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| About the book |
"...it is refreshing to review a book that doesn't claim to include everything but literally provides a foundation by focusing upon key areas within Emergency Care ' to borrow that hackneyed phrase ' 'it does what it says on the tin'!" Tim Barr, Cardiff University, UK The Foundations of Emergency Care is an accessible text that brings together both academic and clinical experts to combine coverage of the clinical skills and underpinning theoretical knowledge essential to practice within the modern emergency setting. Using an evidenced-based and protocol driven approach, this clinical companion guides readers through a multitude of common patient scenarios, to help them acquire essential skills in assessment and priority assignment in an emergency care setting. Each chapter includes scenarios that utilise common emergency care presentations to clearly demonstrate how practitioners can identify critical illness at an early stage through understanding how disease and illness affect normal physiology and how this relates to the patient's clinical presentation. This ability to critically analyse physical findings assists the practitioner in becoming a specialist and directly saves lives. Key areas covered include:
This important new book encourages readers to reflect on their clinical encounters to gain further insight into relevant treatment options and illustrates how critical thinking can be applied in emergency care. Essential reading for healthcare professionals working within emergency care and students requiring the fundamental skills necessary to competently undertake patient assessment and correctly prioritise patient care. |
| About the authors |
Cliff Evans has been the Emergency Department Lecturer for TVU and NW London for 3 years, teaching the Emergency BSc to all local Emergency Departments. Emma Tippins is Senior Sister for Practice Development at Chelsea and Westminster Hospital. Contributors:
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| Table of contents |
Foreword and Acknowledgements Contents List of Scenarios List of Tables List of Figures Chapter 1 - Introduction to Emergency Care ' Emma Tippins & Cliff Evans Emergency Care Applying Theory to Practice Chapter 2 ' Initial Assessment Prioritising Care Delivery ' Cliff Evans Introduction Homeostasis Normal Perfusion Defining Shock Types of Shock Hypovolaemic Shock Septic Shock Anaphylactic Shock Cardiogenic Shock Neurogenic Shock Initial Assessment Chapter 3 ' Acute Cardiac Emergencies ' Cliff Evans Introduction Prevalence Pathophysiology Acute Coronary Syndromes Unstable Angina Non ST Elevated Myocardial Infarction ST Elevated Myocardial Infarction Initial Assessment Assessing the ECG ECG Recognition ' The Basics Treatment Regimens for ACS Atrial Fibrillation Heart Blocks Pathophysiology Degrees of Heart Block Cardiac Arrest Synopsis Advanced Life Support Chapter 4 ' Minor Injuries ' Claire Washbourne Introduction Chapter 5 - Major Trauma - Assessment Prioritisation and Initial Treatment ' Andrew Frazer Introduction Definition Prevalence Organisation of Trauma Care The ABCDE Approach to Initial Assessment Airway (with cervical spine control) Advanced Airway Techniques Alternative Airway Management Techniques Breathing (with ventilation) Airway Obstruction Tension Pneumothorax Open Pneumothorax Massive Haemothorax Flail Chest Cardiac Tamponade Circulation (with haemorrhage control) Fluid Resuscitation The Chest The Abdomen Diagnostic Peritoneal Lavage Focused Abdominal Sonography for Trauma Computed Tomography The Pelvis and Long Bones v Burns Disability Exposure/Environmental Control Chapter 6 ' Gynaecological and Obstetric Emergencies ' Michelle Stanton Introduction Bleeding in Early and Late Pregnancy Miscarriage Ectopic Pregnancy Obstetric Haemorrhage Non-pregnant Causes of Vaginal Bleeding Ovarian Cysts Pelvic Inflammatory Disease Emergency Delivery Conclusion Chapter 7 ' Acute Surgical Emergencies ' Paul Newcombe Introduction Patient Assessment Appendicitis Cholecystitis Bowel Obstruction Pancreatitis Peritonitis Renal Colic Abdominal Aortic Aneurism Conclusion Chapter 8 ' Head Injuries ' Cliff Evans Introduction The Brain Definition and Prevalence Anatomy and Physiology Primary Damage and Directional Forces Secondary Damage Types of Head Injury The Assessment Head Injury and Pupillary Changes Continuing Assessment Summary Chapter 9 ' Respiratory Emergencies ' Cliff Evans & Emma Tippins Introduction Dyspnoea Anatomy and Physiology Airway Assessment and Management Basic Airway Adjuncts Oxygen Delivery Devices Asthma Chronic Obstructed Pulmonary Disease Pneumonia Applying Theory to Practice Chapter 10 ' Medical emergencies ' Cliff Evans Introduction Cerebral Vascular Accident Sickle Cell Disease Pulmonary Embolism Gastrointestinal Haemorrhage Diabetes Acute Confusional State Hyperglycaemia The National Service Framework for Diabetes Diagnosis Acute Diabetic Emergencies - Hyperglycaemia Conclusion Chapter 11 ' Paediatric Emergencies - Jayne Gwyther Introduction Anatomical and Physiological Differences Recognition of the Unwell Child Using a Rapid Assessment Process Childhood Asthma Meningococcal Disease The Fitting Child Consent and Treatment Safeguarding Children in the ED Conclusion |
