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Acute Medicine
A Practical Guide to the Management of Medical Emergencies
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Main description:

Acute Medicine is a truly practical guide aimed at the junior physician, casualty officer and final year student, explaining what to do when faced with medical emergencies on take , on the ward or in the emergency department. This well–established manual has been fully revised to cover the curriculum for trainees in General Internal Medicine (GIM).


Back cover:

Acute Medicine is a truly practical guide aimed at the junior physician, casualty officer and final year student, explaining what to do when faced with medical emergencies on take , on the ward or in the emergency department. This well–established manual has been fully revised to cover the curriculum for trainees in General Internal Medicine (GIM).


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


PRODUCT DETAILS

ISBN-13: 9780470691205
Publisher: John Wiley & Sons Ltd (Wiley–Blackwell)
Publication date: October, 2007
Pages: 672
Dimensions: 134.00 x 184.00 x 34.52

Subcategories: General Practice, Geriatrics

MEET THE AUTHOR

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