Adult emergency medicine at a glance by Thomas Hughes, Jaycen Cruickshank

By Thomas Hughes, Jaycen Cruickshank

Following the commonly used, easy-to-use at a Glance structure, and in full-colour, this fresh identify offers an obtainable creation and revision relief for scientific scholars and junior medical professionals. Reflecting the elevated profile of Emergency drugs in scientific perform and the clinical university curriculum, Adult Emergency drugs at a Glance presents a straight forward evaluation of the main matters that may allow any pupil or junior health care professional to 'hit the floor working' once they input some of the most fascinating parts of scientific medicine.

Adult Emergency medication at a Glance is:

  • A concise, visually oriented direction in emergency drugs that's excellent for either research and revision
  • Organised round signs: 'Short of Breath', instead of diagnoses: 'Pneumonia'
  • Focused at the commonest or risky stipulations you can see within the Emergency division and contains the newest cardiac resuscitation guidelines
  • Comprehensively illustrated all through with over forty seven full-page color illustrations

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Extra resources for Adult emergency medicine at a glance

Sample text

Subdural haematoma Patients at high risk of subdural haematoma (SDH) include the elderly with recurrent falls, alcoholics and those on anticoagulants. SDH may present following an acute injury, or as a chronic deterioration, and often has a poor prognosis whether surgery is performed or not, due to the underlying conditions. Other investigations • Investigations indicated as per Chapters 8 and 9. • Blood glucose. • Alcohol testing, whether breath or blood, is only useful if it is negative. If positive, it is dangerous to assume that all symptoms are due to the alcohol.

If positive, it is dangerous to assume that all symptoms are due to the alcohol. Cervical spine fracture C2 and C5/6 injuries are most common. Document and monitor neurological and respiratory function carefully. Insertion of a catheter, pressure area care, and correction of spinal shock using intravenous fluids are essential basic treatments. 5 cm uncomplicated Tear in fragile skin of elderly patient Steristrip Clean, leave to heal 7 = Remove sutures after seven days Wounds often involve visible areas, the face and upper limb, where cosmetic as well as functional outcome is important.

30% due to gallstones, 30% due to alcohol – the rest have mixed/unknown causes Bowel obstruction Vomiiting, distension, and an empty rectum suggest large or small bowel obstruction, usually caused by adhesions or herniation Perforation/ peritonitis Uncommon since H2 blockers/ PPI – as caused by duodenal or gastric ulceration. Widespread severe pain, with rigid abdomen, no bowel sounds Needs resuscitation and urgent surgery McBurney’s point 2/3 of the way from the umbilicus to a point midway along the inguinal ligament Appendicitis Starts as a poorly localised mid-abdominal pain, then moves to tenderness at McBurney’s point due to peritoneal irritation.

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