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Table of Contents

PART 1 COMMON PRESENTATIONS IN ADULT PATIENTS Chap 1 Altered mental state Chap 2 Bleeding GIT Chap 3 Bleeding, Vaginal, Abnormal Chap 4 Blurring of visionChap 5 Breathlessness, acuteChap 6 Diarrhoea and vomitingChap 7 FeverChap 8 GiddinessChap 9 HaemoptysisChap 10 HeadacheChap 11 HyperventilationChap 12 Lower limb swellingChap 13 Pain, abdominalChap 14 Pain, chest, acuteChap 15 Pain, joint, peripheralChap 16 Pain, low backChap 17 Pain, scrotal and penileChap 18 PalpitationsChap 19 Poisoning, General PrinciplesChap 20 Red eyeChap 21 SeizureChap 22 Shock/hypoperfusion statesChap 23 StridorChap 24 SyncopeChap 25 Trauma Multiple, Initial ManagementChap 26 Urinary retention, acuteChap 27 Violent and psychotic patients PART 2 SPECIFIC CONDITIONSPART 2A: AIRWAY AND RESUSCITATION Chap 28 Airway Management/Rapid Sequence Intubation Chap 29 Allergic reactions/AnaphylaxisChap 30 Cardiac arrest algorithmsChap 31 Cardiogenic ShockChap 32 Neurogenic shockChap 33 Sepsis/septic shock PART 2B: CARDIOVASCULAR EMERGENCIES Chap 34 Aortic EmergenciesChap 35 BradydysrhythmiasChap 36 Coronary syndromes, acuteChap 37 Other Heart Conditions (Pericarditis, Myocarditis, Infective Endocarditis, Cardiomyophathy)Chap 38 Heart failure, acuteChap 39 Hypertensive CrisesChap 40 Acute limb ischaemiaChap 41 Pulmonary EmbolismChap 42 Venous emergenciesChap 43 Tachydysrhythmias PART 2C: RESPIRATORY EMERGENCIES Chap 44 AsthmaChap 45 Chronic Obstructive Pulmonary Disease (COPD)Chap 46 Pneumonia, Community Acquired (CAP)Chap 47 PneumothoraxChap 48 Respiratory Failure, Acute PART 2D: GASTROINTESTINAL EMERGENCIES Chap 49 Acute AppendicitisChap 50 Hepatic encephalopathy, acuteChap 51 Hepatobiliary EmergenciesChap 52 Intestinal ObstructionChap 53 Ischaemic Bowel/Mesenteric IschaemiaChap 54 Pancreatitis, acuteChap 55 Peptic Ulcer Disease/ DyspepsiaChap 56 Perianal Conditions PART 2E: ENDOCRINE/METABOLIC EMERGENCIES Chap 57 Acid Base EmergenciesChap 58 Adrenal Insufficiency, acuteChap 59 Fluid and Electrolyte DisordersChap 60 Diabetic Ketoacidosis (DKA) and Hyperosmolar Hyperglycaemic State (HHS)Chap 61 HypoglycaemiaChap 62 Thyroid Emergencies -Thyroid Crisis and Myxoedema PART 2F: RENAL AND GENITOURINARY EMERGENCIESChap 63 Renal EmergenciesChap 64 Urinary Tract InfectionChap 65 Urolithiasis PART 2G: NEUROLOGIC EMERGENCIES Chap 66 MeningitisChap 67 Migraine and Cluster HeadacheChap 68 StrokeChap 69 Subarachnoid Haemorrhage (SAH)Chap 70 Temporal ArteritisChap 71 Transient Ischaemic Attack PART 2H: INFECTIOUS DISEASES Chap 72 Coping with Emerging Infectious Diseases of the 21st Century in the Emergency Department - A New Norm Chap 73 Dengue Fever & Chikungunya FeverChap 74 MalariaChap 75 Needle Stick/Body Fluid ExposureChap 76 Tetanus and anti-tetanus prophylaxis PART 2I: HAEMATOLOGIC/ONCOLOGIC EMERGENCIES Chap 77 Administration of Blood Products in the EMDChap 78 Oncology EmergenciesChap 79 Overwarfarinisation PART 2J: DERMATOLOGIC EMERGENCIES Chap 80 Dermatology in Emergency Care PART 2K: GERIATRIC EMERGENCIES Chap 81 Geriatric Emergencies PART 2L: TOXICOLOGY Chap 82 Alcohol Intoxication & Poisoning with other alcoholsChap 83 Poisoning, BenzodiazepineChap 84 Poisoning, Carbon MonoxideChap 85 Poisoning, Cyclic AntidepressantsChap 86 Poisoning, DigoxinChap 87 Poisoning, OrganophosphatesChap 88 Poisoning, ParacetamolChap 89 Poisoning, Salicylates PART 2M: TOXICOLOGY (INCLUDING BITES) Chap 90 Bites, Mammalian and HumanChap 91 Bites, Snake PART 2N: SURGICAL & ORTHOPAEDIC TRAUMA/INFECTIOUS EMERGENCIES Chap 92 Crush SydromeChap 93 Trauma, AbdominalChap 94 Trauma, ChestChap 95 Trauma, HeadChap 96 Trauma and infections, HandChap 97 Trauma, Lower ExtremityChap 98 Trauma, MaxillofacialChap 99 Trauma , Paediatric (refer to Chap 137)Chap 100 Trauma, PelvicChap 101 Trauma in PregnancyChap 102 Trauma, Spinal Cord Chap 103 Trauma, Upper ExtremityChap 104 Wound Care & Management PART 2O: ENT EMERGENCIES Chap 105 Common ENT Emergencies PART 2P: EYE EMERGENCIES Chap 106 Blurring of vision and Red and Painful eye PART 2Q: PSYCHIATRIC EMERGENCIES Chap 107 ASSAULT (non-sexual) PART 2R: OBSTETRIC AND GYNAECOLOGIC EMERGENCIES Chap 108 EclampsiaChap 109 Ectopic PregnancyChap 110 Emergency delivery of the newbornChap 111 Pelvic Inflammatory Disease (PID) PART 2S: ENVIRONMENTAL EMERGENCIES Chap 112 Burn, MajorChap 113 Burns, MinorChap 114 Diving EmergenciesChap 115 Electrical and Lightning InjuriesChap 116 HyperthermiaChap 117 Submersion Injuries PART 2T: IMAGING Chap 118 Emergency UltrasoundChap 119 Views of x-rays to order PART 2U: PHARMACOLOGY Chap 120 Commonly Used Emergency Drugs in AdultsChap 121 List of drugs to avoid in G6PD deficiencyChap 122 Prescribing Pregnancy PART 2V: PAEDIATRIC EMERGENCIES Chap 123 Child, Abdominal painChap 124 Child with breathlessnessChap 125 Child/baby, cryingChap 126 Child with diarrhoeaChap 127 Child with feverChap 128 Child, fittingChap 129 Child, VomitingChap 130 Paediatric AsthmaChap 131 BronchiolitisChap 132 Febrile FitChap 133 Fluid Replacement in PaediatricsChap 134 Newborn Resuscitation in the EDChap 135 Non-accidental Injury in PaediatricsChap 136 Paediatric Drugs and EquipmentChap 137 Trauma, Paediatric PART 2W: MISCELLANEOUS USEFUL INFORMATION Chap 138 Commonly Used Scoring SystemsChap 139 Common Emergency ProceduresChap 140 Pain ManagementChap 141 Simple StatisticsChap 142 Useful Formulae Index

About the Author

Shirley Ooi is Chief and Senior Consultant at the Emergency Medicine Department (EMD), National University Hospital and Clinical Associate Professor at the Yong Loo Lin School of Medicine, NUS. She is also an adjunct professor at the Department of Emergency Medicine, Universiti Kebangsaan Malaysia. Prof Ooi's passion is in teaching, including teaching of evidence-based medicine. She is also active in research, especially in emergency cardiac care.

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