Mastering emergency medicine : a practical guide /
Emergency medicine
edited by Chetan R. Trivedy, Mathew Hall, Andrew Parfitt.
- London ; Ashland, OH : Royal Society of Medicine Press, c2010.
- xi, 492 p. : ill. ; 25 cm.
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