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Emergency! (Awesome Engines)

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Authors: Amal Mattu MD, Arjun S. Chanmugam MD MBA, Stuart P. Swadron MD FRCP(C) FACEP, Dale Woolridge MD PhD, Michael Winters In most cases, the materials and recommendations in Emergency Medicine textbooks are typically written by well-respected individuals, are thoroughly researched, and pass the sniff test of being within the boundaries of accepted practice. In the circumstance that one faces a medical malpractice situation around a case gone wrong, established textbooks will often be referenced and heavily utilized as the baseline standard of care for the practice of Emergency Medicine. Assuming one is not referencing a long outdated text, the Emergency Medicine book then plays a foundational role in anchoring decisions one made during a difficult case. Question and Answer books are highly useful when one is preparing for in-service and board exams or just general pimping on rounds. Most of these books present a highly specific question and then give you possible answers to select from. To challenge the reader even further, some of them offer the dreaded “None of the above” answer choice to make sure that you aren’t simply guessing through the process of elimination. EM Books & Modern Guidelines In some GP surgeries, you may also be able to have a consultation online or over the phone. Speak to your GP surgery for more information about online and phone consultations.

Unfortunately, not all of the recommendations are consistent and its hard to reconcile the subtleties if an efficient manner. On top of that, there is an expectation that the Emergency Medicine practitioner practices with the standard of care, even though there is disagreement on what the standard actually is. How does one process the information from all of these disparate sources to zero in on the right way to practice Emergency Medicine? And, once comfortable, how does one assimilate a new paper or a new guideline into one’s standard practice? Nurse Practitioners and Physician Assistants are playing an increasingly important role in Emergency Medicine departments everywhere. NPs and PAs are skilled front line providers who work independently or in conjunction with attendings to deliver quality care. Given that most NPs and PAs work largely independently in lower acuity settings, one of the best Emergency Medicine books for Nurse Practitioners & Physician Assistants is Minor Emergencies: Expert Consult as it provides a nice overview of the types of conditions that NPs and PAs will often see in the Emergency Department.

The large body of knowledge covered by Emergency Medicine is daunting, particularly when starting out as a student. For students interested in specializing in the field of Emergency Medicine, consider Rosen’s Emergency Medicine as your core textbook. While in the Emergency Department, Tintinalli’s Emergency Medicine Manual, while slightly large, will keep you on your toes. An unusual part of the book is that there is an armchair treasure hunt incorporated into it. There are short sections written in comic book form, and each of these sections includes a clue that is supposed to reveal the location of a cache that Strauss buried at one point in the book. Because I’m a dork, I spent a good hour trying to find the clues, figure out what they meant, and then figure out where the cache is. After that, I have no idea still. Okay, that’s not totally true. I have some idea, but nothing of confidence, so I’ll let you all know when I find the damn thing because now it’s an obsession. I bet my girlfriend will appreciate taking a vacation to some woods to unbury a box, especially when I don’t have the right spot and we spend three days digging holes. Since pictures occupy less space, and yet do better at explanation than text, they have been generously employed in this handbook. So, expect to see lots of photographs and illustrations that will help you to better understand how to manage emergencies in a skillful and timely manner. This book really drew me in and I finished it in about a week reading it at lunch time every day. I got the first few sample chapters via Tim Ferriss's blog. The free chapter I read online about getting a 2nd Passport from St. Kitt's was great. Maybe that was more Jason Bourne than James Bond though. That is so cool to get a 2nd passport. Sometimes, you find it easier to master a subject when you work your way through from the “wrongs” to the “rights”. That’s the exact approach adopted in Avoiding Common Errors in the Emergency Department, which discusses over 360 errors commonly made in the emergency room. More importantly, the book gives practical and easy-to-recall tips on how to avoid these common mistakes.

The principal authors and editors of the book help give you a sense of whether the contributors to the book practice in academic or community settings (or both). While academic contributors are typically current on recommended best practices in Emergency Medicine, community Emergency Medicine contributors sometimes provide gritty, street-level insights on how theoretical Emergency Medicine is applied in community-oriented situations.Neil Strauss is probably best known for writing 'The Game', but this is the book that comes up in conversations rather frequently for me. With the tagline “This book will save your life”, the very least it will do is get you thinking how to better prepare yourself against a statistically probable premature death during a catastrophe of some kind. A tough look at survivability during breakdowns of civility and society, this book opens your eyes to just how easily things might fall apart at any given time. The vast majority of us won’t be ready or equipped to handle a world gone wrong, but Strauss aims to change that. The things I learned from this book I still recount to others today.

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