ADVANCED PAEDIATRIC LIFE SUPPORT
A PRACTICAL APPROACH TO EMERGENCIES

The gold standard for treating paediatric emergencies

Advanced Paediatric Life Support: A Practical Approach to Emergencies is the internationally renowned manual on emergency paediatric care. Written to support the course run by the Advanced Life Support Group, the book uses their structured approach: a tried and tested practical method of treating children during the crucial first few hours of a life-threatening illness or injury. Advanced Paediatric Life Support is used by doctors, nurses and allied health professionals dealing with emergencies in children. Its clear layout and straightforward style make it a highly practical tool both for training and in the event of an emergency.

In the seventh edition you will find dex_scriptions of both common and uncommon paediatric emergencies which you may encounter in clinical practice, their causes, and how to best treat them during the first hours after presentation.

This book offers a thoroughly evidence-based approach to its subject, which includes:

• The latest International Liaison Committee on Resuscitation (ILCOR) 2021 guidelines
• A thorough introduction to the structured approach to paediatric emergencies, including important non-technical skills and communication
• Comprehensive explorations of the seriously ill child, including airway and breathing, circulation, decreased consciousness, seizures and exposure
• Practical discussions of the seriously injured child, including examinations of chest, abdominal, brain and spinal injuries
• Evidence-based life support treatment and the practical application of the Advanced Paediatric Life Support structured management

Perfect for emergency care physicians, nurses and other allied health professionals, Advanced Paediatric Life Support: A Practical Approach to Emergencies will also benefit paediatric clinicians, doctors-in-training and anyone else with an interest in the team management and treatment of paediatric emergencies.

Contributors to Seventh Edition vii

Foreword xi

Preface to First Edition xii

Preface to seventh edition xiii

Acknowledgements xv

Contact details and further information xix

Part 1: Introduction 1

1 Introduction and structured approach to paediatric emergencies 3

2 Getting it right: non- technical factors and communication 19

Part 2: The seriously ill child 29

3 Structured approach to the seriously ill child 31

4 Airway and Breathing 45

5 Circulation 65

6 Decreased conscious level (with or without seizures) 93

7 Exposure 115

Part 3: The seriously injured child 125

8 Structured approach to the seriously injured child 127

9 The child with chest injury 147

10 The child with abdominal injury 157

11 The child with traumatic brain injury 161

12 The child with injuries to the extremities or the spine 173

13 The burned or scalded child 183

14 The child with an electrical injury 191

15 Special considerations 195

Part 4: Life support 207

16 Basic life support 209

17 Support of the airway and ventilation 227

18 Management of cardiac arrest 245

Part 5: Practical application of APLS 259

19 Practical procedures: airway and breathing 261

20 Practical procedures: circulation 277

21 Practical procedures: trauma 295

22 Imaging in trauma 309

23 Structured approach to stabilisation and transfer 323

Part 6: Appendices 337

Appendix A Acid–base balance and blood gas interpretation 339

Appendix B Fluid and electrolyte management 357

Appendix C Paediatric major trauma 371

Appendix D Safeguarding 375

Appendix E Advance decisions and end of life 383

Appendix F General approach to poisoning and envenomation 397

Appendix G Resuscitation of the baby at birth 419

Appendix H Drowning 439

Appendix I Point of care ultrasound 445

Appendix J Formulary 455

List of algorithms 477

Working group for seventh edition 479

References and further reading 481

Index 487

How to use your textbook 508

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