Practicing without Evidence

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.