Emergency physicians assess and manage a wide variety of problems from patients presenting with a diversity of severities, ranging from mild to severe and life-threatening. They are expected to maintain their competency and expertise in areas where there is rapid knowledge change.

Evidence-based Emergency Medicine is the first book of its kind in emergency medicine to tackle the problems practicing physicians encounter in the emergency setting...

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Evidence-Based Emergency Medicine

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Emergency physicians assess and manage a wide variety of problems from patients presenting with a diversity of severities, ranging from mild to severe and life-threatening. They are expected to maintain their competency and expertise in areas where there is rapid knowledge change.

Evidence-based Emergency Medicine is the first book of its kind in emergency medicine to tackle the problems practicing physicians encounter in the emergency setting using an evidence-based approach. It summarizes the published evidence available for the diagnosis and treatment of common emergency health care problems in adults. Each chapter contextualizes a topic area using a clinical vignette and generates a series of key clinically important diagnostic and treatment questions. By completing detailed reviews of diagnostic and treatment research, using evidence from systematic reviews, RCTs, and prospective observational studies, the authors provide conclusions and practical recommendations.

Focusing primarily on diagnosis in areas where evidence for treatment is well accepted (e.g. DVTs), and treatment in other diseases where diagnosis is not complex (e.g. asthma), this text is written by leading emergency physicians at the forefront of evidence-based medicine. Evidence-based Emergency Medicine is ideal for emergency physicians and trainees, emergency department staff, and family physicians specialising in the acute care of medical and injured patients.

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Editorial Reviews

From the Publisher
"The forward to this large format, hard cover, 658 page excellent book encapsulates why its topic is so important to the practice of modern emergency medicine." (BMJ, 13 April 2011)

“Dr. Brian Rowe, his co-editors and contributors, have masterfully designed a book to ‘answer the direct, give-me-the-bottom-line questions emergency physicians ask in the middle of their shifts’ … .Each chapter is extremely well referenced and the index seems complete and is user friendly ... .This will be my new goto text for evidenced-based answers to specific clinical questions. It belongs in every emergency medicine library, as well as on the shelf of those in charge of journal clubs and evidence-based lecture series.” (Annals of Emergency Medicine, November 2009)

"This book alone takes on the difficult challenge of reviewing the evidence based decisions that are still not ubiquitous in the emergency departments of America." (Doody's, August 2009)

"The best available evidence in a clear and concise manner. … Especially useful to medical and pharmacy residents because of their background in the topics covered in this book ... .It is a significant evidence-based contribution to the emergency medicine literature." (The Annals of Pharmacotherapy, July 2009)

Doody's Review Service
Reviewer: Peder Todd Lindberg, MD, PhD (University of Chicago Pritzker School of Medicine)
Description: A systems-based collection of randomized trials, meta-analyses, and brief discussions of practical questions of best practice in the emergency department, this book is a concise presentation of the conclusions of landmark studies, and the analysis involved in their production.
Purpose: No doubt inspired by the groundbreaking research in the field, this book is an attempt to collect and emphasize the tested hypotheses for the emergency department to guide practitioners. The book attempts not only to answer particular questions in an accessible manner, but also to familiarize clinicians with the tools of critical testing.
Audience: The audience is emergency medicine practitioners, physicians intent on making real-life decisions based on well-performed studies. The authors demonstrate the scope of their knowledge in each chapter.
Features: Each chapter addresses around a dozen concrete questions on treatment and presents the evidence in support of each conclusion. Frequently, there are meta-analyses in the style of the Cochrane Review, as the authors are associated with the Cochrane Group. Each chapter starts with a case, highly relevant to any practitioner's last shift. Then a series of questions are addressed, constantly related back to patient care. Data from the relevant studies are reported and summarized, and a brief conclusion is stated. While this is a convenient collection of studies, it probably attempts to do what is impossible for a book. It doesn't lend itself to an easy flow because each question is a study in its own right. At the same time, there are better resources already available (for example, the online Cochrane Database itself) for the reader who has one particular question. Although the book is a good collection of the extensive body of work that exists to guide practice, it suffers from the inevitable handicaps of a book compared to the Internet, or to the original papers on which it is based. Space is much more valuable in a book, it is harder to revise in the face of constantly progressing research, and it is impossible to really present the controversy embodied in each of the details of a study. Inevitably with questions that are addressed by data, there will be questions of the adequacy of the studies. Certainly, the authors might refer to the references for the curious, but anyone who is curious enough to pick up the book will be referred to the original papers often enough to counteract any convenience derived from the book. In the end, this book is not better at answering particular questions than is the Cochrane Database or other online resources. It is not as detailed as original articles. It is neither as comprehensive nor as engaging as the landmark textbooks in the field. It is not as complete on each topic as are published discussions of current controversies and it is, by its very nature, behind the cutting-edge and doomed to be more so as research continues. Nevertheless, the book is very carefully researched and well organized. It would be an excellent tool for students who have not yet grasped evidence-based medicine or practitioners who have, until now, only dealt with the same old way of doing medicine. Unfortunately, neophytes certainly have more pressing resources available, and the as-yet evidence-resistant physician is likely to remain so.
Assessment: This book is certainly original. I know of no other work that attempts the challenge of collecting the great research that has been done in emergency medicine. The landmark texts in the field (Rosen's Emergency Medicine: Concepts and Clinical Practice, 6th edition, Marx et al. (Elsevier, 2006), Emergency Medicine: A Comprehensive Study Guide, 6th Edition, Tintinalli et al. (McGraw-Hill, 2004), and now Emergency Medicine, Adams et al. (Elsevier, 2008)) would be most similar, but are not really good comparisons. This book alone takes on the difficult challenge of reviewing the evidence-based decisions that are still not ubiquitous in the emergency departments of America.
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Product Details

  • ISBN-13: 9781444358681
  • Publisher: Wiley
  • Publication date: 8/24/2011
  • Series: Evidence-Based Medicine, #63
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition number: 1
  • Pages: 680
  • File size: 11 MB
  • Note: This product may take a few minutes to download.

Meet the Author

Chief Editor:

Brian H. Rowe, MD, MSc, CCFP(EM), FCCP
Canada Research Chair in Emergency Airway Diseases
Professor and Research Director, Department of Emergency Medicine,
University of Alberta
Edmonton, Alberta, Canada

Section Editors:

Eddy S. Lang, MDCM, CCFP(EM), CSPQ
Assistant Professor of Emergency Medicine
Department of Family Medicine
McGill University
and Attending Physician, Emergency Medicine
SMBD Jewish General Hospital, Montreal, Quebec, Canada

Michael D. Brown, MD, MSc
Professor of Epidemiology and Emergency Medicine
College of Human Medicine, Michigan State University
Spectrum Health – Butterworth Hospitals
Grand Rapids, Michigan, USA

Debra Houry, MD, MPH
Director, Center for Injury Control
Vice Chair for Research
Department of Emergency Medicine, Emory University
Atlanta, Georgia, USA

David H. Newman, MD
Assistant Professor
Department of Medicine
Columbia University College of Physicians and Surgeons
New York, USA

Peter C. Wyer, MD
Associate Clinical Professor, Department of Medicine
Columbia University College of Physicians and Surgeons
New York, USA

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Table of Contents

List of Contributors.



List of Abbreviations.

Part 1 General Issues.

Edited by Brian H. Rowe.

1 Introduction.

Brian H. Rowe & Peter C. Wyer.

2 Knowledge Translation: a Primer for Emergency Physicians.

Eddy S. Lang, Peter C. Wyer & Marc Afilalo.

3 Critical Appraisal: General Issues in Emergency Medicine.

Suneel Upadhye.

4 Continuing Education.

Joel Lexchin.

5 Quality Improvement.

Andrew Worster & Ann McKibbon.

6 Medication Adherence.

Ursula Whalen & Sunil Kripalani.

7 Emergency Department Triage.

Sandy Dong & Michael Bullard.

8 Emergency Department Overcrowding.

Michael Schull & Matthew Cooke.

Part 2 Respiratory.

Edited by Brian H. Rowe.

9 Emergency Management of Asthma Exacerbations.

Brian H. Rowe & Carlos A. Camargo, Jr.

10 Chronic Obstructive Pulmonary Disease Exacerbations.

Brian H. Rowe & Rita K. Cydulka.

11 Diagnosis and Treatment of Community-Acquired Pneumonia.

Sam Campbell & Tom Marrie.

12 Deep Vein Thrombosis.

Eddy S. Lang & Phil Wells.

13 Pulmonary Embolism.

Phil Wells & Michael Brown.

14 Prevention and Treatment of Influenza.

Stephen R. Pitts.

15 Anaphylaxis.

Theodore Gaeta.

Part 3 Cardiology.

Edited by Eddy S. Lang.

16 Chest Pain.

Alain Vadeboncoeur, Jerrald Dankoff & Eddy S. Lang.

17 Acute Coronary Syndromes.

Kirk Magee.

18 Acute Myocardial Infarction.

Bjug Borgundvaag.

19 Acute Decompensated Heart Failure.

Brett Jones & Sean P. Collins.

20 Acute Fibrillation.

Barry Diner.

21 Ventricular and Supraventricular Arrhythmias.

Eddy S. Lang & Eli Segal.

22 Cardiac Arrest.

Riyad B. Abu-Laban & Michael Shuster.

Part 4 General Medical Conditions.

Edited by Peter C. Wyer.

23 Severe Sepsis and Septic Shock.

Peter W. Greenwald, Scott Weingart & H. Bryant Nguyen.

24 Delirium.

Denise Nassisi & Andy Jagoda.

25 Caring for the Elderly.

Christopher R. Carpenter, Michael Stern & Arthur B. Sanders.

26 Syncope.

Richard Lappin & James Quinn.

27 General Toxicology.

Luke Yip, Nicole Bouchard & Marco Sivilotti.

28 Toxicology: Acetaminophen and Salicylate Poisoning.

Mark Yarema & Richard Dart.

Part 5 Injury.

Edited by Brian H. Rowe & Peter C. Wyer.

29 Minor Traumatic Brain Injury.

Jeff J. Bazarian & Will Townend.

30 Neck Injuries.

Marcia L. Edmonds & Robert Brison.

31 Ankle Injuries.

Jerome Fan.

32 Knee Injuries.

Anita Pozgay & Elisabeth Hobden.

33 Wrist injuries.

Sandy Dong & Brian H. Rowe.

34 Shoulder Injuries.

Jenn Carpenter, Marcel Emond & Robert Brison.

35 Chest Trauma.

Shahriar Zehtabchi & Richard Sinert.

36 Hemorrhagic Shock.

Dennis Djogovic, Jonathan Davidow & Peter Brindley.

Part 6 Genitourinary and Abdominal.

Edited by David H. Newman.

37 Acute Appendicitis.

James A. Nelson & Stephen R. Hayden.

38 Ectopic Pregnancy.

Heather Murray & Elisha David Targonsky.

39 Acute Ureteric Colic.

Andrew Worster.

40 Urinary Tract Infection.

Rawle A. Seupaul, Chris McDowell & Robert Bassett.

41 Pelvic Inflammatory Disease.

Linda Papa & Kurt Weber.

42 Pregnancy.

Ashley Shreves.

43 Gastrointestinal Bleeding.

Michael Bullard & Justin Cheung.

Part 7 Neurosciences.

Edited by Michael Brown.

44 Transient Ischemic Attack.

Ted Glynn.

45 Stroke.

William Meurer & Robert Silbergleit.

46 Subarachnoid Hemorrhage.

Jeffrey J. Perry.

47 Bacterial Meningitis.

Cheryl K. Chang & Peter C. Wyer.

48 Migraine and Other Primary Headache Disorders.

Benjamin W. Friedman.

49 Seizures.

Elizabeth B. Jones.

50 The Agitated Patient.

Michael S. Radeos & Edwin D. Boudreaux.

Part 8 ENT.

Edited by Eddy S. Lang.

51 Sore Throat.

Benson Yeh & Barnet Eskin.

52 Sinusitis.

Errol Stern.

53 Conjunctivitis.

Nicola E. Schiebel.

Part 9 Minor Procedures.

Edited by Michael Brown.

54 Procedural Sedation and Analgesia.

David W. Messenger & Marco Sivilotti.

55 Wound Repair.

Helen Ouyang & James Quinn.

56 Soft Tissue Abscess.

Heather Murray.

57 Ultrasound Use: Three Select Applications.

Srikar Adhikari & Michael Blaivas.

Part 10 Public Health.

Edited by Debra Houry.

58 Injury Prevention.

Mary Patricia McKay & Liesl A. Curtis.

59 Intimate Partner Violence.

Debra Houry.

60 Smoking Cessation.

Lisa Cabral & Steven L. Bernstein.

61 Immunization.

Jeremy Hess & Katherine L. Heilpern.

62 Alcohol and Other Drugs.

Barbara M. Kirrane, Linda C. Degutis & Gail D’Onofrio.

63 Elder Abuse.

Ralph J. Riviello.


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