Mastering emergency medicine : a practical guide / edited by Chetan R. Trivedy, Mathew Hall, Andrew Parfitt.

Includes index.

Contents
1 Surviving the CEM Examination Chetan R Trivedy and Andrew Parfitt 1
2 Resuscitation Chetan R Trivedy and Russell Barber 11
Scoring Scenarios:' 2.1 Maintaining an airway, 15;
2.2 Emergency intubation, 22;
2.3 Cardiac arrest, 28;
2.4 Head injury, 31
3 Anaesthetics and Pain Relief Peter Jaye, Russell Barber and Chetan R Trivedy 33
Scoring Scenarios: 3.1 Analgesia and conflict resolution, 35;
3.2 Teaching local anaesthesia, 38/39;
3.3 Femoral nerve block, 41;
3.4 Conscious sedation, 45;
3.5 Oversedation, 48
4 Wound Management Sawas Pappasawas and Chetan R Trivedy 49
Scoring Scenarios: 4.1 Dog bite, 52;
4.2 Suturing a wound, 55/56
5 Major Trauma Harith Al-Rawi 57
Scoring Scenarios: 5.1 Primary survey (tension pneumothorax), 62;
5.2 Secondary survey, 65;
5.3 Paediatric tral-'ma, 67;
5.4 C-spine lnjury, 70 ' .
6 MuscuLoskeLetaL Emergencies Evan Coughlan 71
Scoring Scenarios: 6.1 Examination of the shoulder, 75;
6.2 Examination of the wrist and hand ¬ bony injury, 82/83;
6.3 Examination of the wrist and hand - soft tissue injury, 83/84;
6.4 Cervical spine injury, 90;
6.5 Examination of the back, 91;
6.6 Examination of the hip, 96;
6.7 Examination of the knee, 101
7 Vascular Emergencies Shumontha Dev 103
Scoring Scenarios: 7.1 AAA assessment, 107;
7.2 DVT - history and examination, 111 8 AbdominaL Emergencies Chetan R Trivedy and Andrew Parfitt
Scoring Scenarios: 8.1 Abdominal pain, 117;
8.2 Abdominal examination, 120;
8.3 Upper GI bleed, 124; 8.4 lower GI bLeed, 126/127;
8.5 Gastroenteritis, 130
9 Genitourinary Emergencies Francesco Gamham
Scoring Scenarios: 9.1 Testicular torsion, 134/135;
9.2 Haematuria - history, 138/139
10 OphthaLmologicaL Emergencies Shumontha Dev
Scoring Scenarios: 10.1 Acute red eye, 145;
10.2 Acute loss of vision, 150/151;
10.3 Traumatic eye injury, 154
11 Ear, Nose and Throat Conditions Shumontha Dev I
Scoring Scenarios: 11.1 Acute otitis media, 158;
11.2 Acute epistaxis, 161
12 Maxillofacial Emergencies Chetan R Trivedy
Scoring Scenario: 12.1 Maxillofacial injury, 168
13 Obstetrics and Gynaecology Francesca Garnham
Scoring Scenarios: 13.1 Vaginal examination, 171;
13.2 Vaginal bleeding, 175;
13.3 Vaginal discharge (sexual history), 180;
13.4 Emergency contraception, 184
14 Respiratory Emergencies Beth Christian and Chetan R Trivedy
Scoring Scenarios: 14.1 Severe asthma, 189;
14.2 Pneumothorax, 192;
14.3 Diagnosis of pulmonary embolisms, 197;
14.4 COPD, 201;
14.5 Respiratory examination, 203/204;
14.6 Asthma in pregnancy, 206
15 CardioLogical Emergencies Joban S Sehmi, Chetan R Trivedy and Andrew Parfitt
Scoring Scenarios: 15.1 Chest pain - history and management, 217/218;
15.2 Cardiovascular examination, 222/223;
15.3 Arrhythmia (I), 230;
15.4 Atrial fibriLLation, 235;
15.5 External pacing, 238
16 Neurological Emergencies Katherine 1M Henderson and Chetan RTrivedy
Scoring Scenarios: 16.1 Headache history, 243;
16.2 Neurological examination of the upper limb, 250;
16.3 Cranial nerve examination, 255;
16.4 Neurological examination of the lower limb, 259;
16.5 Management of TIA, 263
17 Acid-Base Di~orders Beth Christian
Scoring Scenaiios: 17.1-17.4 Acid-Base Disorders 274
18 Toxicological Emergencies Simon FJ Clarke and Nick Payne Scoring Scenarios:
18.1 Paracetamol overdose, 278;
18.2 Tricyclic antidepressant poisoning, 282;
18.3 Ethylene glycol poisoning, 286; 18.4 Digoxin toxicity, 289
19 RenaL Emergencies Joban S Sehmi and Amit KJ Mandai
Scoring Scenarios: 19.1 Acute renal failure, 294;
19.2 Renal colic 298;
19.3 Urinary tract infection 302
20 Endocrine Emergencies ZUlfiquar Mirza and Chetan R Trivedy
Scoring Scenarios: 20.1 DKA history and management, 306;
20.2 Thyroid examination, 309;
20.3 Addisonian crisis, 312
21 Haematological Emergencies Peter Jaye and Mathew Hall 313
Scoring Scenarios: 21.1 Sickle cell disease, 317;
21.2 DIC, 320
22 Infectious Diseases Bethany Davies and Duncan Bootland 321
Scoring Scenarios: 22.1 Community-acquired pneumonia, 324;
22.2 The febrile traveller, 327;
22.3 HIV seroconversion, 329;
22.4 Bacterial meningitis, 333;
22.5 Needlestick injury, 336
23 Dermatological Emergencies Harith Al-Rawi 337
Scoring Scenarios: 23.1 Eczema history, 340;
23.2 Examination of a rash (erythema multiforme), 343;
23.3 Examination of a rash (impetigo), 345
24 Oncological Emergencies Andrew Parfitt 347 Scoring Scenarios:
24.1 Cauda equina syndrome in malignancy, 349;
24.2 Hypercalcaemia in malignancy, 353
25 Rheumatological Emergencies Alastair Newton 355
Scoring Scenarios: 25.1 Acute monoarthropathy, 358;
25.2 Back pain and 'red flags', 161;
25.3 Examination of the spine, 364
26 Paediatric Emergencies Chetan R Trivedy 367
Scoring Scenarios: 26.1 Febrile convulsion, 370; 26.2 NAI, 373;
26.3 Meningococcal septicaemia (fitting child), 377;
26.4 The limping child, 381;
26.5 UTI in a child, 384
27 Psychiatric Emergencies Nicola Drake and Chetan R Trivedy 385
Scoring Scenarios: 27.1 Alcohol history, 390/391;
27.2 Deliberate self-harm history, 395;
27.3 Mental state examination in mania, 400/401;
27.4 Acute confusional state, 404/405
28 Major Incident Management Shumontha Dev 407
Scoring Scenario: 28.1 Major incident planning, 411
29 Medicolegal Aspects of Emergency Medicine Andrew Parfitt 413
30 Communication Skills Chetan R Trivedy and Andrew Parfitt 421
Scoring Scenarios: 30.1 The angry patient, 424;
30.2 Breaking bad news, 427;
30.3 The difficult referral, 430;
30.4 Dealing with a complaint, 432
31 Practical ~kills for the Emergency Department Natalie S Shenker and Chetan R Trivedy 433
Scoring Scenariq: 31.2 Chest drain insertion, 448 I
32 Management Skills David Roe 449
33 Evidence-Based Medicine Charles Young 463
34 Instructions for actors in relevant OSCEs Chetan R Trivedy