BOOK AND MEDIA REVIEWS
Review by Jonathan C. Roberts, MD, and Maureen Chase, MD
0196-0644/$-see front matter
Copyright © 2012 by the American College of Emergency Physicians
Emergency Department Resuscitation of the Critically Ill
Winters ME, DeBlieux P, Marcolini EG, Bond MC, Woolridge DP
American College of Emergency Physicians, 2011
250 pages, ISBN 78-0-9834288-0-0
Emergency Department Resuscitation of the Critically Ill is an advanced exploration of the crashing emergency patient that fills a void in current emergency medicine literature. Focused topics concerning the care of critically ill patients in the emergency department (ED) setting are broken down into concise but comprehensive reviews that can be used as a primary, high-yield reference for the emergency physician. This first edition is a successful attempt to bring pertinent critical care concepts into ED resuscitation strategies. Twentyfour chapters address a variety of relevant topics, ranging from broader concepts such as “The Patient With Undifferentiated Shock” to more focused discussions, including “The Crashing Ventilated Patient” and “Bedside Ultrasonography in the Critically Ill Patient.” Three chapters are dedicated to pediatric resuscitation topics. “Pearl” headers in each chapter emphasize important concepts within the text. “Key Point” sections reinforce potential pitfalls and their management, with clinical tips ranging from concepts in rapid sequence induction in the unstable gastrointestinal bleeding patient to respiratory management in massive pulmonary embolus. Numerous well designed tables and figures summarize written passages and serve as an excellent quick-look reference for topics such as vasoactive medications and their dosages for cardiogenic shock to conditions associated with succinylcholine-induced hyperkalemia. The writing reflects the most up-to-date and evidence-based practices, perhaps most apparent in the 2chapters on cardiac arrest management updates and on more esoteric concepts such as the use of Intralipid therapy in overdose. Reference lists after each chapter provide the reader with an opportunity to explore the primary literature for each topic.
Emergency practitioners will find the text easy to read, efficient, and well organized. The authors have managed toreview key physiologic concepts at an appropriate level for an emergency medicine reference text while still facilitating a deeper understanding of resuscitation and hemodynamic concepts in various clinical scenarios. Each chapter successfully uses evidence-based explanations to help the emergency physician create an organized, methodical approach toward this complex patient population. Future editions could include a chapter focused on relevant emergency medicine procedures. In summary, Emergency Department Resuscitation of the Critically Ill is a thorough, high-yield review addressing all relevant topics surrounding the resuscitation of critically ill patients by emergency physicians. It is an essential text for any emergency medicine library; it should be read cover to cover by emergency trainees and seasoned practitioners alike.
Jonathan C. Roberts, MD
Maureen Chase, MD
Beth Israel Deaconess Medical Center
June 2012 Annals of Emergency Medicine