Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, 2nd Edition

ISBN: 9780470657836
ISBN-10: 0470657839
Copyright: 2013
Edition: 2nd
Authors: Pines, Jesse M., Carpenter, Christopher R., Raja, Ali S., Schuur, Jeremiah D.,
Doody's Expert Review    Score: 98
Reviewer: Kyle Holloway,  MD, BA Psychology  (Regions Hospital)
This is the second edition of a book that reviews the science behind diagnostic testing and development of clinical decision rules in emergency medicine. It then reviews the current literature surrounding many practical clinical questions, providing interpretation of how the evidence may be applied to the care of patients. The previous edition was published in 2008.
The purpose, according to the authors, is to present relevant questions on diagnostic testing that arise in everyday emergency medicine practice and to comment on the best available evidence. It reviews the current literature on a specific question, an interpretation of the clinical question in the context of the literature, and how to apply the evidence to the care of patients. In an age where diagnostic testing is increasing in scope and complexity, guidance on the use of an evidence-based approach to answer a particular clinical question is a worthy objective.
The book is intended for practitioners of emergency medicine at all levels, including midlevel providers and attending staff physicians. It provides a framework for developing an evidence-based practice style in the emergency medicine setting.
This book is divided into eight sections, discussing first the science of diagnostic testing and clinical decision making. It subsequently breaks down the scope of evidence-based emergency medicine into seven areas that include trauma, cardiology, infectious disease, surgical and abdominal complaints, urology, neurology, and miscellaneous subjects. Each section covers topics pertinent to that area of study. For example, the cardiology section covers syncope, heart failure, palpitations, and ACS in separate chapters. The chapters begin with a condensed chart that provides highlights of the coming chapter, a feature that allows quick referencing in the setting of a busy emergency department shift. Throughout the book, each decision rule and diagnostic test is displayed in chart form. Diagnostic tests list available statistical data, including information such as specificity and sensitivity. Images, diagrams, and drawings are used to illustrate particular diagnostic findings, such as head CT scan images. References are listed at the end of each chapter, and the index provides for easy navigation.
This is an excellent resource for clinicians seeking to provide evidence-based care in emergency medicine. It is a comprehensive and reliable resource that helps reach a balance between overuse and underuse of diagnostic testing. The information is presented in a concise format that can be used during clinical encounters or for more exhaustive reviews of the literature surrounding a clinical question. As evidence-based emergency medicine is a rapidly changing and advancing field, this updated edition is certainly justified.
Review Questionnaire
Range Question Score
1-10 Are the author's objectives met? 10
1-10 Rate the worthiness of those objectives. 10
1-5 Is this written at an appropriate level? 5
1-5 Is there significant duplication? (1=significant, 5=insignificant) 5
1-5 Are there significant omissions? (1=significant, 5=insignificant) 4
1-5 Rate the authority of the authors. 5
1-5 Are there sufficient illustrations? 5
1-5 Rate the pedagogic value of the illustrations. 5
1-5 Rate the print quality of the illustrations. 4
1-5 Are there sufficient references? 5
1-5 Rate the currency of the references. 5
1-5 Rate the pertinence of the references. 5
1-5 Rate the helpfulness of the index. 5
1-5 If important in this specialty, rate the physical appearance of the book 5
1-10 Is this a worthwhile contribution to the field? 10
1-10 If this is a 2nd or later edition, is this new edition needed? 10