Manual for Night Time Emergencies for Pediatric Hematology Oncology Fellows 1st Edition by Julie Blatt, April Evans, Jessica Benjamin Eze ISBN 1032749636 9781032749631

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Product details:

ISBN 10: 1032749636

ISBN 13: 9781032749631 

Author: Julie Blatt, April Evans, Jessica Benjamin-Eze

Being on call as a pediatric resident or a pediatric hematology-oncology fellow can cause great anxiety. In addition to the relatively common patient with chemotherapy-related fever and neutropenia, there is the anticipation of problems that a trainee may have read about but not yet actually seen – the adolescent newly presenting with a white blood cell count of 600,000/mm3, the 2 year old spitting up blood with a platelet count of 2,000/ mm3 and a hemoglobin of 5g/dL, the child who comes to the ER with difficulty walking and is found to have a paraspinal mass on MRI. Most issues can wait until the next day when more senior practitioners are around, but some are true medical emergencies and just can’t.

This manual is intended as a one-stop solution for such frantic moments – a quick resource to bridge the hours between the start of night call and morning rounds that focuses on what needs to be done immediately to avoid hurting a patient. It offers succinct guidelines and algorithms to address the emergencies most likely to come up overnight. For those tempted to turn to AI for quick solutions, there are some salutary lessons from responses AI has given when asked about such emergencies.

Table of contents:

I. Oncology

1. High White Blood Cell (WBC) Count
2. Mediastinal Mass / Superior Vena Cava (SVC) Syndrome
3. Spinal / Paraspinal Mass
4. Massive Hepatomegaly
5. Tumor Lysis Syndrome (TLS) / Metabolic Abnormalities
6. Differentiation Syndrome or Retinoic Acid Syndrome
7. Fever in High-Risk Populations
8. Typhlitis
9. Methotrexate Toxicity
10. Posterior Reversible Encephalopathy Syndrome (PRES)

II. Hematology
11. Severe Anemia
12. Hemolytic Anemia
13. Thrombotic Microangiopathy (TMA)
14. Transfusion Emergencies
15. Sickle Cell Emergencies
16. ACS in SCD
17. Aplastic Crisis in SCD
18. Hemolytic Crisis in SCD
19. Pain / Vasoocclusive Crisis
20. Priapism in SCD
21. Splenic Sequestration
22. Stroke / TIA in SCD
23. Deep Venous Thrombosis (DVT) / Central Venous Thrombosis
24. Pulmonary Embolus (PE)
25. Arterial Thrombosis
26. Arterial (Acute Ischemic) Stroke
27. Heparin-Induced Thrombocytopenia (HIT)
28. Bleeding Emergencies
29. Thrombocytopenia with / without Bleeding
30. Hemophilia
31. Von Willebrand Disease
32. Vitamin K Deficiency
33. Other Factor Deficiencies
34. Neonatal Hematologic Emergencies
35. Covid and Hematologic Emergencies
36. Hemophagocytic Lympho-Histiocytosis (HLH)

III. Vascular Anomalies
37. Pain
38. Cellulitis vs Inflammation
39. Effusions with / without Organ Failure
40. Pulmonary Embolus in Vascular Anomalies
41. Kasabach-Merritt Phenomenon

IV. General
42. Managing Symptoms at the End of Life
43. What to Do When a Patient Dies
44. What ChatGPT Says: Postscript

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Tags: Julie Blatt, April Evans, Jessica Benjamin Eze, Night Time Emergencies, Pediatric, Hematology, Oncology, Fellows, Manual