Manual for Night-Time Emergencies for Pediatric Hematology-Oncology Fellows-Should We Chat (Sep 19, 2024)_(1032749636)_(CRC Press).pdf

Being on call as a pediatric resident or a pediatric hematology-oncology fellow can cause great anxiety. In addition to the relatively common patient with chemotherapy-related fever and neutropenia, there is the anticipation of problems that a trainee may have read about but not yet actually seen - the adolescent newly presenting with a white blood cell count of 600,000/mm3, the 2 year old spitting up blood with a platelet count of 2,000/ mm3 and a hemoglobin of 5g/dL, the child who comes to the ER with difficulty walking and is found to have a paraspinal mass on MRI. Most issues can wait until the next day when more senior practitioners are around, but some are true medical emergencies and just can't. This manual is intended as a one-stop solution for such frantic moments - a quick resource to bridge the hours between the start of night call and morning rounds that focuses on what needs to be done immediately to avoid hurting a patient. It offers succinct guidelines and algorithms to address the emergencies most likely to come up overnight. For those tempted to turn to AI for quick solutions, there are some salutary lessons from responses AI has given when asked about such emergencies. Cover Half Title Title Page Copyright Page Table of Contents Preface Acknowledgments Contributors Abbreviations Note Part I: Oncology Chapter 1: High White Blood Cell (WBC) Count Bibliography What ChatGPT Says Algorithm: High White Blood Cell (WBC) Count Chapter 2: Mediastinal Mass/Superior Vena Cava (SVC) Syndrome Bibliography What ChatGTP Says Mediastinal Mass SVC Syndrome Algorithm: Mediastinal Mass/Superior Vena Cava (SVC) Syndrome Chapter 3: Spinal/Paraspinal Mass Bibliography What ChatGPT Says Algorithm: Spinal/Paraspinal Mass Chapter 4: Massive Hepatomegaly Bibliography What ChatGPT Says Algorithm: Massive Hepatomegaly Chapter 5: Tumor Lysis Syndrome (TLS)/Metabolic Abnormalities Bibliography What ChatGPT Says Algorithm: Tumor Lysis Syndrome (TLS)/Metabolic Abnormalities Chapter 6: Differentiation Syndrome or Retinoic Acid Syndrome Bibliography What ChatGPT Says Algorithm: Differentiation Syndrome or Retinoic Acid Syndrome Chapter 7: Fever in High-Risk Populations Bibliography What ChatGPT Says Algorithm: Fever in High-Risk Populations (A) Algorithm: Fever in High-Risk Populations (B) Chapter 8: Typhlitis Bibliography What ChatGPT Says Algorithm: Typhlitis Chapter 9: Methotrexate Toxicity Bibliography What ChatGPT Says Algorithm Chapter 10: Posterior Reversible Encephalopathy Syndrome (PRES) Bibliography What ChatGPT Says Algorithm: Posterior Reversible Encephalopathy Syndrome (PRES) Part II: Hematology Chapter 11: Severe Anemia Bibliography What ChatGPT Says Algorithm: Severe Anemia Chapter 12: Hemolytic Anemia (HA) Bibliography What ChatGPT Says Algorithm: Hemolytic Anemia Chapter 13: Thrombotic Microangiopathy (TMA) Bibliography What Chat GPT Says Algorithm: Thrombotic Microangiopathy (TMA) Chapter 14: Transfusion Emergencies Bibliography What ChatGPT Says Algorithm: Transfusion Emergencies Chapter 15: Sickle Cell Emergencies Bibliography What ChatGPT Says Algorithm: Sickle Cell Emergencies (see Anemia, Hemolytic Anemia) Chapter 16: Acute Chest Syndrome What ChatGPT Says Algorithm: see Chapter 15 Chapter 17: Aplastic Crisis in SCD What ChatGPT Says Algorithm: see Chapter 15 Chapter 18: Hemolytic Crisis in SCD What ChatGPT Says Algorithm: see Chapter 15 Chapter 19: Pain or Vaso-occlusive Crisis in SCD What ChatGPT Says Algorithm: see Chapter 15 Chapter 20: Priapism in SCD What ChatGPT Says Algorithm: see Chapter 15 Chapter 21: Splenic Sequestration in SCD What ChatGPT Says Algorithm: see Chapter 15 Chapter 22: Stroke in SCD What ChatGPT Says Algorithm: see Chapter 15 Chapter 23: Deep Venous Thrombosis (DVT)/Central Venous Thrombosis Bibliography What ChatGPT Says Algorithm: Deep Venous Thrombosis (DVT)/Central Venous Thrombosis Chapter 24: Pulmonary Embolus (PE) Bibliography What ChatGPT Says Algorithm: Pulmonary Embolus (PE) Chapter 25: Arterial Thrombosis What ChatGPT Says Algorithm: Arterial Thrombosis Chapter 26: Arterial (Acute Ischemic) Stroke Bibliography What ChatGPT Says Algorithm Chapter 27: Heparin Induced Thrombocytopenia (HIT) Bibliography What ChatGPT Says Algorithm: Heparin Induced Thrombocytopenia (HIT) Chapter 28: Bleeding Emergencies Bibliography What ChatGPT Says Algorithm: Bleeding Emergencies Chapter 29: Thrombocytopenia With/Without Bleeding Bibliography What ChatGPT Says Algorithm: Thrombocytopenia With or Without Bleeding Chapter 30: Hemophilia Bibliography What ChatGPT Says Algorithm: Hemophilia Chapter 31: Von Willebrand Disease (VWD) Bibliography What ChatGPT Says Algorithm: VWD and Other Factor Deficiencies Chapter 32: Vitamin K Deficiency What ChatGPT Says Algorithm: see chapter 31 Chapter 33: Other Factor Deficiencies Bibliography What ChatGPT Says Algorithm: see chapter 31 Chapter 34: Neonatal Hematologic Emergencies Bibliography What ChatGPT Says Algorithm: see Massive Hepatomegaly, Hemolytic Anemia, Arterial Strokes, Vitamin K Deficiency, and Other Factor Deficiencies Chapter 35: COVID-19 and Hematologic Emergencies Bibliography What ChatGPT Says Algorithm: COVID and Hematologic Emergencies Chapter 36: Hemophagocytic Lympho-Histiocytosis (HLH) Bibliography What ChatGPT Says Algorithm: Hemophagocytic Lympho-Histiocytosis (HLH) Part III: Vascular Anomalies Bibliography Chapter 37: Pain in Vascular Anomalies What ChatGPT Says Algorithm: Pain in Vascular Anomalies Chapter 38: Cellulitis vs. Inflammation in Vascular Anomalies What ChatGPT Says Chapter 39: Effusions with/without Organ Failure in Vascular Anomalies What ChatGPT Says Algorithm: Effusions with/without Organ Failure Chapter 40: Pulmonary Embolus in Patients with Vascular Malformations What ChatGPT Says Algorithm chapter 24 Chapter 41: Kasabach–Merritt Phenomenon in Vascular Anomalies What ChatGPT Says Algorithm: Kasabach–Merritt Phenomenon Part IV: General Chapter 42: Managing Symptoms at the End of Life Bibliography What ChatGPT Says Algorithm: Managing Symptoms at the End of Life Chapter 43: What To Do When a Patient Dies Bibliography What ChatGPT Says Chapter 44: What ChatGPT Has to Say: Postscript Index