Description
A skill training has quietly stopped teaching
Cardiac examination survives in most training programmes as ritual rather than as a decision tool. Trainees perform it, document it, and then wait for the echocardiogram — which is defensible in a well-resourced hospital and useless in the many settings where the echo is next week.
These 194 pages treat examination as something that changes decisions.
What it does differently
Each finding is presented with what it actually changes — how it shifts probability, what it makes safe to defer, and importantly where it is unreliable. That last part is largely absent from classical teaching, which presents signs as more discriminating than the evidence supports.
The fourteen chapters
History taken as a diagnostic instrument rather than a form. The arterial and venous pulse. Precordial palpation. Heart sounds and added sounds. Murmurs, with the manoeuvres that separate them and honest treatment of which are reproducible. Signs of failure. Signs of pulmonary hypertension. The cardiac examination in the acutely unwell patient, where time is short and most of the ritual should be abandoned.
Academy placement
Foundation reading across every track, and the volume most often recommended to members preparing for a clinical or viva examination — where examination technique is assessed directly and where trainees most often lose marks.
PDF, lifetime access, from CardiologyBooks.com.
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