Clinical Emergency Medicine 2nd edition pdf
Although Emergency Medicine is a comparatively young specialty, it already boasts a good number of textbooks,
many of which are quite good. An Introduction to Clinical Emergency Medicine 2nd edition pdf is a valuable
tool for the right reader because it is addressed to a specific audience, and because of its extremely appropriate
complaint-based approach. Before we think more about these two essential characteristics, however, students need to reflect a little about the specialty of EM itself.
An Introduction to Clinical Emergency Medicine is designed primarily for learners at or near the start of a career in
EM, and is tailored to such learners in a developmentally appropriate way – because it stresses how to think like an
Emergency physician. Recognizing that the vast majority of our patients present with undifferentiated complaints,
this book is organized around an approach to symptoms (rather than diseases).
The actual EM approach to diagnostic decision-making is far more complicated than the trendy “worst first” (rule out life threats) approach often cited; while we surely must keep this important consideration in mind, we also need to address a combination of disease likelihood, the potential to intervene in a way that matters, and an estimate of those circumstances in which delays in intervention would limit effectiveness .
This Clinical Emergency Medicine 2nd edition adds a critically crucial new element – the “red flag” approach that is the hallmark of how many expert EPs think about patients. For any and every patient presentation (“dizziness,” a headache, low back pain, shortness of breath, etc.), there are a host of possible etiologies that range from trivial to life-threatening, and from likely too remote. As noted earlier, an organized approach in EM concentrates on identifying (or in many cases, excluding ) those that not only have potentially significant consequences, but are also reasonably probable for the given presentation, and are amenable to treatment that can actually limit such adverse effects, and require such treatment acutely if that benefit is to be achieved.