Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
Chapter 110. Emergency Care of Children
Sections: Emergency Care of Children: Introduction, Anatomy and Pathophysiology, Epidemiology, Clinical Features, Diagnosis, Treatment, Disposition and Follow-Up, References.
Topics Discussed: pediatric emergency medicine.
Excerpt:"Children are not just small adults. This
standard mantra is heard in EDs around the world. About one third
of all ED visits are by children. The ABCs of resuscitation are
the same as in adults, but nearly every other aspect of the management
of children is fundamentally different from that of adults. Anatomic,
physiologic, and developmental differences of children give rise
to a unique epidemiology, pathophysiology, and differential diagnosis.
Key elements of the medical history must often be elicited from
caretakers, not from the child. It may be difficult to perform a
physical examination on a child, and cardinal signs of disease are
different. Diagnostic testing can cause pain, or even potential
harm. Drugs require weight-based dosing, and equipment selection
must be tailored to the child's size. Disposition may require
transfer to a specialized children's hospital. Finally,
even though the child is the primary patient, management must be
family centered and often involves addressing the fears and stresses
of family members...."
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