Care of the Critically ill Child

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Here's the innovative new problem-based book which explains the practical guidelines on the management of the critically ill child, from presentation in the emergency room through to transfer to the pediatric intensive care unit. Written by experts, this user-friendly text has excellent features such as boxes of key points outlining common errors in management, tips on best practice, and even sections on controversial care. Also includes coverage of background physiology and epidemiology to assist the process of ...

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Overview

Here's the innovative new problem-based book which explains the practical guidelines on the management of the critically ill child, from presentation in the emergency room through to transfer to the pediatric intensive care unit. Written by experts, this user-friendly text has excellent features such as boxes of key points outlining common errors in management, tips on best practice, and even sections on controversial care. Also includes coverage of background physiology and epidemiology to assist the process of understanding and diagnosing the pathology of childhood critical illness and injury.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Joan S. Roberts, MD (University of Washington School of Medicine)
Description: Pediatric intensive care is an emerging field, increasingly recognized as the state-of-the-art in the care of the very ill child. While most pediatricians will recall some of the illnesses and practices of intensive care medicine from their training, the knowledge and skill of critical care subspecialists has grown rapidly. This book is a guide to current pediatric intensive care practices specifically for the general pediatrician.
Purpose: The purpose is to extend the skills of pediatric intensive care physicians beyond the intensive care unit into the community.
Audience: The target audience is physicians and other healthcare professionals who participate in the care of critically ill children, without the benefit of pediatric intensive care training. The authors recognize that intensive care is often delivered in circumstances outside the tertiary care center of human and technical expertise, and it is to these caregivers that the book is aimed.
Features: Background physiology and epidemiology are briefly presented on each topic, followed by practical guidelines for diagnosis and treatment. Tables and graphics enhance clear presentation of data. Special sections on controversies, keypoints, and common errors are very helpful. The text is straightforward and clear, supplemented by a short list of comprehensive references. The editors and contributors are practicing pediatric intensivists and nurses, and this book is a collection of clinical pearls, rather than a complete text on pediatric intensive care. Importantly, this book is authored by intensivists from Canada, the U.K., and Australia, giving a new perspective to clinical choices and rationales.
Assessment: This is an important guide for those faced with a critically ill child, from practicing intensivist to rural generalist.
Joan S. Roberts
Pediatric intensive care is an emerging field, increasingly recognized as the state-of-the-art in the care of the very ill child. While most pediatricians will recall some of the illnesses and practices of intensive care medicine from their training, the knowledge and skill of critical care subspecialists has grown rapidly. This book is a guide to current pediatric intensive care practices specifically for the general pediatrician. The purpose is to extend the skills of pediatric intensive care physicians beyond the intensive care unit into the community. The target audience is physicians and other healthcare professionals who participate in the care of critically ill children, without the benefit of pediatric intensive care training. The authors recognize that intensive care is often delivered in circumstances outside the tertiary care center of human and technical expertise, and it is to these caregivers that the book is aimed. Background physiology and epidemiology are briefly presented on each topic, followed by practical guidelines for diagnosis and treatment. Tables and graphics enhance clear presentation of data. Special sections on controversies, keypoints, and common errors are very helpful. The text is straightforward and clear, supplemented by a short list of comprehensive references. The editors and contributors are practicing pediatric intensivists and nurses, and this book is a collection of clinical pearls, rather than a complete text on pediatric intensive care. Importantly, this book is authored by intensivists from Canada, the U.K., and Australia, giving a new perspective to clinical choices and rationales. This is an important guide for those faced with acritically ill child, from practicing intensivist to rural generalist.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780443053948
  • Publisher: Elsevier Health Sciences
  • Publication date: 11/10/1999
  • Edition number: 1
  • Pages: 660

Table of Contents

Contributors
Foreword
Preface
Acknowledgements and Dedication
List of drugs with UK/US alternative names
Abbreviations
Emergency drugs
Pt. 1 Introduction
1.1 The rationale for paediatric intensive care 1
1.2 Special needs of the critically ill child 6
1.3 Epidemiology of severe illness in childhood 12
1.4 Prevention of critical illness and injury 24
1.5 Interfacility transport 36
Pt. 2 Organ System Failure
2.1 Respiratory failure 45
2.2 Cardiopulmonary resuscitation 53
2.3 Shock 60
2.4 Coma 68
2.5 Seizures 76
2.6 Trauma: cranial, spinal and multiple 83
2.7 Sepsis and fever 103
2.8 Bleeding 120
2.9 Metabolic failure 125
2.10 Water, electrolyte and acid-base disorders and acute renal failure 129
2.11 Liver failure 149
2.12 Multiple organ failure 156
Pt. 3 Organ System Disease
3.1 Respiratory system 159
3.2 Cardiovascular system 187
3.3 Central nervous system 213
3.4 Endocrine emergencies 238
3.5 Renal disease and disturbances of water and electrolytes 249
3.6 Hematologic problems 266
3.7 Immunological disease 275
3.8 Infectious disease 281
3.9 Diseases of early life 299
3.10 Psychiatric emergencies and psychological effects of critical illness 308
3.11 Genetic metabolic disorders 316
3.12 Gastrointestinal illness 328
Pt. 4 Environmental Emergencies
4.1 Burns 339
4.2 Smoke inhalation 348
4.3 Trauma: nonaccidental injury 354
4.4 Trauma of individual systems 365
4.5 Toxicology and poisoning 383
4.6 Hypothermia and cold stress 397
4.7 Hyperthermia and heat stress 402
4.8 Anaphylaxis and envenomation 408
4.9 Near-drowning 414
Pt. 5 Therapeutic Principles and Practice Guidelines for Critical Care
5.1 Pharmacology, therapeutics and drug monitoring 423
5.2 Analgesia and sedation 432
5.3 Nutritional management in critical illness 447
5.4 Scoring systems and patient audit 457
5.5 Family support and counseling 462
5.6 Staff interactions 468
5.7 Ethical, legal and social aspects of care 473
5.8 Death, brain death and related decisions 479
5.9 Organ donation and care of the organ donor 484
5.10 Special needs (technology-dependent) children 490
5.11 Outcome following intensive care 498
5.12 Medicolegal aspects of care 505
Pt. 6 Procedures
6.1 Vascular access 509
6.2 Intubation 519
6.3 Securing the airway 528
6.4 Assisted ventilation 532
6.5 Invasive monitoring 542
6.6 Noninvasive monitoring 548
6.7 Extracorporeal life support 552
Pt. 7 Appendices
7.1 Drug dosage and principles of drug administration 559
7.2 Continuous infusion drug guidelines 591
7.3 Reference data and formulae 601
7.4 Accidental exposure guidelines re HIV 616
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