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This manual was written for oral board candidates, practicing physicians, residents, interns and medical students. It is meant to compliment standard texts and oral board courses (“practice makes perfect”). Also, it is designed to refresh and reinforce the “trouble-shooting neuronal synapses” (prn) of the emergency room physician, and as a brief reference in the ER (I find it particularly useful for “warming up,” just prior to returning to work following a vacation). I have attempted with this 1998 edition to at least “touch on everything,” and have purposely double spaced the text throughout, so that you can make your own strategically placed notes (pencil recommended) | The Gist of Emergency Medicine 1 The Gist of Emergency Medicine -The Management of Real or Simulated Patient Encounters- - Third Edition - 1998 Michael O. Hebb The Gist of Emergency Medicine 2 The Gist of Emergency Medicine -The Management of Real or Simulated Patient Encounters- - A Review Book - MD CCFP EM DABEM Michael Hebb Woodlawn Medical Clinic 110 Woodlawn Road Dartmouth Nova Scotia Canada B2W 2S8 www.erbook.com 1998 ISBN 0-9695693-5-1 Forty-nine dollars. Published by Adam Hebb The Gist of Emergency Medicine 3 Table of Contents PREFACE AND ACKNOWLEDGMENTS 4 THE MNEMONIC AND THE PREAMBLE 6 THE MANAGEMENT GUIDE 26 THE SHORT FORM OF THE MANAGEMENT GUIDE 56 SIGNIFICANT REMINDERS 57 I. CPR - Electrolytes - Acid - BASE.57 II. Cardiac Arrhythmias and ACLS Drugs first of two sections .65 III. Septic Shock.76 IV. Central Nervous System first of two sections .77 V. Pediatrics first of two sections .80 VI. Cardiology second of two sections .88 VII. Chest. 95 VIII. Gastrointestinal and Genitourinary Systems.100 IX. OBSTETRICS AND Gynecology.104 X. Pediatrics second of two sections .108 XI. Endocrinology and Hematology.116 XII. CENTRAL NERVOUS System second of two sections .125 XIII. EENT - SKIN - Joints - Allergy. 132 XIV. Infections.138 XV. Poisoning.143 XVI. Environmental Injuries.156 XVII. TRAUMA.168 XVIII. Psychiatric disorders.177 REFERENCES 179 A REQUEST FOR FEEDBACK 180 INDEX .
