Emergency Medicine
The Principles of Practice
- 7th Edition - January 1, 2020
- Imprint: Elsevier
- Authors: Sascha Fulde, Gordian W. O. Fulde
- Language: English
- Paperback ISBN:9 7 8 - 0 - 7 2 9 5 - 4 3 0 1 - 9
- eBook ISBN:9 7 8 - 0 - 7 2 9 5 - 8 7 2 5 - 9
- eBook ISBN:9 7 8 - 0 - 7 2 9 5 - 8 7 2 4 - 2
- eBook ISBN:9 7 8 - 0 - 7 2 9 5 - 8 7 2 3 - 5
Gordian Fulde AO, a mainstay of emergency medicine in Australia, continues to author this indispensable reference along with Sascha Fulde and a considered selection of in… Read more
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Request a sales quoteGordian Fulde AO, a mainstay of emergency medicine in Australia, continues to author this indispensable reference along with Sascha Fulde and a considered selection of influential emergency medicine clinicians. The strength of Emergency Medicine undoubtedly lies with its combination of expertise, experience and contemporary content.
This premier text offers accessible evidence-based clinical management and treatment advice that can be incorporated seamlessly into the daily demands of the emergency medicine environment. The comprehensive scope of content coverage ensures readers – both students and clinicians – are well equipped with the practical nous to succeed in the demanding world of emergency medicine.
- Coverage of important controversies with evidence-based recommendations.
- Editor comments contained in relevant chapters to provide clinical tips and advice for practice
- Broad range of topical issues covered
- Practical rapid reference appendix
- Detailed glossary and index
- Enhanced eBook version included with purchase
- Cover image
- Title page
- Table of Contents
- Inside front cover
- Copyright
- Quick reference
- Abbreviations
- Preface
- Acknowledgments
- Editors note on COVID 19
- Contributors
- List of Illustrations
- List of Tables
- 1. Cardiopulmonary resuscitation
- Basic life support
- Advanced life support
- Paediatric advanced life support
- Newborn resuscitation
- Choking
- Online resources
- 2. The airway, ventilation and procedural sedation
- The airway
- Airway assessment
- Ventilators
- Non-invasive ventilation
- Procedural sedation
- 3. Resuscitation procedures
- Overview
- Introduction
- Intravenous access techniques
- Ultrasound guidance
- Arterial access techniques
- Chest drainage procedures
- Pericardiocentesis
- Urinary catheterisation
- Suprapubic cystostomy
- Cricothyroidotomy
- Lumbar puncture
- Emergency department thoracotomy
- 4. Trauma
- Acknowledgment
- Definition of major injury
- Pre-hospital triage
- Preparation
- Systematic assessment and management
- Primary survey
- Management of life-threatening conditions
- History
- Secondary survey
- Specific injuries
- Definitive care
- Trauma service performance improvement
- Conclusion
- Online resources
- 5. Shock
- Causes and effects
- Overview of management
- Hypovolaemic shock
- Cardiogenic shock
- Distributive shock
- Anaphylactic shock
- Neurogenic shock
- Obstructive shock
- Pericardial tamponade
- Tension pneumothorax
- Pulmonary embolism
- Summary
- Recommended readings
- 6. Major haemorrhage
- Response to haemorrhage
- Clinical assessment
- Management of haemorrhage
- Putting it together
- Summary
- 7. Burns
- Overview
- Basic burn first aid
- Assessment of burn depth and injury
- Management of minor burns
- Emergency management of the severe burn
- Burns unit retrieval and referral guidelines
- Online resources
- 8. Patient transport, retrieval and pre-hospital care
- Indications for retrieval
- The retrieval team
- Equipment
- The retrieval environment
- Retrieval vehicles
- Preparing a patient for retrieval
- In transit
- Hand-over
- Pre-hospital care
- Online resource
- 9. The seriously ill patient: Tips and traps
- Warning—red lights—beware
- Decision-making tips
- Emergency department ’laws’
- Do not feed the lawyers
- The fun bits
- 10. The approach to the patient with chest pain or dyspnoea
- Chest pain
- Dyspnoea
- Haemoptysis
- Recommended readings
- 11. Acute coronary syndromes
- Acknowledgment
- Safe assessment
- Management of STEMI
- Stratifying ACS without diagnostic STEMI ECG changes: NSTEACS patients
- Management of NSTEACS
- Additional management (STEMI and NSTEACS)
- Cocaine-induced chest pain
- Patient transfer
- 12. Clinical electrocardiography and arrhythmia management
- Acknowledgment
- Indications
- ECG interpretation
- Recommended readings
- 13. Respiratory emergencies: The acutely breathless patient
- Acknowledgment
- General principles
- Oxygen therapy
- Investigations in respiratory emergencies
- Life-threatening conditions presenting with breathlessness
- 14. Haemoptysis
- 15. Acute pulmonary oedema
- Overview
- Pathophysiology
- Clinical features
- Differential diagnosis
- Investigations
- Management of APO
- Disposal
- Online resources
- 16. Venous thromboembolic disease: Deep venous thrombosis and pulmonary embolism
- Acknowledgment
- Introduction
- Pathophysiology
- Clinical features
- Diagnostic approach and clinical decision rules
- Investigations
- Treatment
- Disposition
- 17. Neurological emergencies
- Acknowledgment
- Altered mental status
- Management
- Seizures
- Prolonged or frequent fitting (status epilepticus)
- Cerebrovascular disease
- Ischaemic stroke
- Transient ischaemic attack (TIA)
- Spontaneous intracerebral haemorrhage
- Subarachnoid haemorrhage (SAH)
- Headache
- Meningitis
- Lumbar puncture (LP)
- Encephalitis
- Investigations
- Treatment
- Migraine
- Giant cell arteritis (temporal arteritis)
- Trigeminal neuralgia
- Other causes of headache
- Neuro-muscular disorders
- Periodic paralysis
- 18. Poisoning and overdose
- Acknowledgment
- Overview
- Resuscitation
- Risk assessment
- Decontamination
- Enhanced elimination
- Toxidromes
- Specific toxins
- 19. Drugs and alcohol
- Acknowledgment
- Introduction
- Alcohol
- Nicotine
- Cannabis
- Injecting drug users
- Opioids
- Benzodiazepines
- Drug-seeking behaviour
- 20. Endocrine emergencies
- Emergencies in patients with diabetes
- Adrenal emergencies
- Thyroid emergencies
- 21. Acid–base and electrolyte disorders
- Acknowledgment
- Electrolyte emergencies
- Urine electrolytes
- Hyper-osmolarity
- Hypo-osmolarity (see Hyponatraemia)
- Hyponatraemia
- Hypernatraemia
- Disorders of serum potassium
- Disorders of calcium
- Disorders of phosphate
- Disorders of magnesium
- Disorders of acid–base balance
- Acute kidney injury (AKI)
- Online resources
- 22. Geriatric care
- Overview
- Falls
- Confusion
- Syncope
- Abdominal pain
- Carer stress
- Disposition
- Recommended readings
- 23. Infectious diseases
- Acknowledgment
- Antibiotic prescribing
- CNS infections
- Gastrointestinal infections
- Viral hepatitis
- Genitourinary infections
- Sexually transmitted infection (STI)
- Needle-stick injuries and body fluids exposures
- Respiratory tract infection
- Tuberculosis (TB)
- Severe sepsis
- Meningococcal infection
- Skin infections
- Wound infections
- Water-related infections
- Herpes zoster (shingles)
- Tetanus prophylaxis
- The overseas traveller
- Online resources
- 24. The immunosuppressed patient
- Overview
- Immune system failure
- Cancer patients
- Malignancy in HIV/AIDS
- Immune reconstitution inflammatory syndrome (IRIS)
- Antiretroviral drugs
- Pre-exposure prophylaxis (PrEP) in HIV
- Post-exposure prophylaxis in HIV
- Solid-organ transplants
- Immunosuppression for non-malignant disease
- Newer biological therapy
- Asplenia
- Summary
- 25. Emergency department haematology
- Acknowledgment
- Common haematological emergencies
- The anaemic patient
- The patient with abnormal bleeding
- Anticoagulant therapy
- Blood transfusion
- Inappropriate use of blood components
- Online resources
- 26. Gastrointestinal emergencies
- Acute abdomen
- Specific surgical conditions
- Gastrointestinal bleeding
- Acute pancreatitis
- Gastro-oesophageal reflux disease (GORD)—oesophagitis
- Mesenteric ischaemia/infarction
- Vomiting
- Constipation
- Hepatic failure—portosystemic encephalopathy
- Online resources
- 27. Neurosurgical emergencies
- General concepts
- Traumatic neurosurgical emergencies
- Blunt cerebrovascular injury (BCVI)
- Subdural haematoma
- Cervical spine and spinal cord injuries
- Lower back pain
- Non-traumatic neurosurgical emergencies
- References
- Online resources
- 28. Aortic and vascular emergencies
- Acute aortic dissection: Thoracic
- Ruptured abdominal aortic aneurysm
- Non-aortic abdominal aneurysms
- Acute arterial insufficiency
- Atheroembolism
- Chronic arterial insufficiency
- Further reading
- 29. Orthopaedic emergencies
- Acknowledgment
- General principles
- Upper limb injuries
- Pelvic fractures
- Lower limb injuries
- Hip joint dislocation
- 30. Urological emergencies
- Acknowledgment
- Balanitis
- Common post-procedural problems
- Epididymo-orchitis
- Fournier’s gangrene
- Hydrocele
- Paraphimosis
- Phimosis
- Priapism
- Prostate disease
- Renal/ureteric calculus
- Testicular torsion
- Urinary tract infections (UTIs)
- Urine retention
- Urological trauma
- Varicocele
- References
- Recommended readings
- 31. Wounds
- Wound assessment
- Wound debridement
- Basic dressings
- Basics of wound closure
- Lacerations, abrasions and bites
- Skin tears
- Pressure ulcers
- 32. Pain management in the emergency department
- Overview
- Analgesia
- Opioids
- Non-specific back pain
- Dental pain
- Renal colic
- Migraine pain
- Cancer pain
- References
- Recommended readings
- 33. Paediatric emergencies
- Recognition of the sick child
- The sick baby
- The child with stridor
- The child with respiratory distress
- The child with fever (figure 33.1)
- The child with abdominal pain
- The child with vomiting
- The child with diabetic ketoacidosis (DKA)
- The child with seizure
- The child with a rash
- The limping child
- The baby with jaundice
- The unsettled crying baby
- Trauma in children
- Non-accidental injury
- Pain management in children
- Vaccination schedule
- Online resources
- 34. Gynaecological emergencies
- Acknowledgment
- General principles
- Common presentations
- Other complications of later pregnancy (> 20 weeks’ gestation)
- Prescribing in pregnancy
- Anti-D prophylaxis
- Postcoital contraception: Morning-after pill
- Online resources
- 35. Sexual assault and domestic violence
- (Adult) sexual assault
- Domestic violence
- Online resources
- Further reading
- 36. Surprise! the baby is coming
- Acknowledgment
- Preparation and assessment
- Management
- Transfer
- Emergency delivery
- When the baby has already arrived
- Resuscitation of the newborn
- Reference
- Online resources
- 37. Hand injuries and care
- Assessment
- Examination
- Treatment
- Soft-tissue injuries
- Nails
- Tendons
- Nerve injuries
- Vascular injuries
- Bony injuries
- Specific conditions
- 38. Ophthalmic emergencies
- Acknowledgment
- Principles of examination
- Use of the slit lamp
- Trauma
- The painful red eye
- Sudden painless monocular visual loss
- Postoperative problems
- Ophthalmic conditions needing referral
- Common ophthalmic medications
- 39. Ear, nose and throat (ENT) emergencies
- Ear emergencies
- Nose emergencies
- Throat emergencies
- Epiglottitis
- References
- 40. Management of dental emergencies
- Toothache
- Infected gums
- Impacted teeth
- Mouth sores and ulceration
- Neoplasia
- Facial swellings
- Heart disease and dental care
- Post-extraction instructions
- Dry socket
- Oral bleeding
- Traumatic injuries to teeth
- Trismus and temporomandibular joint (TMJ) dysfunction
- Dental nomenclature
- References
- 41. Psychiatric, mental health presentations
- Acknowledgment
- Working in the emergency setting
- The ED mental health assessment
- Suicidality and self-harm
- Acute severe behavioural disturbance (ASBD)
- Acute psychosis and mania
- Drugs and their consequences
- Confusion and delirium
- Anxiety
- Iatrogenic emergencies
- Malingering and factitious presentations
- Frequent attenders
- Recommended readings
- References
- 42. Dermatological emergencies
- Acknowledgment
- General approach to acute dermatological presentations
- Dermatological diseases by morphology
- Online resources
- 43. Drowning
- Introduction
- Pathophysiology
- Precipitating events
- Pre-hospital
- Emergency department
- Inpatient management
- Outcome
- Further readings
- 44. Envenomation
- Acknowledgement
- Introduction
- Snakebite
- Spider bites
- Marine envenomation
- Tick bites
- Centipedes and scorpions
- Additional resources
- Online resources
- 45. Electrical injuries
- Overview
- Low- and high-voltage electrical injury
- Tasers
- Online resources
- 46. Hypothermia and hyperthermia
- Acknowledgment
- Physiology
- Hypothermia
- Hyperthermia
- Controversies
- Online resources
- Reference
- 47. Mass-casualty incidents, chemical, biological and radiological hazard contingencies
- Introduction (by jeff wassertheil)
- Phases of a disaster
- Administrative and legislative mandates
- Medical emergency response plans and agencies
- Pre-hospital medical coordination and disaster scene control
- Triage
- Communication
- Code brown: Hospital external disaster or emergency response plan
- Stages of response
- Chemical, biological and radiological (CBR) hazards
- Further reading
- Tribute
- Online resources
- References
- 48. Diagnostic imaging in emergency patients
- Imaging modalities
- Intravenous contrast reaction
- Imaging of the head
- Emergencies in the neck
- Emergencies in thoracic and lumbar spine
- Chest emergencies
- Radiology in abdominal emergencies
- Some obstetric emergencies
- Fractures of pelvis and limbs
- Radiation issues
- 49. Ultrasound in emergency medicine
- Acknowledgment
- Basic physical principles
- Ultrasound equipment
- Common applications in the ED
- Other applications
- Training, credentialling and quality review
- Online resources
- 50. X-ray and CT common misses
- X-ray
- CT
- 51. Test ordering: Blood results, CSF analysis, pleural fluid analysis, ascitic fluid analysis and joint fluid analysis, choosing wisely
- Blood results
- CSF analysis
- Pleural fluid analysis
- Ascitic fluid analysis
- Joint fluid analysis
- Choosing tests wisely
- 52. Nursing and allied health advanced practice and adjunct roles
- Acknowledgement
- The triage nurse
- Resources
- 53. Emergency medicine in a rural setting
- Definitions
- Challenges
- Education
- Stabilisation for retrieval
- Managing expectations
- Rewards
- Online resource
- 54. Caring for indigenous patients
- Providing practical health services to aboriginal people
- Relationship with family and community
- Relationship with the home
- Communication styles
- Indigenous patients
- Communication
- Alcohol and substance abuse
- Online resources
- 55. Students’ guide to the emergency department
- Advantages of the ED
- Use it as a light at the end of the tunnel
- How do you get the most out of it?
- Summary
- 56. A guide for interns, residents, medical officers working in emergency medicine
- Introduction
- Day 1—getting started
- Working up a patient
- Further into the term/learning opportunities
- Miscellaneous
- Quick/general tips
- Online resources
- 57. So it’s your first night shift ’in charge’—how to manage the department
- Reprioritise your responsibilities
- Keys to success
- Other tips and tricks
- 58. So you had a bad shift . . .
- 59. Useful resources: FOAM resources, podcasts and online emergency medicine material
- FOAM podcasts
- 60. Career, lifestyle and success
- Career
- Lifestyle
- 61. Career in emergency medicine: Workplace-based assessment
- Choosing emergency medicine
- The different facets of workplace based assessment
- 62. Administration and governance in the ED
- Overview
- Managing the emergency department
- Business plan
- Administration
- Administrative structure
- Governance
- Clinical risk management (CRM)
- Emergency department models of care (applicable to EDs that are level 3 and above)
- Teams and teamwork
- Patient care process (PCP)
- After-hours management
- Project and change management
- Teaching, training and skills acquisition
- The future
- How to write a clinical practice guideline
- Online resources
- 63. Rules, confidentiality, legal matters
- General principles
- Codes
- Confidentiality
- Requests for information
- Medical certificates
- Police statements
- Patient care incidents
- Root cause analysis
- Physical examination / intimate examination
- Personal appearance, behaviour and deportment
- Results of investigations
- Notifiable diseases
- Public Health Act 2010 notifiable diseases
- Mandatory blood alcohol and drug testing
- Sexual assault forensic testing
- Coroner’s investigations
- How to avoid a lawsuit
- Personal care
- Consent
- Procedural mistakes
- Reports and records
- Going to court
- Doctors out-of-hours or away from their workplace
- Standards of behaviour out-of-hours/mandatory reporting
- Duty of care: Patients who refuse treatment
- Insurance
- Media
- Complaints
- Index
- Inside back cover
- Edition: 7
- Published: January 1, 2020
- Imprint: Elsevier
- No. of pages: 1348
- Language: English
- Paperback ISBN: 9780729543019
- eBook ISBN: 9780729587259
- eBook ISBN: 9780729587242
- eBook ISBN: 9780729587235
SF
Sascha Fulde
Affiliations and expertise
Emergency Specialist, St Vincent’s Hospital,
Sutherland Hospital, Sydney, NSW
Royal North Shore Hospital, St Leonards, NSW
Senior Lecturer, University of New South WalesGF
Gordian W. O. Fulde
Affiliations and expertise
Director of Emergency The Sydney Hospital, Sydney, NSW
Stream Director, Critical Care, South Eastern Sydney Local
Health Care District
Professor, Emergency Medicine, Notre Dame and
New South Wales Universities
Former Director, Emergency, St. Vincent's Hospital,
Sydney, NSW