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CHILDREN WITH BREATHING DIFFICULTIES
Monica Lakhanpaul and collaborators, present a thoroughly researched and comprehensive guideline on the management of children who present with acute breathing difficulty. This is a very broad subject and the guideline itself (which spans some four charts covering acute breathing difficulty, stridor/stertor. Wheeze and cough) is large. As the authors point out, children with illness are a significant and increasing burden on Emergency Departments and breathing difficulty is a common presentation; these children are seen and assessed most frequently by relatively inexperienced doctors. This guideline, suitably modified for implementation locally, may help both the junior doctors and thereby the children. See page 850
CHEST PAIN AGAIN
Despite cardiac sounding chest pain being one of the most common presenting conditions in western Emergency Departments and despite a great deal of published primary and secondary research, it is still difficult to undertake …
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