Oxford Handbook of Acute Medicine - Ramrakha and Moore

Oxford Handbook of Acute Medicine (Oxford Handbooks S.)
Punit S. Ramrakha, Kevin P.K. Moore

anmeldele i ugeskriftet: http://www.ugeskriftet.dk/2005/0305/VP-html/VP45993.htm

Hardcover 1004 pages (August 2004)
Publisher: Oxford University Press
ISBN: 0198520727

[quote]Book Description
The management of acute medical emergencies is the most demanding and stressful aspect of medical training. Most textbooks of medicine can only go into general detail about the management of medical emergencies, and it is difficult for the practising doctor to keep up-to-date with the latest guidelines while doing a busy clinical job.
The Oxford Handbook of Acute Medicine is an up-to-date, practical and comprehensive guide to the management of the acutely ill patient. The book relates pathophysiology to clinical features to help the reader make the diagnosis quickly. It identifies priorities for treatment and leads the reader, step-by-step, through the management of the patient while awaiting specialist help. Wherever possible, published guidelines have been incorporated to ensure that the book reflects current,
recommended management of medical emergencies, with evidence-based treatments. Details of specialist treatments are included to inform readers about the patient’s likely ongoing care.

The layout of the book reflects clinical practice: topics are divided into assessment, differential diagnosis, immediate management and ongoing treatment. There is an extensive section on practical procedures. It is the ideal companion for students (keen to understand the management of patients they see during their training), practising physicians at all levels from recently qualified doctors to consultants (to brush upon the modern management of acute medical conditions), staff in A&E who see
acutely ill patients daily, and nurses caring for acutely ill patients.

Synopsis
The management of acute medical emergencies is the most demanding and stressful aspect of medical training. Most textbooks of medicine can only go into general detail about the management of medical emergencies, and it is difficult for the practising doctor to keep up-to-date with the latest guidelines while doing a busy clinical job. The Oxford Handbook of Acute Medicine is an up-to-date, practical and comprehensive guide to the management of the acutely ill patient. The book relates pathophysiology to clinical features to help the reader make the diagnosis quickly. It identifies priorities for treatment and leads the reader, step-by-step, through the management of the patient while awaiting specialist help. Wherever possible, published guidelines have been incorporated to ensure that the book reflects current, recommended management of medical emergencies, with evidence-based treatments. Details of specialist treatments are included to inform readers about the patient’s likely ongoing care. The layout of the book reflects clinical practice: topics are divided into assessment, differential diagnosis, immediate management and ongoing treatment. There is an extensive section on practical procedures. It is the ideal companion for students (keen to understand the management of patients they see during their training), practising physicians at all levels from recently qualified doctors to consultants (to brush upon the modern management of acute medical conditions), staff in A&E who see acutely ill patients daily, and nurses caring for acutely ill patients. [/quote]

Rigtig god evidensbaseret opslagsbog til prisen og måske den bedste indenfor akut med.
Når man har vænnet sig til formatet, får man relativt hurtigt et overblik, men jeg synes det havde været ideelt, hvis forfatterne havde brugt en del af de mange ubrugte højre-sider til, at lave oversigts- og flowdiagrammer m.m.
Detaljerede “bageopskrifter” oftest for hver enkel subtype af en given tilstand, fx den unikke beh. af de 4 grader af hypertension. Herved adskiller den sig markant og positivt fra “akutte med. tilstande” og i særdelelseshed fra den nye danske “Den akutte patient”.
Største anke er, at flere akutte kirurgiske tilstande mangler, fx. rumperende aorta aneurisme, hvorimod aorta dissektion er godt beskrevet. AMI kap. ikke helt entydigt, specielt vedr. nyere med. behandl.
4 + stjerner herfra - er klart bedre på behandlingssiden end andre opslagsbøger jeg har set i akut med. herunder 5Min. emerg. Cons., der dog er bedre mht. differential diagnostik.
Grundet den manglende differential diag./præsentationsorienterede tilgang, egner bogen sig nok mest til den halv-erfarne skadestuelæge/AMA-læge, der overordnet set ved hvad pt. fejer ) eller som lærebog/referencebog i i akut medicin. I øvrigt enig med anmeldelsen i ugeskriftet.
Kommer vist snart til pda :slight_smile: