About the Editors ix
Contributors x
Preface xii
Acknowledgements xiii
Section 1 The ED journey 1
1 The context of emergency nursing 2
Natalie Holbery and Inmaculada Diaz Alonso
2 Pre- hospital care 4
Paul Newcombe and Amba Cooper- Morris
3 Major incidents 6
Heather Jarman and Las Aiyathurai
4 Discharge planning 8
Eimear Cardwell and Anna Ryan
5 Patient transfer 10
Heather Jarman and Emily Dekker
Section 2 Patient assessment 13
6 Initial assessment and triage 14
Paul Newcombe and John Clulow
7 The ‘ABCDE’ approach 16
Paul Newcombe and Sarah Laslett
8 Track and trigger systems 18
Paul Newcombe and Sarah Laslett
9 Pain 20
Paul Newcombe and Sarah Laslett
Section 3 Airway and breathing 23
10 Airway assessment and management 24
Natalie Holbery and Catherine Jones
11 Assessment of breathing 26
Paul Newcombe and Catherine Jones
12 Oxygen therapy 28
Paul Newcombe and Sarah Leyland
13 Respiratory conditions 30
Paul Newcombe and Sarah Leyland
Section 4 Circulation 33
14 Assessment of circulation 34
Paul Newcombe and Sarah Hassiem
15 Circulation interventions 36
Paul Newcombe and Sarah Hassiem
16 Shock 38
Paul Newcombe, Inmaculada Diaz Alonso, and Sarah Laslett
17 12- lead electrocardiogram (ECG) 40
Emma Menzies- Gow
18 Cardiac arrhythmias 42
Emma Menzies- Gow
19 Acute coronary syndrome (ACS) 44
Emma Menzies- Gow
20 Heart failure 46
Emma Menzies- Gow
21 Advanced life support (ALS) 48
Paul Newcombe and Inmaculada Diaz Alonso
Section 5 Disability 51
22 Assessment of neurological function 52
Chris Brunker
23 The unconscious patient 54
Chris Brunker
24 Stroke 56
Chris Brunker
25 Seizures 58
Chris Brunker
26 Headache 60
Natalie Holbery and Krishan Joseph
Section 6 Major trauma 63
27 Trauma in context 64
Natalie Holbery and Suzan Thompson
28 Primary survey 66
Natalie Holbery and Suzan Thompson
29 Head and spinal injury 68
Natalie Holbery and Sarah Laslett
30 Chest trauma 70
Natalie Holbery and Inmaculada Diaz Alonso
31 Limb injuries 72
Natalie Holbery and Inmaculada Diaz Alonso
32 Abdominal and pelvic trauma 74
Natalie Holbery and Inmaculada Diaz Alonso
33 Massive haemorrhage 76
Natalie Holbery and Suzan Thompson
34 Burns 78
Natalie Holbery and Inmaculada Diaz Alonso
35 Trauma: Special circumstances 80
Natalie Holbery and Inmaculada Diaz Alonso
Section 7 Emergency presentations 83
36 Abdominal pain 84
Paul Newcombe and Krishan Joseph
37 Gastrointestinal bleed 86
Paul Newcombe and Sarah Laslett
38 Genitourinary conditions 88
Paul Newcombe, Stefani Konstantinou, and Elizabeth Cotter
39 Acute kidney injury (AKI) 90
Paul Newcombe and Marissa Dainton
40 Diabetic emergencies 92
Paul Newcombe and Sarah Laslett
41 Sickle cell crisis 94
Alero Omaghomi and Francis Akor
42 Gynaecological presentations 96
Natalie Holbery and Raquel Gonzaga
43 Obstetric presentations 98
Natalie Holbery and Joan Lawrence
Section 8 Poisoning and overdose 101
44 Poisoning: Assessment and management 102
Claire Smitheram
45 Poisoning: Prescription and non- prescription drugs 104
Claire Smitheram
46 Poisoning: Other substances 106
Claire Smitheram
47 Alcohol misuse 108
Claire Smitheram
Section 9 Infection prevention and control 111
48 Management of infectious diseases 112
Sadie Connolly
49 Common notifiable diseases 114
Natalie Holbery and Sadie Connolly
50 Sexually transmitted infections 116
Natalie Holbery and Nicole Pollock
Section 10 Vulnerable adults 119
51 Safeguarding vulnerable adults 120
Janet Melville- Wiseman
52 People with a learning disability 122
Daniel Marsden, Catherine Siggery, and Jim Blair
53 Domestic abuse 124
Natalie Holbery and Sari Sirkia- Weaver
54 Sexual assault 126
Shauna McCusker and Natalie Holbery
55 Frailty 128
Kim Fittall
56 Falls and hip fracture 130
Sarah Laslett
57 Dementia 132
Natalie Holbery and Sarah Laslett
58 End- of- life care 134
Natalie Holbery and Matt Hart
Section 11 Mental health 137
59 The mental health patient in the emergency department (ED) 138
Chris Hart and Kate Button
60 Risk assessment, self- harm and suicide 140
Chris Hart and Kate Button
61 Common mental health problems 142
Chris Hart and Kate Button
Section 12 Children in the emergency department (ED) 145
62 Children in the emergency department (ED) 146
Caron Ireland
63 Safeguarding children 148
Caron Ireland
64 Recognising the sick child 150
Caron Ireland
65 Common illnesses in children 152
Caron Ireland
66 Paediatric advanced life support 154
Caron Ireland
67 Trauma in children 156
Natalie Holbery, Sarah Cave- McMullan, and Meg Corey
68 Minor injuries in children 158
Caron Ireland
Section 13 Urgent care 161
69 Lower limb injuries 162
Nicola Shopland and Sarah- Jane Anscomb
70 Upper limb injuries 164
Matthew Parkes and Sarah- Jane Anscomb
71 Wounds 166
Matthew Parkes and Sarah- Jane Anscomb
72 Eye conditions 168
Nicola Shopland and Sarah- Jane Anscomb
73 Ear, nose and throat conditions 170
Nicola Shopland, Ollie Phipps, and Jaime Phipps
74 Minor illness 172
Inmaculada Diaz Alonso and Natalie Holbery Further reading/references 174
Index 180
