
    1. Initial Resuscitation
      1. Hypothermia
      2. Cardiopulmonary Resuscitation and Prioritization of Airway
      3. Oxygenation
      4. Cervical Spine Immobilization
    2. Postresuscitation Management
      1. Antibiotics
      2. Corticosteroids
    3. Disposition in the Emergency Department
    4. Reference (1)
  2. Abstract
  3. Case Presentations
  4. Introduction
  5. Critical Appraisal of the Literature
  6. Demographics of Pediatric Drowning
  7. Risk Factors for Pediatric Drowning
  8. Pathophysiology
    1. The Drowning Process
    2. Pulmonary Factors
    3. Cardiovascular Factors
    4. Neurologic Factors
    5. Other Factors
    6. “Dry Drowning” – Does It Truly Exist?
    7. The Autonomic Conflict
  9. Differential Diagnosis
  10. Prehospital Care
  11. Emergency Department Evaluation
  12. Diagnostic Testing
  13. Treatment
    1. Management of Hypothermia
      1. External Rewarming
      2. Internal Rewarming
      3. Other Physiological Considerations for Hypothermic Patients
    2. Referral to the Pediatric Intensive Care Unit
  14. Disposition
  15. Predictors of Outcomes in the Pediatric Drowning Patient
    1. Resuscitation in the Field and Cardiopulmonary Resuscitation Duration
    2. Glasgow Coma Scale Score and Pediatric Risk of Mortality Score
    3. State of Hypothermia
    4. Water Temperature
    5. Age of Drowning Victim
    6. Other Predictors
    7. Summary
  16. Special Circumstances
    1. Pediatric Drowning in Buckets, Bathtubs, and Spas
      1. Bucket Drowning
      2. Bathtub Drowning
      3. Hot Tub and Spa Drowning
    2. Stagnant or Contaminated Water
    3. Drowning and Nonaccidental Trauma
  17. Controversies and Cutting Edge
    1. Hypothermic Drowning Victims: Can There Be a Meaningful Recovery?
    2. Extracorporeal Circulation Versus Extracorporeal Membrane Oxygenation
    3. Prevention
  18. Risk Management Pitfalls for Pediatric Drowning Victims
  19. Time- and Cost-Effective Strategies
  20. Case Conclusions
  21. References (104)
  22. CME Questions (10)
  23. Tables & Figures
    1. Methods of Rewarming a Hypothermic Patient After a Submersion Incident
    2. Clinical Pathway for Pediatric Drowning Victims
    3. Clinical Pathway for Hypothermic Pediatric Drowning Victims
    4. Interventions that Reduce Drowning Rates in Developed Nations

Chapter 3: Pediatric Cervical Spine Injuries

  1. Update On Management Of Pediatric Cervical Spine Injuries
    1. References (12)
  2. Introduction
  3. Practice Guideline Impact
  4. Introduction to the Guidelines: Pediatric Cervical Spine And Spinal Cord Injuries
  5. Assessment Of The Guideline Methodology
  6. Selected Guideline Recommendations Relevant To Emergency Medicine
    1. Determining Patients Who Can Be Cleared Without Imaging
      1. Editorial Comment
    2. Evaluation Of Potential Atlanto-Occipital Dislocation
      1. Editorial Comment
    3. Imaging For Atlantoaxial Rotatory Fixation
      1. Editorial Comment
    4. Recommended Immobilization Position
      1. Editorial Comment
    5. Spinal Cord Injury Without Radiographic Abnormality
      1. Editorial Comment
  7. References (8)
  8. CME Questions (4)
  9. Tables & Figures
    1. Clinical Pathway For Assessment Of The Pediatric Cervical Spine
    2. Definition Of Level Of Evidence And Strength Of Recommendation Used In The American Association Of Neurological Surgeons And The Congress Of Neurological Surgeons Guidelines
    3. AGREE Criteria For AANS/CNS Pediatric Cervical Spine And Spinal Cord Injury Guidelines

Chapter 4: Pediatric Nonaccidental Trauma

  1. Introduction And Epidemiology
  2. Emergency Department Assessment And Management Strategies
    1. External Manifestations Of Trauma
      1. Bruising
      2. Burns
    2. Fractures
    3. Head Injury
    4. Abdominal And Visceral Injuries
  3. Documentation Pearls
  4. Summary
  5. References (45)
  6. CME Questions (8)
  7. Tables & Figures
    1. Victims Of Child Abuse
    2. 2014 Child Abuse Reporting Sources
    3. Risk Factors For Child Abuse
    4. Injury Patterns Suggestive Of Abuse
    5. Locations Of Bruising Recorded On A Body Chart
    6. Second-Degree Intentional Burn Injury
    7. Accidental First- And Second-Degree Burn Injury
    8. American College Of Radiology Appropriateness Criteria®
    9. Features Associated With Possible Child Abuse
    10. Anteroposterior Chest X-Ray Demonstrating Multiple Rib Fractures
    11. Metaphyseal Fractures
    12. Bilateral Subdural Hematoma On Head Computed Tomography And Magnetic Resonance Imaging
    13. Three-Dimensional Reconstruction Of A Skull Fracture
    14. Red Flags For Abuse
    15. Resources For Reporting Suspected Abuse

Chapter 5: Pediatric Orthopedic Trauma In Sports Injuries

  1. Introduction
  2. Epidemiology
  3. Sideline Coverage And Prehospital Care
  4. Fractures
    1. Physeal Fractures
      1. Type I
      2. Type II
      3. Type III
      4. Type IV
      5. Type V
    2. Torus Fractures
    3. Greenstick Fracture
    4. Stress Fractures
  5. Cervical Spine Injuries
  6. Muscle Contusions
  7. Lumbar Spine Injuries
  8. Elbow Injuries
  9. Wrist Injuries
  10. Hip Injuries
  11. Shoulder Injuries
  12. Knee Injuries
    1. Anterior Cruciate Ligament Injuries
    2. Posterior Cruciate Ligament Injuries
    3. Meniscal Injuries
    4. Other Knee Conditions
  13. Ankle And Foot Injuries
    1. Weber A Fractures
    2. Weber B Fractures
    3. Weber C Fractures
    4. Other Ankle Conditions
  14. Conclusion
  15. References (49)
  16. CME Questions (8)
  17. Tables & Figures
    1. Types Of Physeal Fractures
    2. Torus Fracture In A 7-Year-Old Boy
    3. Forearm Greenstick Fracture Management
    4. Classification Of Stress Fractures By Risk
    5. National Emergency X-Radiography Utilization Study Criteria
    6. Spondylolysis
    7. Meyerding Spondylolisthesis Classification
    8. Ossification Centers Of The Pediatric Elbow
    9. Pediatric Elbow Ossification Centers And Age Of Appearance On Imaging
    10. Kienböck Disease Or Lunatomalacia On X-Ray
    11. Management Of Supracondylar Fractures
    12. X-Ray Evaluation Of Avulsion Of The Iliac Spine
    13. Ottawa Knee Rule
    14. Lachman Test
    15. Anterior Drawer Test
    16. Denis-Weber Ankle Fracture Classification System
    17. Ottawa Ankle Rule
    18. X-Ray Imaging Demonstrates A Pseudo-Jones Fracture
    19. Köhler Disease Of The Navicular Bone
    20. Diagnosis, Examination Findings, Plain Film Findings, And Disposition For Common Pediatric Sports Injuries

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Last Modified: 11/17/2017
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