Spanish English handbook for medical professionals, fourth edition

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<ul><li><p>Book Reviews </p><p>Textbook of Pediatric Emergency Medicine. G. R. Fleischer, S. Lud- wig, (eds). Baltimore, MD, Williams and Wilkins, 1993, ed 3. </p><p>The 1993 publication of the Textbook of Pediatric Emergency Medicine is the third edition for this textbook. The first edition (1983), dedicated to the emergency care of children, proved to be a valuable resource for emergency physicians. With 10 years and three editions behind them, the editors have further refined a re- source that meets the needs of front-line physicians. </p><p>This hardbound textbook is a little more than 1,800 pages long, and it is the largest and most complete single-volume pediatric emer- gency medicine textbook. In fact, if the textbook physically be- comes any larger it will need to be split into two volumes. The entire spectrum of pediatric emergency care from the prehospital arena to patient discharge/admission is thoroughly reviewed. </p><p>The Textbook of Pediatric Emergency Medicine has more than 100 contributors. The contributors are a whos who of pediatric emergency medicine. Importantly, many of the contributors have themselves played significant roles in the shaping of this new sub- specialty. Furthermore, many of the contributors are already rec- ognized for their expertise in the topics they contributed. The fact that the great majority of these contributors are actively involved in the practice of pediatric emergency medicine gives an added mea- sure of credibility to the textbook. </p><p>Unlike many textbooks, the table of contents seems to have been developed to actually be used. The content organization of the text- book is unique, and was obviously developed with forethought as to its expected and predominant audience. </p><p>There is the sense that the book was developed to meet various potential information needs and agendas. The layout of the major sections of the textbook demonstrates a topics progression from the most serious to the less serious conditions. Section 1 reviews the life- threatening emergencies, with the first three chapters being dedicated to resuscitation, neonatal resuscitation, and shock. Section 2, with its very useable table of contents, covers signs and symptoms. The other sections cover a broad cross section of medical emergencies (Section 3), Pediatric Trauma (Section 4) Surgical Emergencies (Section S), Psychosocial Emergencies (Section 6), and Procedures (Section 7). </p><p>Because of the natural overlapping of topics in the different sec- tions, readers have the impression that they are examining subject matter from different perspectives. After reviewing a topic through several different sections, the reader develops a sense of depth and perspective not available in textbooks of traditional format. This might be called the book within a book format. </p><p>The appropriate balance as to how much material should be ded- icated to a specific disease or problem is noticeable in this textbook. There seems to be a consistent emphasis on those conditions that occur frequently or are most demanding diagnostically in the emer- gency department (ED) setting. On the other hand, this text unequiv- ocally delves into a broad spectrum of medical and surgical conditions. </p><p>A reference textbook that demonstrates usefulness within the ED must function in a setting rich with interruptions, distractions, and inadequate textbook perusal time. Reading material must be pre- sented in bite-size portions, and the format of tables, sidebars, and algorithms surrounded by readable, efficient text is an extremely practical format for emergency medicine textbooks. In this text- book, multiple information-packed tables and algorithms are imme- diately available to the reader. The tables in the Signs and Symp- toms (section 2) clearly looks at the world through the eyes of the emergency medicine specialist, and accurately fulfills a need based on how patients present to an ED. The need to rapidly establish an accurate and realistic differential diagnosis is supported by this ori- entation. Notably complete differential diagnoses tables are present. Other tables list potential etiologies for a sign or symptom as both the life-threatening and the common cause etiologies. The necessity </p><p>380 </p><p>of developing a diagnostic plan is aided by the algorithms for work- ing up presenting signs and symptoms. Even though both reviewers frequently find algorithms awkward and sometimes inconsistent with real life, these algorithms in this textbook do serve a useful educational purpose. </p><p>As with any textbook, a close perusal will demonstrate flaws or potential areas for improvement. We found several in this textbook. It is our opinion that pediatric emergency medicine textbooks should assist in the standardization of resuscitation guidelines for children that have been established by the American Heart Associ- ation and the American Academy of Pediatrics. Consequently, it is our opinion that the most important chapter on resuscitation should demonstrate resuscitation algorithms that closely duplicate the rec- ommendations of these academic bodies. Another area for improve- ment was an important table in the resuscitation chapter (Table 1.10, Secondary Useful Life Support Drugs). It has several misspellings and listed a dose for adenosine that was grossly in error (10 mg/kg). This adenosine dosage error (10 to 20 mg/kg) was repeated in the text. Additionally, although the Broselow tape is presented, the more accurate length-based endotracheal tube selection technique is not discussed. In addition, we would like to see a greater emphasis on the art and techniques of the pediatric physical examination. In the introduction, emergency medicine specialists are provided suc- cinct discussions of pediatric developmental issues. Yet, we feel that this section should be expanded to a full chapter providing a more extensive discussion of pediatric assessment techniques. Fi- nally, for those of us imprinted by the tile managers of our comput- ers, we would recommend that an additional configuration be included at the beginning of the table of contents that presents in tree-like fash- ion the seven sections and the basic content structure of the book. </p><p>There are many nice touches in this book that add to the richness of this resource. To select several examples, the extensive discussions of childhood rashes, the resuscitation equipment lists for ED, offices, or clinics and prehospital setting, the large table on unusual odors on page 329, an excellent compendium of drugs in an efficient format, and useful patient discharge instructions (appendix C). Additionally, from a fellows perspective, the procedure section with its superb illustrations is quite beneficial. Finally, for those of us who have had to labor through the development of pediatric prehospital algorithms, the inclu- sion of prehospital algorithms for children is welcomed. </p><p>In summary, this textbook is an ideal reference for a broad spec- trum of specialities in addition to pediatric emergency medicine. Family practice physicians, general pediatricians, and emergency medicine specialists will benefit from this resource. This truly is a far cry from the days when pediatric emergency medicine was rel- egated to a single chapter in an emergency medicine textbook. In our opinion, the apparent objective of Fleischer and Ludwig to make this the Bible of pediatric emergency medicine is nearly accomplished. </p><p>LARRY B. MELLICK, MD, MS KATHERINE L. LAU, MD Department of Emergency Medicine </p><p>Loma Linda Universiry Medical Center and Childrens Hospital Loma Linda, CA </p><p>Spanish English Handbook for Medical Professionals, Fourth Edition. Jesus Perez-Sabido, Practice Management Information Corpora- tion, 1994. $29.95. </p><p>Jesus Perez-Sabido is a retired professor and former chairman of a major university language department. He has written several bi- lingual books but has no direct medical background. </p><p>This paperback targets medical professionals, including physi- cians and nurses. Its purpose is to provide a useful tool when com- municating with Hispanic patients. Every page written in Spanish is mirrored in English. The book opens with a one chapter review of </p></li><li><p>BOOK REVIEWS 381 </p><p>Spanish phonics and fundamental rules of grammar. The remaining chapters review emergency treatment, the basic history, and phys- ical and language skills related to each area of medicine (ie, medi- cine, surgery, pediatrics, etc). Most of the chapters contain lists of commonly used questions and statements, with translations. </p><p>The table of contents is clear and bilingual. Although there is no index, several appendices review medical abbreviations, types of food. and miscellaneous medical phrases. </p><p>The book is easy to follow because phrases on left hand pages are written in English on the right. It is thorough, covering most gram- mar and vocabulary needed in medical encounters. </p><p>Although there is a clear chapter on emergency medicine, it is brief. Much of the information required during an emergency de- partment visit is present in other chapters on pediatrics, orthope- dics, medicine, and surgery. Also, most chapters are lists of sen- tences with translations that are not organized for quick reference. This would slow down on-line translation. For this reason, this book would best be studied before a patient encounter. The opening para- graphs of most chapters are a bit inappropriate because they explain the various specialties as if speaking to laymen. </p><p>Considering the cost, I would purchase this book for review be- fore and after interactions with Hispanic patients. Areas of frequent use should be highlighted for quick reference. </p><p>JOHN M. HOWELL, MD, FACEP Department of Emergency Medicine </p><p>Georgetown University Hospital Washington, DC </p><p>The Health Robbers: A Close Look at Quackery in America. Stephen Barrett, William T. Jarvis (eds). Prometheus Books, Buffalo, NY, 1993. $25.95. </p><p>The Health Robbers features more than 20 respected, contributing authorities, each explaining the misinformation, the fraud, and the dangers of many misleading health products and alternative forms of health care. Edited by two noted scholars who have previously in- vestigated health frauds and quackery, this book is an accurate and interesting review of various forms of deception, advertised as al- ternative forms of health care and frequently used throughout our American culture. The information presented is geared not only for the lay public but for all health care professionals. Based on scien- tific principles and years of experience. the critiques focus on var- ious alternative health claims, practitioners, and fads. Chiropractic, naturopathy, homeopathy, nutritional, dietary, and vitamin fads are but some of the many areas covered. The authors point out that at a time when medical science has never had more to offer, many people are turning to alternative forms of health care dominated by con artists, quacks, and businesses, often interested only in dollars and exploiting the public. Even significant numbers of well-trained health professionals, including physicians, are straying from science into fad diagnoses, treatments, and therapies. The Health Robbers focuses on inaccurate, misleading, and often falacious claims of- fered by alternative health practitioners and also suggests ways to remedy the exploitation of unknowing individuals by modem day snake oil salesmen. This book seems both timely and necessary during this period of health care reform and introspection by the political and medical community. At a time when the nation is care- fully reviewing health care expenditures. tens of billions of dollars are being spent on ineffective treatments and therapies, which, at their best, provide false psychological reassurances and, at their worst, may prove to be lethal. </p><p>The Health Robbers is very complete in its 526 pages of well- written evaluations and positions. Its information seems to be ac- curate and appropriate. There are few diagrams or charts. The book maintains the readers interest in a fascinating series of chapters. </p><p>The strength of this book is in the expertise exhibited by the numerous authors. The editors have also done a tine job of editing </p><p>the material to make what could be a boring topic easy reading. The approaches to subjects are logical and carefully outlined. The con- clusions reached seem to be consistent with introductory and sup porting material. The topic is most certainly timely. </p><p>The books weakness is in its failure to carry some interesting arguments and theories to a greater depth. This probably occurs because of the limitations of available space. Another potential weakness is that some medical providers may not have an interest in this particular topic. For the less scientifically inclined, some of the facts and arguments may be less persuasive. </p><p>The book is certainly worth the money and is worthwhile for any medical practitioner who is interested in current social and political topics related to the practice of medicine. I think it is important for todays practitioners to read this book and be aware of the altema- tive forms of health care that our patients may be exposed to and may be using. I believe this is an important book for any medical library and would highly recommend it to all medical professionals. </p><p>MATTHEW M. RICE. MD, JD, FACEP Department of Emergency Medicine </p><p>Madigan Army Medical Center Tacoma, WA </p><p>The Radiology of Emergency Medicine, Third Edition. John H. Har- ris, Jr, William H. Harris, Robert A. Novelline. Williams &amp; Wilkins, Baltimore, MD, 1993. $150. </p><p>All of the authors practice in academic environments. Drs John Harris and Novelline are radiologists specializing in emergency ra- diology, whereas Dr William Harris is an orthopedist. Earlier edi- tions of this text were written by Drs Harris and Harris in 1975 and 1981 and were standard texts in many emergency departments. </p><p>As described in the foreword, this reference text is recommended for all who care for the sick and injured, and as such is not specifically designed solely for emergency physicians. Its purpose is to explain the benefits and limitations of various imaging modalities in the course of the patients emergent work-up and to show perti- nent images to the emergency care provider. Discussions regarding plain-film radiography, ultrasound, computed tomographic scan, nu- clear imaging, and magnetic resonance imaging are present through- out this 9 lb text and are accompanied by hundreds of high-quality images. The information provided seems to be generally accurate but occasionally difficult to access. This books lack of organization and limited scope serves to limit its value to the practicing emer- gency physician. </p><p>The text consists of 16 chapters organized according to body re- gion. There are single chapters devoted to the skull and brain, face, and spine. Each joint has a dedicated chapter as does the chest. Scrotal, gynecologic, and obstetric emergencies are reviewed in...</p></li></ul>


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