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Emergency medicine diagnosis and management. Australasian
edition. Anthony F T Brown. |
Emergency medicine is a relatively young specialty and perhaps it is a
reflection of youthful exuberance that already its literature
includes not only a number of excellent journals but a variety of
textbooks, books on decision-making and on clinical procedures, and
elaborate computerised information systems.
Dr Brown has contributed to this literature a compact volume covering practically all the emergency conditions one is likely to encounter, with particular reference to Australasian emergency department practices. Indeed, it is so neatly compact that it surprising to realise that, including a rather elementary index, it has some 300 fact-filled pages. It is clear that the book is designed for ready reference in the often hectic environment of an emergency department or emergency situations elsewhere. In this it succeeds admirably, giving clear, succinct and accurate advice concerning diagnosis and treatment which should provide not only "a help in time of trouble" but quick assistance in less urgent situations. The book is of necessity didactic, indeed arbitrary, and does not as a rule discuss alternative approaches, although frequently acknowledging that local rules or usage may differ. To an extent, the author's background as a specialist in a high-level emergency department in a major teaching hospital shows through -- for example, in his advice to refer patients rapidly to other specialist teams, which may not be readily available elsewhere. On the other hand, he does not assume that his readers have attained his own level of expertise, and advises such specialist referral for many procedures which he would normally perform himself. This illustrates one of the great virtues of the book. Its teachings are all acceptable as good practice and are, above all, safe. The text is well laid out, following a consistent and logical plan, providing where necessary a brief definition of the subject and clear advice about diagnosis and management. The table of contents is excellent -- it is very clear and allows ready access to information for the person in a hurry. The index supports this, although it is not exhaustive. Previous editions of the United Kingdom version of this book have gained popularity among its target audience, which includes junior medical officers, emergency medicine trainees, general practitioners (particularly in remote areas), and emergency nurses. This new Australasian edition has been revised, updated and modified in appropriate areas for Australasian practice. Its reasonable price makes it very good value and it can be thoroughly recommended. C Paul FitzGerald
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