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Doody's Review ServiceReviewer: Ira J. Blumen, MD (University of Chicago Pritzker School of Medicine)
Description: This is the second edition (first edition, 1989) of this educational program. A task force of four authors and 39 contributors prepared this book on behalf of the American Academy of Pediatrics and the American College of Emergency Physicians.
Purpose: This book is the course text for "APLS: The Pediatric Emergency Medicine Course." (The first edition was entitled Advanced Pediatric Life Support.) Completion of this course and text is to enable the participant to become familiar with the early management of the more serious disease entities and traumatic injuries in infants and children.
Audience: The course is developed for the emergency physician, general pediatrician, subspecialty pediatrician, and family practitioner. It is appropriate for residents and practicing physicians, and it may also be appropriate for nurses and paramedics who routinely care for critical pediatric patients.
Features: This book is intended to be used in conjunction with lectures and hands-on skill stations in a course setting. This may explain the apparent scarcity in the number of illustrations (only 28) found in the text. The diagrams that are included are good-quality line drawings. There are many changes from the first edition of this book and course. The assessment and management of the pediatric cardiopulmonary arrest is not addressed in detail. Instead, it is assumed that the practitioner has the basic resuscitation information and skills that are covered in the Pediatric Advanced Life Support (PALS) course. New chapters that address advanced airway management, control of acute pain, and sedation have been added.
Assessment: This book, as part of the APLS course, does a very good job in presenting a concise and well-directed approach to the assessment and management of the critically ill or injured pediatric patient. The well-written text and course would be beneficial for any physician or nurse who cares for these patients on a frequent or infrequent basis. This book is not intended as a stand-alone pediatric reference for a medical library.