i'm a msiv going into em, and this book has been the perfect balance of practical management and "less practical facts a med student always gets pimped on." the chapters usu are short - anywhere btwn 5-13 pages - which are great for my short attn span/limited time, and is organized by case scenario, intro, history, history/diagnostic eval/phys exam, differential, management, dispo, and _then_ pathophys.
i feel like i always get bogged down in the pathophys in int med txtbks and am too tired to read about management by the time i finish all the discussion of obscure cytokines, receptors, etc. this txbook gets you thinking up front as to what you need to focus on, what you need to keep in the back of your mind, and what you need to do about the situation.
if you're rusty/coming back after a year off, i'd also recommend SOAP for emergency medicine to get you up and running in a few days. also grab a copy of the tarascon pocket emergency medicine so you can look up all those evidence-based criteria for PE/DVTs, etc. it's also got a really rough visual chart in there (better than nothing!). folks also like case files, emergency medicine, which has several contributors from highland general hospital in oakland.
note, this is a black & white text/diagrams, so don't go looking for glossy pics. but hey, one less distraction for me. i just need the basic info to take good care of my patients ;)
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