This book provides a structured approach to the initial assessment, resuscitation, differential diagnosis and short-term management of common on-call problems. It also provides an overall guide to hospital practice and acute clinical skills. It is designed to help junior doctors and senior medical students acquire a logical, practical and efficient approach, which is essential for problem-based learning and acute management.
Clinical problem-solving is an essential skill for the doctor on call. Traditionally, the diagnosis and management of a patient’s problems are approached with an ordered, structured and sequential system (e.g. history-taking, physical examination, and review of available investigations) before formulating the provisional and differential diagnoses and the management plan.
In an emergency, doctors proceed concurrently with resuscitation, history, examination, investigation and definitive treatment. Stabilisation of the airway, breathing, circulation and neurological disability must occur in the first few minutes to avoid death and disability.
A ‘complete history and physical examination’ can take 60 minutes or more to complete. However, while on call this is not possible, as unnecessary time spent on a patient with a relatively minor complaint may deny adequate treatment time to patients who may require resuscitation.
This book provides a focused approach to many clinical problems in order to increase efficiency and improve time management.
- Latest 2010 ACLS guidelines
- Practical problem based format – individual patient problems carefully analysed to allow the doctor to make correct assessment and not miss important diagnoses
- All terms, definitions and clinical information reviewed and rewritten to match local health system practice
- © Saunders Australia 2011
- 15th August 2011
- Saunders Australia
- eBook ISBN:
Consultant Emergency Physician, Sir Charles Gairdner Emergency Department, Clinical Senior Lecturer in Emergency Medicine, University of Western Australia, Australia
Professor Tony Brown has written extensively in the medical literature, including a bestselling handbook on emergency medicine now in its seventh edition. He holds a conjoint academic teaching appointment at the University of Queensland School of Medicine, works full-time in clinical emergency medicine and is immediate past Editor-in-Chief of Emergency Medicine Australasia. He was awarded the inaugural Teaching Excellence Award 2001 at the Australasian College for Emergency Medicine; the Excellence in Clinical Teaching Award 2001 at the Royal Brisbane Hospital; and the Outstanding Teaching Award 2015 at the Royal Brisbane Clinical School, University of Queensland School of Medicine.
Professor, Discipline of Anaesthesiology and Critical Care, School of Medicine MD Program, University of Queensland, Brisbane. Senior Staff Specialist (Pre-Eminent Status), Department of Emergency Medicine, Royal Brisbane and Women’s Hospital, Brisbane.
Professor Tony Celenza is the head of the Discipline of Emergency Medicine and coordinates undergraduate education in emergency medicine at UWA. He also is head of the Faculty Education Centre at UWA and is the Director for the MBBS/MD Program. He has designed and coordinates courses in Critical Illness, Wilderness Emergency Medicine, and Neurological, Cardiovascular and Orthopaedic Emergencies for medical students, emergency trainees and rural general practitioners. He has received numerous awards for Excellence in Teaching, including a Citation for Outstanding Contribution to Student Learning by the Australian Learning and Teaching Council.
Professor of Emergency Medicine and Medical Education, Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth. Staff Specialist, Department of Emergency Medicine, Sir Charles Gairdner Hospital, Perth.