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Evidence–Based Emergency Care
Diagnostic Testing and Clinical Decision Rules
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Main description:

The ability to differentiate patients who need emergent treatment from those who do not is a vital skill in Emergency Medicine. Solid history–taking, a thorough physical examination, appropriate use of laboratory tests and imaging, and sound clinical judgement are all keys to making these decisions.

However, determining which elements of the patient history, findings on the physical exam, and laboratory and imaging results to use can be challenging for emergency physicians and other providers in acute care settings. Evidence–Based Emergency Care: Diagnostic Testing and Clinical Decision Rules will equip you with the information you need to:



  • Interpret and draw practical conclusions from published studies

  • Understand both bottom–line conclusions and limitations of the various studies on diagnostic testing and clinical decision rules

  • Learn how to make the best decision for your patient based on up–to–date evidence


Part I provides an overview of the science of diagnostic testing, reviewing the process behind
the development of clinical decision rules and exploring the increasing pressures to improve the efficiency of diagnostic test utilization faced by emergency practitioners.


Subsequent chapters focus on practical questions that have been addressed through original research studies. The authors provide a review of the current literature on a specific question, an interpretation of the clinical question in the context of the literature (focusing on the actual data behind the studies being referenced) and, finally, how the evidence can be most appropriately applied to the care of emergency patients.

More than ever, you need Evidence–Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, a trusted guide to the evidence on diagnostic testing in the emergency setting that will help you make


Back cover:

The ability to differentiate patients who need emergent treatment from those who do not is a vital skill in Emergency Medicine. Solid history–taking, a thorough physical examination, appropriate use of laboratory tests and imaging, and sound clinical judgement are all keys to making these decisions.

However, determining which elements of the patient history, findings on the physical exam, and laboratory and imaging results to use can be challenging for emergency physicians and other providers in acute care settings. Evidence–Based Emergency Care: Diagnostic Testing and Clinical Decision Rules will equip you with the information you need to:



  • Interpret and draw practical conclusions from published studies

  • Understand both bottom–line conclusions and limitations of the various studies on diagnostic testing and clinical decision rules

  • Learn how to make the best decision for your patient based on up–to–date evidence


Part I provides an overview of the science of diagnostic testing, reviewing the process behind
the development of clinical decision rules and exploring the increasing pressures to improve the efficiency of diagnostic test utilization faced by emergency practitioners.


Subsequent chapters focus on practical questions that have been addressed through original research studies. The authors provide a review of the current literature on a specific question, an interpretation of the clinical question in the context of the literature (focusing on the actual data behind the studies being referenced) and, finally, how the evidence can be most appropriately applied to the care of emergency patients.

More than ever, you need Evidence–Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, a trusted guide to the evidence on diagnostic testing in the emergency setting that will help you make


Contents:

About the Authors xi


Foreword xv


Preface xvii


Acknowledgments xix


Section 1: The Science of Diagnostic Testing and Clinical Decision Rules


1 Diagnostic Testing in Emergency Care 3


2 Evidence–Based Medicine: The Process 11


3 The Epidemiology and Statistics of Diagnostic Testing 19


4 Clinical Decision Rules 36


5 Appropriate Testing in an Era of Limited Resources: Practice and Policy Considerations 44


6 Understanding Bias in Diagnostic Research 54


Section 2: Trauma


7 Cervical Spine Fractures 67


8 Cervical Spine Fractures in Children 80


9 Cervical Spine Fractures in Older Adults 86


10 Blunt Abdominal Trauma 92


11 Acute Knee Injuries 97


12 Acute Ankle and Foot Injuries 102


13 Blunt Head Injury in Children 107


14 Blunt Head Injury 117


15 Blunt Chest Trauma 128


16 Occult Hip Fracture 135


17 Blunt Soft Tissue Neck Trauma 141


18 Occult Scaphoid Fractures 147


19 Penetrating Abdominal Trauma 153


20 Penetrating Trauma to the Extremities and Vascular Injuries 162


Section 3: Cardiology


21 Heart Failure 173


22 Syncope 181


23 Acute Coronary Syndrome 189


24 Palpitations 205


Section 4: Infectious Disease


25 Bacterial Meningitis in Children 219


26 Serious Bacterial Infections in Children Aged 1 3 Months 223


27 Necrotizing Fasciitis 227


28 Infective Endocarditis 232


29 Pharyngitis 238


30 Rhinosinusitis 243


31 Pneumonia 248


32 Urinary Tract Infection 255


33 Sepsis 259


34 Septic Arthritis 270


35 Osteomyelitis 278


36 Sexually Transmitted Diseases (STDs) 288


37 Influenza 295


38 Pediatric Fever in Children Aged 3–36 Months 303


Section 5: Surgical and Abdominal Complaints


39 Acute Nonspecific Nontraumatic Abdominal Pain 309


40 Small Bowel Obstruction 317


41 Acute Pancreatitis 324


42 Acute Appendicitis 330


43 Acute Cholecystitis 340


44 Aortic Emergencies 347


45 Ovarian Torsion 351


Section 6: Urology


46 Nephrolithiasis 359


47 Testicular Torsion 365


Section 7: Neurology


48 Nontraumatic Subarachnoid Hemorrhage 375


49 Acute Stroke 381


50 Transient Ischemic Attack 387


51 Seizure 394


Section 8: Miscellaneous: Hematology Ophthalmology Pulmonology Rheumatology and Geriatrics


52 Venous Thromboembolism 403


53 Temporal Arteritis 415


54 Intraocular Pressure 421


55 Asthma 430


56 Nontraumatic Back Pain 441


57 Intravascular Volume Status 450


58 Geriatric Syndromes 457


Index 471


PRODUCT DETAILS

ISBN-13: 9781118482117
Publisher: John Wiley & Sons Ltd (Wiley–Blackwell)
Publication date: November, 2012
Pages: 504
Dimensions: 150.00 x 250.00 x 15.00
Weight: 666g
Availability: Availability uncertain
Subcategories: Diseases and Disorders
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