,Fleisher & Ludwig’s
Textbook of Pediatric
Emergency Medicine
Eighth Edition
Senior Editors
Kathy N. Shaw, MD, MSCE
Professor and Associate Chair
Department of Pediatrics
Perelman School of Medicine at the University of Pennsylvania
The Nicholas Crognale Endowed Chair in Emergency Medicine
The Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
Richard G. Bachur, MD
Chief, Division of Emergency Medicine
Professor of Pediatrics and Emergency Medicine
Department of Pediatrics
Division of Emergency Medicine
Boston Children’s Hospital/Harvard Medical School
Boston, Massachusetts
Associate Editors
James M. Chamberlain, MD
Division Chief
Department of Emergency Medicine
Children’s National Hospital
Professor of Pediatrics and Emergency Medicine
George Washington University School of Medicine and Health
Sciences
Washington, DC
,Jane Lavelle, MD
Associate Professor of Pediatrics
Department of Pediatrics
Perelman School of Medicine at the University of Pennsylvania
Medical Director, Associate Division Chief Emergency Medicine
Medical Director, Pathway Program
Office of Continuous Quality Improvement
The Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
Joshua Nagler, MD, MHPEd
Associate Division Chief and Fellowship Director/Associate Professor
of Pediatrics and Emergency Medicine
Division of Emergency Medicine/Department of Pediatrics
Boston Children’s Hospital/Harvard Medical School
Boston, Massachusetts
Joan E. Shook, MD
Professor
Department of Pediatrics
Baylor College of Medicine
Chief Safety Officer and Chief Clinical Information Officer
Texas Children’s Hospital
Houston, Texas
, Executive Editor: Sharon Zinner
Senior Development Editor: Ashley Fischer
Editorial Coordinator: Chester Anthony Gonzalez
Editorial Assistant: Brian Convery
Marketing Manager: Phyllis Hitner
Production Project Manager: Catherine Ott
Design Coordinator: Joseph Clark
Manufacturing Coordinator: Margie Orzech-Zeranko
Prepress Vendor: Aptara, Inc.
Eighth Edition
Copyright © 2021 Wolters Kluwer.
Copyright © 2016 Wolters Kluwer Health. Copyright © 2010 by LIPPINCOTT
WILLIAMS & WILKINS, a WOLTERS KLUWER business. All rights reserved. This
book is protected by copyright. No part of this book may be reproduced or
transmitted in any form or by any means, including as photocopies or scanned-in
or other electronic copies, or utilized by any information storage and retrieval
system without written permission from the copyright owner, except for brief
quotations embodied in critical articles and reviews. Materials appearing in this
book prepared by individuals as part of their official duties as U.S. government
employees are not covered by the above-mentioned copyright. To request
permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market
Street, Philadelphia, PA 19103, via email at , or via our
website at shop.lww.com (products and services).
987654321
Printed in China
Library of Congress Cataloging-in-Publication Data
Names: Shaw, Kathy N., editor. | Bachur, Richard G., editor.
Title: Fleisher & Ludwig’s textbook of pediatric emergency medicine / senior
editors, Kathy N. Shaw, Richard G. Bachur; associate editors, James M.
Chamberlain, Jane Lavelle, Joshua Nagler, Joan E. Shook.
Other titles: Fleisher and Ludwig’s textbook of pediatric emergency
medicine
Textbook of Pediatric
Emergency Medicine
Eighth Edition
Senior Editors
Kathy N. Shaw, MD, MSCE
Professor and Associate Chair
Department of Pediatrics
Perelman School of Medicine at the University of Pennsylvania
The Nicholas Crognale Endowed Chair in Emergency Medicine
The Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
Richard G. Bachur, MD
Chief, Division of Emergency Medicine
Professor of Pediatrics and Emergency Medicine
Department of Pediatrics
Division of Emergency Medicine
Boston Children’s Hospital/Harvard Medical School
Boston, Massachusetts
Associate Editors
James M. Chamberlain, MD
Division Chief
Department of Emergency Medicine
Children’s National Hospital
Professor of Pediatrics and Emergency Medicine
George Washington University School of Medicine and Health
Sciences
Washington, DC
,Jane Lavelle, MD
Associate Professor of Pediatrics
Department of Pediatrics
Perelman School of Medicine at the University of Pennsylvania
Medical Director, Associate Division Chief Emergency Medicine
Medical Director, Pathway Program
Office of Continuous Quality Improvement
The Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
Joshua Nagler, MD, MHPEd
Associate Division Chief and Fellowship Director/Associate Professor
of Pediatrics and Emergency Medicine
Division of Emergency Medicine/Department of Pediatrics
Boston Children’s Hospital/Harvard Medical School
Boston, Massachusetts
Joan E. Shook, MD
Professor
Department of Pediatrics
Baylor College of Medicine
Chief Safety Officer and Chief Clinical Information Officer
Texas Children’s Hospital
Houston, Texas
, Executive Editor: Sharon Zinner
Senior Development Editor: Ashley Fischer
Editorial Coordinator: Chester Anthony Gonzalez
Editorial Assistant: Brian Convery
Marketing Manager: Phyllis Hitner
Production Project Manager: Catherine Ott
Design Coordinator: Joseph Clark
Manufacturing Coordinator: Margie Orzech-Zeranko
Prepress Vendor: Aptara, Inc.
Eighth Edition
Copyright © 2021 Wolters Kluwer.
Copyright © 2016 Wolters Kluwer Health. Copyright © 2010 by LIPPINCOTT
WILLIAMS & WILKINS, a WOLTERS KLUWER business. All rights reserved. This
book is protected by copyright. No part of this book may be reproduced or
transmitted in any form or by any means, including as photocopies or scanned-in
or other electronic copies, or utilized by any information storage and retrieval
system without written permission from the copyright owner, except for brief
quotations embodied in critical articles and reviews. Materials appearing in this
book prepared by individuals as part of their official duties as U.S. government
employees are not covered by the above-mentioned copyright. To request
permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market
Street, Philadelphia, PA 19103, via email at , or via our
website at shop.lww.com (products and services).
987654321
Printed in China
Library of Congress Cataloging-in-Publication Data
Names: Shaw, Kathy N., editor. | Bachur, Richard G., editor.
Title: Fleisher & Ludwig’s textbook of pediatric emergency medicine / senior
editors, Kathy N. Shaw, Richard G. Bachur; associate editors, James M.
Chamberlain, Jane Lavelle, Joshua Nagler, Joan E. Shook.
Other titles: Fleisher and Ludwig’s textbook of pediatric emergency
medicine
