Verfügbarkeit: Emergency medicine

Emergency medicine: diagnosis and management

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Bibliographische Detailangaben
Hauptverfasser:	Brown, Anthony F. T. (VerfasserIn), Cadogan, Michael D. (VerfasserIn)
Format:	Buch
Sprache:	English
Veröffentlicht:	London Hodder Arnold 2011
Ausgabe:	6. ed.
Schlagworte:	Emergency medicine > Handbooks, manuals, etc Emergencies > Handbooks Notfallmedizin Diagnose
Online-Zugang:	Inhaltsverzeichnis
Beschreibung:	4. Aufl. u.d.T.: Accident and emergency
Beschreibung:	XXIII, 532 S. Ill.
ISBN:	9781444120134 1444120131

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Datensatz im Suchindex

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adam_text	Dedication v Preface xxi Acknowledgements xxiii í CilTfiCAL СпШЕ EM Cardiopulmonary Resuscitation 2 Initial approach 2 Definitive care б Acute Upper Airway Obstruction 13 Shocked Patient 15 General approach 15 Hypövolaemic shock 19 Septic shock 21 Unconscious Patient 24 Anaphylaxis 27 Severe Head Injury 29 Critical-Care Areas Drug Infusion Guideline 34 Further Reading 41 Smťa&m Ћ mSMEMMŁ ШМЖЖ ШТШШЖШЅ, Chest Pain 44 Acute coronary syndrome 44 ST elevation myocardial infarctìoii 44 Non-ST elevation шуосагсїіаі infarction and unstable angina 48 Non-cardiac chest pain 51 Pulmonary embolas 51 Venous thromboembolism with âeep vein flironibosis 55 Aortic dissection 57 Pericarditis 58 Meorisy 59 Abdominal causes of chest paia 59 Miiscoîosfeeleta! ana chest watt paia 60 Contests Vu Ľľľ_ Cardiac Arrhythmias 60 Breathless Patient 64 Acute asthma 65 Community-acquired pneumonia 67 Chronic obstructive pulmonar) disease 71 Pneumothorax 72 Pulmonary- emboius 75 Pulmonary oedema 75 Acute upper airway obstruction 76 Upper Gastrointestinal Haemorrhage 76 Diabetic Coma and Pre-coma 78 Diabetic ketoacidosis 78 Hyperglycaemic, hyperosmolar non-ketotic syndrome 80 Altered Conscious Level 80 Confused patient 81 Alcohol-related medical problems 85 Patient with an altered conscious level and smelling of alcohol 85 Alcohol withdrawal 86 Acute Neurological Conditions 87 Syncope 87 Seizure (Fit) 89 Generalized convulsive status epilepticus 91 Transient ischaemic attack 93 Stroke 95 Headache 97 Meningitis 97 Subarachnoid haemorrhage 99 Space-occupying lesion 100 Temporal arteritis 101 Hypertensive encephalopathy 101 Migraine 102 Tension (muscle contraction) headache 104 Post-traumatic headache 104 Disease in other cranial structures 105 Acute Arthropathy 105 Acute monoarthropathj 105 Septic arthritis 105 Gouty arthritis 106 Pseudogout 107 Traumatic arthritis 107 Acute polyarthropathy 108 Rheumatoid arthritis 109 viii Contents Osteoarthritis 109 Allergie or Immunological Conditions 110 Urticaria (hives) 110 Angioedema 111 Skin Disorders 112 Blistering (vesicobullous) conditions 112 Pruritus (itching conditions) 113 Purpurie conditions 114 Exanthematous diseases 116 Malignant melanoma 117 Elderly Patient 118 Disordered behaviour in the elderly 119 Falls in the elderly 120 Further Reading 121 Section Hi ACID-BASE, ELECTROLYTE AND RENAL EMERGENCIES Acid-Base Disturbances 124 Arterial blood gas interpretation 124 Metabolic acidosis 126 Metabolic alkalosis 128 Respirator) acidosis 129 Respiratory alkalosis 130 Electrolyte Disorders 131 Potassium disorders 132 Hyperkalaemia 132 Hypokalaemia 134 Sodium disorders 135 Hypernatraemia 135 Hyponatraemia 136 Calcium disorders 138 Hypercalcaemia 138 Hypocalcaemia 139 Magnesium disorders 139 Hypermagnesaemia 139 Hypomagnesaemia 140 Acute Renal Failure 141 Acute kidney injury 141 Further Reading 144 Contents ix ! Section IV INFECTIOUS DISEASE AND FOREIGN TRAVEL EMERGENCIES Febrile Neutropenic Patient 146 Hepatitis 147 Gastrointestinal Tract Infection I4** Sexually Transmitted Diseases 150 Needlestick and Sharps Incidents 151 Inoculation Incident with HIV Risk 151 Inoculation Incident with Hepatitis Risk 151 Human Immunodeficiency Virus Infection 453 Tuberculosis 155 Bites with Rabies or other Lyssavirus Risk 157 Rabies and Lyssavirus risk 15/ Common Imported Diseases of Travellers 158 Malaria 159 Typhoid 160 Dengue 161 Typhus and spotted fevers 161 Helminth infections 162 Pandemic Inf luenza 163 Further Reading 164 Section V TOXICOLOGY Acute Poisoning: General Principles 166 Specific Poisons 169 Paracetamol 170 Salicylates Trie velie antidepressants 174 Benzodiazepines Optoids Iron Digoxin 76 77 g 78 Lithium 179 Fhe«>phyffine 181 Bela-blockers 182 Calcium-channel blocking drugs IS3 Carbon monoxide 184 Cyanide 1S5 Chtoraqume 185 Cocaine 186 Contenti Urganophosphates 187 Paraquat 188 Chemical Burns 189 Further Reading 190 Section VI TOXINOLOGY EMERGENCIES Snake Bites 192 Hlapiti snake bites 1 92 Viper (adder) snake bites 1 95 Spider Bites 196 Marine Envenomation 197 Bee and Wasp Stings 199 Further Reading 200 Section V« ENVIRONMENTAL EMERGENCIES Heat, Cold and Drowning 202 Heat illness 202 Other hvpertherrma-related illness 204 Hypothermia 205 Drowning 207 Sports-Diving Accidents 208 Decompression illness 209 Decompression illness with barotrauma 210 Electrical Burns, Electrocution and Lightning Strike 212 Electrical flash burns 212 Low-voltage electrocution 212 High-voltage electrocution 213 Lightning strike 215 Further Reading 216 Section VIH SURGICAL EMERGENCIES Multiple Injuries 218 Further Diagnosis and Management of Multiple Injuries: Definitive Care 223 Head and Facial Injuries 223 Neck injuries 224 Cervical spine injury 224 Airway injury 229 Vascular injury in the neck 229 Nerve injury in the neck 229 Contents xi I Oesophageal injury 230 Neck sprain 230 Chest Injuries 231 Pneumothorax 231 Haemothorax 231 Rib and sternum fractures 232 Myocardial contusion 233 Aortic rupture 234 Diaphragm rupture 235 Oesophageal rupture 236 Penetrating chest injury 237 Abdominal and Pelvic Trauma 238 Blunt abdominal trauma 238 Penetrating abdominal trauma 240 Pelvic injury 241 Blunt renal injury 242 Penetrating renal injury 243 Bladder and urcthral injuries 244 Additional Orthopaedic Injuries in Multiple Trauma 244 Thoracic and lumbosacral spine injury 245 Limb injury 246 Head Injury 247 Conscious head injury 247 Burns 250 Major burns 250 Minor burns and scalds 252 Minor burns of the hand 253 Minor burns of the face 254 Bitumen burns 254 Acute Abdomen 254 Seriously ill patient 254 Stable patient with an acute abdomen 25 S Causes of acute abdominal pain 259 Acute appendicitis 260 Intestinal obstruction 260 Intussusception 261 Perforation of a viscus 262 Diverticulitis 262 Inflammatory bowel disease 263 Biliary colic 264 Acute cholecystitis 264 Ruptured abdominal aortic aneurysm 265 Ischaemic colitis 266 I xii Contents Mesenteric infarction 266 Ruptured spleen 267 Acute pancreatitis 267 Renal and ureteric colic 268 Pyelonephritis 269 Acute urinary retention 270 Acute epididymo-orchitis 271 Acute testicular torsion 271 Priman- peritonitis 272 Retroperitoneal haemorrhage 272 ( ì vnaecological causes 273 Medical disorders presenting with acule jbdomiiul pain 273 Further Reading 274 Section IX ORTHOPAEDIC EMERGENCIES Injuries to the Shoulder and Upper Arm 276 Fractures ul ihe clavicle 1~ь Acromioclaviiular dislocation 2~6 Sternocljvicular disliwation 277 fractures of the scapula 27H Anterior dislocation oi the shoulder 278 Posterior dislocation of the shoulder 280 Fractures oř the upper humérus 281 Fractures of the shaft of the humérus 282 Injuries to the Elbow and Forearm 283 Supracondvter fracture of the humérus 283 Condylar and epicondylar fractures of the humérus 284 Dislocation of the elbow 285 Pulled elbow 286 Fractures of the olecranon 286 Fractures of the radial head 287 Fractures of the radial and ulnar shafts 287 Injuries to the Wrist and Hand 288 Colles fracture 288 Smith s fracture 290 Barton s fracture-dislocation 291 Radial styloid fracture 291 Distal radial fractures in children 292 Fractures of the scaphoid 292 Dislocations of the carpus 294 Fractures of the other carpal bones 294 Fractures of the thumb metacarpal 295 Dislocation of the thumb metacarpai 296 Contenti un I Rupture of the ulnar collateral ligament 296 Fractures of the other metacarpals 297 Fractures of the proximal and middle phalanges 298 Fractures of the distal phalanges 298 Dislocation of the phalanges 299 Flexor tendon injuries in the hand 300 Extensor tendon injuries in the hand 300 Digital nerve injuries 301 Fingertip injuries 301 Cervical Spine Injuries 301 Thoracic and Lumbar Spine Injuries 302 Pelvic Injuries 302 Injuries to the Hip and Upper Femur 302 Dislocation of the hip 302 Fractures of the neck of the femur 303 Fractures of the shaft of the femur 304 Injuries to the Lower Femur, Knee and Upper Tibia 305 Supracondylar and condylar fractures of the femur 305 Fractures of the patella and injury to the quadriceps apparatus 305 Dislocation of the patella 306 Soft-tissue injuries of the knee 306 Dislocation of the knee 308 Fractures of the tibial condyles 308 Injuries to the Lower Tibia, Ankle and Foot 309 Fractures of the shaft of the tibia 309 Isolated fracture of the fibula 310 Inversion ankle injuries 310 Other ankle injuries 312 Dislocation of the ankle 312 Fractures and dislocation of the talus 312 Fractures of the calcaneus 313 Rupture of the tendo Achilles 314 Mid-tarsal dislocations 314 Metatarsal injuries and tarsometatarsal dislocations 314 F ractu res of the phalanges of the foot 315 Dislocations of the phalanges of the foot 315 Further Reading 316 I xiv Contents Section X MUSCULOSKELETAL AND SOFT-TISSUE EMERGENCIES Soft-Tissue Injuries 318 Tetanus prophylaxis 321 Crush injury and compartment syndrome 323 Puncture injuries 324 Hand infections 325 Pre-tibial laceration 326 Non-articular Rheumatism 326 Torticollis (wry neck) 327 Frozen shoulder 327 Rotator cult tear: supraspinatus rupture 328 Supraspinatus tendinitis 328 Subacromidl bursitis 329 Tennis and golfer s elbow 329 Olecranon burMtis 329 De Quervain s stenosing tenosynovitis 329 Carpal tunnel syndrome 330 Housemaid s knee 330 Back Pain 330 Direct back trauma 331 Indirect mechanical back trauma 331 Severe or atypical, non-traumatic back pain 332 Mild to moderate, non-traumatic back pain 333 Further Reading 333 Section XI PAEDIATRIC EMERGENCIES General Assessment 336 Cardiopulmonary Resuscitation 339 Breathless Child 347 Asthma 347 Bronchiolitis 349 Pneumonia 350 Anaphylaxis 351 Stridor 352 Croup (acute laryngotracheobronchitis) 352 Epiglottitis (supraglottitis) 352 Inhaled foreign body 354 Abdominal Pain, Diarrhoea and Vomiting 355 Acute abdominal pain 355 Diarrhoea, vomiting and dehydration 357 Contents xv I Febrile Child 361 Seizures and Febrile Convulsions 364 Seizures 364 Febrile convulsions 365 Acute Poisoning 367 Limping Child 369 Sudden Unexpected Death in Infancy 370 Child Abuse (Non-accidental Injury) 372 Further Reading 374 Section XII OBSTETRIC AND GYNAECOLOGICAL EMERGENCIES Gynaecological Assessment and Management 376 General principles 376 Prescribing in pregnancy 376 Gynaecological Causes of Acute Abdominal Pain 376 Ruptured ectopie pregnancy 377 Pelvic inflammatory disease (acute salpingitis) 379 Ruptured ovarian cyst 3gO Torsion of an ovarian tumour З80 Endometriosis 381 Bleeding in Early Pregnancy 381 Spontaneous miscarriage 3g 1 Induced septic abortion З8З Conditions in Late Pregnancy 383 Terminology 3g4 Antepartum haemorrhage 384 Pre-eclampsia and eclampsia З85 Emergency delivery 335 Trauma in late pregnancy 337 Cardiopulmonary resuscitation in late pregnancy З88 Women s Medicine Crises 389 Post-coital contraception 339 Missed oral contraceptive pill 390 Domestic violence to females 391 Female rape 391 Further Reading 393 I xvi Contents Section XIII ENT EMERGENCIES Traumatic Conditions of the Ear 396 Subperichondrial haematoma 396 Wounds of the auricle 396 Foreign body in the external ear 396 Perforated eardrum 397 Basal skull fracture 397 Non-traumatic Conditions of the Ear 398 Otitis externa 398 Furunculosis of the external ear 398 Acute otitis media 399 Mastoiditis 399 Vertigo 400 Facial nerve palsy 400 Traumatic Conditions of the Nose 401 Fractured nose 401 Foreign body in the nose 402 Non-traumatic Conditions of the Nose 402 Epistaxis 402 Traumatic Conditions of the Throat 404 Non-traumatic Conditions of the Throat 404 Tonsillitis 404 Quinsy (peritonsillar abscess) 405 Foreign body in the pharynx 405 Swallowed foreign body 406 Stridor 407 Further Reading 407 Section XIV OPHTHALMIC EMERGENCIES Visual Acuity 410 Topical Ophthalmic Preparations 410 Traumatic Conditions of the Eye 411 Periorbital haematoma ( black eye ) 411 Subconjunctival haematoma 411 Eyelid laceration 412 Eyelid burn 412 Chemical burns to the eye 412 Conjunctiva! foreign body 413 Corneal foreign body 414 Corneal abrasion 414 Flash burn (arc eye) 414 Contents xvii I Blunt trauma to the eye 415 Penetrating trauma to the eye 416 Conditions Affecting the Eyelids 417 Blepharitis 417 Stye (external hordeolum) 417 Meibomian abscess (internal hordeolum) 417 Meibomian cyst (chalazion) 417 Dacryocystitis 417 Orbital and periorbital cellulitis 418 Basal cell carcinoma (rodent ulcer) 418 Ophthalmic shingles (herpes zoster ophthalmicus) 418 Painful, Red Eye 419 Acute conjunctivitis 419 Acute keratitis 420 Acute iritis 421 Acute episcleritis and scleritis 421 Acute glaucoma 422 Sudden Loss of Vision in the Uninflamed Eye 422 Central retinal artery occlusion 422 Central retinal vein occlusion 423 Vitreous haemorrhage 424 Retinal detachment 424 Optic neuritis 425 Further Reading 425 Section XV MAXILLOFACIAL AND DENTAL EMERGENCIES Traumatic Conditions of the Face and Mouth 428 Lacerations 428 Tooth injuries 428 Fractured mandible 430 Dislocated mandible 430 Fracture of the zygoma or zygomaticomaxillary (malar) complex 431 Blow-out fracture of the orbital floor 432 Le Fort middle-third of face fractures 433 Non-traumatic Conditions of the Mouth 434 Toothache 434 Dental abscess 434 Ludwig s angina 434 Submandibular swellings 435 Further Reading 435 I xviii Contents Section XVI PSYCHIATRIC EMERGENCIES Deliberate Self-harm 438 Violent Patient 439 Alcohol and Drug Dependency and Abuse 441 Alcohol and drug withdrawal 441 Problem drinking 441 Opiate and intravenous drug addiction 442 Benzodiazepine and solvent addiction 443 Involuntary Detention 443 Further Reading 444 Section XVII ADMINISTRATIVE AND LEGAL ISSUES Desirable Habits of the Good Emergency Department Doctor 446 Excellence in emergency department care 446 Emergency department medical records 446 Communicating with the general practitioner 447 Breaking bad news 448 Risk management and incident reporting 449 Triage 450 Consent, Competence and Refusal of Treatment 451 Consent and competence 451 Refusal of treatment and discharge against medical advice 452 Police, Coroner and Attending Court 453 Police request for patient information 453 Police request to interview a patient 453 Police request for an alcohol breath test or blood sample 453 Request for a police medical statement 454 Coroner 454 Attending an inquest or court 455 Retrieval and Inter-hospital Transfer 456 Major Incident 456 External disaster 456 Specialized responses 459 Chemical incident 460 Biological incident 462 Radiological incident 463 Further Reading 464 Contents xix I Section XVIII PRACTICAL PROCEDURES Endotracheal Intubation 466 Rapid Sequence Induction (RSI) Intubation 466 Cricothyrotomy 469 Needle Thoracentesis 471 Intercostal Catheter Insertion 473 DC Cardioversion 474 Pericardial Aspiration 475 Central Line Insertion 476 Intraosseous Line Insertion 480 Lumbar Puncture 482 Indwelling Urethral Catheter Insertion 484 Nasogastric Tube Insertion 486 Bier s Intravenous Regional Block 488 Femoral Nerve Block 489 Digital Nerve Ring Block 491 Knee Aspiration 492 Further Reading 492 Glossary 495 Appendix: Normal Laboratory Values 503 Index 507 I xx Contents
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spelling	Brown, Anthony F. T. Verfasser aut Emergency medicine diagnosis and management Anthony F. T. Brown ; Mike D. Cadogan Accident and emergency 6. ed. London Hodder Arnold 2011 XXIII, 532 S. Ill. txt rdacontent n rdamedia nc rdacarrier 4. Aufl. u.d.T.: Accident and emergency Emergency medicine Handbooks, manuals, etc Emergencies Handbooks Notfallmedizin (DE-588)4042676-2 gnd rswk-swf Diagnose (DE-588)4012040-5 gnd rswk-swf Notfallmedizin (DE-588)4042676-2 s Diagnose (DE-588)4012040-5 s DE-604 Cadogan, Michael D. Verfasser aut Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024810288&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle	Brown, Anthony F. T. Cadogan, Michael D. Emergency medicine diagnosis and management Emergency medicine Handbooks, manuals, etc Emergencies Handbooks Notfallmedizin (DE-588)4042676-2 gnd Diagnose (DE-588)4012040-5 gnd
subject_GND	(DE-588)4042676-2 (DE-588)4012040-5
title	Emergency medicine diagnosis and management
title_alt	Accident and emergency
title_auth	Emergency medicine diagnosis and management
title_exact_search	Emergency medicine diagnosis and management
title_full	Emergency medicine diagnosis and management Anthony F. T. Brown ; Mike D. Cadogan
title_fullStr	Emergency medicine diagnosis and management Anthony F. T. Brown ; Mike D. Cadogan
title_full_unstemmed	Emergency medicine diagnosis and management Anthony F. T. Brown ; Mike D. Cadogan
title_short	Emergency medicine
title_sort	emergency medicine diagnosis and management
title_sub	diagnosis and management
topic	Emergency medicine Handbooks, manuals, etc Emergencies Handbooks Notfallmedizin (DE-588)4042676-2 gnd Diagnose (DE-588)4012040-5 gnd
topic_facet	Emergency medicine Handbooks, manuals, etc Emergencies Handbooks Notfallmedizin Diagnose
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