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BOOK AND MEDIA REVIEWS
In family medicine, we are familiar with children while combining easy-to-read tables
multiple narratives, often the same two as with illustrations to provide practical advice
this book exposes. We are trained from medi- in the management of children in the emer-
cal school in the scientific medical progress gency department. The book is organized into
narrative (which the majority of our fellow stu- 29 well-illustrated sections based on anatomy
dents follow), but then—especially from our and body system, each encompassing a spe-
patients and in our residencies—we must con- cific topic or emergency. The chapters within
front messy human problems that are more each section provide specific information on a
easily approached with a social science narra- medical diagnosis or topic. Overall, there are
tive. This book clearly understands the impor- 171 chapters providing pertinent, concise in-
tance of both narratives and is a bold attempt formation in diagnosing and treating common
to bring them together. and uncommon pediatric disorders. Included
For me, it didn’t quite work. Dow, the Afri- are discussions on the differences in adult and
can, is the first author and probably gave us pediatric diagnosis and management for emer-
the title, but the complexities of the cultural gencies in various body systems. The dermatol-
world she inhabits seem to remain obscure to ogy and infectious disease chapters, with their
Essex and go uncommented upon. Essex, the graphic and visual comparisons of common pe-
American, ends up setting the tone by what diatric rashes, are exceptional and provide an
he does choose to comment on and therefore additional dimension to the text and act as an
seems to have the last word. But for those who additional reference source. The resuscitation
occupy both narratives, Dow’s is the unchal- section provides a concise review of neonatal
lenged one, and she has the last word. and pediatric resuscitation, shock, airway, and
Raymond Downing, MD cardiac management with supplemental tuto-
Department of Family Medicine rials on specific airway techniques, fluid access,
Moi University School of Medicine and mechanical ventilation.
Eldoret, Kenya The text and its content are well organized
and are written in a concise way, making this
text a manageable reference or review of the
A Practical Guide to Pediatric material. Each chapter provides a practical ap-
Emergency Medicine proach to common emergencies by body sys-
N. Ewen Amieva-Wang, ed. tem, providing expert clinical experience and
New York, Cambridge University Press, 2011, 847 pp., $99, noting the differences in adult and pediatric
hardcover. disease process and management. Boxes and
This book review tables are systematically distributed through-
is written from the out the chapters, providing important clinical
unique perspectives algorithms, protocols, and guidelines.
of a family physician Other beneficial features are the key facts,
with 27 years of prac- special considerations, and pearls and pitfalls
tice experience and highlighted in the chapter, providing rapid ac-
an emergency medi- cess to vital knowledge in emergency situa-
cine physician with tions. There are tutorials that acknowledge
12 years of practice the skills physicians must develop and cover
experience, who both examples such as pediatric imaging, pediatric
agree that children EKG interpretation, procedural sedation, and
are not small adults. procedures that make this text a beneficial
This book provides the practical expertise reference to the self-learner. Written by pedi-
needed for caring for the pediatric patient by atric and emergency medicine specialists and
providing a pediatric-specific approach to nu- subspecialty experts, expert viewpoints and
merous medical conditions with age-based dif- clinical approaches are presented. All of this
ferential diagnosis. It contains useful tutorials, information augments the text.
reference tables, and a dermatology section The book covers a wide range of pediatric
that stands out as a useful review and serves emergency topics, providing a practical guide
as a reference for the bedside teaching of stu- on significant information needed to diagnose
dents and residents. and treat a wide variety of pediatric disorders.
The aim of this book is to summarize the Through the emphasis on the age-based dif-
common diseases and conditions affecting ferential diagnosis, the physician caring for
the pediatric patient is less likely to miss the
FAMILY MEDICINE VOL. 44, NO. 9 • OCTOBER 2012 665
BOOK AND MEDIA REVIEWS
diagnosis, especially through the consistent online version, providing a DVD demonstrat-
emphasis on how the pediatric and adult pa- ing and narrating the common procedures
tient differ. It is clinically relevant, describ- discussed and the development of a mobile
ing how pediatric patients are managed on a application as a handbook companion to the
daily basis. text that includes tables, diagrams, and photos.
In addition to the sections discussing the These additions would strongly supplement
numerous emergencies one can encounter, the benefits of this valuable resource.
there are sections dedicated to specific pedi- If you were seeking a textbook as a defini-
atric populations, including the diagnosis and tive reference for pediatric emergency medi-
management of the neonate, adolescent, and cine, then this book is not for you. However,
medically complex children. Throughout each it is highly readable and manageable for the
section there are useful tutorials varying from reader that has a basic knowledge of pediatric
procedures, management principles, and phar- or emergency medicine; it provides a concise
maceutical treatment and complications that emphasis on specific topics in an age-based
are very useful to the physician managing the differential diagnosis and treatment plan. It is
pediatric patient. The text is well worth the a solid educational resource that can be used
price paid. by both community and academic emergency
We found the tutorials, high-quality pictures, room physicians.
and tables on specific medical topics some of George D. Harris, MD, MS
the most beneficial components of the book. Stefanie R. Ellison, MD
This text will also serve well as a ready refer- University of Missouri-Kansas City School
ence for clinical questions, teaching, and review of Medicine
of pediatric emergency medicine.
The areas in which this text could be en-
hanced would be having a fully searchable
Reviewers interested in writing reviews for publication should contact Book and
Media Reviews Editor William E. Cayley, Jr, MD, at bcayley@yahoo.com.
Publishers who wish to submit books for possible inclusion in Family Medicine’s
book reviews section should send texts to Jan Cartwright, Society of Teachers of
Family Medicine, 11400 Tomahawk Creek Parkway, Suite 540, Leawood, KS 66211.
fmjournal@stfm.org
All books reviewed in this column are available for purchase at amazon.com
through the STFM portal at www.stfm.org/bookstore.
666 OCTOBER 2012 • VOL. 44, NO. 9 FAMILY MEDICINE
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