改訂の序········································································································································· 3
初版の序········································································································································· 5
気道を制するものは,救急を制す!章11.救急のABCはだてじゃない···············································································急性喉頭蓋炎 12
2.気管挿管は用意周到,粒粒辛苦, 百ひゃく
錬れん
成せい
鋼こう
がものをいう····························重症喘息発作 22
3.気道緊急の基本 RSI(迅速導入)はすごい? コワい?···········································気道緊急 31
●No way! アソー! モジモジ君の言い訳····································································· 43
Step Beyond BLS & ACLS章21.システムは進化する····································································································心室細動 48
2.心肺蘇生ガイドライン2015:BLSの進化と真価···················································心肺停止 52
3.ACLS2015で薬剤はどうなった?············································································心肺停止 63
4.なんでもかんでもお作法通り…はダメ!··································································心室細動 75
5.蘇生後治療のエビデンスとは? 合言葉は“Cool & Cath!”·······························心室細動 83
6.よいCPR? ECPR!··································································································心肺停止 89
7.蘇生処置をすべきか,せざるべきか,やめるべきか,それが問題だ·············院外心肺停止 94
●No way! アソー! モジモジ君の言い訳····································································· 99
ECG アップグレード章31.胸痛のない心筋梗塞を見逃すな·····································································非典型心筋梗塞 102
2.ST上昇は簡単そうで簡単じゃない!······························································良性早期再分極 106
3.心外膜炎の症状って難しい!····················································································心外膜炎 112
4.見逃した日には打ち首獄門,墓石心電図 tombstone appearance················心筋梗塞 119
5.あわてる左脚ブロックか,あわてない左脚ブロックか,それが問題だ ························································································································完全左脚ブロック 122
6.トッピングは何にいたしますか? ~V4R,V5R の追加注文~·································右室梗塞 132
7.忘れられたaVR,運命を握るaVR·············································································心筋梗塞 138
8.aVR のST上昇mimicker············································································発作性上室性頻拍 147
9.まだまだわれわれは発展途上!··································急性心筋梗塞,WPW症候群+心房細動 150
10.本当に心臓なの?·········································································逆流性食道炎,くも膜下出血 158
●No way! アソー! モジモジ君の言い訳····································································· 162
救急室の困ったチャン章41.医療ミスを起こしやすい疾患・患者群を知るべし···········································怒る患者家族 166
2.医者の指示に反して帰りたい患者さんAMAの場合·······································不安定狭心症 172
3.診療録記載なしは,診察なしに等しい·································初診時にはわからなかった虫垂炎 178
4.コンサルトした対診医に問題がある場合·········································プロブレムコンサルタント 183
5.恐い患者のトリアージ! 怒ったら負け!··································································恐い患者 186
6.安全対策のTips ~暴れる患者を診るときは~·············································暴れそうな患者 189
7.恐い患者の医療面接························································································ソセゴン® 中毒 191
8.自分の意思で暴れているとは限らない··························································過活動型せん妄 195
9.被害に遭ってしまったら…······································································暴れて噛みついた患者 200
●No way! アソー! モジモジ君の言い訳····································································· 202
うそか誠か? とかくこの世は,騙し騙され…章51.うそっこ痙攣に騙されるな···········································································ヒステリー性痙攣 208
2.うそっこ神経障害の見分け方································································ヒステリー性運動麻痺 211
3.せがまれるままに打っちゃダメ ~麻薬中毒~···············································ソセゴン® 中毒 214
4.行旅病人 ~詐病は臨床家の腕の見せ所~······························································行旅病人 218
5.器質的疾患を見逃すな·······································································精神症状で来た脳炎患者 221
●No way! アソー! モジモジ君の言い訳····································································· 226
酒の一滴は血の一滴?~アルコール救急のpitfall~
章6
1.アルコールのpitfall ~合併症を見逃すな!~··········································急性アルコール中毒 228
2.アルコール離脱症候群············································································アルコール離脱症候群 237
3.ERは絶好のアルコール問題のスクリーニング・教育の機会·························アルコール依存 246
4.特殊なアルコール·······························································································メタノール中毒 250
●No way! アソー! モジモジ君の言い訳····································································· 255
知って得する薬の御法度章71.あぁ,ゲップ! 高齢者のポリファーマシーならぬメガファーマシー··········ポリファーマシー 258
2.こんな薬は御法度ってか!? Beers Criteria·············································ポリファーマシー 266
3.STOPP/START:薬を止めるか,はじめるか,それが問題だ···················ポリファーマシー 275
4.薬の食い合わせ(相互作用)に要注意············································キノロン+NSAIDs→禁忌 283
5.NSAIDsは慎重に·········································································胃薬+NSAIDs→消化器症状 289
6.キシロカインアレルギー!? キシロカイン®もペニシリンもダメなの? ······································································································自称,キシロカインアレルギー 293
7.漢方薬,生薬も自然だからといってリスクフリーではない ································································································ワルファリン+朝鮮人参→作用減弱 297
8.妊婦と薬剤 ~胎児も薬を飲んでいることに注意~···························妊婦→× アスピリン × 299
9.造影剤アレルギーでの造影剤の使い方·······················································造影剤アレルギー 303
●No way! アソー! モジモジ君の言い訳····································································· 307
高齢者虐待,児童虐待,DV~虐待のエキスパートになる~
章8
1.高齢者にはLOVE & RESPECTを ~高齢者虐待を発見する~························高齢者虐待 312
2.こらっ! 弱いものいじめするなぁ! 児童虐待 ~大事な手がかりを見逃すな~ ·····································································································································児童虐待 321
3.疑わなければ見抜けない児童虐待···········································································児童虐待 328
4.DVはしない,させない,許さない·····································································DV,偽 DV 338
5.DVに対峙する ~逃げるタイミングや手段が一番大事~··············································DV 348
●No way! アソー! モジモジ君の言い訳····································································· 358
ERでの悲しい出来事 Grieving in ER章91.蘇生現場を家族に見せるべきか,見せざるべきか…それが問題だ······················心肺停止 362
2.家族に死亡を告げるのはどうして難しいのか ~悲報の秘法·······················来院時心肺停止 374
●No way! アソー! モジモジ君の言い訳····································································· 389
ポストレジデントへ,最後にひとこと························································································· 391
索引················································································································································ 392
著者プロフィール··························································································································· 396
シリーズのご案内·························································································································· 397
おぉ,座布団1枚!造影剤アレルギーでの造影剤検査の方法は奥の奥の手…研修医はしちゃダメ ………………………… 306
ちょっと一服気道管理·vs·異性を口説く時の共通点(最新版)· ………………………………………………· 45パパはこんな言動に注意を!·(ママには言ってはいけない禁句集)………· 46AIDETコミュニケーション· ………………· 171視点を変えればみんないい人………………· 188
せん妄の見分け方……………………………· 204学会あるある…………………………………· 206初期研修は誰のもの?·………………………· 220忙しい外来での指導Tips·~5·microskills· ………………………………………………· 224笑って許して…………………………………· 309
注:本書に記載されているURLアドレスは,2017年11月時点でアクセスの確認されたものです