Clinical Pediatric Emergency Medicine RSS feed: Current Issue. This practical journal is devoted to helping pediatricians and emergency physicians provide the best possible care for their young patients. Each topical issue focuses on a single condition frequently seen. Cogently written review articles synthesize practical new advances in the field giving you the authoritative guidance on disease process, diagnosis, and management you need to achieve the best results. http://www.clinpedemergencymed.com/?rss=yesElsevier Inc.en © 2012 Published by Elsevier Inc. All rights reserved. Clinical Pediatric Emergency Medicine1522-8401131March 2012 © 2012 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.clinpedemergencymed.com/article/PIIS1522840112000043/abstract?rss=yesTable of Contents10.1016/S1522-8401(12)00004-3Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-Xiihttp://www.clinpedemergencymed.com/article/PIIS1522840112000055/abstract?rss=yesEditorial board10.1016/S1522-8401(12)00005-5Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-Xiiiihttp://www.clinpedemergencymed.com/article/PIIS1522840111000942/abstract?rss=yesThe current issue of Clinical Pediatric Emergency Medicine is devoted to some aspects of the growth of our field across the globe. My own interest in this topic stems from both personal and professional experiences during the past 5 decades. From a professional perspective, I have been fortunate to participate in both program development projects and educational venues in Europe, Asia, and the Americas. Each of those experiences has been different and individually rewarding in many ways. Each has reinforced my appreciation of the value of collaboration and communication with colleagues, no matter the location or nature of their home base.International Efforts in Pediatric Emergency MedicineM. Douglas Baker10.1016/j.cpem.2011.12.011Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-XGuest Editor's Preface11http://www.clinpedemergencymed.com/article/PIIS1522840111000930/abstract?rss=yesInternational adoption has been part of our society for many years. Each year, thousands of children are adopted by families in the United States, and many of these children seek emergency care for one reason or another. Whereas common diseases present commonly, certain infectious and other diseases affect international adoptees more commonly than their American-born peers. A child's country of origin can sometimes help guide the clinician toward more likely etiologies of illness. Illnesses uncommon in the United States or Western Europe often occupy higher positions on the differential diagnosis list for these children. When managing illnesses in the international adoptee population, it is also important to maintain a healthy skepticism for the accuracy of preadoption immunization records and related health care information. This accentuates the importance of considering the child's country of origin and performing a thorough physical examination.International Adoptees: Special Considerations Upon Presentation for Urgent or Emergent CareSusan D. Dibs10.1016/j.cpem.2011.12.010Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-X25http://www.clinpedemergencymed.com/article/PIIS1522840111000899/abstract?rss=yesOn January 12, 2010, a routine trip to Haiti for a pediatric tropical medicine elective with pediatric residents turned into a disaster response mission. I was accompanied by 6 pediatric residents and 1 nurse, and we were among the first nonmilitary physicians to enter Haiti after the earthquake. This article describes our experience upon arriving in Port-au-Prince, 80 hours after the earthquake. This experience solidified my belief that “children are not little adults” and that the needs of children in a disaster are different than those of adults. The presence of pediatricians in a disaster is vital to the survival of the children.International Disaster Relief: The Haiti ExperienceKaren Schneider10.1016/j.cpem.2011.12.006Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-X611http://www.clinpedemergencymed.com/article/PIIS152284011100084X/abstract?rss=yesFormal pediatric emergency medicine training did not exist in Australia in the late 1980s, so I ventured overseas to gain experience and knowledge from the then leaders in the field. I completed my fellowship and returned to an emergency department (ED) in Australia as the only pediatric emergency medicine–trained attending. This article describes my experiences in transforming an ED run solely by residents into one with now 14 full-time consultants and our own fellows. Imbedded in this story is the experience of one of our first fellows who came from Switzerland, where even emergency medicine was not yet a recognized specialty. On his return home, he too transformed his ED.Starting Anew: Returning to the Pediatric Emergency Department as the First and Only Trained Pediatric Emergency Medicine SpecialistPeter Barnett, Sergio Stocker10.1016/j.cpem.2011.12.001Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-X1217http://www.clinpedemergencymed.com/article/PIIS1522840111000875/abstract?rss=yesThis work describes the challenges encountered by the author in establishing and developing emergency medicine and pediatric emergency medicine as medical specialties in Israel. Many of the measures were largely based on his training in the United States, including a clinical fellowship in pediatric emergency medicine at the Children's National Medical Center in Washington, DC, and a research fellowship at the National Institutes of Health in Bethesda, MD. The article covers the clinical precepts on which emergency care is based, their practical applications, administrative obstacles, and new protocols and guidelines. A major milestone was the introduction of guidelines from the Pediatric Advanced Life Support course and other educational activities, followed by the establishment of an infrastructure to encourage local, national, and international educational and collaborative research projects and quality control.Establishing Pediatric Emergency Medicine in Israel: Reflections and LessonsYehezkel Waisman10.1016/j.cpem.2011.12.004Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-X1824http://www.clinpedemergencymed.com/article/PIIS1522840111000863/abstract?rss=yesPediatric care providers in the developing world face daunting challenges, often exceeding available resources. This challenge presents an opportunity for constructive involvement in international medicine by pediatric emergency medicine (PEM) physicians. The significant need for providing improved pediatric care worldwide dovetails with a high level of interest in international medicine among medical students, residents, and practicing physicians in the United States and Canada. With its emphasis on acute management and resuscitation, PEM specialists possess a knowledge base and skill set vital to pediatric care in the developing world. Development of collaborative continuing medical education is an important step in the improvement of pediatric emergency care in the developing world. A paradigm of successful program development is discussed based on experiences in Guatemala and Ghana. Future directions in international continuing medical education, including enhanced PEM fellow involvement, are also discussed.International Continuing Medical Education: A Paradigm for Grassroots DevelopmentRobert G. Bolte, Jeff A. Robison10.1016/j.cpem.2011.12.003Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-X2530http://www.clinpedemergencymed.com/article/PIIS1522840111000905/abstract?rss=yesThe global interest in emergency medicine (EM) is driven by economic expansion, growing population needs for urgent and emergent outpatient care, and advances in medical technologies. This interest facilitated establishment of EM as a specialty in many countries across the globe. International emergency medicine (IEM) is now incorporated into many EM residency training programs. On the other hand, pediatric emergency medicine (PEM), an established subspecialty with well funded infrastructure for research and education in the North America, has limited global involvement. To date, the care of acutely ill or injured children in many developed and underdeveloped countries is delivered by generalists with limited resources. While many PEM physicians are involved, on a personal level, in providing education and training to improve pediatric emergency care in underdeveloped countries, there is no organized and well funded infrastructure to support these activities. Furthermore, there is no outcome data to demonstrate the value of these interventions. International pediatric emergency medicine (IPEM) has already been conceptualized through various collaborative efforts. This article describes a physician exchange program as a tool to develop IPEM further. If developed systematically with proper infrastructure in place, a physician exchange program may lead to successful creation of dedicated PEM programs being led by physicians from their own countries. Furthermore, this would create a global network of PEM community with reciprocal exchange of thoughts, ideas, protocols, pathways implementable for developing infrastructure, and research.Conceptual Framework for International Pediatric Emergency Medicine Physician Exchange ProgramsHalim Hennes, Subhankar Bandyopadhyay10.1016/j.cpem.2011.12.007Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-X3136http://www.clinpedemergencymed.com/article/PIIS1522840111000887/abstract?rss=yes“Global health” has expanded a great deal in the past 10 to 15 years through expansion of training programs, implementation of best practices, funding and performance of clinical research, and in educational experiences for trainees. One aspect of health care, pediatric emergency medicine, has roots in many parts of the world; it is clear that there are many places where it is either not recognized as an important subspecialty and where the quality of care can be highly variable. Our article will describe how partnerships between institutions in the United States (Cincinnati Children's Hospital Medical Center) and Spain (Hospital Universitario de Cruces in Vizcaya) help in the development of pediatric emergency services as well as in the establishment of the subspecialty in Spain.Changing Clinical Practices and Education in Pediatric Emergency Medicine Through Global Health PartnershipsJavier Benito, Santiago Mintegi, Richard M. Ruddy, Javier A. Gonzalez del Rey10.1016/j.cpem.2011.12.005Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-X3743http://www.clinpedemergencymed.com/article/PIIS1522840111000851/abstract?rss=yesThe subspecialty of pediatric emergency medicine has many characteristics that make it a natural starting point for building long-term international relationships. There are several different models of relationship building that may be used depending on the needs of the partner, the existing resources, and the ability to work with a local physician counterpart who will champion the effort. This chapter explores 4 such models and identifies some underlying principles in helping to promote partnerships that will help to build emergency medical services for children.Developing International Partnerships With Long-Term ImpactStephen Ludwig, Rodney Finalle10.1016/j.cpem.2011.12.002Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-X4448http://www.clinpedemergencymed.com/article/PIIS1522840111000917/abstract?rss=yesThis is a case of a 13-year-old boy with a 2 day history of right shoulder pain and fever, progressing to include neck pain and stiffness. The patient had soft tissue swelling and tenderness over his shoulder and sternoclavicular joint, and was admitted to the intensive care unit due to signs of sepsis. CT and MRI imaging demonstrated multiple nodular densities in the lungs, local cellulitis, myositis and osteomyelitis at the shoulder and clavicle, and a flow void in the right internal jugular vein, consistent with Lemierre syndrome. Blood cultures revealed MRSA as the causative organism.Neck Pain, or Just a Pain in the Neck?Todd A. Florin, Mercedes M. Blackstone10.1016/j.cpem.2011.12.008Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-XEmergi-Quiz Clinical Puzzlers4956http://www.clinpedemergencymed.com/article/PIIS1522840111000929/abstract?rss=yesThis is a case of a 12-year-old boy who complained of unilateral leg pain for 1 month with associated low-grade fevers, weight loss, and joint pain. He was noted on examination to be small for age and had a significant heart murmur. He was subsequently diagnosed as having acute infective endocarditis with septic emboli to the leg causing microabscesses in the calf muscles and leg pain. This case also illustrates the important role of translation in the presence of a language barrier.When Leg Pain Is Not Just a Pain in the LegThuy Ngo10.1016/j.cpem.2011.12.009Clinical Pediatric Emergency Medicine 13, 1 (2012)2012-03-01Clinical Pediatric Emergency Medicine2012-03-01131S1522-8401(11)X0006-XEmergi-Quiz Clinical Puzzlers5762