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thed. Sudbury (MA): Jones&Bartlett.


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American Academy of Pediatrics 2000, Pediatric Education for Prehospital Professionals:

PEPP Textbook, Jones & Bartlett Publishers, Sudbury, MA.

Behrman, R,Kliegman, RM& Jenson, H 2003,NelsonTextbook of Pediatrics, 17th

edn, Harcourt

Publications, Philadelphia.

Childrens acute transport service 2009, CATS Clinical guidelines, upper airway obstruction,

CATS NHS, viewed 14 July 2011,

.

Great Ormond Street Hospital2010, Clinical Information, Blood Pressure Monitoring, Great

Ormond Street Hospital, viewed 15 July 2011,

.

Hay, WW, Hayward, AR, Levin, MJ &Sondheimer, JM 2003,Current Pediatric Diagnosis &Treatment,16

thed, The McGraw-Hill Companies Incs, United States of America.

Lowe,C&Woolridge, PD 2007, The normal newborn exam, or is it?, Emergency Medicine

Clinics of North America, vol. 25, no. 4, pp. 921-46.

Marx,J,Hockberger, R,Walls, R, Adams, JG, Barsan, WG, Biros, MH, Danzl, DF, Gausche-Hill,

M, Ling, LG & Newton, EJ2010, Rosen's Emergency Medicine - Concepts and Clinical

Practice, 2-Volume Set, 7th

edn, MosbyElsevier, Los Angeles, California.

National Institute of Health and Clinical Excellence2007,Feverish Illness in Children,

Assessment and initial management in children younger than5 years,NICE, viewed 28

September 2012, .

Rosdahl, C& Kowalski, M2003, Textbook of Basic Nursing, Williams&Wilkins, Lippincott,

Philadelphia.

-, 2005, ,UniversityStudioPress, .

2009, , ....,

7 2011,

.

, 2002, , 5,

.

, , , 2010, 24

, , . 19, . 1, .

22-31.
http://site.cats.nhs.uk/wp-content/uploads/2012/08/cats_uao_2011.pdfhttp://www.gosh.nhs.uk/clinical_information/clinical_guidelines/cpg_guideline_00039/%23Ref_sectionhttp://www.gosh.nhs.uk/clinical_information/clinical_guidelines/cpg_guideline_00039/%23Ref_sectionhttp://www.gosh.nhs.uk/clinical_information/clinical_guidelines/cpg_guideline_00039/%23Ref_sectionhttp://www.amazon.com/s/ref=ntt_athr_dp_sr_3?_encoding=UTF8&field-author=Robert%20Hockberger&search-alias=digital-texthttp://www.amazon.com/s/ref=ntt_athr_dp_sr_3?_encoding=UTF8&field-author=Robert%20Hockberger&search-alias=digital-texthttp://www.amazon.com/s/ref=ntt_athr_dp_sr_3?_encoding=UTF8&field-author=Robert%20Hockberger&search-alias=digital-texthttp://www.amazon.com/s/ref=ntt_athr_dp_sr_2?_encoding=UTF8&field-author=Ron%20Walls&search-alias=digital-texthttp://www.amazon.com/s/ref=ntt_athr_dp_sr_2?_encoding=UTF8&field-author=Ron%20Walls&search-alias=digital-texthttp://www.amazon.com/s/ref=ntt_athr_dp_sr_2?_encoding=UTF8&field-author=Ron%20Walls&search-alias=digital-texthttp://www.nice.org.uk/nicemedia/live/11010/30523/30523.pdfhttp://www.nice.org.uk/nicemedia/live/11010/30523/30523.pdfhttp://www.keelpno.gr/el-gr/%E4%A9%A1%E8%9D%B3%E9%AC%AF%E5%AB%A9%EA%AF%AF%DD%AD%E4%B5%B0%EF%B5%AB%E9%AA%AF.aspxhttp://www.keelpno.gr/el-gr/%E4%A9%A1%E8%9D%B3%E9%AC%AF%E5%AB%A9%EA%AF%AF%DD%AD%E4%B5%B0%EF%B5%AB%E9%AA%AF.aspxhttp://www.keelpno.gr/el-gr/%E4%A9%A1%E8%9D%B3%E9%AC%AF%E5%AB%A9%EA%AF%AF%DD%AD%E4%B5%B0%EF%B5%AB%E9%AA%AF.aspxhttp://www.nice.org.uk/nicemedia/live/11010/30523/30523.pdfhttp://www.amazon.com/s/ref=ntt_athr_dp_sr_2?_encoding=UTF8&field-author=Ron%20Walls&search-alias=digital-texthttp://www.amazon.com/s/ref=ntt_athr_dp_sr_3?_encoding=UTF8&field-author=Robert%20Hockberger&search-alias=digital-texthttp://www.gosh.nhs.uk/clinical_information/clinical_guidelines/cpg_guideline_00039/%23Ref_sectionhttp://www.gosh.nhs.uk/clinical_information/clinical_guidelines/cpg_guideline_00039/%23Ref_sectionhttp://www.gosh.nhs.uk/clinical_information/clinical_guidelines/cpg_guideline_00039/%23Ref_sectionhttp://site.cats.nhs.uk/wp-content/uploads/2012/08/cats_uao_2011.pdf

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