In this fifth edition of the Clinical Manual of Emergency Pediatrics, we have endeavored to remain true to our original intention: to provide a dependable, comprehensive, portable handbook that offers concise advice regarding the approach to the majority of conditions seen in a pediatric emergency department. For each topic, we have included essential points and priorities for diagnosis, management, and follow-up care, as well as indications for hospitalization and a bibliography to guide further reading.
Traditionally, manuals such as this one were written for trainees, as well as experienced pediatric emergency and emergency medicine physicians, who needed a summary of the myriad conditions that present to the emergency department and a guide as to how to differentiate among them. Now, however, primary care providers are expected to manage acute illnesses in ambulatory settings. Ill children are hospitalized less often, and they tend to be discharged back to their primary care providers sooner than ever before. In addition, increasing numbers of chronically ill and medically fragile children are receiving care in ambulatory sites. As a result of these shifting practices, physicians working in settings such as private offices and clinics may be faced with potential, or real, pediatric emergencies. These caregivers, as well as emergency physicians, can benefit from a practical handbook.
Since the publication of the first edition of this manual, on-line and portable resources have become readily available. However, many are not geared to pediatric conditions or presentations. It is our observation that there is a lack of detail, particularly when discussing differential diagnoses. Our hope is that this manual, which gathers the necessary facts and management recommendations in a user-friendly, easily accessible manual, will facilitate decision-making and safe care.
In the fifth edition, we have maintained the book’s unique features while making many changes that increase its utility. Because the scope of childhood illnesses and injuries seen in acute care settings is constantly increasing, we have revised and updated every chapter. We have added new sections on several infectious and rheumatic diseases that had been overlooked in previous editions, along with sections on regional anesthesia, hyperkalemia, and nephrolithiasis. The ingestion and orthopedic sections have been completely revised and updated, and there is specific attention paid to MRSA, where relevant.
A word of caution is in order. Although a manual for emergency care can be very useful, it may tempt physicians, particularly those still in training, to look for automatic solutions. It is not our intent that this text be used as a protocol book. We urge students and housestaff not to use this manual as a substitute for their own critical thinking and sensitivity when caring for children and their families.
We owe special thanks to our associate editor, Sandra J. Cunningham, MD, for her contributions and diligent editing. Her careful attention to detail greatly improved the quality of the book. Katherine J. Chou, MD, and Anthony Ciorciari, MD, our colleagues in pediatric emergency medicine and the Department of Emergency Medicine, respectively, reviewed much of the text to ensure that recommendations were updated and evidencebased. Although the quality of this fifth edition reflects the hard work of all the contributors, the final manuscript reflects our approach to any given illness or problem, and we are responsible for the book’s content.
By what they have taught us and by their example we are especially grateful to the pediatric emergency department nurses, attendings, and nurse practitioners at the Jacobi Medical Center. We have become better teachers and caregivers by observing them and their interactions with patients and families.
We are particularly indebted to the pediatric and emergency medicine house staffs and the pediatric emergency medicine fellows at the Jacobi Medical Center, and the medical students of the Albert Einstein College of Medicine whom we have had the privilege of teaching and learning from over the years. Their thoughtful questions provided the impetus for this manual.
This book is dedicated to the memory of Dr. Lewis M. Fraad, our beloved mentor, whose name has been memorialized in the name of our department, the Lewis M. Fraad Department of Pediatrics at Jacobi Medical Center. Day in and day out he set an example for all of us by combining intellectual rigor with a deep respect for children and their families. He will always be with us when we are at our best.
-- Ellen F. Crain and Jeffrey C. Gershel
Key Features
- Portable with logically-arranged chapters enabling quick reference in busy clinical setting.
- Guidelines for follow-up and indications for admission are given, which is always a priority in the emergency department.
- Well-established; now in its 5th edition and known as the 'practical bible' of pediatric emergency care.
Contents
- 1. Resuscitation
- 2. Allergic emergencies
- 3. Cardiac emergencies
- 4. Dental emergencies
- 5. Dermatologic emergencies
- 6. ENT emergencies
- 7. Endocrine emergencies
- 8. Environmental emergencies
- 9. Gastrointestinal emergencies
- 10. Emergencies associated with genetic syndromes
- 11. Genitourinary emergencies
- 12. Gynecologic emergencies
- 13. Hematologic emergencies
- 14. Infectious disease emergencies
- 15. Ingestions
- 16. Neurologic emergencies
- 17. Ophthalmic emergencies
- 18. Orthopedic emergencies
- 19. Physical and sexual abuse
- 20. Psychological and social emergencies
- 21. Pulmonary emergencies
- 22. Radiology
- 23. Renal emergencies
- 24. Rheumatologic emergencies
- 25. Sedation and analgesia
- 26. Trauma
- 27. Wound care and minor trauma
- 28. Special considerations in pediatric emergency care
About the Author
- Ellen Crain is Professor of Pediatrics and Emergency Medicine at Albert Einstein College of Medicine and Vice-Chair of the Lewis M. Fraad Department of Pediatrics at Jacobi Medical Center in New York.
- Jeffrey C. Gershel is Professor of Clinical Pediatrics at Albert Einstein College of Medicine and Associate Vice-Chairman of the Department of Pediatrics at Jacobi Medical Center in New York.
Book Review
'… concise, portable handbook summarizing the majority of conditions that are seen in a pediatric emergency department. For each topic discussed, the editors have tried to include points and priorities for diagnosis, management, and follow-up care, as well as indications for hospitalization. To this end, this book is definitely a success and the editors can be congratulated. This book is an impressive, cohesive compilation of many people's work …'
-- Tamara Buchel, Journal of the American Board of Family Medicine
Product Details
- Paperback: 672 pages
- Publisher: Cambridge University Press; 5 edition (January 17, 2011)
- Language: English
- ISBN-10: 0521736870
- ISBN-13: 978-0521736879
- Product Dimensions: 9.1 x 6.1 x 1.4 inches
List Price: $80.00
