Punit S Ramrakha and Kevin P Moore.
Preface to the first edition
As every doctor soon discovers, the management of acute medical
emergencies is the most demanding and stressful aspect of medical training. Most
handbooks of clinical medicine can only go into general detail about the
management of medical problems and the specific advice needed to manage acutely
ill patients is usually insufficient in these texts.
The aim of this handbook is to give confidence to doctors to manage
acute medical problems effectively and safely, and is intended to complement the
Oxford Handbook of Clinical Medicine. Many books on
acute medicine are written by senior staff, who have not been at the frontline
for some time, and certain aspects of care are assumed or overlooked. This book
was written by junior doctors with first-hand experience of the practical
problems and dilemmas faced in casualty.
The layout of the book reflects clinical practice: assessment,
differential diagnosis, immediate management, and some aspects of long-term
therapy. We have included an extensive section on practical procedure as well as
a section on pharmacotherapy to provide information on the use of certain common
and unusual drugs to complement that provided the British
National Formulary (BNF).
Throughout the book the text commonly exceeds that required for the
management of specialist problems by the generalist. We make no apology for
this. This is intended to provide the doctor with an understanding of specialist
interventions so that they are more conversant with what is possible and what is
happening to their patient.
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