By Tim Barrett, A Lander, V Diwakar
An entire revision of this winning pocketbook, the fourteenth version of A Paediatric Vade-Mecum offers the junior physician and trainee grade paediatrician with precious details at the analysis and administration of disease in teenagers, and with functional evidence-based suggestion for the secure and potent administration of the ailing child.
Retaining the easy-to-digest variety that has made earlier variations so renowned, the content material has been restructed into 5 significant sections: acute paediatric difficulties, outpatient paediatrics, formulary, common values and thesaurus of phrases, with entries in sections 1 and a couple of organised alphabetically for ease of reference. Pre-registration condominium officials, SHOs and SpRs in Paediatrics, and GPs in education shouldn't be and not using a own replica.
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Additional resources for A paediatric vade-mecum
Congenital heart block usually occurs without other cardiac abnormality, or may be associated with congenitally corrected transposition. The following points should be noted. • It may cause cardiac failure in early infancy, and will then require cardiac pacing. • Syncopal attacks constitute an emergency and require immediate transfer for pacing. IV isoprenaline at a dose of Acute paediatrics In cyanotic conditions with heart failure, the newborn requires urgent transfer. After consultation, give prostaglandin E1 or E2 (for dosage see above) before and during transfer.
E. femoral or pelvic fracture). Equipment required Alcohol swabs Intra-osseous needle 5-ml syringe 20-ml syringe plus infusion fluid Procedure • • • • • • Clean the skin over the chosen site. Insert the needle at 90 degrees to the skin. Advance the needle using a firm, twisting action until a ‘give’ is felt as the needle penetrates the bone cortex. Aspirate or flush using the 5-ml syringe. Secure the needle in position. Use the 20-ml syringe to ‘push’ in the infusion fluid in boluses. It is not possible to infuse fluid using an infusion pump via the intra-osseous route.
Beware of rewarming shock, possibly due to hypovolaemia and peripheral vasodilatation. qxd 9/6/02 5:36 PM Page 27 CARDIOLOGY CONGENITAL DEFECTS IN THE NEWBORN ACYANOTIC CONGENITAL HEART CONDITIONS These may present in three age groups. 1. g. coarctation of the aorta, hypoplastic left heart syndrome and occasionally aortic stenosis). Both the femoral and brachial pulses must be positively identified in order to exclude critical left heart obstruction. Pulses once present may disappear after a few days when the arterial duct closes, so suspicious cases should be re-examined.
A paediatric vade-mecum by Tim Barrett, A Lander, V Diwakar