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Editorial Reviews
From The New England Journal of Medicine
Interest in the care of hospitalized children has grown in recent years. An increase in the number of pediatric hospitalists and fellowship programs to train them provides a new system of care and new research opportunities to study the effectiveness of that system. Pediatric Hospital Medicine has the distinction of being the first textbook to focus exclusively on inpatient pediatric medicine. The editors state that the goals of their book are "to identify the core skills and body of knowledge needed by the pediatric hospitalist." (The term "hospitalist" is defined in the preface of the book as "a clinician spending at least 25% of his or her time on an inpatient service.") The book is divided into three major areas. The first area includes issues of concern to pediatric hospitalists: definition, developing and staffing a service, evidence-based medicine, clinical practice guidelines, and inpatient billing, among others. In the second area, a systems-based approach is used to define relevant clinical topics. This is extensive in scope, covering areas such as cardiology, neurology, gastroenterology, nephrology, infectious diseases, and disorders in other major systems, as well as care for the term newborn and surgical issues. The third area focuses on issues specific to pediatric inpatients, including a well-written section on the care of children with complex, chronic diseases (appropriate for the patient population being cared for in hospitals today) and sections covering sedation, pain, and nutrition. Discussions of gastrostomy tubes, long-term central venous catheters, tracheotomies, and pediatric home care are germane to the care of hospitalized children with complex health care needs; the text provides a good overview for the inpatient physician. Despite its clear strengths, Pediatric Hospital Medicine suffers from equally clear limitations, one of which is particularly problematic. The body of evidence on which pediatric hospitalists rely is small but rapidly expanding; care of inpatients relies on the application of the best currently available literature. Pediatric Hospital Medicine omits several studies of considerable importance to pediatric inpatient care, and these omissions shed light on the difficulties implicit in such a book. Pediatric inpatients often present with complex and rare conditions, which must be approached with both the extensive background knowledge a general book can supply and an awareness of the most current literature, which a print source by its very nature cannot provide. The problems associated with keeping a textbook current with new information are not unique to this book, but they may be more problematic when physicians are caring for inpatients. Another challenge faced by many pediatric hospitalists is the physician's need to be an excellent diagnostician. The section of the book on common presenting signs, symptoms, differential diagnosis, and "pearls" is adequate for the care of the typical pediatric patient with a common diagnosis, but it lacks a detailed discussion of the evaluation of many more unusual problems. Despite these limitations, Pediatric Hospital Medicine offers an important first look at how to approach the care of the hospitalized child. The strength of the book is in its coverage of topics specific to the work of a pediatric hospitalist. Pediatric hospitalists, hospitalists who occasionally look after children, general pediatricians, family practitioners, residents, medical students, and nurse practitioners in inpatient medicine will undoubtedly find this book a welcome addition to the complement of books they currently use. Rajendu Srivastava, M.D., M.P.H.
Copyright © 2004 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS. --This text refers to an alternate Hardcover edition.
Copyright © 2004 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS. --This text refers to an alternate Hardcover edition.
Review
JAMA: The Journal of the American Medical Association, 07-JAN-04, Volume 291, Issue 1, L. Barry Seltz, MD, University of Arizona, Tucson, AZ --
--This text refers to an alternate
Hardcover
edition.
"The pediatric hospitalist movement has truly arrived with publication of the first-ever textbook devoted to pediatric inpatient management....Chapters in this first-of-its-kind textbook have some unique features. The text is concise and easy to read, which is nice for the often time-strapped hospitalist. The ’Pearls’ at the end of each chapter reiterate key learning points. Tables on etiologies and differential diagnosis enrich numerous discussions. Chapters that provide algorithms are wonderful in aiding clinical thinking....
"...This nice-sized textbook [is] a valuable resource. What to do when the lab calls with an elevated potassium level? One can quickly look up the specific therapy for hyperkalemia. How does one write for a polyethylene glycol cleanout? It is all here. Who has wondered about complications and management of gastrostomy tubes? Read all about it. Need to sedate a child for a procedure? The details are provided. A textbook that aids in the care of hospitalized children is a good addition to the personal library."—JAMA
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First Sentence:
A child is born, healthy and vigorous. Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
oxygen transport balance, pediatric hospitalist, ohstructivc sleep apnea, periorbital disease, predominant insulin resistance, tracheostomv tube, primary hvperparathyroidism, hospitalist programs, esophageal coins, perinatal torsion, bowel cleanout, abusive head trauma, pediatric palliative care, osmol gap, pulse oximetrv, pneumatic reduction, shunt infection, minor closed head injuries, home mechanical ventilation, hepatic encephalopathv, ticular torsion, bilious emesis, home phototherapy, occasional children, acute scrotum Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, New York, American Academy of Pediatrics, Suggested Readings, Infectious Diseases, Lippincott Williams, Pediatr Surg, Rocky Mountain, Recommended Use, Joint Commission, Elk Grove Village, Mead Johnson, Common Presenting Signs, Anesth Analg, American Heart Association, North America, Hospital Care of Children, Crit Care, Arch Pediatr Adolesc Med, Pediatr Ann, Normal Normal, Specific Disorders, Emergency Medicine, Curr Opin Pediatr, Institute of Medicine Browse Sample Pages:
Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
A child is born, healthy and vigorous. Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
oxygen transport balance, pediatric hospitalist, ohstructivc sleep apnea, periorbital disease, predominant insulin resistance, tracheostomv tube, primary hvperparathyroidism, hospitalist programs, esophageal coins, perinatal torsion, bowel cleanout, abusive head trauma, pediatric palliative care, osmol gap, pulse oximetrv, pneumatic reduction, shunt infection, minor closed head injuries, home mechanical ventilation, hepatic encephalopathv, ticular torsion, bilious emesis, home phototherapy, occasional children, acute scrotum Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, New York, American Academy of Pediatrics, Suggested Readings, Infectious Diseases, Lippincott Williams, Pediatr Surg, Rocky Mountain, Recommended Use, Joint Commission, Elk Grove Village, Mead Johnson, Common Presenting Signs, Anesth Analg, American Heart Association, North America, Hospital Care of Children, Crit Care, Arch Pediatr Adolesc Med, Pediatr Ann, Normal Normal, Specific Disorders, Emergency Medicine, Curr Opin Pediatr, Institute of Medicine Browse Sample Pages:
Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
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56% buy the item featured on this page: Pediatric Hospital Medicine: Textbook of Inpatient Management $119.20 |
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19% buy The Philadelphia Guide: Inpatient Pediatrics $37.80 |
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12% buy Comprehensive Pediatric Hospital Medicine$120.80 |
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7% buy The Harriet Lane Handbook: Mobile Medicine Series, Expert Consult: Online and Print $44.70 |
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