Synopses & Reviews
Authoritative, Up-to-Date Coverage of Every Aspect of Poison Management A Doody's Core Title ESSENTIAL PURCHASE!
4 STAR DOODY'S REVIEW!
"...the definitive reference for the field of toxicology. This update comes four years after the seventh edition and it retains much that has made this an authoritative textbook, adds 30 new chapters, and a "new to this edition" online link to color photographs....the breadth of Goldfrank's new edition makes it worth purchasing for anyone who frequently, or even occasionally, treats toxicologic cases, even for those who own earlier editions. The editors and authors are to be commended for their compulsive revision, with attention to detail, every four years of this authoritative book."--Doody's Review Service
The #1 reference in the field for the last quarter of a century, Goldfrank's Toxicologic Emergencies, Eighth Edition, has been completely updated to equip emergency physicians with today's most authoritative guide to clinical toxicology. The book presents unsurpassed coverage of all aspects of toxicologic emergencies--from pharmacology and clinical presentation to treatment guidelines and case studies. Using a unique case-study approach, it fully examines general principles and techniques, the biochemical and molecular basis of toxicology, and how toxins affect vital signs, organs, and systems throughout the body.
The completely updated Eighth Edition features:
A case-based approach that maximizes understanding of clinical applications of the material Easy-to-find, detailed guidance on the use of antidotes Quick-reference tables on inside covers, providing immediate access to “must-have” vital-sign statistics, lab values, and common equations Expanded coverage of bioterrorism, inhalant abuse, and international considerations A companion website with more than 1200 self-assessment questions and annotated answers, critical cases in medical toxicology, and more than 100 color photos of plants, mushrooms, spiders, snakes, marine life, and dermatologic reactions of toxicologic importance The following material is available at goldfrankstoxicology.com:
- Study Guide
- Study Questions wiht Answers
- Case Studies with Answers
- Image Library
Review
"This is the eighth edition of the well-regarded Goldfrank's Toxicologic Emergencies, which has evolved from its early years as a series of interesting toxicologic cases to the definitive reference for the field of toxicology. This update comes four years after the seventh edition and it retains much that has made this an authoritative textbook, adds 30 new chapters, and a "new to this edition" online link to color photographs....The breadth of Goldfrank's new edition makes it worth purchasing for anyone who frequently, or even occasionally, treats toxicologic cases, even for those who own earlier editions. The editors and authors are to be commended for their compulsive revision, with attention to detail, every four years of this authoritative book. 4 Stars!"--Doody's Review Service
Review
B. Zane Horowitz, MD(Oregon Health and Science University)
**Description**This is the eighth edition of the well-regarded Goldfrank's Toxicologic Emergencies, which has evolved from its early years as a series of interesting toxicologic cases to the definitive reference for the field of toxicology. This update comes four years after the seventh edition and it retains much that has made this an authoritative textbook, adds 30 new chapters, and a "new to this edition" online link to color photographs.
**Purpose**The preface states that the authors "continue to proudly offer readers an approach to medical toxicology based on case studies." These objectives stem from the inception of the original text in which each chapter is opened with an illustrated case. In some prior editions, this was followed by a didactic discourse in the form of questions and answers to questions posed, in a roundsmanship style. This approach has been abandoned in the last few editions and the more common form of subheadings based on clinical presentation, physiology, and treatment is followed so that users can quickly find the information they need.
**Audience**The ultimate audience for this book includes medical toxicologists and emergency physicians who treat toxicologic emergencies, as the title implies. However, it is a useful book for other fields where toxicology issues arise and expertise is needed. This should be a valued addition to the libraries of pediatricians, internists, and occupational physicians. The authors, all members of the New York City poison center, use an impressive list of nationally recognized experts for chapter authors.
**Features**The book is well organized. After three chapters on historical perspectives, the first section on the general approach to overdose management discusses principles in management, imaging, lab testing, treatment, pharmacokinetics, and enhanced elimination. The next section is one often thumbed though extensively when investigating a difficult case, as it contains a discussion on how toxins affect each body organ, chapter by chapter, along with lists of differential diagnoses of arcane presenting symptoms -- everything from retinal injury to blue urine. Excellent chapters on neurotransmitters have been updated. Chapters on special populations, covered in other sections in the last edition, are organized at the end of this section (postmortem toxicology, geriatrics, pediatric). The remainder of the book is organized by groups of substances, presented first with a case report, and followed with a comprehensive review of the substance's physiology, clinical manifestations, and treatment approach. Individual antidotes have their own chapters right after the substances for which they are used, another unique aspect of this book, and the revised index better reflects the location of these compared with the last edition. When one has written the "bible" of toxicology textbooks and revised it now for eight editions, one wonders what new revelations it can contain. Is there a DaVinci code for Goldfrank's
**Assessment**Once the lone "Old Testament" in medical toxicology, Goldfrank's now competes with at least four other comprehensive texts in what is becoming a crowded field. Ellenhorn's, now revised as Dart's Medical Toxicology, 3rd edition (Lippincott WilliamsandWilkins, 2004), Brent's Critical Care Toxicology: Diagnosis and Management of the Critically Poisoned Patient (Elsevier, 2005), Haddad's Clinical Management of Poisoning and Drug Overdose, 3rd edition (Elsevier, 1998), and Ford's Clinical Toxicology (Elsevier, 2002) all cover some common ground. Each has its own strengths in a few unique chapters or by an approach to decision making. However, the breadth of Goldfrank's new edition makes it worth purchasing for anyone who frequently, or even occasionally, treats toxicologic cases, even for those who own earlier editions. The editors and authors are to be commended for their compulsive revision, with attention to detail, every four years of this authoritative book.
Weighted Numerical Score: 93 - 4 Stars!
Review
"New to the eighth edition of this essential reference is an electronic component, consisting of an online site containing the chapters on dermatology, plants, mushrooms, marine envenomations, snakes, and arthropods along with a critical portion of the illustrations. (A study guide and workbook are also found online.) The 8th ed. contains expanded treatment of chemical and biological weapons and the addition of thirty new chapters, including those on risk assessment, risk communication, and on patient safety and poison prevention with regard to public health. Single chapters on metals and rodenticides have now been divided into multiple chapters on individual metals and chemicals. The central use of case studies is maintained throughout."--Sci-Tech Book News
About the Author
Neal E. Flomenbaum, MD, FACP, FACEP Emergency Physician-in-Chief, New York Presbyterian Hospital; Professor of Clinical Medicine, Weill Medical College, Cornell University; Consultant, New York City Poison Center, New York, New York.
Lewis R. Goldfrank, MD, FACEP, FAAEM, FAACT, FACMT, FACP Professor and Chair, Department of Emergency Medicine, New York University School of Medicine; Director, Emergency Medicine, Bellevue Hospital Center and New York University Medical Center; Medical Director, New York City Poison Center, New York, New York.
Robert S. Hoffman, MD, FAACT, FACMT Director, New York City Poison Center; Attending Physician, Department of Emergency Medicine, Bellevue Hospital Center and New York University Medical Center; Associate Professor, Emergency Medicine and Medicine (Clinical Pharmacology), New York University School of Medicine, New York, New York.
Mary Ann Howland, PharmD, DABAT, FAACT Clinical Professor of Pharmacy, St. Johns University College of Pharmacy; Consultant, Department of Emergency Medicine, Bellevue Hospital Center and New York University Medical Center; Senior Consultant in Residence, New York City Poison Center, New York, New York.
Neal A. Lewin, MD, FACP, FACEP, FACMT Director, Didactic Education, Attending Physician, Department of Emergency Medicine, Bellevue Hospital Center and New York University Medical Center; Clinical Associate Professor of Emergency Medicine and Medicine (Clinical Pharmacology), New York University School of Medicine; Consultant, New York City Poison Center, New York, New York.
Lewis S. Nelson, MD, FACEP, FACMT Director, Medical Toxicology Fellowship Program; Associate Director, New York City Poison Center; Attending Physician, Department of Emergency Medicine, Bellevue Hospital Center and New York University Medical Center; Assistant Professor of Emergency Medicine, New York University School of Medicine, New York, New York.
Table of Contents
General Approach to Medical Toxicology The Biochemical and Molecular Basis of Medical Toxicology The Pathophysiologic Basis of Medical Toxicology: The
Organ System Approach
The Clinical Basis of Medical Toxicology:
Case Studies in Toxicologic Emergencies
Analgesics and Nonprescription Medications
Prescription Medications
Psychopharmacologic Medications
Alcohols and Drugs of Abuse
Food Poisoning
Botanicals
Heavy Metals
Household Toxins
Pesticides
Occupational and Environmental Toxins
Toxic Envenomations
Special Population
Preventive, Psychosocial, Nursing, Epidemiologic, Research and Legal Perspectives
Index
Online Learning Center Contents
Study Guide
Case Studies from the Toxicology Consultation Service Answers
Color Plates (plants, mushrooms, spiders, snakes, marine life, dermatologic reactions)