The Chief Complaint

Author: Chris Feier
Publisher:
ISBN: 0989851915
Release Date: 2014-11-01
Genre: Emergency medicine

A handbook for physicians, residents and students in the emergency department to help manage patients. Evidence based concise algorithms.

Pediatric Emergency Medicine

Author: Rebecca Jeanmonod
Publisher: Cambridge University Press
ISBN: 9781108627566
Release Date: 2017-12-14
Genre: Medical

Pediatric patients are a unique subset of emergency patients, making up about one-quarter of all emergency department visits. Textbooks regarding the care of pediatric patients are almost universally organized by organ system, which does not facilitate an efficient diagnosis. Taking a case-based approach, Pediatric Emergency Medicine: Chief Complaints and Differential Diagnosis is arranged by chief complaint, using real patient scenarios to help the reader work through the inductive and deductive reasoning needed to assess, evaluate, treat, and disposition pediatric patients with urgent complaints. Cases are structured in the way in which they are presented during medical care, allowing practitioners to become comfortable with the general structure of case presentations: chief complaint, HPI, PMH, ROS, exam, and ancillary studies. This volume also discusses disease processes and their differentiations, providing in-depth knowledge regarding current standards of diagnosis and care.

Making Recording and Analysis of Chief Complaint a Priority for Global Emergency Care Research in Low income Countries

Author:
Publisher:
ISBN: OCLC:1027120042
Release Date: 2013
Genre:

Abstract The chief complaint is a patient's self‐reported primary reason for presenting for medical care. The clinical utility and analytical importance of recording chief complaints have been widely accepted in highly developed emergency care systems, but this practice is far from universal in global emergency care, especially in limited‐resource areas. It is precisely in these settings, however, that the use of chief complaints may have particular benefit. Chief complaints may be used to quantify, analyze, and plan for emergency care and provide valuable information on acute care needs where there are crucial data gaps. Globally, much work has been done to establish local practices around chief complaint collection and use, but no standards have been established and little work has been done to identify minimum effective sets of chief complaints that may be used in limited‐resource settings. As part of the Academic Emergency Medicine consensus conference, "Global Health and Emergency Care: A Research Agenda, " the breakout group on data management identified the lack of research on emergency chief complaints globally—especially in low‐income countries where the highest proportion of the world's population resides—as a major gap in global emergency care research. This article reviews global research on emergency chief complaints in high‐income countries with developed emergency care systems and sets forth an agenda for future research on chief complaints in limited‐resource settings.

Basics of Emergency Medicine

Author:
Publisher:
ISBN: 1929854382
Release Date: 2015-03-01
Genre:

Following "Basics of Emergency Medicine," this pediatric version of EMRA's popular quick-reference clinical guide provides practical solutions for treating pediatric patients' top chief complaints. This pocket-sized, easy-to-use resource provides a simple approach to difficult diagnoses in the pediatric population and is ideal for interns, medical students, off-service rotating residents, nurse practitioners, physician assistants, nurses - and anyone caring for pediatric patients in the fast-paced emergency medicine environment.

Chief Complaints

Author: Ralph G. DePalma,
Publisher: Xlibris Corporation
ISBN: 9781450002844
Release Date: 2009-07-27
Genre: Medical

PROLOGUE: IDEAL HEALTH Experience is the oracle of truth...where its responses are unequivocal; they ought to be conclusive and sacred. James Madison, Federalist 18-20 Twenty-first century medicine offers better outcomes than at any other time in history, yet many, if not most people are unhappy with health care. The World Health Organization defines health as: “A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity...” a statement suggesting an ideal state of complete well being that lies within society’s grasp. This ideal might be achieved within the context of an altruistic society, inhabited by intelligent individuals possessing high moral and ethical values, abundant resources, access to advanced technology, and effective, equitable governance. The concept promises a paradise on earth, yet formidable challenges confound its realization–– this is one of several dilemmas confronting health care. People living in the third world, victimized by lack of education, unremitting poverty, and corrupt governments suffer widespread ill health due to readily correctible causes––undernutrition, lack of sanitation, contaminated food and water and ethnic violence. These unfortunate conditions relate to political, cultural issues and, some might say, moral issues. Inner city dwellers or those living in other deprived areas within the United States are also victimized, while more privileged inhabitants of ‘advanced’ societies sooner or later develop lethal diseases, many due to unknown or obscure causes. The treatment of these illnesses, to which the poor are not necessarily immune, requires specialized skills focusing upon individuals. This is also a part of the health care dilemma. Specialized approaches differ from world and public health centered views of ‘Health Care.’ Generalizations about health and prevention, in the minds of policy makers, have become conflated with treatment of advanced disease––a confusion that potentially threatens specialists who are the custodians of unique skills required to treat serious illnesses. Clearly, effective Health Care requires both preventive and advanced treatment services––part of the dilemma is that each needs more detailed definition. This book describes surgical care, some it involving general surgical problems and some of it within the specialty of vascular surgery. Each story or complaint highlights dilemmas facing doctors and patients alike. Surgical interventions are life saving, life enhancing processes that carry with them important societal implications. Surgical efforts are costly, time intensive, and come into play individually––one case at a time. Illnesses often present with a dominant symptom, a Chief Complaint. The patient’s Chief Complaint is key to effective diagnosis and treatment. The words, manner, and circumstances of patient’s complaints express specific truths. Complaints require action––sometimes immediate, sometimes measured and deliberate, and sometimes with judicious restraint. Deciding how, and at what rate, to react to complaints are also dilemmas facing patients, doctors and health care systems. Modern medicine, paradoxically, tends to overlook and marginalize individual concerns and cultural sensitivities in favor of ‘cost-benefit’ or public policy analyses, leading to rigid policy decisions that conflict with individual needs and sensitivities. Laboratory testing and imaging increasingly uncover the silent beginnings of serious disease before symptoms develop––this is usually a good thing––sometimes it is not––currently enhanced diagnostic prowess poses yet another dilemma facing doctors and health care policy makers. Abnormal test results, ideally, should be considered as Chief Complaints. Abnormal test results can become sources of anxiety prompting ill advised and premature actions, or conversely, may be ignored with disastrous results. Controversies about which tests, how man

The Chief Complaint

Author: M. J. Buck
Publisher:
ISBN: 0982469608
Release Date: 2009
Genre: Fiction

Three years ago, Deputy Fire Chief James Whitmore had an affair with Carla Barnes, the Fire Chief's wife. Three days ago, the Chief was murdered inside the Fire Station after a very public fight with James. Tensions soar and accusations fly as the sleepy little hamlet of Element, S. D. (pop 2,387) wakes up to murder. Element is the type of place where people still leave their doors unlocked, a town that hasn't seen a murder in more than 40 years. With a police force of 5 deputies and one burnt out detective from Kansas City; finding a murderer in such a small place should be easy. When James is arrested for the murder things get ugly, and after his release James finds himself facing down a town that believes in his guilt. With the help of his next-door neighbor, Alex (Alexandra) Kincaid, James finds himself racing against time to find the real killer. When both Carla and Alex go missing, James teams up with detective Samuel Gunne to catch the killer and save the one woman who just might make his life worth living. THE CHIEF COMPLAINT, written with an intimate knowledge of the world of Firefighters, will ring true for anyone who is (or knows) one of the nearly 2 million firefighters in the U.S. With surprising plot twists and growing passions, this cozy mystery draws the reader into the world of small town USA and carries them along a roller-coaster ride of murder, kidnapping, madness, and redemption.

Principles of Patient Assessment in EMS

Author: Bob Elling
Publisher: Cengage Learning
ISBN: 0766838994
Release Date: 2003
Genre: Medical

A concrete approach to assessing patients and situations in the field that presents the relationship between assessment findings and pathology in an informal yet informative manner. Includes detailed descriptions of physical exams and history-taking methods as relevant to respiratory, cardiac, neurological, abdominal and psychological traumas. Case studies and Web activities are integrated throughout to provide a realistic context and enhance material. Benefits: Includes chapters on pediatric, obstetric and geriatric assessment, as well as cultural aspects of assessment Ties all aspects of assessment together to create the big picture Web activities and case studies offer realistic scenarios and intreractivity

Pediatric Complaints and Diagnostic Dilemmas

Author: Samir S. Shah
Publisher: Lippincott Williams & Wilkins
ISBN: 0781741882
Release Date: 2004
Genre: Medical

Pediatric Complaints and Diagnostic Dilemmas: A Case-Based Approach contains 119 cases in 20 chapters that cover a common chief complaint. Each chapter opens with a definition of the complaint, moves to differential diagnosis with a table on the most frequent causes, and reviews the important questions in the history. Four to eight cases in each chapter illustrate how the same chief complaint can have different causes. Case presentations cover the history of present illness, past medical history, the physical exam, diagnostic studies, and the development of the complaint over time.

The Chief Concern of Medicine

Author: Ronald Schleifer
Publisher: University of Michigan Press
ISBN: 9780472028863
Release Date: 2013-01-28
Genre: Medical

Unlike any existing studies of the medical humanities, The Chief Concern of Medicinebrings to the examination of medical practices a thorough---and clearly articulated---exposition of the nature of narrative. The book builds on the work of linguistics, semiotics, narratology, and discourse theory and examines numerous literary works and narrative "vignettes" of medical problems, situations, and encounters. Throughout, the book presents usable expositions of the ways storytelling organizes itself to allow physicians and other healthcare workers (and even patients themselves) to be more attentive to and self-conscious about the information---the "narrative knowledge"---of the patient's story.

Chief Complaint Brain Tumor

Author: John Kerastas
Publisher: Sunstone Press
ISBN: 9781611391657
Release Date: 2013-02-15
Genre: Medical

At 57 years old, John Kerastas thought he was the poster child for fifty-year old healthiness: he competed in triathlons, rode in 100 mile biking events and ate a healthy diet chock full of organic vegetables. Then he discovered that he had a brain tumor the size of his wife's fist. His memoir chronicles the first year he spent addressing tumor-related health issues: preparing for his first operation, discovering a dangerous skull infection, having the infected portion of his skull surgically removed, learning about his substantial vision and cognitive losses, undergoing rehab and radiation treatments, and learning to live with his "new normal." According to Kerastas, the phrase "new normal" is the medical community's code words for "You're alive, so quit complaining." As his health changed, so did his sense of humor. He writes that his humor started out superficially light-hearted prior to the first operation; transmogrified into gallows humor after several subsequent operations; and leveled out as somewhat wry-ish after radiation and rehab. This is a surprisingly upbeat and inspiring book for anybody interested in memoirs about people dealing with personal crises, for patients trudging through rehab, for caretakers helping victims of serious illnesses, or for anybody looking for an unexpected chuckle from an unlikely subject. JOHN KERASTAS has worked at a global advertising agency, at several technology start-up companies and as a free-lance writer. Now, in addition to non-profit and charitable work, he spends his time blogging, speaking and writing about brain health, brain tumors and rehab. You can follow his blog or view his presentations schedule at www.johnstumor.blogspot.com.

68w Advanced Field Craft

Author: United States Army
Publisher: Jones & Bartlett Learning
ISBN: 0763735647
Release Date: 2008-04-01
Genre: Medical

The Combat Medic of today is the most technically advanced ever produced by the United States Army. Such an advanced technician requires an advanced teaching and learning system. 68W Advanced Field Craft is the first textbook designed to prepare the Combat Medic for todays challenges in the field. The ability to save lives in war, conflicts, and humanitarian inventions requires a specific skill set. Todays Combat Medic must be an expert in emergency medical care, force health protection, limited primary care, evacuation, and warrior skills. 68W Advanced Field Craft combines complete medical content with dynamic features to support instructors and to prepare Combat Medics for their missions.

Case Studies in Emergency Medicine

Author: Rebecca Jeanmonod
Publisher: Cambridge University Press
ISBN: 9781139490870
Release Date: 2010-09-02
Genre: Medical

A case-based book organized by the top 10 common complaints of patients presenting to emergency departments. This approach allows the reader to learn the pathophysiology of the major diseases, and analyze each case in a way that more closely approximates the clinical practice of medicine; not knowing which organ system is damaged or compromised before examining the patient. The cases are based on real patients and the diseases are either common in emergency practice, or are dangerous diagnoses not to be missed. The case descriptions include questions regarding the patient's presentation and basic information about the disease, illustrating key elements from the history, physical, and when necessary ancillary studies that help lead to a diagnosis. Each chapter ends with a flow diagram showing how diseases of different organ systems can present with similar initial complaints. This book is an ideal resource for medical students, residents and trainees in emergency medicine.

Atlas of Neurologic Diagnosis and Treatment

Author: R. Douglas Collins
Publisher: Lippincott Williams & Wilkins
ISBN: 0781795117
Release Date: 2005
Genre: Medical

Geared to primary care physicians, this atlas is a straightforward illustrated guide to neurologic diagnosis and treatment. More than 130 common disorders are addressed in four alphabetically organized sections: differential diagnosis of neurologic symptoms; differential diagnosis of neurologic signs; diseases of the spinal cord, peripheral nerves, and muscles; and diseases of the brain and brainstem. Abundant colorful drawings help clinicians understand critical neuroanatomy and recognize clinically significant anomalies. Case studies bring the diseases to life by highlighting salient features of various disorders, as well as key points on etiology, diagnosis, and treatment. Appendices outline special examination techniques and laboratory workups and treatment guidelines for each disease.

Differential Diagnosis for the Dermatologist

Author: Scott Jackson
Publisher: Springer Science & Business Media
ISBN: 3540758879
Release Date: 2008-05-07
Genre: Medical

Tis book originated as a small reference manual that I created to serve as an educational supplement for the dermatology residents a-t Loui siana State University Health Sciences Center. Deeming the compiled information to be useful for all dermatologists, I decided to expand the text and publish it. Every major category of the patient evaluation, from the chief complaint to the diagnosis, is addressed with regard to the dermatological diferential diagnosis. Te establishment of a precise diferential diagnosis for a gi- ven cu taneous problem is the fundamental challenge that the dermatologist faces with every patient. Tis unique exercise is very intellectual; in a short period of time the clinician must select from a list of perhaps several hundred diseases a few possibilities that match the clinic-al pre sentation. Tis is performed while also negotiating the patient - interac tion, examining the patient, and beginning to formulate a pla- n of ac tion. Profciency in the formulation of a diferential diagnosis that is brief and simultaneously thorough allows for consideration of- all pos sibilities, proper evaluation, and, hopefully, rapid diagnosis. We hope to provide the target readers (dermatologists and dermatologists- -in-train ing) with some assistance in carrying out this frequently complicated task. For the confrontation with an atypical presentation of a common disease or the classic presentation of an uncommon disease, the reader will hopefully fnd this book very useful.

The Chief Concern of Medicine

Author: Ronald Schleifer
Publisher: University of Michigan Press
ISBN: 9780472028863
Release Date: 2013-01-28
Genre: Medical

Unlike any existing studies of the medical humanities, The Chief Concern of Medicinebrings to the examination of medical practices a thorough---and clearly articulated---exposition of the nature of narrative. The book builds on the work of linguistics, semiotics, narratology, and discourse theory and examines numerous literary works and narrative "vignettes" of medical problems, situations, and encounters. Throughout, the book presents usable expositions of the ways storytelling organizes itself to allow physicians and other healthcare workers (and even patients themselves) to be more attentive to and self-conscious about the information---the "narrative knowledge"---of the patient's story.