Mastering Emergency Medicine: A Practical Guide

by Trivedy; Chetan

• ISBN13: 9781853157448
• ISBN10: 1853157449
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 2009-11-27
• Publisher: CRC Press

Summary

Mastering Emergency Medicine is a concise textbook that covers everything that candidates need to know in order to pass the College of Emergency Medicine's (CEM) membership examination (MCEM) to enter training, and to pass the fellowship examination (FCEM) to complete their Certificate of Specialist Training. The book takes a practical approach to the subject, which makes it an invaluable blueprint for management of cases that trainees will come across in their everyday work, as well as providing a highly detailed revision guide for the OSCE exams.

Author Biography

Chetan R Trivedy BDS FDS RCS (Eng) MBBS PhD FRSH MCEM Specialist Registrar in Emergency Medicine, South East Thames, London Deanery, London, UK; Mathew Hall BMBCh PhD MCEM Senior Clinical Fellow in Emergency Medicine, Princess Royal University Hospital, Kent, UK; Andrew Parfitt MAEd FRCS FCEM Associate Medical Director and Clinical Director of Acute Medicine and Gastrointestinal Surgery, Guys and St Thomas' NHS Trust, London, UK.

Table of Contents

Contributors	p. viii
Foreword	p. x
Preface	p. xi
Surviving the CEM Examination	p. 1
Resuscitation	p. 11
Scoring Scenarios
Maintaining an airway	p. 15
Emergency intubation	p. 22
Cardiac arrest	p. 28
Head injury	p. 31
Anaesthetics and Pain Relief	p. 33
Scoring Scenarios
Analgesia and conflict resolution	p. 35
Teaching local anaesthesia	p. 38/39
Femoral nerve block	p. 41
Conscious sedation	p. 45
Oversedation	p. 48
Wound Management	p. 49
Scoring Scenarios
Dog bite	p. 52
Suturing a wound	p. 55/56
Major Trauma	p. 57
Scoring Scenarios
Primary survey (tension pneumothorax)	p. 62
Secondary survey	p. 65
Paediatric trauma	p. 67
C-spine injury	p. 70
Musculoskeletal Emergencies	p. 103
Scoring Scenarios
Examination of the shoulder	p. 75
Examination of the wrist and handbony injury	p. 82/83
Examination of the wrist and hand - soft tissue injury	p. 83/84
Cervical spine injury	p. 90
Examination of the back	p. 91
Examination of the hip	p. 96
Examination of the knee	p. 101
Vascular Emergencies	p. 103
Scoring Scenarios
AAA assessment	p. 107
DVT - history and examination	p. 111
Abdominal Emergencies	p. 113
Scoring Scenarios
Abdominal pain	p. 117
Abdominal examination	p. 120
Upper GI bleed	p. 124
Lower GI bleed	p. 126/127
Gastroenteritis	p. 130
Genitourinary Emergencies	p. 131
Scoring Scenarios
Testicular torsion	p. 134/135
Haematuria - history	p. 138/139
Ophthalmological Emergencies	p. 141
Scoring Scenarios
Acute red eye	p. 145
Acute loss of vision	p. 150/151
Traumatic eye injury	p. 154
Ear, Nose and Throat Conditions	p. 155
Scoring Scenarios
Acute otitis media	p. 158
Acute epistaxis	p. 161
Maxillofacial Emergencies	p. 163
Scoring Scenario
Maxillofacial injury	p. 168
Obstetrics and Gynaecology Francesco Garnham Scoring Scenarios	p. 169
Vaginal examination	p. 171
Vaginal bleeding	p. 175
Vaginal discharge (sexual history)	p. 180
Emergency contraception	p. 184
Respiratory Emergencies	p. 185
Scoring Scenarios
Severe asthma	p. 189
Pneumothorax	p. 192
Diagnosis of pulmonary embolisms	p. 197
COPD	p. 201
Respiratory examination	p. 203/204
Asthma in Pregnancy	p. 206
Cardiological Emergencies	p. 209
Scoring Scenarios
Chest pain - history and management	p. 217/218
Cardiovascular examination	p. 222/223
Arrhythmia (I)	p. 230
Atrial fibrillation	p. 235
External pacing	p. 238
Neurological Emergencies	p. 239
Scoring Scenarios
Headache history	p. 243
Neurological examination of the upper limb	p. 250
Cranial nerve examination	p. 255
Neurological examination of the Lower Limb	p. 259
Management of TIA	p. 263
Acid-Base Disorders	p. 265
Scoring Scenarios
Acid-Base Disorders	p. 274
ToxicologicaL Emergencies	p. 275
Scoring Scenarios
Paracetamol overdose	p. 278
Tricyclic antidepressant poisoning	p. 282
Ethylene glycol poisoning	p. 286
Digoxin toxicity	p. 289
Renal Emergencies	p. 291
Scoring Scenarios
Acute renal failure	p. 294
Renal colic	p. 298
Urinary tract infection	p. 302
Endocrine Emergencies	p. 303
Scoring Scenarios
DKA history and management	p. 306
Thyroid examination	p. 309
Addisonian crisis	p. 312
Haematological Emergencies	p. 313
Scoring Scenarios
Sickle cell disease	p. 317
DIC	p. 320
Infectious Diseases	p. 321
Scoring Scenarios
Community-acquired pneumonia	p. 324
The febrile traveller	p. 327
HIV seroconversion	p. 329
Bacterial meningitis	p. 333
Needlestick injury	p. 336
Dermatological Emergencies	p. 337
Scoring Scenarios
Eczema history	p. 340
Examination of a rash (erythema multiforme)	p. 343
Examination of a rash (impetigo)	p. 345
Oncological Emergencies	p. 347
Scoring Scenarios
Cauda equina syndrome in malignancy	p. 349
HypercaLcaemia in malignancy	p. 353
Rheumatological Emergencies	p. 355
Scoring Scenarios
Acute monoarthropathy	p. 358
Back pain and 'red flags'	p. 361
Examination of the spine	p. 364
Paediatric Emergencies	p. 385
Scoring Scenarios
Febrile convulsion	p. 370
NAI	p. 373
Meningococcal septicaemia (fitting child)	p. 377
The limping child	p. 381
UTI in a child	p. 384
Psychiatric Emergencies	p. 385
Scoring Scenarios
Alcohol history	p. 390
Deliberate self-harm history	p. 395
Mental state examination in mania	p. 400
Acute confusional state	p. 404
Major Incident Management	p. 407
Scoring Scenarios
Major incident planning	p. 411
Medicolegal Aspects of Emergency Medicine	p. 413
Communication Skills	p. 421
Scoring Scenarios
The angry patient	p. 424
Breaking bad news	p. 427
The difficult referral	p. 430
Dealing with a complaint	p. 432
Practical Skills for the Emergency Department	p. 433
Scoring Scenarios
Chest drain insertion	p. 448
Management Skills	p. 449
Evidence-Based Medicine	p. 463
Instructions for actors in relevant OSCEs	p. 469
Index	p. 487
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