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Book Cover
Book
Author Fulde, Gordian W. O., editor

Title Emergency medicine : the principles of practice / edited by Gordian W O Fulde and Sascha Fulde
Edition Sixth edition
Published Sydney, N.S.W. : Churchill Livingstone / Elsevier, [2014]
Chatswood, NSW : Elsevier Australia, [2013]
©2014

Copies

Location Call no. Vol. Availability
 W'PONDS  616.025 Ful/Emt 2013  AVAILABLE
 W'PONDS  616.025 Ful/Emt 2013  AVAILABLE
 W'PONDS  616.025 Ful/Emt 2013  AVAILABLE
 W'PONDS  616.025 Ful/Emt 2013  AVAILABLE
Description QR1-QR106, A1-A9, xxiv, 1027 pages : illustrations ; 20 cm
regular print
Contents Contents note continued: 10.Acute pulmonary oedema / Anthony F.T. Brown -- Overview -- Pathophysiology: cardiogenic, non-cardiogenic and neurogenic causes -- Clinical features -- Differential diagnosis -- Investigations -- Management -- Disposal -- 11.Venous thromboembolic disease---deep venous thrombosis and pulmonary embolism / Tim Green -- Introduction -- Pathophysiology -- Clinical features -- Differential diagnosis -- Diagnostic approach---DVT, PE -- Investigations -- Treatment---anticoagulation, compression stockings, vena caval filters, thrombolysis -- Disposition -- 12.Shock / Steve Dunjey -- Causes and effects -- Overview of management---ABCs, monitoring, investigations -- Hypovolaemic shock -- Cardiogenic shock -- Distributive shock---septic, anaphylactic, neurogenic -- Obstructive shock---pericardial tamponade, tension pneumothorax, PE -- 13.Pain management in the emergency department / John Vinen -- Overview -- Approach -- Establishing a process -- Assessment --
Contents note continued: 27.Acid--base and electrolyte disorders / Diane King -- Electrolyte disturbances---pathophysiology, samples, causes, effects, rapid assessment, management -- Acid--base imbalances---normal ABG values, determination of abnormality: metabolic acidosis, metabolic alkalosis, respiratory acidosis, respiratory alkalosis -- Osmolarity, osmolar gap -- Sodium -- Potassium -- Calcium -- Phosphate -- Magnesium -- Correction factors -- Acute renal failure -- Controversies -- 28.Poisoning, overdosage, drugs and alcohol / Robert Graham -- Poisoning and overdosage---assessment, investigations -- Principles of management---resuscitation, decontamination/elimination, monitoring, supportive care -- Classic toxidromes -- Benzodiazepines -- Opioids -- Paracetamol -- Illicit drugs---cocaine, amphetamines, GHB, ketamine, hallucinogens (cannabinoids, LSD), amyl nitrite -- Beta-blockers -- Calcium-channel blockers -- Organophosphates and carbamates --
Contents note continued: 8.Clinical electrocardiography and arrhythmia management / Paul Preisz -- Indications -- Clinical contexts -- AMI -- Coronary syndromes -- Pericarditis -- Arrthymias---asystole, ventricular fibrillation, ventricular tachycardia, prolonged QTc, torsades, Brugada, heart blocks, bundle blocks, atrial fibrillation and cardioversion of, atrial flutter, SVT, WPW, Holter monitoring -- Electrolye imbalance, toxicological/environmental emergencies, axis plotting -- 9.Respiratory emergencies---the acutely breathless patient / John Roberts -- General principles -- Oxygen---essentials, delivery systems -- Investigations---ABGs, A--a gradient, hypoxia, hypercarbia, chest X-ray, respiratory function tests, microbiology, invasive respiratory investigations -- Asthma -- Chronic obstructive pulmonary disease -- Pneumonia (including severity index) -- Spontaneous pneumothorax -- Acute lung injury -- Anaphylaxis with bronchospasm -- Hyperventilation --
Contents note continued: Analgesics and sedatives---simple analgesics, narcotics and opioids, muscle relaxants, nitrous oxide, sedating agents, ketamine -- Local anaesthesia -- Non-pharmacological methods -- Children -- The elderly -- Pregnancy and breastfeeding -- Drug-seeking -- Special situations -- Monitoring -- Discharge -- 14.Trauma / Anthony Grabs -- Major injury definition -- Pre-hospital triage -- Systematic approach -- Primary survey -- Resuscitation -- Life-threatening conditions---pneumothorax, haemothorax, flail chest, ongoing haemorrhage, cardiac tamponade, PEA -- History -- Secondary survey -- Injuries to head, neck, abdomen (blunt, penetrating) -- Thoracic, pelvic, musculoskeletal trauma, compartment syndrome -- Tertiary survey -- Quality and performance improvement systems -- 15.Neurosurgical emergencies / Rob Edwards -- Concepts---brain injury, headache, GCS, herniation syndrome, general management -- Traumatic brain injury -- Subdural haematoma --
Contents note continued: Cerebrovascular disease---stroke, TIA, intracerebral haemorrhage -- Meningitis -- Lumbar puncture -- Encephalitis -- Subarachnoid haemorrhage -- Migraine -- Temporal arteritis -- Other causes of head pain -- Bell's palsy -- Paraplegia -- Confusion -- 25.Gastrointestinal emergencies / Christopher Wong -- Acute abdomen---assessment, signs, tests, indications for surgery -- Acute appendicitis -- Gall bladder -- Diverticular disease -- GI bleeding---upper, lower -- Acute pancreatitis -- GORD (gastro-oesophageal reflux disease) -- Mesenteric ischaemia/infarction -- Vomiting -- Constipation -- Hepatic failure -- 26.Endocrine emergencies / Glenn Arendts -- Diabetic ketoacidosis -- Hyperosmolar hyperglycaemic non-ketotic state -- Hypoglycaemia -- The ̀high-risk' diabetic patient -- Illness unrelated to diabetes -- Hypoadrenal crisis -- Thyrotoxic crisis (̀thyroid storm') -- Hypothyroid crisis (̀myxoedema coma') --
Contents note continued: Cervical spine and spinal cord injuries -- Subarachnoid haemorrhage -- Spontaneus intracerebral haemorrhage -- Space-occupying lesions -- Complications of ventricular drainage devices -- Epidural abscess -- 16.Aortic and vascular emergencies / Mark Gillett -- Acute aortic dissection -- Ruptured abdominal aortic aneurysm -- Non-aortic abdominal aneurysms -- Acute arterial insufficiency, atheroembolism -- Chronic arterial insufficiency -- 17.Orthopaedic principles---fractures and dislocations / Peter Locke -- General principles -- Upper limb injuries---clavicle fracture, shoulder, humerus, elbow, radius, ulna, wrist, hand, fingers -- Pelvic fractures -- Lower limb injuries---femur, hip, quadriceps, patella, knee pain, tibia, fibula, ankle, foot -- 18.Hand injuries and care / Iromi Samarasinghe -- Assessment, examination and initial treatment -- Lacerations -- Finger tip injuries -- Nails -- Tendons -- Nerve injuries -- Vascular injuries -- Bony injuries --
Contents note continued: Common applications---FAST, abdominal aortic scan, pregnancy, DVT, cardiac, hypotension, biliary, renal, procedural uses, foreign body -- Training requirements -- 6.The approach to the patient with chest pain, dyspnoea or haemoptysis / Anthony J. Whelan -- Chest pain---high-risk patients, myocardial ischaemia, aortic dissection, pneumothorax, pulmonary embolism, pneumonia, ruptured oesophagus, pericarditis, reflux, chest wall pain, anxiety, abdominal disease -- Examination and initial management of chest pain -- Investigations---ECG, cardiac markers, chest X-ray, echocardiography (and transoesophageal) -- Dyspnoea -- Haemoptysis -- 7.Acute coronary syndromes / Paul Preisz -- Risk factors -- Assessment and diagnosis -- Management of STEMI (ST elevation) -- Risk stratification in NSTEACS (non-ST elevation) -- Management of NSTEACS -- Additional management (STEMI and NSTEACS) -- Patient transfer --
Contents note continued: Discharge, communication, follow-up appointment, letter content -- Information technology (IT) in the ED, what it needs to do -- Medical reference tools, useful websites -- 47.Administration, legal matters, governance and quality care in the ED / Sally McCarthy -- Law -- Confidentiality -- Concealed drugs -- About telephone calls -- Mandatory disease reporting list -- Blood alcohol, drug testing -- Court -- Law suits -- Consent -- Hand-over -- Record-keeping -- Appearances -- Out of hours -- Duty of care -- Clinical administration issues---reasonable care, hand-over, dying patient -- Coroner's cases -- Emergency codes -- Professional indemnity -- Media -- Complaint handling -- Budget and staffing cuts -- Morale -- Quality in ED care -- Patient satisfaction -- Risk management -- Quality assurance -- 48.A guide for interns working in emergency medicine / Richard Sullivan -- Benefits and approach -- Orientation --
Contents note continued: Head imaging---trauma, skull and facial fractures, intracranial haematoma, haemorrhage, actue severe headache and collapse, syncope and seizures, stroke -- Neck---trauma, cervical spine injury and fracture, foreign body, epiglottitis and croup -- Thoracic and lumbar spine---fracture and prolapse -- Chest---views and interpretation, trauma, causes of breathlessness, causes of chest pain, causes of fever and cough, haemoptysis, other chest emergencies (drowning, inhalation, foreign body) -- Abdomen---views and interpretation, acute abdomen (bowel obstruction, ileus, perforation), GI tract bleeding and ischaemia, pancreatitis, cholecystitis, aortic aneurysm, renal colic, haematuria, trauma to abdominal organs -- Obstetric emergencies -- Fractures of pelvis and limbs -- Radiation issues -- 5.Ultrasound in emergency medicine / Julie Leung -- Physics -- Equipment --
Contents note continued: Infections -- Bites -- Crush injuries -- High-pressure injection injuries -- Burns, hydrofluoric acid burns -- Electrical injuries -- Amputations -- Carpal tunnel syndrome -- 19.Urological emergencies / Ed Park -- Balanitis -- Common post-procedural problems---lithotripsy, prostatic biopsy -- Epididymo-orchitis -- Fournier's gangrene -- Hydrocele -- Paraphimosis -- Phimosis -- Priapism -- Prostate disease -- Renal/uretic calculus -- Testicular torsion -- Urinary tract infections -- Urine retention -- Urological trauma -- Varicocele -- 20.Burns / Linda Dann -- Types -- Assessment -- General management -- Fluid requirements -- Admission and transfer criteria -- Specific burns---thermal, chemical, hydrofluoric acid -- Prevention of infection -- Other aspects---particular types of burn, children and the elderly, eyes, airway -- 21.Patient transport and retrieval / Neil Ballard -- Indications for retrieval -- Retrieval team -- Equipment --
Contents note continued: Needle-stick injury and body fluids exposure -- Respiratory tract infection -- TB -- Severe sepsis -- Meningococcal infection -- MRSA and NORSA -- Skin Infections -- Wound infections -- Water-related infections -- Herpes zoster -- Tetanus prophylaxis -- The overseas traveller---diarrhoea, malaria, dengue, typhoid -- 42.The immunosuppressed patient / Anthony Kelleher -- Overview---immune system failure, management -- Cancer---febrile neutropenia, other fever, spinal cord compression, hypercalcaemia, superior vena cava obstruction, tumour lysis syndrome, hyperviscosity -- HIV infection---primary, opportunistic, pulmonary, TB, CNS, AIDS dementia, GI tract, systemic -- Malignancy in HIV/AIDS -- Immune reconstitution inflammatory syndrome (IRIS) -- Antiretrovirals -- Post-exposure prophylaxis (PEP) -- Transplant patients -- Immunosuppression for non-malignant disease -- Asplenia -- 43.Emergency department haematology / Anthony J. Dodds -- Neutropenic sepsis --
Contents note continued: Orbital fractures and haemorrhage -- Penetrating injuries -- Painful red eye---conjunctivitis, keratitis, iritis, glaucoma, cellulitis -- Sudden painless visual loss---retinal artery occlusion, temporal arteritis, retinal vein occlusion, neuritis, retinal detachment, vitreous haemorrhage -- Postoperative problems -- Conditions needing referral -- Eye medications -- 37.Ear, nose and throat (ENT) emergencies / Shalini Arunanthy -- Basic equipment -- Ear emergencies---otitis, mastoiditis, perichondritis, ruptured tympanic membrane, haematoma, lacerations, fractures, foreign bodies, vertigo -- Nose emergencies---sinusitis, epistaxis, foreign bodies, fractures -- Throat emergencies---tonsillitis, quinsy, epiglottitis, foreign bodies, post-tonsillectomy bleed -- 38.Management of dental emergencies / Peter Foltyn -- Toothache -- Infected gums -- Impacted tooth -- Mouth ulcers -- Neoplasia -- Facial swellings -- Heart disease and dental care -- Antibiotics --
Contents note continued: Physiology -- Hypothermia---physiology, conditions, investigations and management---moderate, severe, no cardiac output, pre-hospital care -- Hyperthermia---heat stroke (clinical features, conditions, management), malignant hyperthermia, neuroleptic malignant syndrome -- Controversies -- 33.Childhood emergencies / Bruce Fasher -- Children in the ED -- Physiological parameters -- Immunisation -- Resuscitation -- Identifying the sick child -- Airway emergencies---croup, bacterial tracheitis, FB inhalation, differentials -- Respiratory emergencies---asthma, pneumonia, bronchiolitis -- The unconscious child -- The febrile child -- Common infections -- Convulsions -- Gastroenteritis -- Fluid therapy -- Diabetes -- Normal development -- Feeding problems -- Inconsolable infant -- Jaundice -- Child abuse -- SIDS -- Surgical abdominal emergencies -- Burns -- Orthopaedic problems -- Pain management -- Paediatric prescribing --
Contents note continued: Post-extraction -- Dry socket -- Oral bleeding -- Tooth trauma---fracture, luxation, avulsion -- Trismus and TMJ problems -- Standard teeth numbering -- 39.Psychiatric presentations / Beaver Hudson -- What to look for -- Triage categories -- Rapid sedation -- Safety -- Control of aggression -- Medical assessment -- Approach -- Mental health interview -- Risk assessment tools -- Management---methamphetamine intoxication, care level criteria -- Mental state examination -- Medications -- Monitoring -- Disposition -- Diagnoses in psychiatry -- Anxiety -- 40.Dermatological presentations to emergency / Margot J. Whitfield -- Presentation categories -- Assessment -- Terminology of lesions -- Diagnosis -- Special situations---immunosuppressed patients -- Urticaria ± angio-oedema ± anaphylaxis -- Erythema multiforme -- Management---anaphylaxis, angio-oedema, urticaria -- Exanthems/enanthems---differentials, viral exanthems, drug eruptions --
Contents note continued: Retrieval environment -- Vehicles -- Patient preparation -- Transit issues -- Hand-over -- Pre-hospital care -- 22.Mass casualty incidents, chemical, biological and radiological hazard contingencies / Jeff Wassertheil -- Disasters---response plans, phases, agencies -- Scene---field organisation, command structure -- Triage---sieve and sort, SMART tags, triage officers -- Communication -- Code Brown -- Stages of response---alert, standby, activation, stand-down -- Chemical, biological and radiological hazards---features, specific agents, management, decontamination, wastes, exposure register -- 23.The seriously ill patient---tips and traps / Gordian W. O. Fulde -- Responsibilities -- Avoiding problems -- Warning signs -- Decision-making tips, safe discharge -- Call for help criteria -- Legal ramifications -- Ten commandments -- The fun bits -- 24.Neurological emergencies / Adam C. F. Chan -- Coma/impaired consciousness -- Epilepsy --
Contents note continued: Serious drug eruptions---drug hypersensitivity reactions (DRESS), serum-sickness-like reaction (SSLR) -- Exfoliative erythroderma -- Atopic dermatitis, eczema -- Blistering/shedding of skin -- Varicella zoster -- Staphylococcal scalded skin syndrome (SSSS) -- Severe cutaneous adverse reaction (SCAR)---Stevens--Johnson syndrome (SJS), toxic epidermal necrolysis (TEN) -- Other blistering disorders -- Vasculitis---meningococcaemia, disseminated intravascular coagulation (DIC), necrotising fasciitis, other causes -- Ulcers/wounds---cellulitis, pyoderma gangrenosum -- Other common skin infections -- Bites -- Itching (pruritus)---scabies -- Medications commonly used in dermatology -- Wound and ulcer care -- 41.Infectious diseases / Emma Spencer -- Antibiotic prescribing -- Bacterial meningitis, herpes meningoencephalitis -- Gastroenteritis -- Viral hepatitis -- Urinary tract infection (UTI) -- Sexually transmitted infection (STI) --
Contents note continued: Thrombocytopenia -- Sickle-cell disease -- The anaemic patient -- Abnormal bleeding -- Coagulation test interpretation -- Anticoagulation -- Transfusion -- 44.Rural and Indigenous emergencies / Bonita Byrne -- Local knowledge -- Approach -- Travel, transport, retrieval -- Indigenous---epidemiology, health status, cultural issues, health workers -- Communication -- Alcohol and substance abuse -- 45.Advanced nursing roles / Kirsty McLeod -- Concept of advanced practice nursing -- The triage nurse---triage assessment, Australasian Triage Scale (ATS) and examples -- Clinical initiatives nurse---role, practice example -- Aged service emergency team (ASET)---role, practice example -- Rapid assessment team (RAT) or immediate initiation of care (IIOC)---role, practice example -- Nurse practitioner---role, practice examples -- Pearls -- 46.The general practitioner; Working with IT / Michael J. Golding -- The GP's phone call and referral, why --
Contents note continued: Tricyclic antidepressants -- 29.Drowning / Paul M. Middleton -- Epidemiology -- Pathophysiology -- Precipitating events -- Outcome -- Examination -- Management (ABCDE), drowning algorithm -- 30.Envenomation / Thomas McDonagh -- Snakebite -- Pressure--immobilisation -- Venom detection -- Antivenom -- Snakebite tests, assessment, disposition -- Redback spider -- Funnel-web spider -- White-tailed spider -- Necrotic arachnidism -- Marine envenomation---box jellyfish, irukandji, bluebottle, blue-ringed octopus, sea snakes, stonefish -- Tick bites -- Centipedes and scorpions -- 31.Electrical injuries / Christopher J. Mobbs -- Source, pathophysiology, physics, avoiding lightning -- Low- and high-voltage injuries---presentation, management pre-hospital and hospital -- Lightning injuries---physics, mechanisms of strike, pathophysiology, management pre-hospital and hospital -- TASERs and electrical weapons -- 32.Hypothermia and hyperthermia / David Lewis-Driver --
Contents note continued: Ventilators: indications, initial settings, PEEP, special situations, troubleshooting, non-invasive ventilation (BiPAP), procedural sedation -- 3.Resuscitation and emergency procedures / Drew Richardson -- Essential common steps -- Intravenous access techniques---ultrasound guidance, peripheral intravenous lines, paediatric intravenous lines, intraosseous infusions, central intravenous lines, subclavian cannulation, internal jugular vein catheterisation -- Arterial access---radial artery cannulation, femoral artery cannulation -- Chest drainage---needle thoracostomy, intercostal catheter/tube thoracostomy, pericardiocentensis -- Urinary catheterisation -- Suprapubic cystostomy -- Cricothryoidotomy -- Lumbar puncture -- ED thoracotomy -- 4.Diagnostic imaging in emergency patients / E. S. Seelan -- Imaging modalities---plain X-rays, ultrasound, CT (helical, multi-slice), MRI, contrast study, interventional radiology -- Intravenous contrast reaction --
Contents note continued: Working up a patient---assessment, investigations, discussion, further referral, ISBAR tool, discharge, documentation -- Patience -- Resuscitation/trauma -- Educational opportunities -- Follow-up -- Cherry-picking -- Hand-over -- Breaks and debriefing -- Personal safety -- Online resources -- Documentation -- After-hours -- Work-life balance -- Quick tips -- 49.Students' guide to the emergency department / Tiffany Fulde -- Advantages of the ED -- Emergencies -- Cases for tutorial practice -- PBL (problem-based learning) -- Your patient -- Avoid being barred -- Getting the most out of it
Contents note continued: Procedures---tube size, bloods, obtaining urine, lumbar puncture -- Toxicology -- 34.Geriatric care / Jeremy Fry -- Principles of geriatrics -- Physiological changes -- Approach -- Common presentations---acute confusion, dementia, depression, abdominal pain -- Trauma---falls, head and C-spine injury, motor vehicle crashes, rib fractures -- Syncope -- Patient ̀not coping' -- Resuscitation -- 35.Gynaecological emergencies / Nikki Woods -- General assessment principles -- Ectopic pregnancy -- Salpingitis (PID) -- Ovarian cyst---complications -- Other causes of lower abdominal/pelvic pain -- Bleeding in pregnancy -- PV bleeding -- Preeclampsia/eclampsia -- Trauma in pregnancy -- CPR in late pregnancy -- Prescribing in pregnancy -- Anti-D prophylaxis -- Sexual assault -- Emergency contraception -- 36.Ophthalmic emergencies / Iromi Samarasinghe -- Principles of examination -- Common pitfalls -- Use of slit lamp -- Trauma -- Burns -- Blunt ocular trauma --
Machine generated contents note: 1.Cardiopulmonary resuscitation / Melinda J. Berry -- Basic life support Adult advanced life support -- Advanced life support in children -- Resuscitation of the newborn -- Foreign body airway obstruction -- 2.Securing the airway, ventilation and procedural sedation / Andrew Finckh -- Securing the airway---anatomical aspects, causes of airway obstruction and respiratory failure, assessment, examination findings, factors confounding airway management, manoeuvres to open/maintain airway and relieve obstruction, oropharyngeal and nasopharyngeal airways, mouth-to-mask and bag--valve--mask ventilation, endotracheal intubation, rapid-sequence induction, drugs in airway management, suctioning, oxygenation and ventilation, complications of intubation, extubation, alternative airway techniques, difficult intubation, failed intubation, the difficult airway trolley, algorithms for securing the [ect.] --
Summary "This book presents evidence-based clinical management and treatment advice for emergency medicine students and practitioners in Australasia. The vast range of topics include paediatric, geriatric, gynaecology, psychiatric, dental, rural and Indigenous presentations, ensuring readers are well prepared for any eventuality in the Emergency Department." -- Publisher
Analysis Australian
Emergency medicine & intensive care (Australia)
Notes Cover title
Previous edition: 2009
Bibliography Includes bibliographical references and index
Subject Emergency medicine -- Handbooks, manuals, etc.
Emergency Medicine.
Emergencies.
Emergency Medicine -- Handbooks, Manuals, etc
Genre/Form Handbooks and manuals.
Author Fulde, Gordian W. O., editor
Fulde, Sascha, editor
ISBN 0729541460
9780729541466 (paperback)