Kundan Mittal
Professor Head of Unit IV and I/C Respiratory Clinic (Paediatric Emergency and Intensive Care Unit) Pandit Bhagwat Dayal Sharma Postgraduate Institute of Medical Sciences
Rohtak, Haryana, India
Published by
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Identification, Assessment, Stabilization and Transport (IAST) Manual for Acutely Ill Children
© 2010, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
First Edition: 2010
9788184488272
Typeset at JPBMP typesetting unit
Printed at Ajanta Press
5Dedicated to
Dr. S.S. Sangwan MS, DNB, FICS, IAMS Vice Chancellor | D.O. No. UHSR/09/ Date |
MESSAGE
Childhood mortality is still a big concern in India. Most of our health care service facilities are urban oriented. Number of children die because of lack of basic knowledge and skills of the health care providers especially working in rural areas. Most of the doctors and paramedics are not well trained in Basic Life Support and Communication Skills. The specialized care may not be possible at all level. Dr. Kundan Mittal, Professor of Paediatric Medicine has brought this manual which deals with basic needs of primary health care providers who are critically sick and injured children. This manual has given a special emphasis on Effective Communication Skills of Doctor-Patient relationship. I wish this manual will help in improving the skills of the Primary Health Care Providers and will bring down the childhood mortality. I wish him a great success in his life.
Dr. S.S. Sangwan
Dr. Chand S. Dhull MS, FIAO, DCEH (London) Director | DO No. spl/I Date 22.7.2009 |
MESSAGE
Children are future of any Nation. No country can prosperous without healthy population. Childhood mortality is still an important concern in developing countries. Though, health care facilities are growing but still it is not possible to provide health care by specialist at peripheral centres. So, most of the sick children are attended by MBBS doctors and paramedical staff. These health care professionals need to be updated in handling the critically sick/injured children. It is beyond doubt that children have different needs.
Keeping in view the need of primary health care providers. Dr. Kundan Mittal, Professor in Pediatric Department at PGIMS, Rohtak has developed IAST manual for primary health care providers which will help in building their skills and knowledge. He has also highlighted the issue of effective communication skills for doctors. I wish the efforts put in by Prof. Kundan Mittal may be useful for better management of the sick children at primary care level.
Dr. CS Dhull
Ref. No. ………… | Date ………… |
MESSAGE
Specialist services are still dream in peripheral areas of the State. Children constitute the 40% of total population and number of children die before reaching to Hospital/Specialist. An effort has been made by Dr. Kundan Mittal, Professor in Pediatric Department to enhance the knowledge and skills of primary health care providers, who deal with acutely ill children through IAST manual. This manual gives brief introduction regarding identification, communication skills' between doctor patient has also been highlighted. These efforts will go long way in decreasing the childhood morbidity and mortality.
Dr. VK Jain
13Preface
Children are future of nation. The status of children has not improved much till date. Many of the children die before second birthday. Majority of population still live in rural areas. The health infrastructure is mainly urban centred. The heath care facilities in rural areas are either not present or inadequate to meet the demand. The primary health centres are also not well equipped. The primary health care providers are not trained to handle the critically ill/injured children. Identification, assessment, stabilization and transport (IAST) manual for acutely ill children have been developed to handle the sick/injured children by primary health care providers within the existing infrastructure so that childhood morbidity and mortality can be brought down. The manual also discusses the issue related to neonatal resuscitation. A special emphasis has also been made on “effective communication skills” between primary health care provider and patient. Attempt has been made to enhance the knowledge and basic skills of primary health care providers who care for sick or injured children. We hope these efforts will improve the outcome of critically ill or injured children.
Kundan Mittal