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A practical, user-friendly guide to the management of sick children, written by experienced paediatric emergency physicians and anaesthetists.
The care of the critically ill or injured child begins with timely, prompt, and aggressive res- citation and stabilization. Ideally, stabilization should occur before the onset of organ failure in order to achieve the best possible outcomes. In the following pages, an international panel of experts provides an in-depth discussion of the early recognition, resuscitation, and stabilization of the critically ill or injured child. Once again, we would like to dedicate this textbook to our families and to the physicians and nurses who provide steadfast care every day in pediatric intensive care units across the globe. Derek S. Wheeler Hector R. Wong Thomas P. Shanley V Preface to Pediatric Critical Care Medicine: Basic Science and Clinical Evidence The ? eld of critical care medicine is growing at a tremendous pace, and tremendous advances in the understanding of critical illness have been realized in the last decade. My family has directly bene? ted from some of the technological and scienti? c advances made in the care of critically ill children. My son Ryan was born during my third year of medical school. By some peculiar happenstance, I was nearing completion of a 4-week rotation in the newborn intensive care unit (NICU). The head of the pediatrics clerkship was kind enough to let me have a few days off around the time of the delivery—my wife, Cathy, was 2 weeks past her due date and had been scheduled for elective induction.
The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.
Now completely up to date to meet the needs of today's pediatric nurses, Mary Fran Hazinski's Nursing Care of the Critically Ill Child, 3rd Edition, remains the foundational text of pediatric critical care nursing. Known for its outstanding organization and clear descriptions, this comprehensive reference details the unique care required for critically ill children with thorough discussions of physiology, pathophysiology, pharmacology, collaborative management, and nursing management. Ten new chapters, new advanced practice content, and new nurse contributors and reviewers ensure that this classic text continues to be the essential resource for the care of critically ill children. - Details differences in caring for critically ill children as compared with caring for adults: how to modify assessment procedures, consider aspects of psychosocial development, and examine developmental aspects of various body systems. - Provides comprehensive coverage of physiology, pathophysiology, pharmacology, and nursing management related to care of the critically ill child. - Includes detailed Nursing Care Plans for select disorders. - Contains helpful appendices such as pediatric drug dosages, central venous catheter care, and pediatric fluid requirements. - Features Evolve online resources with additional content for further study of related topics, including tables for ease of recollection of material and additional references. - Contains 10 all-new chapters, including Pharmacokinetics and Pharmacodynamics; Shock, Cardiac Arrest, and Resuscitation; Mechanical Support of Cardiopulmonary Function; Fluid, Electrolyte, and Endocrine Problems; Immunology and Infectious Disorders; Transplantation and Organ Donation; Toxicology/Poisonings; Fundamentals of Quality Improvement and Patient Safety; Clinical Informatics; and Ethical Issues in Pediatric Critical Care - Features nurse contributors and reviewers for every chapter, making this edition a truly collaborative text. - Provides information vital to the advanced practice nurse, such as assessment tools and severity of illness management. - Includes numerous Pearls that highlight practical wisdom from experts in pediatric critical care nursing.
This book is open access under a CC BY 4.0 license. It constitutes a unique source of knowledge and guidance for all healthcare workers who care for patients with sepsis and septic shock in resource-limited settings. More than eighty percent of the worldwide deaths related to sepsis occur in resource-limited settings in low and middle-income countries. Current international sepsis guidelines cannot be implemented without adaptations towards these settings, mainly because of the difference in local resources and a different spectrum of infectious diseases causing sepsis. This prompted members of the Global Intensive Care working group of the European Society of Intensive Care Medicine (ESICM) and the Mahidol-Oxford Tropical Medicine Research Unit (MORU, Bangkok, Thailand) - among which the Editors – to develop with an international group of experts a comprehensive set of recommendations for the management of sepsis in resource-limited settings. Recommendations are based on both current scientific evidence and clinical experience of clinicians working in resource-limited settings. The book includes an overview chapter outlining the current challenges and future directions of sepsis management as well as general recommendations on the structure and organization of intensive care services in resource-limited settings. Specific recommendations on the recognition and management of patients with sepsis and septic shock in these settings are grouped into seven chapters. The book provides evidence-based practical guidance for doctors in low and middle income countries treating patients with sepsis, and highlights areas for further research and discussion.
This volume provides an overview of the most important current controversies in the field of pediatric intensive care. Organized into sections based on organ systems, the text focuses on controversies surrounding disease processes of the cardiac, respiratory, gastrointestinal, hematologic / immunologic, endocrine, and neurologic systems. Each chapter reviews the pros and cons of specific management approaches through case studies and the most up-to-date evidence-based resources, and concludes with bulleted take-home points for ease of use. Written by experts in the field, Pediatric Critical Care: Current Controversies is a valuable resource for intensivists, advanced practice providers, nurses, and other health care providers involved in the care of critically-ill children.
This practical handbook of pediatric critical care is written for all clinicians who care for children with acute illness. Specifically, chapters are written to provide helpful insights to all levels of pediatric providers including PICU nurses, Advanced Practice Nurses based in the PICU, medical students, pediatric residents, residents from other disciplines who rotate through PICU, hospitalists who may need to stabilize children prior to transfer to the PICU, and emergency physicians who may want to refer patients to the PICU. In addition to covering PICU-specific topics such as mechanical ventilation and procedural sedation, this handbook also includes guidance in the initial resuscitation, management and stabilization of critically ill children. Management of life-threatening situations that are specifically included in this book include respiratory failure, cardiovascular failure, electrolyte derangements, diabetic ketoacidosis, burn injuries, status epilepticus, status asthmaticus, toxic ingestions, and sepsis, among many others.This easy-to-read handbook covers basic and fundamental concepts of pediatric critical care medicine and makes for easy reading when on call, at the bedside, or when evaluating a child who may need critical care services. At the same time, Pediatric Critical Care: A Primer for All Clinicians provides a quick and practical reference with high-yield information for the clinician who finds themselves in an emergency situation in need of immediate guidance for stabilization and management. We hope that you enjoy this compendium and most of all our intent is that you will find it useful and practical in the everyday care that is provided to critically ill neonates, infants, children and adolescents with the wide array of critical illnesses that you encounter every single day.
Retrieval Medicine is a core, concise and practical text covering the complex clinical and logistical problems experienced in the retrieval environment. Focusing on evidence-based management and clear clinical guidance, this easily portable handbook provides a comprehensive and accessible guide to this growing field for all health professionals involved in the retrieval and transfer of critically ill patients. Covering the practice of acute, emergency and critical care medicine in the transport environment, this handbook provides the practical guidance and clinical knowledge to enable medical practitioners to function independently in highly variable and resource limited environments with acutely unwell, unstable and often clinically undifferentiated patients over long durations. Closely mapped to the Royal College of Surgeons syllabus on retrieval and transfer medicine, this title comprehensively covers all aspects of retrieval medicine, from basic flight physiology to more complex retrievals and common pitfalls. Authored by an authoritative, international team of expert editors and specialist authors, this clinically focused text is complemented by a range of checklists and reference tools for practical and accessible use in the field. These deliver core information for use in the primary retrieval setting, allowing the retreivalist to structure their approach to a crisis and correct the problem with suggested interventions. Topics include retrieval systems and coordination, crisis resource management, shock, and a range of chapters focusing on responding to specific areas of medicine when encountered in the retrieval environment, such as cardiology and obstetrics and gynaecology.
Now available in a compact 4" x 7" format, this portable reference covers the management of emergency conditions seen in pediatric patients. The Fourth Edition includes new sections on pediatric emergency radiology and sports injuries, plus expanded material on infectious diseases and environmental emergencies.. . "very well written. . . more complete than traditional pocket books.". -Pediatric Emergency Care Review-review of the previous edition.
This new textbook is the definitive evidence-based resource for pediatric critical care. It is the first ostensibly evidence-based pediatric critical care textbook and will prove an invaluable resource for critical care professionals across the globe.