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The Royal Children's Hospital Melbourne Paediatric Handbook is a trusted guide to managing common and serious childhood illnesses and disorders. This bestselling resource provides students and practitioners across medical, nursing, and allied health fields with authoritative and up-to-date information on a comprehensive range of paediatric topics, enabling readers to make the appropriate decisions at the point of care.
Now in its tenth edition, the Handbook features clear illustrations and evidence-based diagnostic and management algorithms throughout, covering resuscitation and medical emergencies, prescribing and therapeutics, medicine, surgery, procedures, and much more.
Paediatric Handbook is an invaluable reference for medical practitioners, nurses and allied health professionals, as well as students and trainees.
Dr Kate Harding, The Royal Children's Hospital, Melbourne, Victoria, Australia.
Dr Daniel S. Mason, The Royal Children's Hospital, Melbourne, Victoria, Australia.
Associate Professor Daryl Efron, The Royal Children's Hospital, Melbourne, Victoria, Australia.
List of Contributors viii
Acknowledgements xv
Foreword xvi
RCH Handbook List xvii
Preface xviii
1 Communication in the paediatric consultation 1 Mike Forrester, Daryl Efron
2 Ethics 7 Lynn Gillam, Clare Delany
3 Resuscitation and medical emergencies 16 Michael Clifford, Tali Gadish, Joanne Grindlay
4 Poisoning and envenomation 26 James Tibballs, Noel Cranswick
5 Procedures 39 Peter Archer, Leah Hickey, Ruth Armstrong
6 Pain management 59 George Chalkiadis, Greta Palmer, Ian McKenzie
7 Fluids and electrolytes 77 Sarah McNab, Trevor Duke
8 Prescribing and therapeutics 86 Noel Cranswick, Antun Bogovic, David Metz
9 Immunisation 91 Daryl Cheng, Nigel Crawford
10 Nutrition 100 Liz Rogers, Evelyn Volders, Victoria Evans, Zoe McCallum, Julie E. Bines
11 Growth 112 Jane Standish, Zoe McCallum, Daniella Tassoni, Peter Simm
12 Adolescent medicine 125 Susan Sawyer, Michelle Telfer, Colette Reveley, Kathy Rowe, Adam Scheinberg
13 Allergy 136 Joanne Smart, Dean Tey
14 Behaviour and mental health 146 Ric Haslam, Chidambaram Prakash, Christos Symeonides
15 Cardiology 170 Remi Kowalski, Bryn Jones, Michael Cheung
16 Clinical genetics 182 Natasha J. Brown
17 Dentistry 189 Kerrod Hallett, Lochana Ramalingam
18 Dermatology 194 Rod Phillips, David Orchard
19 Endocrinology 212 Peter Simm, Fergus Cameron, Mary White, Margaret Zacharin, Jeff Kao, Michele O'Connell
20 Forensic medicine 243 Anne Smith, Joanna Tully
21 Gastroenterology 253 Winita Hardikar, Liz Bannister, Susan Gibb
22 Gynaecology 267 Sonia R. Grover, Charlotte V. Elder
23 Haematology 277 Helen Savoia, Luisa Clucas, Gemma Crighton, Sally Campbell, Anthea Greenway, Paul Monagle
24 Immunology 295 Sharon Choo, Theresa Cole
25 Infectious diseases 301 Nigel Curtis, Mike Starr, Josh Osowicki
26 Metabolic medicine 336 Joy Lee, Heidi Peters
27 Neonatal medicine 341 Leah Hickey, Ruth Armstrong, Warwick Teague
28 Neurodevelopment and disability 383 Daryl Efron, Gehan Roberts, Lynne Harrison, Gordon Baikie, Giuliana Antolovich, Deborah Marks, Catherine Marraffa
29 Neurology 401 Mark Mackay, Andrew Kornberg, Alison Wray
30 Oncology 420 Diane Hanna, Rachel Conyers
31 Ophthalmology 431 Anu Mathew
32 Orthopaedics 439 Michael B. Johnson, Leo Donnan
33 Otolaryngology 451 Elizabeth Rose, Valerie Sung
34 Palliative care 465 Bronwyn Sacks, Molly Williams, Sidharth Vemuri, Jenny Hynson
35 Refugee health 473 Georgia Paxton
36 Rehabilitation medicine 484 Adam Scheinberg, Neil Wimalasundera
37 Renal medicine 493 Joshua Kausman, Susan Gibb
38 Respiratory medicine 507 Danielle Wurzel, Sarath Ranganathan, John Massie
39 Rheumatology 529 Jane Munro, Georgina Tiller
40 Sleep medicine 536 Amanda Griffiths, Harriet Hiscock
41 Surgery 543 Michael Nightingale, Aurore Bouty
42 Trans and gender diverse health 556 Michelle Telfer, Ken Pang
Appendix: Antimicrobial guidelines 560
Index 572
RCH is The Royal Children's Hospital, Melbourne UoM is The University of Melbourne MON is Monash University MCRI is Murdoch Children's Research Institute
Giuliana Antolovich BSc (Hons) PhD MBBS FRACP Paediatrician Stream Leader Physical Disability, Department of Neurodevelopment and Disability, RCH Senior Fellow, Department of Paediatrics, UoM Honorary Fellow, MCRI
Peter Archer MBBS FACEM Emergency Physician Emergency Department, RCH
Ruth Armstrong BSc MBChB MRCPCH FRACP Neonatologist Department of Neonatal Medicine, RCH
Gordon Baikie MD MBBS BMedSci Grd Dip Hlth Econ FRACP FRCP Paediatrician Department of Neurodevelopment and Disability, RCH Honorary Clinical Senior lecturer, Department of Paediatrics, UoM Honorary Fellow, MCRI
Liz Bannister MBBS FRACP PHD Paediatric Gastroenterologist Department of Gastroenterology & Clinical Nutrition, RCH
Julie E. Bines MBBS FRACP MD Paediatric Gastroenterologist Head of Clinical Nutrition, Department of Gastroenterology & Clinical Nutrition, RCH Victor & Loti Smorgon Professor of Paediatrics, Department of Paediatrics, UoM Leader, RV3 Vaccine Program, Intestinal Failure & Clinical Nutrition Group, MCRI
Antun Bogovic BPharm MSHP Deputy Director Pharmacy Department, RCH
Aurore Bouty MD Paediatric Urologist Department of Urology, RCH Reproductive Biology, MCRI
Natasha J. Brown MBBS FRACP PhD Clinical Geneticist Victorian Clinical Genetics Service, RCH Honorary Fellow, UoM Honorary Fellow, MCRI
Fergus Cameron BMedSci MBBS DipRACOG FRACP MD Paediatric Endocrinologist Director, Department of Endocrinology and Diabetes, RCH Honorary Professorial Fellow, Department of Paediatrics, UoM Head, Diabetes Research Group, MCRI
Sally Campbell MBBS FRACP FRCPA Paediatric Haematologist Department of Clinical Haematology, RCH
George Chalkiadis MBBS DA (Lon) F ANZCA FFPMANZCA Paediatric Anaesthetist and Pain Management Specialist Head, Children's Pain Management Service, Department of Paediatric Anaesthesia and Pain Management, RCH Honorary Clinical Associate Professor, Department of Paediatrics, UoM Honorary Fellow, MCRI
Daryl Cheng MBBS MPH FRACP AFAIDH CHIA Paediatrician Department of General Medicine, RCH Honorary Fellow, Department of Paediatrics, UoM Clinical Research Fellow, SAEFVIC, MCRI
Michael Cheung Bsc (Hons) MBChB MRCP MD FRACP Paediatric Cardiologist Director, Department of Cardiology, RCH Principal Fellow, UoM Heart Research Group Leader, MCRI
Sharon Choo MBBS FRACP FRCPA Paediatric Allergist, Immunologist and Immunopathologist Immunology Laboratory, Laboratory Services Department of Allergy & Immunology, RCH
Michael Clifford MBBS (Hons) FCICM FANZCA Paediatric Intensivist & Anaesthetist Paediatric Intensive Care Unit, Department of Anaesthesia and Pain Management, RCH
Luisa Clucas MBBS (HONS) BMEDSCI DCH Haematology Fellow Department of Clinical Haematology, RCH
Rachel Conyers MBBS (Hons) FRACP PhD Consultant Oncologist Clinical Lead, Bone Marrow transplant, Children's Cancer Centre, RCH Clinical Associate Professor, Department of Paediatrics, UoM Clinician Scientist Fellow, Cardiac Regeneration Laboratory, MCRI
Noel Cranswick MBBS BMEDSC LLB FRACP Paediatrician Director, Clinical Pharmacology, Department of General Medicine, RCH Director, Australian Paediatric Pharmacology Research Unit, RCH Associate Professor, UoM Associate Director Melbourne Children's Trials Centre, MCRI
Nigel Crawford MBBS MPH PHD FRACP Paediatrician Medical Head Immunisation Services, Department of General Medicine, RCH Associate Professor, Department of Paediatrics, UoM Director and Group leader, SAEFVIC, MCRI
Gemma Crighton MBCHB FRACP FRCPA Paediatric Haematologist Department of Clinical Haematology, RCH
Nigel Curtis MA MBBS DTM&H FRCPCH PhD Paediatric Infectious Diseases Physician Head of Infectious Diseases, Department of General Medicine, RCH Professor of Paediatric Infectious Diseases, Department of Paediatrics, UoM Leader of Infectious Diseases Group, Infectious diseases, MCRI?
Clare Delany PhD M Hlth&Med Law M Physio BAppSci (Physio) Clinical Ethicist Children's Bioethics Centre, RCH Professor of Health Professions Education, Department of Medical Education, UoM
Leo Donnan MBBS FRACS Orthopaedic Surgeon Department of Orthopaedics, RCH Associate Professor, UoM
Trevor Duke MD FRACP FJFICM Paediatric Intensivist Clinical Director, General Intensive Care Unit, Paediatric Intensive Care Unit, RCH Professor, Department of Paediatrics, UoM
Daryl Efron MBBS FRACP MD Paediatrician Department of General Medicine, RCH Associate Professor, Department of Paediatrics, UoM Senior Research Fellow, MCRI
Charlotte V. Elder MBBS BMEDSCI FRANZCOG IFEPAG Paediatric Gynaecologist Department of Gynaecology, RCH Honorary Clinical Fellow, Department of Paediatrics, UoM
Victoria Evans BSC (HONS) Clinical Nutrition Nurse Consultant Department of Gastroenterology & Clinical Nutrition, RCH
Mike Forrester MBBS FRACP Paediatrician University Hospital Geelong Senior Clinical Lecturer, Deakin University
Tali Gadish MD FCICM Paediatric Intensivist Department of Paediatric Intensive Care, RCH Honorary Clinical Lecturer, Department of Paediatrics, UoM Honorary Fellow, MCRI
Susan Gibb MBBS FRACP Paediatrician, Medical Lead Complex Care Hub, Department of Neurodevelopmental and Disability & Department of General Medicine, RCH Honorary Fellow, Infection and Immunity Theme, MCRI
Lynn Gillam BA (Hons) MA PhD Clinical Ethicist Academic Director, Children's Bioethics Centre, RCH Professor, Melbourne School of Population and Global Health, UoM
Anthea Greenway MBBS (HONS) FRACP FRCPA Paediatric Haematologist Director of Clinical Haematology, Clinical Lead Apheresis, Sickle Cell Anaemia, Department of Clinical Haematology and Laboratory services, RCH Honorary Fellow, MCRI
Amanda Griffiths MBBS BMEDSC FRACP Respiratory and Sleep Physician Head of Sleep Medicine, Department of Respiratory Medicine, RCH Senior Clinical Fellow, UoM Honorary Fellow, MCRI
Joanne Grindlay MBBS FACEM FRACGP FARGP DA (UK) Grad Dip (Rural GP) EMDM HOSM Paediatric Emergency physician Deputy Director, Emergency Department, RCH Clinical Associate Professor, UoM Research Associate, MCRI
Sonia R. Grover MBBS FRANZCOG MD FFPMANZCA Paediatric and Adolescent Gynaecologist, Pain Medicine Specialist Department of Gynaecology, RCH Clinical Professor, Department of Paediatrics, UoM Honorary Fellow, MCRI
Kerrod Hallett MDSc MPH FRACDS FICD Paediatric Dentist Director, Department of Dentistry, RCH Clinical Associate Professor, UoM Research Fellow, Clinical Sciences, MCRI
Diane Hanna MBBS (Hon) FRACP Paediatric Oncologist (Leukaemia and Bone Marrow Transplantation) Children's Cancer Centre, RCH
Winita Hardikar MBBS FRACP PHD AM Paediatric Gastroenterologist Head of Liver and Intestinal Transplantation Director, Department of Gastroenterology and Clinical Nutrition, RCH
Lynne Harrison BAppSc (Sp.Path) MBA (UWA) Speech Pathologist Speech Pathology Department, Allied Health, RCH
Ric Haslam MSc AKC FRACP CertChildPsych Child Psychiatrist Director, Department of Mental Health, RCH Honorary Clinical Senior Lecturer, UoM
Leah Hickey MB BCh BAO (Hons) MRCPI FRACP MD Neonatologist Department of Neonatal Medicine, RCH Clinical Senior Lecturer, Department of Paediatrics, UoM Honorary Fellow, Neonatal Research Group, MCRI
Harriet Hiscock MBBS FRACP MD Paediatrician Director, Health Services Research Unit, RCH Professorial Fellow, Department of Paediatrics, UoM Group Leader, Health Services, Centre for Community Child Health, MCRI
Jenny Hynson MBBS FRACP FACHPM PHD Consultant Paediatrician Head, Victorian Paediatric Palliative Care Program,...
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