Managing the Critically Ill Child
A Guide for Anaesthetists and Emergency Physicians

The management of critically ill or injured children has become increasingly specialised; nevertheless, the first point of contact for many sick children remains their nearest hospital. Here, the initial management will usually involve emergency department doctors, anaesthetists and paediatricians. Managing the Critically Ill Child is written by anaesthetists and emergency department physicians who currently have a significant paediatric practice. It provides a straightforward guide for non-paediatricians encountering acutely unwell or injured children. This book helps readers apply their knowledge from adult practice to children, and avoid pitfalls where the approaches in paediatrics differ. Written in a practical, concise format, Managing the Critically Ill Child guides physicians beyond the initial emergency algorithms and is essential reading for physicians and trainees in emergency medicine, anaesthesia and intensive care who may be asked to look after a child.

Preface; Part I. The District General Hospital Setting: 1. Setting up a department for managing a sick child Adrian P. Jennings and Julian Berlet; 2. Team approach and organisation Richard Skone; 3. Equipment Fiona Reynolds; 4. Stabilisation of the critically ill child Mary Montgomery; Part II. Clinical Conditions: 5. The child with sepsis Matthew D. Christopherson and Paul Baines; 6. The child with cardiac disease John Smith; 7. The child with shortness of breath Brian Shields and Benjamin Stanhope; 8. The child with asthma Josephine Langton and Stuart Hartshorn; 9. The child with decreased consciousness and coma Mark D. Lyttle; 10. The child with seizures Katie Z. Wright and Kathleen Berry; 11. The child with diabetic ketoacidosis Ian Jenkins; 12. Inherited metabolic conditions Saikat Santra; 13. Paediatric toxicology Marius Holmes; 14. The child with anaphylaxis Nick Sargant; 15. The child with stridor Ed Carver and Tim Day-Thompson; 16. The difficult paediatric airway Oliver Masters and Alistair Cranston; 17. The surgical abdomen Suren Arul; 18. Paediatric trauma Karl Thies; 19. The child with raised intra-cranial pressure Phil Hyde; 20. The child with burns Sapna Verma and Manu Sundaram; 21. Blood product administration in children Oliver Bagshaw; 22. The sick neonate presenting with shock Fiona Reynolds; Part III. What Could You be Expected to do in a District General Hospital: 23. Ongoing management of the successful arrest Barney Scholefield; 24. Referring team led transfers Andrew J. Baldock and Gareth D. Jones; 25. Anaesthetising for a surgical emergency Andy Tatman; 26. Managing children on an adult critical care unit Helga Becker; 27. Pain management in children Ursula Dickson; 28. Children with complex needs and disability Kate Skone and Ian Wacogne; 29. When a child dies Fiona Reynolds; 30. Child protection Kate Skone and Geoff Debelle; Part IV. The Children's Hospital Setting: 31. Ventilation J. Nick Pratap; 32. Fluid therapy Adrian Plunkett; 33. Pharmacology in children Isaac Rhian; 34. Neonates Richard Skone; Part V. Golden Rules: 35. Quick reference for emergencies Kash Jamalapuram; 36. Drug infusions Kash Jamalapuram; 37. Top tips for practical procedures Steven Cray; 38. UK vaccination schedule Richard Skone; 39. Common syndromes in the critically ill child Oliver Bagshaw; Index.

Richard Skone is a Specialist Registrar in Paediatric Intensive Care Medicine and Anaesthetics, Birmingham Children's Hospital, Birmingham, UK.
Fiona Reynolds is a Paediatric Intensivist, Paediatric Intensive Care Unit, Birmingham Children's Hospital, Birmingham, UK.
Steven Cray is a Consultant Paediatric Anaesthetist, Birmingham Children's Hospital, Birmingham, UK.
Oliver Bagshaw is a Consultant in Anaesthesia and Intensive Care, Birmingham Children's Hospital, Birmingham, UK.
Kathleen Berry is a Consultant in Paediatric Emergency Medicine, Birmingham Children's Hospital, Birmingham, UK.