Chapter 20: Practical procedures

Web-based references relating to the number under the disk sign, listed by page header

Emergencies
1 Advanced Trauma Life Support 1993 Am. Col. Surg. page 767

2 CPR Guidelines 1997 Resus Council (UK); page 767

Headache: differential diagnosis
No links

Breathlessness: emergency presentations
No links

Chest pain: differential diagnosis
No links

Coma
No links

The Glasgow coma scale (GCS)
3 G Teasdale 1974 Lancetii 81 page 776

Shock
4 RL Paterson J.R.Coll.Surg.Edinb., 45, June 2000, 178-182; page 779

5 bnf 2000 ii 154 & P Ewan 1997 Prescribes' J 37(3) 125 779

Anaphylactic shock
6 and 7 No link available Acute myocardial infarction
(footnote) Circulation 1998 Nov 24;98(21):2227-34 Diaz R, Paolasso EA, Piegas LS, Tajer CD, Moreno MG, Corvalan R, Isea JE, Romero G. Metabolic modulation of acute myocardial infarction. The ECLA (Estudios Cardiologicos Latinoamerica) Collaborative Group. English [Link]; page 783

(footnote) Am J Cardiol; 2005 Oct 15 ; 96(8):1053-8. pudmed ID@16214437 783

Acute coronary syndrome-without ST elevation
8 1 British Thoracic Society 1997 Guidelines Thorax 52(Suppl.) ps1-s21; page 784

9 1 British Thoracic Society 1997 Guidelines Thorax 52(Suppl.) ps1-s21; page 785

(footnote) N Engl J Med. 2004 Apr 8;350(15):1495-504. Epub 2004 Mar 8. Cannon CP, Braunwald E, McCabe CH, Rader DJ, Rouleau JL, Belder R, Joyal SV, Hill KA, Pfeffer MA, Skene AM; Pravastatin or Atorvastatin Evaluation and Infection Therapy-Thrombolysis in Myocardial Infarction 22 Investigators Intensive versus moderate lipid lowering with statins after acute coronary syndromes. English [Link] 785

Severe pulmonary oedema
10 N Engl J Med; 2004 Nov 11 ; 351(20):2049-57 [Link]; page 786

11 N Engl J Med; 2000 Jul 27 ; 343(4):246-53 pubmed @10911006; page 786

12 Lancet; 1998 Feb 7 ; 351(9100):389-93 PubMed ID: 9482291; page 787

Cardiogenic shock
No links

Broad complex tachycardia
No links

Narrow complex tachycardia
No links

Acute severe asthma
13 British Thoracic Scoiety Guidelines Thorax 2003;58:Suppl II; page 794

14 The BTS/SIGN British Guideline on the Management of Asthma 2005 [Link]; page 795

Acute exacerbations of COPD
No links

Pneumothorax
No links

Tension pneumothorax
No links

Pneumonia
15 BTS Update on the management of community acquired pneumonia in adults 2004 [Link]; page 800

Massive pulmonary embolism (PE)
No links

Acute upper gastrointestinal bleeding
16 BSG Non-variceal upper GI haemorrhage: guidenlines Gut 2002 51 suppl IV 1-6; page 804

17 NEJM 2002;347:1594; page 804

18 1 N White Lancet 1999 353 1965 [Link] viewpoint 1965.html; page 804

19 TA Rockall Gut 1996;38:316-21; page 805

Meningitis/ Emergency management of encephalitis
20 Image of glass test for purpura courtesy of the Meningitis Research Foundation [Link] 806

21 N Engl J Med; 2001 Dec 13 ; 345(24):1727-33 PubMed ID: 11742046; page 806

21 The Lancet 2006; 367:397-403 DOI:10.1016/S0140-6736(06)67932-4 Clinical recognition of meningococcal disease in children and adolescents [Link]; page 806

22 British Infection Society 2005 consensus statement [Link] 807

23 Fluid therapy for acute bacterial meningitis. Author: Oates-Whitehead R, Maconochie I, Baumer H, Stewart M. Journal: Cochrane Database Syst Rev; 2005 ; (3):CD004786. PubMed ID: 16034949. [Link]; page 807

24 P Cowling 2000 BMJ i 247 (a critique of A Pollard 1999 bmj i 1147) [Link]; page 807

25 eMedicine; Encephalitis [Link] 807

(footnote) British Infection Society 2004 [Link]; page 807

(footnote) Activated protein C [Link] 807

Status epilepticus
No links

Head injury
No links

Raised intracranial pressure
No links

Diabetic ketoacidosis (DKA)
No links

Other diabetic emergencies
26 S Afr Med J. 1995 Mar;85(3):173-6. Hyperosmolar non-ketotic diabetic coma as a cause of emergency hyperglycaemic admission to Baragwanath Hospital. Rolfe M [Link]; page 816

Thyroid emergencies
No links

Addisonian crisis

No links

Hypopituitary crisis
No links

Phaeochromocytoma emergencies
No links

Acute renal failure (ARF)-management
27 Oxford Textbook of Medicine, 3e 3280 820

Acute poisoning – general measures
No links

Acute poisoning – specific points
No links

Some specific poisons and their antidotes
28 2 In the uk: 01865 221332/220968/220279; page 827

29 Help on the web uk gps and other nhs workers and departments may register withtoxbase at for free up-to-date toxicological advice. [Link]; page 827

Salicylate poisoning
No links

Paracetemol poisoning
No links

Burns
30 Application of cerium nitrate-silver sulphadiazine allows for postponement of excision and grafting. Author: Vehmeyer-Heeman M, Tondu T, Van den Kerckhove E, Boeckx W. Journal: Burns; 2006 Feb ; 32(1):60-3. PubMed ID: 16380214. [Link]; page 830

(footnote) an adult patient with burns,is the Lund and Browder chart better than the Rule of Nines at accurately assessing the area of the wound. July 2005. [Link]; page 831
Hypothermia
No links

Major disasters
No links

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