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Volume 2

At last! A book that addresses the needs of every junior doctor faced with the management of acutely sick patients. Concise and readable, its format allows the reader to absorb the principles of human

The regular autumn meeting of the society for acute medicine was hosted this year by Dr Martin Culshaw at Queen ’s Medical Centre in Nottingham. As in previous years, the meeting was spread over two

A 38 year old man spent several hours flying a power kite, towing himself along a beach on a buggy. The wind generated sufficient force for this to be vigorous exercise. An hour…

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Abstract A case is presented in which a man with anomalous coronary artery anatomy and thrombotic oronary stenoses had an episode of syncope. Further subsequent presyncopal events coincided with ventricular

Abstract With the widespread use of multiple channel biochemical auto analysers hypercalcaemia has become a common incidental finding. The approach to managing a patient with hypercalcaemia requires

Abstract Guillain-Barré Syndrome (GBS) is an acute inflammatory polyneuropathy. Typical presentation is one of ascending tetraparesis with aref lexia. Variant forms of GBS include ataxia and ophthalmoplegia

Abstract Dysphagia (subjective difficulty in swallowing) is a common clinical problem, particularly in the elderly population. Ideally, patients should be assessed promptly in the appropriate outpatient

Abstract Pneumonia causes more deaths than any other infectious disease in the developed world. Patients who develop pneumonia in the community therefore require early recognition, targeted investigation

It could be said that the past 12 months have been an exciting time in the field of acute medicine. In addition to the high profile afforded by the publication of Reforming Emergency Care and the ongoing

(C Ramsey)

· The following must be assessed in all patients attending hospital with suspected asthma exacerbations:
1. PEF.
2. Pulse & Respiration rate.
3. Clinical