In a few passages of this casebook the reader knows that an experienced clinician is in charge of the emergency room. He or she warns that most infants in the emergency room have sinus tachycardia from sepsis or shock, not paroxysmal atrial tachycardia, and that use of verapamil can have tragic consequences. Then the clinician spells out a reasonable approach to the treatment of paroxysmal atrial tachycardia (page 191). Fifty pages later this sophistication is seen again in a savvy but short description of the necessity and method of funduscopic examination as a prerequisite to lumbar puncture for meningitis.
These brief glimpses of wisdom, coming from a group of young (six of nine contributors are residents or fellows) pediatricians in a field that is now beginning to examine itself and to teach, are promising. Unfortunately, most of the book, which is a series of 50 case reports followed by suggested