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Acute Medicine: A Practical Guide to the Management of Medical Emergencies, 4th Edition

ISBN: 978-1-4051-2962-6
672 pages
November 2007, Wiley-Blackwell
Acute Medicine: A Practical Guide to the Management of Medical Emergencies, 4th Edition (140512962X) cover image

Description

This extremely popular title has become the definitive pocket guide to the management of medical emergencies for front-line hospital doctors. It provides detailed guidance on the diagnosis and treatment of all common conditions and includes a step-by-step guide to the nine most important practical procedures in acute medicine.
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Table of Contents

Preface ix

Acknowledgments x

Section 1: Common presentations

1 The critically ill patient: assessment and stabilization 3

2 Cardiac arrest 13

3 Cardiac arrhythmias: general approach 18

4 Broad complex regular tachycardia 21

5 Broad complex irregular tachycardia 27

6 Narrow complex tachycardia 33

7 Atrial fibrillation and fl utter 42

8 Bradycardia and atrioventricular block 47

9 Hypotension 53

10 Sepsis and septic shock 59

11 Poisoning: general approach 66

12 Poisoning with aspirin paracetamol and carbon monoxide 75

13 Acute chest pain 82

14 Acute breathlessness 91

15 Arterial blood gases oxygen saturation and oxygen therapy 98

16 Respiratory failure 104

17 Acid–base disorders 110

18 The unconscious patient 117

19 Transient loss of consciousness 124

20 Acute confusional state 133

21 Falls and ‘off legs’ 137

22 Acute headache 140

23 Acute vomiting 147

24 Acute abdominal pain 151

Section 2: Specific problems Cardiovascular

25 Acute coronary syndromes with persisting ST elevation or new left bundle branch block 158

26 Acute coronary syndromes without persisting ST elevation 169

27 Cardiogenic shock 174

28 Aortic dissection 181

29 Acute pulmonary edema 185

30 Cardiac valve disease and prosthetic heart valves 194

31 Infective endocarditis 203

32 Acute pericarditis 212

33 Cardiac tamponade 216

34 Severe hypertension 219

35 Deep vein thrombosis 224

36 Pulmonary embolism 231

37 Problems with pacemakers and implantable cardioverter-defi brillators 236

Respiratory

38 Airway management and upper airway obstruction 245

39 Acute asthma 253

40 Acute exacerbation of chronic obstructive pulmonary disease 261

41 Pneumonia (1): community-acquired pneumonia 268

42 Pneumonia (2): hospital-acquired pneumonia 277

43 Pneumothorax 280

44 Pleural effusion 283

45 Hemoptysis 288

Neurological

46 Examination of the nervous system in acute medicine 293

47 Stroke 303

48 Transient ischemic attack 315

49 Subarachnoid hemorrhage 321

50 Bacterial meningitis 327

51 Encephalitis 334

52 Spinal cord compression 339

53 Guillain–Barré syndrome 342

54 Epilepsy (1): generalized convulsive status epileticus 349

55 Epilepsy (2): management after a generalized fi t 355

56 Raised intracranial pressure 360

Gastrointestinal/liver/renal

57 Acute upper gastrointestinal hemorrhage 365

58 Esophageal rupture 373

59 Acute diarrhea 376

60 Acute jaundice 383

61 Ascites 388

62 Acute liver failure 394

63 Alcoholic hepatitis 404

64 Biliary tract disorders and acute pancreatitis 406

65 Acute renal failure 410

Endocrine/metabolic

66 Hypoglycemia and hyperglycemic states 423

67 Diabetic ketoacidosis 429

68 Hyperosmolar non-ketotic hyperglycemia 436

69 Sodium disorders 439

70 Potassium disorders 446

71 Calcium disorders 451

72 Acute adrenal insuffi ciency 457

73 Thyroid emergencies 462

Dermatology/rheumatology

74 Cellulitis 469

75 Acute arthritis 473

76 Acute vasculitis 478

Hematology/oncology

77 Interpretation of full blood count 489

78 Bleeding disorders and thrombocytopenia 500

79 Management of anticoagulation 507

80 Sickle cell crisis 514

81 Anaphylaxis and anaphylactic shock 519

82 Complications of cancer 523

Miscellaneous

83 Acute medical problems in the HIV-positive patient 535

84 Fever on return from abroad 542

85 Acute medical problems in pregnancy and peripartum 551

86 Psychiatric problems in acute medicine 555

87 Alchohol-related problems in acute medicine 561

88 Hypothermia 566

89 Drowning and electrical injury 571

90 Palliative care 578

Section 3: Procedures in acute medicine

91 Arterial blood gas sampling 587

92 Central vein cannulation 589

93 Temporary cardiac pacing 600

94 Pericardial aspiration 609

95 DC cardioversion 614

96 Insertion of a chest drain 619

97 Lumbar puncture 627

98 Aspiration of a knee joint 635

99 Insertion of a Sengstaken–Blakemore tube 638

Index 643

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Author Information

David C. Sprigings, Consultant Physician, Northampton General Hospital, UK

John B. Chambers, Reader, Guy's, King's and St Thomas' Hospitals, London, UK and Consultant Cardiologist, Maidstone Hospital, Kent, UK

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The Wiley Advantage

A practical and well established guide to acute medicine for the junior physician and casualty officers

  • Fully revised to cover the curriculum for trainees in General Internal Medicine (GIM)
  • Clear and concise layout - tells you what you really need to know at a moment's notice
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Reviews

"This book makes an excellent companion for the junior doctor in the Emergency Department or the Admissions Unit.... [It Provides] the essentials in an easy to use format and comes highly recommended as an at-your-fingertips companion." (Acute Medicine Journal, December 2008)

“It is a handy book, especially for doctors in training who need immediate help in managing a medical emergency. I can recommend it without hesitation.” (Hospital Doctor)

"This excellent little book was written for junior medical staff. However as a concise vade-mecum for the anaesthetist it would be extremely valuable." (Anaethesia & Intensive Care)

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Acute Medicine: A Practical Guide to the Management of Medical Emergencies, 4th Edition (US $81.95)

-and- ABC of Intensive Care, 2nd Edition (US $33.95)

Total List Price: US $115.90
Discounted Price: US $86.92 (Save: US $28.98)

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