RT Book, Section
A1 Meckler, Garth D.
A2 Tintinalli, Judith E.
A2 Ma, O. John
A2 Yealy, Donald M.
A2 Meckler, Garth D.
A2 Stapczynski, J. Stephan
A2 Cline, David M.
A2 Thomas, Stephen H.
SR Print(0)
ID 1166591192
T1 Emergency Care of Children
T2 Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260019933
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1166591192
RD 2024/04/19
AB Children  are  not  just  small  adults.  This  standard  mantra  is  heard  in  EDs  around  the  world.  About  one  third  of  all  ED  visits  are  by  children.  Anatomic,  physiologic,  and  developmental  differences  between  children  and  adults  give  rise  to  a  unique  epidemiology,  pathophysiology,  and  differential  diagnosis.  Key  elements  of  the  medical  history  must  often  be  elicited  from  caretakers,  not  from  the  child,  and  symptoms  are  often  inferred  from  observation.  It  may  be  difficult  to  perform  a  physical  examination  on  a  child,  and  cardinal  signs  of  disease  are  different  in  children  compared  to  adults.  Diagnostic  testing  can  cause  pain  or  potentially  long-term  harm.  Drugs  require  weight-based  dosing,  and  equipment  selection  must  be  tailored  to  the  child’s  size.  Disposition  may  require  transfer  to  a  specialized  children’s  hospital.  Finally,  even  though  the  child  is  the  primary  patient,  management  must  be  family  centered  and  often  involves  addressing  the  fears  and  stresses  of  family  members.