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• W1983005376 abstract "This book was written to provide a handbook to be carried by emergency physicians involved in caring for patients with neurological emergencies. In practice, the book is too large to be carried in a pocket but it does provide a valuable resource for reference for physicians in accident and emergency departments or intensive care units. It is a multi-author book but is well edited, so that the style is consistent throughout. There are 38 chapters, most of them quite short, and each gives a concise description of the clinical problems. The chapters in Section 1 deal with neurological examination, neuroradiology, electroencephalography, and lumbar puncture. There are excellent quality illustrations of the various imaging techniques in this section and throughout the book. Section 2 deals with common neurological presentations including altered mental status, headache, weakness, dizziness, seizures, and gait disturbances. Section 3 covers specific neurological conditions such as CNS infections, brain tumours, increased ICP, and Guillain–Barré syndrome. Section 4 covers neurological trauma, and Section 5 paediatric neurological emergencies. The book finishes with chapters on pregnancy-related neurological emergencies, neurotoxicology, and brain death. The chapters on neurological conditions follow a similar standard format with a brief introduction, evaluation including physical examination, pathophysiology, differential diagnosis, investigations or diagnostic testing, management, and disposition. At the end of every chapter, there is a very useful brief summary of the relevant pearls and pitfalls. The chapter on neurological examination would be useful reading for FRCA examination candidates, and the chapter on neuroradiology gives an easily understood description of common pathologies detected by neuroimaging. The chapter on lumbar puncture is also well worth reading. Other chapters of particular interest to anaesthetists and intensivists include those on Guillain–Barré syndrome, myasthenia gravis, neuro-ophthalmological emergencies, brain tumours, and other neuro-oncological emergencies, increased intracranial pressure and herniation syndromes, sleep disorders, traumatic brain injury, spinal cord injury, hydrocephalus and shunts in children, and neurological emergencies in pregnancy. The chapter on brain death seems out of place in a book aimed at emergency department physicians. It deals with the topic sufficiently superficially for the differences between practice in the USA and the UK not to matter. It quotes a higher level of PaCO2 for brain stem death testing than that in the UK guidelines, but many UK clinicians would consider this higher level more appropriate. The indications quoted for emergency CT scan in the chapter on traumatic brain injury do not exactly match those in the NICE guidelines, which are the current standard for the UK. There are a few factual errors and a number of typographical errors, most of which will be obvious to the reader. On page 247, it is stated that the use of rapid sequence induction is to avoid laryngeal spasm, when the purpose is to avoid aspiration of gastric contents. In addition, the rapid sequence induction algorithm on page 283 would not be acceptable to British anaesthetists. Cricoid pressure should not be released until correct placement of the tracheal tube has been confirmed by capnography and the cuff inflated. Figure 30.4 refers to the deep and superior (instead of superficial) peroneal nerves. The units of oxygen saturation should be percentage not mm Hg on page 406. On one occasion, there is reference to lateral cervical spine radiographs when describing thoracic spine injuries. I am not qualified to determine whether there are any factual errors in the chapters dealing with neurological pathophysiology, but there did not appear to be any major inaccuracies. Overall this is an excellent, reasonably priced, quick reference book for the non-specialist. The style of writing is concise and the book is easy to read. The book is extremely well illustrated with photographs and line drawings, and contains large numbers of tables that summarize relevant information. It would be a useful addition to the books available on intensive care units, particularly those admitting patients with neurological pathology. I am sure that doctors and nurses on intensive care units would refer to it frequently, both out of interest and to help solve clinical management problems. I suspect that very few anaesthetists would wish to buy a personal copy, but it would be a valuable reference source in an anaesthetic department." @default.
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• W1983005376 date "2004-05-01" @default.
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• W1983005376 title "Principles and Practice of Emergency Neurology. Handbook for Emergency Physicians" @default.
• W1983005376 doi "https://doi.org/10.1093/bja/aeh556" @default.
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