Table of Contents

Chapter 145. Toxic shock syndrome and streptococcal toxic shock syndrome.
Chapter 146. Septic shock.
Chapter 147. Soft tissue infections.
Chapter 148. Disseminated viral infections.
Chapter 149. Human immunodeficiency virus infection and acquired immunodeficiency syndrome.
Chapter 150. Infective endocarditis.
Chapter 151. Tetanus.
Chapter 152. Rabies.
Chapter 153. Malaria.
Chapter 154. Foodborne and waterborne diseases.
Chapter 155. Zoonotic infections.
Chapter 156. World travelers.
Chapter 157. Occupational exposures, infection control, and standard precautions.
Chapter 158. Pharmacology of antimicrobics, antifungals, and antivirals.
Section 14. Neurology.
Chapter e158.1. The neurologic examination in the emergency setting.
Chapter 159. Headache and facial pain.
Chapter 160. Spontaneous subarachnoid and intracerebral hemorrhage.
Chapter 161. Stroke, transient ischemic attack, and cervical artery dissection.
Chapter 162. Altered mental status and coma.
Chapter 163. Ataxia and gait disturbances.
Chapter 164. Vertigo and dizziness.
Chapter 165. Seizures and status epilepticus in adults.
Chapter 166. Acute peripheral neurologic lesions.
Chapter 167. Chronic neurologic disorders.
Chapter 168. Central nervous system and spinal infections.
Chapter 169. Central nervous system procedures and devices.
Section 15. Toxicology.
Chapter 170. General management of poisoned patients.
Chapter e170.1. Principles of drug interactions.
Chapter 171. Cyclic antidepressants.
Chapter 172. Atypical antidepressants, serotonin reuptake inhibitors, and serotonin syndrome.
Chapter 173. Monoamine oxidase inhibitors.
Chapter 174. Antipsychotics.
Chapter 175. Lithium.
Chapter 176. Barbiturates.
Chapter 177. Benzodiazepines.
Chapter 178. Nonbenzodiazepine sedatives.
Chapter 179. Alcohols.
Chapter 180. Opioids.
Chapter 181. Cocaine, methamphetamine, and other amphetamines.
Chapter 182. Hallucinogens.
Chapter 183. Aspirin and salicylates.
Chapter 184. Acetaminophen.
Chapter 185. Nonsteroidal anti-inflammatory drugs.
Chapter 186. Methylxanthines and nicotine.
Chapter 187. Digitalis glycosides.
Chapter 188. Β-blockers.
Chapter 189. Calcium channel blockers.
Chapter 190. Antihypertensive agents.
Chapter 191. Anticonvulsants.
Chapter 192. Iron.
Chapter 193. Hydrocarbons and volatile substances.
Chapter 194. Caustics.
Chapter 195. Pesticides.
Chapter 196. Anticholinergics.
Chapter 197. Metals and metalloids.
Chapter 198. Industrial toxins.
Chapter 199. Vitamins and herbals.
Chapter 200. Antimicrobials.
Chapter 201. Dyshemoglobinemias.
Section 16. Environmental injuries.
Chapter 202. Frostbite and other localized cold injuries.
Chapter 203. Hypothermia.
Chapter 204. Heat emergencies.
Chapter 205. Bites and stings.
Chapter 206. Reptile bites.
Chapter 207. Trauma and envenomations from marine fauna.
Chapter 208. Dysbarism and complications of diving.
Chapter 209. Drowning.
Chapter 210. Thermal burns.
Chapter 211. Chemical burns.
Chapter 212. Electrical injuries.
Chapter 213. Lightning injuries.
Chapter 214. Mushroom poisoning.
Chapter 215. Poisonous plants.
Chapter 216. High-altitude medical problems.
Chapter 217. Carbon monoxide.
Section 17. Endocrine emergencies.
Chapter 218. Type 1 diabetes mellitus.
Chapter 219. Type 2 diabetes mellitus.
Chapter 220. Diabetic ketoacidosis.
Chapter 221. Alcoholic ketoacidosis.
Chapter 222. Hyperosmolar hyperglycemic state.
Chapter 223. Thyroid disorders: hypothyroidism and myxedema crisis.
Chapter 224. Thyroid disorders: hyperthyroidism and thyroid storm.
Chapter 225. Adrenal insufficiency and adrenal crisis.
Section 18. Hematologic and oncologic emergencies.
Chapter 226. Anemia.
Chapter 227. Tests of hemostasis.
Chapter 228. Acquired bleeding disorders.
Chapter 229. Clotting disorders.
Chapter 230. Hemophilias and von willebrand disease.
Chapter 231. Sickle cell disease and other hereditary hemolytic anemias.
Chapter 232. Acquired hemolytic anemia.
Chapter 233. Transfusion therapy.
Chapter 234. Anticoagulants, antiplatelet agents, and fibrinolytics.
Chapter 235. Emergency complications of malignancy.
Chapter e235.1. Common chemotherapeutic agents.
Section 19. Eyes, ears, nose, throat, and oral surgery.
Chapter 236. Eye emergencies.
Chapter 237. Common disorders of the external, middle, and inner ear.
Chapter 238. Face and jaw emergencies.
Chapter 239. Epistaxis, nasal fractures, and rhinosinusitis.
Chapter 240. Oral and dental emergencies.
Chapter 241. Infections and disorders of the neck and upper airway.
Chapter 242. Complications of airway devices.
Section 20. Skin disorders.
Chapter 243. Approach to skin disorders in the emergency department.
Chapter 244. Treatment of skin disorders in the emergency department.
Chapter 245. Serious generalized skin disorders.
Chapter 246. Disorders of the face and scalp.
Chapter 247. Disorders of the hands, feet, and extremities.
Chapter 248. Disorders of the groin and skinfolds.
Chapter 249. Skin disorders common on the trunk.
Section 21. Trauma.
Chapter 250. Trauma in adults.
Chapter 251. Trauma in children.
Chapter 252. Geriatric trauma.
Chapter 253. Trauma in pregnancy.
Chapter 254. Head trauma in adults and children.
Chapter 255. Spine and spinal cord trauma.
Chapter 256. Trauma to the face.
Chapter 257. Trauma to the neck.
Chapter 258. Pulmonary trauma.
Chapter 259. Cardiac trauma.
Chapter 260. Abdominal trauma.
Chapter 261. Penetrating trauma to the flank and buttocks.
Chapter 262. Genitourinary trauma.
Chapter 263. Penetrating trauma to the extremities.
Chapter e263.1. Wound ballistics.
Chapter e263.2. Forensics.
Section 22. Injuries to bones and joints.
Chapter 264. Initial evaluation and management of orthopedic injuries.
Chapter 265. Injuries to the hand and digits.
Chapter 266. Wrist injuries.
Chapter 267. Injuries to the elbow and forearm.
Chapter 268. Shoulder and humerus injuries.
Chapter 269. Pelvis injuries.
Chapter 270. Hip and femur injuries.
Chapter 271. Knee injuries.
Chapter 272. Leg injuries.
Chapter 273. Ankle injuries.
Chapter 274. Foot injuries.
Chapter 275. Compartment syndrome.
Chapter e275.1. Orthopedic devices and reconstruction.
Section 23. Musculoskeletal disorders.
Chapter 276. Neck and back pain.
Chapter 277. Shoulder pain.
Chapter 278. Hip and knee pain.
Chapter 279. Emergencies in systemic rheumatic diseases.
Chapter 280. Nontraumatic disorders of the hand.
Chapter 281. Acute disorders of the joints and bursae.
Chapter 282. Soft tissue problems of the foot.
Section 24. Psychosocial disorders.
Chapter 283. Behavioral disorders: emergency assessment.
Chapter 284. Behavioral disorders: diagnostic criteria.
Chapter 285. Psychotropic medications and rapid tranquilization.
Chapter 286. Anorexia nervosa and bulimia nervosa.
Chapter 287. Panic disorder.
Chapter 288. Conversion disorder.
Chapter 289. Alcohol and other drugs of abuse.
Section 25. Abuse and assault.
Chapter 290. Child abuse and neglect.
Chapter 291. Female and male sexual assault.
Chapter 292. Intimate partner violence and abuse.
Chapter 293. Abuse of the elderly and impaired.
Chapter e293.1. The violent patient.
Section 26. Special situations.
Chapter 294. Injection drug users.
Chapter 295. The transplant patient.
Chapter e295.1. The mentally retarded adult.
Chapter 296. The morbidly obese patient.
Chapter 297. Grief, death and dying, dnr/dni orders: delivering effective death notifications in the emergency department.
Chapter 298. Legal issues in emergency medicine.
Chapter e298.1. Management of prisoners attending the emergency department.
Chapter e298.2. Military medicine.
Section 27. Principles of imaging.
Chapter e299.1. Noninvasive myocardial imaging.
Chapter e299.2. Computed tomography.
Chapter e299.3. Magnetic resonance imaging.
Chapter e299.4. Emergency ultrasonography. Pediatric procedures: nursemaids' elbow reduction.
Chapter 143d. Pediatric procedures: electrocardiogram interpretation.
Section 13. Infectious diseases.
Chapter 144. Sexually transmitted diseases. Section 1. Prehospital care.
Chapter 1. Emergency medical services.
Chapter 2. Prehospital equipment and adjuncts.
Chapter 3. Air medical transport.
Chapter 4. Neonatal and pediatric transport.
Chapter 5. Mass gatherings.
Section 2. Disaster preparedness.
Chapter 6. Disaster preparedness and response.
Chapter 7. Natural disasters.
Chapter 8. Bomb, blast, and crush injuries.
Chapter 9. Chemical agents and mass casualties.
Chapter 10. Bioterrorism recognition and response: implications for the emergency clinician.
Chapter 11. Radiation injuries.
Section 3. Resuscitation.
Chapter 12. Sudden cardiac death.
Chapter 13. Basic cardiopulmonary resuscitation in adults.
Chapter 14. Resuscitation of neonates.
Chapter 15. Resuscitation of children.
Chapter 16. Resuscitation issues in pregnancy.
Chapter 17. Ethical issues of resuscitation.
Chapter 18. Cerebral resuscitation and therapeutic hypothermia.
Chapter e18.1. Hyperbaric oxygen therapy.
Chapter 19. Acid-base disorders.
Chapter 20. Blood gases.
Chapter 21. Fluids and electrolytes.
Chapter 22. Cardiac rhythm disturbances.
Chapter 23. Pharmacology of antiarrhythmics.
Chapter 24. Pharmacology of vasopressor agents.
Chapter 25. Approach to the patient in shock.
Chapter 26. Fluid and blood resuscitation.
Chapter 27. Anaphylaxis, acute allergic reactions, and angioedema.
Section 4. Resuscitative procedures.
Chapter 28. Noninvasive airway management.
Chapter 29. Pediatric airway management.
Chapter 30. Tracheal intubation and mechanical ventilation.
Chapter 31. Surgical airway management.
Chapter 32. Neonatal and pediatric intraosseous and central venous access.
Chapter 33. Venous and intraosseous access in adults.
Chapter 34. Hemodynamic monitoring.
Chapter 35. Cardiac pacing.
Chapter 36. Defibrillation and cardioversion.
Chapter 37. Pericardiocentesis.
Section 5. Analgesia, anesthesia, and procedural sedation.
Chapter 38. Acute pain management in adults.
Chapter 39. Pain management in infants and children.
Chapter 40. Local and regional anesthesia.
Chapter 41. Procedural sedation and analgesia.
Chapter 42. Adults with chronic pain.
Section 6. Emergency wound management.
Chapter 43. Evaluation of wounds.
Chapter 44. Wound preparation.
Chapter 45. Methods for wound closure.
Chapter 46. Lacerations to the face and scalp.
Chapter 47. Injuries to the arm, hand, fingertip, and nail.
Chapter 48. Lacerations of the leg and foot.
Chapter 49. Soft tissue foreign bodies.
Chapter 50. Puncture wounds and bites.
Chapter 51. Postrepair wound care.
Section 7. Cardiovascular disease.
Chapter 52. Chest pain: cardiac or not.
Chapter 53. Acute coronary syndromes: acute myocardial infarction and unstable angina.
Chapter 54. Cardiogenic shock.
Chapter 55. Low probability acute coronary syndrome.
Chapter 56. Syncope.
Chapter 57. Congestive heart failure and acute pulmonary edema.
Chapter 58. Valvular emergencies.
Chapter 59. The cardiomyopathies, myocarditis, and pericardial disease.
Chapter 60. Thromboembolism.
Chapter 61. Systemic and pulmonary hypertension.
Chapter 62. Aortic dissection and related aortic syndromes.
Chapter 63. Aneurysms of the aorta and major arteries.
Chapter 64. Occlusive arterial disease.
Section 8. Pulmonary emergencies.
Chapter 65. Respiratory distress.
Chapter 66. Hemoptysis.
Chapter 67. Acute bronchitis and upper respiratory tract infections.
Chapter 68. Community-acquired pneumonia, aspiration pneumonia, and noninfectious pulmonary infiltrates.
Chapter 69. Empyema and lung abscess.
Chapter 70. Tuberculosis.
Chapter 71. Spontaneous and iatrogenic pneumothorax.
Chapter 72. Acute asthma in adults.
Chapter 73. Chronic obstructive pulmonary disease.
Section 9. Gastrointestinal emergencies.
Chapter 74. Acute abdominal pain.
Chapter 75. Nausea and vomiting.
Chapter 76. Disorders presenting primarily with diarrhea.
Chapter 77. Acute and chronic constipation.
Chapter 78. Upper gastrointestinal bleeding.
Chapter 79. Lower gastrointestinal bleeding.
Chapter 80. Esophageal emergencies, gastroesophageal reflux disease, and swallowed foreign bodies.
Chapter 81. Peptic ulcer disease and gastritis.
Chapter 82. Pancreatitis and cholecystitis.
Chapter 83. Hepatic disorders, jaundice, and hepatic failure.
Chapter 84. Acute appendicitis.
Chapter 85. Diverticulitis.
Chapter 86. Bowel obstruction and volvulus.
Chapter 87. Hernias in adults.
Chapter 88. Anorectal disorders.
Chapter 89. Gastrointestinal procedures and devices.
Chapter 90. Complications of general surgical procedures.
Section 10. Renal and genitourinary disorders.
Chapter 91. Acute renal failure.
Chapter 92. Rhabdomyolysis.
Chapter 93. Emergencies in renal failure and dialysis patients.
Chapter 94. Urinary tract infections and hematuria.
Chapter 95. Acute urinary retention.
Chapter 96. Male genital problems.
Chapter 97. Urologic stone disease.
Chapter 98. Complications of urologic procedures and devices.
Section 11. Obstetrics and gynecology.
Chapter 99. Vaginal bleeding in the nonpregnant patient.
Chapter 100. Abdominal and pelvic pain in the nonpregnant female.
Chapter 101. Ectopic pregnancy and emergencies in the first 20 weeks of pregnancy.
Chapter 102. Comorbid diseases in pregnancy.
Chapter 103. Normal pregnancy.
Chapter 104. Emergencies after 20 weeks of pregnancy and the postpartum period.
Chapter 105. Emergency delivery.
Chapter 106. Vulvovaginitis.
Chapter 107. Pelvic inflammatory disease.
Chapter 108. Breast disorders.
Chapter e108.1. Urogynecologic disorders and gynecologic oncology.
Chapter 109. Complications of gynecologic procedures.
Section 12. Pediatrics.
Chapter e109.1. Assessment of the child in the emergency department: a practical application of normal child development.
Chapter 110. Emergency care of children.
Chapter 111. Neonatal emergencies and common neonatal problems.
Chapter 112. Sudden infant death syndrome and apparent life-threatening event.
Chapter 113. Fever and serious bacterial illness.
Chapter 114. Ear and mastoid disorders in infants and children.
Chapter 115. Eye problems in infants and children.
Chapter 116. The nose and sinuses.
Chapter 117. The mouth and throat.
Chapter 118. Neck masses in children.
Chapter 119. Stridor and drooling.
Chapter 120. Wheezing in infants and children.
Chapter 121. Pneumonia in infants and children.
Chapter 122a. Pediatric heart disease: congenital heart defects.
Chapter 122b. Pediatric heart disease: acquired heart disease.
Chapter 123. Vomiting, diarrhea, and dehydration in children.
Chapter 124. Acute abdominal pain in children.
Chapter 125. Gastrointestinal bleeding in children.
Chapter 126. Urinary tract infection in infants and children.
Chapter 127. Urologic and gynecologic problems and procedures in children.
Chapter 128. Renal emergencies in infants and children.
Chapter 129. Seizures and status epilepticus in children.
Chapter 130. Headaches in children.
Chapter 131. Altered mental status in children.
Chapter 132. Minor head injury in infants and children.
Chapter 133. Musculoskeletal disorders in children.
Chapter 134. Rashes in infants and children.
Chapter 135. Sickle cell disease.
Chapter 136. Oncology and hematology emergencies in children.
Chapter 137. Hypoglycemia and metabolic emergencies in infants and children.
Chapter 138. The child with special health care needs.
Chapter 139. The child with diabetes.
Chapter 140. Syncope and sudden death in children.
Chapter 141. Behavioral and psychiatric disorders in children and infants.
Chapter 142. Fluid and electrolyte therapy in infants and children.
Chapter 143a. Pediatric procedures: nasal and otic foreign bodies.
Chapter 143b. Pediatric procedures: lumbar puncture in children.
Chapter 143c. With 418 contributors representing over 120 medical centers from around the world, this book comprehensively covers the entire field of emergency medicine.
from prehospital care, disaster preparedness, and basic resuscitative techniques.
to all the major diseases and disorders encountered in the emergency department. Unquestionably the leading text in the field, this is a true must-have reference for everyone in emergency medicine from residents to practicing physicians. The Seventh Edition is highlighted by a new full-color presentation, a companion DVD with 17 additional chapters, a greater international focus, and innovative new features and content.