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Tintinalli's Emergency Medicine
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Table of Contents

Contributors
Pharmacy Reviewers
Preface
Section 1. Prehospital Care
1. Emergency Medical Services
2. Prehospital Equipment
3. Air Medical Transport
4. Mass Gatherings
Section 2. Disaster Management
5. Disaster Preparedness
6. Natural Disasters
7. Bomb, Blast, and Crush Injuries
8. Chemical Disasters
9. Bioterrorism
10. Radiation Injuries
Section 3. Resuscitation
11. Sudden Cardiac Death
12. Approach to Nontraumatic Shock
13. Approach to Traumatic Shock
14. Allergy and Anaphylaxis
15. Acid-Base Disorders
16. Blood Gases, Pulse Oximetry, and Capnography
17. Fluids and Electrolytes
18. Cardiac Rhythm Disturbances
19. Pharmacology of Antiarrhythmics and Antihypertensives
20. Pharmacology of Vasopressors and Inotropes
21. Hyperbaric Oxygen Therapy
Section 4. Resuscitative Procedures
22. Basic Cardiopulmonary Resuscitation
23. Defibrillation and Electrical Cardioversion
24. Cardiac Resuscitation
25. Resuscitation in Pregnancy
26. Post-Cardiac Arrest Syndrome
27. Ethical Issues of Resuscitation
28. Noninvasive Airway Management and Supraglottic Airways
29A Tracheal Intubation
29B Mechanical Ventilation
30. Surgical Airways
31. Vascular Access
32. Hemodynamic Monitoring
33. Cardiac Pacing and Implanted Defibrillation
34. Pericardiocentesis
Section 5. Analgesia, Anesthesia, and Procedural Sedation
35. Acute Pain Management
36. Local and Regional Anesthesia
37. Procedural Sedation and Analgesia in Adults
38. Chronic Pain
Section 6. Wound Management
39. Wound Evaluation
40. Wound Preparation
41. Wound Closure
42. Face and Scalp Lacerations
43. Arm, Forearm, and Hand Lacerations
44. Thigh, Leg, and Foot Lacerations
45. Soft Tissue Foreign Bodies
46. Puncture Wounds and Bites
47. Postrepair Wound Care
Section 7. Cardiovascular Disease
48. Chest Pain
49. Acute Coronary Syndromes
50. Cardiogenic Shock
51. Low-Probability Acute Coronary Syndrome
52. Syncope
53. Acute Heart Failure
54. Valvular Emergencies
55. Cardiomyopathies and Pericardial Disease
56. Venous Thromboembolism Including Pulmonary Embolism
57. Systemic Hypertension
58. Pulmonary Hypertension
59. Aortic Dissection and Related Aortic Syndromes
60. Aneurysmal Disease
61. Arterial Occlusion
Section 8. Pulmonary Disorders
62. Respiratory Distress
63. Hemoptysis
64. Acute Bronchitis and Upper Respiratory Tract Infections
65. Community-Acquired Pneumonia, Aspiration Pneumonia, and Noninfectious Pulmonary Infiltrates
66. Lung Empyema and Abscess
67. Tuberculosis
68. Pneumothorax
69. Acute Asthma and Status Asthmaticus
70. Chronic Obstructive Pulmonary Disease
Section 9. Gastrointestinal Disorders
71. Acute Abdominal Pain
72. Nausea and Vomiting
73. Disorders Presenting Primarily With Diarrhea
74. Constipation
75. Upper Gastrointestinal Bleeding
76. Lower Gastrointestinal Bleeding
77. Esophageal Emergencies
78. Peptic Ulcer Disease and Gastritis
79. Pancreatitis and Cholecystitis
80. Hepatic Disorders
81. Acute Appendicitis
82. Diverticulitis
83. Bowel Obstruction
84. Hernias
85. Anorectal Disorders
86. Gastrointestinal Procedures and Devices
87. Complications of General Surgical Procedures
Section 10. Renal and Genitourinary Disorders
88. Acute Kidney Injury
89. Rhabdomyolysis
90. End-Stage Renal Disease
91. Urinary Tract Infections and Hematuria
92. Acute Urinary Retention
93. Male Genital Problems
94. Urologic Stone Disease
95. Complications of Urologic Procedures and Devices
Section 11. Obstetrics and Gynecology
96. Abnormal Uterine Bleeding
97. Abdominal and Pelvic Pain in the Nonpregnant Female
98. Ectopic Pregnancy and Emergencies in the First 20 Weeks of Pregnancy
99. Comorbid Disorders in Pregnancy
100. Maternal Emergencies After 20 Weeks of Pregnancy and in the Peripartum Period
101. Emergency Delivery
102. Vulvovaginitis
103. Pelvic Inflammatory Disease
104. Breast Disorders
105. Complications of Gynecologic Procedures
Section 12. Pediatrics
106. Emergency Care of Children
107. Neonatal and Pediatric Transport
108. Resuscitation of Neonates
109. Resuscitation of Children
110. Pediatric Trauma
111. Minor Head Injury and Concussion in Children
112. Cervical Spine Injury in Infants and Children
113. Intubation and Ventilation of Infants and Children
114. Vascular Access in Infants and Children
115. Pain Management and Procedural Sedation for Infants and Children
116. Neonatal Emergencies and Common Neonatal Problems
117. Brief Resolved Unexplained Events and Apparent Life-Threatening Events
118. Sudden Infant Death Syndrome
119. Fever and Serious Bacterial Illness in Infants and Children
120. Meningitis in Infants and Children
121. Ear and Mastoid Disorders in Infants and Children
122. Eye Emergencies in Infants and Children
123. Nose and Sinus Disorders in Infants and Children
124. Mouth and Throat Disorders in Infants and Children
125. Neck Masses in Infants and Children
126. Stridor and Drooling in Infants and Children
127. Wheezing in Infants and Children
128. Pneumonia in Infants and Children
129. Congenital and Acquired Pediatric Heart Disease
130. Syncope, Dysrhythmias, and ECG Interpretation in Children
131. Vomiting, Diarrhea, and Dehydration in Infants and Children
132. Fluid and Electrolyte Therapy in Infants and Children
133. Acute Abdominal Pain in Infants and Children
134. Gastrointestinal Bleeding in Infants and Children
135. Urinary Tract Infection in Infants and Children
136. Pediatric Urologic and Gynecologic Disorders
137. Renal Emergencies in Children
138. Seizures in Infants and Children
139. Headache in Children
140. Altered Mental Status in Children
141. Pediatric Orthopedic Emergencies
142. Rashes in Infants and Children
143. Sickle Cell Disease in Children
144. Hematologic Emergencies in Infants and Children
145. Oncologic Emergencies in Infants and Children
146. Metabolic Emergencies in Infants and Children
147. Diabetes in Children
148. The Child With Special Healthcare Needs
149. Behavioral Disorders in Children
150. Child Abuse and Neglect
Section 13. Infectious Diseases
151. Sepsis
152. Soft Tissue Infections
153. Sexually Transmitted Infections
154. Serious Viral Infections
155. Human Immunodeficiency Virus Infection
156. Endocarditis
157. Tetanus
158. Rabies
159. Malaria
160. Food and Waterborne Illnesses
161. Zoonotic Infections
162. Global Travelers
163. Occupational Exposures, Infection Control, and Standard Precautions
Section 14. Neurology
164. Neurologic Examination
165. Headache
166. Spontaneous Subarachnoid and Intracerebral Hemorrhage
167. Stroke Syndromes
168. Altered Mental Status and Coma
169. Ataxia and Gait Disturbances
170. Vertigo
171. Seizures and Status Epilepticus in Adults
172. Acute Peripheral Neurologic Disorders
173. Chronic Neurologic Disorders
174. Central Nervous System and Spinal Infections
175. Central Nervous System Procedures and Devices
Section 15. Toxicology
176. General Management of Poisoned Patients
177. Cyclic Antidepressants
178. Atypical and Serotonergic Antidepressants
179. Monoamine Oxidase Inhibitors
180. Antipsychotics
181. Lithium
182. Barbiturates
183. Benzodiazepines
184. Nonbenzodiazepine Sedatives
185. Alcohols
186. Opioids
187. Cocaine and Amphetamines
188. Hallucinogens
189. Salicylates
190. Acetaminophen
191. Nonsteroidal Anti-Inflammatory Drugs
192. Methylxanthines and Nicotine
193. Digitalis Glycosides
194. Beta-Blockers
195. Calcium Channel Blockers
196. Antihypertensives
197. Anticonvulsants
198. Iron
199. Hydrocarbons and Volatile Substances
200. Caustic Ingestions
201. Pesticides
202. Anticholinergics
203. Metals and Metalloids
204. Industrial Toxins
205. Vitamins and Herbals
206. Antimicrobials
207. Dyshemoglobinemias
Section 16. Environmental Injuries
208. Cold Injuries
209. Hypothermia
210. Heat Emergencies
211. Bites and Stings
212. Snakebite
213. Marine Trauma and Envenomation
214. Diving Disorders
215. Drowning
216. High-Altitude Disorders
217. Thermal Burns
218. Chemical Burns
219. Electrical and Lightning Injuries
220. Mushroom Poisoning
221. Poisonous Plants
222. Carbon Monoxide
Section 17. Endocrine Disorders
223. Type 1 Diabetes Mellitus
224. Type 2 Diabetes Mellitus
225. Diabetic Ketoacidosis
226. Ketoacidotic Syndromes
227. Hyperosmolar Hyperglycemic State
228. Hypothyroidism and Myxedema Crisis
229. Hyperthyroidism and Thyroid Storm
230. Adrenal Insufficiency
Section 18. Hematologic and Oncologic Disorders
231. Anemia and Polycythemia
232. Hemostasis
233. Acquired Bleeding Disorders
234. Clotting Disorders
235. Hemophilias and von Willebrand's Disease
236. Sickle Cell Disease and Hereditary Hemolytic Anemias
237. Acquired Hemolytic Anemia
238. Transfusion Therapy
239. Thrombotics and Antithrombotics
240. Emergency Complications of Malignancy
Section 19. Eye, Ear, Nose, Throat, and Oral Disorders
241. Eye Emergencies
242. Ear Disorders
243. Face and Jaw Emergencies
244. Nose and Sinuses
245. Oral and Dental Emergencies
246. Neck and Upper Airway
247. Complications of Airway Devices
Section 20. Dermatology
248. Initial Evaluation and Management of Skin Disorders
249. Generalized Skin Disorders
250. Skin Disorders: Face and Scalp
251. Skin Disorders: Trunk
252. Skin Disorders: Groin and Skinfolds
253. Skin Disorders: Extremities
Section 21. Trauma
254. Trauma in Adults
255. Trauma in the Elderly
256. Trauma in Pregnancy
257. Head Trauma
258. Spine Trauma
259. Trauma to the Face
260. Trauma to the Neck
261. Pulmonary Trauma
262. Cardiac Trauma
263. Abdominal Trauma
264. Trauma to the Flank and Buttocks
265. Genitourinary Trauma
266. Trauma to the Extremities
Section 22. Orthopedics
267. Initial Evaluation and Management of Orthopedic Injuries
268. Injuries to the Hand and Digits
269. Wrist Injuries
270. Elbow and Forearm Injuries
271. Shoulder and Humerus Injuries
272. Pelvis Injuries
273. Hip and Femur Injuries
274. Knee Injuries
275. Leg Injuries
276. Ankle Injuries
277. Foot Injuries
278. Compartment Syndrome
Section 23. Musculoskeletal Disorders
279. Neck and Back Pain
280. Shoulder Pain
281. Hip and Knee Pain
282. Systemic Rheumatic Diseases
283. Nontraumatic Disorders of the Hand
284. Joints and Bursae
285. Soft Tissue Problems of the Foot
Section 24. Psychosocial Disorders
286. Mental Health Disorders: ED Evaluation and Disposition
287. Acute Agitation
288. Mental Health Disorders of the Elderly
289. Mood and Anxiety Disorders
290. Psychoses
291. Eating Disorders
292. Substance Use Disorders
Section 25. Abuse and Assault
293. Female and Male Sexual Assault
294. Intimate Partner Violence and Abuse
295. Abuse of the Elderly and Impaired
Section 26. Special Situations
296. Injection Drug Users
297. The Transplant Patient
298. The Patient with Morbid Obesity
299. The Transgender Patient
300. Palliative Care
301. Death Notification and Advance Directives
302. Military Medicine
303. Legal Issues in Emergency Medicine
Index

About the Author

Dr. Tintinalli is a world-reknown emergency physician actively practicing at the University of North Carolina in Chapel Hill. O. John Ma, M.D., Associate Professor, Vice Chair for Academic Advancement, and Research Director, Department of Emergency Medicine, Truman Medical Center, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri. Associate Professor Assistant Section Chief and Fellowship Director Department of Emergency Medicine and Pediatrics Oregon Health & Science University Portland, Oregon J. Stephan Stapczynski, MD, Professor and Chair, Department of Emergency Medicine, University of Kentucky, Lexington, Kentucky David Cline, M.D., Associate Professor, Director of Research, Department of Emergency Medicine, Wake Forest University School of Medicine, Baptist Medical Center, Winston-Salem, North Carolina George Kaiser Family Foundation Professor & ChairDepartment of Emergency MedicineUniversity of Oklahoma School of Community MedicineTulsa, Oklahoma

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