Emergency Medicine Pearls

by Singer, Adam J.; Burstein, Jonathan L.; Schiavone, Frederick M.

• ISBN13: 9780803607552
• ISBN10: 0803607555
• Edition: 2nd
• Format: Paperback
• Copyright: 2001-01-01
• Publisher: F a Davis Co

Summary

This quick-reference book emphasizes the principles of emergency room survival and trauma procedures.

Table of Contents

Welcome to the Emergency Department	p. 1
Initial Assessment	p. 2
Further Assessment	p. 2
Management Decisions	p. 3
Management and Disposition of the Patient	p. 4
Documentation	p. 5
Discharging the Patient	p. 6
Signing Out	p. 7
What You Wear and Carry	p. 7
Know Your ABCs: Resuscitation and Stabilization	p. 9
Airway	p. 10
Breathing	p. 20
Circulation and Shock	p. 22
Dysrythmias	p. 25
Arrests and Resuscitations	p. 26
General Recommendations	p. 28
Trauma	p. 30
General Principles	p. 30
The Primary Survey: Assessment of the ABCDEs	p. 31
Resuscitation	p. 41
The Secondary Survey	p. 43
Chest Pain	p. 51
History	p. 52
Physical Examination	p. 52
Ancillary Tests	p. 52
Differential Diagnosis	p. 53
Disposition	p. 59
Shortness of Breath	p. 60
History	p. 61
Physical Examination	p. 61
Ancillary Tests	p. 62
Differential Diagnosis	p. 62
Treatment	p. 63
Abdominal Pain	p. 66
History	p. 67
Physical Examination	p. 67
Ancillary Tests	p. 68
Differential Diagnosis	p. 69
Management and Disposition	p. 74
Neurologic Problems	p. 75
Coma	p. 75
Seizures	p. 80
Stroke	p. 81
Nontraumatic Headache	p. 82
Acute Eye Problems	p. 84
The Red Eye	p. 86
Acute Visual Loss	p. 87
Other Eye Emergencies	p. 92
Ent and Dental Emergencies	p. 93
Dental Emergencies	p. 93
Epiglottitis	p. 95
Upper Airway Obstruction	p. 95
Epistaxis	p. 97
Nasal Fractures	p. 99
Foreign Bodies	p. 101
Otalgia	p. 102
Low Back Pain	p. 104
AHCPR Guidelines	p. 105
History	p. 106
Physical Examination	p. 106
The Neurologic Examination	p. 109
Ancillary Tests	p. 110
Acute Spinal Cord Compression	p. 110
Disposition	p. 111
Management	p. 111
Prognosis	p. 112
Poisonings and Principles of Toxicology	p. 113
Recognizing Poisonings	p. 113
Initial Assessment	p. 114
Toxidromes	p. 115
Initial Management	p. 118
Nonspecific Therapy	p. 118
Ancillary Tests in Acute Poisonings	p. 121
Specific Poisonings	p. 125
Disposition	p. 125
Obstetric and Gynecologic Problems	p. 129
Pelvic Pain	p. 130
Vaginal Bleeding	p. 137
Common Pediatric Problems	p. 141
General Considerations	p. 141
The Pediatric Airway	p. 144
Neonatal Illnesses	p. 150
Fever and Infectious Diseases	p. 152
Pediatric Sedation	p. 159
Common Infections	p. 162
Urinary Tract Infections	p. 163
Community-Acquired Pneumonias	p. 164
Sore Throats	p. 166
Sexually Transmitted Diseases	p. 167
Diarrhea	p. 169
Meningitis	p. 172
Septic Shock	p. 175
HIV Infection	p. 176
Orthopedic Injuries and Swollen Joints	p. 179
General Principles	p. 180
Fractures	p. 180
Sprains and Strains	p. 183
Injuries in Children	p. 184
Management: General Guidelines	p. 184
Specific Upper Extremity Injuries	p. 186
Specific Lower Extremity Fractures	p. 192
Splints	p. 193
Swollen Joints	p. 194
Principles of Wound Management	p. 198
History	p. 198
Physical Examination	p. 200
Wound Preparation	p. 200
Wound Closure	p. 203
Patient Instructions for Wound Care	p. 210
Indications for Calling a Plastic Surgeon	p. 211
Antibiotics	p. 211
Environmental Disorders	p. 213
Burns	p. 213
Cold Injuries	p. 219
Heat Injuries	p. 223
Near Drowning	p. 226
The Difficult Patient	p. 228
The Violent Patient	p. 229
The Intoxicated Patient	p. 232
The Homeless Patient	p. 234
Ethical, Social, and Legal Issues in the Emergency Department	p. 235
Consent and Competence	p. 236
Rape, Assault, Domestic Violence, and Abuse	p. 237
Health Care Proxy, Living Wills, and "Do Not Resuscitate" Orders	p. 241
The Death of a Patient	p. 241
Taking Care of Yourself	p. 243
Advanced Cardiac Life Support Algorithms	p. 244
Effects of Specific Toxins on Various Organ Systems	p. 256
Index	p. 259
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