Sanford Guide to Pediatric Acute Care
Fast answers for the sick child in front of you.
1-year subscription · iPhone, iPad, Android & web · works offline
14-day free trial in the app
- Written by physicians at Cincinnati Children's, CHOP, Children's Healthcare of Atlanta, and Columbia
- Revised continuously as the evidence changes
- More than 1,000 references you can trace to PubMed
From Sanford Guide, trusted by clinicians since 1969.
- Maximum Purchase:
- 1 unit
From first presentation to treatment plan, in one place.
The Sanford Guide to Pediatric Acute Care is a concise point-of-care reference for clinicians treating sick kids in the hospital, the ED, urgent care, and office sick visits. Open it when you first see the patient, and it walks you through to a clear, defensible plan.
Clinical manifestations
Recognize the presentation and frame the differential quickly.
Diagnostics
Order the right work-up for the age and the acuity in front of you.
Management
Act on first-line and alternative treatment, dosed for your patient.
Pediatric acute care is the whole job here.
Most references a clinician reaches for were built for something else and adapted: a general platform with a pediatric section, or a respected print handbook moved onto a phone. This one started at the bedside of a sick child and was written outward from there.
Revised as the evidence changes
Topics are reviewed continuously. When a guideline or a dose changes, the content changes with it, so you are never reading an edition that has been sitting on a shelf for three years.
Made for the bedside
Every topic follows the same scannable structure, search is fast, and the app works offline. You can get from question to answer between patients, or in the room.
Edited across institutions
Pediatric clinicians from several leading children's hospitals write and review the content, so recommendations reflect practice across institutions rather than one hospital's protocols.
Yours for $49.99 a year
An individual subscription you can buy yourself, the way you bought your stethoscope. Attendings, residents, NPs, PAs, and students on rotation all use it without any institutional license.
500+ topics, 30+ clinical categories, and the tools to act on them.
Coverage runs from infectious diseases and emergency medicine to neonatology, oncology, and behavioral medicine, with diagnostic guidance, treatment recommendations, step-by-step procedures, and pediatric calculators built in.
Coverage includes
Critical & Acute Care
- Emergency Medicine
- Analgesia & Sedation
- Critical & Acute Care Procedures
- Toxicology
Organ-Based Specialties
- Cardiology
- Pulmonology
- Nephrology
- Urology
- Dermatology
- Ophthalmology
- Otolaryngology
GI, Fluids & Endocrine
- Gastroenterology
- Fluids & Electrolytes
- Endocrinology
- Nutrition
- Metabolism
Immune & Inflammatory
- Infectious Diseases
- Allergy & Asthma
- Immunology
- Rheumatology
Neurology & Psychiatry
- Neurology
- Psychiatry
- Behavioral Medicine
Hematology & Oncology
- Hematology
- Oncology (incl. oncologic emergencies)
Surgical Specialties
- General Surgery
- Orthopedic Surgery & Sports Medicine
- Dentistry & Oral Health
Pediatric Populations
- Neonatology
- Adolescent Medicine
- Complex Care
- Genetics
Watch how fast you can get to an answer.
Every recommendation has a paper trail.
1,000+
References linked to PubMed throughout the content, so you can trace any recommendation back to its supporting evidence at the point of care.
Zero
Pharmaceutical or corporate funding. Sanford Guide is family-owned and editorially independent, and always has been.
Since 1969
Clinicians have relied on the Sanford Guide editorial standard for nearly 60 years. Pediatric Acute Care is built to it.
Recommendations draw on professional-society guidelines, full prescribing information, and the peer-reviewed literature, and are revised as the evidence evolves.
The editors put their names on it.
Four pediatric clinicians from leading children's hospitals lead the content, supported by more than 50 subspecialty authors from pediatric academic medical centers across the country.

Samir S. Shah, MD, MSCE, MHM
Cincinnati Children's Hospital Medical Center

Marina Catallozzi, MD, MSCE
Columbia University Irving Medical Center

Gary Frank, MD, MS, FAAP
Children's Healthcare of Atlanta

Jeanine C. Ronan, MD
Children's Hospital of Philadelphia
What clinicians say
Frequently asked questions
We already use a digital pediatric reference. Why add this?
Most digital pediatric references follow a print edition cycle, so the dose or guideline you look up can be several years old. Pediatric Acute Care is revised continuously. The editorial team also spans several leading children's hospitals rather than a single institution.
Our hospital already has a general-purpose clinical decision support resource. Is this redundant?
General CDS resources are excellent for reading about a condition in depth. This is what you open when you need the answer in the next 60 seconds: a consistent structure that takes you from presentation to treatment quickly, covering pediatric acute care and nothing else. At $49.99 a year, many clinicians carry it alongside their institution's CDS subscription.
Is it worth it at $49.99 a year?
That's roughly a tenth of what the big clinical decision support platforms cost, and you can buy it yourself without any institutional approval. You get 500+ topics across 30+ categories, 20+ pediatric calculators, step-by-step procedures, and more than 1,000 PubMed-linked references, on the app and the web, with offline access. Students receive 40% off and residents 20% off. Institutional subscriptions are also available; talk to our team.
What do I get, and how do I access it?
A one-year individual subscription includes the mobile app (iPhone, iPad, Android) and full web access, with offline use once the content is downloaded. Buy here and sign in with your Sanford Guide account on any device. Prefer to try it first? A 14-day free trial is available when you download the app from the Apple App Store or Google Play.
How does the annual renewal work?
Use the "Renew automatically every year?" option above to choose whether your subscription renews on its own. Select Yes for uninterrupted access that renews each year, or No for a one-year subscription that simply ends unless you renew it. You can change your preference at any time.
Is there a discount for students or residents?
Yes. Students receive 40% off and residents 20% off. Students can request the student discount here; programs and schools can contact us for bulk codes.
Pediatric acute care guidance, ready at the bedside.
One year, app and web, $49.99.
Add to Cart · $49.99/yearIncludes app + web access · works offline · students 40% off, residents 20% off
For children's hospitals and residency programs: institutional site licenses and the Localize-IT upgrade let you add your own protocols and pathways alongside Sanford Guide content. Talk to our team →