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Covers the most common conditions seen in an out-of-hours primary care or urgent medical care setting. Urgent and Out-of-Hours Primary Care provides practical guidance on the diagnosis and management of the acute medical conditions seen most commonly in an out-of-hours setting. Covers over 200 acute medical conditions commonly encountered when working in an urgent and primary care setting Colour photographs provide the reader with further important information on assessing patients presenting with acute medical conditions Key ‘red flag’ features are highlighted in boxes The latest guidance and prescribing information is provided Uses a consistent approach: each condition features discussions of presentation, assessment and management Offers practical guidance on how to use telephone triage, video consultations and home visits effectively Assumes access to basic diagnostic aids only Provides differential diagnoses by symptom Indicates when to refer to hospital and when to order an emergency ambulance This book is aimed at GPs, GP trainees, doctors, medical students, nurses, paramedics, pharmacists and other healthcare professionals involved in providing urgent and out-of-hours primary care to patients.
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This book is written for physicians who work within an emergency department or urgent care setting to provide them with a treatment plan for those patients who are deemed not to have an emergency medical situation and can be safely treated as an outpatient. Emergency physicians (EPs) see a wide variety of patients and ostensibly for emergency reasons. However, many patients present to the emergency department for primary care-related reasons due to multiple factors or are diagnosed with potentially chronic problems that require a primary care intervention. Examples include a new diagnosis of hypertension (without hypertensive emergency) or diabetes. Thus, it is prudent for the EP to learn about basic primary care management of these conditions. Unfortunately, the training of EPs does not include these conditions, and they are left to guess appropriate treatment or to start a new medication that may not be appropriate. This book aims to fill this gap by educating the EP on basic primary care interventions for specific conditions.
According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource-highly trained personnel-inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.
For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Urgent Care Medicine Secrets, 2nd Edition, offers practical, up-to-date coverage of the full range of essential topics in this dynamic field. This highly regarded resource features the Secrets’ popular question-and-answer format that also includes lists, tables, pearls, memory aids, and an easy-to-read style – making inquiry, reference, and review quick, easy, and enjoyable. The proven Secrets Series® format gives you the most return for your time – succinct, easy to read, engaging, and highly effective. Fully revised and updated throughout, covering the full range of topics for understanding today’s practice of adult and pediatric urgent care—essential information for physicians, nurse practitioners, and physician assistants. Provides an evidence-based approach to medical and traumatic complaints presenting to urgent care centers, focusing on presenting signs and symptoms, differential diagnosis, office management, and when to refer for higher level of care. New chapters on Head and Neck Trauma, Chest and Abdominal Trauma, Toxicology, Diagnostic Imaging, Obstetrical Complaints, and more. Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams. Clear illustrations, figures, and flow diagrams expedite reference and review. Portable size makes it easy to carry with you for quick reference or review anywhere, anytime. An eBook version is included with purchase. The eBook allows you to access all of the text, figures, and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. · New chapters!o Urgent Care Medicine: the past, present, and futureo Head and Neck Traumao Chest and Abdominal Traumao Toxicologyo General concepts in Diagnostic Imaging
This book examines the best ways to provide primary care at nights and weekends. There has been increasing demand from patients for out-of-hours care and a great reorganisation of primary care services outside normal surgery hours. Different models of organisations are being tested including primary care centres and nurses giving telephone advice
Designed for the busy GP, Emergencies in Primary Care covers the range of emergencies GPs might expect to encounter in the primary care setting, from the immediately life-threatening to the smaller but urgent problems that can and do arise. Written in a concise and didactic style, it incorporates useful algorithms to make complex management straightforward. Government guidelines are incorporated along with links to further information sources. Each clinical topic is succinctly addressed with all the information needed to make an accurate diagnosis, other diagnoses to consider and a clear management strategy.
This is a concise, easy-to-use guide to executing more than 60 commonly performed clinical procedures, including sonography, in emergent, urgent, and ambulatory care settings. The procedures are consistently formatted, presented in detail, and organized into system-specific categories for easy access to information. The second edition is the only such resource to include two new chapters completely devoted to bedside ultrasound and how it is used as a tool to enhance the accuracy of numerous procedures. Grounded in fundamental sonography physics, these chapters provide readers with a clear foundational understanding of how to perform ultrasound with confidence. Additionally, eight chapters describe the use of ultrasound to increase the accuracy and efficiency of specific procedures such as locating a foreign body in the eye or soft body tissues, among other applications. The second edition also describes 13 new procedures and reflects the latest guidelines and evidence-based practice used for promotion of safely performed procedures. Each procedure is presented using a concise and consistent format that includes background considerations, indication for performing the procedure, how to perform it safely and correctly, contraindications, required documentation, complications, post-procedure considerations, and education points. Original photos, actual sonographic footage, line drawings, and tables reinforce the written content and provide clear directions regarding exactly how to perform each procedure. Author’s pearls and extensive references at the end of each chapter further enhance the book’s utility. New to the Second Edition: New chapters devoted to sonography and how it is used to enhance the accuracy of many procedures Describes the use of sonography to increase the accuracy and efficiency of eight specific procedures Includes 10 new procedures Offers ultrasound and videos Reflects latest guidelines and evidence-based practice Key Features: Provides step-by-step illustrated guidance for performing 60 frequently used procedures in urgent care, ambulatory, clinic, and office settings Four-color photos clearly illustrate each step in the procedure Body system organization supports quick access to needed procedural information Introduces sonography as a tool used to enhance accuracy of procedures and promote patient safety Includes actual sonographic footage demonstrating how sonography is used in various procedures
Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.