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Doody's Review ServiceReviewer: Rebecca Hutchings, MD (Ochsner Clinic Foundation)
Description: This book on pediatric emergency medicine is geared toward helping physicians manage their patients in real time. Each chapter begins by outlining key points, then proceeds to an introduction of the topic, basic approach and diagnosis, and a discussion of management issues. The chapters are liberally complemented by pictures, charts, and tables in order to help guide diagnosis and management.
Purpose: The objective is to provide a comprehensive review of pediatric emergency medicine in a real time fashion. The goal is to provide the information that mimics the way that a clinician would approach an individual patient in an emergency setting. The authors also aim to provide the most up-to-date, evidence-based practice guidelines, and this book does just that.
Audience: It is written for all healthcare professionals taking care of pediatric patients in an emergency care setting. The comprehensive review is a good tool to have as a reference for both residents and attendings in an emergency department or urgent care setting.
Features: The first five sections address diagnosis and management in a systems-based approach for critically ill patients, trauma patients, infants, children, and environmentally injured patients. The last three sections are unique to this book. The section on the practice environment addresses issues, such as patient transport and transfer, and sedation, a major component of emergency department care. The final section, called "Quick Looks," provides one-page algorithms for the most common pediatric chief complaints reviewed in the book.
Assessment: This is a good overall reference to have, but is a little difficult to navigate as a quick reference. The Quick Looks section is too simplistic to truly be useful in a practice environment. With the availability of the Internet and online resources such as eMedicine, UpToDate, and MD Consult, I'm not sure that large textbooks are as useful as pocket guides that physicians can use on the go in emergency situations.