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Since we started work on the first edition 14 years ago, much has changed in our specialty and indeed in the world around us. We have seen the subspecialty of Pediatric Emergency Medicine continue to mature and develop during those years and we have seen exemplary collaboration between the specialties of Pediatrics and Emergency Medicine as we work together to improve the care of children in the nation's emergency departments. We hope the first and second editions of our text have assisted in this effort.

The specialty of Pediatric Emergency Medicine has changed over these years as new knowledge from research, new pharmaceuticals, and new technology have shaped how we evaluate and treat our young patients. For the third edition, we have again worked to create a resource for clinicians who regularly provide pediatric emergency care as well as for those who only occasionally are called upon to care for a sick or injured child. The third edition is a significant update of the material, which we believe will allow this text to serve as a key resource at the bedside as well as at the desk.

For the most part, we have maintained the organization by body systems used in the first two editions. But we have added a large section at the beginning of the book to cover cardinal presentations in the pediatric emergency department. In this section, we have split the discussion of fever and sepsis into two chapters to differentiate the approach for neonates from that for infants and children and to acknowledge the changing approach to this complex presentation with the advent of modern immunization practices. The content pertinent to the management of neonates has also been expanded with chapters on feeding problems, jaundice, and common neonatal presentations. Also to reflect the increasing complexity of patients seen in our pediatric emergency departments, we have added a chapter on emergency management of the transplant patient.

The infectious disease section has been markedly expanded to include topics that have taken on new or expanded significance in the 21st century. These include influenza, imported diseases, bioterrorism, and HIV. The endocrine/metabolic section has been enhanced with the addition of chapters on rickets and inborn errors of metabolism. New chapters on chemical terrorism and mass casualty management have also been added.

Essentially, every chapter has been enhanced to facilitate access of information and ease of use. The use of photographs, figures, diagrams, tables, and algorithms has been maximized where appropriate.

Clearly, we are very proud of our product and hope the students, residents, fellows, pediatricians, emergency physicians, and others that use it will find it a useful adjunct to their practice. We are sensitive as well to the evolving use of reference material in the practice of modern medicine and this work will be available online via McGraw-Hill's AccessEM as well as in print.

The editorial team would like to welcome our new coeditor, Robert Wiebe. Bob has been a key contributor to the first two editions and we are fortunate to have him join the editorial team this time around. In addition, we have a new executive editor at McGraw-Hill, Anne M. Sydor, who has facilitated the completion of the third edition with exceptional advice, assistance, and attention to detail. We are also pleased to welcome those who are new authors for the third edition and to thank the many returning authors. The excellence of our authors has made the editorial process a real pleasure and of course is the key to the quality of the finished product. We also thank the many authors who helped make the first two editions useful to you.
Gary R. Strange
William R. Ahrens
Robert W. Schafermeyer
Robert A. Wiebe

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