24.4 Risk management in acute paediatric orthopaedics Robyn Brady Essentials 1 Inadequate identification and management of unstable or displaced injuries such as lateral condylar elbow fractures, Monteggia fracture dislocations, and…
19.1 Managing the death of a child in the ED Bereavement issues Paul Tait, Roger Barkin, Pat Clements Essentials 1 The death of a child under any circumstances is likely…
11.7 Febrile neutropenia Joseph Ting Essentials 1 Aggressive and early resuscitation of the child with overt or incipient septic shock is vital to avert hypoperfusion, even in the presence of…
22.5 Anaphylaxis Andrew Stewart Kemp Essentials 1 Adrenaline (epinephrine) is the treatment of choice and should be administered if there are any respiratory symptoms. 2 Biphasic reactions occur, with relapse…
15.2 Emergency contraception Alastair D.McR. Meyer, Jacqueline E.L. Parkinson Essentials 1 Emergency contraception (EC) should be made available to an adolescent who has had unprotected sexual intercourse within 72 hours…
7.10 Intussusception Kim Lian Ong, Ian Everitt Essentials 1 A high index of suspicion is needed to make an early diagnosis. 2 Most cases are idiopathic. 3 Intussusception is the…
16.2 Haematuria Frank Willis Essentials 1 In children haematuria usually originates from the kidneys. 2 Haematuria can be caused by urinary infection, glomerular disease, tumours, congenital abnormalities and coagulopathies. 3…
11.6 Acute leukaemia Joseph Ting Essentials 1 At its most severe, acute leukaemia leads to diffuse bone marrow infiltration and failure. Pancytopenia including neutropenia, anaemia and thrombocytopenia as well as…
16.6 Nephrotic syndrome Karen McCarthy Essentials 1 Nephrotic syndrome refers to the clinical findings of hypoalbuminaemia, heavy proteinuria, oedema and hyperlipidaemia. Every child has albuminaemia but not all features are…
