Emergency Management of the Hi-Tech Patient in Acute and Critical Care

Emergency Management of the Hi-Tech Patient in Acute and Critical Care helps practitioners stabilize and care for pediatric and adult patients who have specialized medical devices such as prosthetic valves, cochlear transplants, insulin pumps, orthopedic hardware, and ventriculoperitoneal (VP) shunts. Using a step-by-step approach to acute presentations of patients with clinical hardware, this concise yet comprehensive guide provides specific instructions for the initial evaluation and management of numerous clinical scenarios including device malfunctions, infections, trauma, surgical complications, and more.

Encompassing management of both the patient and the device, the guide enables emergency and critical care clinicians to rapidly make appropriate treatment decisions without the immediate need for extensive research, extended discussions with subspecialists, or recalling complex diagnostic and therapeutic algorithms. Clear, concise, and easy-to-follow chapters—written by a panel of highly experienced experts across specialties—include numerous algorithms, figures, tables, diagrams, and color illustrations and clinical images. An invaluable resource for improving the quality of care for the unique hi-tech patient population, this advanced practical manual:

• Provides algorithms for the most common clinical scenarios of device malfunction and related complications
• Covers management of patients who have undergone major operations such as organ transplantation or complex congenital heart disease repair
• Presents detailed management plans for a wide range of hardware types and medical conditions
• Offers expert guidance to practitioners in settings where not all specialties are readily available, such as rural and remote areas or community hospitals
• Features contributions from a team of experts in various areas of adult and pediatric emergency and critical care medicine

Emergency Management of the Hi-Tech Patient in Acute and Critical Care is a must-have clinical reference and guide for pediatric and adult emergency medicine physicians, general pediatricians, internists, general practitioners, critical care specialists, and allied health practitioners.

Editors 

Ioannis Koutroulis, MD, PhD, MBA, is an Attending Physician in Emergency Medicine at Children’s National Hospital, and Assistant Professor of Pediatrics, Emergency Medicine, Genomics, and Precision Medicine at the George Washington University School of Medicine and Health Sciences. 

Nicholas Tsarouhas, MD, is an Attending Physician in the Emergency Department and Medical Director of the Emergency Transport Team at Children’s Hospital of Philadelphia, and a Professor of Clinical Pediatrics at the University of Pennsylvania’s Perelman School of Medicine. 

Associate Editors 

Richard S. Lin, MD, is an Attending Physician in the Critical Care Medicine Department, Clinical Director of the Progressive Care Unit, and Assistant Professor of Clinical Anesthesiology, Critical Care and Pediatrics at the University of Pennsylvania’s Perelman School of Medicine. 

Jill C. Posner, MD, MSCE, MSEd, is a Professor of Clinical Pediatrics at the University of Pennsylvania’s Perelman School of Medicine, and Attending Physician at the Children’s Hospital of Philadelphia. 

Michael Seneff, MD, is Director of the Intensive Care Unit and Associate Professor of Anesthesiology and Critical Care Medicine at the George Washington University Hospital, George Washington University School of Medicine and Health Sciences.  

Robert Shesser, MD, is Professor and Chair of the Department of Emergency Medicine at the George Washington University School of Medicine and Health Sciences. 

SECTION 1 Gastro-Intestinal devices       

1.  Using and Troubleshooting Enteral Feeding Devices   

Courtney Nelson (NelsonC5@email.chop.edu) Thane Blinman (blinman@email.chop.edu)

2.  Gastro-intestinal diversions: colostomies, ileostomies, mucous fistulas and spit fistulas              Ellen Szydlowski (SZYDLOWSKE@EMAIL.CHOP.EDU), Peter Mattei (MATTEI@EMAIL.CHOP.EDU)

3.  Management of the Bariatric Surgery Patient in the Emergency Department   Megan Lavoie (LavoieM@email.chop.edu)

4. Transjugular Intrahepatic Portosystemic Shunt               Heather House (HOUSEH@EMAIL.CHOP.EDU)

SECTION 2 Central Catheters      

5.  Indwelling Central Venous Catheter Devices  Anna Weiss (WEISSAK@email.chop.edu)

6. Vascular access for hemodialysis          Sarah Fesnak (fesnaks@email.chop.edu) Xenia Morgan (morganx@email.chop.edu) Karen Merrigan (MERRIGAN@email.chop.edu) Kimberly Windt (windt@email.chop.edu)

7. Peritoneal Dialysis Catheters  Jamie Lovell (LovellJ@email.chop.edu)

SECTION 3 ENT and OMFS Devices           

8.  Orthopedic Devices   Carmelle Tsai (TSAIC@EMAIL.CHOP.EDU), Andrew Tyler (andrew.tyler@uphs.upenn.edu), Kristen Lowe (LoweK1@email.chop.edu)

9.  Spine devices               "Susan Nelson (NELSONS2@EMAIL.CHOP.EDU)  Capraro, Anthony (CapraroA@email.chop.edu)

Baldwin, Keith (baldwink@email.chop.edu)"

"10.  Facial Distractors: Cranial Vault, Midface and Mandibular

                "Francesca Drake RNFA, BSN, CNOR, Phuong D. Nguyen MD

(DRAKEF@email.chop.edu) "

"11.  MANAGEMENT OF FACIAL FRACTURES IN ADULTS AND CHILDREN

"              "

Sameer Shakir MD, Phuong D. Nguyen MD

(Sameer.Shakir@uphs.upenn.edu)"

"12  Cranial Orthotics and Ear Molding

"              "

Meg Maguire, CPNP-PC, Phuong D. Nguyen, MD

(MAGUIREMA@email.chop.edu)"

13 Ear, Nose, and Throat (ENT) Devices  Eva Delgado (DelgadoE2@email.chop.edu), Adva Buzi (Buzia@email.chop.edu)

"SECTION 4 CNS devices

14. Cerebral-Ventricular Shunts                                                                                                                     Panagiotis Kratimenos    (pkratimenos@gmail.com) , Chima Oluigbo (coluigbo@childrensnational.org), Angela Burd (aburd@childrensnational.org) 

15. Initial Evaluation and Management of Patients with Neurosurgical Devicess                                                                                                                                                                                           Peter J. Madsen; Chariton Moschopoulos, Benjamin C. Kennedy 

"SECTION 5 Miscellaneous devices

16. Ophthalmic Devices Marlet Bazemore (MBazemor@childrensnational.org), William Madigan (WMadigan@childrensnational.org)

17. Breast implants          R. Jason VonDerHaar, MD and Liza C. Wu, MD

18. Cutaneous delivery systems/patches                                                                                                                                                                                   Desiree   Seeyave   (DSeeyave@childrensnational.org)             

19. Dental Emergencies Involving Oral Hardware               Chisom O. A. Agbim, MD, Ioannis Koutroulis, MD, PhD, MBA

"SECTION 6 Wound management devices

20. Emergency management of patients with Negative Pressure Wound Therapy Devices (NPWTD)           David Yamane (david.yamane@gmail.com) and Tenagne Haile-Mariam( thailemariam@mfa.gwu.edu)

21. Emergency management of patients with Wound infections  "

David Yamane MD

Tenagne Haile-Miriam MD"

"SECTION 7 GU devices

22. Emergency Management of Patients with Genitourinary Prostheses  Katie Wagner, Michael Phillips, Kelly Chiles (kchiles@mfa.gwu.edu)

SECTION 8 Cardiac devices          

23. Management of Prosthetic Valve Complications          Massoud Kazzi (mkazzi@gwumfa.onmicrosoft.com), Guenevere Burke (gburke@mfa.gwu.edu)

24. Emergency Management of Patients with Vascular Occlusion Devices, Stents, or Filters             Amy Caggiula (acaggiula!mfa.gwu.edu)

25. The ED approach to the patient with an implantable mechanical circulatory support device    Robert Shesser (rshesser@mfa.gwu.edu)

26. Emergency Management of the Patient with an Implantable Pacemaker or Defibrillator            Michael O'Neal (moneal@mfa.gwu.edu)

SECTION 9 Pulmonary devices   

27. Invasive Ventilation: A Discussion of Equipment and Troubleshooting                Pelton Phinizy (phinizyp@email.chop.edu), Joseph Bolton (boltonj@email.chop.edu), John Tamasitis (tamasitis@email.chop.edu)

28. Respiratory Medication Devices          Natalie Napolitano (napolitanon@email.chop.edu), James Fink (fink.jim@gmail.com)

"29. Secretion clearance devices

"              "Amanda Nickel, MSc, RRT-NPS, RRT-ACCS, Dan Dawson, RRT-NPS, Oscar H. Mayer, MD

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