Cases in Paediatric Critical Care Transfer and Retrieval Medicine

1. Models of care Shelley Riphagen; 2. Logistics and organisation Shelley Riphagen and Karen Starkie; 3. Air retrieval Karen Starkie; 4. Improving team performance Shelley Riphagen and Karen Starkie; 5. I like children, but I don't fancy intubating one Rumiko King and Joanne Perkins; 6. Upper airway obstruction Gareth Waters and Andrew Nyman; 7. Just Bronchiolitis? Sam Fosker and Shelley Riphagen; 8. Foreign body aspiration Alexander Hall and Andrew Nyman; 9. A child with facial swelling Michael Carter and Shelley Riphagen; 10. Pneumonia & empyema Elizabeth Daisy Dunn and Marilyn McDougall; 11. The child with a cough and concerning white cell count Jo Dyer and Maja Pavcnik; 12. Worsening stridor, to intubate ... or not to intubate Joanna Davies and Shelley Riphagen; 13. Difficult asthma Christopher Hands and Andrew Nyman; 14. Transfer of child with pulmonary hypertension Kenneth MacGruer and Alison Pienaar; 15. A blue baby Joanna Davies and Shelley Riphagen; 16. A Shocked blue baby who won't improve Jenny Budd and Shelley Riphagen; 17. Under a spell Catia Pinto and Miriam Fine-Goulden; 18. A decline in function Shelley Riphagen; 19. Rash, tachycardia and irritability Shelley Riphagen; 20. Is the baby's heart rate supposed to be slower than mine? Olga Van Der Woude and Shelley Riphagen; 21. A pale lethargic girl Maria Gual Sanchez and Shelley Riphagen; 22. Too fast for comfort Sarah Hardwick and Miriam Fine-Goulden; 23. Chickenpox and other bugs Michelle Alisio and Marilyn McDougall; 24. When amoxicillin just doesn't cover it Michael Carter and Marilyn McDougall; 25. Tumour lysis Jo Dyer and Shelley Riphagen; 26. Respiratory insufficiency on maximal support: Is that it? Federico Minen and Jon Lillie; 27. Cardiac arrest Abi Whitehouse and Jon Lillie; 28. A neurosurgical emergency Livia Procopiuc and Alison Pienaar; 29. A fall from height Caroline Smith, Sam Fosker and Shelley Riphagen; 30. Brain against the clock Sam Fosker; 31. When vomiting becomes blood Anna Canet Carres and Shelley Riphagen; 32. Bilious vomiting and distended abdomen? Let's find a surgeon Xabier Freire Gomez and Alison Pienaar; 33. What can't go down, must come up Emily Cadman and Alison Pienaar; 34. Not all burns can be seen Alex Williams and Ariane Annicq; 35. Drowning and organ donation Emma Prower and Joanne Perkins; 36. The cold shocked child Sam Fosker and Shelley Riphagen; 37. Encephalopathy Fiona Bickell and Shelley Riphagen; 38. Adolescent Psychosis and Seizures - infection, ingestion or encephalitis? Sasha Herring and Marilyn McDougall; 39. The Collapsed neonate Ain Satar and Shelley Riphagen; 40. A floppy breathless child Sam Fosker and Shelley Riphagen; 41. Fever in the times of COVID-19 (SARV-CoV2) Marilyn McDougall; 42. A palliative care transfer home Miriam Fine-Goulden and Joa Laddie; 43. A story that just doesn't add up Emma Smith and Shelley Riphagen; 44. Multidrug overdose - a practical guide to stabilisation and transfer Nav Somasinghe and Joanne Perkins; 45. Death is a possible outcome Dawn Knight and Shelley Riphagen; 46. Cold unconscious 12 year old girl Louisa Brock and Marilyn McDougall; 47. Another collapsed neonate Hannah Hayden and Maja Pavcnik; 48. The challenges of chemotherapy Heather Burnett and Maja Pavcnik; 49. Diarrhoea and vomiting Georgina Humble and Shelley Riphagen; 50. A life-threatening sickle cell crisis Juan Ramon Valle Ortiz and Shelley Riphagen; 51. A baby with acute liver failure Marilyn McDougall; 52. Air transport of a critically ill baby Joanna Davies and Shelley Riphagen; 53. Crew resource management Sam Fosker; 54. Chest drain insertion Marilyn McDougall; 55. Paediatric airway clearance for acute management on retrieval Rosalie Summers; 56. Use of ultrasound for paediatric retrieval Ariane Annicq; 57. Vasoactive drugs on retrieval Benedict Griffiths.

"Learning from personal and from other's experience is a fundamental learning tool in medicine. The aim of this book is to use challenging cases in the management of critically ill children, from presentation to transfer and admission to PICU to identifykey learning from others' experience. It provides an opportunity to participate in the resuscitation, stabilisation and transfer virtually, without the stress associated with having the critically ill child and distressed family in front of you. It provides an opportunity to consider how you would have done things, perhaps differently, and review what was done. It has the benefit of seeing the case through from start to finish, so that personal management strategies applied can be reviewed without impactto the child. It also gives opportunity to learn from the good practice or insight of others and to take this learning forward, to ensure that the next child with similar presentation has the best outcome"—

Author Information

Shelley Riphagen is a trained paediatric intensivist and clinical lead for the South Thames Retrieval Service, integrated within the Paediatric Intensive Care Unit at the Evelina London Children's Hospital in London. Samuel Fosker is an anaesthetic trainee with an interest in pre-hospital and retrieval medicine and currently undertaking a clinical fellow role at the Evelina Children's Hospital and South Thames Retrieval Service in London. He is also a Fellow of the Academy of Wilderness Medicine.