Book review: Self-Assessment in Paediatric Musculoskeletal Trauma X-rays (Second edition)

Part of a series of four other X-ray self-assessment texts for emergency nurse, this book is a useful adjunct to others in common use – 3/5

3 stars

This is one of a series of four X-ray interpretation self-assessment texts designed for emergency nurse practitioners (ENPs) and reporting radiographers. The reader is given a short clinical history, then invited to study the images and comment on the findings. A further page contains expert opinion, with key learning points, aspects of interest and suggestions for requesting additional views.

ENPS are often anxious about nterpreting paediatric diagnostic images. This is understandable given that young patients often cannot articulate a history or mechanism of injury, and events are not always witnessed.

The important factors are the major skeletal and anatomical differences in the paediatric population.

This improved and expanded edition includes a chapter describing how the immature skeletal anatomy responds to stress and trauma. The explanation of the ‘stress strain curve’ is succinct and useful for appreciating injury potential.

Chapters on common injury sites such as the hand, wrist, elbow and ankle joint, and associated diagnostic dilemmas, have been expanded. This provides a useful reference.

The chapter on non-accidental injury is a little Leeds-centric (the author’s clinical base), as opposed to a more generalised national view. Additionally, the indexing appears to relate to the first edition, which can be confusing.

However, I would recommend this text to ENPs as a useful adjunct to others in common use.

Karen Sakthival-Wainford | M&K Publishing | 368pp | £39| ISBN: 9781910451076

Reviewed by Mike Paynter, consultant nurse, minor injury and urgent care services, Bridgwater Community Hospital, Somerset Partnership NHS Foundation Trust


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