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Notes in Urgent Care A Course Companion and Practical Guide
UK’s first study guide for Diploma in Urgent Medical Care
Martin McGrath (Author)
9780323884075, Elsevier Health Sciences
Paperback / softback, published 22 February 2023
160 pages, 15 illustrations (15 in full color)
22.9 x 15.2 x 1.2 cm, 0.38 kg
The multidisciplinary sub-specialty of Urgent Medical Care plays an increasingly important role in meeting the growing demands on the NHS. This is the first and only book in the UK specifically designed for clinicians preparing for urgent care postgraduate qualifications. Notes in Urgent Care brings together guidance, research and relevant clinical material in an easily accessible format. It addresses both management (operational and organisational) and clinical areas including emergency, time-critical conditions and symptom-related presentations. Written by Dr Martin McGrath, a General Practitioner, Honorary Professor, urgent care clinician and clinical director of one of the country’s largest primary care networks, this book will be useful for all clinicians working in urgent, unscheduled, remote and rural environments.
Acknowledgements Symbols and abbreviations Foreward PART I - MANAGEMENT Working in Urgent Medical Care Systems The development of urgent care systems - a brief history The development of urgent care systems - challenges The development of urgent care systems - evolving solutions Alternative urgent care models The evolution of urgent care workforces Patient choice and behaviour UUC operational environments NHS 111 services GP out of hours services Working in multi-disciplinary teams 999 call handling and dispatch (The functions of urgent care) The characteristics of good and bad urgent care services Working effectively with acute and urgent care services Providing support to urgent care staff Supporting workers after traumatic events Using Technology in Urgent Medical Care Definitions and meanings Drivers for change - overview Drivers for change - system Drivers for change - individual Future technology Relevance of health technology in UUC settings What is an Urgent Treatment Centre? Example near-patient investigations Use of PPE Indwelling catheters Hand decontamination Remote care and monitoring TeleMedicine Managing Safe Dispositions Role and responsibilities of the referring clinician Factors influencing referral decisions Factors influencing risk-based decision-making Decision-making and referral in remote consultation Remote consultations - safeguarding considerations Supportive care and avoiding admissions Compulsory mental health admission The Mental Capacity Act (MCA) 2005 Assessment of capacity Deprivation of liberty safeguards (DoLS) Child safeguarding Adult safeguarding Raising concerns Whistle blowing Prevent/Channel Domestic violence and abuse Human trafficking Modern slavery Female genital mutilation Patient transfer and transport Role of clinicians in transfers The ambulance response programme Risk Management and Urgent Care Preparedness Hazard and risk Risk management and system design in the context of urgent care Learning from significant event analysis (SEA) and serious untoward incidents (SUIs) Principles of emergency preparedness, response and recovery The role of urgent care services in relation to a major incident Management of major incident situations The psychological needs of those involved in a major incident Business continuity relevant to urgent care services Human Factors Human factors in healthcare and patient safety The swiss cheese model The SHEEP model The WHO surgical safety checklist Crew resource management Cognitive bias Decision-making in urgent care Communication within and between teams (CHANGE) Teamworking Leadership Bad leadership Managing fatigue and stress Error investigation and management Root cause analysis Operational Performance Local and national operational guidance Settings for patient care Urgent Treatment Centres Professional roles in urgent care Communication with colleagues and patients Communication with routine healthcare providers Consultation models Monitoring the delivery of patient care Targets Applying principles of equality and diversity PART II - CLINICAL Emergency and Time-Critical Conditions Anaphylaxis Cardiac arrest Choking Meningitis Sepsis Status epilepticus Unconsciousness Symptom Management 2WW considerations Acute abdominal pain Chest pain Collapse Haemoptysis Hyperventilation Shortness of breath Breast 2WW considerations Breast lump Mastitis End of Life Care General considerations Managing EOL symptoms Cardiology Angina Acute coronary syndromes - unstable angina / NSTEMI Acute coronary syndromes - STEMI Aortic dissection Brady and tachy-arrythmias Electrical Injury Left ventricular failure / pulmonary oedema Pericarditis Uncontrolled atrial fibrillation Uncontrolled hypertension Dental Acute dental and gum Infection Dermatology Abscess Cellulitis Ear Nose and Throat Bell’s palsy Loss of hearing Otitis externa Otitis media Sinusitis TMJ dysfunction Tonsillitis Vertigo Endocrine, Haematology & Metabolic 2WW considerations Addisonian crisis Hyperglcaemic crisis Hypoglycaemia Hyperkalaemia Hypokalaemia Hypernatraemia Hyponatraemia Thyrotoxic crisis Gastroenterology and General Surgery 2WW considerations Acute appendicitis Acute cholecystitis Acute pancreatitis Anal pain Constipation Diverticulitis Gastroenteritis GI bleed - lower GI bleed - upper Haemorrhoids Hernia Intestinal obstruction Peptic ulcer Mental Health Mental health assessment Mental health symptoms and signs Psychological therapies Anxiety Other anxiety-type disorders Chronic stress Depression Drugs for treating depression Psychosis Schizophrenia and mania Acute delirium Dementia Eating disorders Other psychological conditions Musculoskeletal including Trauma Olecranon bursitis Neurology 2WW considerations Acute confusional state / delerium First fit Headache Migraine Status epilepticus Stroke / CVA Subarachnoid haemorrhage TIA Obstetrics and Gynaecology 2WW considerations Abnormal vaginal bleeding Ectopic pregnancy Gynaecological pain Pre-eclampsia Menorrhagia Vaginal bleeding in pregnancy Vaginal discharge Ophthalmology Blepharitis Conjunctivitis Corneal abrasions and ulcers Peri-orbital cellulitis The red eye Respiratory 2WW considerations Acute asthma - moderate Acute asthma - life threatening COPD Pleural effusion Pneumonia / LRTI Spontaneous pneumothorax Urogenital 2WW considerations Acute epididymitis / epididymo-orchitis Acute prostatitis Balanitis Renal colic Testicular torsion Urinary retention Urinary tract infection Vascular Acute limb ischaemia Deep vein thrombosis Pulmonary embolism Ruptured abdominal aortic aneurysm PART III - THE DIPLOMA IN URGENT MEDICAL CARE Outline Example single best answer (SBA) questions Example structured oral questions BIBLIOGRAPHY
Subject Areas: Accident & emergency medicine [MMK]
