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E-grāmata: Emergency Medicine: Diagnosis and Management, 7th Edition

4.33/5 (6 ratings by Goodreads)

Anthony FT Brown (Professor of Emergency Medicine, University of Queensland; and Royal Brisbane and Womens Hospital, Australia), Michael D Cadogan (Department of Emergency Medicine, Sir Charles Gardiner Hospital, Perth, Australia)

Formāts: 535 pages
Izdošanas datums: 27-Apr-2016
Izdevniecība: Productivity Press
Valoda: eng
ISBN-13: 9781498786768

Citas grāmatas par šo tēmu:

Accident & emergency medicine

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Formāts: 535 pages
Izdošanas datums: 27-Apr-2016
Izdevniecība: Productivity Press
Valoda: eng
ISBN-13: 9781498786768

Citas grāmatas par šo tēmu:

Accident & emergency medicine

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Emergency Medicine: Diagnosis and Management incorporates the latest ideas and evidence base underpinning best practice emergency medicine care. This book covers a wide variety of emergencies, including general medical, critical care, infectious disease, foreign travel, acid-base and electrolytes to surgical, orthopaedic, paediatric, obstretrics and gynaecology, ophthalmic, ENT and psychiatric, as well as toxicology, practical procedures and administrative and legal issues.

Presented in an easy-to-read format, the book includes succinct bullet point text, synoptic tables, charts and diagrams to find key information quickly, in a new edition aimed as much for use at the bedside as it is for studying. Every emergency topic is approached in the same standardized format covering first the Diagnosis and then Management.

Diagnosis includes essential knowledge to elicit in the history including background and epidemiology, characteristic features on examination including vital signs and organ-specific findings, and investigations such as bedside testing, laboratory testing, and radiology. Management then covers general supportive measures, specific treatment, and the disposal decision including whether time-critical, to which specialty and conversely who may safely go home.

The text is supported by a wealth of additional online material at www.lifeinthefastlane.com including high-resolution clinical images, videos, case-based questions, examination material and links to online references. This edition is completely revised and contains up-to-date evidence on every topic, including the latest 2015 CPR guidelines, sepsis guidelines, major trauma management, HIV care and many other newly released treatment protocols.

Recenzijas

"As a physician who teaches a lot of residents and medical students, I find this type of book very useful and easy to recommend. It serves well as an adjunct to other books and lectures and really tells readers just the important stuff. It has been five years since the prior edition and the authors have updated the book nicely, and include a reference to an online blog/website that is published privately by one of the authors." - Michael D. Zwank, MD, RDMS, FACEP(University of Minnesota Medical School), Doody Enterprises

Preface

xxi

Acknowledgements

xxiii

Section I Critical Care Emergencies

Cardiopulmonary Resuscitation

(11)

Initial approach

(4)

Definitive care

(7)

Acute Upper Airway Obstruction

(2)

Shocked Patient

(9)

General approach

(4)

Hypovolaemic shock

(2)

Septic shock

(3)

Unconscious Patient

(3)

Anaphylaxis

(2)

Severe Head Injury

(5)

Critical Care Areas Drug Infusion Guidelines

(7)

Further Reading

(3)

Section II General Medical Emergencies

Chest Pain

(16)

Acute coronary syndrome

(1)

ST elevation myocardial infarction (STEMI)

(4)

Non-ST elevation myocardial infarction (NSTEMI) and unstable angina

(3)

Non-cardiac chest pain

(1)

Pulmonary embolus

(4)

Venous thromboembolism with deep vein thrombosis

(2)

Aortic dissection

(1)

Pericarditis

(1)

Pleurisy

(1)

Abdominal causes of chest pain

(1)

Musculoskeletal and chest wall pain

(1)

Cardiac Arrhythmias

(5)

Breathless Patient

(11)

Acute asthma

(3)

Community-acquired pneumonia (CAP)

(3)

Chronic obstructive pulmonary disease

(2)

Pneumothorax

(2)

Pulmonary embolus

(1)

Pulmonary oedema

(1)

Acute upper airway obstruction

(1)

Upper Gastrointestinal Haemorrhage

(2)

Diabetic Coma and Pre-Coma

(3)

Diabetic ketoacidosis

(2)

Hyperosmolar, hyperglycaemic state

(1)

Altered Conscious Level

(7)

Confused patient

(4)

Alcohol-related medical problems

(1)

Patient with an altered conscious level and smelling of alcohol

(1)

Alcohol withdrawal

(1)

Acute Neurological Conditions

(11)

Syncope

(2)

Seizure (fit)

(2)

Generalized convulsive status epilepticus

(1)

Transient ischaemic attack

(2)

Stroke

(3)

Headache

(8)

Meningitis

100

(1)

Subarachnoid haemorrhage

101

(1)

Space-occupying lesion

102

(1)

Temporal arteritis

103

(1)

Acute narrow-angle glaucoma

103

(1)

Hypertensive encephalopathy

103

(1)

Migraine

104

(2)

Tension (muscle contraction) headache

106

(1)

Post-traumatic headache

106

(1)

Disease in other cranial structures

107

(1)

Acute Arthropathy

107

(4)

Acute monoarthritis

107

(1)

Septic arthritis

107

(1)

Gouty arthritis

108

(1)

Pseudogout

109

(1)

Traumatic haemarthrosis

109

(1)

Acute polyarthritis

110

(1)

Rheumatoid arthritis

110

(1)

Osteoarthritis

111

(1)

Periarticular swellings

111

(1)

Allergic or Immunological Conditions

111

(2)

Urticaria (hives)

112

(1)

Angioedema

112

(1)

Skin Disorders

113

(6)

Blistering (vesicobullous) conditions

114

(1)

Pruritus (itching conditions)

115

(1)

Purpuric conditions

116

(2)

Exanthematous diseases

118

(1)

Malignant melanoma

119

(1)

Elderly Patient

119

(4)

Disordered behaviour in the elderly

120

(1)

Falls in the elderly

121

(2)

Further Reading

123

(3)

Section III Acid-Base, Electrolyte And Renal Emergencies

Acid-Base Disturbances

126

(8)

Arterial blood gas interpretation

126

(2)

Metabolic acidosis

128

(3)

Metabolic alkalosis

131

(1)

Respiratory acidosis

132

(1)

Respiratory alkalosis

133

(1)

Electrolyte Disorders

134

(9)

Potassium disorders

134

(1)

Hyperkalaemia

134

(2)

Hypokalaemia

136

(2)

Sodium disorders

138

(1)

Hypernatraemia

138

(1)

Hyponatraemia

139

(1)

Calcium disorders

140

(1)

Hypercalcaemia

140

(1)

Hypocalcaemia

141

(1)

Magnesium disorders

142

(1)

Hypermagnesaemia

142

(1)

Hypomagnesaemia

143

(1)

Acute Renal Failure

143

(3)

Acute kidney injury

143

(3)

Further Reading

146

(2)

Section IV Infectious Disease And Foreign Travel Emergencies

Febrile Neutropenic Patient

148

(1)

Hepatitis

149

(1)

Gastrointestinal Tract Infection

150

(1)

Sexually Transmitted Diseases

151

(1)

Needlestick and Sharps Incidents

152

(2)

Inoculation incident with HIV risk

152

(1)

Inoculation incident with hepatitis risk

153

(1)

Human Immunodeficiency Virus Infection

154

(3)

Tuberculosis

157

(1)

Bites with Rabies or Other Lyssavirus Risk

158

(2)

Rabies and lyssavirus risk

158

(2)

Common Imported Diseases of Travellers

160

(4)

Malaria

160

(2)

Typhoid

162

(1)

Dengue

162

(1)

Typhus and spotted fevers

163

(1)

Helminth infections

163

(1)

Pandemic Influenza

164

(1)

Further Reading

165

(3)

Section V Surgical Emergencies

Multiple Injuries

168

(5)

Further Diagnosis and Management of Multiple Injuries: Definitive Care

173

(1)

Head and Facial Injuries

173

(1)

Neck Injuries

174

(7)

Cervical spine injury

174

(5)

Airway injury

179

(1)

Vascular injury in the neck

179

(1)

Nerve injury in the neck

180

(1)

Oesophageal injury

180

(1)

Neck sprain

180

(1)

Chest Injuries

181

(7)

Pneumothorax

181

(1)

Haemothorax

182

(1)

Rib and sternum fractures

182

(1)

Myocardial contusion

183

(1)

Aortic rupture

184

(1)

Diaphragm rupture

185

(1)

Oesophageal rupture

186

(1)

Penetrating chest injury

186

(2)

Abdominal and Pelvic Trauma

188

(5)

Blunt abdominal trauma

188

(1)

Penetrating abdominal trauma

189

(1)

Pelvic injury

190

(1)

Blunt renal injury

191

(1)

Penetrating renal injury

192

(1)

Bladder and urethral injuries

193

(1)

Additional Orthopaedic Injuries in Multiple Trauma

193

(3)

Thoracic and lumbosacral spine injury

194

(1)

Limb injury

195

(1)

Head Injury

196

(3)

Conscious head injury

196

(3)

Burns

199

(5)

Major burns

199

(4)

Minor burns and scalds

203

(1)

Minor burns of the hand

204

(1)

Minor burns of the face

204

(1)

Acute Abdomen

204

(18)

Seriously ill patient

205

(1)

Stable patient with an acute abdomen

206

(1)

Causes of acute abdominal pain

207

(1)

Acute appendicitis

207

(2)

Intestinal obstruction

209

(1)

Intussusception

210

(1)

Perforation of a viscus

210

(1)

Diverticulitis

211

(1)

Inflammatory bowel disease

211

(1)

Biliary colic

212

(1)

Acute cholecystitis

212

(1)

Ascending cholangitis

213

(1)

Ruptured abdominal aortic aneurysm

213

(1)

Ischaemic colitis

214

(1)

Mesenteric infarction

215

(1)

Ruptured spleen

215

(1)

Acute pancreatitis

216

(1)

Renal and ureteric colic

217

(1)

Pyelonephritis

218

(1)

Acute urinary retention

218

(1)

Acute epididymo-orchitis

219

(1)

Acute testicular torsion

220

(1)

Primary peritonitis

220

(1)

Retroperitoneal haemorrhage

220

(1)

Gynaecological causes

221

(1)

Medical disorders presenting with acute abdominal pain

221

(1)

Further Reading

222

(2)

Section VI Orthopaedic Emergencies

Injuries to the Shoulder and Upper Arm

224

(6)

Fractures of the clavicle

224

(1)

Acromioclavicular dislocation

224

(1)

Sternoclavicular dislocation

225

(1)

Fractures of the scapula

225

(1)

Anterior dislocation of the shoulder

226

(2)

Posterior dislocation of the shoulder

228

(1)

Fractures of the upper humerus

229

(1)

Fractures of the shaft of the humerus

229

(1)

Injuries to the Elbow and Forearm

230

(6)

Supracondylar fracture of the humerus

230

(1)

Condylar and epicondylar fractures of the humerus

231

(1)

Dislocation of the elbow

232

(1)

Pulled elbow

233

(1)

Fractures of the olecranon

234

(1)

Fractures of the radial head

234

(1)

Fractures of the radial and ulnar shafts

235

(1)

Injuries to the Wrist and Hand

236

(12)

Colles' fracture

236

(2)

Smith's fracture

238

(1)

Barton's fracture-dislocation

238

(1)

Radial styloid fracture

239

(1)

Distal radial fractures in children

239

(1)

Fractures of the scaphoid

240

(1)

Dislocations of the carpus

241

(1)

Fractures of the other carpal bones

242

(1)

Fractures of the thumb metacarpal

243

(1)

Dislocation of the thumb metacarpal

243

(1)

Rupture of the ulnar collateral ligament

244

(1)

Fractures of the other metacarpals

244

(1)

Fractures of the proximal and middle phalanges

245

(1)

Fractures of the distal phalanges

246

(1)

Dislocation of the phalanges

246

(1)

Flexor tendon injuries in the hand

247

(1)

Extensor tendon injuries in the hand

247

(1)

Digital nerve injuries

248

(1)

Fingertip injuries

248

(1)

Cervical Spine Injuries

248

(1)

Thoracic and Lumbar Spine Injuries

249

(1)

Pelvic Injuries

249

(1)

Injuries to the Hip and Upper Femur

249

(2)

Dislocation of the hip

249

(1)

Fractures of the neck of the femur

250

(1)

Fractures of the shaft of the femur

251

(1)

Injuries to the Lower Femur, Knee and Upper Tibia

251

(5)

Supracondylar and condylar fractures of the femur

251

(1)

Fractures of the patella and injury to the quadriceps apparatus

252

(1)

Dislocation of the patella

252

(1)

Soft-tissue injuries of the knee

253

(2)

Dislocation of the knee

255

(1)

Fractures of the tibial condyles

255

(1)

Injuries to the Lower Tibia, Ankle and Foot

256

(7)

Fractures of the shaft of the tibia

256

(1)

Isolated fractures of the fibula

256

(1)

Inversion ankle injuries

257

(1)

Other ankle injuries

258

(1)

Dislocation of the ankle

259

(1)

Fractures and dislocation of the talus

259

(1)

Fractures of the calcaneus

260

(1)

Rupture of the tendo achilles

260

(1)

Mid-tarsal dislocations

261

(1)

Metatarsal injuries and tarsometatarsal dislocations

261

(1)

Fractures of the phalanges of the foot

262

(1)

Dislocations of the phalanges of the foot

262

(1)

Further Reading

263

(3)

Section VII Musculoskeletal And Soft-Tissue Emergencies

Soft-Tissue Injuries

266

(9)

Tetanus prophylaxis

269

(2)

Crush injury and compartment syndrome

271

(1)

Necrotising fasciitis

272

(1)

Puncture injuries

273

(1)

Hand infections

273

(1)

Pre-tibial laceration

274

(1)

Non-Articular Rheumatism

275

(4)

Torticollis (wry neck)

275

(1)

Frozen shoulder

276

(1)

Rotator cuff tear: supraspinatus rupture

276

(1)

Supraspinatus tendonitis

277

(1)

Subacromial bursitis

277

(1)

Tennis and golfer's elbow

277

(1)

Olecranon bursitis

278

(1)

De Quervain's stenosing tenosynovitis

278

(1)

Carpal tunnel syndrome

278

(1)

Prepatellar bursitis

279

(1)

Back Pain

279

(3)

Direct back trauma

279

(1)

Indirect mechanical back trauma

279

(2)

Severe or atypical, non-traumatic back pain

281

(1)

Mild to moderate, non-traumatic back pain

282

(1)

Further Reading

282

(2)

Section VIII Paediatric Emergencies

General Assessment

284

(2)

Cardiopulmonary Resuscitation

286

(7)

Breathless Child

293

(6)

Asthma

294

(1)

Bronchiolitis

295

(1)

Pneumonia

296

(2)

Anaphylaxis

298

(1)

Stridor

299

(3)

Croup (acute laryngotracheobronchitis)

299

(1)

Inhaled foreign body

300

(1)

Epiglottitis (supraglottitis)

301

(1)

Abdominal Pain, Diarrhoea and Vomiting

302

(5)

Acute abdominal pain

302

(1)

Diarrhoea, vomiting and dehydration

303

(4)

Febrile Child

307

(4)

Seizures and Febrile Convulsions

311

(3)

Seizures

311

(1)

Febrile convulsion

312

(2)

Acute Poisoning

314

(2)

Limping Child

316

(1)

Sudden Unexpected Death in Infancy

317

(2)

Child Abuse (Non-Accidental Injury)

319

(1)

Further Reading

320

(4)

Section IX Obstetric And Gynaecological Emergencies

Gynaecological Assessment and Management

324

(1)

General principles

324

(1)

Prescribing in pregnancy

324

(1)

Gynaecological Causes of Acute Abdominal Pain

324

(3)

Pelvic inflammatory disease (acute salpingitis)

325

(1)

Ruptured ovarian cyst

326

(1)

Ovarian torsion

326

(1)

Endometriosis

326

(1)

Bleeding in Early Pregnancy

327

(5)

Ruptured ectopic pregnancy

327

(2)

Spontaneous miscarriage

329

(2)

Septic abortion

331

(1)

Conditions in Late Pregnancy

332

(5)

Terminology

332

(1)

Antepartum haemorrhage

332

(1)

Pre-eclampsia and eclampsia

333

(1)

Emergency delivery

334

(1)

Trauma in late pregnancy

335

(1)

Cardiopulmonary resuscitation in late pregnancy

336

(1)

Women's Medicine Crises

337

(3)

Emergency contraception

337

(1)

Missed oral contraceptive pill

338

(1)

Domestic violence to females

339

(1)

Sexual assault

339

(1)

Further Reading

340

(4)

Section X Ophthalmic Emergencies

Visual Acuity

344

(1)

Topical Ophthalmic Preparations

344

(1)

Traumatic Conditions of the Eye

345

(5)

Periorbital haematoma ('black eye')

345

(1)

Subconjunctival haematoma

345

(1)

Eyelid laceration

346

(1)

Eyelid burn

346

(1)

Chemical burns to the eye

346

(1)

Conjunctival foreign body

347

(1)

Corneal foreign body

348

(1)

Corneal abrasion

348

(1)

Flash burn (arc eye)

348

(1)

Blunt trauma to the eye

349

(1)

Penetrating trauma to the eye

350

(1)

Conditions Affecting the Eyelids

350

(3)

Blepharitis

350

(1)

Stye (external hordeolum)

351

(1)

Meibomian abscess (internal hordeolum)

351

(1)

Meibomian cyst (chalazion)

351

(1)

Dacryocystitis

351

(1)

Orbital and periorbital cellulitis

351

(1)

Basal cell carcinoma (rodent ulcer)

352

(1)

Ophthalmic shingles (herpes zoster ophthalmicus)

352

(1)

Painful, Red Eye

353

(3)

Acute conjunctivitis

353

(1)

Acute keratitis

354

(1)

Acute iritis

354

(1)

Acute episcleritis and scleritis

355

(1)

Acute glaucoma

355

(1)

Sudden Loss of Vision in the Uninflamed Eye

356

(3)

Central retinal artery occlusion

356

(1)

Central retinal vein occlusion

357

(1)

Vitreous haemorrhage

357

(1)

Retinal detachment

358

(1)

Optic neuritis

358

(1)

Further Reading

359

(3)

Section XI ENT Emergencies

Traumatic Conditions of the Ear

362

(2)

Subperichondrial haematoma

362

(1)

Wounds of the auricle

362

(1)

Foreign body in the external ear

362

(1)

Perforated eardrum

363

(1)

Temporal bone fracture

363

(1)

Non-Traumatic Conditions of the Ear

364

(3)

Otitis externa

364

(1)

Furunculosis of the external ear

364

(1)

Acute otitis media

365

(1)

Mastoiditis

365

(1)

Vertigo

365

(1)

Facial nerve palsy

366

(1)

Traumatic Conditions of the Nose

367

(1)

Fractured nose

367

(1)

Foreign body in the nose

368

(1)

Non-Traumatic Conditions of the Nose

368

(2)

Epistaxis

368

(2)

Traumatic Conditions of the Throat

370

(1)

Non-Traumatic Conditions of the Throat

370

(3)

Tonsillitis

370

(1)

Quinsy (peritonsillar abscess)

371

(1)

Foreign body in the pharynx

371

(1)

Swallowed foreign body

372

(1)

Stridor

373

(1)

Further Reading

373

(3)

Section XII Maxillofacial And Dental Emergencies

Traumatic Conditions of the Face and Mouth

376

(5)

Lacerations

376

(1)

Tooth injuries

376

(1)

Fractured mandible

377

(1)

Dislocated mandible

378

(1)

Fracture of the zygoma or zygomaticomaxillary (malar) complex

379

(1)

Orbital floor 'blow-out' fracture

380

(1)

Le Fort middle-third of face fractures

380

(1)

Non-Traumatic Conditions of the Mouth

381

(2)

Toothache

381

(1)

Dental abscess

381

(1)

Ludwig's angina

382

(1)

Submandibular swellings

382

(1)

Further Reading

383

(3)

Section XIII Psychiatric Emergencies

Deliberate Self-Harm

386

(1)

Violent Patient

387

(2)

Alcohol and Drug Dependency and Abuse

389

(2)

Alcohol and drug withdrawal

389

(1)

Problem drinking

389

(1)

Opiate and intravenous drug addiction

390

(1)

Benzodiazepine and solvent addiction

391

(1)

Involuntary Admission

391

(1)

Further Reading

392

(2)

Section XIV Toxicology

Acute Poisoning: General Principles

394

(3)

Specific Poisons

397

(20)

Paracetamol

397

(3)

Salicylates

400

(1)

Tricyclic antidepressants

401

(2)

Benzodiazepines

403

(1)

Opioids

404

(1)

Iron

404

(1)

Digoxin

405

(2)

Lithium

407

(1)

Theophylline

408

(1)

13-blockers

409

(1)

Calcium-channel blocking drugs

410

(1)

Carbon monoxide

411

(1)

Cyanide

412

(1)

Chloroquine

413

(1)

Cocaine

414

(1)

Organophosphates

415

(1)

Paraquat

416

(1)

Chemical Burns

417

(1)

Further Reading

418

(2)

Section XV Toxinology Emergencies

Snake Bites

420

(4)

Elapid snake bites

420

(3)

Viper (adder) snake bites

423

(1)

Spider Bites

424

(1)

Marine Envenomation

425

(2)

Bee and Wasp Stings

427

(1)

Further Reading

428

(2)

Section XVI Environmental Emergencies

Heat, Cold and Drowning

430

(6)

Heat illness

430

(2)

Other hyperthermia-related illness

432

(1)

Hypothermia

433

(2)

Drowning

435

(1)

Sports-Diving Accidents

436

(3)

Decompression illness

436

(2)

Decompression illness with barotrauma

438

(1)

Electrocution and Lightning Strike

439

(5)

Low-voltage electrocution

440

(1)

High-voltage electrocution

441

(1)

Electrical flash burns

442

(1)

Lightning strike

442

(2)

Further Reading

444

(2)

Section XVII Administrative And Legal Issues

Habits of a Good Emergency Department Doctor

446

(4)

Excellence in emergency department care

446

(1)

Emergency department medical records

446

(1)

Communicating with the general practitioner

447

(1)

Breaking bad news

448

(1)

Risk management and incident reporting

449

(1)

Triage

450

(1)

Consent, Competence and Refusal of Treatment

451

(2)

Consent and competence

451

(1)

Refusal of treatment and discharge against medical advice

452

(1)

Police, Coroner and Attending Court

453

(2)

Police request for patient information

453

(1)

Police request to interview a patient

453

(1)

Police request for an alcohol breath test or blood sample

453

(1)

Request for a police medical statement

454

(1)

Coroner

454

(1)

Attending an inquest or court

455

(1)

Retrieval and Inter-Hospital Transfer

455

(1)

Major Incident

456

(8)

External disaster

456

(2)

Specialized hazardous materials responses

458

(2)

Chemical incident

460

(2)

Biological incident

462

(1)

Radiological incident

463

(1)

Further Reading

464

(2)

Section XVIII Practical Procedures

Endotracheal Intubation

466

(1)

Rapid Sequence Induction Intubation

467

(2)

Cricothyrotomy

469

(2)

Needle Thoracentesis

471

(2)

Intercostal Catheter Insertion

473

(1)

DC Cardioversion

474

(1)

Pericardial Aspiration

475

(1)

Central Line Insertion

476

(4)

Intraosseous Line Insertion

480

(1)

Lumbar Puncture

481

(3)

Indwelling Urethral Catheter Insertion

484

(2)

Nasogastric Tube Insertion

486

(1)

Bier's Intravenous Regional Block

487

(1)

Femoral Nerve Block

488

(2)

Digital Nerve Ring Block

490

(1)

Knee Aspiration

491

(2)

Further Reading

493

(2)

Glossary

495

(8)

Appendix: Normal Laboratory Values

503

(4)

Index

507

Professor Anthony F.T. Brown, MB ChB, FRCP, FRCS(Ed), FRCEM, FACEM, professor of emergency medicine, Discipline of Anaesthesiology and Critical Care, School of Medicine, University of Queensland; and senior staff specialist, Department of Emergency Medicine, Royal Brisbane and Womens Hospital, Australia

Mike Cadogan, MA(Oxon), MB ChB (Ed), FACEM, staff specialist in emergency medicine, Department of Emergency Medicine, Sir Charles Gardiner Hospital, Perth, Australia; and chief medical editor and co-founder of Lifeinthefastlane.com.

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Permanent link: https://www.kriso.lv/db/97814987867686e.html

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Emergency medicine

E-grāmata: Emergency Medicine: Diagnosis and Management, 7th Edition

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