Emergency medicine : a comprehensive study guide

The bible of emergency medicine reference Covers the gamut of emergency medicine practice in brief, clinically focused chapters. New to this edition are chapters on bioterroism and weapons of mass destruction, pharmacology of antimicrobials, antifungals, and antivirals, principles of drug interactions, endocarditis, and abdominal and pelvic pain in the non-pregnant patient. Pharmacologic considerations, tables of vital differential diagnoses, and observation criteria throughout are new features reflecting developments in this dynamic specialty. ENDORSED BY THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS

• Contributors p. xv
• Preface p. xxxvii
• Acknowledgments p. xxxix
• Section 1 Prehospital Care p. 1
• 1 Emergency Medical Services p. 1 G. Patrick Lilja
• 2 Prehospital Equipment and Adjuncts p. 5 Daniel G. Hankins and Andy Boggust
• 3 Air Medical Transport p. 11 C. Keith Stone and Stephen H. Thomas
• 4 Neonatal and Pediatric Transport p. 15 Phillip V. Gordon and Carl Bose
• 5 Mass Gatherings p. 21 Eric W. Ossmann and Arthur H. Yancey II
• Section 2 Disaster Preparedness p. 27
• 6 Disaster Medical Services p. 27 Eric K. Noji and Gabor D. Kelen
• 7 Bioterrorism Response: Implications for the Emergency Clinician p. 35 Anthony G. MacIntyre and Joseph A. Barbera
• 8 Disaster Management for Chemical Agents of Mass Destruction p. 42 Suzanne R. White and Kelly R. Klein and Col. Edward M. Eitzen, Jr.
• 9 Blast and Crush Injuries p. 46 John M. Wightman and Barry A. Wayne
• 10 Radiation Injuries p. 50 Christina L. Catlett and Pamela L. Piggott
• Section 3 Resuscitative Problems and Techniques p. 61
• 11 Sudden Cardiac Death p. 61 Joseph P. Ornato
• 12 Basic Cardiopulmonary Resuscitation in Adults p. 66 Jon Mark Hirshon
• 13 Neonatal Resuscitation and Emergencies p. 71 Eugene E. Cepeda and Mary P. Bedard
• 14 Pediatric Cardiopulmonary Resuscitation p. 78 William E. Hauda II
• 15 Pediatric Airway Management p. 88 Marcie Rubin and Nicholas Sadovnikoff
• 16 Resuscitation Issues in Pregnancy p. 94 Elizabeth M. Datner and Susan B. Promes
• 17 Ethical Issues of Resuscitation p. 99 Catherine A. Marco
• 18 Noninvasive Airway Management p. 102 A. Michael Roman
• 19 Tracheal Intubation and Mechanical Ventilation p. 108 Daniel F. Danzl and Robert J. Vissers
• 20 Surgical Airway Management p. 119 David R. Gens
• 21 Vascular Access p. 124 William A. Berk and Bharat Sutariya
• 22 Invasive Monitoring, Pacing Techniques, and Automatic and Implantable Defibrillators p. 132 Edward S. Bessman
• 23 Cerebral Resuscitation p. 138 Gary S. Krause and Blaine C. White
• 24 Newer Resuscitative Techniques p. 141 James E. Manning and Christopher W. Barton and Laurence M. Katz
• 25 Acid-Base Disorders p. 149 David D. Nicolaou and Gabor D. Kelen
• 26 Blood Gases: Pathophysiology and Interpretation p. 159 Kelly L. Grogan and Peter Pronovost
• 27 Fluid and Electrolyte Problems p. 167 Michael Londner and Darcie Hammer and Gabor D. Kelen
• 28 Disturbances of Cardiac Rhythm and Conduction p. 179 Edmund Bolton
• 29 Pharmacology of Antidysrhythmic and Vasoactive Medications p. 202 Elizabeth A. Clements and Bryan R. Kuhn
• Section 4 Shock p. 219
• 30 Approach to the Patient in Shock p. 219 Emanuel P. Rivers and Ronny M. Otero and H. Bryant Nguyen
• 31 Fluid and Blood Resuscitation p. 225 James E. Manning
• 32 Septic Shock p. 231 Jonathan Jui
• 33 Cardiogenic Shock p. 242 W. Franklin Peacock IV and Jim Edward Weber
• 34 Anaphylaxis and Acute Allergic Reactions p. 247 Brian H. Rowe and Stuart Carr
• 35 Neurogenic Shock p. 252 Brian Euerle and Thomas M. Scalea
• Section 5 Analgesia, Anesthesia, and Sedation p. 257
• 36 Acute Pain Management in the Adult Patient p. 257 Gary D. Zimmer
• 37 Local and Regional Anesthesia p. 264 Eric Higginbotham and Robert J. Vissers
• 38 Procedural Sedation and Analgesia p. 275 David D. Nicolaou
• 39 Management of Patients with Chronic Pain p. 280 David M. Cline
• Section 6 Emergency Wound Management p. 287
• 40 Evaluation of Wounds p. 287 Judd E. Hollander and Adam J. Singer
• 41 Wound Preparation p. 289 Susan Stone and Wallace A. Carter
• 42 Methods for Wound Closure p. 292 Adam J. Singer and Judd E. Hollander
• 43 Lacerations to the Face and Scalp p. 298 Wendy C. Coates
• 44 Injuries to the Arm, Hand, Fingertip, and Nail p. 305 Fiona E. Gallahue and Wallace A. Carter
• 45 Lacerations of the Leg and Foot p. 312 Earl J. Reisdorff
• 46 Soft Tissue Foreign Bodies p. 317 Richard L. Lammers
• 47 Puncture Wounds and Mammalian Bites p. 324 Robert A. Schwab and Robert D. Powers
• 48 Postrepair Wound Care p. 328 Adam J. Singer and Judd E. Hollander
• Section 7 Cardiovascular Disease p. 333
• 49 Approach to Chest Pain p. 333 Gary B. Green and Peter M. Hill
• 50 Acute Coronary Syndromes: Acute Myocardial Infarction and Unstable Angina p. 343 Judd E. Hollander
• 51 Intervention Strategies for Acute Coronary Syndromes p. 352 Judd E. Hollander and Deborah B. Diercks
• 52 Syncope p. 359 Barbara K. Blok and Tina M. Newman
• 53 Congestive Heart Failure and Acute Pulmonary Edema p. 364 W. Franklin Peacock IV
• 54 Valvular Emergencies p. 373 David M. Cline
• 55 The Cardiomyopathies, Myocarditis, and Pericardial Disease p. 378 James T. Niemann
• 56 Pulmonary Embolism p. 386 Jeffrey A. Kline
• 57 Hypertension p. 394 Melissa M. Wu and Arjun Chanmugam
• 58 Aortic Dissection and Aneurysms p. 404 Louise A. Prince and Gary A. Johnson
• 59 Thrombophlebitis and Occlusive Arterial Disease p. 409 Anil Chopra
• 60 Cardiac Transplantation p. 418 Michael R. Mill and Michelle S. Mill
• 61 Noninvasive Myocardial Imaging p. 424 David A. Bluemke and Bennett Chin and Joao A.C. Lima and Malek Tebache
• Section 8 Pulmonary Emergencies p. 437
• 62 Respiratory Distress p. 437 J. Stephan Stapczynski
• 63 Bronchitis, Pneumonia, and Pleural Empyema p. 445 Donald A. Moffa, Jr. and Charles L. Emerman
• 64 Aspiration Pneumonia and Lung Abscess p. 453 Eric Anderson
• 65 Tuberculosis p. 458 Janet M. Poponick
• 66 Spontaneous and Iatrogenic Pneumothorax p. 462 William Franklin Young, Jr. and Roger L. Humphries
• 67 Hemoptysis p. 465 William Franklin Young, Jr. and Michael Stava
• 68 Acute Asthma in Adults p. 467 Rita K. Cydulka
• 69 Chronic Obstructive Pulmonary Disease p. 475 Rita K. Cydulka and Mohak Dave
• 70 The Lung Transplant Patient p. 480 Thomas P. Noeller
• 71 Pulmonary Imaging p. 483 Janet M. Poponick
• Section 9 Gastrointestinal Emergencies p. 487
• 72 Acute Abdominal Pain p. 487 E. John Gallagher
• 73 Abdominal Pain in the Elderly p. 501 Robert McNamara
• 74 Gastrointestinal Bleeding p. 505 David T. Overton
• 75 Esophageal Emergencies p. 508 Moss H. Mendelson
• 76 Swallowed Foreign Bodies p. 513 Wade R. Gaasch and Robert A. Barish
• 77 Peptic Ulcer Disease and Gastritis p. 516 Matthew C. Gratton and Howard A. Werman
• 78 Acute Appendicitis p. 520 Denis J. FitzGerald and Arthur M. Pancioli
• 79 Intestinal Obstruction p. 523 Salvator J. Vicario and Timothy G. Price
• 80 Hernia in Adults and Children p. 527 Frank W. Lavoie and Mary Harkins Becker
• 81 Ileitis, Colitis, and Diverticulitis p. 530 Howard A. Werman and Hagop S. Mekhjian and Douglas A. Rund
• 82 Anorectal Disorders p. 539 Brian E. Burgess and James K. Bouzoukis
• 83 Vomiting, Diarrhea, and Constipation p. 551 Annie T. Sadosty and Jennifer J. Hess
• 84 Jaundic p. 560 Richard O. Shields, Jr.
• 85 Cholecystitis and Biliary Colic p. 561 William J. Brady and Thomas P. Aufderheide and Judith E. Tintinalli
• 86 Hepatic Disorders and Hepatic Failure p. 566 Joshua S. Broder and Rawden Evans
• 87 Acute and Chronic Pancreatitis p. 573 Robert J. Vissers and Riyad B. Abu-Laban
• 88 Complications of General Surgical Procedures p. 577 Edmond A. Hooker
• 89 Complications of Gastrointestinal Devices p. 583 Edmond A. Hooker
• 90 The Liver Transplant Patient p. 585 Steven Kronick
• 91 Gastrointestinal Imaging p. 590 Michael J. Bono
• Section 10 Renal and Genitourinary Disorders p. 593
• 92 Acute Renal Failure p. 593 Richard Sinert and Peter R. Peacock, Jr.
• 93 Emergencies in Renal Failure and Dialysis Patients p. 599 Richard Sinert and Mark Spektor
• 94 Urinary Tract Infections p. 606 David S. Howes and Mark P. Bogner
• 95 Male Genital Problems p. 613 Robert E. Schneider
• 96 Urologic Stone Disease p. 620 Rakesh Engineer and W. Franklin Peacock IV
• 97 Hematuria and Hematospermia p. 625 David S. Howes and Mark P. Bogner
• 98 Complications of Urologic Procedures and Devices p. 629 Elaine B. Josephson and Jatinder Singh
• 99 The Renal Transplant Patient p. 633 Richard Sinert and Mert Erogul
• 100 Renal Imaging p. 640 Daniel E. Wiener and Emily H. Sheffer
• Section 11 Gynecology and Obstetrics p. 647
• 101 Vaginal Bleeding in the Nonpregnant Patient p. 647 Laurie J. Morrison and Julie M. Spence
• 102 Abdominal and Pelvic Pain in the Nonpregnant Patient p. 653 Reb Close
• 103 Ectopic Pregnancy p. 658 Richard S. Krause and David M. Janicke
• 104 Normal Pregnancy p. 664 Christina E. Hantsch and Donna L. Seger
• 105 Comorbid Diseases in Pregnancy p. 670 Jessica L. Bienstock and Harold E. Fox
• 106 Emergencies During Pregnancy and the Postpartum Period p. 676 Gloria J. Kuhn
• 107 Emergency Delivery p. 684 Michael J. VanRooyen and Kimberly B. Fortner
• 108 Vulvovaginitis p. 691 Gloria J. Kuhn
• 109 Pelvic Inflammatory Disease p. 697 Amy J. Behrman and William H. Shoff and Suzanne M. Shepherd
• 110 Breast Disorders p. 700 Janet Simmons Young
• 111 Urogynecologic Disorders and Gynecologic Oncology p. 705 Michael Londner and Daniela Meshkat
• 112 Complications of Gynecologic Procedures p. 710 Michael A. Silverman and Karen M. Hardart
• 113 Pelvic Ultrasonography p. 715 Robert F. Reardon and Dietrich V.K. Jehle
• Section 12 Pediatrics p. 727
• 114 The Normal Child p. 727 Peter Mellis
• 115 Fever p. 731 Carol D. Berkowitz
• 116 Bacteremia, Sepsis, and Meningitis in Children p. 735 Peter Mellis
• 117 Common Neonatal Problems p. 742 Tonia J. Brousseau and Niranjan Kissoon
• 118 The NICU Graduate p. 752 Daniel G. Batton
• 119 SIDS (Sudden Infant Death Syndrome) and ALTE (Apparent Life-Threatening Event) p. 755 Carol D. Berkowitz
• 120 Pediatric Heart Disease p. 758 C. James Corrall
• 121 Otitis and Pharyngitis in Children p. 769 Kimberly S. Quayle and Susan Fuchs and David M. Jaffe
• 122 Skin and Soft Tissue Infections p. 778 Richard Malley
• 123 Viral and Bacterial Pneumonia in Children p. 784 Kathleen Brown and Willie Gilford, Jr.
• 124 Pediatric Asthma and Bronchiolitis p. 789 Maybelle Kou and Thom Mayer
• 125 Seizures and Status Epilepticus in Children p. 798 Michael A. Nigro
• 126 Vomiting and Diarrhea in Children p. 808 Christopher M. Holmes and Summer A. Smith
• 127 Pediatric Abdominal Emergencies p. 813 Robert W. Schafermeyer
• 128 Diabetic Ketoacidosis p. 821 Frederick Place and Thom Mayer
• 129 Hypoglycemia p. 825 Randolph Cordle
• 130 Altered Mental Status and Headache in Children p. 831 Nancy Pook and Natalie Cullen and Jonathan I. Singer
• 131 Syncope and Sudden Death p. 838 William E. Hauda II and Thom Mayer
• 132 Fluid and Electrolyte Therapy p. 843 William Ahrens
• 133 Upper Respiratory Emergencies p. 848 Randolph Cordle
• 134 Acute Pain Management and Procedural Sedation in Children p. 858 Michael N. Johnston and Erica L. Liebelt
• 135 Pediatric Exanthems p. 869 Michael S. Weinstock and Alexander M. Rosenau
• 136 Musculoskeletal Disorders in Children p. 876 Courtney Hopkins-Mann and David Leader and Donna Moro-Sutherland and Richard A. Christoph
• 137 Sickle Cell Disease p. 890 Peter J. Paganussi and Thom Mayer and Maybelle Kou
• 138 Evaluating the Child with Special Health Care Needs p. 895 Douglas R. Trocinski and Donna Moro-Sutherland
• 139 Urologic and Gynecologic Problems in Children p. 900 Samy Saad and Olly Duckett
• 140 Pediatric Urinary Tract Infections p. 905 Michael F. Altieri and Mary Camarca and Thom Mayer
• Section 13 Infectious Diseases p. 909
• 141 Sexually Transmitted Diseases p. 909 Joel Kravitz and Susan B. Promes
• 142 Toxic Shock Syndrome and Streptococcal Toxic Shock Syndrome p. 913 Shawna J. Perry and Ashley E. Booth
• 143 Common Viral Infections: Influenzaviruses and Herpesviruses p. 919 Robert A. Brownstein
• 144 HIV Infection and AIDS p. 925 Richard E. Rothman and Catherine A. Marco and Gabor D. Kelen
• 145 Infective Endocarditis p. 937 Richard E. Rothman and Samuel Yang and Catherine A. Marco
• 146 Tetanus p. 943 Donna L. Carden
• 147 Rabies p. 946 David J. Weber and David A. Wohl and William A. Rutala
• 148 Malaria p. 953 Jeffrey D. Band
• 149 Infections from Helminths p. 959 Harold H. Osborn
• 150 Food-Borne and Water-Borne Diseases p. 964 William T. Anderson
• 151 Zoonotic Infections p. 969 John T. Meredith
• 152 Soft Tissue Infections p. 979 Steven G. Folstad
• 153 Reportable Infectious Diseases p. 987 Jane H. Brice and J. Brent Myers
• 154 Occupational Exposures, Infection Control, and Standard Precautions p. 994 Kathy J. Rinnert
• 155 Pharmacology of Antimicrobials, Antifungals, and Antivirals p. 1006 Ralph H. Raasch
• Section 14 Toxicology and Pharmacology p. 1015
• 156 General Management of Poisoned Patients p. 1015 Jason B. Hack and Robert S. Hoffman
• 157 Principles of Drug Interactions p. 1022 George Delgado, Jr. and Jamie Pilarowski
• 158 Tricyclic Antidepressants p. 1025 Kirk C. Mills
• 159 Newer Antidepressants and Serotonin Syndrome p. 1033 Kirk C. Mills
• 160 Monoamine Oxidase Inhibitors p. 1039 Kirk C. Mills
• 161 Antipsychotics p. 1044 Richard A. Harrigan and William J. Brady
• 162 Lithium p. 1048 Sandra M. Schneider and Daniel J. Cobaugh
• 163 Barbiturates p. 1051 Raquel M. Schears
• 164 Benzodiazepines p. 1055 George M. Bosse
• 165 Nonbenzodiazepine Hypnosedatives p. 1057 Raquel M. Schears
• 166 Alcohols p. 1064 William A. Berk and Wilma V. Henderson
• 167 Opioids p. 1071 Suzanne Doyon
• 168 Cocaine, Amphetamines, Caffeine, and Nicotine p. 1075 Jeanmarie Perrone and Robert S. Hoffman
• 169 Hallucinogens p. 1079 Karen N. Hansen and Katherine M. Prybys
• 170 Salicylates p. 1085 Luke Yip
• 171 Acetaminophen p. 1088 Oliver L. Hung and Lewis S. Nelson
• 172 Nonsteroidal Anti-Inflammatory Drugs p. 1094 G. Richard Bruno and Wallace A. Carter
• 173 Theophylline p. 1098 Heather Marshall and Charles L. Emerman
• 174 Digitalis Glycosides p. 1102 William Dribben and Mark A. Kirk
• 175 [beta]-Blocker Toxicity p. 1105 Teresa M. Carlin
• 176 Calcium Channel Blockers p. 1108 Kennon Heard and Jeffrey A. Kline
• 177 Antihypertensive Agent Toxicity p. 1112 Arjun Chanmugam and Keith Thomasset
• 178 Phenytoin and Fosphenytoin Toxicity p. 1117 Harold H. Osborn
• 179 Iron p. 1121 Joseph G. Rella and Lewis S. Nelson
• 180 Hydrocarbons and Volatile Substances p. 1124 Paul M. Wax and Michael B. Beuhler
• 181 Caustics p. 1130 G. Richard Bruno and Wallace A. Carter
• 182 Insecticides, Herbicides, Rodenticides p. 1134 Walter C. Robey III and William J. Meggs
• 183 Anticholinergic Toxicity p. 1143 Paul M. Wax
• 184 Metals and Metalloids p. 1146 Heather Long and Lewis S. Nelson
• 185 Toxicology of Hazardous Chemicals p. 1153 Suzanne R. White and Col. Edward M. Eitzen, Jr. and Kelly R. Klein
• 186 Vitamins and Herbals p. 1160 G. Richard Braen
• 187 Antimicrobials p. 1164 G. Richard Bruno and Wallace A. Carter
• 188 Cyanide p. 1165 Larissa I. Velez and Kathleen A. Delaney
• 189 Dyshemoglobinemias p. 1169 Sean M. Rees and Lewis S. Nelson
• 190 Hypoglycemic Agents p. 1172 Joseph G. Rella and Lewis S. Nelson
• Section 15 Environmental Injuries p. 1175
• 191 Frostbite and Other Localized Cold-Related Injuries p. 1175 Mark B. Rabold
• 192 Hypothermia p. 1179 Howard A. Bessen
• 193 Heat Emergencies p. 1183 James S. Walker and David E. Hogan
• 194 Arthropod Bites and Stings p. 1190 Richard F. Clark and Aaron B. Schneir
• 195 Reptile Bites p. 1200 Richard C. Dart and Frank F.S. Daly
• 196 Trauma and Envenomations from Marine Fauna p. 1206 Geoffrey K. Isbister and David G. Caldicott
• 197 Dysbarism and Complications of Diving p. 1213 Brian Snyder and Tom Neuman
• 198 Near-Drowning p. 1218 Alan L. Causey and Mark A. Nichter
• 199 Thermal Burns p. 1220 Lawrence R. Schwartz and Chenicheri Balakrishnan
• 200 Chemical Burns p. 1226 Fred P. Harchelroad, Jr. and David M. Rottinghaus
• 201 Electrical Injuries p. 1231 Raymond M. Fish
• 202 Lightning Injuries p. 1235 Raymond M. Fish
• 203 Carbon Monoxide Poisoning p. 1238 Keith W. Van Meter
• 204 Mushroom Poisoning p. 1242 Anne F. Brayer and Sandra M. Schneider
• 205 Poisonous Plants p. 1246 Mark A. Hostetler and Sandra M. Schneider
• Section 16 Emergency Medicine in Unique Environments p. 1251
• 206 World Travelers p. 1251 Michael J. VanRooyen and Chayan C. Dey and Raghu Venugopal
• 207 High-Altitude Medical Problems p. 1263 Peter H. Hackett
• 208 Antarctic Medicine p. 1271 Desmond J. Lugg
• 209 Space Medicine p. 1275 David Williams
• Section 17 Endocrine Emergencies p. 1283
• 210 Hypoglycemia p. 1283 William J. Brady and Richard A. Harrigan
• 211 Diabetic Ketoacidosis p. 1287 Michael E. Chansky and Cary L. Lubkin
• 212 Diabetes Mellitus p. 1294 Michael D. Rush and Sonia Winslett and Kimberley Dawn Wisdom
• 213 Alcoholic Ketoacidosis p. 1304 William A. Woods and Debra G. Perina
• 214 Hyperosmolar Hyperglycemic State p. 1307 Charles S. Graffeo
• 215 Hyperthyroidism and Thyroid Storm p. 1311 Horace K. Liang
• 216 Hypothyroidism and Myxedema Coma p. 1313 Horace K. Liang
• 217 Adrenal Insufficiency and Adrenal Crisis p. 1315 Charles N. Schoenfeld
• Section 18 Hematologic and Oncologic Emergencies p. 1319
• 218 Evaluation of Anemia and the Bleeding Patient p. 1319 Robin R. Hemphill
• 219 Acquired Bleeding Disorders p. 1324 Mary A. Wittler and Robin R. Hemphill
• 220 Hemophilias and Von Willebrand Disease p. 1330 Robin R. Hemphill
• 221 Hereditary Hemolytic Anemias p. 1335 Robin R. Hemphill
• 222 Acquired Hemolytic Anemia p. 1341 Patty Chu and Robin R. Hemphill
• 223 Transfusion Therapy p. 1348 Sally A. Santen
• 224 Anticoagulants, Antiplatelet Agents, and Fibrinolytics p. 1354 Jim Edward Weber and F. Michael Jaggi and Charles V. Pollack, Jr.
• 225 Emergency Complications of Malignancy p. 1363 Paul Blackburn
• Section 19 Neurology p. 1369
• 226 The Neurologic Examination in the Emergency Setting p. 1369 J. Stephen Huff and Andrew D. Perron
• 227 Headache and Facial Pain p. 1375 Christopher J. Denny and Michael J. Schull
• 228 Stroke, Transient Ischemic Attack, and Other Central Focal Conditions p. 1382 Phillip A. Scott and Caroline A. Timmerman
• 229 Altered Mental Status and Coma p. 1390 J. Stephen Huff
• 230 Ataxia and Gait Disturbances p. 1397 J. Stephen Huff
• 231 Vertigo and Dizziness p. 1400 Brian Goldman
• 232 Seizures and Status Epilepticus in Adults p. 1409 Christina L. Catlett
• 233 Acute Peripheral Neurologic Lesions p. 1418 Michael M. Wang
• 234 Chronic Neurologic Disorders p. 1423 Edward P. Sloan
• 235 CNS Infections p. 1431 Keith E. Loring
• 236 Complications of Central Nervous System Devices p. 1437 Joseph Pagane and Jay Ladde
• 237 Approach to Neuroimaging in the Emergency Department p. 1441 Maria G. Matheus and Norman J. Beauchamp, Jr.
• Section 20 Eye, Ear, Nose, Throat, and Oral Surgery p. 1449
• 238 Ocular Emergencies p. 1449 John D. Mitchell
• 239 Common Disorders of the External, Middle, and Inner Ear p. 1464 Anne Tintinalli and Michael Lucchesi
• 240 Face and Jaw Emergencies p. 1471 Robert Haddon and W. Franklin Peacock IV
• 241 Nasal Emergencies and Sinusitis p. 1476 Thomas A. Waters and W. Franklin Peacock IV
• 242 Oral and Dental Emergencies p. 1482 Ronald W. Beaudreau
• 243 Infections and Disorders of the Neck and Upper Airway p. 1494 Carol G. Shores
• 244 Complications of Airway Devices p. 1501 Carol G. Shores and Theresa A. Hackeling and Rudolph J. Triana, Jr.
• Section 21 Disorders of the Skin p. 1507
• 245 Approach to the Dermatologic Patient in the Emergency Department p. 1507 William J. Brady and Andrew D. Perron and Marcus L. Martin
• 246 Serious Generalized Skin Disorders p. 1513 William J. Brady and Andrew D. Perron and Daniel J. DeBehnke
• 247 Disorders of the Face and Scalp p. 1520 Dean Morrell and Lisa May
• 248 Disorders of the Hands, Feet, and Extremities p. 1526 Dean Morrell and Lisa May
• 249 Disorders of the Groin and Skin Folds p. 1532 Dean Morrell and Lisa May
• 250 Infestations p. 1535 Dean Morrell and Lisa May
• Section 22 Trauma p. 1537
• 251 Initial Approach to Trauma p. 1537 Edward E. Cornwell III
• 252 Pediatric Trauma p. 1542 William E. Hauda II
• 253 Geriatric Trauma p. 1549 O. John Ma and Stephen W. Meldon
• 254 Trauma in Pregnancy p. 1553 Nelson Tang and Drew White
• 255 Head Injury p. 1557 Thomas D. Kirsch and Christopher A. Lipinski
• 256 Spinal Cord Injuries p. 1569 Bonny J. Baron and Thomas M. Scalea
• 257 Maxillofacial Trauma p. 1583 Nael Hasan and Stephen A. Colucciello
• 258 Penetrating and Blunt Neck Trauma p. 1590 Bonny J. Baron
• 259 Thoracic Trauma p. 1595 Timothy G. Buchman and Bruce L. Hall and William M. Bowling and Gabor D. Kelen
• 260 Abdominal Injuries p. 1613 Thomas M. Scalea and Sharon A. Boswell
• 261 Penetrating Trauma to the Flank and Buttock p. 1620 Alasdair K.T. Conn
• 262 Genitourinary Trauma p. 1622 Frederick Levy and Gabor D. Kelen
• 263 Penetrating Trauma to the Extremities p. 1629 Alan M. Kumar and Richard D. Zane
• 264 Wound Ballistics p. 1633 Jeremy J. Hollerman and Martin L. Fackler
• 265 Forensics p. 1639 David R. Fowler and John E. Smialek
• 266 Injury Control p. 1645 Arthur L. Kellermann and Debra E. Houry
• Section 23 Injuries to the Bones, Joints, and Soft Tissue p. 1651
• 267 Initial Evaluation and Management of Orthopedic Injuries p. 1651 Jeffrey S. Menkes
• 268 Injuries to the Hand and Digits p. 1665 Robert L. Muelleman and Michael C. Wadman
• 269 Wrist Injuries p. 1674 Dennis T. Uehara and Dean Wolanyk and Robert H. Escarza
• 270 Injuries to the Elbow and Forearm p. 1684 Arthur F. Proust and Jason H. Bredenkamp and Dennis T. Uehara
• 271 Injuries to the Shoulder Complex and Humerus p. 1695 Dennis T. Uehara and John P. Rudzinski
• 272 Injuries to the Spine p. 1702 James L. Larson, Jr.
• 273 Trauma to the Pelvis, Hip, and Femur p. 1712 Mark T. Steele and Stephanie R. Ellison
• 274 Knee Injuries p. 1726 Mark T. Steele and Jeffrey N. Glaspy
• 275 Leg Injuries p. 1734 Paul R. Haller
• 276 Ankle Injuries p. 1736 John A. Michael and Ian G. Stiell
• 277 Foot Injuries p. 1742 John A. Michael and Ian G. Stiell
• 278 Compartment Syndromes p. 1746 Paul R. Haller
• 279 Rhabdomyolysis p. 1749 Francis L. Counselman
• 280 Orthopedic Devices and Reconstructions p. 1752 Scott S. Kelley and Carroll P. Jones
• Section 24 Nontraumatic Musculoskeletal Disorders p. 1769
• 281 Neck Pain p. 1769 William J. Frohna
• 282 Thoracic and Lumbar Pain Syndromes p. 1773 David Della-Giustina and Marco Coppola
• 283 Shoulder Pain p. 1779 David Della-Giustina and Benjamin Harrison and D. Monte Hunter
• 284 Emergencies in Systemic Rheumatic Diseases p. 1786 Richard C. Chandler and Mary Chester Morgan Wasko
• 285 Nontraumatic Disorders of the Hand p. 1789 Mark W. Fourre
• 286 Acute Disorders of the Joints and Bursae p. 1795 John H. Burton
• 287 Soft Tissue Problems of the Foot p. 1801 Frantz R. Melio
• Section 25 Psychosocial Disorders p. 1807
• 288 Behavioral Disorders: Clinical Features p. 1807 Douglas A. Rund
• 289 Behavioral Disorders: Emergency Assessment p. 1812 Douglas A. Rund and Jeffery C. Hutzler
• 290 Psychotropic Medications p. 1816 Richard A. Nockowitz and Douglas A. Rund
• 291 Anorexia Nervosa and Bulimia Nervosa p. 1822 Alexander H. Sackeyfio and Susan J. Gottlieb
• 292 Panic Disorder p. 1826 Linda M. Nicholas and Ann E. Maloney and Susan L. Siegfried
• 293 Conversion Disorder p. 1830 Gregory P. Moore and Kenneth C. Jackimczyk
• 294 Notifying the Living of Death p. 1832 James Brown and Glenn Hamilton
• 295 Substance and Alcohol Abuse p. 1835 William A. Berk and Edward Bernstein and Judith Bernstein and Irene Coletsos and Gail D'Onofrio
• 296 Physican Well-Being p. 1841 Sanford H. Koltonow
• Section 26 Abuse and Assault p. 1847
• 297 Child Abuse and Neglect p. 1847 Carol D. Berkowitz
• 298 Female and Male Sexual Assault p. 1850 Kim M. Feldhaus
• 299 Intimate Partner Violence and Abuse p. 1854 Patricia R. Salber
• 300 Abuse in the Elderly and Impaired p. 1858 Ellen H. Taliaferro
• 301 Violence in the Emergency Department p. 1860 Marshall C. McCoy
• Section 27 Principles of Imaging p. 1865
• 302 Contrast Studies p. 1865 John Eng
• 303 Principles of Emergency Department Sonography p. 1870 Scott W. Melanson and Michael B. Heller
• 304 Principles of Emergency Department Use of Computed Tomography p. 1878 Stephanie B. Abbuhl
• 305 Magnetic Resonance Imaging: Principles and Some Applications p. 1883 Irwin D. Weisman
• Section 28 Special Situations p. 1891
• 306 Injection Drug Users p. 1891 Brigitte M. Baumann and Suzanne M. Shepherd
• 307 The Elder Patient p. 1896 Arthur B. Sanders
• 308 Adults with Physical Disabilities p. 1900 Paul J.W. Tawney and John N. Oh
• 309 The Mentally Retarded Adult p. 1903 Linmarie Sikich
• 310 The Homeless Patient p. 1906 Rama B. Rao and Lewis R. Goldfrank
• 311 The Morbidly Obese Patient p. 1908 Robert J. Vissers and Kathleen A. Raftery
• 312 Patient Safety in Emergency Medicine p. 1912 Cherri Hobgood and Pat Croskerry and Robert L. Wears and Armando Hevia
• Index p. 1919