Emergency Medicine

Acute Care Casebook provides a case-based approach to the broad practice of acute care medicine, covering a variety of common patient presentations and clinical environments. This book features over 70 illustrated cases, including presentations of trauma and medical illness in wilderness medicine, military and prehospital environments, pediatrics, emergency medicine, and intensive care unit and floor emergencies. Designed for students and trainees in medicine, nursing, emergency medical services, and other acute care specialties, this text guides readers through not only symptom evaluation and treatment but also the thought process and priorities of experienced clinicians. Each chapter features key diagnoses and management pearls from leading experts that will help prepare readers for any event, from stabilizing and transporting a trauma patient in the field, to managing postoperative complications in the intensive care unit.Less

Diagnosis and treatment of acute stroke has advanced considerably in the past 2 decades. Most notably, in cases of ischemic stroke, intravenous alteplase has become the standard of medical treatment despite its multiple contraindications and limited time window. More recently, trials have proven that endovascular thrombectomy is superior to medical therapy alone, advancing the standard of care for patients who present with acute ischemic stroke from a large vessel occlusion and salvageable brain tissue. The treatment of hemorrhagic stroke now involves the use of novel pharmacological agents and advanced minimally invasive technology. Important changes have also occurred at the levels of hospital organization and treatment decision-making. Such changes in organization and designation of hospitals with distinct levels of stroke care and the variety of stroke protocols now requires team work of emergency medical services (EMS), Emergency Department, stroke neurologists, neurosurgeons, and neurointerventionalists. This book provides an overview of the modern medical and surgical options for the treatment of patients with acute ischemic and hemorrhagic strokes. The pivotal role of EMS in prehospital evaluation and triage of a stroke patient and the levels of stroke systems of care are discussed. In addition, the current guidelines on the management of acute stroke, with the focus on early care of acute stroke patients at the Emergency Department and the first 24 hours of hospital admission, are reviewed. Each chapter contains a discussion of common clinical scenarios including initial management steps, practical points, and common pitfalls.Less

This concise resource covers the provision of all aspects of anaesthesia in an emergency setting. Ideal for use in the emergency department and in emergency sugery.

This resource contains relevant step-by-step information on how to detect, manage, and treat complications and emergencies during the perioperative period. Concisely written, highlighted sections on immediate management and risk factors reinforce essential points for easy memorization, while consistent organization and checklists provide ease of learning and clarity. Anesthesia providers will find this book an indispensable resource, describing assessment and treatment of life-threatening situations, including airway, thoracic, surgical, pediatric, and cardiovascular emergencies. The second edition contains a revised table of contents which presents topics in order of their priority during emergencies, as well as two new chapters on crisis resource management and disaster medicine.Less

Cardiothoracic Critical Care addresses major recent developments in cardiothoracic critical care, such as cardiovascular support, mechanical support (IABP, VADS, and ECMO), and drug therapies such as nitric oxide and other new inotropic agents. The management of postoperative bleeding is covered in detail, as it increasingly involves updated fluid and blood-product therapies, including blood preservation techniques such as cell salvage.Less

Emergency psychiatric evaluation is a dynamic process requiring familiarity with a variety of psychiatric syndromes and medical and neurologic issues that mimic and overlap with psychiatric illness. In many areas, emergency medicine physicians and non-psychiatric clinicians are called upon to evaluate and manage psychiatric illness in the emergency or urgent-care setting, or patients may be boarded in an emergency department awaiting disposition. This book uses a case-based teaching format to illustrate principles of diagnosis, evaluation, and treatment across a broad spectrum of phenomena encountered by clinicians in the emergency setting. Chapters cover the basic diagnostic categories of mood, anxiety, trauma-related, personality and psychotic disorders, with focus on risk-assessment and initial treatment recommendations. Additional chapters focus on special populations, including children and adolescents, geriatric patients, patients with developmental disabilities, and patients who are homeless or do not speak English. Medical and neurologic syndromes that mimic psychiatric pathology are discussed, as well as somatic symptom disorders, focusing on the role of consultants to the medical emergency department. Therapeutic relationships in the ED setting are discussed from a psychodynamic perspective, including how clinicians can avoid blind spots and provide a therapeutic environment by being more aware of their own reactions to patients. Also discussed are the use of short-term crisis intervention treatment and community-based mobile crisis teams for managing complex cases and the ethical, legal, and forensic issues encountered in the emergency setting. The case descriptions are followed by discussions and literature review and highlighted by clinical pearls for the ED setting.Less

This online resource is a case-based guide to challenging areas in emergency medicine, and covers the core and sub-specialty areas, in particular the often grey areas of intensive care and paediatric emergency medicine. Complex cases are comprehensively examined from a multidisciplinary perspective with detailed consideration given to management options and the contemporary evidence base behind these decisions. An effective revision aid for MCEM and FCEM and a reference during workplace-based assessments, Challenging Concepts in Emergency Medicine highlights critical information through the use of boxed features: 'Learning points', 'Clinical tips', 'Evidence base', and 'Future advances'. Each chapter has been reviewed by a national or international expert in the field and they have provided an 'Expert commentary', giving a unique insight into how today's opinion leaders confront and deal with the very same management challenges that all clinicians can potentially face on a daily basis.Less

This resource provides practical guidelines for improving the success rates of airway managers of all specialties who use modern airway devices and techniques, and addresses various clinical scenarios that mimic the approach clinicians encounter at educational workshops. Sections address airway devices and techniques, awake intubation, algorithms of difficult airway management, pharmacologic adjuncts useful in airway management, equipment, preoxygenation, and patient positioning strategies to ensure effective airway management.Less

This resource provides a practical, accessible guide for mental health nurses confronted with emergencies so as to enable them to manage these emergencies in a therapeutic, safe and legally proper manner. As with all emergencies, the immediate care of patients with mental health problems must be simple and quick, and so this resource comprises easy to read bulletted short notes with an emphasis on establishing the diagnosis while maintaining a high index of suspicion. Less

The second edition of this essential handbook provides a practical, accessible guide to all emergency situations encountered in paediatrics and neonatology, from the immediately life-threatening to the smaller but urgent problems that may arise.Less

The essential quick-referral guide for any medical professional providing immediate care for patients with sporting injuries.

This reference provides the on-call junior doctor with a rapid reference guide to the management of the key trauma topics.

Patients with acute critical illness are often cared for initially in the emergency department (ED), and the beginning actions can help alter outcomes hours, day and months later. This resource targets selected common or high risk critical condition or therapies needed to optimize ED care, using the newest research and experiences, and chapters are organized in a readable and user-friendly format, with each describing the topic, defining key terms, cutting edge and controversial aspects, and delivering pragmatic advice.Less

Emergency Medicine: Board Review is a comprehensive guide for preparing for the American Board of Emergency Medicine (ABEM) certification or ConCert recertification exam and for residents preparing for in-training examinations in Emergency Medicine. The text consists of over 950 multiple-choice questions organized into 20 chapters covering topics such as gastrointestinal, cardiovascular, and nervous system emergencies as well as various disorders. Chapters include questions, answers with detailed explanations, and test-taking tips to help better navigate a standardized exam. Questions are written in a case-based format that emulates the ABEM and ConCert exams and are supplemented by numerous figures, tables, and boxes.Less

Emergency radiology is a relatively new subspecialty. It is a blend of organ systems and modalities, with dedication to the immediate evaluation of patients with acute conditions. Emergency radiologists provide time-critical support to trauma surgeons and other acute-care providers, using the full gamut of imaging modalities to provide the best care. Emergency radiologists also constitute the core of worldwide tele-radiology services, providing off-hour coverage to institutions that lack sufficient staff to provide these services. Emergency radiology is also a new academic discipline, with emergency radiology faculty who are dedicated to research and the teaching of emergency imaging to medical students, residents and fellows.Less

Essentials of Toxicology for Health Protection is ideal as both a course resource for students and a reference for field professionals involved in responding to chemical incidents and local environmental concerns. Produced by Health Protection England, it offers a comprehensive and structured approach to dealing with toxicological problems worldwide. It covers both the basics of toxicology and its application to issues of topical concern such as contaminated land, food additives, and water and air pollution. Each chapter is composed by an expert in the field, making this an essential resource for all professionals in environmental public health, including: health protection consultants, specialists and trainees; public health practitioners; environmental health practitioners; environmental scientists; and staff of the emergency services, the water and waste industries, and other industrial and regulatory bodies.Less

This book is for the non-specialist who may see problems in the head and neck. The aim is to help the reader develop a targeted approach in assessment and management. Such patients may be seen in the emergency department, in general practice, or on the ward. Because true ‘emergencies’ in the head and neck (i.e. a life- or sight-threatening condition) are few in number, a more broadly defined remit has been used, to cover urgent and potentially worrying problems which may present acutely. Generally speaking, patients do not present with a ready-made diagnosis, but rather with either a symptom located to an anatomical region (e.g. toothache, lump, or headache), or an obvious problem (e.g. nose bleed or injury). This is the starting point in each of the anatomically based chapters (‘Common presentations’ and ‘Common problems and their causes’). For each symptom there are a number of possible causes and these are listed. The next section in each chapter (‘Useful questions and what to look for’) lists the important diagnostic elements in relation to each symptom. The aim is to equip the reader with the necessary knowledge to enable them to quickly and accurately triage and diagnose a symptom or clinical problem. The remainder of each chapter details how to examine each site, useful investigations, and some notes on the conditions. Management and referral is also covered. This book is particularly helpful for those unfamiliar with ‘acute conditions’ of the head and neck and for those preparing for clinical examinations.Less

Infectious Diseases Emergencies is a compact reference that summarizes the key topics of those infectious disease processes that are most commonly seen in emergency departments, clinics, and urgent care facilities. The opening section reviews principles of infectious disease management and general management of severe infections in acute and emergency environments. The following sections provide a “head-to-toe” synopsis of common infections presenting in both outpatient and acute care settings, including the following human areas: central nervous system; ear, nose, and throat; ocular; cardiovascular; pulmonary; gastrointestinal; genitourinary; skin and soft tissue; and bone and joint. The concluding sections discuss vector-borne infections, infections in special populations, bioterrorism, and finally antibiotic resistance. Each chapter covers some basic elements of the disease, epidemiology, diagnosis and tests, organisms involved, treatment, and other key issues. Concisely written and consistently organized chapters outline the most useful elements of diagnosis and treatment for easy memorization and clarity.Less

This resource emphasises practical help, but also covers the evidence and science behind trauma management. It includes the most up-to-date guidance from national bodies making recommendations for trauma care, using an international team of contributing authors.Less

This title is a practical and comprehensive guide to the management of the acutely ill patient. It is a single source to the most up-to-date therapies and protocols. It presents the most recent treatment guidelines and evidence-based content that is up-to-date with the recent advances in clinical medicine. Topics covered include cardiac emergencies, respiratory emergencies, gastroenterological emergencies, renal emergencies, shock, neurological emergencies, infectious diseases, emergencies in human immunodeficiency virus, diabetes and endocrine emergencies, haematological emergencies, rheumatological emergencies, dermatological emergencies, psychiatric emergencies, drug overdoses, and practical procedures in acute medicine.Less