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August 8, 1977

Medical Emergencies: Diagnostic and Management Procedures From Boston City Hospital

JAMA. 1977;238(6):520. doi:10.1001/jama.1977.03280060064032

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


A refreshing and effective teaching book now exists for the specialty of emergency medicine. In a successfully distilled volume of diagnosis and management of true emergencies, Drs Cohen, Freidin, and Samuels have collaborated with 20 contributing authors.

The well-organized chapters begin with a comprehensive consideration of drug overdoses and common poisonings. General principles of management are stressed and are presented in a comprehensive although dogmatic fashion, with a minimum amount of theory. Infectious disease emergencies (eg, meningitis, septicemia, cellulitis, pneumonia) are discussed in a separate chapter but receive emphasis in other chapters (neurologic and orthopedic) as well. The criteria for care are delineated not only in paragraph form, but also in flow charts and algorithm format. Septic arthritis is carefully detailed, with tables for synovial fluid analysis and recommended antibiotic therapy prior to microbial identification. Differential diagnosis is juxtaposed, to set in the reader's mind the alternatives to septic arthritis.