Front Cover -- Textbook of Adult Emergency Medicine -- Copyright -- Preface to the first edition -- Preface to the third edition -- Contributors -- Contents -- Section 1: Resuscitation -- 1.1 Basic life support -- Introduction -- Development of protocols -- Initial evaluation: DR ABCD approach -- Management -- Defibrillation -- BLS summary -- References -- 1.2 Advanced life support -- Introduction -- Aetiology and incidence of cardiac arrest -- Advanced life support guidelines and algorithms -- Initiation of ALS -- Attachment of the defibrillator/monitor and rhythm recogniton -- Defibrillation -- The CPR 'Code Blue' process -- Other ALS interventions -- Drug therapy in ALS -- Haemodynamic monitoring during CPR -- When to discontinue ALS -- Prognosis for survival after cardiac arrest -- Uniform reporting in cardiac arrest research -- References -- 1.3 Ethics of resuscitation -- Introduction -- Application of the principles of Beauchamp and Childress to resuscitation medicine -- Futility -- Consent, withholding and withdrawing resuscitation -- 'Not For Resuscitation' (NFR) orders -- Practising resuscitation procedures on the newly dead -- Conclusions -- References -- Section 2: Critical care -- 2.1 Airway and ventilation management -- Introduction -- Non-invasive ventilation -- Endotracheal intubation -- The difficult intubation -- Laryngeal mask airway -- Intubating laryngeal mask airway -- Fibreoptic bronchoscope-assisted intubation -- Retrograde intubation -- Blind nasotracheal intubation -- Cricothyroidotomy -- Tracheostomy -- Mechanical ventilation -- Extubation in the emergency department -- References -- 2.2 Oxygen therapy -- Introduction -- Physiology of oxygen -- Oxygen delivery systems -- Variable performance systems -- Fixed-performance systems -- 100% oxygen delivery systems -- Helium and oxygen mixtures -- Measurement of oxygenation.

Paediatric considerations in oxygen therapy -- Transfer of patients on oxygen therapy -- Oxygen therapy in specific circumstances -- Complications of oxygen therapy -- Special delivery systems -- References -- 2.3 Haemodynamic monitoring -- Introduction -- Historical background -- Overview of cardiovascular physiology -- Role of haemodynamic monitoring in the emergency department -- Clinical assessment -- Blood pressure monitoring -- Other non-invasive monitoring methods for cardiac output -- Invasive devices -- Conclusion -- Future developments -- References -- 2.4 Shock overview -- Introduction -- Aetiology and epidemiology -- Pathophysiology -- Clinical features in the initial diagnosis of shock -- Initial emergency management of the shocked patient -- Guidance for interventions and treatments -- Interventions in shock -- The effects of shock on other interventions -- The management of specific shock syndromes -- Conclusion -- References -- 2.5 Sepsis and septic shock -- Introduction -- Aetiology and pathophysiology -- Clinical features -- Clinical investigations -- Treatment -- References -- 2.6 Arterial blood gases -- Introduction -- Normal values -- Definitions and conventions -- Venous gas correlation -- Arterial blood gas specimen collection -- Arterial blood gas interpretation -- Rules for complex acid-base disorders -- Clinical use of blood gases in the seriously ill patient -- Detection of non-clinically suspected serious disease -- References -- 2.7 Cerebral resuscitation after cardiac arrest -- Introduction -- Definition -- Pathophysiology of cerebral ischaemia -- Reperfusion injury -- Cerebral haemodynamics after reperfusion -- Pharmacological interventions -- Therapeutic hypothermia -- Other interventions -- Outcome prediction -- Summary -- References -- Section 3: Trauma -- 3.1 Trauma overview -- Introduction -- Initial management.

Clinical presentation -- Monitoring -- Management -- Hypotensive resuscitation -- Next steps -- Trauma audit -- Trauma in developing countries -- References -- Further reading -- 3.2 Neurotrauma -- Introduction -- Pathogenesis -- Epidemiology -- Prevention -- Clinical features -- Clinical investigation -- Treatment -- Disposition -- Prognosis -- References -- 3.3 Spinal trauma -- Introduction -- Pathophysiology -- Neurological injuries -- Autonomic nervous system effects of spinal cord damage -- Spinal shock10,15-17 -- Vertebral injury2,10,13-20 -- Spinal cord injury management -- Documentation conventions -- Unconscious patients -- Referral-disposition -- Other treatments -- Clearing the spine -- Immobilization -- References -- Further reading -- 3.4 Facial trauma -- Introduction -- History -- Examination -- Radiographic examination -- Immediate management in the emergency department -- Specific injuries -- Penetrating injuries to the face -- Conclusion -- References -- 3.5 Abdominal trauma -- Introduction -- Primary and secondary surveys -- Penetrating injuries -- Disposition -- Future directions -- References -- 3.6 Chest trauma -- Introduction -- Chest wall injury -- Pleural injury -- Lung injury -- Tracheobronchial injury -- Mediastinal injury -- Vertebral column and spinal cord injury -- Indications for emergency thoracotomy33 -- Conclusion -- References -- 3.7 Limb trauma -- Introduction -- Presentation -- Investigations -- Management -- Disposition -- Hyperbaric oxygen therapy -- Complications -- Acute limb compartment syndrome -- Fat embolism syndrome -- Crush syndrome -- Immobilization -- References -- 3.8 Radiology in major trauma -- Emergency department reception -- Hazards of radiation -- The trauma series -- Specific regional radiology -- Chest trauma -- Abdomen/pelvis -- Extremities -- Conclusion -- References.

3.9 Trauma in pregnancy -- Introduction -- Anatomical and physiological changes in pregnancy -- Epidemiology -- Specific injuries -- Presentation -- Investigations -- Management -- Disposition -- Prognosis -- Prevention -- References -- 3.10 Wound care and repair -- Introduction -- Clinical presentation -- Wound cleansing -- Tetanus prophylaxis -- Wound-healing mechanisms -- Suture types -- Needles -- Basic suture technique -- Special sites and situations -- Special suture techniques -- The 'dog-ea' -- Wound drainage -- Dressings -- Immobilization -- Disposal/removal -- References -- 3.11 Burns -- Introduction -- Pathophysiology -- Classification -- Thermal Burns -- Presentation -- Investigations -- Management -- Burn shock -- Inhalation injury -- Disposition -- Chemical Burns -- General principles -- Disposition -- References -- Section 4: Orthopaedic emergencies -- 4.1 Injuries of the shoulder -- Fractures of the clavicle -- Acromioclavicular joint injuries -- Sternoclavicular subluxation and dislocation -- Fractures of the scapula -- Rotator cuff injuries -- Dislocation of the shoulder -- Further reading -- 4.2 Fractures of the humerus -- Introduction -- Fractures of the proximal humerus -- Fractures of the shaft of humerus -- Fractures of the distal humerus -- References -- Further reading -- 4.3 Dislocations of the elbow -- Introduction -- Clinical assessment -- Investigations -- Management -- Disposition -- References -- Further reading -- 4.4 Fractures of the forearm and carpal bones -- Radial head fractures -- Shaft fractures -- Fractures of the distal radius and ulna -- Carpal fractures and dislocations -- Further reading -- 4.5 Hand injuries -- Introduction -- Clinical features -- Investigations -- Treatment -- Fingertip injuries -- Digital nerve injuries -- Nailbed injuries -- Terminalization -- Distal interphalangeal joint injuries.

Middle phalangeal injuries -- Proximal interphalangeal joint injuries -- Proximal phalangeal injuries -- Metacarpophalangeal joint injuries -- Metacarpal injuries -- Dorsal hand injuries -- Palmar hand injuries -- Disposition -- Prognosis -- Prevention -- References -- Further reading -- 4.6 Pelvic injuries -- Anatomy -- Classification of pelvic fractures -- Clinical assessment -- Injuries associated with pelvic fractures -- Management of unstable pelvic fracture -- Open pelvic fractures -- Stable fractures of the pelvis -- Acetabular fractures -- Further reading -- 4.7 Hip injuries -- Anatomy -- Classification of hip fractures -- Hip dislocation -- Further reading -- 4.8 Femur injuries -- Femoral shaft fracture -- Further reading -- 4.9 Knee injuries -- Anatomy -- Clinical assessment -- Fractures around the knee joint -- Dislocations around the knee joint -- Soft tissue injuries -- Further reading -- 4.10 Tibia and fibula injuries -- Anatomy -- Fractures of the tibia -- Fractures of the fibula -- References -- Further reading -- 4.11 Ankle joint injuries -- Anatomy -- Clinical assessment -- Ankle fracture classification -- Fracture management -- Pilon fractures -- Maisonneuve fracture -- Ankle dislocations -- Soft tissue injuries -- References -- Further reading -- 4.12 Foot injuries -- Anatomy -- Clinical assessment -- Hindfoot injuries -- Midfoot fractures -- Forefoot fractures -- References -- Further reading -- Section 5: Cardiovascular -- 5.1 Chest pain -- Introduction -- Epidemiology -- Differential diagnosis -- Clinical features -- Clinical investigation -- Treatment -- Prognosis -- Likely developments over the next 5-10 years -- Further reading -- 5.2 Acute coronary syndromes -- Introduction -- Aetiology, pathogenesis and pathology -- Epidemiology -- Prevention -- Clinical features -- Differential diagnosis -- Clinical investigation.

Criteria for diagnosis.

A major postgraduate textbook in emergency medicine, covering all the major topics that present to the trainee doctor in the emergency department. A comprehensive textbook of adult emergency medicine for trainee doctors - covers all the problems likely to present to a trainee in the emergency department. Chapters are short and concise, with key point boxes (called "Essentials") at the beginning. Also has boxes featuring controversial areas of treatment. Practical and clinically orientated. Major changes to resuscitation guidelines. Complete rewriting of ENT section. Significant updating of following topics - acute coronary syndrome management, trauma, sepsis management, imaging, arrhythmias. Expansion of administration section - especially patient safety. Changes to drug overdose sections in toxicology section.

Available electronically via the Internet.

Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.