{"product_id":"the-handson-guide-to-practical-paediatrics-9781118463529","title":"The Handson Guide to Practical Paediatrics","description":"\u003cb\u003eBook Synopsis\u003c\/b\u003e\u003cbr\u003eAbout to start a paediatrics rotation? Working with children for the first time? Thinking about a career in paediatrics? This is a practical guide for medical students encountering paediatrics for the first time, junior doctors thinking about working with children, and new paediatric trainees.\u003cbr\u003e\u003cbr\u003e\u003cb\u003eTable of Contents\u003c\/b\u003e\u003cbr\u003e\u003cp\u003ePreface xi\u003c\/p\u003e \u003cp\u003eAcknowledgements xii\u003c\/p\u003e \u003cp\u003eAbout the Companion Website xiii\u003c\/p\u003e \u003cp\u003e\u003cb\u003e1 Getting started 1\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eWho’s who? 1\u003c\/p\u003e \u003cp\u003eBreastfeeding advisor 1\u003c\/p\u003e \u003cp\u003eChild protection nurse 1\u003c\/p\u003e \u003cp\u003eClinical support worker 1\u003c\/p\u003e \u003cp\u003eDietitian 1\u003c\/p\u003e \u003cp\u003eHealth visitor 2\u003c\/p\u003e \u003cp\u003eHealthcare assistant 2\u003c\/p\u003e \u003cp\u003eMidwife 2\u003c\/p\u003e \u003cp\u003eNursery assistant 2\u003c\/p\u003e \u003cp\u003eNursery nurse 3\u003c\/p\u003e \u003cp\u003eOccupational therapist 3\u003c\/p\u003e \u003cp\u003eOrthoptist 3\u003c\/p\u003e \u003cp\u003ePharmacist 3\u003c\/p\u003e \u003cp\u003ePharmacy technician 3\u003c\/p\u003e \u003cp\u003ePhysician assistant 3\u003c\/p\u003e \u003cp\u003ePhysiotherapist 4\u003c\/p\u003e \u003cp\u003ePlay specialist 4\u003c\/p\u003e \u003cp\u003ePsychologist 4\u003c\/p\u003e \u003cp\u003eSchool teacher 4\u003c\/p\u003e \u003cp\u003eSpecialist nurse 5\u003c\/p\u003e \u003cp\u003eSocial worker 5\u003c\/p\u003e \u003cp\u003eSpeech and language therapist 5\u003c\/p\u003e \u003cp\u003eStaff nurse 5\u003c\/p\u003e \u003cp\u003eWard clerk 6\u003c\/p\u003e \u003cp\u003eWard sister 6\u003c\/p\u003e \u003cp\u003eWhat happens where? 6\u003c\/p\u003e \u003cp\u003ePlayroom 6\u003c\/p\u003e \u003cp\u003eTeenage room 6\u003c\/p\u003e \u003cp\u003eTreatment room 6\u003c\/p\u003e \u003cp\u003eSchool room 7\u003c\/p\u003e \u003cp\u003eParents’ room 7\u003c\/p\u003e \u003cp\u003eSensory room 7\u003c\/p\u003e \u003cp\u003eDay care unit 7\u003c\/p\u003e \u003cp\u003eMilk room 7\u003c\/p\u003e \u003cp\u003ePostnatal ward 7\u003c\/p\u003e \u003cp\u003ePaediatric emergency department 7\u003c\/p\u003e \u003cp\u003eBe prepared 8\u003c\/p\u003e \u003cp\u003eJargon buster 9\u003c\/p\u003e \u003cp\u003e\u003cb\u003e2 Child development 19\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eWhat can a child of this age normally do? 19\u003c\/p\u003e \u003cp\u003eSix weeks 20\u003c\/p\u003e \u003cp\u003eSix to eight months 21\u003c\/p\u003e \u003cp\u003eTwelve months 21\u003c\/p\u003e \u003cp\u003eEighteen months 21\u003c\/p\u003e \u003cp\u003eTwo years 22\u003c\/p\u003e \u003cp\u003eThree years 22\u003c\/p\u003e \u003cp\u003eSchool 22\u003c\/p\u003e \u003cp\u003eDevelopmental delay and children with disabilities 22\u003c\/p\u003e \u003cp\u003eSupport for children with disabilities and their families 25\u003c\/p\u003e \u003cp\u003eGrowth 26\u003c\/p\u003e \u003cp\u003eObesity 28\u003c\/p\u003e \u003cp\u003eImmunisations 29\u003c\/p\u003e \u003cp\u003eThe UK vaccination schedule 31\u003c\/p\u003e \u003cp\u003e\u003cb\u003e3 Communication with children and their parents 37\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eHow to communicate with a baby or toddler 39\u003c\/p\u003e \u003cp\u003eHow to communicate with an infant school child (4–6 years) 40\u003c\/p\u003e \u003cp\u003eHow to communicate with a school-age child (7–12 years) 40\u003c\/p\u003e \u003cp\u003eHow to communicate with a teenager 41\u003c\/p\u003e \u003cp\u003eHow to communicate with a child using alternative communication 45\u003c\/p\u003e \u003cp\u003eHow to communicate with anxious parents 46\u003c\/p\u003e \u003cp\u003eHow to communicate with an expert parent or patient 47\u003c\/p\u003e \u003cp\u003eBreaking bad news 49\u003c\/p\u003e \u003cp\u003eCultural sensitivity 54\u003c\/p\u003e \u003cp\u003eIlliteracy 56\u003c\/p\u003e \u003cp\u003eConsent 56\u003c\/p\u003e \u003cp\u003eParental responsibility 57\u003c\/p\u003e \u003cp\u003eAt what age can children consent for themselves? 57\u003c\/p\u003e \u003cp\u003e\u003cb\u003e4 Child protection and safeguarding 60\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eDifferent forms of abuse 60\u003c\/p\u003e \u003cp\u003ePhysical abuse 60\u003c\/p\u003e \u003cp\u003eFabricated or induced illness (FII) 62\u003c\/p\u003e \u003cp\u003eEmotional abuse 64\u003c\/p\u003e \u003cp\u003eNeglect 66\u003c\/p\u003e \u003cp\u003eSexual abuse 66\u003c\/p\u003e \u003cp\u003eMaternal substance abuse in pregnancy 69\u003c\/p\u003e \u003cp\u003eFemale genital mutilation 70\u003c\/p\u003e \u003cp\u003eForced marriage and honour violence 70\u003c\/p\u003e \u003cp\u003eWhich children are most vulnerable to abuse? 72\u003c\/p\u003e \u003cp\u003eWhat to do if you suspect child abuse 73\u003c\/p\u003e \u003cp\u003eWhat should I say to the parents? 75\u003c\/p\u003e \u003cp\u003eWhat to do if you suspect sexual abuse 75\u003c\/p\u003e \u003cp\u003eChild protection medicals 77\u003c\/p\u003e \u003cp\u003eWorking with social care, education and the police 77\u003c\/p\u003e \u003cp\u003eSocial care 78\u003c\/p\u003e \u003cp\u003ePolice 78\u003c\/p\u003e \u003cp\u003eI’ve made a referral to social services; what happens next? 83\u003c\/p\u003e \u003cp\u003eWhat if you are worried about the immediate safety of the child? 83\u003c\/p\u003e \u003cp\u003eWhat is a section 17 investigation? 84\u003c\/p\u003e \u003cp\u003eWho is a child in need? 84\u003c\/p\u003e \u003cp\u003eWho is a looked-after child? 84\u003c\/p\u003e \u003cp\u003eWhat happens after it is decided that a child is in need? 84\u003c\/p\u003e \u003cp\u003eWhat is a strategy discussion? 84\u003c\/p\u003e \u003cp\u003eWhat is a section 47 enquiry? 85\u003c\/p\u003e \u003cp\u003eWhat is a child protection conference? 85\u003c\/p\u003e \u003cp\u003eWhat is a child protection plan? 85\u003c\/p\u003e \u003cp\u003eWhat is a child protection review conference? 85\u003c\/p\u003e \u003cp\u003eWhat is the child protection register? 85\u003c\/p\u003e \u003cp\u003eWhat stops us from considering the possibility of abuse? 85\u003c\/p\u003e \u003cp\u003e\u003cb\u003e5 Common paediatric emergencies 88\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eBasic Life Support 88\u003c\/p\u003e \u003cp\u003eDanger 88\u003c\/p\u003e \u003cp\u003eResponse 88\u003c\/p\u003e \u003cp\u003eShout for help 88\u003c\/p\u003e \u003cp\u003eAirway 90\u003c\/p\u003e \u003cp\u003eBreathing 91\u003c\/p\u003e \u003cp\u003eCirculation 91\u003c\/p\u003e \u003cp\u003eChoking child 92\u003c\/p\u003e \u003cp\u003eHistory 93\u003c\/p\u003e \u003cp\u003eSymptoms 93\u003c\/p\u003e \u003cp\u003eSigns 93\u003c\/p\u003e \u003cp\u003eImmediate management 93\u003c\/p\u003e \u003cp\u003eAdvanced Life Support 95\u003c\/p\u003e \u003cp\u003eAirway management 97\u003c\/p\u003e \u003cp\u003eBreathing management 97\u003c\/p\u003e \u003cp\u003eCirculation management 99\u003c\/p\u003e \u003cp\u003eEmergency drugs 99\u003c\/p\u003e \u003cp\u003eABCDE approach 101\u003c\/p\u003e \u003cp\u003eA – Airway 101\u003c\/p\u003e \u003cp\u003eB – Breathing 105\u003c\/p\u003e \u003cp\u003ec – Circulation 108\u003c\/p\u003e \u003cp\u003ed – Disability 110\u003c\/p\u003e \u003cp\u003eE – Exposure 112\u003c\/p\u003e \u003cp\u003eReassess 113\u003c\/p\u003e \u003cp\u003eTake a brief history 113\u003c\/p\u003e \u003cp\u003eAnaphylaxis 113\u003c\/p\u003e \u003cp\u003eHistory 113\u003c\/p\u003e \u003cp\u003eSymptoms 114\u003c\/p\u003e \u003cp\u003eSigns 114\u003c\/p\u003e \u003cp\u003eImmediate management 114\u003c\/p\u003e \u003cp\u003eFurther management 115\u003c\/p\u003e \u003cp\u003eLong-term management 115\u003c\/p\u003e \u003cp\u003eAcute asthma 115\u003c\/p\u003e \u003cp\u003eHistory 116\u003c\/p\u003e \u003cp\u003eSymptoms 116\u003c\/p\u003e \u003cp\u003eSigns 116\u003c\/p\u003e \u003cp\u003eImmediate management 116\u003c\/p\u003e \u003cp\u003eFurther management 118\u003c\/p\u003e \u003cp\u003eLong-term management 118\u003c\/p\u003e \u003cp\u003eDrowning 119\u003c\/p\u003e \u003cp\u003eHistory 119\u003c\/p\u003e \u003cp\u003eSigns 119\u003c\/p\u003e \u003cp\u003eImmediate management 119\u003c\/p\u003e \u003cp\u003eFurther management 120\u003c\/p\u003e \u003cp\u003eSepsis 121\u003c\/p\u003e \u003cp\u003eHistory 121\u003c\/p\u003e \u003cp\u003eSymptoms and signs 121\u003c\/p\u003e \u003cp\u003eImmediate management 122\u003c\/p\u003e \u003cp\u003eFurther management 122\u003c\/p\u003e \u003cp\u003eMeningococcal septicaemia 123\u003c\/p\u003e \u003cp\u003eHistory 123\u003c\/p\u003e \u003cp\u003eSymptoms 123\u003c\/p\u003e \u003cp\u003eSigns 123\u003c\/p\u003e \u003cp\u003eInitial management 124\u003c\/p\u003e \u003cp\u003eBurns and scalds 124\u003c\/p\u003e \u003cp\u003eHistory 124\u003c\/p\u003e \u003cp\u003eSymptoms 124\u003c\/p\u003e \u003cp\u003eSigns 125\u003c\/p\u003e \u003cp\u003eImmediate management 125\u003c\/p\u003e \u003cp\u003eFurther management 126\u003c\/p\u003e \u003cp\u003eOngoing management 126\u003c\/p\u003e \u003cp\u003eSeizures 128\u003c\/p\u003e \u003cp\u003eHistory 128\u003c\/p\u003e \u003cp\u003eImmediate management 128\u003c\/p\u003e \u003cp\u003eFurther management 130\u003c\/p\u003e \u003cp\u003ePoisoning 131\u003c\/p\u003e \u003cp\u003eHistory 131\u003c\/p\u003e \u003cp\u003eSymptoms and signs 131\u003c\/p\u003e \u003cp\u003eImmediate management 131\u003c\/p\u003e \u003cp\u003eFurther management 132\u003c\/p\u003e \u003cp\u003eDiabetic ketoacidosis 135\u003c\/p\u003e \u003cp\u003eHistory 135\u003c\/p\u003e \u003cp\u003eSymptoms 135\u003c\/p\u003e \u003cp\u003eSigns 135\u003c\/p\u003e \u003cp\u003eImmediate management 135\u003c\/p\u003e \u003cp\u003eFurther management 136\u003c\/p\u003e \u003cp\u003eTrauma 138\u003c\/p\u003e \u003cp\u003eCatastrophic external haemorrhage 138\u003c\/p\u003e \u003cp\u003eAirway and cervical spine control 138\u003c\/p\u003e \u003cp\u003eBreathing 139\u003c\/p\u003e \u003cp\u003eCirculation with haemorrhage control 140\u003c\/p\u003e \u003cp\u003eDisability and assessment of head injury 141\u003c\/p\u003e \u003cp\u003eCritical care transfer services 141\u003c\/p\u003e \u003cp\u003eNorth West England 141\u003c\/p\u003e \u003cp\u003eNorth East England 142\u003c\/p\u003e \u003cp\u003eWest Midlands 142\u003c\/p\u003e \u003cp\u003eEast Midlands 142\u003c\/p\u003e \u003cp\u003eSouth East England and London 142\u003c\/p\u003e \u003cp\u003eSouth Central and South West England 142\u003c\/p\u003e \u003cp\u003eNorth Wales 142\u003c\/p\u003e \u003cp\u003eEast Scotland 143\u003c\/p\u003e \u003cp\u003eWest Scotland 143\u003c\/p\u003e \u003cp\u003eNorthern Ireland 143\u003c\/p\u003e \u003cp\u003e\u003cb\u003e6 Practical procedures 144\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eSetting up 144\u003c\/p\u003e \u003cp\u003eCannulation 145\u003c\/p\u003e \u003cp\u003eTaking blood (including heel prick sampling) 148\u003c\/p\u003e \u003cp\u003eHeel prick sampling 148\u003c\/p\u003e \u003cp\u003eVenepuncture in babies 151\u003c\/p\u003e \u003cp\u003eCapillary blood gas 152\u003c\/p\u003e \u003cp\u003eHow to measure a spun bilirubin (SBR) 153\u003c\/p\u003e \u003cp\u003eHow to measure packed cell volume 154\u003c\/p\u003e \u003cp\u003eIntraosseous access 154\u003c\/p\u003e \u003cp\u003eNasogastric tube 158\u003c\/p\u003e \u003cp\u003eLumbar puncture 161\u003c\/p\u003e \u003cp\u003eUrinary catheter insertion 166\u003c\/p\u003e \u003cp\u003eSuprapubic urine sample 169\u003c\/p\u003e \u003cp\u003eMantoux test 171\u003c\/p\u003e \u003cp\u003eInjecting tuberculin 171\u003c\/p\u003e \u003cp\u003e‘Reading’ the Mantoux test results 173\u003c\/p\u003e \u003cp\u003ePeak flow 173\u003c\/p\u003e \u003cp\u003eHand-held spirometry 174\u003c\/p\u003e \u003cp\u003eSetting up a nebuliser 175\u003c\/p\u003e \u003cp\u003eInhaler technique and using a spacer 175\u003c\/p\u003e \u003cp\u003eIntramuscular injections (for immunisations) 176\u003c\/p\u003e \u003cp\u003eHow to use an Epipen\/Anapen 177\u003c\/p\u003e \u003cp\u003eChanging a nappy 177\u003c\/p\u003e \u003cp\u003e\u003cb\u003e7 Prescribing in children 179\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eGeneral principles 179\u003c\/p\u003e \u003cp\u003eGetting children to actually take what you prescribe 181\u003c\/p\u003e \u003cp\u003eFluids 181\u003c\/p\u003e \u003cp\u003eMaintenance fluids 182\u003c\/p\u003e \u003cp\u003eReplacement therapy 182\u003c\/p\u003e \u003cp\u003eAnalgesia 186\u003c\/p\u003e \u003cp\u003eStep 1 – mild pain 187\u003c\/p\u003e \u003cp\u003eStep 2 – moderate pain 187\u003c\/p\u003e \u003cp\u003eStep 3 – severe pain 188\u003c\/p\u003e \u003cp\u003eControlled drugs 188\u003c\/p\u003e \u003cp\u003eBlood products 188\u003c\/p\u003e \u003cp\u003eWhen to give CMV-negative products 188\u003c\/p\u003e \u003cp\u003eWhen to give gamma-irradiated products 189\u003c\/p\u003e \u003cp\u003ePacked red cells 189\u003c\/p\u003e \u003cp\u003ePlatelets 189\u003c\/p\u003e \u003cp\u003eFresh frozen plasma (FFP) 190\u003c\/p\u003e \u003cp\u003eDrug level monitoring 190\u003c\/p\u003e \u003cp\u003e\u003cb\u003e8 Teenagers 192\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eTaking a history from a teenager 192\u003c\/p\u003e \u003cp\u003eMental health problems 193\u003c\/p\u003e \u003cp\u003eDeliberate self-harm and suicide 193\u003c\/p\u003e \u003cp\u003eEating disorders 196\u003c\/p\u003e \u003cp\u003eSubstance abuse 197\u003c\/p\u003e \u003cp\u003eSexual health 198\u003c\/p\u003e \u003cp\u003e\u003cb\u003e9 Neonates 200\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eNeonatal life support at birth 200\u003c\/p\u003e \u003cp\u003eStimulate and airway manoeuvre 204\u003c\/p\u003e \u003cp\u003eReassess 204\u003c\/p\u003e \u003cp\u003eGive five inflation breaths 205\u003c\/p\u003e \u003cp\u003eReassess 205\u003c\/p\u003e \u003cp\u003eConsider oxygen saturation monitoring 205\u003c\/p\u003e \u003cp\u003eFurther inflation breaths or regular breaths 205\u003c\/p\u003e \u003cp\u003eCalculating Apgar scores 206\u003c\/p\u003e \u003cp\u003eNewborn baby checks 207\u003c\/p\u003e \u003cp\u003eNewborn examination 210\u003c\/p\u003e \u003cp\u003ePrematurity 210\u003c\/p\u003e \u003cp\u003eResuscitation at birth for premature babies 211\u003c\/p\u003e \u003cp\u003eExtreme prematurity and resuscitation decisions 213\u003c\/p\u003e \u003cp\u003eThe law in the United Kingdom 214\u003c\/p\u003e \u003cp\u003eBest interests 214\u003c\/p\u003e \u003cp\u003eParental responsibility 214\u003c\/p\u003e \u003cp\u003eEuthanasia is illegal 214\u003c\/p\u003e \u003cp\u003eIntending relief of distress is normally legal 214\u003c\/p\u003e \u003cp\u003eWithdrawing or withholding treatment is the same in the eyes of the law 215\u003c\/p\u003e \u003cp\u003eSome useful ethical frameworks and guidance 215\u003c\/p\u003e \u003cp\u003eIntravenous fluids in infants 215\u003c\/p\u003e \u003cp\u003eNeonatal nurses 216\u003c\/p\u003e \u003cp\u003e\u003cb\u003e10 Looking after yourself 218\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eDealing with upsetting situations 218\u003c\/p\u003e \u003cp\u003eShort-term coping mechanisms 218\u003c\/p\u003e \u003cp\u003eLong-term coping mechanisms 221\u003c\/p\u003e \u003cp\u003eBullying and harassment 223\u003c\/p\u003e \u003cp\u003ePractising paediatrics when you have your own children 224\u003c\/p\u003e \u003cp\u003eEmotional impact 224\u003c\/p\u003e \u003cp\u003eNot enough hours in the day 224\u003c\/p\u003e \u003cp\u003eFeeling isolated 225\u003c\/p\u003e \u003cp\u003eNobody’s perfect: dealing with mistakes 226\u003c\/p\u003e \u003cp\u003eAvoiding making mistakes 227\u003c\/p\u003e \u003cp\u003ePitfall 1: Communication 227\u003c\/p\u003e \u003cp\u003ePitfall 2: Being distracted at a critical moment 229\u003c\/p\u003e \u003cp\u003ePitfall 3: Failure to follow protocol 230\u003c\/p\u003e \u003cp\u003ePitfall 4: Acting beyond your competence 230\u003c\/p\u003e \u003cp\u003eOrganisation 231\u003c\/p\u003e \u003cp\u003eNight shifts 232\u003c\/p\u003e \u003cp\u003e\u003cb\u003e11 Developing your career 234\u003c\/b\u003e\u003c\/p\u003e \u003cp\u003eSpecialist training structure for paediatrics 234\u003c\/p\u003e \u003cp\u003eOpportunities for research 237\u003c\/p\u003e \u003cp\u003eAcademic training programme 237\u003c\/p\u003e \u003cp\u003eOut-of-programme research (OOPR) 237\u003c\/p\u003e \u003cp\u003eCompleting research projects alongside regular training 237\u003c\/p\u003e \u003cp\u003eCollege exams 238\u003c\/p\u003e \u003cp\u003eWritten papers 238\u003c\/p\u003e \u003cp\u003eClinical exam 239\u003c\/p\u003e \u003cp\u003eHow to boost your CV 240\u003c\/p\u003e \u003cp\u003eCV building for medical students 241\u003c\/p\u003e \u003cp\u003eCV building for Foundation trainees 243\u003c\/p\u003e \u003cp\u003eCV building for specialist trainees 245\u003c\/p\u003e \u003cp\u003eClinical governance – more than just audit 246\u003c\/p\u003e \u003cp\u003eService improvement projects 246\u003c\/p\u003e \u003cp\u003ePatient safety 249\u003c\/p\u003e \u003cp\u003eLess than full-time training 250\u003c\/p\u003e \u003cp\u003eTeaching and training 252\u003c\/p\u003e \u003cp\u003eWork-based assessments and e-portfolios 254\u003c\/p\u003e \u003cp\u003eIndex 257\u003c\/p\u003e","brand":"John Wiley and Sons Ltd","offers":[{"title":"Default Title","offer_id":49406874911063,"sku":"9781118463529","price":24.65,"currency_code":"GBP","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0817\/1739\/5799\/files\/9781118463529.jpg?v=1730497411","url":"https:\/\/bookcurl.com\/products\/the-handson-guide-to-practical-paediatrics-9781118463529","provider":"Book Curl","version":"1.0","type":"link"}