It is obvious that only a few, highly equipped centres will be able to manage such cases. Ethical and moral issues become very important in decision making in such situations and would need to be addressed by the treating center. Cooperation and Networking Pediatric speciality division would need to cooperate with their counterparts in Internal medicine and seek their assistance especially for investigative facilities. Academic interaction is also important and good interpersonal relation-ships are mutually beneficial. Networking among Pediatric specialists in the region and sharing of knowledge and experience should be established.
Early referral is crucial in the management of seriously ill children.
Infants and children with uncommon and diagnostic problems also need prompt referral to the pediatric subspecialist. The latter in his turn must regard the general pediatrician as an equal partner in the provision of optimal care to the child patient. Pediatric Subspecialities, Teaching and Research Establishment of pediatric subspecialities at the departments of Pediatrics will greatly augment the quality of teaching and training of the MD Pediatrics programme. With rapidly expanding knowledge in various fields of Pediatrics, it is not possible for the general pediatrician to acquire the depth and insight into all areas. It is important that new information is presented and discussed at various teaching sessions.