This book presents 57 typical cases of neuro-ophthalmic diseases in the emergency room, which represent notoriously complex and difficult challenges for junior doctors. The physical manifestations of these neurologic disorders include visual loss, transient blurring, diplopia, headache, pupillary abnormality, and even cognition problems. Each case provides a wealth of information, including the case report, comments, diagnosis, management, prognosis and concise notes, as well as photographs and other images. As a case-based clinical reference work on neuro-ophthalmic diseases, the book offers readers essential, concretely applicable information and guidance.

Provide optimal, evidence-based triage assessment, advice, and protocols, with Triage Protocols for Aging Adults . The 190 evidence-based protocols offered here address a wide range of symptoms, disorders, and emergencies affecting those 50 and older. Flip quickly to the right symptom and ask the questions listed there to determine whether the individual requires emergency, same-day, or home care. Whether you are in family practice or are a triage nurse working at a hospital, urgent care center, or insurance company, this is the go-to reference to keep by your side. Advance your evidence-based triage skills and protocols with: Easy-to-follow f lowchart format that leads you from yes-or-no questions to assessment, recommendations, and clear instructions 190 protocols that cover the most common conditions faced by aging adults—all body systems, plus weakness, falls, loss of memory, poor appetite, medication interaction problems, and more Alpha-organized table of contents that helps you locate symptoms quickly Contents also organized by body system for quick-find protocols Protocols that have symptom-based titles and address issues affecting all body systems, such as abdominal pain and swelling, alcohol problems, allergic reactions, altered mental status, asthma, earache, elder abuse, joint pain/swelling, and more All protocols reviewed by a team of nursing experts Action column of each protocol that presents emergency actions first Coverage of the legal aspects of triage Tools and sample forms – telephone triage protocol form, triage documentation form, triage log, skills assessment, call documentation review, and teaching self-assessment guide Chapter features include: Key Questions – name, age, onset, medications, pain scale, associated symptoms, and history Other Protocols to Consider – lists related protocols and their page numbers Health Alert – additional information to consider when choosing a protocol, with additional resources listed Assessment Questions and Actions – with specific actions under each yes-or-no answer Home Care Instructions – detailed instructions sections that explain care to be given before emergency help arrives, while waiting for an appointment, or for ongoing home care Report the Following Problems to Your PCP/Clinic/ED – symptoms or conditions that should be reported to their usual healthcare provider Seek Emergency Care Immediately if Any of the Following Occur – symptoms or conditions that require emergency care Your book purchase includes a complimentary download of the enhanced eBook for iOS™, Android™, PC, and Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time—providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design The ability to highlight text and add notes with one click

This vital new resource demonstrates the tools and techniques necessary to safely and successfully carry out a trench rescue operation. Chapters include assessment, hazard control, support operations, emergency care, disentanglement, removal and transfer, as well as a glossary of key terms.

While the management of critically ill patients has traditionally been an undeveloped area of medicine, recent advances in drugs, surgical techniques, and medical equipment now allow patients to survive illnesses and disorders that previously were uniformly fatal. Unfortunately, the knowledge and techniques that are required to do this are not traditionally taught in medical school. Thus, medical errors in this population group are not uncommon and are more likely to have adverse, often fatal, consequences.

In 2001, physicians responsible for the care of the critically ill were introduced to a new program providing them with the tools to significantly decrease the number and severity of medical errors: the Acute Critical Events Simulation (ACES) Program, an intensive and highly interactive course on the acute resuscitation of critically ill patients and the management of crisis situations.

This book is a compendium to the ACES Program, containing its important background information and reference material while serving as an independent reference source for physicians and other health care professionals. With contributions by recognized physicians from across Canada, it presents the specifics of acute resuscitation in the context of crisis resource management and teaches readers life-saving resuscitation skills in a way that allows them to use their medical training more effectively.

With increasing doctor shortages forcing more physicians to manage acutely ill patients, this book will aid physicians looking for a simple yet useful text to help them manage critically ill patients in connection with the ACES Program. While the intended audience for the course is primarily emergency room doctors, family physicians, and senior medical residents, this collection is also applicable to nurses, paramedics, respiratory therapists, and medical students.

This book provides a road map for defining the care of acute heart failure (HF) patients in the short stay or observation unit setting. Supported by the Society of Cardiovascular Patient Care, a quality improvement organization that trains and accredits over 1,000 hospitals for heart failure, chest pain, and atrial fibrillation management, it presents a description of the problem, defines the measures of success, elucidates the implementation of interventions required to be successful, and provides the tools to insure quality HF management. Fully updated and revised, the Third Edition discusses administrative and regulatory issues relating to HF management; pathophysiology and demographics of acute HF; emergency department assessment and treatment of acute HF; admission, treatment, and disposition of acute heart failure in short stay units; and resources such as clinical pathways, algorithms, and patient education tools that can be directly utilized in various healthcare settings. Short Stay Management of Acute Heart Failure, Third Edition, is an essential guide for cardiologists, emergency physicians, and hospital administrators, as well as for institutions wishing to be recognized as quality heart failure centers.

The emergency department is a place of challenging ethical dilemmas and little time and resources to solve them. Ethical Dilemmas in Emergency Medicine provides invaluable information, perspectives, and solutions to common ethical dilemmas in emergency medicine. It addresses important topics seen in the emergency department, including medicolegal issues, triage, privacy and confidentiality, social media, difficult patients, minors, research, patient safety, disasters, suicide, and end of life issues. The accompanying educational modules provide a unique educational opportunity for resident and staff education on ethical issues in emergency medicine. Featuring twenty-three case-based discussions of ethical dilemmas in emergency medicine along with numerous multimedia resources, including media presentations, case based discussions, and multiple choice questions, this book is an invaluable resource for residents in training as well as practicing physicians.

This book aims to provide condensed and crystallised knowledge, providing the rationale for investigations and interventions. Emergency medicine is a specialty where time and knowledge are critical factors in deciding appropriate management which could otherwise result in loss of life or limb. The challenge often is to have lucid management plans, whilst standing at the bedside of the patient. In order to address this challenge, a manuscript is needed which aims to enhance the clinical skills of the emergency physician. The objective of this book is to compile a road map for practitioners of emergency medicine, which would guide them through algorithm-based pathways. This format is distinctive by nature for its concise presentation, which facilitates easy reading and early application. Written by global experts, this book aims to be a truly international representation of emergency physicians who have come together to deliver contemporary concepts in emergency patient care.

The eighth edition of this international bestselling emergency medicine handbook has been completely revised and updated to include the latest evidence-based guidelines and treatment protocols underpinning best practice in emergency medical care. Carefully designed to suit the needs of interns and resident doctors working in the emergency department as well as specialist trainees, the book covers the full range of emergencies - general medical, infectious disease and foreign travel-related, toxicological, surgical, paediatric, obstetric and gynaecological, ophthalmic and psychiatric - as well as practical procedures and administrative and legal issues.

On any given day in the emergency department, the chance of confronting a medical-legal dilemma is significant. Emergency medicine and critical care practitioners may have to deal with malpractice claims, informed consent, protection of minors, resuscitation, operational issues and legal compliance requirements frequently. Substantial knowledge of the law as it pertains to their emergency care and acute care practice is essential. Legal Issues in Emergency Medicine is an invaluable resource for medical practitioners, legal practitioners and administrators in practice and in training. The book covers key topics that have direct relevance to day to day acute patient care practice. Each topic includes a clinical vignette, followed by a review of the legal controversy, current medical scientific evidence, case law and preventative solutions to the dilemma. This approach allows practitioner exposure to a wide variety of medical-legal problems, allowing a pre-emptive, informed approach to problem solving.

Conversational and easy to read, Avoiding Common Errors in Pediatric Emergency Medicine discusses 198 errors commonly made in the practice of pediatric emergency medicine and gives practical, easy-to-remember tips for avoiding these pitfalls. This unique manual offers brief, approachable, evidence-based chapters suitable for reading immediately before the start of a rotation, for quick reference on call, or daily for personal assessment and review. Covers nuanced topics specific to the care of children in the emergency setting, including treatment strategies, procedure competencies, distinct pathophysiology, and disease processes. Discusses the crashing patient, ultrasound and imaging, community and legal issues, applied practice, behavioral health, and medication/pharmacy topics. Summarizes each chapter with handy key points that present must-know information in an easy-access, bulleted format. Helps prevent clinical practice errors in the ED due to applying an adult management approach instead of a directed pediatric approach. Ideal for emergency medicine physicians, residents, and attendings; emergency nurse practitioners, PAs who practice in the ED, and pediatricians. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Developed to improve patient safety during labor and delivery, the OB F.A.S.T. (Obstetrical Feasible Approach to Safety Training) simulation program is a proven, award-winning resource is designed for all members of the interdisciplinary obstetrics team to use together. Written by Dr. Giancarlo Mari, who developed the program and currently trains providers around the U.S. and the world, this volume helps teams strengthen their common knowledge of obstetric emergencies. This knowledge is then applied to rehearse emergencies together and prepare team members to provide a safe labor and delivery experience for every mother and child. Features easy-to-follow images and diagrams to reinforce team knowledge of common obstetric emergencies, from cardiac arrest and anesthesia considerations to intrapartum fetal monitoring and amniotic fluid embolism. Offers suggestions for how to run a simulation drill, as well as key points for debriefing and documentation. Includes essential background information to facilitate quick reference and skills checklists to evaluate team performance. Designed for every member of the obstetric team - from those who are new to the field to practitioners with years of experience.

Behind heart disease and cancer, medical error is now listed as one of the leading causes of death. Of the many medical errors that may lead to injury and death, diagnostic failure is regarded as the most significant. Generally, the majority of diagnostic failures are attributed to the clinicians directly involved with the patient, and to a lesser extent, the system in which they work. In turn, the majority of errors made by clinicians are due to decision making failures manifested by various departures from rationality. Of all the medical environments in which patients are seen and diagnosed, the emergency department is the most challenging. It has been described as a "wicked" environment where illness and disease may range from minor ailments and complaints to severe, life-threatening disorders. The Cognitive Autopsy is a novel strategy towards understanding medical error and diagnostic failure in 42 clinical cases with which the author was directly involved or became aware of at the time. Essentially, it describes a cognitive approach towards root cause analysis of medical adverse events or near misses. Whereas root cause analysis typically focuses on the observable and measurable aspects of adverse events, the cognitive autopsy attempts to identify covert cognitive processes that may have contributed to outcomes. In this clinical setting, no cognitive process is directly observable but must be inferred from the behavior of the individual clinician. The book illustrates unequivocally that chief among these cognitive processes are cognitive biases and other flaws in decision making, rather than knowledge deficits.