Harwood-Nuss' Clinical Practice of Emergency Medicine

by Wolfson, Allan B.; Hendey, Gregory W.; Hendry, Phyllis L.; Linden, Christopher H.; Rosen, Carlo L.; Schaider, Jeffrey J.

• ISBN13: 9780781751254
• ISBN10: 078175125X
• Edition: 4th
• Format: Hardcover
• Copyright: 2005-04-11
• Publisher: LWW

Summary

Organized for easy reference, this comprehensive, concise, and clinically focused text covers all aspects of emergency medicine. Chapters follow a consistent, structured format--key points, clinical presentation, differential diagnosis, evaluation, management, disposition, and common pitfalls. This edition places greater emphasis on evidence-based medicine and includes tables with statistical data. A resuscitation section has been added. Medical and surgical emergencies have been merged together in sections organized by anatomic system. Each chapter includes references essential for American Board of Emergency Medicine recertification, highlighted in bold. A bound-in CD-ROM contains 496 multiple-choice questions and answers cross-referenced to the relevant book chapters.

Table of Contents

Contributing Authors	xvii
Preface	xxxiii
Introduction: The Approach to the Emergency Department Patient	01	(5)
Robert L. Wears
SECTION I RESUSCITATION
Jeffrey Schaider
Airway Management	06	(6)
Michael F. Murphy
Airway Procedures	12	(15)
Eric F. Reichman
Cardiopulmonary Arrest	27	(9)
Christopher Ross
Theresa M. Schwab
Shock	36	(7)
Emanuel P. Rivers
David Amponsah
Vascular Access	43	(15)
Eric F. Reichman
Joanne L. Oakes
SECTION II HIGH-RISK CHIEF COMPLAINTS
Carlo L. Rosen
Chest Pain	58	(4)
Robert J. Zalenski
Rebecca R. Roberts
Abdominal Pain	62	(8)
Michelle Charfen
Diane M. Birnbaumer
Sheldon Jacobsen
Shortness of Breath	70	(6)
C. Keith Stone
Syncope	76	(4)
Thomas P. Martin
Fever	80	(9)
James H. Bryan
Harold A. Thomas Jr.
Altered Mental Status and Coma	89	(5)
Marcus L. Martin
J. Stephen Huff
Headache	94	(6)
Jonathan A. Edlow
Weakness	100	(5)
Andy Jagoda
Yasuharu Okuda
Dizziness	105	(7)
Michele E. Krajicek
Wyatt W. Decker
SECTION III EYE EMERGENCIES
Gregory W. Hendey
The Ophthalmic Examination	112	(5)
Geoffrey Broocker
Common Ophthalmic Medications	117	(3)
Geoffrey Broocker
The Red Eye	120	(3)
Robert S. Porter
Corneal Abrasion and Foreign Bodies	123	(3)
Lori Weichenthal
Acute Vision Loss	126	(5)
Catherine A. Marco
Diplopia	131	(4)
James A. Comes
Acute Eye Infections	135	(5)
David A. Kramer
Michael A. Bohrn
Acute Angle-Closure Glaucoma	140	(10)
William Bozeman
SECTION IV ENT AND DENTAL EMERGENCIES
Gregory W. Hendey
Dental Emergencies	150	(3)
Gregory T. Guldner
Oral and Maxillofacial Disorders	153	(10)
James T. Amsterdam
William G. Langston, II
Nontraumatic Upper Airway Obstruction	163	(4)
Joseph E. Clinton
Sore Throat	167	(5)
Michael F. Murphy
Complications of Tracheostomies	172	(2)
Valerie Ann Dobiesz
Scott Andrew Miller
Sinusitis and Rhinitis	174	(4)
Luis H. Haro
Eric T. Boie
Acute Ear Infections in Adults	178	(7)
Harry W. Severance
Epistaxis	185	(5)
Jeffrey A. Evans
Todd C. Rothenhaus
Vertigo and Labyrinthine Disorders	190	(8)
Eileen M. Raynor
Robert D. Herr
SECTION V PULMONARY EMERGENCIES
Jeffrey Schaider
Respiratory Failure	198	(8)
Robert Sigillito
Peter M.C. DeBlieux
Pneumonia	206	(7)
Gregory J. Moran
David A. Talan
Pleural Effusion	213	(7)
Robert Sigillito
Peter M.C. DeBlieux
Asthma	220	(6)
Rita K. Cydulka
Chronic Obstructive Pulmonary Disease	226	(4)
David S. Howes
Marc A. Bellazzini
Spontaneous Pneumothorax and Pneumomediastinum	230	(2)
Susan M. Dunmire
Pulmonary Embolism	232	(5)
Jeffrey A. Tabas
Erin McNutt
Hemoptysis	237	(3)
Steven J. Parrillo
Sarcoidosis	240	(6)
Steven J. Parrillo
SECTION VI CARDIOVASCULAR EMERGENCIES
Jeffrey Schaider
Acute Coronary Syndromes	246	(9)
James T. Niemann
Congestive Heart Failure and Cor Pulmonale	255	(5)
James T. Niemann
Bradydysrhythmias	260	(6)
David Hartman
David T. Overton
Tachydysrhythmias	266	(11)
Mel Herbert
Scott R. Votey
The Patient with a Pacemaker or Implantable Cardioverter--Defibrillator	277	(4)
Robert M. Rodriguez
Valvular Heart Disease	281	(5)
Joseph P. Ornato
Infectious Endocarditis	286	(8)
Ian D. Jones
Corey M. Slovis
Acute Pericarditis and Cardiac Tamponade	294	(3)
Howard A. Bessen
Richard Byyny
Hypertension	297	(9)
Philip Shayne
SECTION VII VASCULAR EMERGENCIES
Gregory W. Hendey
Nontraumatic Carotid and Vertebral Artery Disorders	306	(4)
Brian Chinnock
Peripheral Arterial Disease	310	(4)
Darren Braude
Deep Venous Thrombosis and Thrombophlebitis	314	(4)
Edward A. Panacek
J. Douglas Kirk
Complications of Vascular Grafts	318	(4)
Hoori Hovanessian
Venous Gas Embolism	322	(3)
Christopher H. Linden
Aortic Dissection and Thoracic Aortic Aneurysms	325	(5)
Shawna J. Perry
Abdominal Aortic Aneurysm	330	(4)
Matthew R. Lewin
Robert L. Wears
Mesenteric Ischemia and Infarction	334	(6)
Kendall Ho
SECTION VIII GASTROINTESTINAL EMERGENCIES
Gregory W. Hendey
Esophageal Disease	340	(5)
Charles M. Seamens
Marc Mickiewicz
Upper Gastrointestinal Bleeding	345	(4)
Edward A. Panacek
Deborah Diercks
Lower Gastrointestinal Bleeding	349	(3)
Catherine B. Custalow
Peptic Ulcer Disease	352	(4)
Dale S. Birenbaum
Approach to Jaundice	356	(5)
Tobias D. Barker
Gus M. Garmel
Acute Diseases of the Biliary Tract	361	(4)
Lance D. Wilson
Hepatitis	365	(8)
Mark J. Ault
Joel M. Geiderman
Hepatic Failure and Cirrhosis	373	(3)
David M. Cline
The Patient with a Liver Transplant	376	(6)
Scott R. Votey
Eric A. Savitsky
Douglas W. Lowery
Pancreatitis	382	(5)
David C. Seaberg
Allan B. Wolfson
Acute Appendicitis	387	(4)
Brian K. Snyder
Bowel Obstruction	391	(3)
Philip L. Henneman
Susan P. Torrey
Hernias	394	(2)
Sharon Elizabeth Mace
Inflammatory Bowel Disease	396	(3)
Howard A. Werman
Diarrhea and Proctitis	399	(7)
Philip Salen
Michael Heller
Diverticular Disease	406	(2)
Michael D. Witting
Perianal, Rectal, and Anal Diseases	408	(5)
Wendy C. Coates
Gastrointestinal Foreign Bodies	413	(5)
Valerie C. Norton
SECTION IX RENAL AND UROLOGIC EMERGENCIES
Gregory W. Hendey
Hematuria	418	(2)
H. Gene Hern, Jr.
Acute Scrotal Pain	420	(8)
Robert E. Schneider
Urinary Tract Infections	428	(7)
Eric T. Boie
Deepi G. Goyal
Annie T. Sadosty
Prostatitis	435	(2)
Herbert Bivins
Fournier's Gangrene	437	(2)
Gregory W. Hendey
Robert E. Schneider
Urolithiasis	439	(4)
Stephen R. Hayden
Urinary Incontinence and Retention	443	(5)
Stephen J. Wolf
Genitourinary Stents and Catheters	448	(3)
Paul Phrampus
Benjamin Davis
Penile Disorders	451	(2)
Douglas McGee
Azotemia and Acute Renal Failure	453	(4)
Todd C. Rothenhaus
Deborah R. Wong
Chronic Renal Failure and Dialysis-Related Emergencies	457	(6)
Allan B. Wolfson
The Patient with a Renal Transplant	463	(7)
Louis G. Graff
SECTION X GYNECOLOGIC EMERGENCIES
Gregory W. Hendey
Pelvic Pain	470	(4)
Joseph Schmidt
Pelvic Inflammatory Disease	474	(3)
Alfred Sacchetti
Vaginal Bleeding in the Nonpregnant Patient	477	(4)
Eric Anderson
Vaginitis	481	(3)
Constance S. Greene
Breast Masses and Breast Infection	484	(3)
John M. Howell
Ellen M. Dugan
Sexual Assault	487	(7)
Gwendolyn L. Hoffman
SECTION XI OBSTETRIC EMERGENCIES
Gregory W. Hendey
Emergencies in Early Pregnancy	494	(6)
Pamela L. Dyne
Ectopic Pregnancy	500	(5)
G. Richard Braen
Richard S. Krause
Complications of Induced Abortion	505	(3)
Lynne McCullough
Hypertensive Disorders of Pregnancy	508	(4)
Jan Marie Shoenberger
Sean O. Henderson
Emergencies of Late Pregnancy	512	(5)
Moss H. Mendelson
Emergency Delivery	517	(5)
Michael D. Burg
Daan Biesbroeck
Postpartum Emergencies	522	(5)
Moss H. Mendelson
Joseph Lang
Drugs in Pregnancy and Lactation	527	(9)
David H. Adler
Flavia Nobay
SECTION XII MUSCULOSKELETAL DISORDERS
Gregory W. Hendey
Painful Syndromes of the Hand and Wrist	536	(4)
Gary M. Vilke
Bursitis and Tendinopathy	540	(5)
Stephen L. Adams
Hand Infections	545	(10)
Carl R. Chudnofsky
Paul B. Vanderbeek
Low Back Pain	555	(6)
David Della-Giustina
Common Foot Disorders	561	(2)
Valerie Ann Dobiesz
Louis G. Poulos
Monoarticular Arthritis	563	(5)
Alan C. Heffner
Polyarticular Arthritis	568	(6)
Harold A. Thomas, Jr.
Richard S. Hartoch
SECTION XIII NEUROLOGIC EMERGENCIES
Jeffrey Schaider
Organic Brain Syndrome	574	(4)
Rebecca R. Roberts
Headache	578	(10)
E. John Gallagher
Adrienne J. Birnbaum
Subarachnoid Hemorrhage	588	(4)
Clifton W. Callaway
Cerebrovascular Disease	592	(10)
Phillip A. Scott
Seizures	602	(8)
Peter Shearer
Andy Jagoda
Transient Global Amnesia	610	(1)
Lauren Grossman
Richard M. Kaplan
Peripheral Neuropathies	611	(5)
Phyllis A. Vallee
Christopher A. Lewandowski
Bell's Palsy and Trigeminal Neuralgia	616	(3)
Lauren Grossman
Myopathies and Disorders of Neuromuscular Transmission	619	(6)
Sharad Pandit
Demyelinating Disease	625	(4)
Adrienne J. Birnbaum
Parkinsonism and Other Movement Disorders	629	(5)
Brendan R. Furlong
SECTION XIV PSYCHIATRIC EMERGENCIES
Jeffrey Schaider
Medical Clearance	634	(3)
Kerry B. Broderick
Carrie D. Mendoza
Depression and Suicide Ideation	637	(2)
Robert S. Hockberger
Matthew Smith
Anxiety Disorders and Panic Attack	639	(4)
Douglas A. Rund
Phillip I. Bialecki
Radu V. Saveanu
Anna Kate Corbin
The Agitated or Violent Patient	643	(2)
Katherine Bakes
Vince Markovchick
Factitious Illness, Malingering, and Conversion Disorder	645	(4)
Jeffrey Dubin
Mark Smith
Bereavement and Grief Reactions	649	(7)
Kenneth V. Iserson
SECTION XV DERMATOLOGIC EMERGENCIES
Jeffrey Schaider
Life-Threatening Dermatoses	656	(9)
Alan T. Forstater
Kenneth J. Neuburger
Papulosquamous Eruptions	665	(6)
John J. Kelly
Mark Spektor
Blistering Disorders	671	(5)
Lisa R. Palivos
Purpuric Eruptions	676	(4)
Stephen C. Hartsell
Steven M. Joyce
Urticaria	680	(6)
Theodore A. Christopher
Richard Bruno
Joseph D. Kim
SECTION XVI ALLERGIC AND IMMUNOLOGIC EMERGENCIES
Jeffrey Schaider
Anaphylaxis	686	(5)
David N. Zull
Angioedema	691	(3)
Susan Mumm Fitzgerald
Eric R. Snoey
Drug Allergy and Other Drug Reactions	694	(4)
Donna Kinser
Multisystem Autoimmune Disease	698	(8)
Theodore I. Benzer
SECTION XVII INFECTIOUS DISEASE EMERGENCIES
Jeffrey Schaider
Bacteremia, Sepsis, and Septic Shock	706	(6)
Nathan I. Shapiro
Stephen Trzeciak
Skin and Soft-Tissue Infections	712	(6)
Alexander T. Trott
Tetanus	718	(2)
Daniel T. Wu
Meningitis and Encephalitis	720	(4)
Richard M. Kaplan
Central Nervous System Abscess	724	(5)
E. Bradshaw Bunney
Sexually Transmitted Diseases	729	(6)
Christine Anderegg
Diane M. Birnbaumer
Lyme Disease	735	(6)
Edward B. Bolgiano
Robert A. Barish
Rocky Mountain Spotted Fever	741	(4)
Michael A. Gibbs
Other Tick-Borne Diseases	745	(6)
Ann P. Nguyen
Tuberculosis	751	(6)
Gregory J. Moran
David A. Talan
Infectious Mononucleosis	757	(2)
David Anthony Jerrard
Influenza	759	(3)
Jonathan S. Olshaker
Human Immunodeficiency Virus Infection and Related Disorders	762	(11)
Richard E. Rothman
Samuel Yang
Catherine A. Marco
Toxic Shock Syndromes	773	(2)
Michelle J. Canham
Frederick M. Schiavone
Parasitic Disease	775	(6)
Keith T. Borg
Richard J. Ryan
Blood and Body Fluid Exposures in the Health-Care Worker	781	(7)
Peter E. Sokolove
SECTION XVIII HEMATOLOGIC/ONCOLOGIC EMERGENCIES
Jeffrey Schaider
Bleeding Disorders	788	(8)
Kathleen C. Hubbell
Antithrombotic Therapy and Its Complications	796	(9)
John Bailitz
Disseminated Intravascular Coagulation, Thrombotic Thrombocytopenic Purpura, and Hemolytic-Uremic Syndrome	805	(5)
Kathleen C. Hubbell
Sickle Cell Disease	810	(5)
Donald M. Yealy
Michele L. Dorfsman
Anemia	815	(3)
Louis S. Binder
George S. Kim
Transfusion Reactions and Complications	818	(4)
Gregory W. Hendey
The Cancer Patient in the Emergency Department	822	(8)
Austen Chai
SECTION XIX ENDOCRINE AND METABOLIC EMERGENCIES
Jeffrey Schaider
Acid--Base Disturbances	830	(5)
Robert Shesser
Tina Rosenbaum
Diabetes Mellitus	835	(7)
Scott R. Votey
Anne L. Peters
Diabetic Ketoacidosis	842	(4)
Robert A. Schwab
Michelle Marsala
Hyperosmolar Hyperglycemic State	846	(3)
Michael E. Chansky
Renee L. Riggs
Hypoglycemia	849	(5)
Scott R. Votey
Anne L. Peters
Thyroid Emergencies	854	(9)
Scott C. Sherman
Adrenal and Pituitary Disorders	863	(5)
Christine A. Kletti
Clare T. Sercombe
Disorders of Sodium and Water Metabolism	868	(6)
Sandra A. Craig
Disorders of Potassium Metabolism	874	(4)
Robert G. Buckley
Disorders of Calcium, Phosphate, and Magnesium Metabolism	878	(6)
John W. Love
Robert G. Buckley
Rhabdomyolysis	884	(6)
Mark T. Steele
SECTION XX TRAUMA
Carlo L. Rosen
General Considerations
General Principles of Trauma	890	(9)
Eric L. Legome
Peter Rosen
Trauma Airway Management	899	(8)
Kevin R. Ward
Traumatic Shock	907	(5)
Christopher B. Colwell
Wound Management	912	(11)
Judd E. Hollander
Adam J. Singer
Specific Injuries
Head Injuries	923	(5)
Pierre Borczuk
Stephen H. Thomas
Maxillofacial Injuries	928	(10)
Jayne MacLaughlin
Stephen Colucciello
Dental Injuries	938	(7)
Kip Benko
Eye Trauma	945	(8)
Kevin J. Knoop
William R. Dennis
Blunt Neck Trauma	953	(3)
Edward Ullman
Penetrating Neck Trauma	956	(6)
Andrew L. Knaut
John L. Kendall
Cervical Spine Fractures	962
William R. Mower
Jerome R. Hoffman
Swaminatha V. Mahadevan
Thoracolumbar Spine Fractures	669	(305)
Amy Kaji
Robert S. Hockberger
Spinal Cord Injuries	974	(7)
Brian D. Mahoney
Blunt Chest Trauma	981	(9)
Vincent J. Markovchick
Penetrating Chest Trauma	990	(10)
Lee W. Shockley
Blunt Abdominal Trauma	1000	(7)
Eric L. Legome
William Goldberg
Penetrating Abdominal Trauma	1007	(5)
Jennifer L. Isenhour
John A. Marx
Genitourinary Trauma	1012	(6)
Carrie D. Tibbles
Peripheral Vascular Injuries	1018	(4)
Peter T. Pons
Orthopaedic Trauma
Approach to Musculoskeletal Injuries	1022	(11)
Andrew D. Perron
Shoulder Injuries	1033	(7)
Jeffrey Schaider
Robert R. Simon
Elbow Injuries	1040	(8)
Andrew D. Perron
Wrist and Forearm Injuries	1048	(10)
Joel Kravitz
Carl R. Chudnofsky
Hand Injuries	1058	(12)
Kenneth Jackimczyk
Suzanne Moore Shepherd
Paul Blackburn
Pelvic Fractures	1070	(8)
Michael A. Gibbs
Carrie D. Tibbles
Hip and Femur Injuries	1078	(6)
Norberto Adame, Jr.
Timothy Seay
Knee Injuries	1084	(8)
John E. Gough
Luis E. Rodriguez
Ankle and Foot Injuries	1092	(9)
Kaushal Shah
Special Considerations
Burns	1101	(6)
Luis H. Haro
Steve Miller
Wyatt W. Decker
Replantation	1107	(2)
James L. Larson
Acute Compartment Syndrome	1109	(4)
John A. Siefert
Ballistics and Blast Injuries	1113	(4)
Leon D. Sanchez
Hanging and Strangulation Injuries	1117	(3)
Leon D. Sanchez
Richard E. Wolfe
Trauma in Pregnancy	1120	(4)
Susan B. Promes
Charles J. Gerardo
Trauma in the Elderly	1124	(6)
Shahram Lotfipour
Federico E. Vaca
SECTION XXI PEDIATRICS
Phyllis L. Hendry
Ghazala Q. Sharieff
General Approach to the Pediatric Emergency Patient	1130	(6)
Robert A. Wiebe
Resuscitation
Newborn Resuscitation	1136	(7)
Rodney B. Boychuk
Pediatric Resuscitation	1143	(8)
John A. Brennan
Neil Schamban
Rapid-Sequence Induction	1151	(4)
Robert C. Luten
Stephen Andy Godwin
Shock and Vascular Access	1155	(7)
Tonia J. Brousseau
Pediatric Trauma
General Approach to Pediatric Trauma	1162	(8)
Rick C. Place
Thom A. Mayer
Head Trauma	1170	(4)
Dee Hodge III
Kimberly S. Quayle
Evaluation of the Cervical Spine	1174	(5)
Jeffrey R. Avner
Chest and Abdominal Trauma	1179	(6)
Christine E. Koerner
Brent R. King
Fractures and Sports Injuries	1185	(6)
Christopher S. Kennedy
Robert D. Yniguez
Chief Complaints
Abdominal Pain	1191	(4)
Loren G. Yamamoto
Altered Mental Status	1195	(3)
S. Margaret Paik
Mark A. Hostetler
Apnea and Apparent Life-Threatening Events (ALTE)	1198	(4)
Ghazala Q. Sharieff
Ataxia	1202	(3)
Peter S. Auerbach
Erin E. Endom
Chest Pain	1205	(5)
Steven M. Selbst
Constipation	1210	(2)
Elisa Alter Zenni
Crying, Fussy Infant	1212	(3)
Naghma S. Khan
Dehydration	1215	(3)
Todd Wylie
Diarrhea	1218	(5)
James E. Colletti
Failure to Thrive	1223	(2)
Robert E. Sapien
Fever of Acute Onset	1225	(6)
Maureen D. McCollough
David A. Talan
Gastrointestinal Bleeding	1231	(5)
Michael Gayle
Niranjan Kissoon
Headache	1236	(3)
Laurie J. Burton
Harold K. Simon
Heart Murmurs	1239	(5)
Annalise Sorrentino
Steven Baldwin
Hematuria	1244	(4)
Lina Abujamra
Madeline Matar Joseph
Limp	1248	(4)
Jonathan I. Singer
Respiratory Distress	1252	(4)
Richard Cantor
Bruce Quinn
Seizures	1256	(5)
Craig R. Warden
Christopher S. Kennedy
Syncope	1261	(3)
Sharon E. Mace
Vomiting	1264	(4)
Ronald A. Furnival
Specific Diseases
Abuse: Sexual	1268	(3)
J. M. Whitworth
Abuse and Neglect: Physical	1271	(3)
J. M. Whitworth
Appendicitis	1274	(3)
Maureen D. McCollough
Asthma	1277	(7)
Jeffrey F. Linzer
Bronchiolitis	1284	(3)
Kathy Shaw
Cellulitis	1287	(4)
Christopher S. Kennedy
Mary E. Moffatt
Congenital Heart Disease, Congestive Heart Failure, and Other Cardiac Presentations	1291	(6)
Ann M. Dietrich
Leslie Mihalov
Croup and Other Airway Disorders	1297	(4)
Timothy G. Givens
Dermatologic Disorders	1301	(13)
Atima Chumpa Delaney
Diabetic Ketoacidosis	1314	(3)
Timothy G. Givens
Ear Infections	1317	(6)
Noel S. Zuckerbraun
Robert W. Hickey
Eye Disorders	1323	(9)
Janet G. Alteveer
Kathryn McCans
Foreign Bodies	1332	(3)
Lance Brown
Genitourinary Disorders	1335	(8)
Brianna Enriquez
Marianne Gausche-Hill
Glomerulonephritis and the Nephrotic Syndrome	1343	(4)
Kathy W. Monroe
Annalise Sorrentino
Human Immunodeficiency Virus (HIV)	1347	(6)
Joseph A. Church
Jeffrey F. Linzer
Immunizations	1353	(6)
Marla J. Friedman
Javier A. Gonzalez del Rey
Intussusception	1359	(2)
Jonathan I. Singer
Kawasaki Disease	1361	(2)
James A. Wilde
Lymphadenitis and Neck Masses	1363	(4)
Mobeen H. Rathore
Sabiha Hussain
Meningitis and Encephalitis	1367	(6)
James A. Wilde
Metabolic and Endocrine Disorders	1373	(5)
Kenneth T. Kwon
Newborn Problems	1378	(15)
Robert D. Kregenow
David M. Jaffe
Nursemaid's Elbow	1393	(1)
Cynthia C. Hoecker
Osgood-Schlatter Disease	1394	(2)
Todd Wylie
Pertussis	1396	(2)
Roger M. Barkin
Pharyngitis and Rheumatic Fever	1398	(3)
Martha S. Wright
Pneumonia	1401	(4)
Ian McCaslin
Psychosocial and Behavioral Emergencies	1405	(3)
Cynthia Jacobstein
Jill M. Baren
Pyloric Stenosis	1408	(2)
Ronald A. Furnival
Sickling Syndromes	1410	(3)
B. Nazeema Khan
Paul A. Pitel
Sinusitis	1413	(3)
Kelli A. Maiers
Daniel J. Isaacman
Torticollis	1416	(2)
Gregory G. Gaar
Urinary Tract Infections in Children	1418	(4)
Kathleen Brown
Ventricular Shunt Problems	1422	(4)
Erin Doherty Phrampus
Christopher King
Administrative and Clinical Issues
Pediatric Sedation and Pain Management	1426	(4)
William F. Coombs
Dealing with Death or Catastrophic Illness in Children	1430	(6)
Phyllis L. Hendry
Mardi Steere
SECTION XXII TOXICOLOGY
Christopher H. Linden
Jeffrey R. Suchard
General Considerations
Approach to the Poisoned Patient	1436	(10)
Christopher H. Linden
William A. Watson
Gastrointestinal Decontamination	1446	(4)
Joshua G. Schier
Robert S. Hoffman
Alcohol-Related Agents and Conditions
Ethanol	1450	(4)
Tri C. Tong
Binh T. Ly
Ethylene Glycol	1454	(4)
Michael Joseph Burns
Methanol	1458	(3)
Dag Jacobsen
Isopropanol, Acetone, and Other Glycols	1461	(3)
Jeffrey R. Suchard
Alcoholic Ketoacidosis	1464	(2)
Sage W. Wiener
Robert S. Hoffman
Alcohol Withdrawal	1466	(4)
Mark Su
Other Complications of Chronic Ethanol Abuse	1470	(7)
Cynthia K. Aaron
Ivan E. Liang
Analgesics and Related Conditions
Acetaminophen	1477	(5)
Jeffrey Brent
Robert Palmer
Ergot Alkaloids	1482	(2)
Leslie S. Carroll
Steven Guillen
Nonsteroidal Antiinflammatory Drugs	1484	(4)
Marco L. A. Sivilotti
Opioids	1488	(5)
Patricia Murphy
R. Brent Furbee
Salicylates	1493	(6)
Christopher H. Linden
Complications of Injection Drug Use	1499	(5)
James A. Feldman
Michael K. Tibbles
Susan S. Fish
Anticonvulsants and Sedative--Hypnotics
Barbiturates	1504	(3)
Beth H. Manning
Benzodiazepines	1507	(5)
Thomas R. Carraccio
Howard C. Mofenson
Robin B. McFee
Carbamazepine	1512	(2)
Marco L. A. Sivilotti
Gamma Hydroxybutyrate	1514	(3)
Ilene B. Anderson
Jo Ellen Dyer
Muscle Relaxants and Other Sedative--Hypnotic Agents	1517	(4)
Barbara Insley Crouch
Fred M. Henretig
Phenytoin	1521	(4)
Thomas E. Kearney
Valproic Acid	1525	(2)
Gregory G. Gaar
Other Anticonvulsants	1527	(6)
Walter H. Mullen
Anti-Infective Agents and Biocides
Antimalarial Drugs	1533	(4)
Timothy E. Albertson
Kathy Marquardt
Judith Alsop
Herbicides	1537	(4)
Christopher H. Linden
William J. Lewander
Isoniazid	1541	(2)
Alan D. Woolf
Organophosphate and Carbamate Insecticides	1543	(4)
Jeanmarie Perrone
Other Insecticides	1547	(4)
William K. Chiang
Richard Y. Wang
Rodenticides	1551	(5)
Richard D. Shih
Robert S. Hoffman
Cardiovascular Drugs
Antidysrhythmic Drugs and Local Anesthetics	1556	(4)
S. Rutherfoord Rose
James E. Cisek
Centrally Acting Antihypertensive Agents	1560	(3)
James R. Roberts
Rachel Haroz
Beta Blockers	1563	(4)
Fermin Barrueto, Jr.
Calcium Channel Antagonists	1567	(3)
Matthew D. Sztajnkrycer
G. Randall Bond
Cardiac Glycosides	1570	(4)
John S. Kashani
Richard D. Gerkin
Chemicals, Gases, and Metabolic Poisons
Arsenic and Mercury	1574	(4)
Jay L. Schauben
Carbon Monoxide	1578	(2)
Kent R. Olson
Corrosives and Chemical Burns	1580	(5)
Larissa I. Velez
Collin S. Goto
Cyanide	1585	(2)
Alan H. Hall
Fluoride and Hydrofluoric Acid	1587	(3)
Kennon Heard
Hydrocarbons	1590	(3)
Sophia Dyer
Hydrogen Sulfide	1593	(3)
Matthew D. Sztajnkrycer
Iron	1596	(3)
Jeffrey R. Suchard
Steven C. Curry
Irritant Gas Inhalation	1599	(4)
Philip A. Edelman
Lead	1603	(3)
Steven M. Marcus
Methemoglobinemia	1606	(3)
David A. Tanen
Michael J. Matteucci
Smoke Inhalation	1609	(5)
Heather Long
Psychotherapeutic Agents and Related Conditions
Antipsychotic Agents	1614	(5)
Christopher H. Linden
Cyclic Antidepressants	1619	(3)
Keith K. Burkhart
Dystonic Reactions	1622	(3)
Anthony S. Manoguerra
Lithium	1625	(2)
Kenneth W. Kulig
Monoamine Oxidase Inhibitors	1627	(6)
Michael Joseph Burns
Serotonin Re-uptake Inhibitors	1633	(4)
Andis Graudins
Stimulants and Hallucinogens
Anticholinergic Agents	1637	(4)
Andis Graudins
Cocaine	1641	(4)
Richard D. Shih
Judd E. Hollander
Hallucinogens	1645	(4)
Howard A. Greller
Lewis S. Nelson
Methylxanthines	1649	(3)
Pierre Gaudreault
Phencyclidine and Ketamine	1652	(2)
Cyrus Rangan
Sympathomimetics	1654	(4)
Christine Haller
Thyroid Hormones	1658	(3)
Milton Tenenbein
Miscellaneous Agents and Conditions
Biological Warfare Agents	1661	(5)
Jeffrey R. Suchard
Chemical Warfare Agents	1666	(8)
Michael Joseph Burns
Christopher H. Linden
Complications of Parenteral Drug Therapy	1674	(3)
Jennifer A. Oman
Scott E. Rudkin
Drug Withdrawal	1677	(5)
Paul M. Wax
Food Poisoning	1682	(4)
Marc C. Restuccia
Botulism	1686	(3)
Adhi N. Sharma
Oral Hypoglycemic Agents	1689	(4)
Matthew J. Hunt
Jeffrey R. Suchard
Mushrooms	1693	(3)
Brandon Wills
Steven E. Aks
Plants	1696	(10)
Judith A. Alsop
Timothy E. Albertson
Dietary Supplements and Herbal Medications	1706	(4)
Richard J. Geller
Seafood Toxins	1710	(4)
Robert P. Dowsett
Vitamins	1714	(6)
Richard J. Geller
SECTION XXIII ENVIRONMENTAL EMERGENCIES
Christopher H. Linden
Jeffrey R. Suchard
Bites and Envenomations
Crotaline Snake Envenomation	1720	(2)
Richard C. Dart
John B. Sullivan, Jr.
Elapid Snake Envenomation	1722	(2)
Richard C. Dart
John B. Sullivan, Jr.
Hymenoptera Envenomation	1724	(3)
Paul Kolecki
Marine Envenomation	1727	(4)
Grant S. Lipman
Paul S. Auerbach
Scorpion Envenomation	1731	(3)
Jeffrey R. Suchard
Steven C. Curry
Black Widow Spider Envenomation	1734	(3)
Daniel E. Brooks
Brown Recluse Spider Envenomation	1737	(2)
Gary S. Wasserman
Insect, Tick, Mite Bites and Infestations	1739	(6)
Michael James Burns
Mammal Bites and Associated Infections	1745	(4)
Stephen J. Playe
Physical Agents
Hypothermia	1749	(4)
Andrew K. Chang
Cold-Induced Tissue Injuries	1753	(4)
Joseph M. Weber
Scott C. Sherman
Heat-Related Illness	1757	(3)
Eric W. Schmidt
Constance G. Nichols
High-Altitude Illness	1760	(3)
David Richardson
Underwater and Diving Injuries	1763	(4)
Brian K. Snyder
Submersion Injuries	1767	(3)
Gregory A. Volturo
Electrical Injuries	1770	(3)
Scott E. Rudkin
Jennifer A. Oman
Lightning Injuries	1773	(2)
David F. M. Brown
Radiation Injuries	1775	(7)
Joe Suyama
Matthew D. Sztajnkrycer
SECTION XXIV ADMINISTRATIVE AND SPECIAL CLINICAL CONSIDERATIONS
Carlo L. Rosen
Prehospital Care
Emergency Medical Services	1782	(10)
Alexander P. Isakov
Marc C. Restuccia
Lawrence Mottley
Air Medical Services	1792	(6)
Theodore R. Delbridge
Disaster Planning and Management	1798	(5)
Jonathan L. Burstein
Patient Safety, Ethical, Legal and Regulatory Issues
Errors and Patient Safety	1803	(4)
Karen S. Cosby
John Vinen
Christopher B. Beach
Robert L. Wears
Ethical Issues	1807	(5)
James G. Adams
Legal Issues	1812	(6)
Howard A. Peth, Jr.
Regulatory Issues	1818	(5)
Jorge A. Martinez
Larry D. Weiss
Special Clinical Considerations
Acute Pain Management	1823	(7)
Steven Rosenzweig
Bernard Lopez
Daniel Mines
Chronic Pain Syndromes	1830	(6)
Michael A. Turturro
Paul M. Paris
Procedural Sedation and Analgesia	1836	(6)
Robert J. Vissers
Interpersonal Violence	1842	(6)
Debra Houry
SECTION XXV APPENDICES
Christopher H. Linden
Appendix A: Dermatomes	1848	(1)
Christopher H. Linden
Appendix B: Length-Based Equipment Chart	1849	(2)
Christopher H. Linden
Subject Index	1851