For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Emergency Medicine Secrets, 7th Edition, offers practical, up-to-date coverage of the full range of essential topics in this dynamic field. This highly regarded resource features the Secrets’ popular question-and-answer format that also includes lists, tables, pearls, memory aids, and an easy-to-read style – making inquiry, reference, and review quick, easy, and enjoyable.
1. Cover image - p. cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Dedication - p. v 6. Editors - p. vi 7. Contributors - p. vii 8. Preface - p. viii 9. Acknowledgments - p. ix 10. Top 100 secrets - p. x 11. List of Tables - p. xi 12. List of Illustrations - p. xii 13. 1. Decision Making in Emergency Medicine - p. xii 14. 1. Decision making in emergency medicine - p. xii 15. 2. Adult cardiac arrest - p. 3 16. 3. Airway management - p. 9 17. 4. Shock - p. 16 18. 5. Emergency ultrasound - p. 21 19. 6. Geriatric emergency medicine - p. 27 20. 7. Palliative care and advance directives - p. 33 21. 8. Research methods and how to critically review emergency medicine literature - p. 37 22. 9. Evidence-based rational use of diagnostic imaging - p. 40 23. 10. Emtala, the joint commission, and hipaa - p. 46 24. 11. Emergency medicine observation medicine - p. 55 25. 12. Performance evaluation and improvement in emergency medicine - p. 57 26. 13. Professionalism and social media applications - p. 62 27. 2. Primary Complaints - p. 67 28. 14. Altered mental status and coma - p. 67 29. 15. Fever - p. 71 30. 16. Chest pain - p. 75 31. 17. Abdominal pain, nausea, and vomiting - p. 82 32. 18. Headache - p. 88 33. 19. Syncope, vertigo, and dizziness - p. 95 34. 20. Seizures - p. 101 35. 21. Anaphylaxis - p. 106 36. 22. Low back pain - p. 110 37. 3. Nontraumatic Illness - p. 114 38. 23. Nontraumatic ocular emergencies - p. 114 39. 24. Nontraumatic ear, nose, and throat emergencies - p. 120 40. 25. Dental and oral surgical emergencies - p. 127 41. 4. Central Nervous System - p. 134 42. 26. Transient ischemic attack and cerebrovascular accident - p. 134 43. 27. Meningitis - p. 141 44. 5. Respiratory System - p. 146 45. 28. Breathing and ventilation - p. 146 46. 29. Asthma, chronic obstructive pulmonary disease, and pneumonia - p. 151 47. 30. Venous thromboembolism - p. 162 48. 6. Cardiovascular System - p. 167 49. 31. Congestive heart failure and acute pulmonary edema - p. 167 50. 32. Ischemic heart disease - p. 171 51. 33. Cardiac dysrhythmias, pacemakers, and implantable defibrillators - p. 180 52. 34. Hypertension, hypertensive emergency, aortic dissection, and aortic aneurysms - p. 189 53. 35. Pericarditis and myocarditis - p. 198 54. 7. Gastrointestinal Tract - p. 203 55. 36. Esophagus and stomach disorders - p. 203 56. 37. Bowel disorders - p. 208 57. 38. Liver and biliary tract disease - p. 214 58. 8. Genitourinary Tract - p. 219 59. 39. Renal colic and scrotal pain - p. 219 60. 40. Acute urinary retention - p. 224 61. 41. Urinary tract infection: Cystitis, pyelonephritis, and prostatitis - p. 231 62. 42. Renal failure - p. 235 63. 9. Hematology/Oncology - p. 240 64. 43. Hemostasis and coagulopathies - p. 240 65. 44. Sickle cell disease - p. 246 66. 45. Oncologic emergencies - p. 250 67. 10. Metabolism and Endocrinology - p. 254 68. 46. Fluids and electrolytes - p. 254 69. 47. Acid-base disorders - p. 259 70. 48. Diabetes mellitus - p. 264 71. 49. Thyroid and adrenal disorders - p. 269 72. 11. Infectious Disease - p. 277 73. 50. Sepsis syndromes and toxic shock - p. 277 74. 51. Soft-tissue infections - p. 282 75. 52. Sexually transmitted infections and human immunodeficiency virus - p. 287 76. 53. Tetanus, botulism, and foodborne illnesses - p. 292 77. 54. Travel medicine and vector-borne diseases - p. 301 78. 55. Arthritis - p. 308 79. 56. Skin diseases - p. 313 80. 12. Environmental Emergencies - p. 319 81. 57. Lightning and electrical injuries - p. 319 82. 58. Drowning - p. 328 83. 59. Hypothermia and frostbite - p. 332 84. 60. Heat illness - p. 337 85. 61. Altitude illness and dysbarisms - p. 341 86. 13. Neonatal and Childhood Disorders - p. 346 87. 62. Evaluation of fever in children younger than age three - p. 346 88. 63. Seizures in infancy and childhood - p. 350 89. 64. Acute respiratory disorders in children - p. 357 90. 65. Pediatric gastrointestinal disorders and dehydration - p. 364 91. 66. Pediatric infectious diseases - p. 371 92. 67. Emergency department evaluation of child abuse - p. 377 93. 68. Procedural sedation and analgesia of the pediatric patient - p. 386 94. 69. Pediatric and neonatal resuscitation - p. 393 95. 14. Toxicologic Emergencies - p. 402 96. 70. General approach to poisonings - p. 402 97. 71. The alcohols: Ethylene glycol, methanol, isopropyl alcohol, and alcohol-related complications - p. 407 98. 72. Antipyretic poisoning - p. 412 99. 73. Bites and stings - p. 418 100. 74. Smoke inhalation - p. 427 101. 75. Common drugs of abuse - p. 431 102. 76. Cardiovascular toxicology - p. 441 103. 77. Pediatric ingestions - p. 444 104. 15. Gynecology and Ostetrics - p. 450 105. 78. Pelvic inflammatory disease - p. 450 106. 79. Sexual assault - p. 454 107. 80. Spontaneous abortion, ectopic pregnancy, and vaginal bleeding - p. 459 108. 81. Third-trimester complications and delivery - p. 466 109. 16. Trauma - p. 472 110. 82. Multiple trauma - p. 472 111. 83. Maxillofacial trauma - p. 478 112. 84. Cervical spine and spinal cord trauma - p. 484 113. 85. Head trauma - p. 490 114. 86. Traumatic ophthalmologic emergencies - p. 495 115. 87. Neck trauma - p. 498 116. 88. Chest trauma - p. 503 117. 89. Abdominal trauma - p. 510 118. 90. Pelvic fractures and genitourinary trauma - p. 517 119. 91. Trauma in pregnancy - p. 523 120. 92. Pediatric trauma - p. 527 121. 93. Musculoskeletal trauma, conditions of the extremity, and hand injuries - p. 533 122. 94. Burns - p. 546 123. 95. Wound management - p. 553 124. 17. Behavioral Emergencies - p. 561 125. 96. Acute psychosis - p. 561 126. 97. Depression, suicide, and posttraumatic stress disorder - p. 565 127. 98. Management of the violent patient - p. 572 128. 99. Intimate partner violence - p. 576 129. 18. EMS and Disaster Management - p. 582 130. 100. EMS medical oversight - p. 582 131. 101. Disaster management - p. 585 132. 102. Principles of response to weapons of mass destruction - p. 591 133. 103. Chemical weapons and terrorist agents - p. 594 134. 104. Biological weapons of mass destruction - p. 598 135. 105. Radiation emergencies - p. 602 136. 106. Explosive weapons of mass destruction - p. 606 137. 107. Tactical medicine - p. 609 138. Index - p. 615
For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Emergency Medicine Secrets, 7th Edition, offers practical, up-to-date coverage of the full range of essential topics in this dynamic field. This highly regarded resource features the Secrets’ popular question-and-answer format that also includes lists, tables, pearls, memory aids, and an easy-to-read style – making inquiry, reference, and review quick, easy, and enjoyable.
1. Cover image - p. cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Dedication - p. v 6. Editors - p. vi 7. Contributors - p. vii 8. Preface - p. viii 9. Acknowledgments - p. ix 10. Top 100 secrets - p. x 11. List of Tables - p. xi 12. List of Illustrations - p. xii 13. 1. Decision Making in Emergency Medicine - p. xii 14. 1. Decision making in emergency medicine - p. xii 15. 2. Adult cardiac arrest - p. 3 16. 3. Airway management - p. 9 17. 4. Shock - p. 16 18. 5. Emergency ultrasound - p. 21 19. 6. Geriatric emergency medicine - p. 27 20. 7. Palliative care and advance directives - p. 33 21. 8. Research methods and how to critically review emergency medicine literature - p. 37 22. 9. Evidence-based rational use of diagnostic imaging - p. 40 23. 10. Emtala, the joint commission, and hipaa - p. 46 24. 11. Emergency medicine observation medicine - p. 55 25. 12. Performance evaluation and improvement in emergency medicine - p. 57 26. 13. Professionalism and social media applications - p. 62 27. 2. Primary Complaints - p. 67 28. 14. Altered mental status and coma - p. 67 29. 15. Fever - p. 71 30. 16. Chest pain - p. 75 31. 17. Abdominal pain, nausea, and vomiting - p. 82 32. 18. Headache - p. 88 33. 19. Syncope, vertigo, and dizziness - p. 95 34. 20. Seizures - p. 101 35. 21. Anaphylaxis - p. 106 36. 22. Low back pain - p. 110 37. 3. Nontraumatic Illness - p. 114 38. 23. Nontraumatic ocular emergencies - p. 114 39. 24. Nontraumatic ear, nose, and throat emergencies - p. 120 40. 25. Dental and oral surgical emergencies - p. 127 41. 4. Central Nervous System - p. 134 42. 26. Transient ischemic attack and cerebrovascular accident - p. 134 43. 27. Meningitis - p. 141 44. 5. Respiratory System - p. 146 45. 28. Breathing and ventilation - p. 146 46. 29. Asthma, chronic obstructive pulmonary disease, and pneumonia - p. 151 47. 30. Venous thromboembolism - p. 162 48. 6. Cardiovascular System - p. 167 49. 31. Congestive heart failure and acute pulmonary edema - p. 167 50. 32. Ischemic heart disease - p. 171 51. 33. Cardiac dysrhythmias, pacemakers, and implantable defibrillators - p. 180 52. 34. Hypertension, hypertensive emergency, aortic dissection, and aortic aneurysms - p. 189 53. 35. Pericarditis and myocarditis - p. 198 54. 7. Gastrointestinal Tract - p. 203 55. 36. Esophagus and stomach disorders - p. 203 56. 37. Bowel disorders - p. 208 57. 38. Liver and biliary tract disease - p. 214 58. 8. Genitourinary Tract - p. 219 59. 39. Renal colic and scrotal pain - p. 219 60. 40. Acute urinary retention - p. 224 61. 41. Urinary tract infection: Cystitis, pyelonephritis, and prostatitis - p. 231 62. 42. Renal failure - p. 235 63. 9. Hematology/Oncology - p. 240 64. 43. Hemostasis and coagulopathies - p. 240 65. 44. Sickle cell disease - p. 246 66. 45. Oncologic emergencies - p. 250 67. 10. Metabolism and Endocrinology - p. 254 68. 46. Fluids and electrolytes - p. 254 69. 47. Acid-base disorders - p. 259 70. 48. Diabetes mellitus - p. 264 71. 49. Thyroid and adrenal disorders - p. 269 72. 11. Infectious Disease - p. 277 73. 50. Sepsis syndromes and toxic shock - p. 277 74. 51. Soft-tissue infections - p. 282 75. 52. Sexually transmitted infections and human immunodeficiency virus - p. 287 76. 53. Tetanus, botulism, and foodborne illnesses - p. 292 77. 54. Travel medicine and vector-borne diseases - p. 301 78. 55. Arthritis - p. 308 79. 56. Skin diseases - p. 313 80. 12. Environmental Emergencies - p. 319 81. 57. Lightning and electrical injuries - p. 319 82. 58. Drowning - p. 328 83. 59. Hypothermia and frostbite - p. 332 84. 60. Heat illness - p. 337 85. 61. Altitude illness and dysbarisms - p. 341 86. 13. Neonatal and Childhood Disorders - p. 346 87. 62. Evaluation of fever in children younger than age three - p. 346 88. 63. Seizures in infancy and childhood - p. 350 89. 64. Acute respiratory disorders in children - p. 357 90. 65. Pediatric gastrointestinal disorders and dehydration - p. 364 91. 66. Pediatric infectious diseases - p. 371 92. 67. Emergency department evaluation of child abuse - p. 377 93. 68. Procedural sedation and analgesia of the pediatric patient - p. 386 94. 69. Pediatric and neonatal resuscitation - p. 393 95. 14. Toxicologic Emergencies - p. 402 96. 70. General approach to poisonings - p. 402 97. 71. The alcohols: Ethylene glycol, methanol, isopropyl alcohol, and alcohol-related complications - p. 407 98. 72. Antipyretic poisoning - p. 412 99. 73. Bites and stings - p. 418 100. 74. Smoke inhalation - p. 427 101. 75. Common drugs of abuse - p. 431 102. 76. Cardiovascular toxicology - p. 441 103. 77. Pediatric ingestions - p. 444 104. 15. Gynecology and Ostetrics - p. 450 105. 78. Pelvic inflammatory disease - p. 450 106. 79. Sexual assault - p. 454 107. 80. Spontaneous abortion, ectopic pregnancy, and vaginal bleeding - p. 459 108. 81. Third-trimester complications and delivery - p. 466 109. 16. Trauma - p. 472 110. 82. Multiple trauma - p. 472 111. 83. Maxillofacial trauma - p. 478 112. 84. Cervical spine and spinal cord trauma - p. 484 113. 85. Head trauma - p. 490 114. 86. Traumatic ophthalmologic emergencies - p. 495 115. 87. Neck trauma - p. 498 116. 88. Chest trauma - p. 503 117. 89. Abdominal trauma - p. 510 118. 90. Pelvic fractures and genitourinary trauma - p. 517 119. 91. Trauma in pregnancy - p. 523 120. 92. Pediatric trauma - p. 527 121. 93. Musculoskeletal trauma, conditions of the extremity, and hand injuries - p. 533 122. 94. Burns - p. 546 123. 95. Wound management - p. 553 124. 17. Behavioral Emergencies - p. 561 125. 96. Acute psychosis - p. 561 126. 97. Depression, suicide, and posttraumatic stress disorder - p. 565 127. 98. Management of the violent patient - p. 572 128. 99. Intimate partner violence - p. 576 129. 18. EMS and Disaster Management - p. 582 130. 100. EMS medical oversight - p. 582 131. 101. Disaster management - p. 585 132. 102. Principles of response to weapons of mass destruction - p. 591 133. 103. Chemical weapons and terrorist agents - p. 594 134. 104. Biological weapons of mass destruction - p. 598 135. 105. Radiation emergencies - p. 602 136. 106. Explosive weapons of mass destruction - p. 606 137. 107. Tactical medicine - p. 609 138. Index - p. 615
