BOOK
Rosen's Emergency Medicine - Concepts and Clinical Practice E-Book
Ron Walls | Robert Hockberger | Marianne Gausche-Hill
(2017)
Additional Information
Book Details
Abstract
Since its revolutionary first edition in 1983, Rosen's Emergency Medicine set the standard for reliable, accessible, and comprehensive information to guide the clinical practice of emergency medicine. Generations of emergency medicine residents and practitioners have relied on Rosen’s as the source for current information across the spectrum of emergency medicine practice. The 9th Edition continues this tradition of excellence, offering the unparalleled clarity and authority you’ve come to expect from the award-winning leader in the field. Throughout the text, content is now more concise, clinically relevant, and accessible than ever before – meeting the needs of today’s increasingly busy emergency medicine practitioner.
- Delivers clear, precise information, focused writing and references; relevant, concise information; and generous use of illustrations provide definitive guidance for every emergency situation.
- Offers the most immediately relevant content of any emergency medicine reference, providing diagnostic and treatment recommendations with clear indications and preferred actions.
- Presents the expertise and knowledge of a new generation of editors, who bring fresh insights and new perspectives to the table.
- Includes more than 550 new figures, including new anatomy drawings, new graphs and algorithms, and new photos.
- Provides diligently updated content throughout, based on only the most recent and relevant medical literature.
- Provides improved organization in sections to enhance navigation and six new chapters: Airway Management for the Pediatric Patient; Procedural Sedation and Analgesia for the Pediatric Patient; Drug Therapy for the Pediatric Patient; Co-Morbid Medical Emergencies During Pregnancy; Drug Therapy in the Geriatric Patient; and Global and Humanitarian Emergency Medicine.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| 9780323390163v1_WEB (1) | 1 | ||
| Front Cover | 1 | ||
| Inside Front Cover | 2 | ||
| Front Matter | 3 | ||
| Rosen’s Emergency Medicine | 5 | ||
| Copyright Page | 6 | ||
| Acknowledgments | 7 | ||
| Contributors | 9 | ||
| Preface to the Ninth Edition | 23 | ||
| How This Medical Textbook Should Be Viewed by the Practicing Clinician and Judicial System | 24 | ||
| Table Of Contents | 25 | ||
| I Fundamental Clinical Concepts | 31 | ||
| One Critical Management Principles | 33 | ||
| 1 Airway | 33 | ||
| Principles | 33 | ||
| Background | 33 | ||
| Anatomy, Physiology, and Pathophysiology | 33 | ||
| Failure to Maintain or Protect the Airway | 33 | ||
| Failure of Ventilation or Oxygenation | 33 | ||
| Anticipated Clinical Course | 33 | ||
| Identification of the Difficult Airway | 34 | ||
| Difficult Direct Laryngoscopy: LEMON | 34 | ||
| L—Look Externally. | 34 | ||
| E—Evaluate 3-3-2. | 35 | ||
| M—Mallampati Scale. | 35 | ||
| O—Obstruction or Obesity. | 36 | ||
| N—Neck Mobility. | 36 | ||
| Difficult Bag-Mask Ventilation: MOANS | 36 | ||
| Difficult Extraglottic Device Placement: RODS | 36 | ||
| Difficult Cricothyrotomy: SMART | 36 | ||
| Measurement and Incidence of Intubation Difficulty | 37 | ||
| Confirmation of Endotracheal Tube Placement | 37 | ||
| Management | 38 | ||
| Decision Making | 38 | ||
| Difficult Airway | 39 | ||
| Failed Airway | 40 | ||
| Methods of Intubation | 41 | ||
| Rapid Sequence Intubation | 41 | ||
| Preparation. | 41 | ||
| Preoxygenation. | 42 | ||
| Pretreatment. | 42 | ||
| Paralysis With Induction. | 42 | ||
| Positioning. | 42 | ||
| Placement of Tube. | 42 | ||
| Postintubation Management. | 42 | ||
| Delayed Sequence Intubation | 43 | ||
| Blind Nasotracheal Intubation | 43 | ||
| Awake Oral Intubation | 43 | ||
| Oral Intubation Without Pharmacologic Agents | 43 | ||
| Pharmacologic Agents | 43 | ||
| Neuromuscular Blocking Agents | 43 | ||
| Succinylcholine. | 44 | ||
| Uses and Dosing. | 44 | ||
| Cardiovascular Effects. | 44 | ||
| Fasciculations. | 44 | ||
| Hyperkalemia. | 44 | ||
| Masseter Spasm. | 45 | ||
| Malignant Hyperthermia. | 45 | ||
| Competitive Agents. | 45 | ||
| Rocuronium. | 45 | ||
| Paralysis After Intubation. | 45 | ||
| Induction Agents | 45 | ||
| Etomidate. | 45 | ||
| Ketamine. | 45 | ||
| Propofol. | 46 | ||
| Other Induction Agents. | 46 | ||
| Special Clinical Circumstances | 46 | ||
| Status Asthmaticus | 46 | ||
| Hemodynamic Consequences of Intubation | 47 | ||
| Elevated Intracranial Pressure | 47 | ||
| Hypotension and Shock | 47 | ||
| Potential Cervical Spine Injury | 48 | ||
| Airway Devices and Techniques | 48 | ||
| Direct Versus Video Laryngoscopy | 48 | ||
| Videolaryngoscopes | 48 | ||
| Fiberoptic and Video Intubating Stylets | 50 | ||
| Flexible Intubating Scopes | 50 | ||
| Extraglottic Devices | 51 | ||
| Laryngeal Mask Airways. | 51 | ||
| Other Extraglottic Devices. | 52 | ||
| Surgical Airway Management | 53 | ||
| Needle Cricothyrotomy With Transtracheal Jet Ventilation | 53 | ||
| Cricothyrotomy | 53 | ||
| Outcomes | 53 | ||
| References | 55 | ||
| Chapter 1: Questions & Answers | 56 | ||
| 2 Mechanical Ventilation and Noninvasive Ventilatory Support | 57 | ||
| Perspective | 57 | ||
| Principles of Mechanical Ventilation | 57 | ||
| Physiology of Positive-Pressure Breathing | 57 | ||
| Invasive Mechanical Ventilation: Control Variable and Ventilator Mode | 57 | ||
| Positive End-Expiratory Pressure | 59 | ||
| Noninvasive Techniques | 59 | ||
| Management | 60 | ||
| Decision Making: Noninvasive Versus Invasive Ventilation | 60 | ||
| Approach to Initial Ventilator Settings | 60 | ||
| Noninvasive Ventilation | 60 | ||
| Mechanical Ventilation of the Intubated Patient | 60 | ||
| Ongoing Management | 60 | ||
| Sedation and Analgesia of the Ventilated Patient | 61 | ||
| Complications | 62 | ||
| Troubleshooting the Ventilator | 63 | ||
| Special Clinical Circumstances | 64 | ||
| Acute Exacerbation of Chronic Obstructive Pulmonary Disease | 64 | ||
| Status Asthmaticus | 64 | ||
| Acute Respiratory Distress Syndrome | 64 | ||
| Outcomes | 64 | ||
| References | 66 | ||
| Chapter 2: Questions & Answers | 66 | ||
| 3 Pain Management | 68 | ||
| Principles | 68 | ||
| Background and Importance | 68 | ||
| Anatomy, Physiology, and Pathophysiology | 68 | ||
| Pain Conduction Pathways | 68 | ||
| Pain Detection | 68 | ||
| Information Transmission | 68 | ||
| Peripheral Nerve Fibers. | 68 | ||
| Pain Transmission | 69 | ||
| Dorsal Horn. | 69 | ||
| Visceral Pain. | 69 | ||
| Ascending Tracts Associated With Pain. | 70 | ||
| Pain Modulation | 70 | ||
| Central Sensitization | 70 | ||
| Pain Expression | 70 | ||
| Reflex Responses to Pain | 71 | ||
| Endorphin System | 71 | ||
| Acute Versus Chronic Pain | 71 | ||
| Management | 72 | ||
| Decision Making | 72 | ||
| Pain Assessment | 72 | ||
| Oligoanalgesia | 72 | ||
| Pain Measurement | 72 | ||
| Treatment Groups | 72 | ||
| Chronic Pain. | 73 | ||
| Recurrent Pain. | 74 | ||
| Chronic Pain of Malignancy. | 74 | ||
| Neuropathic Pain. | 74 | ||
| Acute Pain. | 74 | ||
| Pharmacologic Therapy | 75 | ||
| Opioid Analgesic Agents | 75 | ||
| Mechanism of Action and Toxic Effects. | 75 | ||
| Drug-Seeking Behavior. | 77 | ||
| Administration of Pain Control. | 77 | ||
| Specific Agents | 77 | ||
| Morphine. | 77 | ||
| Meperidine. | 77 | ||
| Hydromorphone. | 78 | ||
| Fentanyl. | 78 | ||
| Oxycodone. | 79 | ||
| Hydrocodone. | 79 | ||
| Codeine. | 79 | ||
| Methadone. | 79 | ||
| Naloxone. | 79 | ||
| Tramadol. | 79 | ||
| Tapentadol. | 80 | ||
| Opioid Agonist-Antagonist Analgesic Agents. | 80 | ||
| Opioid Use for Acute Abdominal Pain. | 80 | ||
| Nonopioid Analgesic Agents | 80 | ||
| Acetaminophen. | 80 | ||
| Nonsteroidal Antiinflammatory Drugs | 80 | ||
| Drug Interactions With Nonsteroidal Antiinflammatory Drugs | 81 | ||
| Aspirin. | 81 | ||
| Oral Anticoagulants. | 81 | ||
| Angiotensin-Converting Enzyme Inhibitors. | 81 | ||
| Diuretics. | 81 | ||
| Glucocorticoids. | 81 | ||
| Lithium. | 81 | ||
| Nonselective Cyclooxygenase Inhibitor Selection. | 81 | ||
| Ketorolac Tromethamine. | 81 | ||
| Ibuprofen. | 81 | ||
| Skeletal Muscle Relaxants. | 82 | ||
| Nitrous Oxide–Oxygen Mixtures. | 82 | ||
| Ketamine. | 82 | ||
| Local Anesthesia | 82 | ||
| Mechanism of Action. | 82 | ||
| Classes of Local Anesthetic Agents. | 83 | ||
| Allergic Reactions. | 83 | ||
| Local and Systemic Toxicity | 83 | ||
| Local Toxicity. | 83 | ||
| Systemic Toxicity. | 83 | ||
| Reducing the Pain of Local Anesthetic Injection. | 84 | ||
| Topical Anesthesia | 84 | ||
| Topical Anesthetics Applied to Intact Skin | 84 | ||
| Eutectic Mixture of Local Anesthetics. | 84 | ||
| Ethyl Chloride and Fluoromethane Sprays. | 84 | ||
| Agents Applied to Mucosal Surfaces | 84 | ||
| Cocaine. | 84 | ||
| Lidocaine. | 84 | ||
| Tetracaine. | 84 | ||
| Benzocaine. | 84 | ||
| Agents Applied to Open Skin: Lidocaine, Epinephrine and Tetracaine. | 84 | ||
| Nonpharmacologic Interventions | 85 | ||
| Transcutaneous Electrical Nerve Stimulation | 85 | ||
| Hypnosis | 85 | ||
| Out-of-Hospital Analgesia | 85 | ||
| Outcomes: Treatment Endpoints | 85 | ||
| References | 86 | ||
| Chapter 3: Questions & Answers | 86 | ||
| 4 Procedural Sedation and Analgesia | 88 | ||
| Principles | 88 | ||
| Background | 88 | ||
| Terminology | 88 | ||
| Management | 89 | ||
| Decision Making | 89 | ||
| Patient Assessment. | 90 | ||
| Preprocedural Fasting. | 90 | ||
| Personnel. | 90 | ||
| Supplies and Equipment. | 90 | ||
| Monitoring Devices and Techniques. | 91 | ||
| Recovery. | 91 | ||
| Postprocedure Recovery and Discharge. | 92 | ||
| Pharmacologic Therapy | 92 | ||
| Routes of Administration. | 92 | ||
| Opioids. | 93 | ||
| Fentanyl. | 94 | ||
| Morphine. | 94 | ||
| Benzodiazepines. | 94 | ||
| Midazolam. | 94 | ||
| Barbiturates. | 94 | ||
| Ketamine. | 94 | ||
| Sedative-Hypnotics | 95 | ||
| Etomidate. | 95 | ||
| Propofol. | 95 | ||
| Ketamine Plus Propofol. | 96 | ||
| Ultra—Fast-Acting Agents. | 96 | ||
| Reversal and Rescue Agents. | 96 | ||
| Naloxone. | 96 | ||
| Flumazenil. | 96 | ||
| Drug Selection and Administration | 97 | ||
| References | 98 | ||
| Chapter 4: Questions & Answers | 99 | ||
| 5 Monitoring the Emergency Patient | 101 | ||
| Blood Pressure Measurement | 101 |