Evidence-Based Emergency Care

Evidence-Based Emergency Care

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English
296 Pages

Description

This useful handbook provides a concise compilation of the evidence supporting diagnostic testing and clinical decision rules in emergency care. Clinical decision rules are now widely recognised as best practice for the ordering of diagnostic tests in the emergency department.

Aimed at all physicians working with emergency and acute patients, the book begins with an overview of how to evaluate a diagnostic test using an evidence-based approach, followed by an explanation of the clinical decision rules and the methods of assessing the strength and applicability of the clinical prediction rule.

These introductory chapters are followed by sections covering the following clinical areas:

* Traumatic Injuries

* Cardiology

* Infectious Disease

* Surgical and Abdominal Complaints

* Urology

* Neurology

* Ophthalmology, Hematology, Rheumatology

* Pulmonology.

For each test and clinical decision rule, the most current and best available studies in the literature are discussed and applied to emergency department and acute care patients in addressing the question at hand, followed by an overall recommendation on how to use the test or rule in the clinical context.

Evidence-Based Emergency Care is an accessible and extremely useful reference for physicians at all levels to use in applying an evidence-based approach to ordering and interpreting tests in an acute care environment.

Subjects

Informations

Published by
Published 26 August 2011
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EAN13 9781444357172
License: All rights reserved
Language English

Legal information: rental price per page €. This information is given for information only in accordance with current legislation.

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Contents
Preface, vii
Foreword, ix
About the Authors, xi
Section 1: The Science of Diagnostic Testing and Clinical Decision Rules 1 Diagnostic Testing in Emergency Care, 3 2 Evidence-Based Medicine: the Process, 10 3 The Epidemiology and Statistics of Diagnostic Testing, 16 4 Clinical Decision Rules, 32
Section 2: Traumatic Injuries 5 Cervical Spine Fractures, 41 6 Cervical Spine Fractures in Older Adults, 53 7 Cervical Spine Fractures in Children, 59 8 Blunt Abdominal Trauma, 62 9 Acute Knee Injuries, 67 10 Blunt Head Injury, 72 11 Blunt Head Trauma in Children, 83 12 Acute Ankle and Foot Injuries, 91 13 Occult Scaphoid Fractures, 96 14 Blunt Chest Trauma, 101 15 Occult Hip Fracture, 108
Section 3: Cardiology 16 Heart Failure, 115 17 Syncope, 122 18 Acute Coronary Syndrome, 127
v
viContents
Section 4: Infectious Disease 19 Serious Bacterial Infections and Occult Bacteremia in Children, 143 20 Bacterial Meningitis in Children, 149 21 Necrotizing Fasciitis, 152 22 Pharyngitis, 156 23 Infective Endocarditis, 160 24 Urinary Tract Infection, 167 25 Sinusitis, 171 26 Pneumonia, 176 27 Spontaneous Bacterial Peritonitis, 181
Section 5: Surgical and Abdominal Complaints 28 Acute Nonspecific, Nontraumatic Abdominal Pain, 189 29 Bowel Obstruction, 194 30 Acute Pancreatitis, 198 31 Acute Appendicitis, 201 32 Acute Cholecystitis, 208
Section 6: Urology 33 Kidney Stones, 215 34 Testicular Torsion, 220
Section 7: Neurology 35 Subarachnoid Hemorrhage, 229 36 Acute Stroke, 234
Section 8: Miscellaneous: Ophthalmology, Hematology, Rheumatology, and Pulmonology 37 Pulmonary Embolism and Deep Vein Thrombosis, 243 38 Temporal Arteritis, 254 39 Intraocular Pressure, 259 40 Asthma, 266
Index, 277