Neonatal Emergencies (Cambridge Medicine) Review

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(More customer reviews)In many ways neonatology is synonymous with emergency. Many of us in the field chose neonatology because of the potential for complex, medically and ethically challenging scenarios to arise anytime we are called to the delivery room and the opportunity to care for critically ill newborns while working under intense time pressure in the neonatal intensive care unit. Neonatal Emergencies, edited by Georg Hansmann, MD, PhD, is a welcome addition to our field of medicine. One of the most unique and valuable aspects of this text is its focus on emergency and critical care of the newborn. Unlike other textbooks of neonatology that attempt to cover all aspects of neonatal care and because of this tend to become too unwieldy to serve as a source of rapidly accessible information, Neonatal Emergencies presents pertinent information in a concise, easy-to-read manner. Figures, tables and algorithms convey information clearly and succinctly. There are many examples of practical advice for the healthcare professional at the bedside including topics such as what questions to ask when on the phone with a colleague who wishes to refer a patient to you for transport and lists of appropriate procedures to perform, equipment to use and medications to deliver when caring for a sick neonate. Key points are emphasized by positioning in a box where the text is either preceded by an exclamation point or is shaded. Pertinent questions are also included so that the reader may perform a self-assessment after reviewing the material in a particular section or chapter.
The practical nature of the content of this text is also plainly evident in its emphasis on physical examination skills and what can be learned about the neonatal patient using one's eyes, ears and hands. Other important topics covered in the following pages but rarely found in other references include decision-making, training issues, and the importance of effective communication with fellow healthcare professionals (between and among the obstetric and neonatology team members) and with parents. Although not a comprehensive resource on the ethical challenges inherent in neonatal care this text does touch upon them in a sensitive and compassionate manner.
Simulation-based training is finding its way into the formal preparation and assessment of multidisciplinary teams of healthcare professionals charged with caring for newborns. Indeed the Neonatal Resuscitation Program (NRP) of the American Academy of Pediatrics will be evolving into a career-long learning program with simulation-based training at its core. In a way Neonatal Emergencies serves as a primer for those looking to develop realistic immersive scenarios for their training programs; thus its publication is timely, indeed.
Neonatal Emergencies presents an evidence-based approach to care of the critically ill newborn with contributions from an international panel of experts and supported by multiple contemporary references. It will serve as a readily accessible resource to a broad group of users including established pediatric/neonatal and obstetric physicians, anesthesiologists, nurses, nurse practitioners, midwives and transport specialists as well as trainees in these domains. Mastery of the content knowledge written in this book as well as the technical skills described in its pages will prepare one well for the emergencies that are sure to arise when caring for newborns in the delivery room and intensive care unit.Louis P. Halamek, MD, FAAP
Division of Neonatal and Developmental Medicine
Stanford University, California

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Covering the management of critically ill newborns from the first minute of life through the first 72 hours, this practical, evidence-based and clinically-informed guide will provide all members of the pediatric care team with the essential information to save lives and prevent disability. With chapters on neonatal transport, resuscitation, ventilation and ethical issues, the content is further illustrated with case studies illustrating the real-world aspects of identifying critical signs and symptoms, diagnostics and treatment in multiple settings. As well as including numerous clear diagrams and summary tables, the text includes algorithms based on international guidelines to help navigate the reader through the delivery of care, and a comprehensive listing of drugs and dosages, serving as a quick reference guide when making treatment decisions. This is essential reading for pediatric residents, fellows and junior faculty, neonatal intensive care nurses, paramedics, obstetricians, midwives, anesthesiologists and emergency medicine physicians.

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