Emergency Medicine: A Comprehensive Study Guide [Hardcover]

Judith E. Tintinalli (Author), J. Stephan Stapczynski (Author), Gabor D. Kelen (Author)

Book Description

ISBN-10: 0070653518 | ISBN-13: 978-0070653511 | Publication Date: September 30, 1999 | Edition: 5th

A study guide for clinical emergency medicine management and for those preparing for board or recertification examinations. This edition contains 308 chapters. New two-colour figures have been added, along with additional tables and algorithms. A new compact atlas features emergency medicine pictures in colour, and many sections have been completely revised, including "Toxicology" and "Pediatrics", and there are new sections on "Nontraumatic Musculo-Skeletal Disorders" and "Special Patients".

Editorial Reviews

About the Author

Editor-in-Chief
Judith E. Tintinalli, MD, MS
Professor and Chair
Department of Emergency Medicine
Adjunct Professor
Department of Health Policy and Administration
University of North Carolina at Chapel Hill
Chapel Hill, NC

Co-Editors
J. Stephan Stapczynski, MD
Chair, Emergency Medicine Department
Chief of Medical Staff
Maricopa Medical Center
Phoenix, AZ
O. John Ma, MD
Chair, Department of Emergency Medicine
Oregon Health Science University
Portland, OR
David M. Cline, MD
Department of Emergency Medicine
Wake Forest University School of Medicine
Winston-Salem, NC
Rita K. Cydulka, MD
Professor and Vice Chair
Department of Emergency Medicine
Case Western University
MetroHealth Medical Center
Cleveland, OH
Garth D. Meckler
Assistant Section Chief and Fellowship Director
Pediatric Emergency Medicine
Oregon Health & Science University
Portland, OR

--This text refers to an alternate Hardcover edition.

Product Details

• Hardcover: 2127 pages
• Publisher: McGraw-Hill Professional Publishing; 5th edition (September 30, 1999)
• Language: English
• ISBN-10: 0070653518
• ISBN-13: 978-0070653511
• Product Dimensions: 10.9 x 8.8 x 3.3 inches
• Shipping Weight: 10.6 pounds
• Average Customer Review: 4.3 out of 5 stars  See all reviews (23 customer reviews)
• Amazon Best Sellers Rank: #697,749 in Books (See Top 100 in Books)

Customer Reviews

Most Helpful Customer Reviews

109 of 128 people found the following review helpful:

2.0 out of 5 stars Downward Spiral on Autopilot, November 16, 2001

By 

"aspzelazny" (Scottsdale, AZ United States) - See all my reviews

This review is from: Emergency Medicine: A Comprehensive Study Guide (Hardcover)

*Emergency Medicine, A Comprehensive Study Guide* has long been a well-regarded standard emergency text, useful in day-to-day practice as well as for board preparation. This new edition has advanced the enlightened 'evidence-based recommendations' for changes in practice patterns, however, the lack of editorial control has resulted in a book packed with conflicting information. Each chapter is written by a different consultant, and unfortunately not all of them are up on this concept... we therefore get a series of conflicting statements when there is overlap in topics, and there is no attempt to reconcile this variability. Admittedly, opinions in much of medicine do vary; but outright conflict within a few pages in a standard text without discussion does harm to credibility.

Further loss of editorial control is also evident on a close read. It is apparent that a spell-checker was used for proof-reading (substitutions of the nature of "week" for "weak" abound) and in some areas clinical formulae have been mis-stated -- example: calculation of effective osmolarity, pg. 1341 (though correct elsewhere in the book). The index seems somewhat disorganized, with references to isolated appearance of a word (example: see *first* reference listing to "hyperglycemia"... certainly not the definitive source in the text). This problem is not isolated.

The book has expanded by approximately 500 pages over the 4th edition, totalling more than 2000 pages. Its size makes it unwieldly to read or carry; it should have been separated into 2 volumes. Even with that expansion, much useful information is missing. Though descriptions of EKG abnormalities in advanced electrolyte disturbance are adequately described, it certainly would have been an informational asset to actually include a picture of such characteristic tracings. Dermatology is similarly poorly pictured -- there are only 8 pages of color illustrations in the text, with nearly 2 pages wasted on 1)technique of foreign body removal (not needed in color) 2)a color demonstration of SPECT data -- well outside the range of information needed for the E.M. specialist, and not definitive, besides. Even worse, the illustrations interspersed in the dermatology section are simply black and white copies of the color text -- providing only suboptimal repetition.

Bottom line: the *Comprehensive Study Guide* has been, and remains, a valuable text for an overview of the practice of emergency medicine; but either keep your 4th edition, or wait for the 6th.

30 of 36 people found the following review helpful:

5.0 out of 5 stars The Definitive Emergency Medicine Text, January 13, 2000

By 

brian beirne - See all my reviews

This review is from: Emergency Medicine: A Comprehensive Study Guide (Hardcover)

As an Emergency medicine resident, the book is the centerpiece of my library. The new edition differs from the previous in the addition of two color text. Using two colors enables them to make the tables more readable. The text is longer than the previous edition. Each chapter is divided up into a short intro/description of normal, followed by etiology, pathophysiology, clinical features, treatment, then special considerations. The writing, as in the previous editions is concise and to the point. This text is priceless because it takes all the concepts and presents them in a clinically relevant way. This is very useful as a general review text, as well as a hands on while working text. Should be in all ED's as well as in all personal libraries of physicians who see patients in the emergency setting.

26 of 31 people found the following review helpful:

5.0 out of 5 stars This book gets better with every new edition!, May 28, 2000

By 

Paul Lee - See all my reviews

This review is from: Emergency Medicine: A Comprehensive Study Guide (Hardcover)

If you have the 4th edition, you must upgrade to this new edition. Gone are the poorly reproduced photographs in the last edition. Instead, there are many new tables, colour photos, and MANY new flowcharts. Every chapter is packed with new practical insights. For example, the asthma chapter has the actual American Thoracic Society guideline (not found in Harrison's). The abdominal pain chapter provides a new evidence-based approach to this difficult problem: it contains tables listing the likelihood ratio of each investigations for each diagnosis; and it questioned the importance WBC, bowel sound, abodminal X-ray, and (gasp!) rectal exam. The chapter on diarrhea discusses the origin of the myth that anti-motility agent and antibiotics are detrimental, but also provides new evidence for their safety in infectious diarrhea. The pneumonia chapter discusses the Fine's mortality risk scores for the decision of hospitilization (not seen in Harrison's either). The chapter in advanced resucitation includes a discussion of amiodarone and vasopressin in cardiac arrest. The unstable angina chapter contains the NHLBI risk classification. TIMI 14 and SPEED are discussed in the MI chapter. The list goes on and on.

In short, this book is a truly comprehensive review AND update of this exciting specialty. Even the seasoned ER physician will learn something new in this book.