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Bouncebacks! Emergency Department Cases: ED Returns 1st Edition

5 out of 5 stars 18 customer reviews
ISBN-13: 978-1890018610
ISBN-10: 1890018619
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Editorial Reviews

Review

"Bouncebacks! reaffirms the fact that a medical text need not be dull to deeply inform the reader." -- Frank J. Edwards, MD, 2006

"This book is a must read for any clinical emergency physician." -- J. Brian Hancock, MD, 2006

"This book is a must read for every emergency and primary care physician." -- Ronald A. Hellstern, MD, 2006

From the Publisher

Bounce Backs! Emergency department cases: ED returns is an emergency department case study book by Michael B.Weinstock, MD and Ryan Longstreth, MD, with case by case commentary by Greg Henry.

The book's primary goal is to improve patient safety. Although these patients were not entirely mismanaged, often important "red flags" were missed or ignored. Additional goals include continuing education in documentation, risk management, and discussion on evaluation and management of common ED complaints and diagnoses.

Thirty cases of patients are presented who "bounced back" to the ED; some arrested shortly after returning to the ED and some were again discharged (one patient had 6 ED visits). The patients presented with common problems such as headache, fever, abdominal pain, back pain, and chest pain; complaints which could have occurred in any ED, urgent care or primary care physician's office.

The layout of the book is straightforward. Each chapter begins with documentation of the initial patient visit(s) with the actual physician documentation (with typos, strange abbreviations, etc.), with only minimal modifications to ensure anonymity and readability. Next, Greg Henry comments on the physician's evaluation and documentation from both a medical and risk management perspective. He makes his comments while "blinded" to the eventual ED diagnosis. He does this for all 30 cases. We then present the final ED visit, diagnosis, and hospital/surgical course.

Finally, there is a referenced discussion of the appropriate ED approach to patients with this presenting complaint and eventual diagnosis by ED leaders including Jeffrey Kline, Steve Colucciello, Andy Jagoda, Amal Mattu, Lance Brown, Ann Dietrich, Sharon Mace, Wyatt Decker, Doug Rund, Raymond Jackson, Robert Dart, Billy Mallon, Stephen Karas, Scott Melanson, Tom Lukens, Sandy Craig, Wesley Eilbert, and Jud Hollander. These discussions refer to specific aspects of the evaluation and management of the case presented.

We close with a tongue-in-cheek discussion of medical malpractice issues, entitled; "So you want to be sued for malpractice; the top-ten ways to maximize your risk."

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Product Details

  • Paperback: 482 pages
  • Publisher: Anadem Publishing; 1st edition (September 1, 2006)
  • Language: English
  • ISBN-10: 1890018619
  • ISBN-13: 978-1890018610
  • Product Dimensions: 9 x 7.1 x 1 inches
  • Shipping Weight: 1.8 pounds (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (18 customer reviews)
  • Amazon Best Sellers Rank: #81,114 in Books (See Top 100 in Books)

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Top Customer Reviews

By Elizabeth K. Blackwell on January 5, 2007
Format: Paperback
This book reads like a mystery novel. It presents actual cases with common presentations but unsuspected serious disorders for which patients "bounced back" to the ED because of initial misdiagnoses. Thorough discussions of the cases and appropriate work-ups follow. This is an excellent book that can help every EM and primary care physician avoid disasters in their patients.
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Format: Paperback
Actual cases from a real and very busy suburban ER. As you follow along the timed and dated notes as they came off the chart, you get a sense of what the ED physician was thinking. Meanwhile you know that something is amiss. I agree with the previous reviewer, these are lucid little mystery thrillers. Each takes maybe 10-20 minutes to read and then you end with a well documented best-practices commentary from Greg Henry. Perfect for medical students, primary care physicians and ED professionals. Frankly other non-medical members of my family picked up the book and enjoyed it. Well worthwhile.
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I work in an ED as a physician assistant.
I have recommended this book to everyone i work with.
While there are obvious mistakes in these cases you will pick up right away, they are actual cases and serve as a reminder that if someone else missed the obvious then why couldn't you.
So take a day to read this book, get humbled by it and remember the points it makes in order to keep you and your patients safe.
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Talk about a book to get your heart rate up. It makes you think very hard "what would I have done in the same situation?"

The legal and didactic commentaries are excellent. The chapter format is very logical and makes for great and fast reading.

This is a must, I think, for any young ER doc just starting out.
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I am a FNP working in Urgent Care. (A job that I sort of fell into, and love!) Needless to say, it brings with it a unique set of challenges. Although I tip my hat to the ER professionals, urgent care is frequently dealing with the same issues in terms of identifying those cases that have the potential to go sideways. This book is all about actually cases presenting to the ER, It goes over the chart note, the work up. The pt is discharged, and "bounces back" later. Sometimes it is because the work up was lacking. Sometimes, there is nothing that could have been done. The outcomes are sometimes horrible, and other times okay. What I took from this book was the importance of maintaining a constant high suspicion for the very worst things. Also, this book highlighted basic, simple things to keep you out of hot water. Did you address the pt's chief concern? Did you specify the amount of time (hours/days) in which the pt should follow up? This would be a great book for medical and NP students as well, I think, because it illustrates many key important details regarding history, context, socioeconomic issues, and what physical exam details are musts.
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Lots of great information of multiple types of condition that are easy to miss in a busy ED. Brings up the highlights of things to look out for (the red flags).
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Great book - real cases with excellent commentary and advice. My documentation has improved since I read this book and I approach patient care in a more comprehensive way. A "must read" for ER doctors.
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not only worth every cent, but truly nice book: humorous, fun to study and inspiring.
every EM resident should have it!
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