Catherine Williams, FRCEM, Consultant in Emergency Medicine with dual accreditation in Paediatric Emergency Medicine, Royal Bolton Hospital. Training programme director for Intermediate Emergency Medicine training, Health Education North West.Amy Nickson, FRCEM DTM&H DLM DRCOG, Consultant in Emergency Medicine, Royal Bolton Hospital. Sexual Offences Examiner, Lancashire SAFE Centre.This 5th Edition is edited by Catherine Williams and Amy Nickson, has been revised and updated by contributors, and is based on the 4th edition of Lecture Notes: Emergency Medicine which was authored by Chris Moulton and David Yates.

• List of Contributors viPreface to the Fifth Edition viiPreface to the Fourth Edition viiiPreface to the Second Edition ixPreface to the First Edition xAbout the Companion Website xi1 What every Emergency Physician needs to know 1Catherine Williams2 Major trauma and multiple injuries 19Lt Col Alan G A Weir RAMC3 Head injuries 34Kate Clayton4 The neck and the back 48Fiqry Fadillah and Catherine Williams5 Facial injuries 64James Conroy and Abu Hassan6 Injuries to the trunk 73Fiqry Fadillah7 The lower limb 88Abu Hassan8 The upper limb 113Katie Fulcher and Abu Hassan9 The hand 132Shah Rahman and Sophie Jefferys10 Burns contamination and irradiation 141Jodie Wilkinson11 Cardiac arrest and cardiac dysrhythmias 157Rob Summerhayes12 Chest pain 184Vivek Chhabra and Amy Nickson13 Respiratory distress 205Amy Nickson14 Collapse and sudden illness 233Amy Nickson15 Poisoning 277Jodie Wilkinson16 Abdominal pain and GI problems 310Catherine Williams17 Obstetric gynaecological and genitourinary problems 326Amy Nickson18 Children’s problems in the emergency department 341Catherine Williams19 The disturbed patient 373Antonia Hazlerigg and Laura Cottey20 Medicolegal aspects of emergency medicine 392Amy Nickson21 Small wounds and localised infections 410Catherine Williams22 Ophthalmic ENT and facial conditions 428Amy Nickson23 Global health 443A.D. Redmond Index 458

Catherine Williams, FRCEM, Consultant in Emergency Medicine with dual accreditation in Paediatric Emergency Medicine, Royal Bolton Hospital. Training programme director for Intermediate Emergency Medicine training, Health Education North West.Amy Nickson, FRCEM DTM&H DLM DRCOG, Consultant in Emergency Medicine, Royal Bolton Hospital. Sexual Offences Examiner, Lancashire SAFE Centre.This 5th Edition is edited by Catherine Williams and Amy Nickson, has been revised and updated by contributors, and is based on the 4th edition of Lecture Notes: Emergency Medicine which was authored by Chris Moulton and David Yates.

• List of Contributors viPreface to the Fifth Edition viiPreface to the Fourth Edition viiiPreface to the Second Edition ixPreface to the First Edition xAbout the Companion Website xi1 What every Emergency Physician needs to know 1Catherine Williams2 Major trauma and multiple injuries 19Lt Col Alan G A Weir RAMC3 Head injuries 34Kate Clayton4 The neck and the back 48Fiqry Fadillah and Catherine Williams5 Facial injuries 64James Conroy and Abu Hassan6 Injuries to the trunk 73Fiqry Fadillah7 The lower limb 88Abu Hassan8 The upper limb 113Katie Fulcher and Abu Hassan9 The hand 132Shah Rahman and Sophie Jefferys10 Burns contamination and irradiation 141Jodie Wilkinson11 Cardiac arrest and cardiac dysrhythmias 157Rob Summerhayes12 Chest pain 184Vivek Chhabra and Amy Nickson13 Respiratory distress 205Amy Nickson14 Collapse and sudden illness 233Amy Nickson15 Poisoning 277Jodie Wilkinson16 Abdominal pain and GI problems 310Catherine Williams17 Obstetric gynaecological and genitourinary problems 326Amy Nickson18 Children’s problems in the emergency department 341Catherine Williams19 The disturbed patient 373Antonia Hazlerigg and Laura Cottey20 Medicolegal aspects of emergency medicine 392Amy Nickson21 Small wounds and localised infections 410Catherine Williams22 Ophthalmic ENT and facial conditions 428Amy Nickson23 Global health 443A.D. Redmond Index 458

Catherine Williams, FRCEM, Consultant in Emergency Medicine with dual accreditation in Paediatric Emergency Medicine, Royal Bolton Hospital. Training programme director for Intermediate Emergency Medicine training, Health Education North West.Amy Nickson, FRCEM DTM&H DLM DRCOG, Consultant in Emergency Medicine, Royal Bolton Hospital. Sexual Offences Examiner, Lancashire SAFE Centre.This 5th Edition is edited by Catherine Williams and Amy Nickson, has been revised and updated by contributors, and is based on the 4th edition of Lecture Notes: Emergency Medicine which was authored by Chris Moulton and David Yates.

• List of Contributors viPreface to the Fifth Edition viiPreface to the Fourth Edition viiiPreface to the Second Edition ixPreface to the First Edition xAbout the Companion Website xi1 What every Emergency Physician needs to know 1Catherine Williams2 Major trauma and multiple injuries 19Lt Col Alan G A Weir RAMC3 Head injuries 34Kate Clayton4 The neck and the back 48Fiqry Fadillah and Catherine Williams5 Facial injuries 64James Conroy and Abu Hassan6 Injuries to the trunk 73Fiqry Fadillah7 The lower limb 88Abu Hassan8 The upper limb 113Katie Fulcher and Abu Hassan9 The hand 132Shah Rahman and Sophie Jefferys10 Burns contamination and irradiation 141Jodie Wilkinson11 Cardiac arrest and cardiac dysrhythmias 157Rob Summerhayes12 Chest pain 184Vivek Chhabra and Amy Nickson13 Respiratory distress 205Amy Nickson14 Collapse and sudden illness 233Amy Nickson15 Poisoning 277Jodie Wilkinson16 Abdominal pain and GI problems 310Catherine Williams17 Obstetric gynaecological and genitourinary problems 326Amy Nickson18 Children’s problems in the emergency department 341Catherine Williams19 The disturbed patient 373Antonia Hazlerigg and Laura Cottey20 Medicolegal aspects of emergency medicine 392Amy Nickson21 Small wounds and localised infections 410Catherine Williams22 Ophthalmic ENT and facial conditions 428Amy Nickson23 Global health 443A.D. Redmond Index 458