Avoiding common errors in the emergency department:
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| Other Authors: | , , , , |
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| Format: | Book |
| Language: | English |
| Published: |
Philadelphia ; Baltimore ; New York ; London
Wolters Kluwer
[2017]
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| Edition: | Second edition |
| Series: | Emergency medicine
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| Subjects: | |
| Online Access: | Inhaltsverzeichnis Klappentext |
| Physical Description: | LIII, 862 Seiten Illustrationen |
| ISBN: | 9781496320742 |
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MARC
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| 245 | 1 | 0 | |a Avoiding common errors in the emergency department |c editors Amal Mattu (MD), Arjun Chanmugam (MD, MBA), Stuart Swadron (MD, FRCPC), Dale P. Woolridge (MD, PHD), Michael E. Winters (MD) |
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| 700 | 1 | |a Chanmugam, Arjun S. |4 edt | |
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| 700 | 1 | |a Woolridge, Dale |4 edt | |
| 700 | 1 | |a Winters, Michael E. |4 edt | |
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Contents Associate Editors. iv vi Preface. xxx Contributors. ACKNOWLEDGMENTS. Section I 1 z 3 4 s e 7 s 9 io 11 12 13 14 1s 1e XXXÜ Crashing Patient Don’t Lose That Airway! Imminent Airway Loss: Who Needs Endotracheal Intubation? Nicholas Sauber, MD, RN-BSN, EMT-B and Dena Reiter, MD. 1 Preoxygenation Michael R. Ehmann, MD, MPH, MS. 3 Airway Adjuncts: Know Your Backup Plans Nicholas Sauber, MD, RN-BSN, EMT-B. 6 Know Your RSI Meds Daniel Swedien, MD. 8 Did You Maximize Your Laryngeal View? Devin M. Keefe, MD. 10 Don’t Fear the Blade: Surgical Airway Ernest Mavunga, MD, MSc. 13 Do Not Rely on Clinical Examination Alone for Confirmation of Endotracheal Tube Placement Robert B. Takla, MD, MBA, FA CEP and Ashwin Sabbani, MD. 15 The Art of Bagging Devin M. Keefe, MD. 17 BP Still Low? Postintubation Hypotension Alison Traver, PA-C. 20 Finding the Site: Site Selection and Minimizing Complications
for Central Line Placement Dilnaz Panjwani, MD, FACEP and Richard Paul, MD 23 Managing Cardiac Arrest E. Timpano, MD. 25 Medications in Cardiac Arrest: Time for a Requiem? Bachar Hamade, MD, MSc. 28 What Are Your Vent Settings, Bud? Kelley Crane, MCMSc, PA-C. 31 After the Cardiac Arrest: Postarrest Care Chidubem lloabachie, MD. 34 Cooling, How Low Do You Go? Therapeutic Hypothermia in the Postarrest Patient Bachar Hamade, MD, MSc. 37 Activate the Cardiac Cath Team following Sudden Cardiac Arrest— Don’t Be Afraid to Call Matthew J. Levy, DO, MSc, FACEP, FAEMS. 39 XXXIV
contents 17 is 1э 20 21 22 23 24 25 26 27 28 2э 30 31 32 33 34 as 36 XXXV Rush to Resuscitation Daniel Sheets, MD, MPH and Randall T. Rhyne, MD, FACEP, FAAEM. 41 Do Not Delay the Administration of Epinephrine for Patients with Anaphylaxis Nour Al Jalb out, MD. 43 Putting on the Squeeze. .Vasopressors Zachary E. Smith, MMS, PA-C. How Much Is Enough? Transfusions in the Bleeding Patient: Don’t Forget the Rest of the Blood Emily Streyer Carlisle, MD, MA. Fluid Therapy: Beware of (AB)Normal Saline—Choose Your Resuscitation Fluids Carefully Nicole Alexander, MCMSc, PA-C. ECMO Casey Carr, MD. Needle This: Do Not Assume That Needle Decompression of a Tension Pneumothorax Is Reliable and Effective Bahrenegash Getachew, MD. Resuscitative Thoracotomy Michael R. Ehmann, MD, MPH, MS and Nathan Woltman, MD. 57 Increased ICP in Resuscitation Nicole Heidenreich, MSPAS, PA-C. 61 Massive Pulmonary Thromboembolism and Thrombolytics Nour Al Jalbout, MD. 63 Fluid in the Sac? Cardiac Tamponade Ngozi Nweze, MD. Is It Wide or Is It Narrow? PEA: A Simplified
Approach to Pulseless Electrical Activity Nicholas Risko, MD, MHS. 67 Undifferentiated Shock Daniel Sheets, MD, MPH and Randall T. Rhyne, MD, FACEP, FAAEM. 69 Know How to Identify Abdominal Compartment Syndrome Ruben Troncoso Jr., MD, MPH and Debjeet Sarkar, MD, FAAFP. Cardiogenic Shock Kevin K. Chung, DO. Know When to Administer Sodium Bicarbonate in the Critically Ill Poisoned Patient Harry E. Heverling, DO and Tiffany C. Fong, MD. Think Big Vessels: Vascular Catastrophes Kevin K. Chung, DO . Stop the Bleeding! Novel Therapies: REBOA Casey Lee Wilson, MD, RDMS. 82 Avoid the Tube! Noninvasive Ventilation Strategies Rodica Retezar, MD, MPH. 84 Be Wary of Intubation in the Asthma Patient Daniel B. Savage, MD, MPH. 87 46 48 50 53 56 65 72 75 77 80
Contents XXXVI Section II 37 Зв 39 40 4i 42 43 44 45 46 47 Stop Using Benzodiazepines to Sedate Your Critically Ill Intubated Patient Krystle Shafer, MD and Lillian L. Emlet, MD, MS. Monitor the Plateau Pressure in Intubated ED Patients Brian}. Wright, MD, MPH. 91 Forget CVP! Use Dynamic Markers ofVolume Responsiveness to Guide Fluid Resuscitation in the Critically Ill Patient Michael Allison, MD. Consider Abdominal Compartment Syndrome in Patients with Refractory Hypotension Cindy H. Hsu, MD, PhD. 97 Know the Thresholds for Red Blood Cell Transfusion in the Critically Ill Michael C. Scott, MD. 100 Perform These Simple Interventions That Make a Big Difference in Preventing Ventilator-Associated Pneumonia Nicholas Johnson, MD. Know How to Care for the ICU Boarder in Your ED Joshua D. Farkas, MD, MS. 104 Know How to Evaluate and Manage the Intubated Patient with Refractory Hypoxemia Thomas H. Rozen, MBBS, BMedSci, FCICM, FRACP, DDU and Christopher P. Nickson, MBChB, MClinEpid, FACEM, FCICM. Ready for Prime Time? Extracorporeal Life Support in the ED Zachary Shinar, MD. 109 Rapidly Reverse Life-Threatening
Hemorrhage in the Patient Taking an Oral Anticoagulant Medication Rory Spiegel, MD. Be Ready to Discuss and Deliver End-of-Life Care in the Emergency Department Ashley Shreves, MD. 113 Section Hl 48 49 so 51 Critical Care 89 95 102 106 Ill Cardiology Recognize Atypical Presentations of Acute Coronary Syndrome Amita Sudhir, MD. 116 Type A Behavior: Consider Aortic Dissection in Patients with Chest Pain and Ischemic Electrocardiograms Jessica Balderston, MD and Jeffrey D. Ferguson, MD, FACEP, NRP. 117 Contents Under Pressure: Aggressive Hemodynamic Management in Patients with Acute Aortic Dissection Jeffrey D. Ferguson, MD, FACEP, NRP and Jessica Balderston, MD. 119 Do Not Confuse Multifocal Atrial Tachycardia with Atrial Fibrillation Christopher Greene, MD. 121
Contents sa sa 54 55 56 57 sa 59 so в1 62 63 64 es ее 67 XXXVII Do Not Confuse Mobitz Type I and Mobitz Type II Atrioventricular Block C. Blayke Gibson, MD and J. Jeremy Thomas, MD. 123 Be Able to Recognize Electrocardiographic Artifact from Dysrhythmia George Glass, MD. 126 Management of Atrial Fibrillation: Rate Control versus Rhythm Conversion Charles Khoury, MD, MSHA and J. Jeremy Thomas, MD. 128 Management of Atrial Fibrillation with Rapid Ventricular Response Brian L. Bauerband, MD and J. Jeremy Thomas, MD. 130 Atrial Fibrillation in the Wolff-Parkinson-White Syndrome William J. Brady, MD, FACEP, FAAEM and Heather T. Streich, MD. 132 Never Mistake Ventricular Tachycardia for Supraventricular Tachycardia with Aberrant Conduction Heather Groth, MD. 135 Know the Mimics ofVentricular Tachycardia William C. Ferguson, MD and J. Jeremy Thomas, MD, FACEP, FAAEM. 137 Do Not Exclude Cardiac Causes of Chest Pain because the Patient Does Not Have Traditional Risk Factors for Acute Coronary Syndrome Christopher N. White, MD, MS and J. Jeremy Thomas, MD, FACEP, FAAEM. 139 Do Not Forget to Consider Nontraditional Risk Factors for Coronary Artery Disease in Patients with Chest
Pain Thomas Hartka, MD, MS . 141 Do Not Forget about the Non-ACS Causes of Chest Pain Patrick Siler, MD and J. Jeremy Thomas, MD, FACEP, FAAEM. 143 Be Cautious Diagnosing “Anxiety” or “Panic Disorder” in Patients with Chest Pain and Anxiety Adam E. Nevel, MD, MBA. 146 One and Done: Rapid Rule-Out Protocols Maite Anna Huis in ‘t Veld, MD and Semhar Z. Tewelde, MD. 148 Beware of the “Highly Sensitive” Troponin Maite Anna Huis in ‘t Veld, MD and Semhar Z. Tewelde, MD. 151 When Good VADs Go Bad Christina Lynn Тире, MD, RDMS. 153 Don’t Stress the Stress Test in Suspected ACS Christina Lynn Тире, MD, RDMS. 156 Remember to Obtain a Right-Sided Electrocardiogram in a Patient with an Inferior Myocardial Infarction Carmen Avendano, MD and Semhar Z. Tewelde, MD. 158
XXXVIII ea es 7o 7i тг. 73 74 75 76 Pitfalls in Hypertensive Emergencies Stephen D. Lee, MD. 159 Know the Differential for ST-Segment Elevation: It’s More Than Just Acute Coronary Syndrome Kathleen Stephanos, MD and Semhar Z. Tewelde, MD. 161 Do Not Rely on a Single ECG to Evaluate Chest Pain in the ED Kathleen Stephanos, MD and Semhar Z. Tewelde, MD. 163 Know How to Diagnose Acute MI in Patients with an LBBB or Pacemaker Anthony Roggio, MD. 164 Getting Ahead of Cardiogenic Pulmonary Edema: Aggressive Nitroglycerin Usage Semhar Z. Tewelde, MD. 167 Beyond Diuresis: Treatment Adjuncts in Cardiogenic Pulmonary Edema Nicholas Goodmanson, MD. 169 Know How to Differentiate Cardiac versus Noncardiac Causes of Syncope Omoyemi Adebayo, MD. 171 Pearls in Syncope ECG Interpretation Carmen Avendano, MD and Semhar Z. Tewelde, MD. 173 Syncope: Avoiding a Shotgun Wedding Omoyemi Adebayo, MD. 175 Section IV 77 7s 79 so st 82 аз 84 as ее 87 contents Gastroenterology When an Appy Doesn’t Follow the Rules Caroline Brandon, MD. 178 Analgesia for the Patient with Acute Abdominal Pain: Don’t Delay! Adrian Flores, MD, MPH. 180 Get to It Early: Sigmoid Volvulus Jorge Ontiveros, MD. Cecal Volvulus: Don’t Miss It! Jan Marie
Shoenberger, MD. Altered Mental Status in a Child: Don’t Forget about Intussusception! Aaron E. Kornblith, MD and Jeffrey Bullard-Berent, MD. Don’t Miss Aortoenteric Fistula: A Rare But Life-Threatening Cause of Gastrointestinal Bleeding! Kristin Вerona, MD. 188 Acute Mesenteric Ischemia: A True Abdominal Catastrophe Talib Omer, MD, PhD, RDMS. Not All Epigastric Pain Is Benign Alessandra Conforta, MD. Don’t Underestimate an Acute Variceal Hemorrhage! Lee Plantmason, MD, MPH. Don’t Be Fooled by a Subtle Presentation—SBP Can Be Deadly! Alessandra Conforta, MD. Ascending Cholangitis aka Biliary Sepsis aka “That Other Pus Under Pressure” Prathap Sooriyakumaran, MD. 181 183 185 190 192 194 196 198
Contents es es so 9i 92 93 эд 95 96 97 98 99 1 oo 101 102 Acalculous Cholecystitis: No Stones, No Problems? Christopher Martin, MD and Lauren Longyear, BS. 200 Anticipate Bleeding and Reverse Coagulopathies in Patients with Liver Failure Derek K. Richardson, MD, MPH and Barry Schlansky, MD, MPH. 202 Boerhaave Syndrome: Not All Life-Threatening Chest Pain Involves the Heart and Lungs Christopher J. Coyne, MD, MPH. 205 Caustic Ingestions: Don’t Make It Worse Erika Flores Uribe, MD and Christopher R. Peabody, MD, MPH. 206 Ingested Foreign Bodies: When to Intervene? Brian Doane, MD. 209 Severe Acute Pancreatitis Can Be Sneaky Dennis Hsieh, MD, JD. 211 Use Restraint When Imaging Patients with Acute Pancreatitis Derek K. Richardson, MD, MPH and Barry Schlansky, MD, MPH. 213 The “Pain” in Chronic Pancreatitis Delphine J. Huang, MD, MS. 215 Abdominal Pain in Inflammatory Bowel Disease: A Flare or Emergent Complication? Margaret Huang, MD. 217 Not Every Pregnant Patient with Vomiting Has Hyperemesis Gravidarum Rolando G. Valenzuela, MD, DTMH and William K. Mallon, MD, FACEP, FAAEM, DTMH. 219 Beware of the Patient with Painless Jaundice Andrés Guzman, MD and Rolando G. Valenzuela, MD, DTMH. 221 ERCP Can Cause a Lot of Complications! Abraham Flinders,
MD. 223 Don’t Be Afraid to Order a CT on a Pregnant Patient If She Really Needs It Marita M. Harris-Naddell, MD and Michelle D. Lail, MD, MHS, FACEP. 225 Know How to Deal with the Displaced PEG Tube Julie Y. Valenzuela, MD and Rolando G. Valenzuela, MD, DTMH . 227 Common Pitfalls in Point of Care Ultrasound of the Gallbladder! Kristin Berona, MD. 229 Section V юз 1 од los 106 107 XXXIX Cutaneous Don’t Miss Necrotizing Fasciitis! Shaughn Keating, MD. SJS and TEN: Are They Different? Arun Nair, MD, MPH The Spectrum of TEN Alexander Jenson, MD, MPH. Mimics in Cellulitis Shabana Walia, MD. Chickenpox and Shingles: More Than Just a Rash Aaryn K. Hammond, MD. 243 232 234 237 240
XL CONTENTS 1 os 1 os Erythema Nodosum, Nodules, and Hypersensitivity Nicholas Risko, MD, MHS. 245 Classic Is Not Always Classic: Classic Rashes Debra Ravert, MD. 247 SECTION VI 11 о 111 иг iis 114 11 s ns 117 11 s 119 120 A Normal Bicarbonate Value Does Not Exclude an Acid-Base Disturbance Seth T. Stearley, MD and Ian Boyd, MD. 251 Don’t Forget about Octreotide for Hypoglycemia Haley M. Rapp, MD and Erica B. Shaver, MD. 253 Pitfalls in the Management of DKA Anthony Roggio, MD. Do Not Rely on Orthostatic Vital Signs to Diagnose Volume Depletion Anand K. Swaminathan, MD, MPH and Gordon Wu, MD. HHS: When High Sugars Have Got You Down! Stephanie Lareau, MD, FAWM, FACEP. 259 Do Not Over Treat Hypo- or Hypernatremia Nicole Cimino-Fiallos, MD and Wan-Tsu Wendy Chang, MD. A 3-Pronged Approach to the Treatment of Hyperkalemia Erica B. Shaver, MD and Christopher S. Kiefer, MD. 262 Know How to Recognize and Treat Thyroid Storm Henderson D. McGinnis, MD. 265 Understand the Role of Magnesium in the Treatment of Hypokalemia Farhad Aziz, MD and Justin Boone Rose, MD. Know How to Interpret the Venous Blood Gas Joshua (Josh) Nichols, MD and Corey Heitz, MD. 269 Know the Indications for Bicarbonate Therapy Kimberly Boswell,
MD. 271 Section VII 121 122 123 124 ENDOCRINE/METABOLIC 254 257 260 267 Environment Not So Fast! Rewarming the Cold Patient Kubwimana Moses Mhayamaguru, MD, EMT-P and Christopher G. Williams, MD, FA WM. 274 Acclimatize or Die or Descend Clinton G. Keilman, MD. 276 Aggressive Cooling Is (Almost) Always the Correct Approach to the Critical, Environmentally Hyperthermic Patient Christopher G. Williams, MD, FAWM. 278 Smoke Inhalation: Commonly Overtreated and Undertreated Aspects Dennis Allin, MD, FACEP, FAAEM, FAEMS. 280
Contents 125 126 127 CO Poisoning: It Takes More Than O2 Bryan Wilson, MD and Christopher G. Williams, MD, FA WM. 282 A Rash That Is More Than “Just a Rash” Nash Whitaker, MD . 284 Diving Injuries: Don’t Miss These Serious Injuries Because You Failed to Get the History! Michael lacono, MD, MS and Tracy Leigh LeGros, MD, PhD. 287 SECTION VIII 12s 129 130 131 132 133 134 135 136 137 1 за 139 1 до 141 142 143 144 XLI HEENT Giant Cell Arteritis: Who the Heck Is Horton and Why Should I Worry about His Headache? Aisha Parker, MD and James Aiken, MD, MHA. Sight-Threatening Zoster Ophthalmicus: How to Recognize and Treat Suh H. Lee, MD and John Villani, MD. 293 And the Eyes Have It Summer Stears-Ellis, MD. “Your patient has a retrobulbar hematoma. I think he’s going to need a canthotomy.” Jonathan Dangers, MD, MPH. 297 Beware the Sore Throat That Kills Diane Rimple, MD, FACEP. Consider a Deep Space Neck Infection in a Child with Fever and Neck Pain or Torticollis Joanna Schwartz, BA, MD. Lemierre Syndrome: A Royal Pain in the Neck Frank J. Edwards, MD, FACEP. 304 Peritonsillar Abscess Ben Leeson, MD and Kimberly Leeson, MD. Don’t Misdiagnose, Overtreat, or Cause Perforation of the Tympanic Membrane John Herrick, DO. 309 If It Ain’t Cancer, Why Do I Call This Malignant Otitis Externa? Allison D. Lane,
MD. 311 Approach to the Red Eye Lindsey Retterath, MD and Hans Bradshaw, MD. 313 Eyeing the Causes of Acute Vision Loss Benjamin Karfunkle, MD and Anna McFarlin, MD. 316 Face-Eating Fungus: Rhinocerebral Mucormycosis Eric C. Funk, MD and Casey M. Clements, MD, PhD. 318 Digging for Gold: Some Nuggets about Epistaxis Josh Mugele, MD. 320 Ludwig Angina—“The German Stranglehold” Dustin Leigh, MD. 323 Dental Exams Are Not Just for Dentists; Remember to Identify and Treat Oral Infections Ashley Sievers, MD. 325 The Infection behind the Infection: Distinguishing Periorbital from Orbital Cellulitis Samuel J. Tate, MD and John S. Rose, MD . 291 295 300 302 306 328
Contents XLII Section IX 145 1 де 147 148 149 iso 151 152 When Kidneys Explode; Everything Is Wrong with Tumor Lysis Syndrome Daniel Cabrera, MD. 331 Immune Thrombocytopenia: Oh the Platelets, You’ll Go! Nicole Muhlbauer, MD, MPH and Neha Bhasin, MD. 334 Thrombotic Thrombocytopenic Purpura and Hemolytic Uremic Syndrome: Bloody Zebras with a Bad Bite Stephen A. Manganaro, FACEP, FAAFP. 336 High Temps and Low Counts: Treat Febrile Neutropenic Patients with Early and Appropriate Antibiotics Matthew W. Connelly, MD and Steven Roumpf, MD. 338 My Chest! My Back! My Sickle Cell Attack! Cullen Clark, MD and Anna McFarlin, MD. 341 Warfarin Reversal: Factor It In William B. Stubblefield, MD and Daren M. Beam, MD, MS. 343 Emergent Anticoagulant Reversal: Be Appropriately Aggressive Keith Azevedo, MD and Isaac Tami, MD, FCCM. 345 Recognize Leukostasis and Know When to Consult for Emergent Treatment Cameron Hypes, MD, MPH. 348 Section x 1 S3 154 iss 156 157 1 se 1 во immune Don’t Get Stung by Anaphylaxis Vincent Devlin, DO, MHS and Jerussa Aita-Levy, MD, MPH. 351 Angioedema and Anaphylaxis Are Not the Same, They Just Happen to Present Similarly Lui Caleon, MD, MPH and Pierre Detiege, MD. 353
Treacherous Transplant Toxicities Christopher J. Edwards, PharmD, BCPS and Tsz Yee (Janice) Tsui, PharmD, BCPS. 356 Think Outside the “Graft Box” When Evaluating the Transplant Patient Timothy S. Davie, MD. 359 Do’s and Don’ts for Managing Heart Transplant Patients in the ED Lawrence DeLuca Jr., EdD, MD. 361 Anaphylaxis and Epinephrine—Can You Have One without the Other? Ronna L. Campbell, MD, PhD. 363 Section XI 159 Heme Onc Infectious Disease Avoid Relying on the Presence of SIRS to Diagnose Sepsis Kami M. Hu, MD and Joseph P. Martinez, MD. 367 Prevent Catheter-Associated Urinary Tract Infections (CAUTIs) in the Emergency Department Stephen Y. Liang, MD, MPHS . 370
Contents 161 16z 63 1 164 es 1 166 167 es 1 169 170 171 172 73 1 174 175 Know the Embolic Complications of Infective Endocarditis Brian Edwards, MD. 372 The Don’t Miss Diagnosis: Acute Retroviral Syndrome Adeolu Ogunbodede, MD and Joseph P. Martinez, MD. 374 Understand When and How to Initiate HIV Postexposure Prophylaxis in the Emergency Department Stephen Y Liang, MD, MPHS and Ed Casabar, PharmD, BCPS, AQAD. 376 Recognize the Presentation of Bioterrorism Agents Stephen P. Shaheen, MD and Jon Mark Hirshon, MD, MPH, PhD. Staphylococcal Toxic Shock Syndrome: Do Not Hesitate— Resuscitate Sarah B. Dubhs, MD. 381 Do Not Be Misled by the Traditional Myths of Diarrhea Michael Nitzberg, MD and Kevin Reed, MD, FAAEM, FACEP. Meningitis Doesn’t Have to Be a Pain in the Neck! Nick Tsipis, MD and Liesl A. Curtis, MD, FACEP. 385 Know Emerging Infections Travis Thompson, MD and Lindsey White, MD. 387 ТВ and Syphilis: Infections You Can’t Forget about Kayla Dewey, MD and Ghofrane Benghanem, MD. 389 Avoiding Common Pitfalls in Influenza Treatment Eric Stephen Kiechle, MD, MPH and Maryann MazerAmirshahi, PharmD, MD, MPH. Appropriate Antibiotic Choices for Resistant Organisms Jessica E. Shackman, MD, PhD and Kathryn M. Kellogg, MD, MPH. Know Infection Prevention Lindsey
DeGeorge, MD and Lauren Wiesner, MD. 397 Treating Pneumonia in COPD Diana Ladkany, MD and Jeffrey Dubin, MD, MBA. 400 Diagnose and Treat Necrotizing Soft Tissue Infections Quickly! Tabitha Gargano, MD and Korin Hudson, MD, FACEP, CAQSM. What Is the Best Way to Measure Core Temperature? Matthew Morrison, MD. 404 Section Xlf 176 77 1 XLIII 379 383 392 394 401 MS Nontrauma Ugh! Another Repeat Visit for Back Pain?! Keep Epidural Abscess on the Differential! Elaine Hua Situ-LaCasse, MD. 406 If You Suspect the Horse’s Tail, Check the Saddle! Courtney K. Soley, MD and Heather Miller Fleming, MD. 408
Contents XLIV 178 17э t so tsi 182 Under Pressure: Rapidly Diagnosing and Treating Acute Compartment Syndrome of the Extremities Anna L. Waterbrook, MD. 410 Physical Exam and Bloodwork Do Not Adequately Differentiate Infectious from Inflammatory Arthritis Derick D. Jones, MD, MBA and Casey M. Clements, MD, PhD. 412 Don’t Get Broken Up about Muscle Breakdown H. Shae Sauncy, MD. 414 When Back Pain Is an Emergency James Bohan, MD. 416 Rheumatoid Arthritis and Spondyloarthropathies J. Stephan Stapczynski, MD. 418 section XIII Neuro An Update on Idiopathic Intracranial Hypertension Evelyn Lee, MD and Ramin Tabatabai, MD. 421 184 Normal Diagnostic Studies Do Not Rule Out Shunt Malfunction Amy Buckowski, MD. 422 185 Don’t Be Fooled into Erroneously Diagnosing Peripheral Vertigo Daniel Mindlin, MD. 424 186 Diagnosing Cervical Artery Dissection in the ED: A Real Pain in the Neck! Erik R. Hofmann, MD, MS and Ramin Tabatabai, MD. 187 Posterior Circulation Ischemic Stroke: If You Don’t Think about It, You’ll Miss It Craig Torres-Ness, MD, MPH. 1 ee Understand the Utility and Limitations of Diagnostic Imaging in Nontraumatic Subarachnoid Hemorrhage Manuel R. Montano,
MD. 1 se Don’t Forget Atypical Causes of Status Epilepticus! R. James Salway, MD. 434 19o Leave It Alone: Blood Pressure Measurement in Ischemic Stroke Amir A. Rouhani, MD. 436 191 Cerebral Venous Sinus Thrombosis: A Rare Diagnosis with a Common Chief Complaint Margarita Santiago-Martinez, MD and Stuart Swadron, MD, FRCPC. 192 Great Imitators of Acute Stroke Aarti Jain, MD. 193 Blood Pressure in the Patient with Intracranial Hemorrhage— Bring It Down! Daniel R. Rutz, MD and Edward Stettner, MD. 194 How to Disposition the Patient with Suspected TIA Allen Chiou, MD and Mindi Guptill, MD, FACEP. 195 The Elusive Brain Abscess Shikha Kapil, MD and Jeffrey N. Siegelman, MD. 447 183 427 430 432 438 440 442 445
Contents i95 197 Bulbar Symptoms in the ED: Watch the Airway Ariel Bowman, MD. 449 Multiple Sclerosis in the ED: Rule Out Other Diagnoses First Christopher Bodie, MD and Melissa White, MD, MPH. 452 Section XIV 198 199 zoo го 1 202 гоя год 2os гое 207 гое 209 21 o 211 213 214 Ob/Gyn Early Pregnancy: Sifting Out the Potential Catastrophes from the Worried Well Jared T Marx, MD, FACEP. 454 Pitfalls in the Pursuit of Ovarian Torsion Matthew C. DeLaney, MD, FACEP, FAAEM. Anti-D in the ED Brent Lorenzen, MD, FACEP. Seizing Young Woman? Think Eclampsia. Thinking Eclampsia? Think Again Kenneth D. Marshall, MD, MA. Vaginal Bleeding in Late Pregnancy Heather A. Heaton, MD. Predict the Unpredictable: Preterm Labor Priya Kuppusamy, MD. A Bump on the Bump: Minor Abdominal Trauma in Pregnancy Elias J. Jaffa, MD, MS and Sreeja Natesan, MD. Stable Is the New Abnormal: Beware the Normal Vital Signs in Pregnancy Priya Kuppusamy, MD. Don’t Fear the Cord! Erika Hoenke McMahon, MD and Kristina Colbenson, MD. Times a Wastin’: Perimortem Cesarean Section Vivienne Ng, MD, MPH. Clotted Lungs: Not All Shortness of Breath in Pregnancy Is from Lamaze Class Jeremy Lux, DO, FACEP, FAAEM. 476 Postpartum
Complications Heather A. Heaton, MD. There Is No Single Test to Rule Out PID: Just Treat It! Theresa if Tran, MD and Casey M. Clements, MD, PhD. 481 Don’t Dismiss the Young, Female Patient with Shortness of Breath without Considering Peripartum Cardiomyopathy Kathi Glauner, MD, PhD. Section XV 212 XLV 456 458 460 463 465 468 470 472 474 478 483 psych Delirium Casey Carr, MD. 486 Restraint with Restraints: Patient Restraint Grant Nelson, MD and Robert B. Dunne, MD, FACEP. 488 Mental Status Concern? Consider Psychosis Sarika Walia, MBBS and Shabana Walia, MD. 490
XLVI 2i s 216 217 21 s 21 э 220 CONTENTS Ask about Suicide Risk Trent R. Malcolm, MD, MS and Donald W Alves, MD, MS, FACEP. 492 Strange Behavior? Personality Disorders in the ED Kern N. Booker, RDH, MMS, PA-C. 495 Don’t Ignore Affective Disorders! Trent R. Malcolm, MD, MS. 497 Drug-Seeking Behavior in the Emergency Department Michael Wolfe Pierce, MD. 499 Anxiety in the Emergency Department Sachin Moonat, MD, PhD. 502 Address It in the ED, Substance Abuse in the Emergency Department Sachin Moonat, MD, PhD. 505 Section XVI 221 222 223 224 225 226 227 228 229 230 Don’t Let Dialysis Disequilibrium Syndrome Catch You Off-Balance Carmen Wolfe, MD. 508 Fournier Gangrene: A Lethal Infection You Can’t Sit on! Shoma Desai, MD. Testicular Torsion Trickery Solomon Behar, MD. Hemodialysis: Who Needs It Now? Michael Levine, MD. To Thrill or Not to Thrill: When Dialysis Access Sites Go Wrong Caroline Brandon, MD. 515 Wrap Your Head around This: Avoiding the Pitfalls of Phimosis and Paraphimosis Management Kelly A. Painter, MD, FACEP . Pyelonephritis: When It’s Complicated Urine Trouble Molly Hartrich, MD, MPH and Sophie Terp, MD, MPH
. What Goes Up Must Come Down Jessica Lange Osterman, MS, MD. 522 Streamlining Urethritis: Don’t Let an STD Escape Your ED Clare Roepke, MD. 524 I Don’t Think My Urine Is Supposed to Look Like This! Landon A. Jones, MD. 527 Section XVII 231 232 Genitourinary 509 511 513 517 520 Thoracic Do Not Forget to Administer Steroids in Patients with Acute Asthma Exacerbations Michele Callahan, MD. 529 Do Not Withhold Oxygen in a Hypoxic Patient with Chronic Obstructive Pulmonary Disease Brian J. Lin, MD and Anand К. Swaminathan, MD, MPH. 531
Contents газ 234 23S 236 237 238 239 240 241 Know Acute Illnesses That Lead to Rapid Deterioration in the Patient with Pulmonary Hypertension Dhaval Thakkar, MD and James Mathew Dargin, MD. 533 Know the Critical Issues in Resuscitation of the Decompensated Patient with Pulmonary Hypertension Jacob C. Jentzer, MD, FACC and James Mathew Dargin, MD. 536 Know the Evaluation and Management of the Patient with Sarcoidosis Harman S. Gill, MD. 538 Properly Risk Stratify the Patient with Suspected Pulmonary Embolism Kelly Williamson, MD. 542 Know How to Diagnose and Treat Pulmonary Embolism Ryan Dick-Perez, DO and Nicholas M. Mohr, MD, MS, FA CEP. 545 Know Which Patients with Submassive Pulmonary Embolism May Benefit from Thrombolytic Therapy Sangeeth Dubbireddi, MD and Lillian L. Emlet, MD, MS. 548 Understand Proper Ventilator Management in Patients with Acute Asthma Exacerbations Salim Rezaie, MD and Anand K. Swaminathan, MD, MPH. 551 Know the Causes, Evaluation, and Management of Hemoptysis Matthew P. Borloz, MD, FACEP. 554 Use High-Flow Nasal Cannula in Patients with Mild to Moderate Respiratory Distress from Hypoxemia Ross McCormack, MD and Jonathan Elmer, MD, MS. 557 Section XVIII 242 243 244 245 246 247 248 249 2so XLVII Tox Alcohol Intoxication and Withdrawal Candice Jordan, MD.
Acetaminophen Toxicity: Getting Reacquainted with Matthew and Rumack David Rose, MD. 561 Mixed Disturbance: Think Salicylate Poisoning Harry E. Heverling, DO and Tiffany C. Fong, MD. 563 Toxic Alcohols Candice Jordan, MD. The Five Stages Iron Toxicity: Beware of the Latent Period Christina Clark, PA-C. 568 Don’t Miss Anticholinergic Syndromes! Theodore Fagrelius, MD. Cholinergic PoisoningTheodore Fagrelius, MD. An Old Favorite Heart Medication: Digoxin Daniel B. Savage, MD,MPH. 574 Did You Consider Intravenous Lipid Emulsion Therapy? Aaryn K. Hammond, MD and Donald W Alves, MD, MS, FACEP. 559 566 570 572 576
XLVIII 251 252 253 254 255 CONTENTS Managing the Hot and Bothered: Sympathomimetic Overdoses Arun Nair MD, MPH. 578 Emerging Drugs of Abuse Chelsea Williamson, MPAS, PA-C. 581 Cyanide Poisoning: A Tale of Two Antidotes Scott E. Sutherland, MD. 583 Methemoglobinemia: Blue Pearls Dilnaz Panjwani, MD, FACEP and Mitchell Louis Judge Li, MD. 585 Should I Take That? Nutritional Supplements Edmund Timpano, MD and Sarika Walia, MBBS. 587 SECTION XIX 256 257 258 259 гео 261 262 263 264 265 266 267 268 269 270 271 Trauma/Ortho Electrical Injuries: Shocking or Subtle? Tim Horeczko, MD, MSCR, FACEP, FAAP. 591 “Don’t Tase Me Bro!” The TASERed Patient in the ED Peter Milano, MD, MHA. 593 Managing Penetrating Neck Injuries: Hard or Soft, Superficial or Deep? Melissa Joseph, MD. 595 To Crack or Not to Crack: Indications for an ED Thoracotomy Sanjay Bhatt, MD, MS, МММ. 598 Performing an ED Thoracotomy Sanjay Bhatt, MD, MS, МММ. 600 Save a Limb! Vascular Injury in Penetrating Extremity Trauma Taylor McCormick, MD. 603 Judicious Abdominal Imaging in Trauma Erick A. Eiting, MD, MPH, МММ. 605 Severe Traumatic
Brain Injury: Avoid Making It Worse! Ashkon Ansari, MD. 607 Fluid Resuscitation in Trauma: Five Pitfalls Erick A. Eiting, MD, MPH, МММ. 610 How Do You Fill a Tank with Holes in It? Optimal Vascular Access in Trauma Resuscitation Benjamin D. Musser, MD. 612 Don’t Be Afraid to Place a Chest Tube Dhara P. Amin, MD. 614 Massive Transfusion in Trauma: A Changing Landscape Tarlan Hedayati, MD. 616 Reversal of Warfarin in Trauma Joseph S. Palter, MD. 618 Reversal of Novel Anticoagulants and Antiplatelet Agents Dhara P. Amin, MD. 620 When to Suspect Cervical Vascular Injury Tarlan Hedayati, MD, FACEP and Stuart Swadron, MD, FRCPC. 622 Alternatives to Packed Red Blood Cells: The Latest Tarlan Hedayati, MD, FACEP. 623
contents 272 273 274 275 276 277 278 279 280 281 282 газ 284 285 286 287 288 289 290 291 292 Tough Break: Assessing and Treating Rib Fractures Michael Gottlieb, MD, RDMS. 625 Not So FAST: Pearls and Pitfalls with the FAST Exam Michael Gottlieb, MD, RDMS. Closing the Book: Using a Bedsheet to Stabilize Pelvic Fractures Michael Gottlieb, MD, RDMS and Stuart Swadron, MD, FRCPC. Is Spinal Immobilization Still Necessary? Joseph Palter, MD. Are Vital Signs Reliable at Assessing Degree of Hemorrhage? Michael K. Safa, MD. The ABCs of Major Burns Mary L. Cheffers, MD and Stuart Swadron, MD, FRCPC. 634 When Can Interventional Radiology (IR) Be Your Friend in Trauma? Lee Plantmason, MD, MPH and Eric Wei, MD, MBA . Don’t Miss the Gamekeeper Thumb Brian R. Sharp, MD, FACEP. Admit Displaced Supracondylar Fractures for Neurovascular Checks Allison S. Luu, MS, MD and Eric Wei, MD, MBA. Know the Radiographic Signs of Scapholunate Dislocation Nicholas Abraham, MD and Stuart Swadron, MD, FRCPC. Know the Difference between Jones and Pseudo-Jones Fractures Brian R. Sharp, MD, FACEP. Search for Other Injuries in Patients with Scapular Fracture John W. Martel, MD, PhD, FACEP. Do You Know How to Do ABIs? JohnC.Ray,MD . Don’t Miss the Proximal
Fibula Fracture in Patients with Ankle Fracture Shawn K. Kaku, MD and Stuart Swadron, MD, FRCPC. Boxer’s Fracture? Check for Rotational Deformity! Jennifer Marvil, MD, MA. Think of Achilles Tendon Rupture in Patients with Sprained Ankle Jennifer Farah, MD. Reduce Hip Dislocations in a Timely Manner Erik A. Berg, MD. Check for Snuffbox Tenderness and Don’t Miss a Scaphoid Fracture Benjamin D. Musser, MD. Calcaneal Fracture? Don’t Miss a Spinal Injury! Sara Khaghani, MD, MPH. Beware of Benign-Appearing High-Pressure Injection Injuries Jennifer Farah, MD. Lisfranc Injury: Danger in the Midfoot Lee Plantmason, MD, MPH. XLIX 627 628 630 632 636 638 640 642 645 647 649 651 653 656 658 660 662 663 665
L Contents 293 294 295 The Dorsal Chip: Is It a Triquetral Fracture? Caroline Brandon, MD. 668 Lunate and Perilunate Dislocations: Pick These Up on Initial Presentation! Todd Schneberk, MD, MA. 670 Red Flags for Intimate Partner Violence and Human Trafficking Kristi Stanley, MD. 673 Section XX Procedures/Skills/Anesth Sedation Pearls and Pitfalls: Procedural Sedation in the Emergency Department Chidubem Iloabachie, MD and Dena Reiter, MD. 297 Capnography in the ED: Qualitative or Quantitative Monitoring? For CPR and a Whole Lot More Arun Nair, MD, MPH. 298 To Transfuse or Not to Transfuse Debra Ravert, MD. 299 Transfusion Confusion: Types and Management of Transfusion Reactions Scott E. Sutherland, MD . 300 Arthrocentesis Tips Christine Mlynarek, MD and Ashley Sullivan, MD. sot Lumbar Puncture and the Champagne Tap Chelsea Williamson, MPAS, PA-C. 302 Tapping the Belly: Paracentesis in the Emergency Department Thaer Ahmad, MD and Leonard Bunting, MD. 303 Careful with That Tap: Accessing the VP Shunt Derrick Ashong, MD. 304 No IV, Consider the 10 Daniel B. Savage, MD, MPH. зоб What Nerve! Ultrasound-
Guided Regional Nerve Blocks Casey Lee Wilson, MD, RDMS. зоб A Needling Issue: Decompressing Tension Pneumothorax Arun Nair, MD, MPH. 307 Which Line Is It? Central Line Placement Dilnaz Panjwani, MD, FACEP and Richard Paul, MD. зов Size Matters; Spontaneous Pneumothorax: Chest Tube versus Pigtail Derrick Ashong, MD. 296 Section XXI Зоэ Зю 311 675 678 680 682 684 686 689 691 694 695 698 700 702 pediatrics Recognize Child Abuse Early Clifford C. Ellingson, MD. 705 Tips for Managing All That Is Pediatric Resuscitation fason Saunders, MD and Heather Saavedra, MD. 707 Keep the Baby Warm! And Other Steps in Neonatal Resuscitation Ashley Grigsby, DO and Jessica Kanis, MD. 709
Contents 2 31 313 314 31 s 316 317 3js sis 320 321 322 323 324 325 зге 327 зге The Pediatric Airway: Learn It, Live It, Control It! Garrett S. Pacheco, MD. 711 All That Barks Is Not Croup Sheryl Yanger, MD. Don’t Get in Hot Water by Not Knowing How to Treat Pediatric Burns Megan Litzau, MD and Sheryl E. Allen, MD, MS, FAAP. My Baby Won’t Stop Crying! J. Adam Hawkins, DO and Timothy Ruttan, MD. Pediatric Procedural Sedation in the ED: Easier Than You May Think Jordan Alexander Justice, MD. The Ins and Outs of Intussusception Geoffrey P. Hays, MD and Debra S. Rusk, MD, FAAEM, FAAP. Do Not Rely On Urinalysis to Exclude Urinary Tract Infections in Children Younger Than Two Years Arturo S. Gastanaduy, MD. A Bundle of Joy! The Sick Neonate Robert Vezzetti, MD, FAAP, FACEP. Beware Pediatric Appendicitis Julia Schweizer, MD. Diagnoses Not to Miss in the Acutely Limping Child Guyon J. Hill, MD. Don’t Diagnose Sepsis in an Alkalotic Infant Lisa D. Mills, MD and Julianne Awrey, MD. BRUE: The Diagnosis Formerly Known as ALTE Julia N. Magana, MD and Taylor Stayton,
MD. “Kid ECGs Are Not Just Little Adult ECGs” Krista Young, MD,. Not All Pediatric Head Injuries Require a Head CT Heather Miller Fleming, MD and Kara Kowalczyk, MD. 739 Easy Does It: Be Cautious with the Cyanotic Postoperative Pediatric Cardiac Patient Timothy Ruttan, MD. Not Too Sweet: Getting It Just Right in Initial Pediatric DKA Management Dariush Garber, MD, MPH and Nathan Kuppermann, MD, MPH. Pediatric Concussion: A Levelheaded Approach Kendra Grether-Jones, MD and Erin Osiecki, MD. Section XXII 329 330 li 713 715 717 719 722 724 726 728 730 732 734 736 741 744 746 Geriatrics Do Not Underestimate the Potential Morbidity of Abdominal Pain in Older Adults Christina L. Shenvi, MD, PhD. 749 Think about ACS in Older Adults—Even without Chest Pain Christina L. Shenvi, MD, PhD. 751
Contents l-И зз 1 ACS the Geriatric Patient: Atypical Is Typical Treatment Differences in ACS in the Geriatric Patient Terrence Mulligan, DO, MPH, FACEP, FAAEM, FACOEP, FIFEM, FNFSHA. 753 332 Follow Your Elders’ Footsteps, They May Be Ataxic Jennifer L. Plitt, MD and Michelle Rhodes, MD. 755 333 Hip and Vertebral Compression Fractures SangKeun “Sam ” Yi, DO and Paul Blackburn, DO. 757 334 Be Sure to Build a Safety Net around the Weak Geriatric Patient You Send Home Eric M. LeFebvre, MD. 759 335 Grandma is Loopy: Special Considerations for Altered Mental Status in the Older Adult Christine R. Stehman, MD. 761 336 The Geriatric Trauma Patient Is Sicker Than You Realize Rebecca Milligan, MD and Michelle Rhodes, MD. 763 337 A Normal Physical Exam Does Not Exclude Infections in the Geriatric Patient Danya Khoujah, MBBS, FAAEM. 765 338 Respecting Thy Elders: Defining, Detecting, and Reporting Elder Abuse Patricia Bayless, MD. 767 ЗЗЭ How to Avoid Snowing Seniors: Pain Medications and Procedural Sedation in Older Adults Lisa C. Goldberg, MD and Michelle Rhodes, MD. 769 340 The Consequences of Grandpa’s Loaded Medicine Cabinet Ryan Gallagher, MD and Stephen Thornton, MD. 771 341 Communicating and Understanding the Elder Patient Collyn T. Murray, MD and Kevin Biese, MD, MAT. 773 Section XXIII 342 343 344 345 346 347 348 Wound Care Deep Sutures: When, Why, and Why Not? Hollynn
Larrabee, MD and R. Alissa Mussell, MD. 776 Pitfalls in Emergency Department Abscess Incision and Drainage David Wein, MD and Jesse Dubey, DO. 778 Keep It Clean: Pitfalls in Traumatic Wound Irrigation Anand K. Swaminathan, MD, MPH and Elida Skelton, MD, MPH . 780 Plantar Puncture Wound Pearls and Pitfalls R. Gentry Wilkerson, MD. 782 Do Not Believe the Adage That Epinephrine Cannot Be Used for Digital Blocks Feras Khan, MD. 784 When Are Prophylactic Antibiotics Indicated for Wounds? Dale Cotton, MD. 786 Do Not Miss a Foreign Body in a Wound Jason W Wilson, MD, MA and Constantino Diaz, MD. 788
Contents 349 3so 3si 3S2 353 354 LUI Know How to Treat Mammalian Bites Christopher I. Doty, MD, FAAEM, FACEP. 790 Is That Skin Lesion an Infection or an Envenomation? Spencer Greene, MD, MS, FACEP, FACMT and Veronica Tucci, MD, JD, FAAEM. 792 Know How to Treat Snake Bites Frederick C. Blum, MD, FACEP, FAAP, FIFEM and Shabnam Nourparvar, MD. 794 Eyelid Lacerations: When to Repair and When to Refer Erin Setzer, MD. 797 Ear Injuries and Lacerations Anas Sawas, MD, MPH, MS and Eric J. Morley, MD, MS, FAAEM. 798 Know Which Wounds to Close. and Which Ones to Leave Open Raymond Beyda, MD and Mark Silverberg, MD, MMB, FACEP. 800 Section XXIV Clinical Practice and Legal issues 355 356 357 see 359 seo 361 362 363 364 365 Index Consult Communications: Optimal Communications with Consultants Hugh F Hill III, MD, JD, FA CEP, FCLM. Treating the Patient and Not the Disease: Tips for Patient Satisfaction Dylan Sean Kellogg, MD. 805 Your Patient Has Died, Now Focus on the Family: How to Deliver Bad News to Family Members Dylan Sean Kellogg, MD. Don’t Be Afraid to Discuss End-of-Life Decisions with the Patient and Family Emily Streyer Carlisle, MD, MA. Too Many at One Time? Emergency Department Overcrowding Ryan Brooks, MBA and Arjun Chanmugam, MD, MBA. 812 Discharge Documentation:
Keep It Clear, Concise, Yet Complete David Rose, MD. 814 Resident and Advanced Practice Provider Supervision Patricia Petrella Nouhan, MD, FACEP and Robert B. Takla, MD, MBA, FACEP. What to Do with So Many? Strategies for Reducing Emergency Department Overcrowding Ryan Brooks, MBA and Arjun Chanmugam, MD, MBA. What to Do When the Registered Letter Arrives Kevin M. Klauer, DO, EJD, FACEP. 822 Your Deposition Kevin M. Klauer, DO, EJD, FACEP. Surviving a Lawsuit Hugh E Hill III, MD, JD, FACEP, FCLM. 803 807 810 817 818 824 827 831
AVOIDING COMMON ERRORS IN THE EMERGENCY DEPARTMENT Amal mattu, MD . Arjun Stuart p. Swadron, Md . Michael e. winters, md s. Chanmugam, md . Woolridge, dale p. md . In a conversational, easy-to-read style, Avoiding Common Errors in the Emergency Department, 2nd Edition, discusses 365 errors commonly made in the practice of emergency medicine and gives practical, easy-to-remember tips for avoiding these pitfalls, Chapters are brief, approachable, and evidence-based, suitable for reading immediately before the start of a rotation, used for quick reference on call, or read daily over the course of one year for personal assessment and review. • Coverage includes psychiatry, pediatrics, poisonings, cardiology, obstetrics and gynecology, trauma, general surgery, orthopedics, infectious diseases, gastroenterology, renal, anesthesia and airway management, urology, ENT, and oral and maxillofacial surgery. • Completely revised and rewritten by many new authors, as well as returning authors who bring a fresh perspective to new subjects. • New key points at the end of each chapter present must-know information in an easy-access, bulleted format. • Ideal for emergency medicine physicians, residents, and attendings; emergency nurse practitioners, PAs who practice in the ED, and primary care physicians in urgent care centers. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC Mac. Take advantage of these practical features that will improve your eBook experience: • The ability to download the eBook on multiple devices at one time — providing a
seamless reading experience online or offline • Powerful search tools and smart navigation cross-links allow you to search within this book, or across your entire library of VitalSource eBooks • Multiple viewing options offer the ability to scale images and text to any size without losing page clarity as well as responsive design • The ability to highlight text and add notes with one click |
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Contents Associate Editors. iv vi Preface. xxx Contributors. ACKNOWLEDGMENTS. Section I 1 z 3 4 s e 7 s 9 io 11 12 13 14 1s 1e XXXÜ Crashing Patient Don’t Lose That Airway! Imminent Airway Loss: Who Needs Endotracheal Intubation? Nicholas Sauber, MD, RN-BSN, EMT-B and Dena Reiter, MD. 1 Preoxygenation Michael R. Ehmann, MD, MPH, MS. 3 Airway Adjuncts: Know Your Backup Plans Nicholas Sauber, MD, RN-BSN, EMT-B. 6 Know Your RSI Meds Daniel Swedien, MD. 8 Did You Maximize Your Laryngeal View? Devin M. Keefe, MD. 10 Don’t Fear the Blade: Surgical Airway Ernest Mavunga, MD, MSc. 13 Do Not Rely on Clinical Examination Alone for Confirmation of Endotracheal Tube Placement Robert B. Takla, MD, MBA, FA CEP and Ashwin Sabbani, MD. 15 The Art of Bagging Devin M. Keefe, MD. 17 BP Still Low? Postintubation Hypotension Alison Traver, PA-C. 20 Finding the Site: Site Selection and Minimizing Complications
for Central Line Placement Dilnaz Panjwani, MD, FACEP and Richard Paul, MD 23 Managing Cardiac Arrest E. Timpano, MD. 25 Medications in Cardiac Arrest: Time for a Requiem? Bachar Hamade, MD, MSc. 28 What Are Your Vent Settings, Bud? Kelley Crane, MCMSc, PA-C. 31 After the Cardiac Arrest: Postarrest Care Chidubem lloabachie, MD. 34 Cooling, How Low Do You Go? Therapeutic Hypothermia in the Postarrest Patient Bachar Hamade, MD, MSc. 37 Activate the Cardiac Cath Team following Sudden Cardiac Arrest— Don’t Be Afraid to Call Matthew J. Levy, DO, MSc, FACEP, FAEMS. 39 XXXIV
contents 17 is 1э 20 21 22 23 24 25 26 27 28 2э 30 31 32 33 34 as 36 XXXV Rush to Resuscitation Daniel Sheets, MD, MPH and Randall T. Rhyne, MD, FACEP, FAAEM. 41 Do Not Delay the Administration of Epinephrine for Patients with Anaphylaxis Nour Al Jalb out, MD. 43 Putting on the Squeeze. .Vasopressors Zachary E. Smith, MMS, PA-C. How Much Is Enough? Transfusions in the Bleeding Patient: Don’t Forget the Rest of the Blood Emily Streyer Carlisle, MD, MA. Fluid Therapy: Beware of (AB)Normal Saline—Choose Your Resuscitation Fluids Carefully Nicole Alexander, MCMSc, PA-C. ECMO Casey Carr, MD. Needle This: Do Not Assume That Needle Decompression of a Tension Pneumothorax Is Reliable and Effective Bahrenegash Getachew, MD. Resuscitative Thoracotomy Michael R. Ehmann, MD, MPH, MS and Nathan Woltman, MD. 57 Increased ICP in Resuscitation Nicole Heidenreich, MSPAS, PA-C. 61 Massive Pulmonary Thromboembolism and Thrombolytics Nour Al Jalbout, MD. 63 Fluid in the Sac? Cardiac Tamponade Ngozi Nweze, MD. Is It Wide or Is It Narrow? PEA: A Simplified
Approach to Pulseless Electrical Activity Nicholas Risko, MD, MHS. 67 Undifferentiated Shock Daniel Sheets, MD, MPH and Randall T. Rhyne, MD, FACEP, FAAEM. 69 Know How to Identify Abdominal Compartment Syndrome Ruben Troncoso Jr., MD, MPH and Debjeet Sarkar, MD, FAAFP. Cardiogenic Shock Kevin K. Chung, DO. Know When to Administer Sodium Bicarbonate in the Critically Ill Poisoned Patient Harry E. Heverling, DO and Tiffany C. Fong, MD. Think Big Vessels: Vascular Catastrophes Kevin K. Chung, DO . Stop the Bleeding! Novel Therapies: REBOA Casey Lee Wilson, MD, RDMS. 82 Avoid the Tube! Noninvasive Ventilation Strategies Rodica Retezar, MD, MPH. 84 Be Wary of Intubation in the Asthma Patient Daniel B. Savage, MD, MPH. 87 46 48 50 53 56 65 72 75 77 80
Contents XXXVI Section II 37 Зв 39 40 4i 42 43 44 45 46 47 Stop Using Benzodiazepines to Sedate Your Critically Ill Intubated Patient Krystle Shafer, MD and Lillian L. Emlet, MD, MS. Monitor the Plateau Pressure in Intubated ED Patients Brian}. Wright, MD, MPH. 91 Forget CVP! Use Dynamic Markers ofVolume Responsiveness to Guide Fluid Resuscitation in the Critically Ill Patient Michael Allison, MD. Consider Abdominal Compartment Syndrome in Patients with Refractory Hypotension Cindy H. Hsu, MD, PhD. 97 Know the Thresholds for Red Blood Cell Transfusion in the Critically Ill Michael C. Scott, MD. 100 Perform These Simple Interventions That Make a Big Difference in Preventing Ventilator-Associated Pneumonia Nicholas Johnson, MD. Know How to Care for the ICU Boarder in Your ED Joshua D. Farkas, MD, MS. 104 Know How to Evaluate and Manage the Intubated Patient with Refractory Hypoxemia Thomas H. Rozen, MBBS, BMedSci, FCICM, FRACP, DDU and Christopher P. Nickson, MBChB, MClinEpid, FACEM, FCICM. Ready for Prime Time? Extracorporeal Life Support in the ED Zachary Shinar, MD. 109 Rapidly Reverse Life-Threatening
Hemorrhage in the Patient Taking an Oral Anticoagulant Medication Rory Spiegel, MD. Be Ready to Discuss and Deliver End-of-Life Care in the Emergency Department Ashley Shreves, MD. 113 Section Hl 48 49 so 51 Critical Care 89 95 102 106 Ill Cardiology Recognize Atypical Presentations of Acute Coronary Syndrome Amita Sudhir, MD. 116 Type A Behavior: Consider Aortic Dissection in Patients with Chest Pain and Ischemic Electrocardiograms Jessica Balderston, MD and Jeffrey D. Ferguson, MD, FACEP, NRP. 117 Contents Under Pressure: Aggressive Hemodynamic Management in Patients with Acute Aortic Dissection Jeffrey D. Ferguson, MD, FACEP, NRP and Jessica Balderston, MD. 119 Do Not Confuse Multifocal Atrial Tachycardia with Atrial Fibrillation Christopher Greene, MD. 121
Contents sa sa 54 55 56 57 sa 59 so в1 62 63 64 es ее 67 XXXVII Do Not Confuse Mobitz Type I and Mobitz Type II Atrioventricular Block C. Blayke Gibson, MD and J. Jeremy Thomas, MD. 123 Be Able to Recognize Electrocardiographic Artifact from Dysrhythmia George Glass, MD. 126 Management of Atrial Fibrillation: Rate Control versus Rhythm Conversion Charles Khoury, MD, MSHA and J. Jeremy Thomas, MD. 128 Management of Atrial Fibrillation with Rapid Ventricular Response Brian L. Bauerband, MD and J. Jeremy Thomas, MD. 130 Atrial Fibrillation in the Wolff-Parkinson-White Syndrome William J. Brady, MD, FACEP, FAAEM and Heather T. Streich, MD. 132 Never Mistake Ventricular Tachycardia for Supraventricular Tachycardia with Aberrant Conduction Heather Groth, MD. 135 Know the Mimics ofVentricular Tachycardia William C. Ferguson, MD and J. Jeremy Thomas, MD, FACEP, FAAEM. 137 Do Not Exclude Cardiac Causes of Chest Pain because the Patient Does Not Have Traditional Risk Factors for Acute Coronary Syndrome Christopher N. White, MD, MS and J. Jeremy Thomas, MD, FACEP, FAAEM. 139 Do Not Forget to Consider Nontraditional Risk Factors for Coronary Artery Disease in Patients with Chest
Pain Thomas Hartka, MD, MS . 141 Do Not Forget about the Non-ACS Causes of Chest Pain Patrick Siler, MD and J. Jeremy Thomas, MD, FACEP, FAAEM. 143 Be Cautious Diagnosing “Anxiety” or “Panic Disorder” in Patients with Chest Pain and Anxiety Adam E. Nevel, MD, MBA. 146 One and Done: Rapid Rule-Out Protocols Maite Anna Huis in ‘t Veld, MD and Semhar Z. Tewelde, MD. 148 Beware of the “Highly Sensitive” Troponin Maite Anna Huis in ‘t Veld, MD and Semhar Z. Tewelde, MD. 151 When Good VADs Go Bad Christina Lynn Тире, MD, RDMS. 153 Don’t Stress the Stress Test in Suspected ACS Christina Lynn Тире, MD, RDMS. 156 Remember to Obtain a Right-Sided Electrocardiogram in a Patient with an Inferior Myocardial Infarction Carmen Avendano, MD and Semhar Z. Tewelde, MD. 158
XXXVIII ea es 7o 7i тг. 73 74 75 76 Pitfalls in Hypertensive Emergencies Stephen D. Lee, MD. 159 Know the Differential for ST-Segment Elevation: It’s More Than Just Acute Coronary Syndrome Kathleen Stephanos, MD and Semhar Z. Tewelde, MD. 161 Do Not Rely on a Single ECG to Evaluate Chest Pain in the ED Kathleen Stephanos, MD and Semhar Z. Tewelde, MD. 163 Know How to Diagnose Acute MI in Patients with an LBBB or Pacemaker Anthony Roggio, MD. 164 Getting Ahead of Cardiogenic Pulmonary Edema: Aggressive Nitroglycerin Usage Semhar Z. Tewelde, MD. 167 Beyond Diuresis: Treatment Adjuncts in Cardiogenic Pulmonary Edema Nicholas Goodmanson, MD. 169 Know How to Differentiate Cardiac versus Noncardiac Causes of Syncope Omoyemi Adebayo, MD. 171 Pearls in Syncope ECG Interpretation Carmen Avendano, MD and Semhar Z. Tewelde, MD. 173 Syncope: Avoiding a Shotgun Wedding Omoyemi Adebayo, MD. 175 Section IV 77 7s 79 so st 82 аз 84 as ее 87 contents Gastroenterology When an Appy Doesn’t Follow the Rules Caroline Brandon, MD. 178 Analgesia for the Patient with Acute Abdominal Pain: Don’t Delay! Adrian Flores, MD, MPH. 180 Get to It Early: Sigmoid Volvulus Jorge Ontiveros, MD. Cecal Volvulus: Don’t Miss It! Jan Marie
Shoenberger, MD. Altered Mental Status in a Child: Don’t Forget about Intussusception! Aaron E. Kornblith, MD and Jeffrey Bullard-Berent, MD. Don’t Miss Aortoenteric Fistula: A Rare But Life-Threatening Cause of Gastrointestinal Bleeding! Kristin Вerona, MD. 188 Acute Mesenteric Ischemia: A True Abdominal Catastrophe Talib Omer, MD, PhD, RDMS. Not All Epigastric Pain Is Benign Alessandra Conforta, MD. Don’t Underestimate an Acute Variceal Hemorrhage! Lee Plantmason, MD, MPH. Don’t Be Fooled by a Subtle Presentation—SBP Can Be Deadly! Alessandra Conforta, MD. Ascending Cholangitis aka Biliary Sepsis aka “That Other Pus Under Pressure” Prathap Sooriyakumaran, MD. 181 183 185 190 192 194 196 198
Contents es es so 9i 92 93 эд 95 96 97 98 99 1 oo 101 102 Acalculous Cholecystitis: No Stones, No Problems? Christopher Martin, MD and Lauren Longyear, BS. 200 Anticipate Bleeding and Reverse Coagulopathies in Patients with Liver Failure Derek K. Richardson, MD, MPH and Barry Schlansky, MD, MPH. 202 Boerhaave Syndrome: Not All Life-Threatening Chest Pain Involves the Heart and Lungs Christopher J. Coyne, MD, MPH. 205 Caustic Ingestions: Don’t Make It Worse Erika Flores Uribe, MD and Christopher R. Peabody, MD, MPH. 206 Ingested Foreign Bodies: When to Intervene? Brian Doane, MD. 209 Severe Acute Pancreatitis Can Be Sneaky Dennis Hsieh, MD, JD. 211 Use Restraint When Imaging Patients with Acute Pancreatitis Derek K. Richardson, MD, MPH and Barry Schlansky, MD, MPH. 213 The “Pain” in Chronic Pancreatitis Delphine J. Huang, MD, MS. 215 Abdominal Pain in Inflammatory Bowel Disease: A Flare or Emergent Complication? Margaret Huang, MD. 217 Not Every Pregnant Patient with Vomiting Has Hyperemesis Gravidarum Rolando G. Valenzuela, MD, DTMH and William K. Mallon, MD, FACEP, FAAEM, DTMH. 219 Beware of the Patient with Painless Jaundice Andrés Guzman, MD and Rolando G. Valenzuela, MD, DTMH. 221 ERCP Can Cause a Lot of Complications! Abraham Flinders,
MD. 223 Don’t Be Afraid to Order a CT on a Pregnant Patient If She Really Needs It Marita M. Harris-Naddell, MD and Michelle D. Lail, MD, MHS, FACEP. 225 Know How to Deal with the Displaced PEG Tube Julie Y. Valenzuela, MD and Rolando G. Valenzuela, MD, DTMH . 227 Common Pitfalls in Point of Care Ultrasound of the Gallbladder! Kristin Berona, MD. 229 Section V юз 1 од los 106 107 XXXIX Cutaneous Don’t Miss Necrotizing Fasciitis! Shaughn Keating, MD. SJS and TEN: Are They Different? Arun Nair, MD, MPH The Spectrum of TEN Alexander Jenson, MD, MPH. Mimics in Cellulitis Shabana Walia, MD. Chickenpox and Shingles: More Than Just a Rash Aaryn K. Hammond, MD. 243 232 234 237 240
XL CONTENTS 1 os 1 os Erythema Nodosum, Nodules, and Hypersensitivity Nicholas Risko, MD, MHS. 245 Classic Is Not Always Classic: Classic Rashes Debra Ravert, MD. 247 SECTION VI 11 о 111 иг iis 114 11 s ns 117 11 s 119 120 A Normal Bicarbonate Value Does Not Exclude an Acid-Base Disturbance Seth T. Stearley, MD and Ian Boyd, MD. 251 Don’t Forget about Octreotide for Hypoglycemia Haley M. Rapp, MD and Erica B. Shaver, MD. 253 Pitfalls in the Management of DKA Anthony Roggio, MD. Do Not Rely on Orthostatic Vital Signs to Diagnose Volume Depletion Anand K. Swaminathan, MD, MPH and Gordon Wu, MD. HHS: When High Sugars Have Got You Down! Stephanie Lareau, MD, FAWM, FACEP. 259 Do Not Over Treat Hypo- or Hypernatremia Nicole Cimino-Fiallos, MD and Wan-Tsu Wendy Chang, MD. A 3-Pronged Approach to the Treatment of Hyperkalemia Erica B. Shaver, MD and Christopher S. Kiefer, MD. 262 Know How to Recognize and Treat Thyroid Storm Henderson D. McGinnis, MD. 265 Understand the Role of Magnesium in the Treatment of Hypokalemia Farhad Aziz, MD and Justin Boone Rose, MD. Know How to Interpret the Venous Blood Gas Joshua (Josh) Nichols, MD and Corey Heitz, MD. 269 Know the Indications for Bicarbonate Therapy Kimberly Boswell,
MD. 271 Section VII 121 122 123 124 ENDOCRINE/METABOLIC 254 257 260 267 Environment Not So Fast! Rewarming the Cold Patient Kubwimana Moses Mhayamaguru, MD, EMT-P and Christopher G. Williams, MD, FA WM. 274 Acclimatize or Die or Descend Clinton G. Keilman, MD. 276 Aggressive Cooling Is (Almost) Always the Correct Approach to the Critical, Environmentally Hyperthermic Patient Christopher G. Williams, MD, FAWM. 278 Smoke Inhalation: Commonly Overtreated and Undertreated Aspects Dennis Allin, MD, FACEP, FAAEM, FAEMS. 280
Contents 125 126 127 CO Poisoning: It Takes More Than O2 Bryan Wilson, MD and Christopher G. Williams, MD, FA WM. 282 A Rash That Is More Than “Just a Rash” Nash Whitaker, MD . 284 Diving Injuries: Don’t Miss These Serious Injuries Because You Failed to Get the History! Michael lacono, MD, MS and Tracy Leigh LeGros, MD, PhD. 287 SECTION VIII 12s 129 130 131 132 133 134 135 136 137 1 за 139 1 до 141 142 143 144 XLI HEENT Giant Cell Arteritis: Who the Heck Is Horton and Why Should I Worry about His Headache? Aisha Parker, MD and James Aiken, MD, MHA. Sight-Threatening Zoster Ophthalmicus: How to Recognize and Treat Suh H. Lee, MD and John Villani, MD. 293 And the Eyes Have It Summer Stears-Ellis, MD. “Your patient has a retrobulbar hematoma. I think he’s going to need a canthotomy.” Jonathan Dangers, MD, MPH. 297 Beware the Sore Throat That Kills Diane Rimple, MD, FACEP. Consider a Deep Space Neck Infection in a Child with Fever and Neck Pain or Torticollis Joanna Schwartz, BA, MD. Lemierre Syndrome: A Royal Pain in the Neck Frank J. Edwards, MD, FACEP. 304 Peritonsillar Abscess Ben Leeson, MD and Kimberly Leeson, MD. Don’t Misdiagnose, Overtreat, or Cause Perforation of the Tympanic Membrane John Herrick, DO. 309 If It Ain’t Cancer, Why Do I Call This Malignant Otitis Externa? Allison D. Lane,
MD. 311 Approach to the Red Eye Lindsey Retterath, MD and Hans Bradshaw, MD. 313 Eyeing the Causes of Acute Vision Loss Benjamin Karfunkle, MD and Anna McFarlin, MD. 316 Face-Eating Fungus: Rhinocerebral Mucormycosis Eric C. Funk, MD and Casey M. Clements, MD, PhD. 318 Digging for Gold: Some Nuggets about Epistaxis Josh Mugele, MD. 320 Ludwig Angina—“The German Stranglehold” Dustin Leigh, MD. 323 Dental Exams Are Not Just for Dentists; Remember to Identify and Treat Oral Infections Ashley Sievers, MD. 325 The Infection behind the Infection: Distinguishing Periorbital from Orbital Cellulitis Samuel J. Tate, MD and John S. Rose, MD . 291 295 300 302 306 328
Contents XLII Section IX 145 1 де 147 148 149 iso 151 152 When Kidneys Explode; Everything Is Wrong with Tumor Lysis Syndrome Daniel Cabrera, MD. 331 Immune Thrombocytopenia: Oh the Platelets, You’ll Go! Nicole Muhlbauer, MD, MPH and Neha Bhasin, MD. 334 Thrombotic Thrombocytopenic Purpura and Hemolytic Uremic Syndrome: Bloody Zebras with a Bad Bite Stephen A. Manganaro, FACEP, FAAFP. 336 High Temps and Low Counts: Treat Febrile Neutropenic Patients with Early and Appropriate Antibiotics Matthew W. Connelly, MD and Steven Roumpf, MD. 338 My Chest! My Back! My Sickle Cell Attack! Cullen Clark, MD and Anna McFarlin, MD. 341 Warfarin Reversal: Factor It In William B. Stubblefield, MD and Daren M. Beam, MD, MS. 343 Emergent Anticoagulant Reversal: Be Appropriately Aggressive Keith Azevedo, MD and Isaac Tami, MD, FCCM. 345 Recognize Leukostasis and Know When to Consult for Emergent Treatment Cameron Hypes, MD, MPH. 348 Section x 1 S3 154 iss 156 157 1 se 1 во immune Don’t Get Stung by Anaphylaxis Vincent Devlin, DO, MHS and Jerussa Aita-Levy, MD, MPH. 351 Angioedema and Anaphylaxis Are Not the Same, They Just Happen to Present Similarly Lui Caleon, MD, MPH and Pierre Detiege, MD. 353
Treacherous Transplant Toxicities Christopher J. Edwards, PharmD, BCPS and Tsz Yee (Janice) Tsui, PharmD, BCPS. 356 Think Outside the “Graft Box” When Evaluating the Transplant Patient Timothy S. Davie, MD. 359 Do’s and Don’ts for Managing Heart Transplant Patients in the ED Lawrence DeLuca Jr., EdD, MD. 361 Anaphylaxis and Epinephrine—Can You Have One without the Other? Ronna L. Campbell, MD, PhD. 363 Section XI 159 Heme Onc Infectious Disease Avoid Relying on the Presence of SIRS to Diagnose Sepsis Kami M. Hu, MD and Joseph P. Martinez, MD. 367 Prevent Catheter-Associated Urinary Tract Infections (CAUTIs) in the Emergency Department Stephen Y. Liang, MD, MPHS . 370
Contents 161 16z 63 1 164 es 1 166 167 es 1 169 170 171 172 73 1 174 175 Know the Embolic Complications of Infective Endocarditis Brian Edwards, MD. 372 The Don’t Miss Diagnosis: Acute Retroviral Syndrome Adeolu Ogunbodede, MD and Joseph P. Martinez, MD. 374 Understand When and How to Initiate HIV Postexposure Prophylaxis in the Emergency Department Stephen Y Liang, MD, MPHS and Ed Casabar, PharmD, BCPS, AQAD. 376 Recognize the Presentation of Bioterrorism Agents Stephen P. Shaheen, MD and Jon Mark Hirshon, MD, MPH, PhD. Staphylococcal Toxic Shock Syndrome: Do Not Hesitate— Resuscitate Sarah B. Dubhs, MD. 381 Do Not Be Misled by the Traditional Myths of Diarrhea Michael Nitzberg, MD and Kevin Reed, MD, FAAEM, FACEP. Meningitis Doesn’t Have to Be a Pain in the Neck! Nick Tsipis, MD and Liesl A. Curtis, MD, FACEP. 385 Know Emerging Infections Travis Thompson, MD and Lindsey White, MD. 387 ТВ and Syphilis: Infections You Can’t Forget about Kayla Dewey, MD and Ghofrane Benghanem, MD. 389 Avoiding Common Pitfalls in Influenza Treatment Eric Stephen Kiechle, MD, MPH and Maryann MazerAmirshahi, PharmD, MD, MPH. Appropriate Antibiotic Choices for Resistant Organisms Jessica E. Shackman, MD, PhD and Kathryn M. Kellogg, MD, MPH. Know Infection Prevention Lindsey
DeGeorge, MD and Lauren Wiesner, MD. 397 Treating Pneumonia in COPD Diana Ladkany, MD and Jeffrey Dubin, MD, MBA. 400 Diagnose and Treat Necrotizing Soft Tissue Infections Quickly! Tabitha Gargano, MD and Korin Hudson, MD, FACEP, CAQSM. What Is the Best Way to Measure Core Temperature? Matthew Morrison, MD. 404 Section Xlf 176 77 1 XLIII 379 383 392 394 401 MS Nontrauma Ugh! Another Repeat Visit for Back Pain?! Keep Epidural Abscess on the Differential! Elaine Hua Situ-LaCasse, MD. 406 If You Suspect the Horse’s Tail, Check the Saddle! Courtney K. Soley, MD and Heather Miller Fleming, MD. 408
Contents XLIV 178 17э t so tsi 182 Under Pressure: Rapidly Diagnosing and Treating Acute Compartment Syndrome of the Extremities Anna L. Waterbrook, MD. 410 Physical Exam and Bloodwork Do Not Adequately Differentiate Infectious from Inflammatory Arthritis Derick D. Jones, MD, MBA and Casey M. Clements, MD, PhD. 412 Don’t Get Broken Up about Muscle Breakdown H. Shae Sauncy, MD. 414 When Back Pain Is an Emergency James Bohan, MD. 416 Rheumatoid Arthritis and Spondyloarthropathies J. Stephan Stapczynski, MD. 418 section XIII Neuro An Update on Idiopathic Intracranial Hypertension Evelyn Lee, MD and Ramin Tabatabai, MD. 421 184 Normal Diagnostic Studies Do Not Rule Out Shunt Malfunction Amy Buckowski, MD. 422 185 Don’t Be Fooled into Erroneously Diagnosing Peripheral Vertigo Daniel Mindlin, MD. 424 186 Diagnosing Cervical Artery Dissection in the ED: A Real Pain in the Neck! Erik R. Hofmann, MD, MS and Ramin Tabatabai, MD. 187 Posterior Circulation Ischemic Stroke: If You Don’t Think about It, You’ll Miss It Craig Torres-Ness, MD, MPH. 1 ee Understand the Utility and Limitations of Diagnostic Imaging in Nontraumatic Subarachnoid Hemorrhage Manuel R. Montano,
MD. 1 se Don’t Forget Atypical Causes of Status Epilepticus! R. James Salway, MD. 434 19o Leave It Alone: Blood Pressure Measurement in Ischemic Stroke Amir A. Rouhani, MD. 436 191 Cerebral Venous Sinus Thrombosis: A Rare Diagnosis with a Common Chief Complaint Margarita Santiago-Martinez, MD and Stuart Swadron, MD, FRCPC. 192 Great Imitators of Acute Stroke Aarti Jain, MD. 193 Blood Pressure in the Patient with Intracranial Hemorrhage— Bring It Down! Daniel R. Rutz, MD and Edward Stettner, MD. 194 How to Disposition the Patient with Suspected TIA Allen Chiou, MD and Mindi Guptill, MD, FACEP. 195 The Elusive Brain Abscess Shikha Kapil, MD and Jeffrey N. Siegelman, MD. 447 183 427 430 432 438 440 442 445
Contents i95 197 Bulbar Symptoms in the ED: Watch the Airway Ariel Bowman, MD. 449 Multiple Sclerosis in the ED: Rule Out Other Diagnoses First Christopher Bodie, MD and Melissa White, MD, MPH. 452 Section XIV 198 199 zoo го 1 202 гоя год 2os гое 207 гое 209 21 o 211 213 214 Ob/Gyn Early Pregnancy: Sifting Out the Potential Catastrophes from the Worried Well Jared T Marx, MD, FACEP. 454 Pitfalls in the Pursuit of Ovarian Torsion Matthew C. DeLaney, MD, FACEP, FAAEM. Anti-D in the ED Brent Lorenzen, MD, FACEP. Seizing Young Woman? Think Eclampsia. Thinking Eclampsia? Think Again Kenneth D. Marshall, MD, MA. Vaginal Bleeding in Late Pregnancy Heather A. Heaton, MD. Predict the Unpredictable: Preterm Labor Priya Kuppusamy, MD. A Bump on the Bump: Minor Abdominal Trauma in Pregnancy Elias J. Jaffa, MD, MS and Sreeja Natesan, MD. Stable Is the New Abnormal: Beware the Normal Vital Signs in Pregnancy Priya Kuppusamy, MD. Don’t Fear the Cord! Erika Hoenke McMahon, MD and Kristina Colbenson, MD. Times a Wastin’: Perimortem Cesarean Section Vivienne Ng, MD, MPH. Clotted Lungs: Not All Shortness of Breath in Pregnancy Is from Lamaze Class Jeremy Lux, DO, FACEP, FAAEM. 476 Postpartum
Complications Heather A. Heaton, MD. There Is No Single Test to Rule Out PID: Just Treat It! Theresa if Tran, MD and Casey M. Clements, MD, PhD. 481 Don’t Dismiss the Young, Female Patient with Shortness of Breath without Considering Peripartum Cardiomyopathy Kathi Glauner, MD, PhD. Section XV 212 XLV 456 458 460 463 465 468 470 472 474 478 483 psych Delirium Casey Carr, MD. 486 Restraint with Restraints: Patient Restraint Grant Nelson, MD and Robert B. Dunne, MD, FACEP. 488 Mental Status Concern? Consider Psychosis Sarika Walia, MBBS and Shabana Walia, MD. 490
XLVI 2i s 216 217 21 s 21 э 220 CONTENTS Ask about Suicide Risk Trent R. Malcolm, MD, MS and Donald W Alves, MD, MS, FACEP. 492 Strange Behavior? Personality Disorders in the ED Kern N. Booker, RDH, MMS, PA-C. 495 Don’t Ignore Affective Disorders! Trent R. Malcolm, MD, MS. 497 Drug-Seeking Behavior in the Emergency Department Michael Wolfe Pierce, MD. 499 Anxiety in the Emergency Department Sachin Moonat, MD, PhD. 502 Address It in the ED, Substance Abuse in the Emergency Department Sachin Moonat, MD, PhD. 505 Section XVI 221 222 223 224 225 226 227 228 229 230 Don’t Let Dialysis Disequilibrium Syndrome Catch You Off-Balance Carmen Wolfe, MD. 508 Fournier Gangrene: A Lethal Infection You Can’t Sit on! Shoma Desai, MD. Testicular Torsion Trickery Solomon Behar, MD. Hemodialysis: Who Needs It Now? Michael Levine, MD. To Thrill or Not to Thrill: When Dialysis Access Sites Go Wrong Caroline Brandon, MD. 515 Wrap Your Head around This: Avoiding the Pitfalls of Phimosis and Paraphimosis Management Kelly A. Painter, MD, FACEP . Pyelonephritis: When It’s Complicated Urine Trouble Molly Hartrich, MD, MPH and Sophie Terp, MD, MPH
. What Goes Up Must Come Down Jessica Lange Osterman, MS, MD. 522 Streamlining Urethritis: Don’t Let an STD Escape Your ED Clare Roepke, MD. 524 I Don’t Think My Urine Is Supposed to Look Like This! Landon A. Jones, MD. 527 Section XVII 231 232 Genitourinary 509 511 513 517 520 Thoracic Do Not Forget to Administer Steroids in Patients with Acute Asthma Exacerbations Michele Callahan, MD. 529 Do Not Withhold Oxygen in a Hypoxic Patient with Chronic Obstructive Pulmonary Disease Brian J. Lin, MD and Anand К. Swaminathan, MD, MPH. 531
Contents газ 234 23S 236 237 238 239 240 241 Know Acute Illnesses That Lead to Rapid Deterioration in the Patient with Pulmonary Hypertension Dhaval Thakkar, MD and James Mathew Dargin, MD. 533 Know the Critical Issues in Resuscitation of the Decompensated Patient with Pulmonary Hypertension Jacob C. Jentzer, MD, FACC and James Mathew Dargin, MD. 536 Know the Evaluation and Management of the Patient with Sarcoidosis Harman S. Gill, MD. 538 Properly Risk Stratify the Patient with Suspected Pulmonary Embolism Kelly Williamson, MD. 542 Know How to Diagnose and Treat Pulmonary Embolism Ryan Dick-Perez, DO and Nicholas M. Mohr, MD, MS, FA CEP. 545 Know Which Patients with Submassive Pulmonary Embolism May Benefit from Thrombolytic Therapy Sangeeth Dubbireddi, MD and Lillian L. Emlet, MD, MS. 548 Understand Proper Ventilator Management in Patients with Acute Asthma Exacerbations Salim Rezaie, MD and Anand K. Swaminathan, MD, MPH. 551 Know the Causes, Evaluation, and Management of Hemoptysis Matthew P. Borloz, MD, FACEP. 554 Use High-Flow Nasal Cannula in Patients with Mild to Moderate Respiratory Distress from Hypoxemia Ross McCormack, MD and Jonathan Elmer, MD, MS. 557 Section XVIII 242 243 244 245 246 247 248 249 2so XLVII Tox Alcohol Intoxication and Withdrawal Candice Jordan, MD.
Acetaminophen Toxicity: Getting Reacquainted with Matthew and Rumack David Rose, MD. 561 Mixed Disturbance: Think Salicylate Poisoning Harry E. Heverling, DO and Tiffany C. Fong, MD. 563 Toxic Alcohols Candice Jordan, MD. The Five Stages Iron Toxicity: Beware of the Latent Period Christina Clark, PA-C. 568 Don’t Miss Anticholinergic Syndromes! Theodore Fagrelius, MD. Cholinergic PoisoningTheodore Fagrelius, MD. An Old Favorite Heart Medication: Digoxin Daniel B. Savage, MD,MPH. 574 Did You Consider Intravenous Lipid Emulsion Therapy? Aaryn K. Hammond, MD and Donald W Alves, MD, MS, FACEP. 559 566 570 572 576
XLVIII 251 252 253 254 255 CONTENTS Managing the Hot and Bothered: Sympathomimetic Overdoses Arun Nair MD, MPH. 578 Emerging Drugs of Abuse Chelsea Williamson, MPAS, PA-C. 581 Cyanide Poisoning: A Tale of Two Antidotes Scott E. Sutherland, MD. 583 Methemoglobinemia: Blue Pearls Dilnaz Panjwani, MD, FACEP and Mitchell Louis Judge Li, MD. 585 Should I Take That? Nutritional Supplements Edmund Timpano, MD and Sarika Walia, MBBS. 587 SECTION XIX 256 257 258 259 гео 261 262 263 264 265 266 267 268 269 270 271 Trauma/Ortho Electrical Injuries: Shocking or Subtle? Tim Horeczko, MD, MSCR, FACEP, FAAP. 591 “Don’t Tase Me Bro!” The TASERed Patient in the ED Peter Milano, MD, MHA. 593 Managing Penetrating Neck Injuries: Hard or Soft, Superficial or Deep? Melissa Joseph, MD. 595 To Crack or Not to Crack: Indications for an ED Thoracotomy Sanjay Bhatt, MD, MS, МММ. 598 Performing an ED Thoracotomy Sanjay Bhatt, MD, MS, МММ. 600 Save a Limb! Vascular Injury in Penetrating Extremity Trauma Taylor McCormick, MD. 603 Judicious Abdominal Imaging in Trauma Erick A. Eiting, MD, MPH, МММ. 605 Severe Traumatic
Brain Injury: Avoid Making It Worse! Ashkon Ansari, MD. 607 Fluid Resuscitation in Trauma: Five Pitfalls Erick A. Eiting, MD, MPH, МММ. 610 How Do You Fill a Tank with Holes in It? Optimal Vascular Access in Trauma Resuscitation Benjamin D. Musser, MD. 612 Don’t Be Afraid to Place a Chest Tube Dhara P. Amin, MD. 614 Massive Transfusion in Trauma: A Changing Landscape Tarlan Hedayati, MD. 616 Reversal of Warfarin in Trauma Joseph S. Palter, MD. 618 Reversal of Novel Anticoagulants and Antiplatelet Agents Dhara P. Amin, MD. 620 When to Suspect Cervical Vascular Injury Tarlan Hedayati, MD, FACEP and Stuart Swadron, MD, FRCPC. 622 Alternatives to Packed Red Blood Cells: The Latest Tarlan Hedayati, MD, FACEP. 623
contents 272 273 274 275 276 277 278 279 280 281 282 газ 284 285 286 287 288 289 290 291 292 Tough Break: Assessing and Treating Rib Fractures Michael Gottlieb, MD, RDMS. 625 Not So FAST: Pearls and Pitfalls with the FAST Exam Michael Gottlieb, MD, RDMS. Closing the Book: Using a Bedsheet to Stabilize Pelvic Fractures Michael Gottlieb, MD, RDMS and Stuart Swadron, MD, FRCPC. Is Spinal Immobilization Still Necessary? Joseph Palter, MD. Are Vital Signs Reliable at Assessing Degree of Hemorrhage? Michael K. Safa, MD. The ABCs of Major Burns Mary L. Cheffers, MD and Stuart Swadron, MD, FRCPC. 634 When Can Interventional Radiology (IR) Be Your Friend in Trauma? Lee Plantmason, MD, MPH and Eric Wei, MD, MBA . Don’t Miss the Gamekeeper Thumb Brian R. Sharp, MD, FACEP. Admit Displaced Supracondylar Fractures for Neurovascular Checks Allison S. Luu, MS, MD and Eric Wei, MD, MBA. Know the Radiographic Signs of Scapholunate Dislocation Nicholas Abraham, MD and Stuart Swadron, MD, FRCPC. Know the Difference between Jones and Pseudo-Jones Fractures Brian R. Sharp, MD, FACEP. Search for Other Injuries in Patients with Scapular Fracture John W. Martel, MD, PhD, FACEP. Do You Know How to Do ABIs? JohnC.Ray,MD . Don’t Miss the Proximal
Fibula Fracture in Patients with Ankle Fracture Shawn K. Kaku, MD and Stuart Swadron, MD, FRCPC. Boxer’s Fracture? Check for Rotational Deformity! Jennifer Marvil, MD, MA. Think of Achilles Tendon Rupture in Patients with Sprained Ankle Jennifer Farah, MD. Reduce Hip Dislocations in a Timely Manner Erik A. Berg, MD. Check for Snuffbox Tenderness and Don’t Miss a Scaphoid Fracture Benjamin D. Musser, MD. Calcaneal Fracture? Don’t Miss a Spinal Injury! Sara Khaghani, MD, MPH. Beware of Benign-Appearing High-Pressure Injection Injuries Jennifer Farah, MD. Lisfranc Injury: Danger in the Midfoot Lee Plantmason, MD, MPH. XLIX 627 628 630 632 636 638 640 642 645 647 649 651 653 656 658 660 662 663 665
L Contents 293 294 295 The Dorsal Chip: Is It a Triquetral Fracture? Caroline Brandon, MD. 668 Lunate and Perilunate Dislocations: Pick These Up on Initial Presentation! Todd Schneberk, MD, MA. 670 Red Flags for Intimate Partner Violence and Human Trafficking Kristi Stanley, MD. 673 Section XX Procedures/Skills/Anesth Sedation Pearls and Pitfalls: Procedural Sedation in the Emergency Department Chidubem Iloabachie, MD and Dena Reiter, MD. 297 Capnography in the ED: Qualitative or Quantitative Monitoring? For CPR and a Whole Lot More Arun Nair, MD, MPH. 298 To Transfuse or Not to Transfuse Debra Ravert, MD. 299 Transfusion Confusion: Types and Management of Transfusion Reactions Scott E. Sutherland, MD . 300 Arthrocentesis Tips Christine Mlynarek, MD and Ashley Sullivan, MD. sot Lumbar Puncture and the Champagne Tap Chelsea Williamson, MPAS, PA-C. 302 Tapping the Belly: Paracentesis in the Emergency Department Thaer Ahmad, MD and Leonard Bunting, MD. 303 Careful with That Tap: Accessing the VP Shunt Derrick Ashong, MD. 304 No IV, Consider the 10 Daniel B. Savage, MD, MPH. зоб What Nerve! Ultrasound-
Guided Regional Nerve Blocks Casey Lee Wilson, MD, RDMS. зоб A Needling Issue: Decompressing Tension Pneumothorax Arun Nair, MD, MPH. 307 Which Line Is It? Central Line Placement Dilnaz Panjwani, MD, FACEP and Richard Paul, MD. зов Size Matters; Spontaneous Pneumothorax: Chest Tube versus Pigtail Derrick Ashong, MD. 296 Section XXI Зоэ Зю 311 675 678 680 682 684 686 689 691 694 695 698 700 702 pediatrics Recognize Child Abuse Early Clifford C. Ellingson, MD. 705 Tips for Managing All That Is Pediatric Resuscitation fason Saunders, MD and Heather Saavedra, MD. 707 Keep the Baby Warm! And Other Steps in Neonatal Resuscitation Ashley Grigsby, DO and Jessica Kanis, MD. 709
Contents 2 31 313 314 31 s 316 317 3js sis 320 321 322 323 324 325 зге 327 зге The Pediatric Airway: Learn It, Live It, Control It! Garrett S. Pacheco, MD. 711 All That Barks Is Not Croup Sheryl Yanger, MD. Don’t Get in Hot Water by Not Knowing How to Treat Pediatric Burns Megan Litzau, MD and Sheryl E. Allen, MD, MS, FAAP. My Baby Won’t Stop Crying! J. Adam Hawkins, DO and Timothy Ruttan, MD. Pediatric Procedural Sedation in the ED: Easier Than You May Think Jordan Alexander Justice, MD. The Ins and Outs of Intussusception Geoffrey P. Hays, MD and Debra S. Rusk, MD, FAAEM, FAAP. Do Not Rely On Urinalysis to Exclude Urinary Tract Infections in Children Younger Than Two Years Arturo S. Gastanaduy, MD. A Bundle of Joy! The Sick Neonate Robert Vezzetti, MD, FAAP, FACEP. Beware Pediatric Appendicitis Julia Schweizer, MD. Diagnoses Not to Miss in the Acutely Limping Child Guyon J. Hill, MD. Don’t Diagnose Sepsis in an Alkalotic Infant Lisa D. Mills, MD and Julianne Awrey, MD. BRUE: The Diagnosis Formerly Known as ALTE Julia N. Magana, MD and Taylor Stayton,
MD. “Kid ECGs Are Not Just Little Adult ECGs” Krista Young, MD,. Not All Pediatric Head Injuries Require a Head CT Heather Miller Fleming, MD and Kara Kowalczyk, MD. 739 Easy Does It: Be Cautious with the Cyanotic Postoperative Pediatric Cardiac Patient Timothy Ruttan, MD. Not Too Sweet: Getting It Just Right in Initial Pediatric DKA Management Dariush Garber, MD, MPH and Nathan Kuppermann, MD, MPH. Pediatric Concussion: A Levelheaded Approach Kendra Grether-Jones, MD and Erin Osiecki, MD. Section XXII 329 330 li 713 715 717 719 722 724 726 728 730 732 734 736 741 744 746 Geriatrics Do Not Underestimate the Potential Morbidity of Abdominal Pain in Older Adults Christina L. Shenvi, MD, PhD. 749 Think about ACS in Older Adults—Even without Chest Pain Christina L. Shenvi, MD, PhD. 751
Contents l-И зз 1 ACS the Geriatric Patient: Atypical Is Typical Treatment Differences in ACS in the Geriatric Patient Terrence Mulligan, DO, MPH, FACEP, FAAEM, FACOEP, FIFEM, FNFSHA. 753 332 Follow Your Elders’ Footsteps, They May Be Ataxic Jennifer L. Plitt, MD and Michelle Rhodes, MD. 755 333 Hip and Vertebral Compression Fractures SangKeun “Sam ” Yi, DO and Paul Blackburn, DO. 757 334 Be Sure to Build a Safety Net around the Weak Geriatric Patient You Send Home Eric M. LeFebvre, MD. 759 335 Grandma is Loopy: Special Considerations for Altered Mental Status in the Older Adult Christine R. Stehman, MD. 761 336 The Geriatric Trauma Patient Is Sicker Than You Realize Rebecca Milligan, MD and Michelle Rhodes, MD. 763 337 A Normal Physical Exam Does Not Exclude Infections in the Geriatric Patient Danya Khoujah, MBBS, FAAEM. 765 338 Respecting Thy Elders: Defining, Detecting, and Reporting Elder Abuse Patricia Bayless, MD. 767 ЗЗЭ How to Avoid Snowing Seniors: Pain Medications and Procedural Sedation in Older Adults Lisa C. Goldberg, MD and Michelle Rhodes, MD. 769 340 The Consequences of Grandpa’s Loaded Medicine Cabinet Ryan Gallagher, MD and Stephen Thornton, MD. 771 341 Communicating and Understanding the Elder Patient Collyn T. Murray, MD and Kevin Biese, MD, MAT. 773 Section XXIII 342 343 344 345 346 347 348 Wound Care Deep Sutures: When, Why, and Why Not? Hollynn
Larrabee, MD and R. Alissa Mussell, MD. 776 Pitfalls in Emergency Department Abscess Incision and Drainage David Wein, MD and Jesse Dubey, DO. 778 Keep It Clean: Pitfalls in Traumatic Wound Irrigation Anand K. Swaminathan, MD, MPH and Elida Skelton, MD, MPH . 780 Plantar Puncture Wound Pearls and Pitfalls R. Gentry Wilkerson, MD. 782 Do Not Believe the Adage That Epinephrine Cannot Be Used for Digital Blocks Feras Khan, MD. 784 When Are Prophylactic Antibiotics Indicated for Wounds? Dale Cotton, MD. 786 Do Not Miss a Foreign Body in a Wound Jason W Wilson, MD, MA and Constantino Diaz, MD. 788
Contents 349 3so 3si 3S2 353 354 LUI Know How to Treat Mammalian Bites Christopher I. Doty, MD, FAAEM, FACEP. 790 Is That Skin Lesion an Infection or an Envenomation? Spencer Greene, MD, MS, FACEP, FACMT and Veronica Tucci, MD, JD, FAAEM. 792 Know How to Treat Snake Bites Frederick C. Blum, MD, FACEP, FAAP, FIFEM and Shabnam Nourparvar, MD. 794 Eyelid Lacerations: When to Repair and When to Refer Erin Setzer, MD. 797 Ear Injuries and Lacerations Anas Sawas, MD, MPH, MS and Eric J. Morley, MD, MS, FAAEM. 798 Know Which Wounds to Close. and Which Ones to Leave Open Raymond Beyda, MD and Mark Silverberg, MD, MMB, FACEP. 800 Section XXIV Clinical Practice and Legal issues 355 356 357 see 359 seo 361 362 363 364 365 Index Consult Communications: Optimal Communications with Consultants Hugh F Hill III, MD, JD, FA CEP, FCLM. Treating the Patient and Not the Disease: Tips for Patient Satisfaction Dylan Sean Kellogg, MD. 805 Your Patient Has Died, Now Focus on the Family: How to Deliver Bad News to Family Members Dylan Sean Kellogg, MD. Don’t Be Afraid to Discuss End-of-Life Decisions with the Patient and Family Emily Streyer Carlisle, MD, MA. Too Many at One Time? Emergency Department Overcrowding Ryan Brooks, MBA and Arjun Chanmugam, MD, MBA. 812 Discharge Documentation:
Keep It Clear, Concise, Yet Complete David Rose, MD. 814 Resident and Advanced Practice Provider Supervision Patricia Petrella Nouhan, MD, FACEP and Robert B. Takla, MD, MBA, FACEP. What to Do with So Many? Strategies for Reducing Emergency Department Overcrowding Ryan Brooks, MBA and Arjun Chanmugam, MD, MBA. What to Do When the Registered Letter Arrives Kevin M. Klauer, DO, EJD, FACEP. 822 Your Deposition Kevin M. Klauer, DO, EJD, FACEP. Surviving a Lawsuit Hugh E Hill III, MD, JD, FACEP, FCLM. 803 807 810 817 818 824 827 831
AVOIDING COMMON ERRORS IN THE EMERGENCY DEPARTMENT Amal mattu, MD . Arjun Stuart p. Swadron, Md . Michael e. winters, md s. Chanmugam, md . Woolridge, dale p. md . In a conversational, easy-to-read style, Avoiding Common Errors in the Emergency Department, 2nd Edition, discusses 365 errors commonly made in the practice of emergency medicine and gives practical, easy-to-remember tips for avoiding these pitfalls, Chapters are brief, approachable, and evidence-based, suitable for reading immediately before the start of a rotation, used for quick reference on call, or read daily over the course of one year for personal assessment and review. • Coverage includes psychiatry, pediatrics, poisonings, cardiology, obstetrics and gynecology, trauma, general surgery, orthopedics, infectious diseases, gastroenterology, renal, anesthesia and airway management, urology, ENT, and oral and maxillofacial surgery. • Completely revised and rewritten by many new authors, as well as returning authors who bring a fresh perspective to new subjects. • New key points at the end of each chapter present must-know information in an easy-access, bulleted format. • Ideal for emergency medicine physicians, residents, and attendings; emergency nurse practitioners, PAs who practice in the ED, and primary care physicians in urgent care centers. Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC Mac. Take advantage of these practical features that will improve your eBook experience: • The ability to download the eBook on multiple devices at one time — providing a
seamless reading experience online or offline • Powerful search tools and smart navigation cross-links allow you to search within this book, or across your entire library of VitalSource eBooks • Multiple viewing options offer the ability to scale images and text to any size without losing page clarity as well as responsive design • The ability to highlight text and add notes with one click |
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| spelling | Avoiding common errors in the emergency department editors Amal Mattu (MD), Arjun Chanmugam (MD, MBA), Stuart Swadron (MD, FRCPC), Dale P. Woolridge (MD, PHD), Michael E. Winters (MD) Second edition Philadelphia ; Baltimore ; New York ; London Wolters Kluwer [2017] LIII, 862 Seiten Illustrationen txt rdacontent n rdamedia nc rdacarrier Emergency medicine Critical Care Emergency Service, Hospital Medical Errors Notfallmedizin (DE-588)4042676-2 gnd rswk-swf Notfalltherapie (DE-588)4172068-4 gnd rswk-swf Notfall (DE-588)4140939-5 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Notfall (DE-588)4140939-5 s DE-604 Notfalltherapie (DE-588)4172068-4 s Notfallmedizin (DE-588)4042676-2 s Mattu, Amal (DE-588)1033570230 edt Chanmugam, Arjun S. edt Swadron, Stuart P. edt Woolridge, Dale edt Winters, Michael E. edt Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034632008&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034632008&sequence=000003&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Avoiding common errors in the emergency department Critical Care Emergency Service, Hospital Medical Errors Notfallmedizin (DE-588)4042676-2 gnd Notfalltherapie (DE-588)4172068-4 gnd Notfall (DE-588)4140939-5 gnd |
| subject_GND | (DE-588)4042676-2 (DE-588)4172068-4 (DE-588)4140939-5 (DE-588)4143413-4 |
| title | Avoiding common errors in the emergency department |
| title_auth | Avoiding common errors in the emergency department |
| title_exact_search | Avoiding common errors in the emergency department |
| title_exact_search_txtP | Avoiding common errors in the emergency department |
| title_full | Avoiding common errors in the emergency department editors Amal Mattu (MD), Arjun Chanmugam (MD, MBA), Stuart Swadron (MD, FRCPC), Dale P. Woolridge (MD, PHD), Michael E. Winters (MD) |
| title_fullStr | Avoiding common errors in the emergency department editors Amal Mattu (MD), Arjun Chanmugam (MD, MBA), Stuart Swadron (MD, FRCPC), Dale P. Woolridge (MD, PHD), Michael E. Winters (MD) |
| title_full_unstemmed | Avoiding common errors in the emergency department editors Amal Mattu (MD), Arjun Chanmugam (MD, MBA), Stuart Swadron (MD, FRCPC), Dale P. Woolridge (MD, PHD), Michael E. Winters (MD) |
| title_short | Avoiding common errors in the emergency department |
| title_sort | avoiding common errors in the emergency department |
| topic | Critical Care Emergency Service, Hospital Medical Errors Notfallmedizin (DE-588)4042676-2 gnd Notfalltherapie (DE-588)4172068-4 gnd Notfall (DE-588)4140939-5 gnd |
| topic_facet | Critical Care Emergency Service, Hospital Medical Errors Notfallmedizin Notfalltherapie Notfall Aufsatzsammlung |
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