Evidence-based emergency care : diagnostic testing and clinical decision rules / Jesse M. Pines, Worth W. Everett.

Format:

Book

Author/Creator:

Pines, Jesse M.

Contributor:

Everett, Worth W.

Language:

English

Subjects (All):

Emergency medicine--Diagnosis.

Emergency medicine.

Emergency medicine--Decision making.

Evidence-based medicine.

Emergency Medicine--methods.

Diagnostic Techniques and Procedures.

Decision making.

Medical Subjects:

Emergency Medicine--methods.

Diagnostic Techniques and Procedures.

Physical Description:

xi, 283 pages : illustrations ; 22 cm

Place of Publication:

Chichester, UK ; Hoboken, NJ : Blackwell ; [Place of publication not identified] : BMJ Books, 2008.

Summary:

This useful handbook provides a concise compilation of the evidence supporting diagnostic testing and clinical decision rules in emergency care. Clinical decision rules are now widely recognised as best practice for the ordering of diagnostic tests in the emergency department.

Aimed at all physicians working with emergency and acute patients, the book begins with an overview of how to evaluate a diagnostic test using an evidence-based approach, followed by an explanation of the clinical decision rules and the methods of assessing the strength and applicability of the clinical prediction rule.

These introductory chapters are followed by sections covering the following clinical areas: Traumatic Injuries, Cardiology, Infectious Disease, Surgical and Abdominal Complaints, Urology, Neurology, Ophthalmology, Hematology, Rheumatology, Pulmonology.

For each test and clinical decision rule, the most current and best available studies in the literature are discussed and applied to emergency-department and acute-care situations, followed by an overall recommendation on how to use the test or rule in the clinical context.

Evidence-Based Emergency Care is an accessible, practical reference for all physicians wishing to apply an evidence-based approach to ordering and interpreting tests in emergency or acute medicine.

Contents:

Section 1 The Science of Diagnostic Testing and Clinical Decision Rules

1 Diagnostic Testing in Emergency Care 3

2 Evidence-Based Medicine: the Process 10

3 The Epidemiology and Statistics of Diagnostic Testing 16

4 Clinical Decision Rules 32

Section 2 Traumatic Injuries

5 Cervical Spine Fractures 41

6 Cervical Spine Fractures in Older Adults 53

7 Cervical Spine Fractures in Children 59

8 Blunt Abdominal Trauma 62

9 Acute Knee Injuries 67

10 Blunt Head Injury 72

11 Blunt Head Trauma in Children 83

12 Acute Ankle and Foot Injuries 91

13 Occult Scaphoid Fractures 96

14 Blunt Chest Trauma 101

15 Occult Hip Fracture 108

Section 3 Cardiology

16 Heart Failure 115

17 Syncope 122

18 Acute Coronary Syndrome 127

Section 4 Infectious Disease

19 Serious Bacterial Infections and Occult Bacteremia in Children 143

20 Bacterial Meningitis in Children 149

21 Necrotizing Fasciitis 152

22 Pharyngitis 156

23 Infective Endocarditis 160

24 Urinary Tract Infection 167

25 Sinusitis 171

26 Pneumonia 176

27 Spontaneous Bacterial Peritonitis 181

Section 5 Surgical and Abdominal Complaints

28 Acute Nonspecific, Nontraumatic Abdominal Pain 189

29 Bowel Obstruction 194

30 Acute Pancreatitis 198

31 Acute Appendicitis 201

32 Acute Cholecystitis 208

Section 6 Urology

33 Kidney Stones 215

34 Testicular Torsion 220

Section 7 Neurology

35 Subarachnoid Hemorrhage 229

36 Acute Stroke 234

Section 8 Miscellaneous: Ophthalmology, Hematology, Rheumatology, and Pulmonology

37 Pulmonary Embolism and Deep Vein Thrombosis 243

38 Temporal Arteritis 254

39 Intraocular Pressure 259

40 Asthma 266.

Notes:

Includes bibliographical references and index.

ISBN:

1405154004

9781405154000

OCLC:

176925138

Online:

Contributor biographical information

Publisher description