Safe Care in Paediatrics
- 1st Edition - February 9, 2024
- Imprint: Elsevier
- Authors: Alf Nicholson, John Murphy, Sarah Taaffe, Kevin Dunne
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 0 8 8 5 - 3
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 0 8 7 5 - 4
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… Read more
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Request a sales quoteWritten 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.
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.
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
- 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
Trainees in paediatrics, GP trainees, GPs, consultant paediatricians
- 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
- Edition: 1
- Published: February 9, 2024
- Imprint: Elsevier
- No. of pages: 268
- Language: English
- Paperback ISBN: 9780443108853
- eBook ISBN: 9780443108754
AN
Alf Nicholson
Affiliations and expertise
Professor of Paediatrics and Head of the School of Medicine, RCSI BahrainST
Sarah Taaffe
Affiliations and expertise
Paediatric Lead in GP Training, Irish College of General Practitioners, IrelandKD
Kevin Dunne
Affiliations and expertise
Professor of Paediatrics, RCSI Bahrain