Chest pain

Jul 22, 2016 by in EMERGENCY MEDICINE Comments Off on Chest pain

Patients with chest pain account for more than 20% of all medical admissions in the UK. Immediate Assessment and Management Assess ABCs as outlined in Chapter 1. Reassure the patient….

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Poisoning

Jul 22, 2016 by in EMERGENCY MEDICINE Comments Off on Poisoning

Bizarre symptoms and signs or unusual combinations of clinical features should always suggest the possibility of poisoning. Initial Assessment and Management ABCs → Chapter 1. In all cases, approach the…

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Medicolegal aspects of emergency medicine

Jul 22, 2016 by in EMERGENCY MEDICINE Comments Off on Medicolegal aspects of emergency medicine

All clothing from a wounded patient should be preserved in a sealed, labelled bag for the attention of the investigating police officers. Gunshot Wounds Airguns:  these compressed air-driven weapons propel…

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Head injuries

Jul 22, 2016 by in EMERGENCY MEDICINE Comments Off on Head injuries

Over 5000 people die from traumatic brain injuries in England and Wales every year and over 1500 patients survive with severe brain damage. Most will have a severely reduced employment…

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Burns, contamination and irradiation

Jul 22, 2016 by in EMERGENCY MEDICINE Comments Off on Burns, contamination and irradiation

Suxamethonium may cause a dangerous rise in serum potassium in patients with burns. Give high-concentration oxygen Give nebulised salbutamol for wheezing Estimate arterial blood gases and carboxyhae­moglobin Beware of conventional…

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Abdominal pain

Jul 22, 2016 by in EMERGENCY MEDICINE Comments Off on Abdominal pain

Box 16.1 Causes of Collapse with Abdominal Pain Acute blood loss from the upper gastrointestinal tract (oesophageal varices and peptic ulceration) Perforation of a peptic ulcer, sigmoid diverticulum or the appendix…

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