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Safe Care in Paediatrics, 1st Edition

ISBN: 9780443108853
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Διαστάσεις 24 × 19 cm
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Διαθέσιμο - Προπαραγγελία|Διαθεσιμότητα: 11-14 ημέρες

Περιγραφή

Written by clinicians with years of experience in paediatrics, this unique textbook is designed to promote quality and safe care of children, and reduce common clinical errors and delayed diagnoses through shared first-hand experiences. This book is for anyone who needs to make a clinical decision about infants and children- be they from a medical, nursing or health professional background. The text is particularly useful for trainees but is also relevant to experienced practitioners.

The aim of the book is to prevent errors and ensure safe care. The authors offer practical advice on potential pitfalls and red flags from neonatal care to mental health issues in adolescence . This book takes the reader through recent advances in diagnosis, common presentations and how to identify the sick child, all with case studies and illustrations to bring the text to life.

Key Features
The strengths of the book are:

  • The ability to learn from other’s experiences and mistakes and share this learning
  • All chapters reviewed by sub-specialists in Paediatrics with a focus on presentations to first responders including family practitioners
  • Instructive case scenarios highlighting clinical pearls and pitfalls to avoid
  • High-quality clinical images throughout

Unique chapters on:

  • Safe care for infants and children including the use of artificial intelligence
  • Avoiding errors
  • Picking up the sick child with practical tips especially for family doctors and first responders
  • Potential pitfalls in both the newborn and 6-week examinations
  • Unravelling the diagnosis in an infant or child with a fever
  • Key symptoms and signs guiding family doctors to suspect cancer in childhood
  • Mental health issues in adolescence
  • Ordering and interpreting tests in children
  • Surviving and thriving throughout a career in paediatric nursing or medicine

Περιεχόμενα

Cover image
Title page
Copyright
Dedication
Foreword
Preface
Contributors
Contents
1 Towards Safer Care for Children
Setting the Scene
Living in a Digital World
Electronic Health Records
Care Closer to Home
Safe Practice for Primary Care Practitioners
Integrating Acute Services for Children
Promoting Diagnostic Excellence in Hospital
Medication safety
Medication Safety in the Community
The Impact
References
Additional Reading
2 Responding to Errors
The Science of Safer Care for Children
Culture of Recording
Just Culture
Flexibility
A Culture of Learning
Key Strategies in Promoting Safe Care
Reducing Harm and Avoiding Errors in Healthcare
The Aviation Model
Key Factors in the Aviation Industry
Crew Resource Management
Performance Analysis
Comparisons and Innate Differences
Implications for Healthcare
References
Additional Reading
3 Recognising the Sick Child
An Accurate History and Examination
Safety Netting for Family Doctors
Paediatric Early Warning Scores
The Sepsis 6 Algorithm
Everyone’s Fear – Meningitis or Encephalitis
References
Additional Reading
4 Managing the Febrile Infant or Child
Background
Getting Comfortable With Risk
Making the Diagnosis in Primary Care
SARS-CoV-2 Infection
Interpretation of Investigations
Reducing Antibiotic Use
Drivers of Inappropriate Antibiotic Prescribing
Interventions to Reduce Antibiotic Prescribing
For Family Doctors and Those Working in Emergency or Paediatric Departments Dealing With Children
An Approach to Prolonged Fever
Kawasaki Disease – Expect to See It and Be Ready to Treat It
References
Additional Reading
5 The Newborn and Six-week Examinations
The First Few Days of Life
The First Few Weeks of Life
Later Presentations in Infancy and Pre-School Years
References
Additional Reading
6 Important Rashes to Recognise in Infants and Children
Important Rashes to Recognise as a Primary Care Doctor
Bullous Rashes of Concern
Rashes and Systemic Disease
Skin Markers of Neurological Conditions
Important Neonatal Rashes
References
Additional Reading
7 Diagnosing Cancer in Childhood
Background
Avoiding Diagnostic Delay
Symptoms Associated with Common Cancers
Nephroblastoma
References
Additional Reading
8 The Child With a Limp
Approaching The Child with a Limp
Important Conditions to Always Consider
References
Additional Reading
9 Child Protection and Safeguarding Concerns
Recognising Child Abuse
Immediate Actions
Taking the History
Physical Examination
Fractures
Burns
Abusive Head Trauma
Child Sexual Abuse
Factitious Induced Illness
References
Additional Reading
10 Important Cardiac Diagnoses in Children
Opportunities to Pick Up Congenital Heart Disease
Congenital Heart Defects
Three Symptoms Of Concern – Chest Pain, Syncope and Palpitations
Prolonged Fever and The Heart
References
Additional Reading
11 Fits, Faints and Funny Turns
Background
Clinical Tips to Remember in Common Seizure Presentations in Children
Self-Limited Epilepsy with Centro-Temporal Spikes2,3
Childhood Absence Epilepsy (CAE)
Juvenile Myoclonic Epilepsy (JME)
Infantile Spasms or Infantile Epileptic Spasms Syndrome (IESS)
Nonepileptic Events Which May Mimic Epileptic Seizures
References
Additional Reading
12 Presentations of Endocrine Disease
Diabetic Ketoacidosis
Acquired Hypothyroidism
Short Stature and a Delayed Puberty in a Girl
Obesity and Short Stature
Adrenal Insufficiency
Congenital Adrenal Hyperplasia (CAH)
References
Additional Reading
13 The Child With Abdominal Pain
Acute Abdominal Pain
Recurrent Abdominal Pain
Differential Diagnoses to Consider
Acute Abdominal Pain
Recurrent (or Functional) Abdominal Pain
References
Additional Reading
14 Pneumonia in Children
Background
Avoiding Unnecessary Antibiotics
Length Of Antibiotic Treatment
Indications for Investigations
Making the Diagnosis in Primary Care
Complicated Pneumonia
Recurrent Pneumonias
References
Additional Reading
15 Mental Health Issues in Adolescence
Background
Key Issues
Assessment of Psychological Distress and Mental Health Issues: The If-Me Model of Assessment
Anxiety Issues
Obsessive-Compulsive Disorder
Depression
Self-Harm
Attention Deficit Hyperactivity Disorder
Eating Disorders
Psychosis
Chronic Disabling Fatigue Or Chronic Fatigue Syndrome
Further Reading
Additional Reading for Parents and/or Professionals
16 Neonatal Intensive Care – A Challenging Arena
The Importance of Neonatology
Key Potential Pitfalls
The Unique Features of Newborns
Safe Practice in Neonatal Intensive Care Unit (NICU)
Good Communication
Management in The Delivery Suite
Recognition of Sepsis
Hypoglycaemia
Severe Hyperbilirubinemia
Retinopathy of Prematurity
Erb’s Palsy
Congenital Cytomegalovirus Infection
Failures in Monitoring
Line Complications
Episodes of Desaturation
Neonatal Seizures
References
Additional Reading
17 Ordering and Interpreting Tests in Children
Background
Avoid Unnecessary Tests
Point-Of-Care Testing
Urine Collection and Testing for Urinary Tract Infection
Full Blood Count and Coagulation Profile
C-Reactive Protein (CRP) and Procalcitonin
Routine Biochemistry
Blood Glucose
SERUM CALCIUM
Liver Function Tests
Thyroid Function Tests
Conventional Allergy Tests
Electrocardiogram (ECG) Interpretation
Structured Approach To ECG Interpretation
The Era of Genomic and Precision Medicine
Common Genetic/Genomic Testing Technologies Now Available in Practice
References
Additional Reading
18 Commonly Ordered Radiological Tests and Their Interpretation
Diagnostic Imaging
Radiology Investigations
Ultrasound Imaging
Fluoroscopy
GI Contrast Studies
Computed Tomography
Magnetic Resonance Imaging
19 Twelve Memorable Diagnoses
Clinical Pearls
References
20 Surviving and Thriving Throughout a Career in Healthcare
Complexity and Challenge in Modern Healthcare Involving Children
Burnout in Trainees
Burnout in Neonatal and Paediatric Nurses
Burnout in Primary Care
Mental Health Issues in Doctors
References
Additional Reading
Index