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Chapter 46 - Paediatric emergencies

from Section III: - Organ dysfunction and management

Published online by Cambridge University Press:  06 July 2010

Edited by
Edited in association with
Fang Gao Smith
Affiliation:
University of Warwick
Joyce Yeung
Affiliation:
West Midlands Deanery
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Summary

This chapter provides a guide on how to deal with the sick child. It starts with a discussion on the key anatomical differences and physiological differences between children and adults. With the arrival of a sick child, there are also worried parents and distressed relatives. Healthcare staff can also be more emotional as the patient is a child but it is important to remember that basic principles should be applied to stabilize the child until more experienced help arrives. Cardiac arrests in children are rarely due to primary cardiac disease but are usually secondary to hypoxia. The common paediatric emergencies include shock, croup, acute epiglottitis, bronchiolitis and status epilepticus. If child abuse is suspected, a consultant paediatrician with experience in dealing with child abuse should be alerted to conduct a further assessment of the child. No child should be transferred until they are stable.
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Publisher: Cambridge University Press
Print publication year: 2010

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