A decade after Wrenn and Slovis gave us the ‘Ten Commandments of Emergency Medicine‘, Timothy Givens proposed the following ‘Ten Commandments of Pediatric Emergency Medicine’ to supplement the originals:
- Children are not small adults
— anatomy, physiology, cognition and emotion varies with age
- Ill and injured children regress
— the sick teenager may act like a toddler, give them time and space.
- The “patient” might be the one holding the child
- Kids are the real deal
— In the majority of cases, their symptoms are real and not factitious.
- Laboratory tests and X-rays seldom beat a good history and physical examination
— investigations are rarely needed
- Many hands make light work
— get help with procedures: do it right, do it once.
- Check and double-check. then, check again
— especially drug doses
- Children feel pain just like you do — treat it
- Close the loop
— Follow-up care is the cornerstone of pediatric care
- Above all, you are the child’s advocate
- Givens T. The Ten Commandments of Pediatric Emergency Medicine. J Emerg Med. 2004 Aug;27(2):193-4.
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