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Practicing without “Evidence” For Practicing Pediatricians, Neonatologist & Junior Doctors

Author Name: Dr. Aloke V.R | Format: Paperback | Genre : Educational & Professional | Other Details

This book is not a traditional textbook where you can find topic wise discussions. It is mainly intended for practicing neonatologist, pediatricians and junior doctors who may find many obstacles in their daily practice. The author hopes to shed some light on problems with rational explanations. Some new concepts are discussed which need wider discussions by the readers. Also, sharing views on some challenging time-tested concepts are worth reading and criticizing. Those who are compiling PALS guidelines need to look into the arguments. This book encourages you to think out of the box. There is too much emphasis on evidence-based practice, because of which clinical skills, observations and common sense are discarded. Is too much evidence-based funda strangling the progress of Clinical Medicine?

The following are a few of the topics discussed in this book:

• Why the existing PALS guidelines need rethinking?
• Is subtle shock the hidden monster in brain damage?
• Vitamin D deficiency and its rainbow of manifestations.
• Is ‘allergy’ a scrape goat diagnosis?
• Microanalysis of Pediatric Cardiac Arrhythmia during sepsis-shock induced cardiac arrest.
• New concepts of ‘Tissue level Hypoglycemia’ and ‘Resuscitation Blind Spot.’
• New modalities of treating breath-holding spells, constipation, persistent vomiting, chronic abdominal pain, persistent loss of appetite, speech delay, very early autism and developmental delay.
• Importance of identifying weird manifestations and treatment of subclinical and clinical URTI.
• Pitfalls in the management of developmental delay and seizure.
• Concept of ‘in-utero-sepsis-shock-sequence’ and developmental delay.
• Many more exciting topics await the reader in the 38 chapters.

Paperback 399

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Dr. Aloke V.R

Dr. ALOKE V.R. DCH, MD (Ped), DM (Neonatology), is an eminent intensivist in Neonatology and Pediatrics, working as Consultant and Managing Director at NYLE Women’s and Children’s Super Specialty Hospital in Thrissur, Kerala, India. He did his MBBS and MD from Government Medical College, Thiruvananthapuram, and DM in Neonatology from Seth GS Medical College and KEM Hospital, Mumbai. He also took training from KKH Hospital, Singapore. He has 15 years of experience in Neonatology and Pediatric Critical Care and has set up 6 NICUs in Kerala.

This book is the fruit of his relentless passion to provide a better service to his patients. Here, he questions many existing protocols. The most important one among these being the challenge he has raised against the PALS guidelines on resuscitation, which if proved correct can affect thousands and thousands of lives. In the area of the relationship of shock and brain damage also there will be enormous consequences. He also highlighted the hidden properties of vitamin D in clinical practice. This book is his maiden venture and encourages other clinicians to express their experiences and methods through the medium of books. He believes that a gold mine of knowledge is hidden within every clinician for want of opportunities to express their views.

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