Contents -- 1 Introduction -- 2 Coping with patients and parents -- Introduction -- Consultation -- Dealing with the child in pain -- 3 Neonatal emergencies -- Introduction -- Delivery -- Resuscitation of the newborn -- Special cases -- Discontinuing resuscitation -- Physiological changes after birth -- Postnatal assessment -- The collapsed neonate -- Neonatal cardiac conditions -- Persistent pulmonary hypertension -- Apnoea -- Vomiting -- Jaundice -- Sepsis -- Seizures -- 4 Resuscitation -- Cardiopulmonary assessment of a seriously ill child -- Basic life support (BLS) -- Management of respiratory arrest -- The choking child -- Anaphylaxis -- Advanced life support (ALS) -- Rhythm disturbances: introduction -- Asystole and pulseless electrical activity -- Defibrillator technique -- Ventricular fibrillation and pulseless ventricular tachycardia -- Ventricular tachycardia with pulse -- Supraventricular tachycardia -- Post-resuscitation care -- Stabilization for interhospital transfer -- Following unsuccessful resuscitation -- Sudden unexpected death in an infant -- 5 Shock -- Pathophysiology -- Causes -- Assessment and treatment -- 6 Trauma -- Assessment -- Chest trauma -- Abdominal trauma -- Head injury -- Spinal trauma -- Limb trauma -- 7 Environmental conditions -- Burns -- Bites and stings -- Hypothermia -- Hyperthermia -- Drowning -- Electrocution -- Altitude -- Diving -- 8 Febrile illness -- Assessment -- Rigors -- Meningitis -- Encephalitis -- Fever without focus -- Rashes -- Immunodeficient child with a fever -- Protracted fever -- Malaria -- Tuberculosis -- Notifiable diseases -- 9 Ingestion -- Assessment -- Paracetamol and aspirin -- Antihistamines -- ADHD medications -- Selective serotonin re-uptake inhibitors -- Tricyclic antidepressants -- Lead and iron -- Alcohols -- Illicit drugs -- Slang terms used in drug abuse -- Foreign bodies.

10 Cardiovascular -- Assessment -- Cyanosis -- Chest pain -- Arrhythmias -- Heart failure -- Murmur -- Hypertension -- Rheumatic fever -- Infective endocarditis -- Kawasaki's disease -- Myocarditis -- ECG guide -- 11 Respiratory -- Assessment -- Stridor -- Wheeze -- Asthma -- Other causes of wheeze -- Tachypnoea -- Cough -- Whooping cough -- Haemoptysis -- 12 Gastroenterology -- Assessment -- Vomiting and GOR -- Diarrhoea -- Faltering growth -- Hepatosplenomegaly -- Jaundice -- Hepatic causes of jaundice -- Liver failure -- Constipation -- Pancreatitis -- 13 Renal -- Renal colic -- Urinary tract infection -- Dysuria and urinary frequency -- Haematuria -- Proteinuria -- Renal failure -- Hypertension -- 14 Urology -- Trauma of urinary tract -- Painful (acute) scrotum -- Urinary retention -- Priapism -- Paraphimosis and balanoprosthitis -- 15 General surgery -- Intestinal obstruction -- Pyloric stenosis and intussusception -- Acute abdomen -- Gastrointestinal bleeding -- Abscess -- 16 Neurology -- Assessment -- Seizures -- Altered level of consciousness -- Headache -- Weakness -- Ataxia -- Dizziness -- Abnormal movements -- Palsies -- Big head -- Shunt malfunctions -- 17 Otolaryngology -- Assessment -- Earache -- Acute sore throat -- Drooling (acute onset) -- Foreign bodies -- Epistaxis -- Trauma -- Acute sinusitis -- Neck lumps -- Acute facial nerve palsy -- 18 Orthopaedics -- Assessment -- Limp -- Infection -- Joint pain -- Chronic joint pain -- Joint-specific conditions -- 19 Ophthalmology -- Ocular anatomy -- Assessment -- Trauma -- The red eye -- Lids -- Orbital disease -- Leucocoria and corneal opacity -- Squints and neuro-ophthalmology -- Useful lists -- 20 Gynaecology -- Assessment -- Congenital conditions -- Vaginal discharge -- Vulvovaginitis -- Vaginal bleeding -- Sexually transmitted diseases -- Pregnancy -- 21 Haematology -- Anaemia.

Haemoglobinopathies: sickle cell anaemia -- Haemoglobinopathies: thalassaemia -- Bleeding and bruising -- Haemophilia -- 22 Oncology -- Acute leukaemia -- Febrile neutropenia -- Superior vena cava compression -- Tumour lysis syndrome -- Spinal cord compression -- 23 Dermatology -- Assessment -- Purpura -- Blistering -- Generalized pustular rashes -- Erythroderma -- Exanthems -- Atopic eczema (atopic dermatitis) -- Urticaria and angioedema -- Infantile haemangioma -- Fungal kerion of the scalp -- 24 Endocrinology -- Diabetic ketoacidosis -- Newly diagnosed diabetes -- Hypoglycaemia in the diabetic child -- Adrenal crisis -- Congenital adrenal hyperplasia (CAH) -- Hypoglycaemia in the non-diabetic child -- Acute diabetes insipidus -- Thyrotoxic storm -- 25 Psychiatry -- Introduction -- Assessment and mental state examination -- Hints on psychiatric interviewing -- Delirium and acute confusional states -- Hallucinations -- Suicidal behaviour and deliberate self-harm -- Aggression and the assaultative patient -- Acute psychological trauma -- Child abuse -- Fabricated and induced Illness -- Somatizing and conversion disorders -- Eating disorders -- Medico-legal aspects -- 26 Biochemistry -- Glucose -- Sodium -- Potassium -- Calcium -- Magnesium -- Urea and uric acid -- Ammonia -- Acid-base metabolism -- 27 Procedures -- General principles -- Venepuncture and cannulation -- Central venous access -- Umbilical access -- Exchange transfusion -- Arterial access -- Intraosseous access -- Lumbar puncture -- Suprapubic aspiration -- Endotracheal intubation -- Cricothyroidotomy -- Chest drains -- Femoral nerve block -- 28 Formulary -- Introduction -- Analgesia -- Sedation -- Common antibiotic regimens -- Steroid potencies -- Antibiotics -- Appendices -- 1 Fluids and electrolytes -- Glucose -- Potassium -- Fluid prescription.

2 Normal values: haematology, coagulation, biochemistry, urine, CSF -- 3 Body surface area estimation and BMI -- 4 Neurology -- Children's modified GCS and AVPU -- Developmental milestones -- 5 Normal values: vital signs -- 6 Cardiorespiratory arrest -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- X -- Arrest: useful parameters -- Basic life support algorithm.