Advanced Paediatric Life Support, Australia and New Zealand (7^th Ed.) The Practical Approach Advanced Life Support Group Series

The gold standard for treating paediatric emergencies

Advanced Paediatric Life Support, Australia and New Zealand: A Practical Approach to Emergencies is the internationally renowned manual on emergency paediatric care. This text reinforces the course developed by the Advanced Life Support Group and utilises their tried and tested method of treating children in the event of a life-threatening illness or injury. Adapted specifically for Australia and New Zealand, this edition is a trusted resource used by qualified medical professionals dealing with emergencies involving paediatric patients. With a clear layout and straightforward style, this text can be used as a functional tool both for training and in the event of an emergency.

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

This text offers an evidence-based approach to its subject, which includes:

• The latest Australia and New Zealand Resuscitation Councils (ANZCOR) 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, Australia and New Zealand: 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.

Advanced Life Support Group (ALSG) is a Manchester, UK, -based charitable organisation whose medical education and training programmes improve outcomes for people in life-threatening situations, anywhere along the health care pathway, anywhere in the world. As a charity, ALSG invests all profits in educational resources and partners with the most effective and respected organisations worldwide to develop exceptionally high-quality programmes.

Contributors to Seventh Edition vii

Contributors to Australia/New Zealand Edition x

Foreword xi

Preface to First Edition xiii

Preface to the Modified Australian and New Zealand Seventh Edition xiv

Preface to Seventh Edition xv

Acknowledgements xvii

Contact Details and Further Information xxi

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 475

Working group for seventh edition 477

References and further reading 479

Index 485

How to use your textbook 506

Advanced Life Support Group (ALSG) is a Manchester, UK, -based charitable organisation whose medical education and training programmes improve outcomes for people in life-threatening situations, anywhere along the health care pathway, anywhere in the world. As a charity, ALSG invests all profits in educational resources and partners with the most effective and respected organisations worldwide to develop exceptionally high-quality programmes.