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