Third Edition
Editors
Panna Choudhury
President IAP, 2009 and Former Senior Consultant Department of Pediatrics, Lok Nayak Hospital
New Delhi, India
Arvind Bagga
Professor of Pediatrics Division of Pediatric Nephrology All India Institute of Medical Sciences
New Delhi, India
Krishan Chugh
Director Center for Child Health, Sir Ganga Ram Hospital
Delhi, India
Siddharth Ramji
Professor and Head of Neonatology Unit Department of Pediatrics, Maulana Azad Medical College and Associated Lok Nayak Hospital
New Delhi, India
Piyush Gupta
Editor-in-Chief, Indian Pediatrics and Professor of Pediatrics University College of Medical Sciences and GTB Hospital
Delhi, India
Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Principles of Pediatric and Neonatal Emergencies
© 2011, Indian Pediatrics
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
First Edition: 1994
Second Edition: 2004
Third Edition: 2011
9788184489507
Typeset at JPBMP typesetting unit
Printed at Ajanta Offset
5Contributors
- Agarwal Manjari
- Clinical Fellow, Pediatric Rheumatologist
- Department of Pediatrics, Sir Ganga Ram Hospital
- Rajinder Nagar, New Delhi, India
- E-mail: drmanjari@sify.com
- Aggarwal Anju
- Associate Professor, Department of Pediatrics
- University College of Medical Sciences and Guru Tegh Bahadur Hospital
- Delhi, India
- E-mail: agar_anju@yahoo.com
- Aggarwal Rajiv
- Chief Pediatric Intensivist and Neonatologist
- Professor and Head, Department of Pediatrics
- Narayana Multi-specialty Hospital
- 858/A, Bommasandra Industrial Area
- Anekal Taluk, Bengaluru, Karnataka, India
- E-mail: drrajivaggarwal@hotmail.com
- Aggarwal Satish Kumar
- Professor of Pediatric Surgery
- Maulana Azad Medical College and Associated Lok Nayak and GB Pant Hospitals
- New Delhi, India
- E-mail: satish.childurology@gmail.com
- Amdekar YK
- Former Professor of Pediatrics
- Grant Medical College and JJ Group of Hospitals, and Consultant Pediatrician
- Jaslok Hospital and Breach Candy Hospital
- Mumbai, India
- E-mail: ykakr@vsnl.com
- Aneja S
- Director Professor
- Department of Pediatrics, Lady Hardinge Medical College and Kalawati Saran Childrens’ Hospital
- New Delhi, India
- E-mail: anejas@hotmail.com
- Arya LS
- Senior Consultant
- Pediatric Oncology and Hematology
- Indraprastha Apollo Hospitals, Sarita Vihar
- New Delhi, India
- E-mail: lsarya@rediffmail.com
- Aulakh Roosy
- Department of Pediatrics, Advanced Pediatric Center
- Postgraduate Institute of Medical Education and Research
- Chandigarh, Punjab, India
- Babu Kishore S
- Consultant Pediatric Nephrologist
- Department of Nephrology, Manipal Hospital
- 98, Airport Road
- Bengaluru, Karnataka, India
- E-mail: drkishorebabu@vsnl.net
- Bagga Arvind
- Professor of Pediatrics
- Division of Pediatric Nephrology
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: arvindbagga@hotmail.com
- Bhatia Vidyut
- Senior Research Associate
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: drvidyut@gmail.com
- Bhatnagar Shinjini
- Scientist-III
- Center for Diarrheal Diseases and Nutrition Research
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: shinjini.bhatnagar@gmail.com
- Bhatnagar Shishir
- Consultant Pediatrician
- Max Hospital, A-364, Sector 19
- Noida, UP, India
- Bhatnagar Veereshwar
- Professor, Department of Pediatric Surgery
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: veereshwarb@hotmail.com
- Budhiraja Sandeep
- Department of Pediatrics
- Postgraduate Institute of Medical Education and Research
- Chandigarh, Punjab, India
- Chaturvedi Vivek
- Assistant Professor, Department of Cardiology
- GB Pant Hospital
- New Delhi, India
- Cherian Alice
- Professor of Psychiatry
- Child and Adolescent Psychiatry Unit
- Department of Psychiatry
- Christian Medical College
- Vellore, Tamil Nadu, India
- E-mail: alice_cherian@hotmail.com
- Choudhary Sanjay
- Pediatrician, BS Ambedkar Hospital
- Sector 6, Rohini
- Delhi, India
- E-mail: drsanjaychoudhary@yahoo.com
- Choudhury Panna
- President IAP, 2009 and Former Senior Consultant Pediatrician, Department of Pediatrics
- Lok Nayak Hospital
- New Delhi, India
- E-mail: pannachoudhury@gmail.com
- Chugh Krishan
- Director, Center for Child Health
- Sir Ganga Ram Hospital
- Delhi, India
- E-mail: chughk2000@yahoo.co.in
- Deorari Ashok K
- Professor and Incharge, Neonatal Division
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: ashokdeorari_56@hotmail.com
- Dua Tarun
- Lecturer, Department of Pediatrics
- University College of Medical Sciences and Guru Tegh Bahadur Hospital
- Delhi, India
- E-mail: tdua@rediffmail.com
- Dubey AP
- Professor and Head
- Department of Pediatrics, Maulana Azad Medical College
- New Delhi, India
- E-mail: apdubey52@rediffmail.com
- Dutta Sourabh
- Professor, Department of Pediatrics
- Postgraduate Institute of Medical Education and Research
- Chandigarh, Punjab, India
- E-mail: sourabhdutta@yahoo.co.in
- Ganguly Nupur
- Associate Professor, Department of Pediatrics
- Institute of Child Health
- Kolkata, West Bengal, India
- E-mail: nupur_diya@yahoo.com
- Gera Tarun
- Consultant Pediatrics, Fortis Hospital, Shalimar Bagh
- New Delhi, India
- E-mail: tarun256@yahoo.com
- Goel Arun
- Senior Plastic Surgeon
- Department of Burns and Plastic Surgery
- Lok Nayak Hospital
- Delhi, India
- E-mail: dragoel@hotmail.com
- Gopalan S
- Pediatric Gastroenterologist and Executive Director
- Centre for Research on Nutrition Support Systems
- Nutrition Foundation of India Building
- C-13 Qutub Institutional Area
- New Delhi, India
- E-mail: crnss@hotmail.com
- Gulati Sheffali
- Associate Professor
- Chief, Division of Child Neurology
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: sheffaligulati@gmail.com
- Gupta Dhiren
- Consultant, Pediatric Pulmonologist and Intensivist
- Department of Pediatrics
- Sir Ganga Ram Hospital, Rajinder Nagar
- New Delhi, India
- Gupta DK
- Professor and Head, Department of Pediatric Surgery
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: devendra6@hotmail.com
- Gupta Naveen
- Clinical Fellow, Division of Neonatology
- Children's and Women's Health Centre of British Columbia
- Vancouver, Canada
- E-mail: drgupta.naveen@gmail.com
- Gupta Noopur
- Senior Research Associate
- Dr RP Centre for Ophthalmic Sciences
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: noopurgupta@hotmail.com
- Gupta Piyush
- Editor-in-chief, Indian Pediatrics
- Professor, Department of Pediatrics
- University College of Medical Sciences
- Delhi, India
- Gupta Suresh
- Consultant, Pediatric Emergency Medicine
- Sir Ganga Ram Hospital
- New Delhi, India
- E-mail: drguptasuresh@yahoo.co.in
- Handa KK
- Head, Department of ENT
- Medanta Medicity
- Gurgaon, Haryana, India
- E-mail: handak@hotmail.com
- Hari Pankaj
- Associate Professor, Division of Nephrology
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: pankajhari@hotmail.com
- Iyengar Arpana
- Associate Professor
- Division of Pediatric Nephrology
- John's Medical College and Hospital
- Bengaluru, Karnataka, India
- E-mail: arpanaiyengar@gmail.com
- Iyer Parvathi U
- Associate Director, Pediatric Intensive Care
- Department of Pediatrics and Congenital Heart Surgery
- Escorts Heart Institute and Research Center
- New Delhi, India
- E-mail: puiyer95@gmail.com
- Jain Peeyush
- Deputy Director, Delhi State AIDS Control Society
- 11 Lancer's Road, Timarpur
- New Delhi, India
- E-mail: peeyushjain@gmail.com
- Jain Puneet
- Center of Advanced Pediatrics
- PGIMER
- Chandigarh, India
- Janakiraman Lalitha
- Senior Consultant, Kanchi Kamakoti Childs Trust Hospital
- Chennai, Tamil Nadu, India
- E-mail: jlalitha54@hotmail.com
- Jayashree M
- Additional Professor, Advanced Pediatric Centre
- Postgraduate Institute of Medical Education and Research
- Chandigarh, Punjab, India
- E-mail: mjshree@hotmail.com
- Jhamb Urmila
- Professor, Department of Pediatrics
- Maulana Azad Medical College
- Delhi, India
- E-mail: ujhamb@hotmail.com
- Kabra SK
- Professor, Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: skkabra@rediffmail.com
- Kapoor S
- Professor of Orthodontics
- Sardar Patel Institute of Dental Sciences
- Lucknow, UP, India
- Khalil Anita
- Former Director Professor, Department of Pediatrics
- Maulana Azad Medical College
- New Delhi, India
- E-mail: anitakhalil@yahoo.com
- Khanna Neena
- Professor, Department of Dermatology
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: neena_aiims@yahoo.co.in
- Khanna Rajeev
- Clinical Assistant
- Pediatric Gastroenterologist and Hepatologist
- Department of Pediatrics, Sir Ganga Ram Hospital
- Rajinder Nagar, New Delhi, India
- E-mail: drrajeev_khanna@rediffmail.com
- Khilnani Praveen
- Senior Consultant
- Pediatric Intensivist and Pulmonologist and Incharge Fellowship Program, Max Hospitals
- Press Enclave
- Saket, New Delhi, India
- E-mail: khilnanip@hotmail.com
- Kler Neelam
- Head and Senior Neonatologist
- Department of Neonatology
- Sir Ganga Ram Hospital
- New Delhi, India
- E-mail neelamkler@hotmail.com
- Krishna Anurag
- Consultant Pediatric Surgeon and Urologist
- Max Institute of Pediatrics and Pediatric Surgery
- Max Super-Specialty Hospital
- New Delhi, India
- E-mail: anurag_krishna@hotmail.com
- Krishnan S
- Assistant Professor, Pediatric Pulmonology
- New York Medical College
- New York, USA
- Kulkarni KP
- Senior Resident, Department of Pediatrics
- Indraprastha Apollo Hospital
- New Delhi, India
- E-email: ketanpkulkarni@gmail.com
- Kumar Arun
- Consultant Neonatal Pediatrician
- Mayday University Hospital
- Croydon, Surrey, United Kingdom
- E-mail: Arun.Kumar@mayday.nhs.uk
- Kumar Girish
- Senior Resident, Pediatric Intensive Care
- Department of Pediatric and Congenital Heart Surgery
- Escorts Heart Institute and Research Center
- New Delhi, India
- E-mail: onegirishdoc@yahoo.co.in
- Kumar Lata
- Former Professor and Head, Advanced Pediatric Center
- PGIMER, and Consultant Pediatrician
- 1543/Sector 38-B
- Chandigarh, Punjab, India
- E-mail: drlatakumar@yahoomail.com
- Kundu Ritabrata
- Professor of Pediatric Medicine, Institute of Child Health
- 11, Dr Biresh Guha Street
- Kolkata, West Bengal, India
- Email: rkundu22@gmail.com
- Lodha Rakesh
- Assistant Professor, Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: rakesh_lodha@hotmail.com
- Mahadevan S
- Professor of Pediatrics
- Jawaharlal Institute of Postgraduate Medical
- Education and Research
- Puducherry, India
- E-mail: smaha1232@rediffmail.com
- Mantan Mukta
- Associate Professor, Department of Pediatrics
- Maulana Azad Medical College and Lok Nayak Hospital
- New Delhi, India
- E-mail: muktamantan@hotmail.com
- Mathew Joseph L
- Associate Professor, Department of Pediatrics
- Postgraduate Institute of Medical Education and Research
- Chandigarh, Punjab, India
- E-mail: jlmathew@rediffmail.com
- Mathur NB
- Professor, Department of Pediatrics
- Maulana Azad Medical College
- New Delhi, India
- E-mail: drmathur@nda.vsnl.net.in
- Mehta Rajesh
- Senior Pediatrician, Department of Pediatrics
- Vardhman Mahavir Medical College and
- Safdarjang Hospital
- New Delhi, India
- E-mail: drrajeshmehta@gmail.com
- Menon PSN
- Consultant and Head, Department of Pediarics
- Jaber Al-Ahmed Armed Forces Hospital, Kuwait
- E-mail: psnmenon@hotmail.com
- Mohan Neelam
- Consultant Pediatric Gastroenterologist, Hepatologist Therapeutic Endoscopist and Liver Transplant Physician
- Centre for Child Health, Sir Ganga Ram Hospital
- New Delhi, India
- Email: drneelam@yahoo.com
- Narang Anil
- Former Professor and Head
- Advanced Pediatric Center, PGIMER and Head Neonatology, Chaitanya Hospital
- Hospital Site 1 and 2, Sector 44 C
- Chandigarh, Punjab, India
- E-mail: anilnarang209@gmail.com
- Narasimhan Ramani
- Senior Consultant, Pediatric Orthopedic Surgeon
- Indraprastha Apollo Hospitals
- New Delhi, India
- E-mail: ramanirn@hotmail.com
- Narayan Sushma
- Chief Medical Officer, Kasturba Hospital
- Municipal Corporation of Delhi
- New Delhi, India
- E-mail: sushmanarayan@hotmail.com
- Natchu UC Mouli
- Senior Resident, Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: nucmouli@hotmail.com
- Patwari AK
- Research Professor
- International Health Center for Global Health and Development, Boston University, USA; and Senior Technical Advisor, MCH- Star Initiative
- Upper Ground 4-9, Mohta Building
- 4, Bhikhaji Cama Palace
- New Delhi, India
- E-mail: akpatwari@gmail.com
- Phadke Kishore
- Professor, Division of Pediatric Nephrology
- St. John's Medical College and Hospital
- Bengaluru, Karnataka, India
- Pooni Puneet A
- Department of Pediatrics
- Dayanand Medical College and Hospital
- Ludhiana, Punjab, India
- E-mail: poonipa@yahoo.com
- Prajapati BS
- Professor, Sheth LG General Hospital
- Smt. NHL Municipal Medical College
- Ahmedabad, Gujarat, India
- E-mail: baldevprajapati55@yahoo.com
- Prakash Anand
- Fellow Pediatric Hemato-Oncology Unit
- Department of Pediatrics, Sir Ganga Ram Hospital
- New Delhi, India
- E-mail: anandprakash94@gmail.com
- Prakash H
- Director-General
- ITS Centre for Dental Studies and Research
- Delhi Meerut Road, Murad Nagar
- Ghaziabad, Uttar Pradesh, India
- E-mail: drhariparkash@yahoo.com
- Prasad Rajniti
- Assistant Professor, Department of Pediatrics
- Institute of Medical Sciences, Banaras Hindu University
- Varanasi, UP, India
- E-mail: rajnitip@gmail.com
- Pundhir Pooja
- Resident, Department of Obstetrics and Gynecology
- Maulana Azad Medical College
- New Delhi, India
- E-mail: pundhirpooja@yahoo.co.in
- Ramji Siddharth
- Professor and Head of the Neonatology Unit
- Department of Pediatrics, Maulana Azad Medical College and Associated Lok Nayak Hospital
- New Delhi, India
- E-mail: siddarthramji@gmail.com
- Ranjit Suchitra
- Consultant, Pediatric Intensive Care
- Apollo Hospital, Greams Road
- Chennai, Tamil Nadu, India
- E-mail: suchitraranjit@yahoo.co.in
- Rasool Seema B
- Research Officer
- Department of Dermatology
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: mercurial72@rediffmail.com
- Ray Mily
- Fellow, Pediatric Cardiology
- Rabindranath Tagore International Institute of Cardiac Sciences
- Kolkata, West Bengal, India
- E-mail: milyray@rediffmail.com
- Rekha Swarna
- Professor
- Department of Pediatrics
- St. John's Medical College Hospital
- Bengaluru, Karnataka, India
- E-mail: srekhabhat74@hotmail.com
- Russell PSS
- Professor of Psychiatry
- Child and Adolescent Psychiatry Unit
- Department of Psychiatry, Christian Medical College
- Vellore, Tamil Nadu, India
- E-mail: russel@cmcvellore.ac.in
- Sabharwal RK
- Senior Consultant, Child Neurology and Epilepsy
- Centre for Child Health, Sir Ganga Ram Hospital
- Rajinder Nagar, New Delhi, India
- E-mail: mukpran@yahoo.com
- Sachdev Anil
- Sr Consultant, Pediatric Pulmonologist
- Bronchoscopist and Intensivist, Department of Pediatrics
- Sir Ganga Ram Hospital, Rajinder Nagar
- New Delhi, India
- E-mail: anilcriticare@hotmail.com
- Sachdev HPS
- Senior Consultant Pediatrics and Clinical Epidemiology
- Sita Ram Bhartia Institute of Science and Research
- B-16, Qutab Institutional Area
- New Delhi, India
- E-mail: hpssachdev@gmail.com
- Sachdeva Anupam
- Head, Pediatric Hematology Oncology and BMT Unit
- Department of Pediatrics, Sir Ganga Ram Hospital
- Rajinder Nagar, New Delhi, India
- E-mail: anupamace@yahoo.com
- Shankar Jhuma
- Assistant Professor, Department of Pediatrics
- Jawaharlal Institute of Postgraduate Medical Education and Research
- Puducherry, India
- E-mail: jhumaji@gmail.com
- Sarthi Manjunatha
- Assistant Professor, Department of Pediatrics
- SS Institute of Medical Sciences and Research Center
- Jnanashankara, Davangere, Karnataka, India
- Sawhney Sujata
- Consultant Pediatric Rheumatologist
- Department of Pediatrics, Sir Ganga Ram Hospital
- Rajinder Nagar, New Delhi, India
- E-mail: sujatasawhney@vsnl.net
- Saxena Anita
- Professor, Department of Cardiology
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: anitasaxena@hotmail.com
- Seth Anjali
- Consultant Pediatrician, Gouri Hospital
- Delhi, India
- E-mail: tarun256@rediffmail.com
- Seth Tulika
- Assistant Professor, Department of Hematology
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: drtulikaseth@gmail.com
- Sethi GR
- Professor of Pediatrics, Maulana Azad Medical College
- New Delhi, India
- E-mail: grsethi56@gmail.com
- Shah Dheeraj
- Associate Professor, Department of Pediatrics
- University College of Medical Sciences
- Delhi, India
- E-mail: shahdheeraj@hotmail.com
- Shah Nitin
- Consultant Pediatrician, PD Hinduja National Hospital
- Mumbai, Maharashtra, India
- E-mail: drnitinshah@gmail.com
- Sharma Sunil Dutt
- Fellow, PICU, Department of Pediatrics
- Sir Ganga Ram Hospital
- Rajinder Nagar, New Delhi, India
- E-mail: sdshhrma_11@rediffmail.com
- Shenoi Arvind
- Consultant Neonatologist, Head
- Department of Pediatrics
- Manipal Hospital, 98, Airport Road
- Bengaluru, Karnataka, India
- E-mail: arvind.shenoi@gmail.com
- Singh Daljit
- Professor and Head, Department of Pediatrics
- Dayanand Medical College and Hospital
- Ludhiana, Punjab, India
- E-mail: utaaldrdaljit@rediffmail.com
- Singh Jaideep
- Neonatal Research Fellow
- James Cook University Hospital
- Middlesbrough, UK
- E-mail: meenusingh4@rediffmail.com
- Singh Meenu
- Additional Professor and Chief
- Pediatric Pulmonology, Advanced Pediatric Center
- Postgraduate Institute of Medical Education and Research
- Chandigarh, Punjab, India
- E-mail: meenusingh4@rediffmail.com
- Singh Sukhmeet
- Consultant Pediatrician
- Guru Nanak Hospital
- Ludhiana, Punjab, India
- E-mail: sssukhmeet@yahoo.com
- Singh Utpal Kant
- Consultant Pediatrician and Associate Professor
- Department of Pediatrics, Nalanda Medical College
- Patna, Bihar, India
- E-mail: utpalkant.singh@yahoo.co.in
- Singh Varinder
- Professor, Department of Pediatrics
- Lady Hardinge Medical College and
- Kalawati Saran Children's Hospital
- New Delhi, India
- E-mail: 4vsingh@gmail.com
- Singhal Nitesh
- Consultant Pediatric Intensivist, MAX Balaji Hospital
- IP Extension
- New Delhi, India
- E-mail: nitesh2379@rediffmail.com
- Singhi Pratibha
- Professor and Chief
- Pediatric Neurology and Neurodevelopment
- Postgraduate Institute of Medical Education and Research
- Chandigarh, Punjab, India
- E-mail: pratibhasinghi@yahoo.com
- Singhi Sunit
- Professor and Head, Department of Pediatrics
- Chief, Pediatric Emergency and Intensive Care
- Advanced Pediatric Centre
- Postgraduate Institute of Medical Education and Research
- Sector 12, Chandigarh, Punjab, India
- E-mail: sunit.singhi@gmail.com
- Sinha Aditi
- Senior Research Associate, Division of Nephrology
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Sinha Sunil
- Professor of Pediatric and Neonatal Medicine
- James Cook University Hospital
- Middlesbrough TS4 3BW, UK
- E-mail: Sunil.Sinha@stees.nhs.uk
- Soni Arun
- Consultant Neonatologist, Department of Neonatology
- Sir Ganga Ram Hospital
- Rajinder Nagar, New Delhi, India
- E-mail: Arun00soni@yahoo.com
- Srinivas Murki
- Consultant Neonatologist, Fernandez Hospital
- Hyderabad, Andhra Pradesh, India
- E-mail: srinivas_murki2001@yahoo.com
- Srivastava Anshu
- Assistant Professor
- Department of Pediatric Gastroenterology
- Sanjay Gandhi Postgraduate Institute of Medical Sciences
- Lucknow, UP, India
- E-mail: avanianshu@yahoo.com
- Tandon Radhika
- Professor of Ophthalmology
- Dr RP Centre for Ophthalmic Sciences
- All India Institute of Medical Sciences
- New Delhi, India
- E-mail: radhika_tan@yahoo.com
- Taneja Vikas
- Fellow Pediatric Critical Care Council (ISCCM)
- Senior Consultant, Pediatrics
- Columbia Asia Hospital, Palam Vihar
- Gurgaon, Haryana, India
- E-mail: drvikastaneja@yahoo.co.in
- Tapan Kumar Ghosh
- Scientific Coordinator
- Institute of Child Health
- Kolkata, West Bengal, India
- Thavaraj V
- Dy. Director General, Senior Grade
- Indian Council of Medical Research
- Ansari Nagar, New Delhi, India
- E-mail: sowmyam.vasantha@gmail.com
- Tripathi Rewa
- Professor, Department of Obstetrics and Gynecology
- Maulana Azad Medical College
- New Delhi, India
- E-mail: rewatripathi@hotmail.com
- Udani Soonu
- Pediatric Intensivist, Section Head, Pediatrics
- PD Hinduja Hospital
- Mumbai, Maharashtra, India
- E-mail: drsudani@gmail.com
- Upadhyay Amit
- Head, Department of Pediatrics
- LLRM Medical College
- Meerut, UP, India
- E-mail: anuamit7@rediffmail.com
- Vasudevan Anil
- Assistant Professor
- Division of Pediatric Nephrology
- St. John's Medical College and Hospital
- Bengaluru, Karnataka, India
- E-mail: anilvasu@hotmail.com
- Vaswani Jyotsna K
- Formerly Senior Resident, Department of Pediatrics
- Maulana Azad Medical College
- New Delhi, India
- E-mail: drvaswani@rediffmail.com
- Verma Mahesh
- Director Principal, Institute of Dental Sciences
- Maulana Azad Medical College Complex
- New Delhi, India
- Vijayasekaran D
- Assistant Professor and Civil Surgeon
- Department of Pulmonology
- Institute of Child Health and Hospital for Children
- Chennai, Tamil Nadu, India;
- and Consultant Pulmonologist
- Kanchi Kamakoti Child's Trust Hospital
- Chennai, Tamil Nadu, India
- E-mail: vijsekar@hotmail.com
- Virmani Anju
- Consultant, Pediatric Endocrinologist
- Indraprastha Apollo/MAX/Sunder Lal Jain Hospitals
- New Delhi, India
- E-mail: virmani.anju@gmail.com
- Yachha Surender K
- Professor, Department of Pediatric Gasteroenterology
- Sanjay Gandhi Postgraduate Institute of Medical Sciences
- Lucknow, UP, India
- E-mail: skyachha@sgipgi.ac.in
- Yadav Satya P
- Consultant Pediatric Hemato-Oncology Unit
- Department of Pediatics, Sir Ganga Ram Hospital
- New Delhi, India
The subspecialty of Pediatric and Neonatal Emergencies has seen tremendous growth in the last few years. This is one field where the treating physician is running against time. The timely treatment is vital for intact survival of sufferers.
The Indian Pediatrics Book Principles of Pediatric and Neonatal Emergencies has addressed this issue very well in its last two issues. There is a need to improve the understanding about the very basic behind handling these emergencies. The third edition of this book published by Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India has included recent developments in this field.
Contributors of this book are well-known experts from respective subspecialties and from various parts of our country. Editor-in-Chief, Dr Panna Choudhury, has done a great job in putting together all articles in a common editorial style. I congratulate other editors Dr Arvind Bagga, Dr Krishan Chugh, Dr Siddarth Ramji and Dr Piyush Gupta also in bringing out this book which covers all aspects of emergency pediatrics. There is a good combination of evidence and experience in dealing with all topics included in this book.
The book is written to be relevant to the needs of the hour. It is reasonably detailed and is a good blend of latest developments in the management approach in various pediatric and neonatal emergencies within the constraints of resources and equipment faced at most of the places.
I am sure this book will fulfill all needs of both, the practicing pediatricians and postgraduate students in dealing with emergencies.
Deepak Ugra md
Consultant Pediatrician
Lilavati Hospital and Research Centre, Mumbai
15Preface to the Third Edition
We are happy to present the third edition of Principles of Pediatric and Neonatal Emergencies. The present edition continues with its tradition of serving the needs of physicians involved in the immediate care of children and neonates with life-threatening illnesses. The book has been extensively revised and updated, to reflect the current standards of emergency care relevant to the needs of pediatricians working in developing countries.
This book continues to have the privilege of scholarly writings from illustrious authors, across the country. We welcome several new colleagues and express gratitude for their contributions to this edition. A number of chapters have been completely rewritten, including those on hematological disorders, upper gastrointestinal bleeding, neonatal surgical disorders, and ophthalmologic emergencies. Inputs from consensus and expert statements of the Academy have been incorporated for management of malaria and severe malnutrition. The emphasis continues to be on presenting management of common and important emergencies affecting children. Detailed discussions on pathophysiology have been avoided.
We hope that this text shall continue to serve the needs of pediatricians, physicians, resident doctors, other trainees and be a part of all pediatric emergency units. As before, all the royalties generated from the sale of the book shall pass onto the journal, Indian Pediatrics.
Finally, we thank Mr RG Bhardwaj and Ms Veena Arora for secretarial assistance and are grateful to M/s Jaypee Brothers Medical Publishers (P) Ltd., New Delhi, India for their guidance and expeditious publication.
Panna Chaudhury
Arvind Bagga
Krishan Chugh
Siddharth Ramji
Piyush Gupta
New Delhi
17Preface to the First Edition
For the practitioners of pediatric care, emergencies in children and neonates are an inescapable fact in their daily routine. Better understanding of pathophysiology and drug metabolism and availability of newer investigative and diagnostic facilities have led to the creation of new frontiers in this important subject. Prompt recognition and appropriate management of these emergencies make the difference between life and death. A variety of traditional western textbooks provide information on this topic. However, this updated knowledge is often not relevant for the developing world situation.
Inspired by the success of its earlier venture titled Pediatric and Neonatal Emergencies, Indian Pediatrics—the official journal of the Indian Academy of Pediatrics, took up the formidable challenge of providing comprehensive state-of-the-art information on the subject which would also be pertinent in the Indian milieu. The present publication has been extensively updated and enlarged from the earlier experiment which now appears like a distant cousin. Guidelines have also been incorporated for organization of pediatric intensive care units.
We are indebted to the group of distinguished contributors who promptly responded to our call, despite constraints of their busy schedules.
This volume is intended for pediatricians and physicians sharing initial contact with emergencies in children and neonates as well as those responsible for the subsequent critical and intensive care. Postgraduate students should find it of particular help. The book should also prove invaluable for all current and intended pediatric emergency care units.
The editors share of financial benefits from the royalties would accrue to the Indian Pediatrics in an attempt to make the journal self-sufficient. We are grateful to the publishers for ensuring the high quality of the book as well as its expeditious publication.
This volume is dedicated to the memory of late Dr Man Mohan, an active associate in the earlier venture.
HPS Sachdev
RK Puri
A Bagga
P Choudhury
New Delhi
February, 1994