Pediatricians enjoy the luxury of dealing with perhaps the most resilient patients in mediane. Yet, this very resiliency can be a fatal trap when a child faces, a medical emergency. By adhering to the basic "ABC's" of emergency management, the practitioner assures the patient of the best chance of recovery. Often, the return on this investment is a quick return to normal behavior and health.
After reviewing this issue of Pediatric Annals, the practitioner should have a better understanding of: 1 ) airway management in the distressed child, 2) the use of anesthetic and analgesic/amnestic agents in management of the pediatric airway, 3) the pathophysiology and management of shock in children including the appropriate use of presser agents, 4) the assessment, diagnosis, and management of acute cardiac emergencies in children, and 5) the age-appropriate assessment of sepsis and related antibiotic choices.
HOW TO OBTAIN CME CREDITS BY READING THIS ISSUE
Pediatricians can receive Category I credits for the Physician's Recognition Award of the American Medical Association by reading the following articles and successfully completing the quiz at the end of the issue. Complete instructions are given on the quiz pages.
The Pretest below has been prepared to assist you in studying the following material. It indicates some of the areas to be covered and will make it possible for you to challenge your present knowledge of the material before reading further.
1. Awake nasal Intubation Is absolutely contra-Indicated In patients with closed head Injuries.
2. The use of Inotropic agents In the correction of shock states should follow a natural progression (Ie, dopamine, dobutamlne, epinephrine, etc).
3. Administration off Intravenous adenosine Is the first line of therapy In stable supraventricular tachycardia.
4. Only about half of septic neonates present with fever.
Answers to the Pretest:
1. A 2. B 3. B 4. A