BOOK
High Risk Emergencies, An Issue of Emergency Medicine Clinics - E-Book
(2010)
Additional Information
Book Details
Abstract
Guest editors Jeffery Tabas, MD and Teri Reynolds, MD have put together a top-notch panel of physicians on the topic of High Risk Emergency Medicine. Articles include: Pitfalls in the Low Risk Chest Pain Patient; Pitfalls in Patients with Shortness of Breath; High Risk Airway Management; Ultrasound in the Critically Ill Patient; Pitfalls in the Patient with Shock; and Pitfalls in the Evaluation/Resuscitation of the Trauma Patient.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Contents | vii | ||
| Foreword | xiii | ||
| Preface | xv | ||
| Chapter 1. Pitfalls in the Evaluation and Resuscitation of the Trauma Patient | 1 | ||
| THREATS, VULNERABILITIES, AND ERRORS | 1 | ||
| TEAM DYNAMICS DURING TRAUMA RESUSCITATIONS | 5 | ||
| SPECIFIC PITFALLS: RESUSCITATION AND INITIAL EVALUATION | 7 | ||
| SUMMARY | 23 | ||
| REFERENCES | 24 | ||
| Chapter 2. The RUSH Exam: Rapid Ultrasound in SHock in the Evaluation of the Critically l l l | 29 | ||
| CLASSIFICATIONS OF SHOCK | 30 | ||
| SHOCK ULTRASOUND PROTOCOL: THE RUSH EXAM | 30 | ||
| SUMMARY | 50 | ||
| ACKNOWLEDGMENTS | 51 | ||
| REFERENCES | 51 | ||
| Chapter 3. Early Identification of Shock in Critically I l l Patients | 57 | ||
| EARLY DETECTION OF SHOCK | 58 | ||
| HISTORY AND PHYSICAL EXAMINATION | 58 | ||
| LABORATORY MARKERS OF HYPOPERFUSION | 60 | ||
| SUMMARY | 63 | ||
| REFERENCES | 63 | ||
| Chapter 4. Pediatric Emergencies Associated with Fever | 67 | ||
| HERPES SIMPLEX ENCEPHALITIS | 69 | ||
| INVASIVE METHICILLIN-RESISTANT S AUREUS DISEASE | 70 | ||
| KAWASAKI DISEASE | 72 | ||
| SICKLE CELL ANEMIA | 72 | ||
| MENINGOCOCCEMIA | 73 | ||
| NEONATAL FEVER | 74 | ||
| FEVER OF UNKNOWN ORIGIN | 76 | ||
| EXTREME HYPERPYREXIA | 77 | ||
| FEVER IN THE MEDICALLY FRAGILE PATIENT | 77 | ||
| SUMMARY | 78 | ||
| REFERENCES | 79 | ||
| Chapter 5. High-Risk Pediatric Orthopedic Pitfalls | 85 | ||
| FRACTURES | 86 | ||
| FRACTURE: COMPARTMENTAL SYNDROME | 91 | ||
| BONE AND JOINT INFECTION | 93 | ||
| LIMPING CHILD | 95 | ||
| NON-ACCIDENTAL TRAUMA | 98 | ||
| SUMMARY | 100 | ||
| ACKNOWLEDGMENTS | 100 | ||
| REFERENCES | 100 | ||
| Chapter 6. Pitfalls in Appendicitis | 103 | ||
| PATHOPHYSIOLOGY | 104 | ||
| MEDICAL LEGAL RISK | 104 | ||
| DIAGNOSIS | 104 | ||
| MANAGEMENT AND DISPOSITION | 109 | ||
| APPENDICITIS IN THE VERY YOUNG PATIENT | 110 | ||
| APPENDICITIS IN PREGNANT PATIENT | 113 | ||
| APPENDICITIS IN THE GERIATRIC PATIENT | 114 | ||
| SUMMARY | 114 | ||
| REFERENCES | 114 | ||
| Chapter 7. Pediatric Airway Nightmares | 119 | ||
| UPPER AIRWAY OBSTRUCTIONS | 119 | ||
| TRACHEITIS | 119 | ||
| EPIGLOTTITIS | 120 | ||
| RETROPHARYNGEAL ABSCESS | 121 | ||
| CONGENITAL STRUCTURAL DEFECTS | 121 | ||
| AIRWAY FOREIGN BODIES | 121 | ||
| AIRWAY BURNS | 123 | ||
| SUMMARY | 125 | ||
| REFERENCES | 125 | ||
| Chapter 8. Pitfalls in the Management of Headache in the Emergency Department | 127 | ||
| PITFALLS OF NOMENCLATURE | 127 | ||
| PITFALLS OF HISTORY AND PHYSICAL EXAMINATION | 129 | ||
| PITFALLS OF DIAGNOSTIC TESTING | 135 | ||
| PITFALLS OF TREATMENT | 138 | ||
| PITFALLS OF DISCHARGE AND FOLLOW-UP MANAGEMENT | 140 | ||
| REFERENCES | 141 | ||
| Chapter 9. Toxicology: Pearls and Pitfalls in the Use of Antidotes | 149 | ||
| HIGH-DOSE INSULIN EUGLYCEMIC THERAPY FOR THE TREATMENT OF CALCIUM CHANNEL BLOCKER OVERDOSE | 149 | ||
| INTRAVENOUS LIPID EMULSION | 150 | ||
| THE USE OF HYDROXOCOBALAMIN IN SMOKE INHALATION VICTIMS | 152 | ||
| INTRAVENOUS N-ACETYLCYSTEINE FOR THE TREATMENT OF ACETAMINOPHEN POISONING AND SHORT-COURSE THERAPY | 154 | ||
| CROTALIDAE POLYVALENT IMMUNE FAB (OVINE; FabAV) and thrombocytopenia | 155 | ||
| SUMMARY | 157 | ||
| REFERENCES | 157 | ||
| Chapter 10. Pitfalls in the Evaluation of Shortness of Breath | 163 | ||
| CASE 1 | 163 | ||
| CASE 2 | 165 | ||
| CASE 3 | 167 | ||
| CASE 4 | 169 | ||
| CASE 5 | 171 | ||
| SUMMARY | 175 | ||
| REFERENCES | 175 | ||
| Chapter 11. Pitfalls in Evaluating the Low-Risk Chest Pain Patient | 183 | ||
| SCOPE OF THE PROBLEM | 184 | ||
| CHARACTERIZING PATIENTS DISCHARGED FROM THE ED WITH MISSED CARDIAC ISCHEMIA | 185 | ||
| DEFINING THE PATIENT WITH LOW-RISK AND VERY LOW-RISK CHEST PAIN | 185 | ||
| RISK STRATIFICATION | 186 | ||
| CLINICAL HISTORY | 188 | ||
| TYPICAL CHEST PAIN | 188 | ||
| ATYPICAL CHEST PAIN | 189 | ||
| ACS IN THE ABSENCE OF CHEST PAIN | 190 | ||
| PRECIPITATING FACTORS | 190 | ||
| RELIEVING FACTORS | 191 | ||
| CARDIAC RISK FACTORS | 191 | ||
| GENDER DIFFERENCES | 192 | ||
| CHEST PAIN AND ACS IN YOUNG ADULTS | 192 | ||
| CARDIAC ISCHEMIA IN THE ELDERLY | 193 | ||
| THE PHYSICAL EXAMINATION | 194 | ||
| PHYSICIANS INITIAL IMPRESSION AND JUDGMENT | 194 | ||
| THE INITIAL ECG | 194 | ||
| CARDIAC BIOMARKERS | 195 | ||
| PRIOR NEGATIVE CARDIAC WORKUP | 196 | ||
| SUMMARY | 197 | ||
| REFERENCES | 197 | ||
| Chapter 12. The High-Risk Airway | 203 | ||
| IDENTIFICATION OF THE HIGH-RISK AIRWAY | 203 | ||
| TOOLS TO MANAGE AND RESCUE THE HIGH-RISK AIRWAY | 206 | ||
| ENDOTRACHEAL TUBE INTRODUCER | 208 | ||
| APPROACH TO THE MANAGEMENT OF THE HIGH-RISK AIRWAY | 211 | ||
| SUMMARY | 214 | ||
| REFERENCES | 214 | ||
| Chapter 13. Pitfalls in First-Trimester Bleeding | 219 | ||
| REFERENCES | 233 | ||
| Chapter 14. The Violent or Agitated Patient | 235 | ||
| CLINICAL VIGNETTE ONE | 235 | ||
| CLINICAL VIGNETTE TWO | 239 | ||
| CLINICAL VIGNETTE THREE | 240 | ||
| CLINICAL VIGNETTE FOUR | 241 | ||
| CLINICAL VIGNETTE 5 | 244 | ||
| CLINICAL VIGNETTE 6 | 250 | ||
| CLINICAL VIGNETTE 7 | 251 | ||
| CLINICAL VIGNETTE 8 | 252 | ||
| CLINICAL VIGNETTE 9 | 253 | ||
| SUMMARY | 254 | ||
| REFERENCES | 254 | ||
| Index | 257 |