Preface |
|
xxi | |
Acknowledgements |
|
xxiii | |
|
Section I Critical Care Emergencies |
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Cardiopulmonary Resuscitation |
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2 | (11) |
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2 | (4) |
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6 | (7) |
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Acute Upper Airway Obstruction |
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13 | (2) |
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15 | (9) |
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15 | (4) |
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19 | (2) |
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21 | (3) |
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24 | (3) |
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27 | (2) |
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29 | (5) |
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Critical Care Areas Drug Infusion Guidelines |
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|
34 | (7) |
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41 | (3) |
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Section II General Medical Emergencies |
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44 | (16) |
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44 | (1) |
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ST elevation myocardial infarction (STEMI) |
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44 | (4) |
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Non-ST elevation myocardial infarction (NSTEMI) and unstable angina |
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48 | (3) |
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51 | (1) |
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51 | (4) |
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Venous thromboembolism with deep vein thrombosis |
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55 | (2) |
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57 | (1) |
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58 | (1) |
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59 | (1) |
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Abdominal causes of chest pain |
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59 | (1) |
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Musculoskeletal and chest wall pain |
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60 | (1) |
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60 | (5) |
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65 | (11) |
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65 | (3) |
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Community-acquired pneumonia (CAP) |
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68 | (3) |
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Chronic obstructive pulmonary disease |
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71 | (2) |
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73 | (2) |
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75 | (1) |
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75 | (1) |
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Acute upper airway obstruction |
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|
76 | (4) |
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Acute Gastroenterology Conditions |
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|
76 | (1) |
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Upper gastrointestinal haemorrhage |
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76 | (2) |
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78 | (1) |
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Inflammatory bowel disease |
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79 | (1) |
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Diabetic Coma and Pre-Coma |
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80 | (3) |
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80 | (2) |
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Hyperosmolar, hyperglycaemic state |
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82 | (1) |
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83 | (6) |
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83 | (4) |
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Alcohol-related medical problems |
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|
87 | (1) |
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Patient with an altered conscious level and smelling of alcohol |
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|
87 | (1) |
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88 | (1) |
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Acute Neurological Conditions |
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89 | (11) |
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90 | (2) |
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92 | (2) |
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Generalized convulsive status epilepticus |
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|
94 | (1) |
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Transient ischaemic attack |
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95 | (2) |
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97 | (3) |
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100 | (8) |
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101 | (1) |
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102 | (1) |
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103 | (1) |
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104 | (1) |
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Acute narrow-angle glaucoma |
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104 | (1) |
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Hypertensive encephalopathy |
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104 | (1) |
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105 | (2) |
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Tension (muscle contraction) headache |
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107 | (1) |
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|
107 | (1) |
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Disease in other cranial structures |
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|
108 | (1) |
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Allergic or Immunological Conditions |
|
|
108 | (2) |
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|
108 | (1) |
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109 | (1) |
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110 | (6) |
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Blistering (vesicobullous) conditions |
|
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110 | (1) |
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Pruritus (itching conditions) |
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111 | (2) |
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113 | (1) |
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114 | (1) |
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115 | (1) |
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116 | (3) |
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Disordered behaviour in the elderly |
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117 | (1) |
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118 | (1) |
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119 | (3) |
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Section III Acid-Base, Electrolyte and Renal Emergencies |
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122 | (8) |
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Arterial blood gas interpretation |
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122 | (2) |
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124 | (3) |
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127 | (1) |
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128 | (1) |
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129 | (1) |
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|
130 | (9) |
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130 | (1) |
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130 | (2) |
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132 | (2) |
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134 | (1) |
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134 | (1) |
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135 | (1) |
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136 | (1) |
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136 | (1) |
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137 | (1) |
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138 | (1) |
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138 | (1) |
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139 | (1) |
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139 | (1) |
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139 | (3) |
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|
142 | (2) |
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Section IV Infectious Disease and Foreign Travel Emergencies |
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|
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Febrile Neutropenic Patient |
|
|
144 | (1) |
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145 | (1) |
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Gastrointestinal Tract Infection |
|
|
146 | (1) |
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Sexually Transmitted Diseases |
|
|
147 | (1) |
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Needlestick and Sharps Incidents |
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|
148 | (2) |
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Inoculation incident with HIV risk |
|
|
148 | (1) |
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Inoculation incident with hepatitis risk |
|
|
149 | (1) |
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Human Immunodeficiency Virus Infection |
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|
150 | (3) |
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|
153 | (1) |
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Bites with Rabies or Other Lyssavirus Risk |
|
|
154 | (2) |
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Rabies and lyssavirus risk |
|
|
154 | (2) |
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Common Imported Diseases of Travellers |
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|
156 | (4) |
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|
156 | (2) |
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158 | (1) |
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|
158 | (1) |
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Typhus and spotted fevers |
|
|
159 | (1) |
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|
159 | (1) |
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160 | (1) |
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161 | (3) |
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Section V Surgical Emergencies |
|
|
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164 | (5) |
|
Further Diagnosis and Management of Multiple Injuries: Definitive Care |
|
|
169 | (1) |
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169 | (1) |
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170 | (7) |
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|
170 | (5) |
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|
175 | (1) |
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Vascular injury in the neck |
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|
175 | (1) |
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176 | (1) |
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176 | (1) |
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|
176 | (1) |
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|
177 | (7) |
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|
177 | (1) |
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178 | (1) |
|
Rib and sternum fractures |
|
|
178 | (1) |
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|
179 | (1) |
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180 | (1) |
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|
181 | (1) |
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|
182 | (1) |
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|
182 | (2) |
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Abdominal and Pelvic Trauma |
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|
184 | (6) |
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|
184 | (1) |
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|
185 | (1) |
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Penetrating abdominal trauma |
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|
186 | (1) |
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|
187 | (1) |
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|
188 | (1) |
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|
189 | (1) |
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Bladder and urethral injuries |
|
|
189 | (1) |
|
Additional Orthopaedic Injuries in Multiple Trauma |
|
|
190 | (3) |
|
Thoracic and lumbosacral spine injury |
|
|
190 | (1) |
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|
191 | (2) |
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|
193 | (2) |
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|
193 | (2) |
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|
195 | (6) |
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|
195 | (4) |
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|
199 | (1) |
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|
200 | (1) |
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|
201 | (1) |
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|
201 | (19) |
|
|
201 | (1) |
|
Stable patient with an acute abdomen |
|
|
202 | (2) |
|
Causes of acute abdominal pain |
|
|
204 | (1) |
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|
204 | (1) |
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|
205 | (1) |
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|
206 | (1) |
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|
206 | (1) |
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|
207 | (1) |
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|
207 | (1) |
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|
208 | (1) |
|
Ruptured abdominal aortic aneurysm |
|
|
208 | (1) |
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|
209 | (1) |
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|
210 | (1) |
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|
210 | (1) |
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211 | (1) |
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|
212 | (1) |
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|
213 | (1) |
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|
213 | (1) |
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|
214 | (1) |
|
Retroperitoneal haemorrhage |
|
|
214 | (1) |
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|
215 | (1) |
|
Medical disorders presenting with acute abdominal pain |
|
|
215 | (2) |
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|
217 | (3) |
|
Section VI Orthopaedic Emergencies |
|
|
|
Injuries to the Shoulder and Upper Arm |
|
|
220 | (6) |
|
Fractures of the clavicle |
|
|
220 | (1) |
|
Acromioclavicular dislocation |
|
|
220 | (1) |
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Sternoclavicular dislocation |
|
|
221 | (1) |
|
|
221 | (1) |
|
Anterior dislocation of the shoulder |
|
|
222 | (2) |
|
Posterior dislocation of the shoulder |
|
|
224 | (1) |
|
Fractures of the upper humerus |
|
|
225 | (1) |
|
Fractures of the shaft of the humerus |
|
|
225 | (1) |
|
Injuries to the Elbow and Forearm |
|
|
226 | (6) |
|
Supracondylar fracture of the humerus |
|
|
226 | (1) |
|
Condylar and epicondylar fractures of the humerus |
|
|
227 | (1) |
|
|
228 | (1) |
|
|
229 | (1) |
|
Fractures of the olecranon |
|
|
230 | (1) |
|
Fractures of the radial head |
|
|
230 | (1) |
|
Fractures of the radial and ulnar shafts |
|
|
231 | (1) |
|
Injuries to the Wrist and Hand |
|
|
232 | (12) |
|
|
232 | (2) |
|
|
234 | (1) |
|
Barton's fracture-dislocation |
|
|
234 | (1) |
|
|
235 | (1) |
|
Distal radial fractures in children |
|
|
235 | (1) |
|
Fractures of the scaphoid |
|
|
236 | (1) |
|
Dislocations of the carpus |
|
|
237 | (1) |
|
Fractures of the other carpal bones |
|
|
238 | (1) |
|
Fractures of the thumb metacarpal |
|
|
239 | (1) |
|
Dislocation of the thumb metacarpal |
|
|
239 | (1) |
|
Rupture of the ulnar collateral ligament |
|
|
240 | (1) |
|
Fractures of the other metacarpals |
|
|
240 | (1) |
|
Fractures of the proximal and middle phalanges |
|
|
241 | (1) |
|
Fractures of the distal phalanges |
|
|
242 | (1) |
|
Dislocation of the phalanges |
|
|
242 | (1) |
|
Flexor tendon injuries in the hand |
|
|
243 | (1) |
|
Extensor tendon injuries in the hand |
|
|
243 | (1) |
|
|
244 | (1) |
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|
244 | (1) |
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|
244 | (1) |
|
Thoracic and Lumbar Spine Injuries |
|
|
245 | (1) |
|
|
245 | (1) |
|
Injuries to the Hip and Upper Femur |
|
|
245 | (2) |
|
|
245 | (1) |
|
Fractures of the neck of the femur |
|
|
246 | (1) |
|
Fractures of the shaft of the femur |
|
|
247 | (1) |
|
Injuries to the Lower Femur, Knee and Upper Tibia |
|
|
247 | (5) |
|
Supracondylar and condylar fractures of the femur |
|
|
247 | (1) |
|
Fractures of the patella and injury to the quadriceps apparatus |
|
|
248 | (1) |
|
Dislocation of the patella |
|
|
248 | (1) |
|
Soft-tissue injuries of the knee |
|
|
249 | (2) |
|
|
251 | (1) |
|
Fractures of the tibial condyles |
|
|
251 | (1) |
|
Injuries to the Lower Tibia, Ankle and Foot |
|
|
252 | (7) |
|
Fractures of the shaft of the tibia |
|
|
252 | (1) |
|
Isolated fractures of the fibula |
|
|
252 | (1) |
|
|
253 | (1) |
|
|
254 | (1) |
|
|
255 | (1) |
|
Fractures and dislocation of the talus |
|
|
255 | (1) |
|
Fractures of the calcaneus |
|
|
256 | (1) |
|
Rupture of the tendo achilles |
|
|
256 | (1) |
|
|
257 | (1) |
|
Metatarsal injuries and tarsometatarsal dislocations |
|
|
257 | (1) |
|
Fractures of the phalanges of the foot |
|
|
258 | (1) |
|
Dislocations of the phalanges of the foot |
|
|
258 | (1) |
|
|
259 | (3) |
|
Section VII Musculoskeletal and Soft-Tissue Emergencies |
|
|
|
|
262 | (9) |
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|
265 | (2) |
|
Crush injury and compartment syndrome |
|
|
267 | (1) |
|
|
268 | (1) |
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|
269 | (1) |
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|
269 | (1) |
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|
270 | (1) |
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|
271 | (4) |
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|
271 | (1) |
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|
271 | (1) |
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|
272 | (1) |
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273 | (1) |
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|
273 | (1) |
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274 | (1) |
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|
275 | (1) |
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|
275 | (1) |
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|
275 | (4) |
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|
276 | (1) |
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|
276 | (1) |
|
Rotator cuff tear: supraspinatus rupture |
|
|
277 | (1) |
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|
277 | (1) |
|
|
278 | (1) |
|
Tennis and golfer's elbow |
|
|
278 | (1) |
|
|
278 | (1) |
|
De Quervain's stenosing tenosynovitis |
|
|
278 | (1) |
|
|
279 | (1) |
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|
279 | (1) |
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|
279 | (3) |
|
|
280 | (1) |
|
Indirect mechanical back trauma |
|
|
280 | (1) |
|
Severe or atypical, non-traumatic back pain |
|
|
281 | (1) |
|
Mild to moderate, non-traumatic back pain |
|
|
282 | (1) |
|
|
282 | (2) |
|
Section VIII Paediatric Emergencies |
|
|
|
|
284 | (2) |
|
Cardiopulmonary Resuscitation |
|
|
286 | (7) |
|
|
293 | (6) |
|
|
294 | (1) |
|
|
295 | (1) |
|
|
296 | (2) |
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|
298 | (1) |
|
|
299 | (3) |
|
Croup (acute laryngotracheobronchitis) |
|
|
299 | (1) |
|
|
300 | (1) |
|
Epiglottitis (supraglottitis) |
|
|
301 | (1) |
|
Abdominal Pain, Diarrhoea and Vomiting |
|
|
302 | (6) |
|
|
302 | (1) |
|
|
303 | (1) |
|
Diarrhoea, vomiting and dehydration |
|
|
304 | (4) |
|
|
308 | (3) |
|
Seizures and Febrile Convulsions |
|
|
311 | (3) |
|
|
311 | (2) |
|
|
313 | (1) |
|
|
314 | (2) |
|
|
316 | (2) |
|
Sudden Unexpected Death in Infancy |
|
|
318 | (1) |
|
Child Abuse (Non-Accidental Injury) |
|
|
319 | (2) |
|
|
321 | (3) |
|
Section IX Obstetric and Gynaecological Emergencies |
|
|
|
Gynaecological Assessment and Management |
|
|
324 | (1) |
|
|
324 | (1) |
|
|
324 | (1) |
|
Gynaecological Causes of Acute Abdominal Pain |
|
|
324 | (3) |
|
Pelvic inflammatory disease (acute salpingitis) |
|
|
325 | (1) |
|
|
326 | (1) |
|
|
326 | (1) |
|
|
326 | (1) |
|
Bleeding in Early Pregnancy |
|
|
327 | (5) |
|
Ruptured ectopic pregnancy |
|
|
327 | (2) |
|
|
329 | (2) |
|
|
331 | (1) |
|
Conditions in Late Pregnancy |
|
|
332 | (5) |
|
|
332 | (1) |
|
|
332 | (1) |
|
Pre-eclampsia and eclampsia |
|
|
333 | (1) |
|
|
334 | (1) |
|
|
335 | (1) |
|
Cardiopulmonary resuscitation in late pregnancy |
|
|
336 | (1) |
|
|
337 | (3) |
|
|
337 | (1) |
|
Missed oral contraceptive pill |
|
|
338 | (1) |
|
Domestic violence to females |
|
|
339 | (1) |
|
|
339 | (1) |
|
|
340 | (2) |
|
Section X Ophthalmic Emergencies |
|
|
|
|
342 | (1) |
|
Topical Ophthalmic Preparations |
|
|
342 | (1) |
|
Traumatic Conditions of the Eye |
|
|
343 | (5) |
|
Periorbital haematoma (`black eye') |
|
|
343 | (1) |
|
Subconjunctival haematoma |
|
|
343 | (1) |
|
|
344 | (1) |
|
|
344 | (1) |
|
Chemical burns to the eye |
|
|
344 | (1) |
|
Conjunctival foreign body |
|
|
345 | (1) |
|
|
346 | (1) |
|
|
346 | (1) |
|
|
346 | (1) |
|
|
347 | (1) |
|
Penetrating trauma to the eye |
|
|
348 | (1) |
|
Conditions Affecting the Eyelids |
|
|
348 | (3) |
|
|
348 | (1) |
|
Stye (external hordeolum) |
|
|
349 | (1) |
|
Meibomian abscess (internal hordeolum) |
|
|
349 | (1) |
|
Meibomian cyst (chalazion) |
|
|
349 | (1) |
|
|
349 | (1) |
|
Orbital and periorbital cellulitis |
|
|
349 | (1) |
|
Basal cell carcinoma (rodent ulcer) |
|
|
350 | (1) |
|
Ophthalmic shingles (herpes zoster ophthalmicus) |
|
|
350 | (1) |
|
|
351 | (3) |
|
|
351 | (1) |
|
|
352 | (1) |
|
|
352 | (1) |
|
Acute episcleritis and scleritis |
|
|
353 | (1) |
|
|
353 | (1) |
|
Sudden Loss of Vision in the Uninflamed Eye |
|
|
354 | (3) |
|
Central retinal artery occlusion |
|
|
354 | (1) |
|
Central retinal vein occlusion |
|
|
355 | (1) |
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|
355 | (1) |
|
|
356 | (1) |
|
|
356 | (1) |
|
|
357 | (3) |
|
Section XI Ent Emergencies |
|
|
|
Traumatic Conditions of the Ear |
|
|
360 | (2) |
|
Subperichondrial haematoma |
|
|
360 | (1) |
|
|
360 | (1) |
|
Foreign body in the external ear |
|
|
360 | (1) |
|
|
361 | (1) |
|
|
361 | (1) |
|
Non-Traumatic Conditions of the Ear |
|
|
362 | (3) |
|
|
362 | (1) |
|
Furunculosis of the external ear |
|
|
362 | (1) |
|
|
363 | (1) |
|
|
363 | (1) |
|
|
363 | (1) |
|
|
364 | (1) |
|
Traumatic Conditions of the Nose |
|
|
365 | (1) |
|
|
365 | (1) |
|
|
366 | (1) |
|
Non-Traumatic Conditions of the Nose |
|
|
366 | (2) |
|
|
366 | (2) |
|
Traumatic Conditions of the Throat |
|
|
368 | (1) |
|
Non-Traumatic Conditions of the Throat |
|
|
368 | (3) |
|
|
368 | (1) |
|
Quinsy (peritonsillar abscess) |
|
|
369 | (1) |
|
Foreign body in the pharynx |
|
|
369 | (1) |
|
|
370 | (1) |
|
|
371 | (1) |
|
|
371 | (3) |
|
Section XII Maxillofacial and Dental Emergencies |
|
|
|
Traumatic Conditions of the Face and Mouth |
|
|
374 | (5) |
|
|
374 | (1) |
|
|
374 | (1) |
|
|
375 | (1) |
|
|
376 | (1) |
|
Fracture of the zygoma or zygomaticomaxillary (malar) complex |
|
|
377 | (1) |
|
Orbital floor `blow-out' fracture |
|
|
378 | (1) |
|
Le Fort middle-third of face fractures |
|
|
378 | (1) |
|
Non-Traumatic Conditions of the Mouth |
|
|
379 | (2) |
|
|
379 | (1) |
|
|
379 | (1) |
|
|
380 | (1) |
|
|
380 | (1) |
|
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381 | (3) |
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Section XIII Psychiatric Emergencies |
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384 | (1) |
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385 | (2) |
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Alcohol and Drug Dependency and Abuse |
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387 | (2) |
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Alcohol and drug withdrawal |
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387 | (1) |
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387 | (1) |
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Opiate and intravenous drug addiction |
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388 | (1) |
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Benzodiazepine and solvent addiction |
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389 | (1) |
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389 | (1) |
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390 | (2) |
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Acute Poisoning: General Principles |
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392 | (3) |
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395 | (20) |
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395 | (3) |
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398 | (1) |
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Tricyclic antidepressants |
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399 | (2) |
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401 | (1) |
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402 | (1) |
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402 | (1) |
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403 | (2) |
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405 | (1) |
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406 | (1) |
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407 | (1) |
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Calcium-channel blocking drugs |
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408 | (1) |
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409 | (1) |
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410 | (1) |
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411 | (1) |
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412 | (1) |
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413 | (1) |
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414 | (1) |
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415 | (1) |
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416 | (2) |
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Section XV Toxinology Emergencies |
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418 | (4) |
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418 | (3) |
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Viper (adder) snake bites |
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421 | (1) |
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422 | (1) |
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423 | (2) |
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425 | (1) |
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426 | (2) |
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Section XVI Environmental Emergencies |
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428 | (6) |
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428 | (2) |
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Other hyperthermia-related illness |
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430 | (1) |
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431 | (2) |
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433 | (1) |
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434 | (8) |
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434 | (2) |
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Decompression illness with barotrauma |
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436 | (1) |
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Electrocution and Lightning Strike |
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437 | (1) |
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Low-voltage electrocution |
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438 | (1) |
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High-voltage electrocution |
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439 | (1) |
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440 | (1) |
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440 | (2) |
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442 | (2) |
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Section XVII Administrative and Legal Issues |
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Habits of a Good Emergency Department Doctor |
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444 | (4) |
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Excellence in emergency department care |
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444 | (1) |
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Emergency department medical records |
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|
444 | (1) |
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Communicating with the general practitioner |
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|
445 | (1) |
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|
446 | (1) |
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Risk management and incident reporting |
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|
447 | (1) |
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448 | (1) |
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Consent, Competence and Refusal of Treatment |
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449 | (2) |
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|
449 | (1) |
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Refusal of treatment and discharge against medical advice |
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450 | (1) |
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Police, Coroner and Attending Court |
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451 | (2) |
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Police request for patient information |
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|
451 | (1) |
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Police request to interview a patient |
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451 | (1) |
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Police request for an alcohol breath test or blood sample |
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|
451 | (1) |
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Request for a police medical statement |
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|
452 | (1) |
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|
452 | (1) |
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Attending an inquest or court |
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|
453 | (1) |
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Retrieval and Inter-Hospital Transfer |
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|
453 | (9) |
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454 | (1) |
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454 | (2) |
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Specialized hazardous materials responses |
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|
456 | (2) |
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458 | (2) |
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460 | (1) |
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|
461 | (1) |
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|
462 | (2) |
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Section XVIII Practical Procedures |
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464 | (1) |
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Rapid Sequence Induction Intubation |
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465 | (2) |
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|
467 | (2) |
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|
469 | (2) |
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Intercostal Catheter Insertion |
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|
471 | (1) |
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|
472 | (1) |
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|
473 | (1) |
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|
474 | (4) |
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Intraosseous Line Insertion |
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|
478 | (1) |
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|
479 | (3) |
|
Indwelling Urethral Catheter Insertion |
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|
482 | (2) |
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Nasogastric Tube Insertion |
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|
484 | (1) |
|
Bier's Intravenous Regional Block |
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|
485 | (1) |
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|
486 | (2) |
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|
488 | (1) |
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|
489 | (2) |
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|
491 | (2) |
Glossary |
|
493 | (8) |
Appendix: Normal Laboratory Values |
|
501 | (4) |
Index |
|
505 | |