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Doody's Review ServiceReviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is the second edition of a pocket guide to acute problems of the pediatric patient.
Purpose: A pocket collection of algorithms is provided allowing one to acutely assess and treat life-threatening pediatric problems.
Audience: The pediatric house officer is an appropriate audience for this work. Authors and editors are based at the Children's Hospital of Michigan.
Features: Fifteen chapters and a separate collection of procedures are included in this pocket-sized book. Content is organized according to organ system with additional chapters describing common problems in child abuse, fluids and electrolytes, trauma, poisoning and other metabolic disorders. Chapters are presented as a selection of topics beginning with key points in diagnosis and differential diagnosis of various problems. Later components of each problem description include drugs for therapy and a treatment algorithm if a variety of alternatives are involved. Typically a problem is discussed in one to three pages. There are no figures or references. Authors do make excellent use of flow diagrams to allow amplification of treatment plans. The table of contents groups clinical problems according to organ system chapter, but lists each problem within the chapter containing it. A subject index of approximately 20 pages concludes. Just before the index, the reader will find a list of approximately 25 common procedures in pediatric acute care. With these procedures is a list of drug tables with specific emphasis on antimicrobial, antihypertensive, and metabolic support.
Assessment: This is a worthy pocket guide for the pediatric house officer with critical care responsibilities. As noted by the editors, this handbook does not replace the review of pathophysiology found in major textbooks. This handbook is a clear and useful collection of guidelines, tables, and charts which allow one to initiate treatment for a wide variety of important clinical problems.