Marshall and Ruedy's On Call: Principles & Protocols, Australasian and UK 4th edition offers a carefully structured, risk-based approach to the initial assessment, investigation, differential diagnosis and short-term management of a wide variety of on-call ward problems.
This fourth edition has been completely revised, with the addition of a new author, new chapters and updated content based on the latest evidence-based guidelines. The layout is in a succinct, easy-to-read format that outlines a practical, fast, efficient and effective bedside approach to clinical problem-solving on call. Clinical reasoning has never been made so explicit and exciting!
Key Features
- General principles: Overview of the professional, organisational, ethical and social traits required of the junior doctor on call
- Emergency calls: Risk-stratified approach to life-threatening airway, breathing, circulation, neurological disability and environment factors (ABCDE)
- Common calls: Explicit detail on how to deal with every call from urgent to non-life threatening, based on a standardised, reproducible clinical reasoning approach
- Investigations: How to interpret an ECG, common imaging, acid base, electrolyte and haematological tests when on call
- Practical procedures: How to perform a large array of practical procedures that may be needed when on call
- Formulary: Quick reference for the indications, actions, adverse effects, cautions, doses and routes of administration of the vast array of drugs encountered in ward patients
- Laboratory values: Normal values for all the common tests
This edition includes the full eBook on eBooks+ with additional reading material, high-quality images, procedural videos and references available on https://litfl.com.
Section A General principles
Chapter 1 Approach to the diagnosis and management of on-call problems
Chapter 2 Professionalism and teamwork
Chapter 3 Documentation and communication
Chapter 4 Ethical and legal considerations
Chapter 5 Death, dying and breaking bad news
Chapter 6 Transferring the unwell patient
Chapter 7 Junior Doctor Health
Section B Emergency calls
Chapter 8 The critically ill patient
Chapter 9 Cardiac arrest
Chapter 10 Acute airway failure
Chapter 11 Acute respiratory failure
Chapter 12 Acute circulatory failure
Chapter 13 Disability: acute neurological failure
Chapter 14 Environment, exposure and examination
Chapter 15 Hospital-based emergency response code
Section C Common calls
Chapter 16 Shortness of breath, cough and haemoptysis
Chapter 17 Chest pain
Chapter 18 Heart rate and rhythm disorders
Chapter 19 Hypotension
Chapter 20 Hypertension
Chapter 21 Altered mental status
Chapter 22 Collapse, syncope and mechanical falls
Chapter 23 Falls
Chapter 24 Headache
Chapter 25 Seizures
Chapter 26 Weakness and dizziness
Chapter 27 Abdominal pain
Chapter 28 Postoperative ward calls
Chapter 29 Altered bowel habit
Chapter 30 Gastrointestinal bleeding
Chapter 31 Haematuria
Chapter 32 Decreased urine output and acute kidney injury
Chapter 33 Frequency and polyuria
Chapter 34 Leg pain
Chapter 35 Febrile patient
Chapter 36 Skin rashes including allergic reactions
Chapter 37 Transfusion reactions
Section D Investigations
Chapter 38 Electrocardiogram
Chapter 39 Chest X-ray
Chapter 40 Abdominal X-ray
Chapter 41 CT head scan
Chapter 42 Urinalysis
Chapter 43 Acid–base disorders
Chapter 44 Glucose disorders
Chapter 45 Sodium disorders
Chapter 46 Potassium disorders
Chapter 47 Calcium disorders
Chapter 48 Anaemia
Chapter 49 Coagulation disorders
Section E Practical procedures
Chapter 50 General preparation for a practical procedure
Chapter 51 Infection control and standard precautions
Chapter 52 Blood cultures
¿¿¿¿Chapter 53 Peripheral venous cannulation
Chapter 54 Basic USS
Chapter 55 Arterial puncture
Chapter 56 Administering an injection
Chapter 57 Local anaesthetic infiltration
Chapter 58 Nasogastric tube insertion
Chapter 59 Urinary catheterisation
Chapter 60 Paracentesis
Chapter 61 Pleural tap
Chapter 62 Chest drain insertion and removal
Chapter 63 Lumbar puncture
Chapter 64 Joint aspiration¿¿
Chapter 65 Cardiac monitoring and the electrocardiograph
Chapter 66 Defibrillation
Chapter 67 Electrical cardioversion (DC reversion)
Chapter 68 Transthoracic cardiac pacing
Section F Formulary
Chapter 69 On-call formulary
Section G Laboratory values
Chapter 70 Normal laboratory ranges
Index