Emergencies in Clinical Medicine by Piers Page, Greg Skinner

By Piers Page, Greg Skinner

An easy-to-use advisor to the administration of universal clinical emergencies; this publication is a vital for all junior medical professionals or medical scholars. Emergencies almost always current first to the junior surgeon, both because of direct remark at the ward, or a telephone name from nursing employees while on name. the major to their administration is well timed acceptance and intervention. This ebook provides the junior healthcare professional and senior clinical scholar the boldness to do that. The textual content covers emergencies from either a problem-based and disease-based strategy, with the booklet being divided into sections - shows and illnesses.

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Oxford: Oxford University Press, p. 80. Ž Oxford Textbook of Medicine, 4th edn, vol. 2, Oxford: Oxford University Press, p. 829. Ž Oxford Handbook of Emergencies in Cardiology, 1st edn, Oxford: Oxford University Press, p. 15. Ž Erhardt L et al. (2002) Task force on the management of chest pain. European Heart Journal, 23:1153–76. 27 28 CHAPTER 2 Presentations Shortness of breath 3 Shortness of breath SOB is a common complaint, which has the potential to become lifethreatening very quickly. Prompt assessment and action can be life-saving.

Causes Respiratory Ž Acute exacerbation of asthma (see p. 196–198) Ž Exacerbation of COPD (see p. 212–214) Ž Pleural effusion (see p. 216–218) SHORTNESS OF BREATH 1 Ž Ž Ž Ž Ž Ž Ž Ž Ž Pneumonia (see p. 208–211) Pneumothorax (see p. 204–207) Pulmonary embolism (see p. 200–203) Anaphylaxis (see p. g. flail chest, open pneumothorax) Cardiac Ž MI/angina (see p. 134–143) Ž Acute heart failure (see p. 144–146) Ž Arrhythmias (see p. 164–186) Ž Pericardial effusion/tamponade (see p. 148–155) Other Ž Pain (see p.

Opioids (see p. g. Guillain–Barré syndrome) Ž Acute epiglottitis Chronic type 1 respiratory failure These patients will have longstanding lung disease, but will still have a normal respiratory drive. g. infection). Ž COPD (see p. 212–214) Ž Fibrosing alveolitis Ž Anaemia Ž Carcinoma Ž Lymphangitis Ž Right to left shunt (intracardiac or extracardiac) REDUCED OXYGEN SATURATION 1 Chronic type 2 respiratory failure These patients will have chronic obstructive and/or restrictive lung disease, and will have developed a hypoxic drive due to chronic hypercapnia.

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