Additional Information
Book Details
Abstract
Intensive Care, Accident & Poisoning is a new e-book in a collection of subject-themed e-books containing relevant key articles from Paediatrics & Child Health. The e-books provide a perfect source of revision for post-graduate exams in paediatrics and portfolio material for life-long learning.
As well as mapping to the requirements of post-graduate training in paediatrics, these e-books also enable anyone with a short-term interest in a specific area to buy individual articles at a price-point that will give affordable access to all readers (from medical students to GPs and practitioners in related areas). The quality of user experience on mobiles, tablets and laptops will be an added bonus for learning on the move.
About the journal
The parent journal (http://www.paediatricsandchildhealthjournal.co.uk/) is a rolling, continuously updated review of clinical medicine over a 4-year cycle covering all the important topics for post-graduate exams in paediatrics. The journal’s articles are refreshed, updated, augmented or replaced as appropriate each time the subject is due for revision to provide a concise overview of knowledge and practice core to the curriculum. Each article is written by invited experts and overseen by the relevant subject specialist on the Board. A trainee representative on the Board ensures relevance and accessibility for exam candidates.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Intensive Care, Accidents and\rPoisoning: Prepare for the MRCPCH | Fm-1 | ||
| Copyright Page | Fm-2 | ||
| PREFACE | Fm-4 | ||
| Table of Contents | Fm-5 | ||
| Section 1: Intensive Care | 1 | ||
| Management of\rmeningococcal disease | 1 | ||
| Introduction | 1 | ||
| Risk factors | 1 | ||
| Presentation | 2 | ||
| Diagnostic workup | 2 | ||
| Lumbar puncture | 3 | ||
| Cranial imaging | 3 | ||
| Disease progression | 3 | ||
| Meningococcal septic shock | 3 | ||
| Initial assessment and management | 4 | ||
| Conclusion | 6 | ||
| FURTHER READING | 7 | ||
| Review of resuscitation\rphysiology in children | 8 | ||
| Paediatric cardiac arrest | 8 | ||
| Physiology of CPR | 8 | ||
| Medications used during CPR | 9 | ||
| Mode of administration of treatments during CPR | 10 | ||
| Defibrillation in paediatric cardiac arrest | 10 | ||
| Special resuscitation situations | 10 | ||
| The future | 10 | ||
| FURTHER READING | 11 | ||
| Respiratory support\rin children | 12 | ||
| Respiratory support in children | 12 | ||
| Overview of respiratory physiology | 12 | ||
| Respiratory support devices | 13 | ||
| Ventilation and advanced oxygenation support | 15 | ||
| Respiratory support for other disorders | 18 | ||
| Summary | 19 | ||
| FURTHER READING | 19 | ||
| The role of ECMO in neonatal\r& paediatric patients | 20 | ||
| The basics | 20 | ||
| Epidemiology | 20 | ||
| Evidence | 20 | ||
| Cardiac failure | 21 | ||
| Basic physiology of ECMO support | 21 | ||
| Specific conditions | 21 | ||
| Less common indications | 22 | ||
| Outcome | 23 | ||
| Morbidity | 23 | ||
| Making a referral | 24 | ||
| UK Respiratory ECMO Centres | 24 | ||
| Mobile ECMO | 24 | ||
| Summary | 24 | ||
| FURTHER READING | 25 | ||
| Sedation and analgesia for\rcritically ill children | 26 | ||
| Sedation and analgesia for critically ill children | 26 | ||
| Current practice | 26 | ||
| Analgesia | 26 | ||
| Sedation | 28 | ||
| Assessment of analgesia and sedation | 29 | ||
| FURTHER READING | 30 | ||
| Management of potential\rorgan donor | 32 | ||
| Introduction | 32 | ||
| Pathophysiological consequences of brain death | 32 | ||
| Donor management after brain death | 33 | ||
| Antemortem management of non-heart-beating organ donors | 36 | ||
| Conclusion | 36 | ||
| FURTHER READING | 36 | ||
| Understanding shock | 37 | ||
| Introduction | 37 | ||
| Classification of shock | 37 | ||
| Pathophysiology of shock | 38 | ||
| Clinical assessment | 38 | ||
| Physical examination | 39 | ||
| Laboratory markers of shock | 39 | ||
| Therapeutic principles (Box 1) | 39 | ||
| Other therapeutic principles | 42 | ||
| Conclusion and future directions | 42 | ||
| FURTHER READING | 42 | ||
| Management of the multiply\rinjured child | 44 | ||
| Impact of injury in children | 44 | ||
| Response | 45 | ||
| Pain control | 48 | ||
| Secondary survey | 48 | ||
| Role of trauma networks | 48 | ||
| Parental presence | 48 | ||
| FURTHER READING | 48 | ||
| Management of apparent\rlife-threatening events\r(ALTE) | 50 | ||
| Introduction | 50 | ||
| Definition | 50 | ||
| Epidemiology | 50 | ||
| Pathophysiology | 51 | ||
| Clinical management | 55 | ||
| Neonatal ALTE | 56 | ||
| FURTHER READING | 56 | ||
| Haemofiltration therapy —\ra sturdy pair of shoes! | 57 | ||
| Introduction | 57 | ||
| The mechanisms of action | 57 | ||
| Indications for haemofiltration | 57 | ||
| Requirements for haemofiltration | 57 | ||
| The completed HF circuit | 59 | ||
| Blood flow in HF | 59 | ||
| HF “dose” and fluid balance | 59 | ||
| Pre or postdilution HF? | 59 | ||
| Common alarms and technical problems | 61 | ||
| Haemodiafiltration | 61 | ||
| HF and amino acid loss/nutrition | 61 | ||
| HF and sepsis | 61 | ||
| Which RRT modality is superior for clinical outcomes? | 61 | ||
| FURTHER READING | 61 | ||
| Traumatic brain injury in the\rpaediatric population | 62 | ||
| Introduction | 62 | ||
| Reading the scene | 62 | ||
| Pre-hospital phase | 62 | ||
| TBI physiology | 63 | ||
| Nursing care | 65 | ||
| Medical interventions to reduce secondary brain insult include | 65 | ||
| Surgical options | 66 | ||
| Intracranial pressure | 67 | ||
| Cerebral perfusion pressure | 67 | ||
| More about CPP | 67 | ||
| Cerebrovascular pressure reactivity index (PRx) | 67 | ||
| Other monitoring modalities | 68 | ||
| Jugular venous bulb oximetry | 69 | ||
| Conclusion | 69 | ||
| FURTHER READING | 69 | ||
| Section 2: Accidents and Poisoning | 70 | ||
| The management of\rtraumatic brain injury | 70 | ||
| Introduction | 70 | ||
| Head injury pathophysiology | 70 | ||
| Primary survey | 70 | ||
| History | 72 | ||
| Examination | 72 | ||
| Decision rules | 72 | ||
| Conclusions | 74 | ||
| FURTHER READING | 74 | ||
| The management of\rpoisoning | 75 | ||
| Introduction | 75 | ||
| Epidemiology | 75 | ||
| Recognition and evaluation of the poisoned child | 75 | ||
| Management | 76 | ||
| Poisoning prevention | 78 | ||
| FURTHER READING | 79 | ||
| Deliberate poisoning in the\rcontext of Induced Illness in\rchildren | 80 | ||
| Introduction | 80 | ||
| What is FII? | 80 | ||
| How does poisoning present in the context of FII? | 80 | ||
| How should the paediatrician respond when abusive poisoning is\rsuspected? | 81 | ||
| What poisoning agents are used? | 82 | ||
| Features of specific poisons used in child maltreatment | 82 | ||
| Conclusion | 85 | ||
| FURTHER READING | 85 | ||
| Early management of\rpaediatric burn injuries | 86 | ||
| Epidemiology and patterns of burn injury | 86 | ||
| Pathophysiology of burn injuries | 86 | ||
| Clinical assessment | 87 | ||
| Pre-hospital first aid | 89 | ||
| Hospital management | 90 | ||
| Outpatient management | 90 | ||
| Prevention | 90 | ||
| Conclusion | 91 | ||
| FURTHER READING | 91 | ||
| Management of drowning in\rchildren | 92 | ||
| Prevention | 92 | ||
| Rescue and resuscitation | 92 | ||
| Cardiovascular issues | 94 | ||
| Pulmonary effects | 94 | ||
| Central nervous system injury | 95 | ||
| Rehabilitation | 95 | ||
| Withdrawal of care | 95 | ||
| FURTHER READING | 96 | ||
| Prevention of unintentional\rinjury in children | 97 | ||
| Introduction | 97 | ||
| The scale of the problem | 97 | ||
| Approaches to injury prevention | 97 | ||
| Education, legislation, environment and economics | 98 | ||
| Current research | 99 | ||
| Current strategies | 100 | ||
| REFERENCES | 102 | ||
| FURTHER READING | 102 |