Synopsis of Pediatric Emergency Medicine

Author: Gary R. Fleisher
Published: March 2002
Publisher: Lippincott Williams & Wilkins
ISBN: 0781732743
Paperback Book
Number of Pages: 784

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This first edition of a nearly comprehensive textbook of pediatric emergency medicine focuses primarily on diagnosis and treatment. The goal is to provide a user-friendly text to facilitate diagnosis and treatment of pediatric emergencies at the patient's bedside. This book is meant to supplement, and not replace, the authors' Textbook of Pediatric Emergency Medicine. This is a worthwhile objective because many large textbooks are too unwieldy to be carried to the bedside; this book is portable and easy to read. The authors recommend this book primarily to medical students and emergency medicine residents as well as practitioners. Emergency medicine residents would like this book's focus on diagnosis and treatment. Medical students may yearn for more information on epidemiology and pathophysiology. Practitioners should rely on the definitive textbook. The authors are well-regarded authorities on pediatric emergency medicine. They are emergency department directors at two of the nation's top children's hospitals, and they are authors of the aforementioned textbook. This book provides many useful tables and illustrations, especially in the procedure section. It contains many chapters that are titled by symptom, which aids in making a diagnosis. The index is detailed, yet easy to use, and even notes if a citation is to text, table, or figure. This is a useful, easy-to-use book. Although the entire contents and more are available in the complete Textbook, this book is more portable and therefore is more likely be read by residents and students who can read it at work as well as at home. The focus on diagnosis and treatmentfacilitates information gathering. The authors could improve the section on cardiac emergencies to include more detail on neonatal emergencies and brief pathophysiology. Based on the , this synopsis delivers quick access to clinical information needed in pediatric emergency medicine. Emphasis is on evaluation, diagnosis, and management, with coverage of life-threatening emergencies, trauma, procedures, signs and symptoms, medical illness, surgical conditions, and psychosocial emergencies. Detailed b&w diagrams, and a few photos, are included. Fleisher teaches pediatrics at Harvard Medical School and is chief of the Division of Emergency Medicine at Children's Hospital of Boston. Ludwig teaches pediatrics and emergency medicine at the University of Pennsylvania. Based on the comprehensive Textbook of Pediatric Emergency Medicine, 3rd ed., the concise, practical Synopsis concentrates on fewer conditions and emphasizes clinical manifestations on treatment, for quick retrieval of clinically essential information under the circumstances of pediatric emergency. For medical students and physicians. Fleisher, Gary R., MD, FAAP, FACEP (Harvard Univ); Ludwig, Stephen, MD, FAAP (Univ of Pennsylvania); Silverman, Benjamin K., MD (Univ of Pennsylvania)The contributors represent the specialties of pediatric emergency medicine, pediatrics, orthopedics, anesthesiology, cardiology, plastic and reconstructive surgery, oral and maxillofacial surgery, neurology, rheumatology, and endocrinology. Institutions prominently represented include Harvard, Univ of Cincinnati, Univ of Pennsylvania, Jefferson Medical Coll, and Univ of Utah.

Table of Contents
Contributing Authors
Preface
Sect. I Life-Threatening Emergencies
1 Resuscitation - Pediatric Basic and Advanced Life Support 1
2 Neonatal Resuscitation 18
3 Shock 25
4 Sedation and Analgesia 32
5 Emergency Airway Management - Rapid Sequence Intubation 38
Sect. II Signs and Symptoms
6 Abdominal Distention 44
7 Apnea 49
8 Ataxia 51
9 Coma and Altered Level of Consciousness 53
10 Constipation 59
11 Cough 62
12 Cyanosis 64
13 Crying and Colic in Early Infancy 67
14 Dehydration 69
15 Diarrhea 71
16 Dizziness 73
17 Edema 77
18 Epistaxis 79
19 Eye - Red 81
20 Eye - Visual Disturbances 83
21 Fever 87
22 Foreign Body - Ingestion and Aspiration 92
23 Gastrointestinal Bleeding 95
24 Groin Masses 100
25 Hearing Loss 102
26 Patients with Heart Murmurs 105
27 Hematuria 112
28 Hypertension 115
29 Immobile Arm 119
30 Injury - Ankle 121
31 Injury - Head 123
32 Injury - Knee 126
33 Injury - Shoulder 130
34 Jaundice - Unconjugated Hyperbilirubinemia 132
35 Jaundice - Conjugated Hyperbilirubinemia 137
36 Limp 140
37 Lymphadenopathy 143
38 Neck Mass 147
39 Neck Stiffness 151
40 Oligomenorrhea 156
41 Oral Lesions 158
42 Pain - Abdomen 161
43 Pain - Back 165
44 Pain - Chest 167
45 Pain - Dysphagia 171
46 Dysuria 175
47 Pain - Earache 177
48 Headache 180
49 Joint Pain 183
50 Pain - Scrotal 187
51 Pallor 191
52 Polydipsia 196
53 Rash - Maculopapular 198
54 Rash - Papular Lesions 205
55 Rash - Papulosquamous Lesions 208
56 Rash - Purpura 210
57 Rash - Urticaria 215
58 Rash - Vesicobullous 217
59 Respiratory Distress 221
60 The Septic-Appearing Infant 228
61 Seizures 234
62 Sore Throat 237
63 Stridor 240
64 Syncope 242
65 Tachycardia/Palpitations 246
66 Urinary Frequency in Childhood 249
67 Vaginal Bleeding 252
68 Vaginal Discharge 257
69 Vomiting 258
70 Weakness/Flaccid Paralysis 264
71 Wheezing 268
Sect. III Medical Emergencies
72 Cardiac Emergencies 273
73 Neurologic Emergencies 287
74 Infectious Disease Emergencies 298
75 Human Immunodeficiency Virus Infection 326
76 Renal and Electrolyte Emergencies 332
77 Hematologic Emergencies 349
78 Toxicologic Emergencies 360
79 Environmental Emergencies 383
80 Bites and Stings 393
81 Allergic Emergencies 401
82 Gastrointestinal Emergencies 408
83 Pediatric and Adolescent Gynecology 421
84 Pulmonary Emergencies 431
85 Cystic Fibrosis 438
86 Endocrine Emergencies 439
87 Metabolic Emergencies (Inborn Errors of Metabolism) 448
88 Dermatology 451
89 Oncologic Emergencies 457
Sect. IV Trauma
90 An Approach to the Injured Child 462
91 Major Trauma 468
92 Neurotrauma 474
93 Neck Trauma 487
94 Thoracic Trauma 497
95 Abdominal Trauma 505
96 Genitourinary Trauma 510
97 Eye Trauma 514
98 Otolaryngologic Trauma 517
99 Dental Trauma 520
100 Burns 525
101 Orthopedic Trauma 530
102 Minor Trauma - Lacerations 542
Sect. V Surgical Emergencies
103 Abdominal Emergencies 550
104 Thoracic Emergencies 562
105 Ophthalmic Emergencies 571
106 Otolaryngologic Emergencies 574
107 Urologic Emergencies 582
108 Orthopedic Emergencies 587
109 Dental Emergencies 595
110 Neurosurgical Emergencies, Nontraumatic 597
Sect. VI Psychosocial Emergencies
111 Child Abuse 602
112 Psychiatric Emergencies 620
Subject Index 633

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