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Table of Contents


	VOLUME 1
PART I	FUNDAMENTAL CLINICAL CONCEPTS	1
SECTION ONE	CRITICAL MANAGEMENT PRINCIPLES	3
Chapter 1	Airway Ron M. Walls	3
Chapter 2	Mechanical Ventilation and Noninvasive Ventilatory Support Megan L. Anderson and John G. Younger	23
Chapter 3	Monitoring the Emergency Patient Michael F. Murphy and Baruch Krauss	29
Chapter 4	Shock Alan E. Jones and Jeffrey A. Kline	34
Chapter 5	Blood and Blood Components Matt Emery	42
Chapter 6	Brain Resuscitation Robert Silbergleit	47
Chapter 7	Adult Resuscitation Kevin R. Ward and Robert W. Neumar	53
Chapter 8	Pediatric Resuscitation Marc D. Berg, Vinay M. Nadkarni, Marianne Gausche-Hiil, Amy H. Kaji and Robert A. Berg	64
Chapter 9	Neonatal Resuscitation Suzan S. Mazor and Eileen J. Klein	77
SECTION TWO	CARDINAL PRESENTATIONS	83
Chapter 10	Fever in the Adult Patient Frederick C. Blum	83
Chapter 11	Weakness Eve D. Losman	87
Chapter 12	Dizziness and Vertigo Jonathan S. Olshaker	93
Chapter 13	Confusion J. Stephen Huff	101
Chapter 14	Depressed Consciousness and Coma Jeremy L. Cooke	106
Chapter 15	Seizures Ana M. Davitt and Charles V. Pollack, Jr.	113
Chapter 16	Headache Christopher S. Russi	118
Chapter 17	Dyspnea Sabina Braithwaite and Debra Perina	124
Chapter 18	Chest Pain James E. Brown and Glenn C. Hamilton	132
Chapter 19	Syncope Robert A. De Lorenzo	142
Chapter 20	Nausea and Vomiting Leslie S. Zun and Amardeep Singh	149
Chapter 21	Abdominal Pain Rimon N. Bengiamin, Gavin R. Budhram, Kelly E. King and John M. Wightman	159
Chapter 22	Gastrointestinal Bleeding Philip L. Henneman	170
Chapter 23	Diarrhea Robert E. Collier, John E. Gough and Philip A. Clement	176
Chapter 24	Constipation Jan M. Shoenberger	182
Chapter 25	Jaundice Matthew A. Wheatley and Katherine L. Heilpern	187
Chapter 26	Acute Pelvic Pain in Women Ari Lipsky	193
Chapter 27	Vaginal Bleeding Hilarie Cranmer and Mark Foran	199
Chapter 28	Back Pain Brian D. Mahoney, Kevin G. Rodgers and James B. Jones	204
Chapter 29	Cyanosis Madonna Fern�ndez-Frackelton and Jennifer Bocock	211
Chapter 30	Sore Throat Amy V. Kontrick, Jonathan I. Singer and Mark E. Gebhart	217
Chapter 31	Hemoptysis Calvin A. Brown III	223
Chapter 32	Red and Painful Eye Joshua L. Wright and John M. Wightman	226
PART II	TRAUMA	241
SECTION ONE	GENERAL CONCEPTS	243
Chapter 33	Multiple Trauma Eric Gross and Marc Martel	243
Chapter 34	Trauma in Pregnancy Kriti Bhatia and Hilarie Cranmer	252
Chapter 35	Pediatric Trauma Randolph J. Cordle and Richard M. Cantor	262
Chapter 36	Geriatric Trauma Diane M. Birnbaumer	281
Chapter 37	Injury Prevention and Control Stephen W. Hargarten and E. Brooke Lerner	286
SECTION TWO	SYSTEM INJURIES	295
Chapter 38	Head Injury Michelle H. Biros and William G. Heegaard	295
Chapter 39	Facial Trauma Mary Pat McKay and Ryanne J. Mayersak	323
Chapter 40	Spinal Injuries Roberts Hockberger, Amy H. Kaji and Edward J. Newton	337
Chapter 41	Neck Kim Newton	377
Chapter 42	Thoracic Trauma Marc Eckstein and Sean O. Henderson	387
Chapter 43	Abdominal Trauma Jennifer L. Isenhour and John A. Marx	414
Chapter 44	Genitourinary System Michael S. Runyon	435
Chapter 45	Peripheral Vascular Injury EdwQrd J. Newton and Sanjay Arora	456
SECTION THREE	ORTHOPEDIC LESIONS	467
Chapter 46	General Principles of Orthopedic Injuries Joel M. Geiderman and Dan Katz	467
Chapter 47	Hand Everett T. Lyn and Thomas Mailhot	489
Chapter 48	Wrist and Forearm Karen G.H. Woolfrey, Michael R. Woolfrey and Mary A. Eisenhauer	525
Chapter 49	Humerus and Elbow Joel M. Geiderman and Sam S. Torbati	545
Chapter 50	Shoulder Mohamud Daya and Yoko Nakamura	567
Chapter 51	Musculoskeletal Back Pain Michelle Lin	591
Chapter 52	Pelvic Trauma Stephen B. Choi and A. Adam Cwinn	604
Chapter 53	Femur and Hip James F. Fiechtl and Robert W. Fitch	619
Chapter 54	Knee and Lower Leg Daniel J. Pallin and Everett T. Lyn	645
Chapter 55	Ankle and Foot Riyad B. Abu-Laban and Kendall Ho	670
SECTION FOUR	SOFT TISSUE INJURIES	698
Chapter 56	Wound Management Principles Barry Simon and H. Gene Hern, Jr.	698
Chapter 57	Foreign Bodies Stephen H. Thomas and Benjamin A. White	715
Chapter 58	Mammalian Bites Ellen J. Weber and Hugh H. West	733
Chapter 59	Venomous Animal Injuries Edward J. Often	743
Chapter 60	Thermal Burns Adam J. Singer, Breena R. Taira, Christopher C. Lee and Harry S. Soroff	758
Chapter 61	Chemical Injuries Michael Levine and Richard Zone	767
SECTION FIVE	VIOLENCE AND ABUSE	778
Chapter 62	Forensic Emergency Medicine William Spafford Smock	778
Chapter 63	Child Maltreatment Carol D. Berkowitz and Sara T. Stewart	792
Chapter 64	Sexual Assault Laura Slaughter	800
Chapter 65	Intimate Partner Violence Deirdre Anglin and Connie Mitchell	815
Chapter 66	Elder Abuse and Neglect Deirdre Anglin and Diana C. Schneider	830
Chapter 67	Youth, Street Gangs, and Violence H. Range Hutson and Jared Strote	838
PART III	MEDICINE AND SURGERY	843
SECTION ONE	HEAD AND NECK DISORDERS	845
Chapter 68	Oral Medicine James T. Amsterdam	845
Chapter 69	Ophthalmology Rahul Sharma and Douglas D. Brunette	859
Chapter 70	Otolaryngology James A. Pfaff and Gregory P. Moore	877
SECTION TWO	PULMONARY SYSTEM	888
Chapter 71	Asthma Richard M. Nowak and Glenn F. Tokarski	888
Chapter 72	Chronic Obstructive Pulmonary Disease Stuart P. Swadron and Diku P. Mandavia	904
Chapter 73	Upper Respiratory Tract Infections Frantz R. Melio	913
Chapter 74	Pneumonia Gregory J. Moran and David A. Talan	927
Chapter 75	Pleural Disease Joshua M. Kosowsky	939
SECTION THREE	CARDIAC SYSTEM	947
Chapter 76	Acute Coronary Syndrome William J. Brady, Richard A. Harrigan and Theodore C. Chan	947
Chapter 77	Dysrhythmias Donald M. Yealy and Theodore R. Delbridge	984
Chapter 78	Implantable Cardiac Devices James T. Niemann and Benjamin Squire	1025
Chapter 79	Heart Failure, John F. O�Brien and Jay L. Falk	1036
Chapter 80	Pericardial and Myocardial Disease Nicholas J. Jouriles	1054
Chapter 81	Infective Endocarditis and Valvular Heart Disease Joshua M. Kosowsky	1069
SECTION FOUR	VASCULAR SYSTEM	1076
Chapter 82	Hypertension Richard O. Gray	1076
Chapter 83	Aortic Dissection Felix Ankel	1088
Chapter 84	Abdominal Aortic Aneurysm Howard A. Bessen	1093
Chapter 85	Peripheral Arteriovascular Disease Tom P. Aufderheide	1103
Chapter 86	Pulmonary Embolism and Deep Vein Thrombosis Jeffrey A. Kline and Michael S. Runyon	1124
SECTION FIVE	GASTROINTESTINAL SYSTEM	1137
Chapter 87	Esophagus, Stomach, and Duodenum Mark J. Lowell	1137
Chapter 88	Disorders of the Liver and Biliary Tract David A. Guss and Leslie C. Oyama	1153
Chapter 89	Disorders of the Pancreas Robin R. Hemphill and Sally A. Santen	1172
Chapter 90	Disorders of the Small Intestine Susan P. Torrey and Philip L. Henneman	1184
Chapter 91	Acute Appendicitis Jeannette M. Wolfe and Philip L. Henneman	1193
Chapter 92	Gastronenteritis Sandy A. Craig and David K. Zich	1200
Chapter 93	Disorders of the Large Intestine Michael A. Peterson	1228
Chapter 94	Disorders of the Anorectum Wendy C. Coates	1243
SECTION SIX	GENITOURINARY AND GYNECOLOGIC SYSTEMS	1257
Chapter 95	Renal Failure Allan B. Wolfson	1257
Chapter 96	Sexually Transmitted Diseases Diane M. Birnbaumer and Christine Anderegg	1282
Chapter 97	Selected Urologic Problems Kevin M. Ban and Joshua S. Easter	1297
Chapter 98	Selected Gynecologic Disorders Carrie D. Tibbles	1325
	VOLUME 2
SECTION SEVEN	NEUROLOGY	1333
Chapter 99	Stroke Todd J. Crocco, Allison Tadros and Rashmi U. Kothari	1333
Chapter 100	Seizures Evelyn H. Duvivier and Charles V. Pollack, Jr.	1346
Chapter 101	Headache Thomas Kwiatkowski and Kumar Alagappan	1356
Chapter 102	Delirium and Dementia Jeffrey Smith and Jennifer Seirafi	1367
Chapter 103	Brain and Cranial Nerve Disorders Brian A. Stettler	1379
Chapter 104	Spinal Cord Disorders Andrew D. Perron and J. Stephen Huff	1389
Chapter 105	Peripheral Nerve Disorders E. Bradshaw Bunney and E. John Gallagher	1398
Chapter 106	Neuromuscular Disorders Peter Shearer and Andy Jagoda	1411
Chapter 107	Central Nervous System Infections William J. Meurer and Frank W. Lavoie	1417
SECTION EIGHT	PSYCHIATRIC AND BEHAVIORAL DISORDERS	1430
Chapter 108	Thought Disorders Robert S. Hockberger and John R. Richards	1430
Chapter 109	Mood Disorders Radu V. Saveanu, Marshall G. Vary and Douglas A. Rund	1437
Chapter 110	Anxiety Disorders Eugene E. Kercher and Joshua L. Tobias	1445
Chapter 111	Somatoform Disorders Adria O. Winter and Thomas B. Purcell	1452
Chapter 112	Factitious Disorders and Malingering Jag S. Heer and Thomas B. Purcell	1458
Chapter 113	Suicide Stephen A. Colucciello	1463
SECTION NINE	IMMUNOLOGIC AND INFLAMMATORY	1472
Chapter 114	Arthritis Bruce D. Adams and Douglas W. Lowery III	1472
Chapter 115	Tendinopathy and Bursitis Michael J. Schmidt and Stephen L. Adams	1488
Chapter 116	Systemic Lupus Erythmatosus and the Vasculitides Jill F. Lehrmann and Clare T. Sercombe	1497
Chapter 117	Allergy, Hypersensitivity, and Anaphylaxis T. Paul Tran and Robert L. Muelleman	1511
Chapter 118	Dermatologic Presentations Rita K. Cydulka and Boris Garber	1529
SECTION TEN	HEMATOLOGY AND ONCOLOGY	1557
Chapter 119	Anemia, Polycythemia, and White Blood Cell Disorders Timothy G. Janz and Glenn C. Hamilton	1557
Chapter 120	Disorders of Hemostasis Timothy G. Janz and Glenn C. Hamilton	1578
Chapter 121	Selected Oncologic Emergencies Sandra Ugras-Rey and Mark Watson	1590
SECTION ELEVEN	METABOLISM AND ENDOCRINOLOGY	1604
Chapter 122	Acid-Base Disorders Jamie L. Collings	1604
Chapter 123	Electrolyte Disturbances Michael A. Gibbs and Vivek S. Tayal	1615
Chapter 124	Diabetes Mellitus and Disorders of Glucose Homeostasis Rita K. Cydulka and Gerald E. Maloney, Jr.	1633
Chapter 125	Rhabdomyolysis Laura J. Bontempo and Amy H. Kaji	1650
Chapter 126	Thyroid and Adrenal Disorders David Zull	1658
SECTION TWELVE	INFECTIOUS DISEASES	1676
Chapter 127	Bacteria Madonna Ferndndez-Frackelton	1676
Chapter 128	Viral Illnesses Tenagne Haile-Mariam and Michael Alan Polis	1700
Chapter 129	Rabies Ellen J. Weber and Prasanthl Ramanujam	1723
Chapter 130	AIDS and HIV Infection Richard E. Rothman, Catherine A. Marco and Samuel Yang	1732
Chapter 131	Parasitic Infections Bruce M. Becker and John D. Cahill	1751
Chapter 132	Tick-Borne Illnesses Edward B. Bolgiano and Joseph Sexton	1769
Chapter 133	Tuberculosis Peter E. Sokolove and Robert W. Derlet	1793
Chapter 134	Bone and Joint Infections Brian J. Zink and Neha P. Raukar	1816
Chapter 135	Soft Tissue Infections Harvey W. Meislin and John A. Guisto	1836
Chapter 136	Sepsis Syndromes Nathan I. Shapiro, Gary D. Zimmer and Adam Z. Barkin	1848
PART IV	ENVIRONMENT AND TOXICOLOGY	1859
SECTION ONE	ENVIRONMENT	1861
Chapter 137	Frostbite Daniel F. Danzl	1861
Chapter 138	Accidental Hypothermia Daniel F. Danzl	1868
Chapter 139	Heat Illness Melissa Platt and Salvator Vicario	1882
Chapter 140	Electrical and Lightning Injuries Timothy G. Price and Mary Ann Cooper	1893
Chapter 141	Scuba Diving and Dysbarism Richard L. Byyny and Lee W. Shockley	1903
Chapter 142	High-Altitude Medicine Michael Yaron and Benjamin Honigman	1917
Chapter 143	Drowning David B. Richards and Andrew L. Knaut	1929
Chapter 144	Radiation Injuries Christopher B. Colwell and Vincent Markovchick	1933
SECTION TWO	TOXICOLOGY	1942
Chapter 145	General Approach to the Poisoned Patient Ken Kulig and Louis J. Ling	1942
Chapter 146	Acetaminophen Robert G. Hendrickson and Nathanael J. McKeown	1948
Chapter 147	Aspirin and Nonsteroidal Agents Donna L. Seger and Lindsay Murray	1954
Chapter 148	Anticholinergics Larissa I. Velez and Sing-Yi Feng	1959
Chapter 149	Antidepressants Elisabeth F. Bilden	1964
Chapter 150	Cardiovascular Drugs David J. Roberts	1978
Chapter 151	Caustics Paul M. Wax and Amy Young	1989
Chapter 152	Cocaine and Other Sympathomimetics Rama B. Rao and Robert S. Hoffman	1994
Chapter 153	Toxic Alcohols Suzanne R. White	2001
Chapter 154	Hallucinogens Binh T. Ly, Richard F. Clark and Saralyn R. Williams	2010
Chapter 155	Heavy Metals Larissa I. Velez and Kathleen A. Delaney	2019
Chapter 156	Hydrocarbons David C. Lee	2027
Chapter 157	Inhaled Toxins Lewis S. Nelson and Robert S. Hoffman	2031
Chapter 158	Lithium Oliver Hung	2039
Chapter 159	Antipsychotics Mary A. Wittier and Eric J. Lavonas	2042
Chapter 160	Opioids Christina E. Hantsch Bardsley	2047
Chapter 161	Pesticides Cynthia K. Aaron, James W. Rhee and Bram A. Dolcourt	2052
Chapter 162	Plants, Mushrooms, and Herbal Medications Richard D. Shih	2061
Chapter 163	Sedative Hypnotics Leon Gussow and Andrea Carlson	2071
PART V	SPECIAL POPULATIONS	2081
SECTION ONE	THE PEDIATRIC PATIENT	2083
Chapter 164	General Approach to the Pediatric Patient Robert A. Wiebe and Susan M. Scott	2083
Chapter 165	Pediatric Fever Nathan W. Mick	2094
Chapter 166	Pediatric Respiratory Emergencies: Upper Airway Obstruction and Infections Mariana Manno	2104
Chapter 167	Pediatric Respiratory Emergencies: Lower Airway Obstruction Richard J. Scarf one and Jeffrey A. Seiden	2115
Chapter 168	Pediatric Respiratory Emergencies: Disease of the Lungs David M. Stocker and Susan Kirelik	2127
Chapter 169	Cardiac Disorders Alson S. Inaba and Timothy Horeczko	2138
Chapter 170	Gastrointestinal Disorders Mark A. Hostetler	2168
Chapter 171	Infectious Diarrheal Disease and Dehydration Lei Chen	2188
Chapter 172	Renal and Genitourinary Tract Disorders Maureen McCollough and Ghazala Q. Sharieff	2200
Chapter 173	Neurologic Disorders David H. Rubin, Dina Halpern Kornblau, Edward E. Conway, Jr. and Stuart M. Caplen	2218
Chapter 174	Musculoskeletal Disorders Kemedy K. McQuillen	2245
SECTION TWO	THE PREGNANT PATIENT	2268
Chapter 175	General Approach to the Pregnant Patient Laurie J. Morrison	2268
Chapter 176	Acute Complications of Pregnancy Debra E. Houry and Bisan A. Salhi	2279
Chapter 177	Chronic Medical Illness during Pregnancy Kirsten K. Colder and Edward J. Newton	2298
Chapter 178	Drug Therapy in Pregnancy Rania Habal	2313
Chapter 179	Labor and Delivery and Their Complications Shoma Desai, Sean O. Henderson and William K. Malton	2327
SECTION THREE	THE GERIATRIC PATIENT	2348
Chapter 180	The Elder Patient Diane M. Birnbaumer	2348
SECTION FOUR	THE PATIENT WITH COMPROMISED IMMUNE FUNCTION	2353
Chapter 181	The Immunocompromised Patient Michael J. Bums	2353
SECTION FIVE	THE PATIENT WITH AN ORGAN TRANSPLANT	2365
Chapter 182	The Solid Organ Transplant Patient Matthew T. Keadey	2365
SECTION SIX	THE ALCOHOLIC AND SUBSTANCE ABUSE PATIENT	2375
Chapter 183	Alcohol-Related Disease John T. Finnell, II and David B. McMicken	2375
Chapter 184	Substance Abuse Stephen A. Colucciello and Christian Tomaszewski	2393
SECTION SEVEN	THE DEVELOPMENTALLY OR PHYSICALLY DISABLED PATIENT	2398
Chapter 185	Evaluation and Management of Children with Special Health Care Needs Terry A. Adirim	2398
SECTION EIGHT	THE PATIENT IN PAIN	2410
Chapter 186	Pain Management James R. Miner, Paul M. Paris and Donald M. Yealy	2410
Chapter 187	Procedural Sedation and Analgesia David Burbulys and Kianusch Kiai	2429
SECTION NINE	THE PROBLEM PATIENT	2440
Chapter 188	The Combative Patient Louise Kao, Gregory P. Moore and Kenneth Jackimczyk	2440
Chapter 189	The Difficult Patient Robert J. Vissers and Norman Kaibfleisch	2448
PART VI	EMERGENCY MEDICAL SERVICES	2459
Chapter 190	Emergency Medical Service: Overview and Ground Transport Thomas H. Blackwell	2461
Chapter 191	Air Medical Transport Ira J. Blumen, Howard Rodenberg and Stephen H. Thomas	2469
Chapter 192	Tactical Emergency Medical Support and Urban Search and Rescue Richard B. Schwartz and John McManus	2476
Chapter 193	Disaster Preparedness Carl H. Schuitz and Kristi L. Koenig	2484
Chapter 194	Weapons of Mass Destruction Carl H. Schuitz and Kristi L. Koenig	2495
PART VII	THE PRACTICE OF EMERGENCY MEDICINE	2505
SECTION ONE	CLINICAL PRACTICE AND ADMINISTRATION	2507
Chapter 195	Medical Literature and Evidence-Based Medicine Kelly D. Young and Roger J. Lewis	2507
Chapter 196	Observation Medicine and Clinical Decision Units Malcolm Mahadevan and Louis Graff IV	2521
Chapter 197	Emergency Ultrasound Vivek S. Tayal and Casey M. Glass	2531
Chapter 198	Multiculturalism and Care Delivery Edward Bernstein, Judith Bernstein and Thea James	2540
Chapter 199	Process Improvement and Patient Safety Shawna J. Perry, Robert L. Wears, Pat Croskerry and Marc J. Shapiro	2547
SECTION TWO	PHILOSOPHICAL ISSUES OF PRACTICE	2554
Chapter 200	Bioethics Kenneth V. Iserson	2554
Chapter 201	End of Life Jean T. Abbott and Susan Stone	2569
Chapter 202	Medicolegal Issues and Risk Management Robert A. Bitterman	2582
Chapter 203	Wellness, Stress, and the Impaired Physician Richard Goldberg and Andrew R. Barnosky	2600
	Index	i