"It is an outstanding example of the application of basic science to medical practice, and the book is unique in the way that it links epidemiological statistics and clinical realities." (Critical Care Medicine
, July 2013)
"The book covers most of the common diagnostic problems seen in the ED and is recommended reading for all levels from junior doctors to departmental directors. Perhaps we could even encourage some of our in-patient colleagues to read it as well!" (Life in the FastLane
, 19 June 2013)
"Evidence-Based Emergency Care provides a rational, evidence-based approach to diagnostic testing. The recommendations are balanced with substantiating evidence yet always leave room for clinical judgment. One of the things I enjoyed most about this book was being able to examine actual sensitivities, specificities, and likelihood ratios of various decision instruments and diagnostic tests that I use daily."
"I've been keeping this text in my bag during shifts to pull out during relevant clinical situations and discuss with the residents." (Annals of Emergency Medicine
, Aug 2013)
"I recommend that everyone interested in knowing how to critically read the medical literature and apply EBM read this book."
(Journal of Emergency Medicine
, January 2014)
“One of the things I enjoyed most about this book was being able to examine actual sensitivities, specificities, and likelihood ratios of various decision instruments and diagnostic tests that I use daily. It was also enlightening to learn several diagnostic strategies and decision instruments that I previously had not used.” (Annals of Emergency Medicine, 1 August 2013)
“This is an excellent resource for clinicians seeking to provide evidence-based care in emergency medicine. It is a comprehensive and reliable resource that helps reach a balance between overuse and underuse of diagnostic testing. The information is presented in a concise format that can be used during clinical encounters or for more exhaustive reviews of the literature surrounding a clinical question. As evidence-based emergency medicine is a rapidly changing and advancing field, this updated edition is certainly justified.” (Doody’s, 7 June 2013)
From the Back Cover
The ability to differentiate patients who need emergent treatment from those who do not is a vital skill in Emergency Medicine. Solid history-taking, a thorough physical examination, appropriate use of laboratory tests and imaging, and sound clinical judgement are all keys to making these decisions.However, determining which elements of the patient history, findings on the physical exam, and laboratory and imaging results to use can be challenging for emergency physicians and other providers in acute care settings. Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules
will equip you with the information you need to:
- Interpret and draw practical conclusions from published studies
- Understand both bottom-line conclusions and limitations of the various studies on diagnostic testing and clinical decision rules
- Learn how to make the best decision for your patient based on up-to-date evidence
Part I provides an overview of the science of diagnostic testing, reviewing the process behind
the development of clinical decision rules and exploring the increasing pressures to improve the efficiency of diagnostic test utilization faced by emergency practitioners.
Subsequent chapters focus on practical questions that have been addressed through original research studies. The authors provide a review of the current literature on a specific question, an interpretation of the clinical question in the context of the literature (focusing on the actual data behind the studies being referenced) and, finally, how the evidence can be most appropriately applied to the care of emergency patients.