Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules / Edition 2

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules / Edition 2

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Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules / Edition 2

This book for emergency physicians and fellows training in emergency medicine provides evidence-based information on what diagnostic tests to ask for and when and how to use particular decision rules. The new edition builds on the success of the current book by modifying the presentation of the evidence, increasing the coverage, and updating the current information throughout.

Product Details

ISBN-13: 9780470657836
Publisher: Wiley
Publication date: 01/09/2013
Series: Evidence-Based Medicine Series , #83
Pages: 500
Product dimensions: 5.40(w) x 8.40(h) x 1.10(d)

About the Author

Jesse M. Pines, MD, MBA; Director, Center for Health Care Quality, Associate Professor Emergency Medicine and Health Policy, George Washington University, Washington, D.C., USA

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Table of Contents

About the Authors xi

Foreword xv

Preface xvii

Acknowledgments xix

Section 1: The Science of Diagnostic Testing and ClinicalDecision Rules

1 Diagnostic Testing in Emergency Care 3

2 Evidence-Based Medicine: The Process 11

3 The Epidemiology and Statistics of Diagnostic Testing 19

4 Clinical Decision Rules 36

5 Appropriate Testing in an Era of Limited Resources: Practiceand Policy Considerations 44

6 Understanding Bias in Diagnostic Research 54

Section 2: Trauma

7 Cervical Spine Fractures 67

8 Cervical Spine Fractures in Children 80

9 Cervical Spine Fractures in Older Adults 86

10 Blunt Abdominal Trauma 92

11 Acute Knee Injuries 97

12 Acute Ankle and Foot Injuries 102

13 Blunt Head Injury in Children 107

14 Blunt Head Injury 117

15 Blunt Chest Trauma 128

16 Occult Hip Fracture 135

17 Blunt Soft Tissue Neck Trauma 141

18 Occult Scaphoid Fractures 147

19 Penetrating Abdominal Trauma 153

20 Penetrating Trauma to the Extremities and Vascular Injuries162

Section 3: Cardiology

21 Heart Failure 173

22 Syncope 181

23 Acute Coronary Syndrome 189

24 Palpitations 205

Section 4: Infectious Disease

25 Bacterial Meningitis in Children 219

26 Serious Bacterial Infections in Children Aged 1–3Months 223

27 Necrotizing Fasciitis 227

28 Infective Endocarditis 232

29 Pharyngitis 238

30 Rhinosinusitis 243

31 Pneumonia 248

32 Urinary Tract Infection 255

33 Sepsis 259

34 Septic Arthritis 270

35 Osteomyelitis 278

36 Sexually Transmitted Diseases (STDs) 288

37 Influenza 295

38 Pediatric Fever in Children Aged 3-36 Months 303

Section 5: Surgical and Abdominal Complaints

39 Acute Nonspecific Nontraumatic Abdominal Pain 309

40 Small Bowel Obstruction 317

41 Acute Pancreatitis 324

42 Acute Appendicitis 330

43 Acute Cholecystitis 340

44 Aortic Emergencies 347

45 Ovarian Torsion 351

Section 6: Urology

46 Nephrolithiasis 359

47 Testicular Torsion 365

Section 7: Neurology

48 Nontraumatic Subarachnoid Hemorrhage 375

49 Acute Stroke 381

50 Transient Ischemic Attack 387

51 Seizure 394

Section 8: Miscellaneous: Hematology Ophthalmology PulmonologyRheumatology and Geriatrics

52 Venous Thromboembolism 403

53 Temporal Arteritis 415

54 Intraocular Pressure 421

55 Asthma 430

56 Nontraumatic Back Pain 441

57 Intravascular Volume Status 450

58 Geriatric Syndromes 457

Index 471

What People are Saying About This

From the Publisher

?Until now there has been a paucity of truly evidence-based guidance for diagnostic and clinical decision making in the ED. Pines and Everett have smartly aggregated a substantial body of information into a compact textbook format for emergency practitioners.? ( Annals of Emergency Medicine, September 2009)

• Presentation of clinical examples and the comprehensive discussion of current decision rules as worked out from the literature will appeal not only to those working in emergency medicine but also to those involved in developing clinical guidelines.? (Journal of Tropical Pediatrics, November 2008)

• Evidence based Emergency Care has a strong place in current practice. The authors review a large number of clinical decision rules and studies comparing diagnostic modalities? (Respiratory Care, June 2009)

'The chapter structure works very well and the author commentary provides a useful bottom-line conclusion and practical insight. The book is well organized and well written, with sufficient depth to address each of the clinical diagnostic questions. The authors provide a balanced, evidence-based approach that encourages readers to review relevant data and draw their own conclusions. Overall, emergency medicine and critical care pharmacists will find this a useful pocket-sized diagnostic testing and clinical decision guide.? (Annals of Pharmacotherapy, December 2008)

• This practical guide will be useful to anyone practicing emergency medicine. The authors are well regarded, board-certified emergency medicine physicians. The authors do an excellent job of providing clinically relevant evidence that we can use to support our daily decisions in the emergency department. Provide[s] a good summary of clinically useful information that will help each of us to make better informed, evidence-based decisions.? (Doody's Book Reviews, November 2008)

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