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An Evidence-Based Approach to Abdominal Disorders

EB Medicine, Aug 2004


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Abdominal complaints are a chief reason for ED presentations. The articles selected for this volume therefore focus on topics that impact the daily practice of emergency physicians. Handling abdominal symptoms and trauma requires a keen diagnostic strategy to identify potentially serious conditions. While management is often beyond the scope of the ED encounter, timely and appropriate referral of surgical emergencies is paramount. The four articles chosen for this volume review evidence-based, cost-effective approaches for adult and pediatric patients with abdominal pain, first-trimester emergencies, and blunt abdominal trauma.

In keeping with the evidence-based approach for which Emergency Medicine Practice is known, this volume contains over 450 references. The quantity and depth of background literature that is distilled in each of the articles makes their reading well worthwhile. Each article focuses the body of literature into useful and readily accessible information for the clinician. In addition, this volume offers:

- Clinical pathways that present solid diagnostic and treatment strategies, with each recommendation for action graded according to strength of evidence.

- References which present pertinent information such as type of study and number of patients.

- Tables where key information is condensed in an easy-to-read format.

- Pitfalls to avoid that provide risk management advice highlighting problem areas that could compromise patient care.

- Cost- and time-effective strategies that show that saving time and money in the ED doesn't have to mean cutting corners.



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