Clinical Emergency Medicine / Edition 1

by Joseph W. Weber, Michael Schindlbeck, Rahul Patwari, Scott C. Sherman

Overview

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Ninety-eight of the chief complaints and disorders you're most likely to encounter in the ED!

A clear, concise guide for clinicians new to the Emergency Department

A Doody's Core Title for 2015!

Written by authors who are practicing emergency physicians and emergency medicine educators, Clinical Emergency Medicine distills the entire content of the emergency medicine curriculum into less than one hundred succinct, clinically relevant chapters. This unique book is intended to guide you through what you must know and be able to do during an actual shift and give you a better understanding of the issues and problems you will face while working in the Emergency Department.

Featuring a consistent, find-it-now design, Clinical Emergency Medicine delivers concise, must-know information on ninety-eight chief complaints and disorders, ranging from asthma and chest pain to fever and poisoning. Each chapter begins with Key Points, followed by an Introduction, Clinical Presentation (History and Physical Examination), Diagnostic Studies, Medical Decision Making, Treatment and Disposition, and Suggested Reading. Whenever possible, the authors provide practical advice on drug dosing, the medical decision-making thought process, treatment plans, and dispositions that will be of value in a clinical environment. Numerous diagnostic algorithms simplify the problem and point you towards a solution.

Valuable to medical students, physician assistants, nurse practitioners, and junior level residents, Clinical Emergency Medicine teaches you things that may not have been covered in medical or physician assistant school, but have an important bearing on patient outcomes.

Product Details

ISBN-13:	9780071794602
Publisher:	McGraw Hill LLC
Publication date:	01/03/2014
Pages:	464
Product dimensions:	9.10(w) x 7.30(h) x 0.60(d)

About the Author

Joseph Weber, Ph.D. (San Francisco, CA) has more than a decade of experience in digital video and its application to television services. He is currently Director of ProductManagement at personal video recorder (PVR) pioneer TiVo, Inc. Previously, as Director for Digital Video Platforms in the Strategic Assessment department for Cable Television Laboratories, Inc., Dr. Weber participated in the department’s analysis of new technologies and business models that affect the cable industry. His particular focus was on the next generation of digital video technology and the transition of cable services to digital technologies. Dr. Weber also served as a product marketing manager at C-Cube Microsystems and participated in the development of consumer MPEG-2 video encoding technology, including the first PVR devices.Dr. Weber received his Ph.D. in Electrical Engineering and Computer Science from the University of California at Berkeley. His thesis was on the measurement and use of visual motion, in particular as applied to robotics. He also holds a Master of Arts in Physics from Berkeley, an MBA from the University of Colorado at Boulder, and a Bachelor of Science in Physics from the University ofNotre Dame. After completing his Ph.D., he was a lecturer at the California Institute of Technology and then at Santa Clara University, where he taught classes on video compression, image processing, and computer vision.

Scott Sherman, MD;Joseph Weber, MD;Michael Schindlbeck, MD; andRahul Patwari, MD (Chicago, IL) are affiliated with theDepartment of Emergency Medicine,Rush Medical College,John J. Stroger/Cook Count Medical Center.

Table of Contents

Contributors viii

Preface xvi

Acknowledgments xvii

I Common Procedures

1 Incision and Drainage 1

2 Arterial Blood Gas 4

3 Central Venous Access 8

4 Procedural Sedation 13

5 Lumbar Puncture 16

6 Laceration Repair 20

7 Needle and Tube Thoracostomy 24

8 Introduction to Emergency Ultrasonography 27

II Resuscitation

9 Emergency Medical Services 30

10 Cardiopulmonary Arrest 33

11 Airway Management 37

12 Shock 42

III Cardiovascular Emergencies

13 Chest Pain 46

14 Acute Coronary Syndromes 50

15 Congestive Heart Failure 57

16 Dysrhythmias 63

17 Aortic Dissection 70

18 Hypertensive Emergencies 75

19 Syncope 80

IV Pulmonary Emergencies

20 Dyspnea 84

21 Asthma 89

22 Chronic Obstructive Pulmonary Disease 95

23 Pneumonia 100

24 Pneumothorax 105

25 Pulmonary Embolism 108

V Abdominal Emergencies

26 Acute Abdominal Pain 112

27 Appendicitis 118

28 Acute Cholecystitis 121

29 Abdominal Aortic Aneurysm 125

30 Gastrointestinal Bleeding 128

31 Intestinal Obstruction 131

32 Mesenteric Ischemia 135

VI Infectious Disease Emergencies

33 Fever 138

34 Sepsis 142

35 Meningitis and Encephalitis 147

36 Soft Tissue Infections 151

37 Human Immunodeficiency Virus 156

38 Blood and Body Fluid Exposure 162

VII Genitourinary Emergencies

39 Nephrolithiasis 166

40 Urinary Tract Infections 170

41 Testicular Torsion 174

42 Penile Disorders 177

VIII Obstetrics/Gynecologic Emergencies

43 Vaginal Bleeding 181

44 Vaginal Discharge 185

45 Preeclampsia and Eclampsia 189

46 Emergency Delivery 192

IX Pediatric Emergencies

47 The Pediatric Patient 196

48 Pediatric Fever 201

49 Respiratory Distress 206

50 Abdominal Pain 212

51 Dehydration 217

52 Otitis Media 221

53 Pharyngitis 225

X Toxicology

54 The Poisoned Patient 230

55 Toxic Alcohols 235

56 Acetaminophen Toxicity 239

57 Salicylate Toxicity 244

58 Carbon Monoxide Poisoning 247

59 Digoxin 251

60 Cyclic Antidepressants 255

XI Environmental Emergencies

61 Hypothermia 259

62 Cold-Induced Tissue Injuries 263

63 Heat-Related Illness 267

64 Drowning Incidents 270

65 Envenomation 274

XII Metabolic/Endocrine Emergencies

66 Diabetic Emergencies 280

67 Potassium Disorders 284

68 Thyroid Emergencies 288

69 Adrenal Emergencies 292

XIII Hematologic/Oncologic Emergencies

70 Oncologic Emergencies 295

71 Sickle Cell Emergencies 299

72 Transfusion Reactions 304

73 Anticoagulant Therapy and Its Complications 308

XIV HEENT Emergencies

74 Slit Lamp Examination 312

75 Red Eye 315

76 Acute Visual Loss 319

77 Epistaxis 324

78 Dental Emergencies 327

XV Neurologic Emergencies

79 Altered Mental Status 332

80 Headache 336

81 Dizziness 341

82 Cerebrovascular Accident 347

83 Seizures and Status Epilepticus 353

XVI Trauma

84 Trauma Principles 358

85 Head Injuries 363

86 Cervical Spine Injuries 368

87 Thoracic Trauma 374

88 Abdominal Trauma 381

89 Burns 387

XVII Orthopedic Emergencies

90 Upper Extremity Injuries 391

91 Lower Extremity Injuries 397

92 Low Back Pain 403

93 Compartment Syndromes 407

94 Septic Arthritis 410

95 Splinting 414

XVIII Dermatologic Emergencies

96 Life-Threatening Dermatoses 418

97 Allergic Reactions 423

XIX Psychiatric Emergencies

98 Approach to the Psychiatric Patient 426

Index 429

Editorial Reviews

Reviewer: Kelly Walton Barringer, MD (Regions Hospital)
Description: Using images and algorithms, this book provides practical information and teaches the decision-making process to those learning the basics of emergency medicine.
Purpose: The purpose is to create a broad review of topics covered by the emergency medicine clerkship curriculum for junior level learners in this field.
Audience: The book is written for medical students, physician assistants, nurse practitioners, and junior-level residents learning emergency medicine, and the level of the presentation is appropriate for this audience. The authors are educators in emergency medicine, including clerkship directors and assistant/associate residency directors.
Features: The book covers a broad variety of topics in emergency medicine, including procedures and resuscitation algorithms. The format, especially the inclusion of pertinent history, physical examination, and medical decision-making sections, is especially helpful for the intended audience. The algorithms are an innovative way to visually teach the key points and will be very helpful for novice learners. For example, the CVA section includes very helpful images (stroke syndromes, NIHSS) and a simple, easy-to-understand algorithm. The references include major studies in the field (NINDS trial). While the majority of the algorithms are well done, some are oversimplified or slightly outdated. For example, the blunt abdominal trauma algorithm does not mention serial exams and observation in the stable trauma patient. In the algorithm for pediatric patients with otitis media, the AAP recommends the "wait and see" principle for antibiotic administration for children older than 6 months with unilateral, mild AOM.
Assessment: This is a useful addition to the field of emergency medicine, especially for the intended readers. The approach, including the algorithms and the specific focus on the medical decision-making process, is different than other books aimed at students and junior residents.

Doody's Review Service