From a simple idea to a product on store shelves, making toys safe for children to play with is a top priority by toymakers and considered during every stage of development and production. To ensure that toys are safe, the U.S. toy industry follows a mandatory set of safety requirements within ASTM F963 – Standard Consumer Safety Specification for Toy Safety, created under the auspices of ASTM International. The industry works year-round with pediatricians and other medical professionals, government, consumer groups, and child development experts in the continual review and revision of ASTM F963, which was most recently updated in 2017.
The Pediatric EM Section Officers would like to share this ACEP Now article by David A. Talan, MD, FACEP, FAAEM, FIDSA.
Chumpitazi, CE, Camp, EA, Bhamidipati, DR, et al. “Shortened Preprocedural Fasting in the Pediatric Emergency Department.” The American Journal of Emergency Medicine, vol. 36, no. 9, 2018, pp. 1577–1580.
Carmen D. Sulton, MD
The relationship between pre-procedural fasting times and aspiration and/or pulmonary complications are often a topic in anesthesia and sedation literature. In particular, fasting or nil per os (NPO) guidelines for urgent procedures outside of the operating room continue to be vague. Prolonged fasting times can often be difficult for both emergency providers and families to manage. The American Society of Anesthesiologists (ASA) guidelines focus on 2 hours of fasting for clear liquids and up to 8 hours for full fatty meals. The American College of Emergency Physicians (ACEP) states that procedures in the emergency department (ED) setting should not be delayed based on fasting times alone. Many studies looking specifically at fasting times and adverse events often are under-powered, or may not focus specifically on patients in the ED setting.
Michael H. Greenwald, MD
Jakelin Caal Maquin. That is the name of the 7 year old girl who died in the custody of US officials soon after arriving at our border. More details about her death may follow, but, as of now, we know that she reportedly died from dehydration after a long journey from Guatemala. Apparently she was in US custody for 90 minutes before receiving any medical attention. Finger pointing will now ensue and the death of this little girl may serve as a political football for advocates on different sides of the issues.
ACEP in San Diego was an enriching experience. We had an opportunity to learn new techniques, see old friends and reinforce critical concepts that are essential to our practice. We opened the ACEP PEM section meeting with a dynamic presentation from Dr. Christopher Amato, who provided guidance on being an effective speaker. November’s microsite highlights education, and the editor’s thought it a timely opportunity to showcase a portion of Dr. Amato’s presentation. Enjoy!