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Year : 2013  |  Volume : 138  |  Issue : 6  |  Page : 1035-1036

Emergency medicine - Lecture notes

Department of Emergency Medicine All India Institute of Medical Sciences Ansari Nagar New Delhi 110 029, India

Date of Web Publication11-Feb-2014

Correspondence Address:
Praveen Aggarwal
Department of Emergency Medicine All India Institute of Medical Sciences Ansari Nagar New Delhi 110 029
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Source of Support: None, Conflict of Interest: None

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How to cite this article:
Aggarwal P. Emergency medicine - Lecture notes. Indian J Med Res 2013;138:1035-6

How to cite this URL:
Aggarwal P. Emergency medicine - Lecture notes. Indian J Med Res [serial online] 2013 [cited 2021 Jul 24];138:1035-6. Available from:

4 th ed. C. Moulton, D. Yates, editors (Wiley-Blackwell, UK) 2012. 456 pages. Price: US$ 49.95

ISBN 978-1-4443-3666-5

Emergency Medicine is a speciality which is fast growing and hence, to keep pace with it is a challenge for professionals. Advancement in the diagnosis, management and procedures during the last decade has changed the face of Emergency Medicine. So, good books in this field are the need of the hour.

The authors of this book are eminent emergency physicians in United Kingdom. Their guidance, insight and attention in emergency will be invaluable to the readers. The immense experience of the authors is reflected in the text. Before this edition, the text has been well reviewed in its previous three editions as well.

The fourth edition of this book consists of 22 chapters and 456 pages. The textbook starts with a well written chapter titled "What every emergency physician must know". It is followed by basic information of Trauma and its management. Apart from medical emergencies, separate chapters are dedicated to trauma and burns. Details pertaining to paediatric, gynaecologial, ophthalmic and ENT emergencies are also well covered. Authors have also added multiple choice questions which are available online and these are also supplemented with short explanations. These questions will reinforce the understanding of the subject and engender confidence in readers.

The book focuses on giving basic but updated information to practicing physicians, students, nurses and trainees in Emergency Medicine. Annotations have been kept concise but are thoroughly updated within the confines of the book. Templates, formatting are worked extensively on and the layout is good. The format is user friendy with the authors being coherent and clear to the intended reader. Flow charts and artwork enhance the readability of the text and the bibliography permits smooth navigation. Printing quality, text management, headings and simplified algorithms are the technical strength of the book. The images are excellent which add to the visual appeal of the book. Every chapter gives pertinent information related to the practice of emergency medicine. The clinical pearls within the coloured boxes make it more readable and complete. Tables and non-coloured boxes are also informative. Addition of chapters on Medicolegal aspects of emergency is informative and a must know for every physician. The chapter on a disturbed patient in Emergency Department is a delight to read. Text on collapse and sudden illness is also good.

Emergency medicine is a vibrant field with fast changing concepts. It is extremely difficult to write a book flawlessly or sans factual mistakes. There are sections which can be updated in the next edition of the book to improve it further. Some of the lacunae in the current edition are: (i) Use of prophylactic antibiotics to prevent infective endocarditis needs to be updated. The American College of Cardiology/American Heart Association (ACC/AHA) guidelines recommend prophylactic antibiotics to prevent infective endocarditis in given conditions like history of prior IE, prosthetic valves, uncorrected congenital cyanotic heart diseases and partially corrected shunt or defect and post-transplant valvulopathy. (ii) The recommendation on the rate control in patients with atrial fibrillation should be to maintain a pulse rate (ventricular rate) of 60-80/min during rest and 90-115/min during moderate exertion. (iii) The guidelines on Cardiopulmonary Resuscitation (CPR) were modified by ACC/AHA in 2010 and should have been incorporated in the current edition which has been published in 2012. (iv) Additional parameters which help in comparing major fibrinolytics should have included 90 min patency rate and TII-3 flow. (v) The list of non-cardiac causes of raised troponin is incomplete. (vi) Use of antiepileptics in subarachnoid haemorrhage prophylaxis has been omitted. (vii) Role of respiratory stimulants like doxapram is not consistently proved in respiratory failure and hence cannot be an alternative to NIV. (viii) Important sections like pancreatitits are very brief. (ix) Poisoning and intoxication do not include snake envenomation and aluminium phosphide poisoning, which are commonly encountered in an emergency department. (x) Emergencies in infectious diseases deserve more space in the text. (xi) A chapter on "Point-of-care" testing in the Emergency department should have been included.

Despite a few shortcomings, the authors have ensured the inclusion of recent advancements in Emergency Medicine without waste of a word. Though the book is concise, it contains vast information. It is a must read for doctors of all grades posted in the Emergency and must make a place in the personal library of a physician.


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