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Paediatric Protocols for Malaysian Hospitals

7 April 2010


One of the maxims of science is that what is right today is wrong tomorrow. This seems to apply to clinical medicine more than many other areas of science. Hence one of the concerns of preparing a manual of clinical protocols is that some parts of the publication may well be outdated by the time the document finally sees the light of day. Nonetheless many institutions have found having a set of clinical protocols useful especially where the turnover of doctors is frequent. In Malaysia this was pioneered in Sarawak in the days when one pediatrician served the whole state, in an attempt to standardize practice in different hospitals. Pediatric service has come a long way since then. However now more than ever before is there a need to establish practice parameters based on current best practice and evidenced based medicine. Many young doctors are often overwhelmed by the myriad of options available when they search the internet and it is not always easy separating the wheat from the chaff.

At a meeting of senior pediatricians in the MOH in February 2004, it was decided that we should all work together to produce a manual of pediatric protocols addressing clinical problems commonly encounter in local practice. The topics to be covered were proposed by those present and topics were allocated to various individuals to work on. We must say that everybody involved in the task has given their best. Many a time we have gone back to the authors of various section requesting modifications and the response has always been positive.

After almost 11 months the final document was ready for printing. This has truly been a team effort involving colleagues from all over the country and we are very grateful to all the contributors who have made this manual a reality.

This manual cannot cover all the problems we meet in our wards but we sincerely hope that we have covered the important ones. We hope, God willing, to revise this manual every 4 years and we welcome feedback and suggestions from all who happen to use this edition.

We would like to thank Dr. Tan Poh Tin who started the first edition of the Paediatric Protocols for Sarawak Hospital; the third edition of which this manual was based. In addition to our local colleagues we would like to say a special word of thanks to Prof. Frank Shann of Melbourne for allowing us to incorporate part of his well established drug dosage booklet into our manual.

This book is dedicated to the children of Malaysia and we pray it makes a difference to them.

Hussain Imam Hj Muhammad Ismail
Ng Hoong Phak

Please download the documents below...

  arrowChapter 1-20 (English - pdf - 1483 Kb)   

  arrowChapter 21-40 (English - pdf - 1575 Kb)   

  arrowChapter 41-60 (English - pdf - 1827 Kb)   

  arrowChapter 61-88 (English - pdf - 3775 Kb)   

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