Rosen's Emergency Medicine: Concepts and Clinical Practice 2Vols

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For nearly 40 years, Rosen’s Emergency Medicine has provided emergency physicians, residents, physician assistants, and other emergency medicine practitioners with authoritative, accessible, and comprehensive information in this rapidly evolving field. The fully revised 10th Edition delivers practical, evidence-based knowledge and specific recommendations from clinical experts in a clear, precise format, with focused writing, current references, and extensive use of illustrations to provide definitive guidance for emergency conditions. With coverage ranging from airway management and critical care through diagnosis and treatment of virtually every emergency condition, from highly complex to simple and common, this award-winning, two-volume reference remains your #1 choice for reliable, up-to-date information across the entire spectrum of emergency medicine practice.

Table of Contents

• Instructions for online access
• Cover image
• Title page
• Table of Contents
• Copyright
• Acknowledgments
• Contributors
• Preface to the Tenth Edition
• Preface to the Ninth Edition
• How This Medical Textbook Should Be Viewed by the Practicing Clinician and Judicial System
• Volume I
• Fundamental Clinical Concepts
• Section One. Resuscitation and Analgesia
• 1. Airway
• Principles
• Management
• Outcomes
• 2. Mechanical Ventilation and Noninvasive Ventilatory Support
• Foundations
• Management
• Outcomes
• 3. Shock
• Foundations
• Management
• Outcomes
• 4. Brain Resuscitation
• Foundations
• Management
• Pharmacology
• Outcomes
• 5. Adult Resuscitation
• Foundations
• Management
• Pharmacology
• Devices and Techniques
• Outcomes
• 6. Pain Management
• Foundations
• Management
• Outcomes: Treatment Endpoints
• 7. Procedural Sedation and Analgesia
• Foundations
• Management
• Section Two. Signs, Symptoms, and Presentations
• 8. Fever in the Adult Patient
• Foundations
• Empirical Management
• Disposition
• 9. Weakness
• Foundations
• Diagnostic Approach
• Empiric Management
• Disposition
• 10. Cyanosis
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empiric Management
• Patient Disposition
• 11. Syncope
• Foundations
• Diagnostic Approach
• Diagnostic and Management Algorithm
• Risk-Stratification
• Empiric Management
• 12. Depressed Consciousness and Coma
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empirical Management
• 13. Confusion
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empirical Management
• 14. Seizures
• Foundations
• Diagnostic Approach
• Ancillary Testing
• Diagnostic Algorithm
• Empiric Management
• 15. Dizziness and Vertigo
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empirical Management
• Disposition
• 16. Headache
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empirical Management
• 17. Diplopia
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empirical Management
• 18. Red and Painful Eye
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empiric Management
• 19. Sore Throat
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empiric Management
• 20. Hemoptysis
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empirical Management
• 21. Dyspnea
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• 22. Chest Pain
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empirical Management
• 23. Abdominal Pain
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empiric Management
• 24. Jaundice
• Epidemiology
• Pathophysiology
• 25. Nausea and Vomiting
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empirical Management
• Disposition
• 26. Gastrointestinal Bleeding
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Management
• 27. Diarrhea
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empiric Management
• Disposition
• 28. Constipation
• Foundations
• Diagnostic Approach
• Empirical Management
• 29. Acute Pelvic Pain
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empirical Management
• 30. Vaginal Bleeding
• Foundations
• Diagnostic Approach
• Diagnostic Algorithm
• Empiric Management
• Disposition
• 31. Back Pain
• Foundations
• Diagnostic Approach
• Ancillary Testing
• Diagnostic and Management Algorithms
• Empiric Management
• Disposition
• Trauma
• Section One. General Concepts and System Injuries
• 32. Multiple Trauma
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 33. Head Trauma
• Foundations
• Moderate and Severe Traumatic Brain Injury
• Mild Traumatic Brain Injury (Also Known as Concussion)
• 34. Facial Trauma
• Foundations
• Differential Diagnoses Based on Anatomic Sites
• Diagnostic Testing
• Management
• Disposition
• 35. Spinal Trauma
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 36. Neck Trauma
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 37. Thoracic Trauma
• Chest Wall Injury
• Pulmonary Injuries
• Tracheobronchial Injury
• Diaphragmatic Injury
• Cardiovascular Trauma
• 38. Abdominal Trauma
• Foundations
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 39. Genitourinary Trauma
• Foundations
• 40. Peripheral Vascular Trauma
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• Section Two. Orthopedic Injuries
• 41. General Principles of Orthopedic Injuries
• Overall Foundations
• Fractures
• Subluxation and Dislocations
• Soft Tissue Injuries
• Strains
• 42. Hand Injuries
• Foundations: a General Approach to Hand Injuries
• Specific Hand Injuries
• Infectious Disorders of the Hand
• 43. Wrist and Forearm Injuries
• Wrist
• Forearm
• 44. Humerus and Elbow Injuries
• Foundations
• General Clinical Features
• General Differential Diagnoses
• General Diagnostic Testing
• General Management
• General Disposition
• Acknowledgments
• 45. Shoulder Injuries
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Specific Injuries
• 46. Pelvic Injuries
• Foundations
• Clinical Features
• Deep Venous Thrombosis
• Differential Diagnosis
• Diagnostic Testing
• Management
• Disposition
• 47. Femur and Hip Injuries
• General Information
• Clinical Features of Hip and Femur Pathology
• Differential Diagnoses
• Diagnostic Testing
• Management
• 48. Knee and Lower Leg Injuries
• Knee Injuries—Foundations
• Knee Injuries—Clinical Features
• Knee Injuries—Differential Diagnoses
• Knee Injuries—Examination Maneuvers
• Knee Injuries—Diagnostic Testing
• Specific Knee Injuries
• Overuse Syndromes
• ARTHRITIS
• Baker Cyst
• Leg
• Specific Leg Injuries
• 49. Ankle and Foot Injuries
• Ankle
• Ankle Fractures and Dislocations
• Foot
• Specific Pathologic Conditions
• Special Considerations
• Section Three. Soft Tissue Injuries
• 50. Wound Management Principles
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 51. Foreign Bodies
• Foundations
• Specific Disorders
• 52. Mammalian Bites
• Foundations
• Dog Bites
• Cat Bites
• Other Mammals
• Uncommon Animal Bites
• Domestic Herbivores
• Wild Animals
• 53. Venomous Animal Injuries
• Foundations
• Venomous Reptiles
• Management
• Disposition
• Venomous Arthropods
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• Venomous Marine Animals
• Differential Diagnoses
• 54. Thermal Injuries
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 55. Chemical Injuries
• General Approach to a Hazmat Event
• Clinical Features and Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• Ocular Injuries
• Specific Toxins
• Emergency Medicine by System
• Section One. Head and Neck
• 56. Oral Medicine
• Introduction
• Disorders of the Tooth
• Disorders of the Gingiva and Periodontium
• Disorders Involing Dental Procedures
• Odontogenic and Deep Neck Infections
• Dentoalveolar Trauma
• Temporomandibular Joint Disorder and Dislocation
• 57. Ophthalmology
• Overview
• Traumatic Conditions
• Inflammatory Conditions
• Infectious Conditions
• Acute Angle-Closure Glaucoma
• Primary Disorders of Vision
• Diplopia
• Anisocoria
• Nystagmus
• 58. Otolaryngology
• Otitis Media
• Otitis Externa
• Necrotizing (Malignant) External Otitis
• Mastoiditis
• Sudden Hearing Loss
• Epistaxis
• Sialolithiasis
• Neck Masses
• Section Two. Pulmonary System
• 59. Asthma
• Foundations
• Clinical Features
• Differential Diagnoses
• Management
• Special Situations
• Disposition
• 60. Chronic Obstructive Pulmonary Disease
• Foundations
• 61. Upper Respiratory Tract Infections
• Pharyngitis
• Laryngitis
• Epiglottitis
• Peritonsillitis: Peritonsillar Cellulitis and Abscess
• Ludwig Angina
• Retropharyngeal Abscess
• Parapharyngeal Abscess
• Rhinosinusitis
• 62. Pneumonia
• Principles
• Management
• Disposition
• 63. Pleural Disease
• Introduction
• Spontaneous Pneumothorax
• Pleural Effusion
• Section Three. Cardiac System
• 64. Acute Coronary Syndromes
• Foundations
• Epidemiology
• Pathophysiology
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 65. Dysrhythmias
• Foundations
• Classification of Antidysrhythmic Drugs
• Management
• Disposition
• 66. Implantable Cardiac Devices
• Permanent Pacemakers
• Implantable Cardioverter-Defibrillators
• Mechanical Circulatory Support Devices
• 67. Heart Failure
• Foundations
• Clinical Features
• Differential Diagnosis
• Diagnostic Testing
• Management
• Disposition
• 68. Pericardial and Myocardial Disease
• Myocardial Disease
• Pericardial Disease
• 69. Infective Endocarditis and Valvular Heart Disease
• Infective Endocarditis
• Rheumatic Fever
• Valvular Heart Disease
• Aortic Stenosis
• Aortic Regurgitation
• Section Four. Vascular System
• 70. Hypertension
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• 71. Aortic Dissection
• Foundations
• Clinical Features
• Differential Diagnosis
• Diagnostic Testing
• Management
• Disposition
• 72. Abdominal Aortic Aneurysm
• Principles
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Late Complications of Repair
• Disposition
• 73. Peripheral Arteriovascular Disease
• Foundations
• Background
• Clinical Features
• Differential Diagnosis
• Diagnostic Testing
• Management
• Specific Arteriovascular Diseases
• 74. Pulmonary Embolism and Deep Vein Thrombosis
• Foundations
• Deep Vein Thrombosis
• Pulmonary Embolism
• Disposition
• 75. Esophagus, Stomach, and Duodenum
• Dysphagia
• Foreign Bodies
• Esophageal Perforation
• Esophagitis
• Gastritis and Peptic Ulcer Disease
• Gastric Volvulus
• 76. Liver and Biliary Tract Disorders
• Hepatic Disorders
• Hepatitis
• Cirrhosis
• Hepatic Encephalopathy
• Spontaneous Bacterial Peritonitis
• Hepatic Abscesses
• Miscellaneous Disorders and Conditions of the Liver
• Biliary Tract Disorders
• Cholecystitis
• Cholangitis
• Sclerosing Cholangitis
• Aids Cholangiopathy
• Section Five. Gastrointestinal System
• 77. Pancreas
• Pancreatitis
• Pancreatic Cancer
• 78. Small Intestine
• Small Bowel Obstruction
• Acute Mesenteric Ischemia
• 79. Acute Appendicitis
• Principles
• Clinical Features
• Differential Diagnosis
• Diagnostic Testing
• Management
• Disposition
• 80. Gastroenteritis
• Overview
• Clinical Features
• Bacterial Gastroenteritis
• Invasive Bacteria
• Noninvasive Toxin-Forming Bacteria
• Viral Gastroenteritis
• Parasites
• Food Poisoning
• Specific Groups With Gastroenteritis
• Gastroenteritis in the Immunocompromised Host With HIV/AIDS
• 81. Large Intestine
• Irritable Bowel Syndrome
• Diverticular Disease
• Large Bowel Obstruction
• Volvulus
• Intussusception
• Inflammatory Bowel Disease
• Colonic Ischemia
• Stercoral Colitis
• Radiation Proctocolitis
• Neutropenic Enterocolitis
• 82. Anorectum
• Foundations
• Clinical Features
• Specific Anorectal Problems
• Volume II
• Section Six. Genitourinary and Gynecologic Systems
• 83. Renal Failure
• Renal Failure
• 84. Sexually Transmitted Infections
• Foundations
• Disorders Characterized by Genital Ulcers
• Disorders Characterized by Genital Discharge
• Epithelial Cell Infections
• Ectoparasites
• 85. Urologic Disorders
• Urinary Tract Infection in Adults
• Complicated Urinary Tract Infection in High-Risk Populations
• Prostatitis
• Renal Calculi
• Bladder (Vesical) Calculus
• Acute Scrotal Pain
• Specific Disorders
• Torsion of Appendages of the Testis
• Epididymitis
• Orchitis
• Testicular Tumors
• Testicular Trauma
• Inguinal Hernia, Acute Hydrocele, Varicocele, and Spermatocele
• Acute Urinary Retention
• Hematuria
• 86. Gynecologic Disorders
• Gynecologic Disorders
• Adnexal Torsion
• Ovarian Cysts and Masses
• Abnormal Uterine Bleeding in the Nonpregnant Patient
• Emergency Contraception
• Section Seven. Neurology
• 87. Stroke
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Transient Ischemic Attack
• Disposition
• 88. Seizure
• Foundations
• Clinical Features
• Differential Diagnosis
• Diagnostic Testing
• Management
• Special Cases
• Disposition
• 89. Headache Disorders
• Primary Headache Disorders
• Secondary Headache Disorders
• 90. Delirium and Dementia
• Overview
• Delirium
• Dementia
• 91. Brain and Cranial Nerve Disorders
• Multiple Sclerosis
• Cerebral Venous Thrombosis
• Cranial Nerve Disorders
• 92. Spinal Cord Disorders
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Specific Disease Processes
• Chronic Complications Of Spinal Cord Injury
• 93. Peripheral Nerve Disorders
• Overview
• Specific Types of Neuropathies
• 94. Neuromuscular Disorders
• Foundations
• Clinical Features
• Differential Diagnosis
• Diagnostic Testing
• Disorders of the Neuromuscular Junction
• Disorders of the Muscles
• 95. Central Nervous System Infections
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• Section Eight. Behavioral Disorders
• 96. Thought Disorders
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 97. Mood Disorders
• Foundations
• Epidemiology
• Pathophysiology
• Clinical Features
• Differential Diagnoses
• Management
• Disposition
• 98. Anxiety Disorders
• Foundations
• Clinical Features
• Differential Diagnosis
• Diagnostic Testing
• Management
• Disposition
• 99. Somatic Symptoms and Related Disorders
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 100. Factitious Disorders and Malingering
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 101. Suicidal Behavior
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• Additional Ethical Considerations
• Section Nine. Immunologic and Inflammatory
• 102. Arthritis
• General Approach to Arthritis
• Acute Monoarticular Joint Pain
• Chronic Monoarticular Arthritis
• Acute Polyarticular Joint Pain
• Chronic Polyarthritis
• 103. Tendinopathy and Bursitis
• Tendinopathy
• Bursitis
• 104. Musculoskeletal Back Pain
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 105. Systemic Lupus Erythematosus and the Vasculitides
• Systemic Lupus Erythematosus
• Vasculitis
• 106. Allergy, Anaphylaxis, and Angioedema
• Allergy
• Anaphylaxis
• Urticaria and Angioedema
• 107. Dermatologic Presentations
• Overview
• Infectious Disorders
• Allergic Reactions
• Drug Reactions
• Inflammatory Conditions
• Autoimmune Disorders
• Cutaneous Malignancies
• Skin Conditions Associated with Systemic Disease
• Section Ten. Hematology and Oncology
• 108. Blood and Blood Components
• Foundations
• Management
• Outcomes
• 109. Anemia and Polycythemia
• Anemia
• Anemias Due To Decreased Red Blood Cell Production
• Polycythemia
• 110. White Blood Cell Disorders
• Foundations
• Specific Disorders
• 111. Disorders of Hemostasis
• Foundations
• Clinical Features
• Differential Diagnosis
• Diagnostic Testing
• Management
• Disposition
• 112. Oncologic Emergencies
• Foundations
• Febrile Neutropenia
• Metastatic Spinal Cord Compression
• Malignant Pericardial Disease
• Hypercalcemia
• Foundations
• Tumor Lysis Syndrome
• Leukostasis
• Superior Vena Cava Syndrome
• Monoclonal Antibody Therapies and Complications
• T-Lymphocyte Checkpoint Inhibitor Therapies and Complications
• Adoptive Cell Transfer Therapies and Complications
• Section Eleven. Metabolism and Endocrinology
• 113. Acid-Base Disorders
• Foundations
• Clinical Features
• Differential Diagnosis and Diagnostic Testing
• Management
• Disposition
• 114. Electrolyte Disorders
• Hyperkalemia
• Hypokalemia
• Hypernatremia
• Hyponatremia
• Hypercalcemia
• Hypocalcemia
• Hypermagnesemia
• Hypomagnesemia
• Hyperphosphatemia
• Hypophosphatemia
• 115. Diabetes Mellitus and Disorders of Glucose Homeostasis
• Diabetes Mellitus
• Late Complications of Diabetes
• Diabetic Ketoacidosis
• Hyperglycemic Hyperosmolar State
• Diabetes in Pregnancy
• Hypoglycemia
• 116. Rhabdomyolysis
• Foundations
• Clinical Features
• Differential Diagnosis
• Diagnostic Testing
• Management
• Disposition
• 117. Thyroid and Adrenal Disorders
• Hyperthyroidism
• Hypothyroidism
• Adrenal Excess States
• Adrenal Insufficiency
• Section Twelve. Infectious Diseases
• 118. Bacteria
• Diphtheria
• Pertussis
• Tetanus
• Botulism
• Pneumococcemia
• Meningococcemia
• Toxic Shock Syndrome
• 119. Viruses
• Foundations
• Vaccine-Preventable Infections of Childhood
• Viral Infections with Vesicular Rash
• Viral Infections Causing Nonspecific Febrile Illness
• Viruses Associated with Respiratory Infections
• Viruses Associated with Diarrheal Illness
• Viral Infections with Neurologic Manifestations
• Other Arboviral Infections
• Viral Hemorrhagic Fevers
• 120. Coronaviruses
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 121. HIV
• Foundations
• Clinical Features
• Differential Diagnoses
• Management
• Disposition
• 122. Parasites
• Foundations
• Malaria
• Babesiosis
• Schistosomiasis and Katayama Fever
• Cysticercosis
• African Trypanosomiasis
• Toxoplasmosis
• Eosinophilic Meningitis
• Parasites Associated with Fever
• Whipworm And Hookworm
• Tapeworm
• Parasites Associated with Cutaneous Manifestations
• Parasites Associated with Ocular Manifestations
• Parasites Associated with Pulmonary Manifestations
• Parasitic Diseases With Cardiovascular Manifestations
• Parasitic Diseases With Gastrointestinal Manifestations
• Parasitic Coinfections in Patients with Hiv Infection And Aids
• 123. Tickborne Illnesses
• Overview
• Lyme Disease
• Southern Tick-Associated Rash Illness
• Relapsing Fever
• Tularemia
• Rocky Mountain Spotted Fever
• Q Fever
• Ehrlichioses
• Babesiosis
• Colorado Tick Fever
• Other Tickborne Viruses
• Tick Paralysis
• Tick Bite Prophylaxis With Insect Repellents
• 124. Tuberculosis
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• Prevention of Transmission in the Emergency Department
• 125. Bone and Joint Infections
• Foundations
• Osteomyelitis
• Septic Arthritis
• 126. Skin and Soft Tissue Infections
• Foundations
• Clinical Features
• Cellulitis
• Abscess
• Impetigo
• Folliculitis
• Acne Vulgaris and Hidradenitis Suppurativa (ACNE INVERSA)
• Necrotizing Skin and Soft Tissue Infections
• Toxic Shock Syndromes
• Other Infections With Skin Manifestations
• 127. Sepsis Syndrome
• Foundations
• Clinical Features
• Diagnostic Considerations
• Management
• Disposition
• Environment and Toxicology
• Section One. Environment
• 128. Hypothermia, Frostbite, and Nonfreezing Cold Injuries
• Accidental Hypothermia
• Frostbite and Nonfreezing Cold Injuries
• Frostbite
• Nonfreezing Cold Injuries
• 129. Heat Illness
• Foundations
• Minor Heat Illnesses
• Major Heat Illnesses
• 130. Electrical and Lightning Injuries
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 131. Scuba Diving and Dysbarism
• Foundations
• Clinical Features
• Differential Diagnoses
• Management
• Disposition
• 132. High-Altitude Medicine
• Foundations
• Acute Mountain Sickness
• High-Altitude Pulmonary Edema
• High-Altitude Cerebral Edema
• Special Considerations
• Altitude and Underlying Medical Conditions
• 133. Drowning
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 134. Radiation Injuries
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• Additional Resources
• Section Two. Toxicology
• 135. Care of the Poisoned Patient
• Principles Of Toxicity
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Syrup Of Ipecac
• Gastric Lavage
• Single-Dose Activated Charcoal
• Whole Bowel Irrigation
• Multiple-Dose Activated Charcoal
• Serum Alkalinization
• Intravenous Fat Emulsion (Intralipid)
• Disposition
• 136. Toxic Alcohols
• Methanol
• Ethylene Glycol
• Isopropyl Alcohol
• Other Alcohols of Clinical Significance
• 137. Alcohol-Related Disease
• Foundations
• Clinical Features
• Differential Diagnosis
• Diagnostic Testing
• Management
• Disposition
• 138. Acetaminophen
• Foundations
• Clinical Features
• Diagnostic Testing
• Management
• Disposition
• 139. Aspirin and Nonsteroidal Agents
• Aspirin
• Nonsteroidal Agents
• 140. Anticholinergics
• Principles of Toxicology
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 141. Antidepressants
• Principles Of Toxicity
• Monoamine Oxidase Inhibitors
• Tricyclic Antidepressants
• Selective Serotonin Reuptake Inhibitors
• Serotonin-Norepinephrine Reuptake Inhibitors And Norepinephrine Reuptake Inhibitors
• Serotonin Modulators And Stimulators
• Miscellaneous Antidepressants
• Serotonin Syndrome
• Discontinuation Syndromes
• 142. Cardiovascular Drugs
• Cardioactive Steroids (Digoxin)
• Beta-Blockers
• Calcium Channel Blockers
• Clonidine and Other Central Alpha-2 Agonists
• Nitrates, Nitrites, and Methemoglobinemia
• 143. Caustics
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• Special Cases
• 144. Cocaine and Other Sympathomimetics
• Foundations
• Differential Diagnoses
• Diagnostic Testing
• Management
• Special Topics
• Disposition
• 145. THC and Hallucinogens
• Serotonergic Agents
• Dissociative Agents
• Cannabis and Synthetic Cannabinoids
• 146. Iron and Heavy Metals
• Iron
• Lead
• Arsenic
• Mercury
• 147. Hydrocarbons
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 148. Inhaled Toxins
• Simple Asphyxiants
• Pulmonary Irritants
• Smoke Inhalation
• Cyanide and Hydrogen Sulfide
• Carbon Monoxide
• 149. Lithium
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 150. Antipsychotics
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• 151. Opioids
• Principles of Toxicity
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Disposition
• Withdrawal
• 152. Pesticides
• Organophosphate Insecticides
• Substituted Phenols
• Chlorophenoxy Herbicides
• Bipyridyl Herbicides
• Pyrethrin and Pyrethroid Insecticides
• Glyphosate
• DEET
• Rodenticides
• 153. Plants, Herbal Medications, and Mushrooms
• Plants
• Mushrooms
• Herbal Medications
• 154. Sedative-Hypnotics
• Foundations
• Benzodiazepines
• Management
• Barbiturates
• Management
• Individual Medications
• Over-The-Counter Sleep Aids
• Gamma-Hydroxybutyrate
• Special Populations
• Section One. The Pediatric Patient
• 155. Care of the Pediatric Patient
• Foundations
• Evaluation
• Specific Disorders
• Other Considerations
• 156. Pediatric Airway Management
• Foundations
• Anatomy
• Physiology
• Equipment
• Management
• Devices and Techniques
• Outcomes
• 157. Pediatric Sedation and Analgesia
• Sedation
• Pain Management
• 158. Pediatric Resuscitation
• Cardiac Arrest
• Septic Shock in the Pediatric Patient
• 159. Neonatal Resuscitation
• Foundations
• Transition From Fetal to Extrauterine Life
• Specific Issues
• Meconium-Stained Amniotic Fluid
• Special Anatomic Anomalies
• Disposition
• Outcomes
• 160. Pediatric Trauma
• Foundations
• Clinical Features
• Diagnostic Testing
• Disposition
• Specific Injuries
• Musculoskeletal Injuries
• 161. Pediatric Fever
• Foundations
• Specific Disorders
• 162. Pediatric Upper Airway Obstruction and Infections
• Foundations
• Clinical Features
• 163. Pediatric Lower Airway Obstruction
• Asthma
• Bronchiolitis
• 164. Pediatric Lung Disease
• Specific Disorders
• 165. Pediatric Cardiac Disorders
• Foundations
• Clinical Features
• Diagnostic Testing
• Specific Disorders
• 166. Pediatric Gastrointestinal Disorders
• Foundations
• Specific Disorders
• 167. Pediatric Infectious Diarrheal Disease and Dehydration
• Diarrhea
• Dehydration
• 168. Pediatric Genitourinary and Renal Tract Disorders
• Foundations
• Specific Disorders
• 169. Pediatric Neurologic Disorders
• Seizures
• Altered Mental Status
• Headaches
• Pediatric Ataxia
• Pediatric Vertigo
• Motor Dysfunction
• Stroke
• Disorders of the Spinal Cord
• Guillain-Barré Syndrome
• Infant Botulism
• Myasthenia Gravis
• 170. Pediatric Musculoskeletal Disorders
• Foundations
• Specific Disorders
• 171. Pediatric Drug Therapy
• Foundations
• Pharmacokinetic Considerations In Children
• Other Considerations
• 172. Child Abuse
• Physical Abuse
• Sexual Abuse
• Section Two. The Pregnant Patient
• 173. Complications of Pregnancy
• Problems in Early Pregnancy
• Complications of Late Pregnancy
• Medical and Surgical Problems in the Pregnant Patient
• 174. Medical Emergencies During Pregnancy
• Foundations
• Asthma
• Cardiovascular Disorders
• Hematologic Disorders
• Neurologic Disorders
• Renal Disorders
• Metabolic and Endocrine Disorders
• Obesity
• Thyroid Disorders
• Systemic Infections
• Inflammatory Disorders
• Psychiatric Disorders
• 175. Drug Therapy in Pregnancy
• Foundations
• Pharmacologic Therapy
• 176. Labor and Delivery
• Foundations
• Normal Delivery
• Third-Trimester Complications Associated With Delivery
• Complicated Delivery
• Multiple Gestations
• Umbilical Cord-Related Emergencies
• Maternal Complications Of Labor And Delivery
• Postpartum Problems
• 177. Trauma in Pregnancy
• Foundations
• Specific Disorders
• Diagnostic Testing
• Special Procedures
• Management
• Disposition
• Section Three. The Geriatric Patient
• 178. Care of the Geriatric Patient
• Foundations
• Specific Issues and Disorders
• 179. Geriatric Trauma
• Foundations
• Specific Issues
• Common Injuries in Older Adults
• Disposition, End-of-Life Considerations, and Recovery
• 180. Geriatric Drug Therapy
• Foundations
• Specific Disorders
• 181. Geriatric Abuse and Neglect
• Foundations
• Clinical Features
• Diagnostic Testing
• Management
• Specific Issues
• Section Four. Special Clinical Circumstances
• 182. The Immunocompromised Patient
• Foundations
• Physiology
• Specific Disorders
• Immunosuppressive Therapy
• 183. The Solid Organ Transplant Patient
• Introduction
• Organ-Specific Considerations
• Other Considerations
• Disposition
• 184. The Morbidly Obese Patient
• Foundations
• Pathophysiology
• Trauma Considerations
• Bariatric Surgery
• Procedural Difficulties
• 185. The Combative and Difficult Patient
• The Combative Patient
• The Difficult Patient
• Section Five. Underserved Populations
• 186. Multiculturalism, Diversity, and Care Delivery
• Foundations
• Rationale For Cultural Competence
• Specific Issues
• Cultural Competence
• Recommendations
• 187. Human Trafficking
• Foundations
• Epidemiology
• Impact On Health
• Specific Issues
• Disposition
• Special Considerations
• 188. Sexual Minority Populations (LGBTQ)
• Foundations
• Specific Issues
• 189. Social Determinants
• Foundations
• Specific Issues
• Management
• 190. Community Violence
• Foundations
• Specific Issues
• Physical Trauma From Violent Injury and the Role of Hospitals, Emergency Departments, and Trauma Centers
• 191. Sexual Assault
• Foundations
• Clinical Features
• Differential Diagnoses
• Diagnostic Testing
• Management
• Special Populations
• Disposition
• Testifying in Court
• 192. Intimate Partner Violence and Abuse
• Foundations
• Clinical Features
• Specific Issues
• Diagnostic Testing
• Management
• Disposition
• Section Six. Public Health and Humanitarian Emergencies
• e1. Global Emergency Medicine
• Foundations
• Specific Issues
• e2. Humanitarian Aid in Disaster and Conflict
• Foundations
• Specific Issues
• Conclusion
• Section Seven. The Practice of Emergency Medicine
• e3. Emergency Ultrasound
• Foundations
• Specific Issues
• e4. The Geriatric Emergency Department
• Principles
• Specific Disorders/Issues
• Conclusion
• e5. End of Life
• Foundations
• Core Aspects of Palliative Care in the Emergency Department
• e6. Bioethics
• Foundations
• Specific Issues
• Fundamental Bioethical Principles
• Medical And Moral Imperatives In Emergency Medicine
• Codifying Professional Values: Ethical Oaths And Codes
• Applying Bioethics
• Medical Imperatives And Bioethical Dilemmas
• Rapid Ethical Decision-Making Model
• Advance Directives
• Consent, Decision-Making Capacity, And Surrogate Decision Makers
• Resuscitation Ethics
• Public Policy And Bioethics
• e7. Emergency Medical Treatment and Labor Act and Medicolegal Issues
• Principles
• Specific Issues—Emergency Medical Treatment And Labor Act
• Consent For Medical Care
• Refusal Of Medical Care
• Reporting Requirements
• e8. Quality Improvement and Patient Safety
• Principles
• Sources of Failure in Emergency Care
• Problem Areas in Emergency Care
• Summary
• e9. Patient Experience in the Emergency Department
• Foundations
• Specific Issues
• Summary
• e10. Wellness, Stress, and the Impaired Physician
• Foundations
• Wellness Strategies
• e11. Forensic Emergency Medicine
• Perspective
• Forensic Aspects of Gunshot Wounds
• Forensic Aspects of Physical Assault
• Forensic Aspects of Motor Vehicle Trauma
• Interfacing with the Law
• Section Eight. Emergency Medical Services and Disaster Preparedness
• e12. Emergency Medical Services: Overview and Ground Transport
• Foundations
• Oversight
• Medical Care And Controversies In Management
• Interfacility And Specialized Transports
• Acknowledgments
• e13. Air Medical Transport
• Foundations
• Specific Issues in Air Medical Transport
• Specific Disorders
• Lives Saved, Efficacy, and Cost-Effectiveness
• Future of Air Medical Transport
• e14. Disaster Preparedness
• Foundations
• Specific Issues In Disaster Management
• Future Directions
• e15. Weapons of Mass Destruction
• Foundations
• Specific Disorders
• e16. Tactical Emergency Medical Support and Urban Search and Rescue
• Principles
• Special Issues
• Urban Search And Rescue
• Index