Wednesday, May 9, 2012

Emergency Medicine: Just the Facts, Second Edition Review

Emergency Medicine: Just the Facts, Second Edition
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I want to post a preliminary review - not because I don't have opinions about this book, but because I don't have the time to write an in depth one. I think it is great that this book exists as a means to prepare for EM exams. But it suffers GREATLY from a lack of editing and coherent organization. There are many, many, many errors (using Tintanelli #6 as reference). For example:
"Patients older than 40 years are unlikely to have rotator cuff tears."
I am not so sure about this, it doesn't make sense really.
Searching in the big T book, I find "Patients with rotator cuff tears are almost always older than 40 years of age: rotator cuff tears in the young are rare." !!!!!!
This can get very time consuming and confusing. Some chapters are written and organized quite well, others are nothing but a mess, with very poor organization - going back and forth arbitrarily between disease entities, adding something about the pregnant patient, back to the first disease, then to the second one, etc. etc. One example (not the worst) is the way HUS and HSP are presented. The chapter on stroke is organized very poorly, without a clear hierarchical (anatomic?) structure. I just don't find this a good way to put the picture together in my mind of a particular disease, gathering the relevant data and moving on. Also many diseases are spread throughout the book, piecemeal, with sometimes conflicting information. I think it would be much, much better to write conclusively about a disease entity in one place and one place only. I don't find it so helpful to have bits of Lyme disease spread around in infectious disease, neurology and non-traumatic musculoskeletal disorder chapters! Maybe that is just me. There are many, many simple mistakes ("peroneal" nerve, not "perineal") that make it seem like this book simply was not edited by someone who understood the material. Some of the chapters are excellent, as I mentioned, but many are very poorly organized with lots of filler, not particularly helpful or clear explanations and a lot left out. The two column, bulleted design, does not always work well, or, more often, is used poorly. There are other books that fill this niche - I would recommend looking at them before settling on this book simply because it has the standard color scheme on its cover. ;)

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The best study guide for emergency medicine board exams! This rapid, comprehensive review of emergency medicine succinctly covers all the information needed for emergency medicine board exam success or as a clinical refresher. Featuring a bulleted format, this valuable guide includes only the most important facts as well as test-taking tips and strategies. Referenced to the new edition Tintinalli's Emergency Medicine, 6/e.ENDORSED BY THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS

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