Acute Medicine: A Practical Guide to the Management of Medical Emergencies, 4th Edition

by David C. Sprigings (Northampton General Hospital); John B. Chambers (Guy's and St Thomas's Hospitals, London and Maidstone Hospital, Kent)

• ISBN13: 9781444327250
• ISBN10: 1444327259
• Format: eBook
• Copyright: 2010-06-01
• Publisher: Wiley-Blackwell

Summary

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).

Table of Contents

Preface

Acknowledgments

Common presentations

The critically ill patient: assessment and stabilization

Cardiac arrest

Cardiac arrhythmias: general approach

Broad complex regular tachycardia

Broad complex irregular tachycardia

Narrow complex tachycardia

Atrial fibrillation and flutter

Bradycardia and atrioventricular block

Hypotension

Sepsis and septic shock

Poisoning: general approach

Poisoning with aspirin, paracetamol and carbon monoxide

Acute chest pain

Acute breathlessness

Arterial blood gases, oxygen saturation and oxygen therapy

Respiratory failure

Acid-base disorders

The unconscious patient

Transient loss of consciousness

Acute confusional state

Falls and 'off legs'

Acute headache

Acute vomiting

Acute abdominal pain

Specific problems

Cardiovascular

Acute coronary syndromes with persisting ST elevation or new left bundle branch block

Acute coronary syndromes without persisting ST elevation

Cardiogenic shock

Aortic dissection

Acute pulmonary edema

Cardiac valve disease and prosthetic heart valves

Infective endocarditis

Acute pericarditis

Cardiac tamponade

Severe hypertension

Deep vein thrombosis

Pulmonary embolism

Problems with pacemakers and implantable cardioverter-defi brillators

Respiratory

Airway management and upper airway obstruction

Acute asthma

Acute exacerbation of chronic obstructive pulmonary disease

Pneumonia (1): community-acquired pneumonia

Pneumonia (2): hospital-acquired pneumonia

Pneumothorax

Pleural effusion

Hemoptysis

Neurological

Examination of the nervous system in acute medicine

Stroke

Transient ischemic attack

Subarachnoid hemorrhage

Bacterial meningitis

Encephalitis

Spinal cord compression

Guillain-Barré syndrome

Epilepsy (1): generalized convulsive status epileticus

Epilepsy (2): management after a generalized fit

Raised intracranial pressure

Gastrointestinal/liver/renal

Acute upper gastrointestinal hemorrhage

Esophageal rupture

Acute diarrhea

Acute jaundice

Ascites

Acute liver failure

Alcoholic hepatitis

Biliary tract disorders and acute pancreatitis

Acute renal failure

Endocrine/metabolic

Hypoglycemia and hyperglycemic states

Diabetic ketoacidosis

Hyperosmolar non-ketotic hyperglycemia

Sodium disorders

Potassium disorders

Calcium disorders

Acute adrenal insufficiency

Thyroid emergencies

Dermatology/rheumatology

Cellulitis

Acute arthritis

Acute vasculitis

Hematology/oncology

Interpretation of full blood count

Bleeding disorders and thrombocytopenia

Management of anticoagulation

Sickle cell crisis

Anaphylaxis and anaphylactic shock

Complications of cancer

Miscellaneous

Acute medical problems in the HIV-positive patient

Fever on return from abroad

Acute medical problems in pregnancy and peripartum

Psychiatric problems in acute medicine

Alchohol-related problems in acute medicine

Hypothermia

Drowning and electrical injury

Palliative care

Procedures in acute medicine

Arterial blood gas sampling

Central vein cannulation

Temporary cardiac pacing

Pericardial aspiration

DC cardioversion

Insertion of a chest drain

Lumbar puncture

Aspiration of a knee joint

Insertion of a Sengstaken-Blakemore tube

Index

Table of Contents provided by Publisher. All Rights Reserved.