www.aapnews.org Volume 37 • Number 2 • February 2016
In this issue
Global rotation tips for residents
Ready for an international rotation? Read these 10 tips
before you step on the airplane. Page 11
Being a credible source
A new column, Mastering the Media, explains how to get the
message right when giving media interviews on pediatric
topics. Page 32
Focus On Subspecialties
Pediatric firearm injuries
and mental illness: fact,
fiction, opportunities in ED
by Angela K. Lumba-Brown, M.D., FAAP,
Mark X. Cicero, M.D., FAAP, and Lenore R.
Jarvis, M.D., FAAP
Visits to pediatric emergency departments
(EDs) for firearms injuries provide an opportunity for mental health screening. Conversely,
presentations for mental health evaluation in
the ED o;er the chance to screen for exposure
to firearms violence and counsel on violence
In 2009, more than 7,000 children were
hospitalized due to firearms-related injuries
( 4,559 intentional firearm assaults, 2,149 accidents and 270 suicide attempts), and more than
3,000 pediatric deaths due to firearm injuries
were reported in 2010 (Leventhal JM, et al.
;e 2012 AAP policy statement
Firearm-Related Injuries A;ecting the Pediatric Population
( http://bit.ly/1RDYRLz) called for the following measures: an assault weapon ban; mandatory background checks and waiting periods prior
to all firearm purchases; a ban on high-capacity
magazines; strong handgun regulations; and federal law-required safe firearm storage. ;e policy
statement also detailed recommendations to improve access to mental health care as a comprehensive approach to prevent firearm violence.
The American Psychiatric Association’s
(APA’s) 2015 Position Statement on Firearm
Access, Acts of Violence and the Relationship to
Mental Illness and Mental Health Services (
Pi-nals DA, et al. Behav Sci Law. 2015;33:195-
198) echoes the Academy’s recommendations
for national and state legislative and regulatory
measures on firearms.
;e APA position statement further stresses
that the vast majority of firearm violence is not
See Firearms, page 4
by Robert Musinski • Correspondent
One of the most uplifting medical stories of 2015
was the first-ever pediatric hand transplant, a remarkable feat achieved by a surgical team at ;e
Children’s Hospital of Philadelphia (CHOP).
What made the story even better was the char-
ismatic 8-year-old patient, Zion Harvey. Media
outlets showcased Zion’s remarkable resilience and
infectious charm in the face of adversity as well
as the strong, consistent support from his family
before and after the July 2015 procedure.
Although more than 250 children are on a waiting list at CHOP for the same surgery, finding
another patient like Zion won’t be easy. He already
Ideal candidate for first pediatric hand
transplant paves way for future surgeries
Photos courtesy of The Children’s Hospital of Philadelphia
Four teams worked simultaneously during the 10 hour, 40
minute surgery that gave Zion new hands. After losing all
limbs due to sepis, Zion already was on anti-rejection drugs
for a kidney transplant. That helped make him a good candidate for the historic operation.
by Trisha Korioth • Staff Writer
As another surge of unaccompanied children
and those with families flee violent homes in Guatemala, El Salvador, Mexico and Honduras, the
Academy continues to advocate for their needs in
;e number of children entering the U.S. unaccompanied more than doubled from 5,129 to
10,588 from Oct. 1 to Nov. 30, 2014, compared to
the same period in 2015. ;e number of immigrant
children entering with an adult family member increased by a staggering 173% from Oct. 1 to Nov.
30, 2014, compared to Oct. 1 to Nov. 30, 2015
( http://1.usa.gov/1m4OaEA). ;e influx correlates
with more violence at the end of a truce by two rival
Central American gangs.
;e No. 1 resolution at the 2015 Annual Lead-
ership Forum, “Addressing the Legal and Mental
Health Needs of Undocumented Immigrant Chil-
dren,” has been a priority for the Academy.
AAP works to address needs of
immigrant children in latest surge
See Immigrant, page 4
Children who have fled to the U.S. from Central
America will need health care, mental health resources and legal guidance. The Academy and its
members are reaching out within their communities and nationally to offer assistance.