On Call Principles & Protocols / Edition 5

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Portable and extremely practical, On Call Principles and Protocols, 5th Edition, by Drs. Marshall and Ruedy, is the bestselling handbook you can trust to guide you quickly and confidently through virtually any on-call situation. This new edition takes you step by step through the most common on-call problems and approaches, giving you up-to-date information and clear protocols on what to do and how to do it quickly, from phone calls to "elevator thoughts" to patients’ bedsides. You’ll gain speed, skill, and knowledge with every call - from diagnosing a difficult or life-threatening situation to prescribing the right medication.

• Effectively manage calls in the hospital with coverage of topics such as Approach to Diagnosis and Management of On-Call Problems; Documentation; Assessment and Management of Volume Status; and AIDS, HBV, HCV, Influenza, and the House Officer.
• Access key information on the most common on-call problems and approaches with consistent, templated coverage of what to do from the initial phone call, "Elevator Thoughts," how to immediately identify major threats to life, and what to do at the bedside.
• Learn the questions you should ask to assess the urgency of each situation, and master the ideal approach to diagnose and manage patients, communicate with colleagues and families, and avoid common mistakes for every call.
• Understand the major threats to life you must consider before arriving at bedside.
• Find information quickly with an easy-to-read format, color highlighting of medications and other critical information, and a unique layout designed for fast reference.
• Keep this portable guide right where you need it - in your pocket when you’re on call.

• Confidently assess and manage common on-call problems with comprehensive updates throughout this edition.
• Learn how best to handle life-threatening issues regarding stroke in a brand-new chapter.
• Quickly access a detailed, updated and expanded formulary of commonly used medications.

Be prepared when on call with quick and concise answers to common clinical issues

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Editorial Reviews

Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: Small in size yet comprehensive, this is a guide for house staff of teaching hospitals to handling common problems and protocols for taking off-hours calls.
Purpose: Written by U.K. clinicians, this book takes a very comprehensive approach.
Audience: The stated audience is U.K.-trained house staff, but as an American-trained attending I found it extremely well organized and useful. There are the predictable differences between U.K. and American medications, but otherwise it is an easily transferrable book and on a par with similar U.S. books.
Features: The book is organized according to patient-related problems, e.g. abdominal pain, chest pain, etc. Each chapter starts with helpful questions to ask over the phone upon receiving the first call. These are followed by well-phrased "Elevator Thoughts" to be considered while getting to the patient and the "Major Threats to Life" of which one should be acutely aware. The pertinent physical examination and ancillary tests to be performed, leading to the differential diagnosis and treatment come next. This is a very well constructed book. My only issue is the lack of color for retina illustrations and dermatology figures, which could add significant value.
Assessment: After reviewing many of these books sponsored by individual teaching institutions, I found this one refreshing. The down-to-earth approach with things like the "Elevator Thoughts" focuses the reader in a way that I have not seen before. I highly recommend this to U.K. trained house staff and to U.S. trained house staff in concert with one of the books sponsored by their teaching program (to avoid unnecessary debate over medication issues).
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Product Details

  • ISBN-13: 9781437723717
  • Publisher: Elsevier Health Sciences
  • Publication date: 12/30/2010
  • Series: On Call Series
  • Edition number: 5
  • Pages: 592
  • Sales rank: 877,517
  • Product dimensions: 4.40 (w) x 7.30 (h) x 1.00 (d)

Table of Contents


  1. Approach to the Diagnosis and Management of On-Call Problems
  2. Documentation of On-Call Problems
  3. Assessment and Management of Volume Status
  4. HIV, HBV, HCV, Influenza, and the House Officer
  5. Patient -Related Problems: The Common Calls

  6. Abdominal Pain
  7. Chest Pain
  8. Combativeness: The Out-of-Control Patient
  9. Confusion/Decreased Level of Consciousness
  10. Decreased Urine Output
  11. Diarrhea
  12. Fall Out of Bed
  13. Fever
  14. Gastrointestinal Bleeding
  15. Headache
  16. Heart Rate and Rhythm Disorders
  17. High Blood Pressure
  18. Hypnotics, Laxatives, Analgesics, and Antipyretics
  19. Hypotension and Shock
  20. Leg Pain
  21. Lines, Tubes, and Drains
  22. Polyuria, Frequency, and Incontinence
  23. Pronouncing Death
  24. Seizures
  25. Shortness of Breath
  26. Skin Rashes and Urticaria
  27. Stroke
  28. Syncope
  29. Transfusion Reactions
  30. Laboratory-Related Problems: The Common Calls

  31. Acid-Base Disorders
  32. Anemia
  33. Calcium Disorders
  34. Coagulation Disorders
  35. Glucose Disorders
  36. Potassium Disorders
  37. Sodium Disorders


A. Advanced Cardiovascular Life Support Core Drugs and Therapy

B. Blood Products

C. Reading Electrocardiograms

D. Miscellaneous

E. SI Units Conversion Table

F. The On-Call Formulary


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