By Dr. G. Richard Braen MD
Part of the best-selling Lippincott® guide sequence, Manual of Emergency medication, 6th Edition is the main straight forward quick-reference to be had in emergency drugs today.
The book’s easy-to-scan define layout and boldface key words make discovering very important evidence easy.
Designed for quick reference within the emergency division, this handbook prepares readers for the main in general encountered illnesses, issues, and disturbing accidents with the fundamental and functional details wanted for speedy analysis and powerful management.
Manual of Emergency drugs delivers life-saving proof in seconds!
• NEW and up to date fabric through the text displays the main complicated emergency division practices.
• NEW details on drug dosage for therapy of infectious ailments (including HIV) ensures sound scientific decision-making.
• Reader-friendly define structure makes very important proof effortless to find and apply.
• standard use of daring variety highlights vital info for fast retrieval.
• Time-saving lists of attainable etiologies lead readers quickly to acceptable information.
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Additional info for Manual of Emergency Medicine
Useful guidelines include “less than eight, intubate,” or intubation if ten or less in the trauma patient. • Rapidly assess response to naloxone and flumazenil (if benzodiazepine overdose is suspected) and the glucose level (Dextrostix or glucometer). • Early identification of patients with elevated intracranial pressure (trauma, decreased level of consciousness, papillary signs) may allow hyperventilation to produce immediate benefit before neurosurgical intervention. • Hypoxemia may be rapidly identified by the presence of cyanosis; however, severely anemic patients may not show this important sign.
It will, however, cause a predictable decrease in blood pressure, which can be severe in hypovolemic patients. Its primary use in the emergency department is in deep procedural sedation in patients with adequate volume status and stable hemodynamic systems. • Barbiturates such as thiopental (3 mg/kg, usual 210 mg) have been pharmacologic mainstays of anesthesiologists and emergency physicians in the past. 5 mg/kg, usual 70–100 mg) provide effective anesthesia and cerebral protection with rapid recovery.
Bleeding in the neck and sublingual areas is also considered potentially severe. Treatment in this category should be continued for 3 to 5 days after bleeding stops. Patients with head injuries are considered at high risk for intracranial bleeding, are treated prophylactically (for severe bleeding), and require early CT scanning. Once thawed, cryoprecipitate must be administered within 4 hours; cryoprecipitate should be ABO type–specific (a full crossmatch is not necessary) and should be administered through a blood filter or a platelet concentration infusion set (the latter contains a filter and allows cryoprecipitate to be administered by intravenous push).