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Thoracic Emergencies, An Issue of Emergency Medicine Clinics - E-Book

Thoracic Emergencies, An Issue of Emergency Medicine Clinics - E-Book

Joel Turner

(2012)

Additional Information

Book Details

Abstract

Topics include: Thoracic Dissection, Thoracic Trauma, Asthma, COPD, P.E., Influenza, Pneumonia, Pleural Based Disease, and Mechanical Ventilation.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Emergency Medicine Clinics of North America i
Copyright page ii
Table of Contents vii
Contributors iii
Forthcoming Issues xi
Goal Statement xii
Foreword xiii
Preface xv
Chapter 1. Asthma Diagnosis and Management 203
EPIDEMIOLOGY 203
PATHOPHYSIOLOGY 203
HISTORY AND PHYSICAL EXAMINATION 204
DIFFERENTIAL DIAGNOSIS 205
ED EVALUATION 205
TREATMENT 206
beta2-AGONISTS 208
ANTICHOLINERGICS 208
CORTICOSTEROIDS 209
MAGNESIUM SULFATE 210
HELIOX 210
LEUKOTRIENE MODIFIERS 211
IMMUNOTHERAPY 211
METHYLXANTHINES 211
CROMOLYN SODIUM AND NEDOCROMIL 212
MANAGEMENT OF STATUS ASTHMATICUS 212
NONINVASIVE VENTILATION 212
INTUBATION AND MECHANICAL VENTILATION 212
ASTHMA AND PREGNANCY 213
DISPOSITION 214
SUMMARY 214
REFERENCES 214
Chapter 2. Acute Exacerbationsof Chronic Obstructive Pulmonary Disease in the Emergency Department 223
DEFINITIONS 223
ETIOLOGY AND RISK FACTORS FOR THE DEVELOPMENT OF COPD 224
PATHOGENESIS, PATHOLOGY, AND PATHOPHYSIOLOGY 225
ACUTE EXACERBATIONS OF COPD AND THEIR ETIOLOGY 226
DIAGNOSIS 227
TREATMENT 229
DISPOSITION 239
REFERENCES 239
Chapter 3. Pneumonia in Adults: the Practical Emergency Department Perspective 249
INTRODUCTION AND PERSPECTIVE 249
PATHOGENESIS 250
CAUSE AND CLASSIFICATION 250
DIAGNOSTIC TESTS 253
HOSPITAL ADMISSION DECISIONS 259
MANAGEMENT 260
SPECIAL TREATMENT CONSIDERATIONS 262
SPECIAL PATIENT POPULATIONS MRSA 264
VIRAL PNEUMONIAS 265
SUMMARY 266
REFERENCES 267
Chapter 4. Evaluation and Management of Seasonal Influenza in the Emergency Department 271
EPIDEMIOLOGY 272
CLASSIFICATION AND DESCRIPTION OF INFLUENZA VIRUSES 272
PATHOGENESIS AND PATHOPHYSIOLOGY 273
CLINICAL PRESENTATION 274
ED EVALUATION 276
ED MANAGEMENT 288
ISOLATION AND PREVENTION OF NOSOCOMIAL SPREAD OF INFLUENZA 292
SEASONAL VERSUS PANDEMIC INFLUENZA 297
REFERENCES 298
APPENDIX 1: REFERENCES FOR TABLE 4 (SENSITIVITY, SPECIFICITY, PPV, AND NPV OFSELECTIVE RIDTS) 303
Chapter 5. Acute Aortic Dissection in the Emergency Department: Diagnostic Challenges and Evidence-Based Management 307
ACUTE AORTIC DISSECTION 307
AAD: EPIDEMIOLOGY 307
AAD: PATHOPHYSIOLOGY 308
CLASSIFICATION OF AAD 309
AAD: CLINICAL ASSESSMENT IN THE ED 310
AAD: DIAGNOSTIC STRATEGIES IN THE ED 315
AAD: MANAGEMENT ISSUES 318
AAD: SUMMARY 323
REFERENCES 324
Chapter 6. Pulmonary Embolism 329
PATHOPHYSIOLOGY 330
EPIDEMIOLOGY AND RISK FACTORS 331
CLINICAL FEATURES 335
DIAGNOSTIC CLINICAL ASSESSMENT AND PRETEST PROBABILITY 339
DIAGNOSTIC TESTS 344
APPROACH TO THE DIAGNOSIS OF PE 352
TREATMENT OF ACUTE PE 352
PE IN THE PREGNANT PATIENT 356
SUMMARY 360
REFERENCES 360
Chapter 7. Initial Management and Resuscitation of Severe Chest Trauma 377
AIRWAY ISSUES: TRACHEOBRONCHIAL INJURY 378
BREATHING 379
CIRCULATION 384
PUTTING IT ALL TOGETHER: INITIAL APPROACH AND RESUSCITATION OF THE UNSTABLE PATIENT 390
SUMMARY 393
REFERENCES 393
Chapter 8. Emergency Airway Management: the Difficult Airway 401
THE DA 402
PREPARING FOR EMERGENCY AIRWAY MANAGEMENT 402
Chapter 9. Invasive and Noninvasive Ventilation in the Emergency Department 421
GOALS OF MECHANICAL VENTILATION AND GAS EXCHANGE PHYSIOLOGY 422
POSITIVE PRESSURE VENTILATION 422
SUMMARY 443
ACKNOWLEDGMENTS 444
REFERENCES 444
Chapter 10. Thoracic Ultrasound 451
PRINCIPLES OF THORACIC ULTRASOUND 452
PROBE SELECTION 452
PATIENT POSITION AND LUNG FIELDS 453
PATHOLOGIC STATES 455
PUTTING IT TOGETHER: THE DYSPNEIC PATIENT 466
PEDIATRIC LUNG ULTRASOUND 467
SUMMARY 468
REFERENCES 469
Chapter 11. Pleural Disease in the Emergency Department 475
PLEURAL DISEASES 475
SUMMARY 496
REFERENCES 497
Chapter 12. Diagnosis and Management of Environmental Thoracic Emergencies 501
DIVING-RELATED THORACIC EMERGENCIES 501
IMMERSION PULMONARY EDEMA 503
DCI AND PULMONARY BAROTRAUMA 503
DIVE HISTORY AND DIFFERENTIAL DIAGNOSIS 506
TREATMENT 507
DROWNING 509
HIGH-ALTITUDE PULMONARY EDEMA 513
DIFFERENTIAL DIAGNOSIS 514
INHALED TOXINS 517
SUMMARY 520
REFERENCES 520
Chapter 13. Common Pediatric Respiratory Emergencies 529
ASTHMA IN CHILDREN 529
CROUP 535
BRONCHIOLITIS 537
PNEUMONIA IN CHILDREN 544
SUMMARY 552
REFERENCES 552
Chapter 14. Thoracic Emergencies in Immunocompromised Patients 565
IMMUNE SYSTEM 566
IMMUNODEFICIENCY CONDITIONS AND DISEASES 567
CARDIAC EMERGENCIES 567
PULMONARY EMERGENCIES 571
ESOPHAGEAL EMERGENCIES 578
GREAT VESSELS EMERGENCIES 578
CLINICAL APPROACH TO THE IMMUNOCOMPROMISED PATIENT 579
SUMMARY 580
REFERENCES 581
Index 591