Pediatric clinics of North America
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New techniques for meeting the special metabolic requirements of the pediatric patient and the specific nutritional needs created by different disease states have become available both in enteral feeding and parenteral nutrition. Assessment of nutritional status and requirements of critically ill children are outlined, and the indications, techniques of administration, and complications of the available nutritional modalities are discussed.
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This article discusses the role of the pediatric emergency transport system as an outreach modality of the pediatric intensive care unit. Most of the discussion focuses on the Denver model.
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The successful management of acute bleeding depends on the ability to make a rapid diagnosis so that specific hemostatic therapy can be used whenever possible. Three kinds of manifestations--acute hemorrhage in a child with a known or suspected hereditary bleeding disorder; the bleeding tendency that occurs secondary to a specific disease process; and an unexpected and isolated episode in an otherwise well child--are discussed.