Description
The Sixth Edition of this well-known and authoritative textbook provides comprehensive, up-to-date coverage of Adult Emergency Medicine. It is an invaluable guide for trainees and other health professionals, including nurse specialists and paramedics, offering concise and practical guidance based on the latest best practices and evidence-based guidelines. Originally published over 25 years ago this title has been regularly updated to keep up with current practice.All major topics encountered in the emergency department are covered and have been updated to reflect recent changes in this constantly evolving specialty. Chapters are concise and practical, with key points and controversial areas highlighted.In addition, the textbook addresses complex topics such as death and dying, managing challenging patients, ethics, providing testimony, and domestic violence. It also covers governance, training, research, and organisational subjects like disaster planning and response, humanitarian emergencies, and refugee medicine. This content provides a framework for understanding the complexities of managing major emergency care systems.This textbook remains a vital resource for anyone involved in the practice of emergency medicine.- Practical guide– covers everything you are likely to come across- Clinically orientated and thoroughly updated by a team of expert editors- Concise and readable chapters – accessible for trainee doctors as well as emergency medicine nursing specialties and those working in urgent care units- Key points and highlighted controversial areas support additional learning- Supports image interpretation in emergency medicineNew to this edition- Fully refreshed and updated to reflect the latest evidence and practice- New content on resuscitation, critical care, trauma, cardiology, pandemic preparedness and infection control, emergency care in humanitarian crises, wellness, resilience, and performance in emergency medicine- Images updated to reflect new technology- Additional images available in the eBook
Table of Contents
Section 1 Resuscitation1.1 Basic life support1.2 Advanced life supportSection 2 Critical care2.1 Airway and ventilation management2.2 Oxygen therapy2.3 Haemodynamic monitoring2.4 Shock overview2.5 Sepsis and septic shock2.6 Arterial blood gases2.7 Cerebral resuscitation after cardiac arrest2.8 AnaphylaxisSection 3 Trauma3.1 Trauma overview3.2 Traumatic brain injury3.3 Spinal trauma3.4 Facial trauma3.5 Abdominal trauma3.6 Chest trauma3.7 Limb trauma3.8 Radiology in major trauma3.9 Trauma in pregnancy3.10 Wound care and repair3.11 Burns3.12 Major haemorrhageSection 4 Orthopaedic emergencies4.1 Injuries of the shoulder4.2 Dislocations of the elbow4.3 Fractures of the humerus4.4 Fractures of the forearm and carpal bones4.5 Hand injuries4.6 Pelvic injuries4.7 Hip injuries4.8 Femur injuries4.9 Knee injuries4.10 Tibial and fibular injuries4.11 Ankle joint injuries4.12 Foot injuries4.13 OsteomyelitisSection 5 Cardiovascular emergencies5.1 Chest pain5.2 Acute coronary syndromes5.3 Assessment and management of acute pulmonary oedema5.4 Arrhythmias5.5 Pulmonary embolism5.6 Pericarditis, cardiac tamponade and myocarditis5.7 Heart valve emergencies5.8 Peripheral vascular disease5.9 Hypertension5.10 Aortic dissection5.11 AneurysmsSection 6 Respiratory emergencies6.1 Upper respiratory tract6.2 Asthma6.3 Community-acquired pneumonia6.4 Influenza6.5 Chronic obstructive pulmonary disease6.6 Pneumothorax6.7 Pleural effusion6.8 HaemoptysisSection 7 Digestive emergencies7.1 Dysphagia7.2 Approach to abdominal pain7.3 Bowel obstruction7.4 Hernia7.5 Gastroenteritis7.6 Haematemesis and melaena7.7 Peptic ulcer disease and gastritis7.8 Biliary tract disease7.9 Acute pancreatitis7.10 Acute appendicitis7.11 Inflammatory bowel disease7.12 Acute liver failure7.13 Haematochezia7.14 Perianal conditionsSection 8 Neurology emergencies8.1 Headache8.2 Stroke and transient ischaemic attacks8.3 Subarachnoid haemorrhage8.4 Altered conscious state8.5 Seizures8.6 Syncope and vertigo8.7 WeaknessSection 9 Infectious disease emergencies9.1 Approach to undifferentiated fever in adults9.2 Meningitis9.3 Septic arthritis9.4 Urinary tract infections9.5 Skin and soft-tissue infections9.6 COVID-199.7 Needlestick injuries and related blood and body fluid exposures9.8 Hepatitis9.9 Human immunodeficiency virus and acquired immune deficiency syndrome9.10 Sexually transmitted infections9.11 Tropical infectious diseasesSection 10 Genitourinary emergencies10.1 Acute kidney injury10.2 The acute scrotum10.3 Renal colicSection 11 Endocrine emergencies11.1 Diabetes mellitus and hypoglycaemia: an overview11.2 Diabetic ketoacidosis and hyperosmolar, hyperglycaemic state11.3 Thyroid and adrenal emergenciesSection 12 Metabolic emergencies12.1 Acid–base disorders12.2 Electrolyte disturbancesSection 13 Haematology emergencies13.1 Anaemia13.2 Neutropaenia13.3 Thrombocytopaenia13.4 Haemophilia13.5 Blood and blood componentsSection 14 Rheumatology and musculoskeletal emergencies14.1 Rheumatological emergencies14.2 Monoarthritis14.3 Polyarthritis14.4 Musculoskeletal and soft-tissue emergenciesSection 15 Dermatology emergencies15.1 Emergency dermatologySection 16 Ocular emergencies16.1 Ocular emergenciesSection 17 Dental emergencies17.1 Dental emergenciesSection 18 Ear, nose and throat emergencies18.1 Ear, nose and throat emergenciesSection 19 Obstetrics and gynaecology emergencies19.1 Pelvic pain19.2 Pelvic inflammatory disease19.3 Abnormal vaginal bleeding in the nonpregnant patient19.4 Pain and bleeding in early pregnancy – miscarriage and ectopic pregnancy19.5 Bleeding after the first trimester of pregnancy19.6 Pre-eclampsia19.7 Emergency birth and complicationsSection 20 Psychiatric emergencies20.1 Mental state assessment20.2 Distinguishing medical from psychiatric causes of mental disorder presentations20.3 Suicidality and self-harm20.4 Depression20.5 Psychosis20.6 Pharmacological management of the aroused patientSection 21 Challenging situations21.1 Death and dying21.2 Sexual assault21.
