Managing Emergencies in the Outpatient Setting (2022) Pdf Free Download

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Features of Managing Emergencies in the Outpatient Setting (2022) PDF free download:


This book is for providers in the feld of primary care. Primary care clinics and urgent care centers are presented with challenging patients on a regular basis that cannot be discharged safely to home. Sometimes these patients have obvious presentations based on extreme pain, fevers, unstable vital signs, etc. However, occasionally the presentation is ambiguous or even diffcult to discern. This book is meant to provide useful information in these cases where it is unclear when the patient needs to be managed in the emergency department or hospital. The decision to hospitalize often depends on local resources and availability of quick specialist input. Oftentimes, urgent referral for specialist input can obviate the need for an ED visit, though time constraints on clinicians make this impossible in many cases. Doctor William Osler once said that medicine is the science of uncertainty and the art of probability. In this regard, this book gives basic information on the incidence and risk factors associated with the condition in question in order to ascertain its probability. Pertinent details about the history and physical examination will also be provided. Diagnostics in the forms of point-of-care testing (urinalysis, EKG) and also various laboratory and radiology studies will be discussed.
Several themes will be apparent upon review of this work. The immunosuppressed, especially diabetics and those on corticosteroids, are especially vulnerable and great care should be utilized when managing these patients. Additionally, it goes without saying that vital signs are vital. Anytime a fever, tachycardia, hypotension, or orthostasis is encountered, a red fag is raised. Finally, overreliance on diagnostics can lead to underdiagnosis and overdiagnosis. Studies should be ordered to help confrm the diagnosis and should be interpreted cautiously within the clinical presentation.
Although this book does not cover every possible situation, information on the most commonly encountered scenarios in primary care is discussed. Hopefully by reading and having access to this material, you will be able to quickly identify and manage emergencies in the outpatient setting.

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