The hostile environment

Author(s):  
Ian Greaves ◽  
Keith Porter

Pre-hospital care and emergency medicine in the hostile environment poses particular challenges for those providing care to the patient. This chapter covers hypothermia, cold injury, avalanche rescue, heat-related illness, drowning and near drowning, diving emergencies, and electrocution injury. For each environment, mechanisms, diagnosis, and management are listed.

Author(s):  
Jonathan P. Wyatt ◽  
Robert G. Taylor ◽  
Kerstin de Wit ◽  
Emily J. Hotton ◽  
Robin J. Illingworth ◽  
...  

This chapter in the Oxford Handbook of Emergency Medicine investigates environmental emergencies in the emergency department (ED). It starts by examining the presentation and management of hypothermia, frostbite, and non-freezing cold injury. It examines drowning, near drowning, and diving emergencies, and also explores heat illness, electrical injury, and radiation accident.


2013 ◽  
Vol 99 (3) ◽  
pp. 135-136
Author(s):  
L Whalley ◽  
S Smith

AbstractMaritime In-Transit Care (MITC) is a new concept to allow the provision of pre-hospital care in the maritime environment within Role 2 Afloat (R2A) teams. This article describes the experiences of an Emergency Medicine nurse and a Medical Assistant who made up the MITC team on the recent R2A exercise on RFA CARDIGAN BAY. As well as describing their personal experiences, the concept of the MITC team is introduced and their role within R2A outlined.


Author(s):  
Justin Bowra ◽  
Osama Loubani ◽  
Paul Atkinson

Abdominal point-of-care ultrasound (PoCUS) for intra-peritoneal fluid in trauma is one of the earliest, and now most accepted, uses of PoCUS in emergency medicine and resuscitation. It is an essential part of the e-FAST (Extended Focused Assessment in Trauma) examination. Abdominal PoCUS can also guide diagnosis and management of right upper quadrant pain and renal colic. PoCUS can also ‘rule in’ (but not ‘rule out’) bowel obstruction and appendicitis. Regardless of the clinical situation, PoCUS is used to answer specific binary questions, rather than to perform an exhaustive survey of the abdomen.


Aging Well ◽  
2019 ◽  
pp. 91-115
Author(s):  
Jean Galiana ◽  
William A. Haseltine

Author(s):  
Ashis Banerjee ◽  
Clara Oliver

A knowledge of bone and soft tissue injuries is required for an emergency medicine trainee. This chapter provides information on the classification and management of different types of fractures and dislocation which may commonly appear in the short-answer question (SAQ) paper. It also covers common rheumatological problems such as gout or infective arthritis and their associated diagnosis and management. The Royal College of Emergency Medicine (RCEM) curriculum includes both traumatic and atraumatic limb problems, which this chapter reflects. This chapter also covers the diagnosis and management of specific hand injuries and wound infections, which may appear as any aspect of the Intermediate FRCEM examination.


Author(s):  
Mark Harrison

This chapter describes the microbiology of yeasts and fungi as they apply to Emergency Medicine, and in particular the Primary FRCEM examination. The chapter outlines the key details of the transmission, clinical features, and diagnosis and management of Candida, Cryptococcus, and dermatophytes. This chapter is laid out exactly following the RCEM syllabus, to allow easy reference and consolidation of learning.


Author(s):  
Mark Harrison

This chapter describes the microbiology of gastrointestinal viruses as they apply to Emergency Medicine, and in particular the Primary FRCEM examination. The chapter outlines the key details of the epidemiology, pathological basis, clinical features, and diagnosis and management of rotavirus and norovirus. This chapter is laid out exactly following the RCEM syllabus, to allow easy reference and consolidation of learning.


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