The field of emergency medicine is one of the most rapidly growing areas of the medical profession. The present book is a comprehensive text on this important specialty for resident and attending physicians. In sixty-three chapters, the book aims to cover the field completely--from the scene of the accident to specialist referral and from head to toe. The informative papers are organized into three complementary sections: accident assessment and general principles of emergency medicine; trauma conditions; and surgical and obstetric emergencies. This highly illustrated volume combines the insights of emergency physicians with the detailed knowledge of specialists.
This edition shows nurses why they are doing what they do, rather than just how, for a range of A&E conditions. It has sections that cover potential problem areas, such as paediatrics and treating the mentally ill A&E patient. A basic A&P section is included so even the most experienced nurse can refresh their knowledge."
Nuclear weapons by United States. General Accounting Office
Accident & Emergency: Theory into Practice is the comprehensive textbook for emergency nurses, covering the full range of emergency care issues, including trauma management and trauma care, the lifespan, psychological issues, physiology for practice, practice and professional issues. This book is about more than what a nurse should do; it is about why it should be done, leading to sustainable and safer practice. The third edition of this ever-popular text expands its horizons to include contributions from emergency care professionals in New Zealand, Australia and the Republic of Ireland, as well as the United Kingdom. Applied anatomy and physiology and how it changes in injury and ill health Treatment and management of a wide range of emergency conditions Includes emergency care across the life continuum, trauma management, psychological dimensions and practice and professional issues. ‘Transportation of the critically ill patient’ chapter outlines the nursing and operational considerations related to transportation of the acutely ill person. ‘Creating patient flow’ chapter overviews the concepts behind patient flow across the wider health system and introduces the key concept of staff and patient time. It explores some of the techniques used in manufacturing and service industries and its application to health system, illustrating how to reduce the waste of patient and staff time. ‘Managing issues of culture and power in ED’ chapter demonstrates that cultural awareness is about much more than recognising the different religious needs of patients and their families; it’s also about recognising culture, diversity, stereotyping and expressions of power. Updated to reflect the latest practice and guidelines in this fast-changing field of practice.
The second edition of Key Topics in Accident and Emergency Medicine provides essential information on acute injuries and sudden illness which commonly present themselves at Accident and Emergency Departments. The book has been comprehensively updated to take account of changes in Accident and Emergency practice and features increased coverage of paediatric emergencies.
Accident and emergency departments are the doorway to the hospital for acutely ill and injured patients. Whereas casualty departments have existed for over 150 years, they were often poorly staffed and managed. This book describes the fight to create a new medical specialty of accident and emergency medicine against much opposition from established specialties. The specialty was first recognised in 1972. The book also charts the major developments that occurred in the first 30 years of the specialty.
I felt highly honoured when I was asked to write about the achievements of my late brother, Dr Frank Wilson, MB, BS(Lond.), FF ARCS, DA, DCH, who was the editor of and a contributor to this book. Frank graduated in Medicine at St Bartholomew's Hospital Medical College in 1949 at the early age of 22. Born in Lancaster, his one wish was to return to the North. He held house appointments at Preston, spent his two years of National Service in the Royal Air Force and attained the rank of Squadron Leader. While on National Service, his interests turned to anesthetics, and as Senior Medical Officer on H.M. Troopship 'Devonshire', he developed a love for the sea. Convinced that anesthesia was his career, Frank came to Liverpool and attended the University course in this speciality. The vast experi ence he gained in anesthesia in the Liverpool Hospitals and on the Thoracic, Cardiac, Neurosurgical and Paediatric units, ensured his continued interest in resuscitation and neonatal anesthesia, which led him to design a new tracheostomy tube when he was at Alder Hey Children's Hospital. He became Lecturer in Anesthesia at the University of Liverpool and later Consultant Anesthetist to Southmead Hospital, Bristol, and then to the Burnley group of hospitals and to Lancaster in 1966.
This building note provides guidance for building accident and emergency departments which have total attendances from 10,000 to 70,000 per annum. This building note takes account of the needs of A and E departments staffed and equipped to deal with major and minor injuries and illnesses for varying workloads. The guidance also gives the latest thinking on the design of these departments. The A and E Department must cope with a complex mix of social and medical factors in emergency situations all day every day of the year. Adaptability of reception space and facilities, the provision of adequate space for treatment, and the ready access to supporting facilities are all vital for the efficient running of an accident and emergency department regardless of its size.
The book aims to provide lawyers with background information on accident and emergency services in the UK and on the type of problems which occur and may subsequently result in allegations of negligent treatment. Accident and emergency covers the whole of medical practice and therefore, for this book to remain manageable, the most common topics have been selected for review. The choices have been based on the authors experience of over 800 medical negligence cases completed on behalf of both plaintiffs and defendants. Details within each section provide information on how the patient should be received, the condition investigated and diagnosed, and on the generally accepted methods of treatment. These cases include missed fractures, severed nerves and tendons, retained foreign bodies, chest pain, abdominal pain, and paediatric problems
This little book has been written primarily for the senior house officer in Accident and Emergency and the registrar pursuing a career in the specialty. I hope also that it will be of interest to medical students. Thanks to the initiative of Professor Miles Irving, Professor of Surgery, University of Manchester, medical students have been taught Accident and Emergency in Hope Hospital since 1974. Many of the answers to the questions here have been elaborated as a result of their enquiring minds. It has been a pleasure to teach them. MCQs should be informative and entertaining and not regarded as a tiresome chore merely because of self assessment scoring. I have omitted the boxes and the "don't know" response. The answers are either true or false. I have attempted to slot the questions into various sections with some degree of sequence, but there is an inevitable overlap particularly with regard to the sections on the unresponsive patient, poisoning and injury. The final section is a selected mixture of Accident and Emergency and I thought "Pot pourri" an appropriate title. I have enjoyed compiling the questions and I hope that both undergraduates and postgraduates will find reading them a painless and worthwhile exercise. Finally my thanks are due to my secretary Eileen Bates for her typing and patience.
Since it was first published, Accident and Emergency Radiology: A Survival Guide has become the classic reference and an indispensable aid to all those who work in the Emergency Department. The core and substantial value lies in the step-by-step analytical approaches which help you to answer this question: "These images look normal to me, but . . . how can I be sure that I am not missing a subtle but important abnormality?" Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Ensure accuracy in reading and interpretation of any given image. Common sources of error and diagnostic difficulty are highlighted. Prevent mistakes. Pitfalls and associated abnormalities are emphasized throughout. Avoid misdiagnoses. Normal anatomy is outlined alongside schemes for detecting variants of the norm. Each chapter concludes with a summary of key points. Will provide a useful overview of the most important features in diagnosis and interpretation. Easily grasp difficult anatomical concepts. Radiographs accompanied by clear, explanatory line-drawings. Spend less time searching with an improved layout and design with succinct, easy-to-follow text. A templated chapter approach helps you access key information quickly. Each chapter includes key points summary, basic radiographs, normal anatomy, guidance on analyzing the radiographs, common injuries, rare but important injuries, pitfalls, regularly overlooked injuries, examples, and references. Grasp the nuances of key diagnostic details. Updated and expanded information, new radiographs, and new explanatory line drawings reinforce the book’s aim of providing clear, practical advice in diagnosis. Avoid pitfalls in the detection of abnormalities that are most commonly overlooked or misinterpreted.
Intended primarily for regulatory personnel and practicing engineers, accident and emergency: problems and solutions is also a useful resource for the training of scientists in the understanding and management of individual, industrial, and community risk. This book was developed to provide necessary support for faculty involved in developing courses in accident and emergency management. Chapter one contains more than 100 problems of various topics relevant to the accident and emergency field. Detailed solutions to these problems are provided in chapter two. This book was developed to help foster new ideas and innovative educative approaches in the field of accident and emergency management.
Medical by Great Britain: Parliament: House of Commons: Committee of Public Accounts
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
Nearly one fifth of consultant posts in emergency departments were either vacant or filled by locums in 2012. Neither the Department nor NHS England have a clear strategy to tackle the shortage of A&E consultants and there is too much reliance on temporary staff to fill gaps. The Committee raised the possibility of paying consultants more to work at struggling hospitals. Greater use in A&E of consultants from other departments could also be made, or mandate that all trainee consultants spend time in A&E, or make A&E positions more attractive through improved terms and conditions. The slow introduction of round-the-clock consultant cover in hospitals - which will not be in place before the end of 2016-17 - is also having a negative impact. More people die as a result of being admitted at the weekend when fewer consultants are in A&E. Changing this relies on the British Medical Association and NHS Employers negotiating a more flexible consultants' contract, and neither the Department nor NHS England has direct control over the timescale or details of these negotiations. Hospitals, GPs and community health services all have a role to play in reducing emergency admissions - but financial incentives to make this happen are not in place. While hospitals get no money if patients are readmitted within 30 days, there are no financial incentives for community and social care services to reduce emergency admissions. Both the Department of Health and NHS England struggled to explain to us who is ultimately accountable for the efficient delivery of local A&E services
Hospitals by Audit Commission for Local Authorities and the National Health Service in England and Wales
Many emergency admissions to hospital are avoidable and many patients stay in hospital longer than is necessary. Improving the flow of patients through the system will be critical to the NHS's ability to cope with future winter pressures on urgent and emergency care services. At a time when NHS budgets are under significant pressure, the number of emergency admissions to hospitals is continuing to rise, albeit at a slower rate than in the past. More patients attending major A&E departments are now being admitted to hospital. In 2012-13, over a quarter of all patients attending major A&E departments were admitted, up from 19 per cent in 2003-04. The rise in emergency admissions is dominated by patients who stay less than two days (short-stay) in hospital. The main factors behind the increase in emergency admissions include the slowness with which the NHS has developed effective alternatives to admission to hospital. There are many local initiatives to prevent avoidable emergency admissions but limited evidence on what works. A lack of alignment between hospitals and community and local services in the hours they are open compromises efforts to avoid out-of- hours hospital admissions and prolongs the length of stay of inpatients. Among the NAO's recommendations is the need for both short-and long-term strategies to address staffing shortages in A&E. The Department and NHS England should also address barriers to seven-day working in hospitals, such as the consultants' contract, which gives consultants the right to refuse to work outside 7am to 7pm, Monday to Friday