Emergency Medicine Diagnosis And Management 8Ed (PB)

The eighth edition of this international bestselling emergency medicine handbook has been completely revised and updated to include the latest evidence-based guidelines and treatment protocols underpinning best practice in emergency medical care. Carefully designed to suit the needs of interns and resident doctors working in the emergency department as well as specialist trainees, the book covers the full range of emergencies – general medical, infectious disease and foreign travel-related, toxicological, surgical, paediatric, obstetric and gynaecological, ophthalmic and psychiatric – as well as practical procedures and administrative and legal issues.

About the Author

Professor Anthony F.T. Brown, MB ChB, FRCP, FRCS(Ed), FRCEM, FACEM, professor of emergency medicine, Discipline of Anaesthesiology and Critical Care, School of Medicine, University of Queensland; and senior staff specialist, Department of Emergency Medicine, Royal Brisbane and Women’s Hospital, Australia

Mike Cadogan, MA(Oxon), MB ChB (Ed), FACEM, staff specialist in emergency medicine, Department of Emergency Medicine, Sir Charles Gardiner Hospital, Perth, Australia; and chief medical editor and co-founder of Lifeinthefastlane.com.

Table of Contents

Preface

Acknowledgements

SECTION I. CRITICAL CARE EMERGENCIES

Cardiopulmonary Resuscitation

Acute Upper Airway Obstruction

Shocked Patient

Unconscious Patient

Anaphylaxis

Severe Head Injury

Critical Care Areas Drug Infusion Guidelines

Further Reading

SECTION II. GENERAL MEDICAL EMERGENCIES

Chest Pain

Cardiac Arrhythmias

Breathless Patient

Acute Gastroenterology Conditions

Diabetic Coma And Pre-Coma

Altered Conscious Level

Acute Neurological Conditions

Headache

Allergic Or Immunological Conditions

Skin Disorders

Elderly Patient

Further Reading

SECTION III. ACID–BASE, ELECTROLYTE AND RENAL EMERGENCIES

Acid–Base Disturbances

Electrolyte Disorders

Acute Renal Failure

Further Reading

SECTION IV. INFECTIOUS DISEASE AND FOREIGN TRAVEL EMERGENCIES

Febrile Neutropenic Patient

Hepatitis

Gastrointestinal Tract Infection

Sexually Transmitted Diseases

Needlestick And Sharps Incidents

Human Immunodeficiency Virus Infection

Tuberculosis

Bites With Rabies Or Other Lyssavirus Risk

Common Imported Diseases Of Travellers

Pandemic Influenza

Further Reading

SECTION V. SURGICAL EMERGENCIES

Multiple Injuries

Further Diagnosis and Management of Multiple Injuries: Definitive Care

Head And Facial Injuries

Neck Injuries

Chest Injuries

Abdominal and Pelvic Trauma

Additional Orthopaedic Injuries In Multiple Trauma

Head Injury

Burns

Acute Abdomen

Further Reading

SECTION VI. ORTHOPAEDIC EMERGENCIES

Injuries to the Shoulder and Upper Arm

Injuries to the Elbow and Forearm

Injuries To The Wrist And Hand

Cervical Spine Injuries

Thoracic and Lumbar Spine Injuries

Pelvic Injuries

Injuries to the Hip and Upper Femur

Injuries to the Lower Femur, Knee and Upper Tibia

Injuries to the Lower Tibia, Ankle and Foot

Further Reading

SECTION VII. MUSCULOSKELETAL AND SOFT-TISSUE EMERGENCIES

Soft-Tissue Injuries

Acute Arthropathy

Non-Articular Rheumatism

Back Pain

Further Reading

SECTION VIII. PAEDIATRIC EMERGENCIES

General Assessment

Cardiopulmonary Resuscitation

Breathless Child

Stridor

Abdominal Pain, Diarrhoea and Vomiting

Febrile Child

Seizures and Febrile Convulsions

Acute Poisoning

Limping Child

Sudden Unexpected Death in Infancy

Child Abuse (Non-Accidental Injury)

Further Reading

SECTION IX. OBSTETRIC AND GYNAECOLOGICAL EMERGENCIES

Gynaecological Assessment and Management

Gynaecological Causes of Acute Abdominal Pain

Bleeding in Early Pregnancy

Conditions in Late Pregnancy

Women’s Medicine Crises

Further Reading

SECTION X. OPHTHALMIC EMERGENCIES

Visual Acuity

Topical Ophthalmic Preparations

Traumatic Conditions of the Eye

Conditions Affecting The Eyelids

Painful, Red Eye

Sudden Loss of Vision in the Uninflamed Eye

Further Reading

SECTION XI. ENT EMERGENCIES

Traumatic Conditions of the Ear

Non-Traumatic Conditions of the Ear

Traumatic Conditions of the Nose

Non-Traumatic Conditions Of The Nose

Traumatic Conditions of the Throat

Non-Traumatic Conditions of the Throat

Further Reading

SECTION XII. MAXILLOFACIAL AND DENTAL EMERGENCIES

Traumatic Conditions of the Face and Mouth

Non-Traumatic Conditions of the Mouth

Further Reading

SECTION XIII. PSYCHIATRIC EMERGENCIES

Deliberate Self-Harm

Violent Patient

Alcohol and Drug Dependency and Abuse

Involuntary Admission

Further Reading

SECTION XIV. TOXICOLOGY

Acute Poisoning: General Principles

Specific Poisons

Chemical Burns

Further Reading

SECTION XV. TOXINOLOGY EMERGENCIES

Snake Bites

Spider Bites

Marine Envenomation

Bee and Wasp Stings

Further Reading

SECTION XVI. ENVIRONMENTAL EMERGENCIES

Heat, Cold and Drowning

Sports-Diving Accidents

Electrocution and Lightning Strike

Further Reading

SECTION XVII. ADMINISTRATIVE AND LEGAL ISSUES

Habits of a Good Emergency Department Doctor

Triage

Consent, Competence and Refusal of Treatment

Police, Coroner and Attending Court

Retrieval and Inter-Hospital Transfer

Major Incident

Further Reading

SECTION XVIII. PRACTICAL PROCEDURES

Endotracheal Intubation

Rapid Sequence Induction Intubation

Cricothyrotomy

Needle Thoracentesis

Intercostal Catheter Insertion

Dc Cardioversion

Pericardial Aspiration

Central Line Insertion

Intraosseous Line Insertion

Lumbar Puncture

Indwelling Urethral Catheter Insertion

Nasogastric Tube Insertion

Bier’s Intravenous Regional Block

Femoral Nerve Block

Digital Nerve Ring Block

Knee Aspiration

Further Reading

Glossary

Appendix: Normal Laboratory Values

Index