Summary

Emergency physicians assess and manage a wide variety of problems from patients presenting with a diversity of severities, ranging from mild to severe and life-threatening. They are expected to maintain their competency and expertise in areas where there is rapid knowledge change.Evidence-based Emergency Medicine is the first book of its kind in emergency medicine to tackle the problems practicing physicians encounter in the emergency setting using an evidence-based approach. It summarizes the published evidence available for the diagnosis and treatment of common emergency health care problems in adults. Each chapter contextualizes a topic area using a clinical vignette and generates a series of key clinically important diagnostic and treatment questions. By completing detailed reviews of diagnostic and treatment research, using evidence from systematic reviews, RCTs, and prospective observational studies, the authors provide conclusions and practical recommendations.Focusing primarily on diagnosis in areas where evidence for treatment is well accepted (e.g. DVTs), and treatment in other diseases where diagnosis is not complex (e.g. asthma), this text is written by leading emergency physicians at the forefront of evidence-based medicine. Evidence-based Emergency Medicine is ideal for emergency physicians and trainees, emergency department staff, and family physicians specialising in the acute care of medical and injured patients.

Author Biography

Chief Editor:

Brian H. Rowe, MD, MSc, CCFP(EM), FCCP
Canada Research Chair in Emergency Airway Diseases
Professor and Research Director, Department of Emergency Medicine,
University of Alberta
Edmonton, Alberta, Canada

Section Editors:

Eddy S. Lang, MDCM, CCFP(EM), CSPQ
Assistant Professor of Emergency Medicine
Department of Family Medicine
McGill University
Montreal
and Attending Physician, Emergency Medicine
SMBD Jewish General Hospital, Montreal, Quebec, Canada

Michael D. Brown, MD, MSc
Professor of Epidemiology and Emergency Medicine
College of Human Medicine, Michigan State University
Spectrum Health – Butterworth Hospitals
Grand Rapids, Michigan, USA

Debra Houry, MD, MPH
Director, Center for Injury Control
Vice Chair for Research
Department of Emergency Medicine, Emory University
Atlanta, Georgia, USA

David H. Newman, MD
Assistant Professor
Department of Medicine
Columbia University College of Physicians and Surgeons
New York, USA

Peter C. Wyer, MD
Associate Clinical Professor, Department of Medicine
Columbia University College of Physicians and Surgeons
New York, USA

General Issues	p. 1
Introduction	p. 3
Knowledge Translation: A Primer for Emergency Physicians	p. 13
Critical Appraisal: General Issues in Emergency Medicine	p. 22
Continuing Education	p. 34
Quality Improvement	p. 43
Medication Adherence	p. 49
Emergency Department Triage	p. 58
Emergency Department Overcrowding	p. 66
Respiratory	p. 77
Emergency Management of Asthma Exacerbations	p. 79
Chronic Obstructive Pulmonary Disease Exacerbations	p. 89
Diagnosis and Treatment of Community-Acquired Pneumonia	p. 100
Deep Vein Thrombosis	p. 113
Pulmonary Embolism	p. 123
Prevention and Treatment of Influenza	p. 133
Anaphylaxis	p. 143
Cardiology	p. 151
Chest Pain	p. 153
Acute Coronary Syndromes	p. 165
Acute Myocardial Infarction	p. 177
Acute Decompensated Heart Failure	p. 190
Atrial Fibrillation	p. 200
Ventricular and Supraventricular Arrhythmias	p. 214
Cardiac Arrest	p. 225
General Medical Conditions	p. 235
Severe Sepsis and Septic Shock	p. 237
Delirium	p. 251
Caring for the Elderly	p. 260
Syncope	p. 271
General Toxicology	p. 282
Toxicology: Acetaminophen and Salicylate Poisoning	p. 296
Injury	p. 305
Mild Traumatic Brain Injury	p. 307
Neck Injuries	p. 316
Ankle Injuries	p. 325
Knee Injuries	p. 335
Wrist injuries	p. 344
Shoulder Injuries	p. 350
Chest Trauma	p. 363
Hemorrhagic Shock	p. 373
Genitourinary and Abdominal	p. 381
Acute Appendicitis	p. 383
Ectopic Pregnancy	p. 391
Acute Ureteric Colic	p. 404
Urinary Tract Infection	p. 412
Pelvic Inflammatory Disease	p. 420
Pregnancy	p. 435
Gastrointestinal Bleeding	p. 445
Neurosciences	p. 455
Transient Ischemic Attack	p. 457
Stroke	p. 466
Subarachnoid Hemorrhage	p. 475
Bacterial Meningitis	p. 485
Migraine and Other Primary Headache Disorders	p. 493
Seizures	p. 503
The Agitated Patient	p. 512
ENT	p. 521
Sore Throat	p. 523
Rhinosinusitis	p. 534
Conjunctivitis	p. 543
Minor Procedures	p. 551
Procedural Sedation and Analgesia	p. 553
Wound Repair	p. 561
Soft Tissue Abscess	p. 571
Ultrasound Use: Three Select Applications	p. 578
Public Health	p. 587
Injury Prevention	p. 589
Intimate Partner Violence	p. 600
Smoking Cessation	p. 606
Immunization	p. 614
Alcohol and Other Drugs	p. 624
Elder Abuse	p. 635
Index	p. 645
Table of Contents provided by Blackwell. All Rights Reserved.

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