The Ten Commandments Of Pediatric Emergency Medicine The Journal of Emergency Medicine. Vol. 27, No. 2, pp. 193–194, 2004
Children are not small adults The younger the child, the more unique and special the anatomy and physiology are, compared with adults.
Ill and injuredchildren regressAn older child may act like a 2-year-old when approached with a syringe and needle.Lower your expectations and take your time.Preparation— of the patient and the parents, as well as the equipment—is critical to success.
The ―patient‖ might bethe one holding the childYou’ve got more than one customer to satisfy when you enter the room to see a child.Introduce yourself, project confidence, and treat the parents as your partners in care.
Kids are the real dealKids do not want to be in the hospital.In the majority of cases, their symptoms are real and not factitious.
Laboratory tests and x-raysseldom beat a good history andphysical examinationKids almost never require million- dollar workups or screening tests for rare diseases in the ED.The most valuable diagnostic tools you have at your disposal are your eyes, your ears, and your hands.
Many hands make light workProper (and humane) restraint, calm reassurances, and the presence of Mom or Dad.Preparation for even the simplest procedures often involves enlisting help.Do it right and you’ll only have to do it once.
Check anddouble-check.Then, check again allergies medications drug doses right or left
Children feel painjust like you do — treat itPain is as real for children as for adults, narcotics can safely and effectively relieve pain and gain you improved examinations and quality of X-rays.
Close the loopFollow-up care is the cornerstone of pediatric care.Arranging appropriate follow- up may be one of the most important tasks in the pediatric ED.
Above all, you arethe child’s advocateChildren don’t have the capacity to give adequate histories in many instances, and their response to pain or discomfort often precludes localization.
The Ten Commandments of Pediatric Emergency Medicine are designed to supplement and augment the Ten Commandments of Emergency Medicine, not to replace them.The original commandments still hold.
summarized by sun yaichenghttp://decode-medicine.blogspot.com/