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By Tim Barrett, A Lander, V Diwakar
A whole revision of this winning pocketbook, the fourteenth version of A Paediatric Vade-Mecum presents the junior healthcare professional and trainee grade paediatrician with precious info at the analysis and administration of affliction in young children, and with functional evidence-based recommendation for the secure and potent administration of the unwell child.
Retaining the easy-to-digest type that has made past variants so well known, the content material has been restructed into 5 significant sections: acute paediatric difficulties, outpatient paediatrics, formulary, general values and thesaurus of phrases, with entries in sections 1 and a couple of organised alphabetically for ease of reference. Pre-registration condominium officials, SHOs and SpRs in Paediatrics, and GPs in education shouldn't be and not using a own reproduction.
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Extra resources for A paediatric vade-mecum
Interval testing is required. Note: The materials for taking STD samples are not provided in the ‘police kits’ for forensic testing. qxd 9/6/02 5:37 PM Page 41 OTHER FORMS OF ABUSE • 41 This can be achieved in collaboration with a police surgeon and a police officer who will provide the necessary ‘kit’. Units should have equipment ready for the unexpected referral. Details of forensic testing can be found in Royal College of Physicians (1997) Physical signs of sexual abuse in children, 2nd edn, Appendices 3a, 3b or on the CPIG website (address above).
Tissue damage is related to the power P dissipated (P ϭ IV, P ϭ I 2R and P ϭ V 2/R). With mains injuries the current alternates and passes mainly through low-impedance tissues from the point of live contact to the earthed points. Wet skin reduces the resistance at the point of contact and allows more current to enter the body. Nerves, blood vessels and muscle have the lowest impedance and sustain the most damage. ELECTROTHERMAL BURNS The element of an electric fire can cause a contact thermal burn and an electrical burn with entry and exit burns, often on the hand.
PRESENTATIONS HIGHLY SUGGESTIVE OF PHYSICAL ABUSE • Facial bruising in a non-mobile infant. Look for evidence of mouth injuries such as torn frenulum. • Finger-tip bruising, slap marks, local bruising to the pinna. g. scapula and tarsal bones). Complex or depressed skull fracture where the history is that of a minor, unbroken fall from a height of up to one metre. Subdural haemorrhage in infants without a history of high velocity impact trauma. Drowning in a bath tub in children over 18 months.
A paediatric vade-mecum by Tim Barrett, A Lander, V Diwakar