The eighth edition of this international bestselling emergency medicine handbook has been completely revised and updated to include the latest evidence-based guidelines and treatment protocols underpinning best practice in emergency medical care. Carefully designed to suit the needs of interns and resident doctors working in the emergency department as well as specialist trainees, the book covers the full range of emergencies - general medical, infectious disease and foreign travel-related, toxicological, surgical, paediatric, obstetric and gynaecological, ophthalmic and psychiatric - as well as practical procedures and administrative and legal issues.
Preface Acknowledgements SECTION I. CRITICAL CARE EMERGENCIES Cardiopulmonary Resuscitation Acute Upper Airway Obstruction Shocked Patient Unconscious Patient Anaphylaxis Severe Head Injury Critical Care Areas Drug Infusion Guidelines Further Reading SECTION II. GENERAL MEDICAL EMERGENCIES Chest Pain Cardiac Arrhythmias Breathless Patient Acute Gastroenterology Conditions Diabetic Coma And Pre-Coma Altered Conscious Level Acute Neurological Conditions Headache Allergic Or Immunological Conditions Skin Disorders Elderly Patient Further Reading SECTION III. ACID-BASE, ELECTROLYTE AND RENAL EMERGENCIES Acid-Base Disturbances Electrolyte Disorders Acute Renal Failure Further Reading SECTION IV. INFECTIOUS DISEASE AND FOREIGN TRAVEL EMERGENCIES Febrile Neutropenic Patient Hepatitis Gastrointestinal Tract Infection Sexually Transmitted Diseases Needlestick And Sharps Incidents Human Immunodeficiency Virus Infection Tuberculosis Bites With Rabies Or Other Lyssavirus Risk Common Imported Diseases Of Travellers Pandemic Influenza Further Reading SECTION V. SURGICAL EMERGENCIES Multiple Injuries Further Diagnosis and Management of Multiple Injuries: Definitive Care Head And Facial Injuries Neck Injuries Chest Injuries Abdominal and Pelvic Trauma Additional Orthopaedic Injuries In Multiple Trauma Head Injury Burns Acute Abdomen Further Reading SECTION VI. ORTHOPAEDIC EMERGENCIES Injuries to the Shoulder and Upper Arm Injuries to the Elbow and Forearm Injuries To The Wrist And Hand Cervical Spine Injuries Thoracic and Lumbar Spine Injuries Pelvic Injuries Injuries to the Hip and Upper Femur Injuries to the Lower Femur, Knee and Upper Tibia Injuries to the Lower Tibia, Ankle and Foot Further Reading SECTION VII. MUSCULOSKELETAL AND SOFT-TISSUE EMERGENCIES Soft-Tissue Injuries Acute Arthropathy Non-Articular Rheumatism Back Pain Further Reading SECTION VIII. PAEDIATRIC EMERGENCIES General Assessment Cardiopulmonary Resuscitation Breathless Child Stridor Abdominal Pain, Diarrhoea and Vomiting Febrile Child Seizures and Febrile Convulsions Acute Poisoning Limping Child Sudden Unexpected Death in Infancy Child Abuse (Non-Accidental Injury) Further Reading SECTION IX. OBSTETRIC AND GYNAECOLOGICAL EMERGENCIES Gynaecological Assessment and Management Gynaecological Causes of Acute Abdominal Pain Bleeding in Early Pregnancy Conditions in Late Pregnancy Women's Medicine Crises Further Reading SECTION X. OPHTHALMIC EMERGENCIES Visual Acuity Topical Ophthalmic Preparations Traumatic Conditions of the Eye Conditions Affecting The Eyelids Painful, Red Eye Sudden Loss of Vision in the Uninflamed Eye Further Reading SECTION XI. ENT EMERGENCIES Traumatic Conditions of the Ear Non-Traumatic Conditions of the Ear Traumatic Conditions of the Nose Non-Traumatic Conditions Of The Nose Traumatic Conditions of the Throat Non-Traumatic Conditions of the Throat Further Reading SECTION XII. MAXILLOFACIAL AND DENTAL EMERGENCIES Traumatic Conditions of the Face and Mouth Non-Traumatic Conditions of the Mouth Further Reading SECTION XIII. PSYCHIATRIC EMERGENCIES Deliberate Self-Harm Violent Patient Alcohol and Drug Dependency and Abuse Involuntary Admission Further Reading SECTION XIV. TOXICOLOGY Acute Poisoning: General Principles Specific Poisons Chemical Burns Further Reading SECTION XV. TOXINOLOGY EMERGENCIES Snake Bites Spider Bites Marine Envenomation Bee and Wasp Stings Further Reading SECTION XVI. ENVIRONMENTAL EMERGENCIES Heat, Cold and Drowning Sports-Diving Accidents Electrocution and Lightning Strike Further Reading SECTION XVII. ADMINISTRATIVE AND LEGAL ISSUES Habits of a Good Emergency Department Doctor Triage Consent, Competence and Refusal of Treatment Police, Coroner and Attending Court Retrieval and Inter-Hospital Transfer Major Incident Further Reading SECTION XVIII. PRACTICAL PROCEDURES Endotracheal Intubation Rapid Sequence Induction Intubation Cricothyrotomy Needle Thoracentesis Intercostal Catheter Insertion Dc Cardioversion Pericardial Aspiration Central Line Insertion Intraosseous Line Insertion Lumbar Puncture Indwelling Urethral Catheter Insertion Nasogastric Tube Insertion Bier's Intravenous Regional Block Femoral Nerve Block Digital Nerve Ring Block Knee Aspiration Further Reading Glossary Appendix: Normal Laboratory Values Index
Professor Anthony F.T. Brown, MB ChB, FRCP, FRCS(Ed), FRCEM, FACEM, professor of emergency medicine, Discipline of Anaesthesiology and Critical Care, School of Medicine, University of Queensland; and senior staff specialist, Department of Emergency Medicine, Royal Brisbane and Women's Hospital, Australia Mike Cadogan, MA(Oxon), MB ChB (Ed), FACEM, staff specialist in emergency medicine, Department of Emergency Medicine, Sir Charles Gardiner Hospital, Perth, Australia; and chief medical editor and co-founder of Lifeinthefastlane.com.