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Tintinalli's Emergency Medicine:
A Comprehensive Study Guide, 6e

Judith E. Tintinalli, MD, MS, Gabor D. Kelen, MD, J. Stephan Stapczynski, MD,
O. John Ma, MD and David M. Cline, MD
The American College of Emergency Physicians


Preface    Copyright    Contributors

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Section 1. Prehospital Care
Chapter 1.Emergency Medical Services
Chapter 2.Prehospital Equipment and Adjuncts
Chapter 3.Air Medical Transport
Chapter 4.Neonatal and Pediatric Transport
Chapter 5.Mass Gatherings
Section 2. Disaster Preparedness
Chapter 6.Disaster Medical Services
Chapter 7.Bioterrorism Response: Implications for the Emergency Clinician
Chapter 8.Disaster Management for Chemical Agents of Mass Destruction
Chapter 9.Blast and Crush Injuries
Chapter 10.Radiation Injuries
Section 3. Resuscitative Problems and Techniques
Chapter 11.Sudden Cardiac Death
Chapter 12.Basic Cardiopulmonary Resuscitation in Adults
Chapter 13.Neonatal Resuscitation and Emergencies
Chapter 14.Pediatric Cardiopulmonary Resuscitation
Chapter 15.Pediatric Airway Management
Chapter 16.Resuscitation Issues in Pregnancy
Chapter 17.Ethical Issues of Resuscitation
Chapter 18.Noninvasive Airway Management
Chapter 19.Tracheal Intubation and Mechanical Ventilation
Chapter 20.Surgical Airway Management
Chapter 21.Vascular Access
Chapter 22.Invasive Monitoring, Pacing Techniques, and Automatic and Implantable Defibrillators
Chapter 23.Cerebral Resuscitation
Chapter 24.Newer Resuscitative Techniques
Chapter 25.Acid-Base Disorders
Chapter 26.Blood Gases: Pathophysiology and Interpretation
Chapter 27.Fluid and Electrolyte Problems
Chapter 28.Disturbances of Cardiac Rhythm and Conduction
Chapter 29.Pharmacology of Antidysrhythmic and Vasoactive Medications
Section 4. Shock
Chapter 30.Approach to the Patient in Shock
Chapter 31.Fluid and Blood Resuscitation
Chapter 32.Septic Shock
Chapter 33.Cardiogenic Shock
Chapter 34.Anaphylaxis and Acute Allergic Reactions
Chapter 35.Neurogenic Shock
Section 5. Analgesia, Anesthesia, and Sedation
Chapter 36.Acute Pain Management in the Adult Patient
Chapter 37.Local and Regional Anesthesia
Chapter 38.Procedural Sedation and Analgesia
Chapter 39.Management of Patients with Chronic Pain
Section 6. Emergency Wound Management
Chapter 41.Wound Preparation
Chapter 42.Methods for Wound Closure
Chapter 43.Lacerations to the Face and Scalp
Chapter 44.Injuries to the Arm, Hand, Fingertip, and Nail
Chapter 45.Lacerations of the Leg and Foot
Chapter 46.Soft Tissue Foreign Bodies
Chapter 47.Puncture Wounds and Mammalian Bites
Chapter 48.Postrepair Wound Care
Section 7. Cardiovascular Disease
Chapter 49.Approach to Chest Pain
Chapter 50.Acute Coronary Syndromes: Acute Myocardial Infarction and Unstable Angina
Chapter 51.Intervention Strategies for Acute Coronary Syndromes
Chapter 52.Syncope
Chapter 53.Congestive Heart Failure and Acute Pulmonary Edema
Chapter 54.Valvular Emergencies
Chapter 55.The Cardiomyopathies, Myocarditis, and Pericardial Disease
Chapter 56.Pulmonary Embolism
Chapter 57.Hypertension
Chapter 58.Aortic Dissection and Aneurysms
Chapter 59.Thrombophlebitis and Occlusive Arterial Disease
Chapter 60.Cardiac Transplantation
Chapter 61.Noninvasive Myocardial Imaging
Section 8. Pulmonary Emergencies
Chapter 62.Respiratory Distress
Chapter 63.Bronchitis, Pneumonia, and Pleural Empyema
Chapter 64.Aspiration Pneumonia and Lung Abscess
Chapter 65.Tuberculosis
Chapter 66.Spontaneous and Iatrogenic Pneumothorax
Chapter 67.Hemoptysis
Chapter 68.Acute Asthma in Adults
Chapter 69.Chronic Obstructive Pulmonary Disease
Chapter 70.The Lung Transplant Patient
Chapter 71.Pulmonary Imaging
Section 9. Gastrointestinal Emergencies
Chapter 72.Acute Abdominal Pain
Chapter 73.Abdominal Pain in the Elderly
Chapter 74.Gastrointestinal Bleeding
Chapter 75.Esophageal Emergencies
Chapter 76.Swallowed Foreign Bodies
Chapter 77.Peptic Ulcer Disease and Gastritis
Chapter 78.Acute Appendicitis
Chapter 79.Intestinal Obstruction
Chapter 80.Hernia in Adults and Children
Chapter 81.Ileitis, Colitis, and Diverticulitis
Chapter 82.Anorectal Disorders
Chapter 83.Vomiting, Diarrhea, and Constipation
Chapter 84.Jaundice
Chapter 85.Cholecystitis and Biliary Colic
Chapter 86.Hepatic Disorders and Hepatic Failure
Chapter 87.Acute and Chronic Pancreatitis
Chapter 88.Complications of General Surgical Procedures
Chapter 89.Complications of Gastrointestinal Devices
Chapter 90.The Liver Transplant Patient
Chapter 91.Gastrointestinal Imaging
Section 10. Renal and Genitourinary Disorders
Chapter 92.Acute Renal Failure
Chapter 93.Emergencies in Renal Failure and Dialysis Patients
Chapter 94.Urinary Tract Infections
Chapter 95.Male Genital Problems
Chapter 96.Urologic Stone Disease
Chapter 97.Hematuria and Hematospermia
Chapter 98.Complications of Urologic Procedures and Devices
Chapter 99.The Renal Transplant Patient
Chapter 100.Renal Imaging
Section 11. Gynecology and Obstetrics
Chapter 101.Vaginal Bleeding in the Nonpregnant Patient
Chapter 102.Abdominal and Pelvic Pain in the Nonpregnant Patient
Chapter 103.Ectopic Pregnancy
Chapter 104.Normal Pregnancy
Chapter 105.Comorbid Diseases in Pregnancy
Chapter 106.Emergencies During Pregnancy and the Postpartum Period
Chapter 107.Emergency Delivery
Chapter 108.Vulvovaginitis
Chapter 109.Pelvic Inflammatory Disease
Chapter 110.Breast Disorders
Chapter 111.Urogynecologic Disorders and Gynecologic Oncology
Chapter 112.Complications of Gynecologic Procedures
Chapter 113.Pelvic Ultrasonography
Section 12. Pediatrics
Chapter 114.The Normal Child
Chapter 115.Fever
Chapter 116.Bacteremia, Sepsis, and Meningitis in Children
Chapter 117.Common Neonatal Problems
Chapter 118.The NICU Graduate
Chapter 119.SIDS (Sudden Infant Death Syndrome) and ALTE (Apparent Life-Threatening Event)
Chapter 120.Pediatric Heart Disease
Chapter 121.Otitis and Pharyngitis in Children
Chapter 122.Skin and Soft Tissue Infections
Chapter 123.Viral and Bacterial Pneumonia in Children
Chapter 124.Pediatric Asthma and Bronchiolitis
Chapter 125.Seizures and Status Epilepticus in Children
Chapter 126.Vomiting and Diarrhea in Children
Chapter 127.Pediatric Abdominal Emergencies
Chapter 128.Diabetic Ketoacidosis
Chapter 129.Hypoglycemia
Chapter 130.Altered Mental Status and Headache in Children
Chapter 131.Syncope and Sudden Death
Chapter 132.Fluid and Electrolyte Therapy
Chapter 133.Upper Respiratory Emergencies
Chapter 134.Acute Pain Management and Procedural Sedation in Children
Chapter 135.Pediatric Exanthems
Chapter 136.Musculoskeletal Disorders in Children
Chapter 137.Sickle Cell Disease
Chapter 138.Evaluating the Child with Special Health Care Needs
Chapter 139.Urologic and Gynecologic Problems in Children
Chapter 140.Pediatric Urinary Tract Infections
Section 13. Infectious Diseases
Chapter 141.Sexually Transmitted Diseases
Chapter 142.Toxic Shock Syndrome and Streptococcal Toxic Shock Syndrome
Chapter 143.Common Viral Infections: Influenzaviruses and Herpesviruses
Chapter 144.HIV Infection and AIDS
Chapter 145.Infective Endocarditis
Chapter 146.Tetanus
Chapter 147.Rabies
Chapter 148.Malaria
Chapter 149.Infections from Helminths
Chapter 150.Food-Borne and Water-Borne Diseases
Chapter 151.Zoonotic Infections
Chapter 152.Soft Tissue Infections
Chapter 153.Reportable Infectious Diseases
Chapter 154.Occupational Exposures, Infection Control, and Standard Precautions
Chapter 155.Pharmacology of Antimicrobials, Antifungals, and Antivirals
Section 14. Toxicology and Pharmacology
Chapter 156.General Management of Poisoned Patients
Chapter 157.Principles of Drug Interactions
Chapter 158.Tricyclic Antidepressants
Chapter 159.Newer Antidepressants and Serotonin Syndrome
Chapter 160.Monoamine Oxidase Inhibitors
Chapter 161.Antipsychotics
Chapter 162.Lithium
Chapter 163.Barbiturates
Chapter 164.Benzodiazepines
Chapter 165.Nonbenzodiazepine Hypnosedatives
Chapter 166.Alcohols
Chapter 167.Opioids
Chapter 168.Cocaine, Amphetamines, Caffeine, and Nicotine
Chapter 169.Hallucinogens
Chapter 170.Salicylates
Chapter 171.Acetaminophen
Chapter 172.Nonsteroidal Anti-Inflammatory Drugs
Chapter 173.Theophylline
Chapter 174.Digitalis Glycosides
Chapter 175.-Blocker Toxicity
Chapter 176.Calcium Channel Blockers
Chapter 177.Antihypertensive Agent Toxicity
Chapter 178.Phenytoin and Fosphenytoin Toxicity
Chapter 179.Iron
Chapter 180.Hydrocarbons and Volatile Substances
Chapter 181.Caustics
Chapter 182.Insecticides, Herbicides, Rodenticides
Chapter 183.Anticholinergic Toxicity
Chapter 184.Metals and Metalloids
Chapter 185.Toxicology of Hazardous Chemicals
Chapter 186.Vitamins and Herbals
Chapter 187.Antimicrobials
Chapter 188.Cyanide
Chapter 189.Dyshemoglobinemias
Chapter 190.Hypoglycemic Agents
Section 15. Environmental Injuries
Chapter 191.Frostbite and Other Localized Cold-Related Injuries
Chapter 192.Hypothermia
Chapter 193.Heat Emergencies
Chapter 194.Arthropod Bites and Stings
Chapter 195.Reptile Bites
Chapter 196.Trauma and Envenomations from Marine Fauna
Chapter 197.Dysbarism and Complications of Diving
Chapter 198.Near-Drowning
Chapter 199.Thermal Burns
Chapter 200.Chemical Burns
Chapter 201.Electrical Injuries
Chapter 202.Lightning Injuries
Chapter 203.Carbon Monoxide Poisoning
Chapter 204.Mushroom Poisoning
Chapter 205.Poisonous Plants
Section 16. Emergency Medicine in Unique Environments
Chapter 206.World Travelers
Chapter 207.High-Altitude Medical Problems
Chapter 208.Antarctic Medicine
Chapter 209.Space Medicine
Section 17. Endocrine Emergencies
Chapter 210.Hypoglycemia
Chapter 211.Diabetic Ketoacidosis
Chapter 212.Diabetes Mellitus
Chapter 213.Alcoholic Ketoacidosis
Chapter 214.Hyperosmolar Hyperglycemic State
Chapter 215.Hyperthyroidism and Thyroid Storm
Chapter 216.Hypothyroidism and Myxedema Coma
Chapter 217.Adrenal Insufficiency and Adrenal Crisis
Section 18. Hematologic and Oncologic Emergencies
Chapter 218.Evaluation of Anemia and the Bleeding Patient
Chapter 219.Acquired Bleeding Disorders
Chapter 220.Hemophilias and von Willebrand Disease
Chapter 221.Hereditary Hemolytic Anemias
Chapter 222.Acquired Hemolytic Anemia
Chapter 223.Transfusion Therapy
Chapter 224.Anticoagulants, Antiplatelet Agents, and Fibrinolytics
Chapter 225.Emergency Complications of Malignancy
Section 19. Neurology
Chapter 226.The Neurologic Examination in the Emergency Setting
Chapter 227.Headache and Facial Pain
Chapter 228.Stroke, Transient Ischemic Attack, and Other Central Focal Conditions
Chapter 229.Altered Mental Status and Coma
Chapter 230.Ataxia and Gait Disturbances
Chapter 231.Vertigo and Dizziness
Chapter 232.Seizures and Status Epilepticus in Adults
Chapter 233.Acute Peripheral Neurologic Lesions
Chapter 234.Chronic Neurologic Disorders
Chapter 235.CNS Infections
Chapter 236.Complications of Central Nervous System Devices
Chapter 237.Approach to Neuroimaging in the Emergency Department
Section 20. Eye, Ear, Nose, Throat, and Oral Surgery
Chapter 238.Ocular Emergencies
Chapter 239.Common Disorders of the External, Middle, and Inner Ear
Chapter 240.Face and Jaw Emergencies
Chapter 241.Nasal Emergencies and Sinusitis
Chapter 242.Oral and Dental Emergencies
Chapter 243.Infections and Disorders of the Neck and Upper Airway
Chapter 244.Complications of Airway Devices
Section 21. Disorders of the Skin
Chapter 245.Approach to the Dermatologic Patient in the Emergency Department
Chapter 246.Serious Generalized Skin Disorders
Chapter 247.Disorders of the Face and Scalp
Chapter 248.Disorders of the Hands, Feet, and Extremities
Chapter 249.Disorders of the Groin and Skin Folds
Chapter 250.Infestations
Section 22. Trauma
Chapter 251.Initial Approach to Trauma
Chapter 252.Pediatric Trauma
Chapter 253.Geriatric Trauma
Chapter 254.Trauma in Pregnancy
Chapter 255.Head Injury
Chapter 256.Spinal Cord Injuries
Chapter 257.Maxillofacial Trauma
Chapter 258.Penetrating and Blunt Neck Trauma
Chapter 259.Thoracic Trauma
Chapter 260.Abdominal Injuries
Chapter 261.Penetrating Trauma to the Flank and Buttock
Chapter 262.Genitourinary Trauma
Chapter 263.Penetrating Trauma to the Extremities
Chapter 264.Wound Ballistics
Chapter 265.Forensics
Chapter 266.Injury Control
Section 23. Injuries to the Bones, Joints, and Soft Tissue
Chapter 267.Initial Evaluation and Management of Orthopedic Injuries
Chapter 268.Injuries to the Hand and Digits
Chapter 269.Wrist Injuries
Chapter 270.Injuries to the Elbow and Forearm
Chapter 271.Injuries to the Shoulder Complex and Humerus
Chapter 272.Injuries to the Spine
Chapter 273.Trauma to the Pelvis, Hip, and Femur
Chapter 274.Knee Injuries
Chapter 275.Leg Injuries
Chapter 276.Ankle Injuries
Chapter 277.Foot Injuries
Chapter 278.Compartment Syndromes
Chapter 279.Rhabdomyolysis
Chapter 280.Orthopedic Devices and Reconstructions
Section 24. Nontraumatic Musculoskeletal Disorders
Chapter 281.Neck Pain
Chapter 282.Thoracic and Lumbar Pain Syndromes
Chapter 283.Shoulder Pain
Chapter 284.Emergencies in Systemic Rheumatic Diseases
Chapter 285.Nontraumatic Disorders of the Hand
Chapter 286.Acute Disorders of the Joints and Bursae
Chapter 287.Soft Tissue Problems of the Foot
Section 25. Psychosocial Disorders
Chapter 288.Behavioral Disorders: Clinical Features
Chapter 289.Behavioral Disorders: Emergency Assessment
Chapter 290.Psychotropic Medications
Chapter 291.Anorexia Nervosa and Bulimia Nervosa
Chapter 292.Panic Disorder
Chapter 293.Conversion Disorder
Chapter 294.Notifying the Living of Death
Chapter 295.Substance and Alcohol Abuse
Chapter 296.Physician Well-Being
Section 26. Abuse and Assault
Chapter 297.Child Abuse and Neglect
Chapter 298.Female and Male Sexual Assault
Chapter 299.Intimate Partner Violence and Abuse
Chapter 300.Abuse in the Elderly and Impaired
Chapter 301.Violence in the Emergency Department
Section 27. Principles of Imaging
Chapter 302.Contrast Studies
Chapter 303.Principles of Emergency Department Sonography
Chapter 304.Principles of Emergency Department Use of Computed Tomography
Chapter 305.Magnetic Resonance Imaging: Principles and Some Applications
Section 28. Special Situations
Chapter 306.Injection Drug Users
Chapter 307.The Elder Patient
Chapter 308.Adults with Physical Disabilities
Chapter 309.The Mentally Retarded Adult
Chapter 310.The Homeless Patient
Chapter 311.The Morbidly Obese Patient
Chapter 312.Patient Safety in Emergency Medicine


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Rita K. Cydulka, MD, MS
Editor

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12/17/2009: Emergency Medicine: Safety and Efficacy of Rapid Titration Using 1 mg Doses of Intravenous Hydromorphone in Emergency Department Patients with Acute Severe Pain: The “1+1” Protocol1 Kerr, Robert

11/10/2009: Emergency Medicine: Prednisolone & Valaciclovir in Bell’s palsy: A Randomised, Double-Blind, Placebo-Controlled, Multicentre Trial1 Disch, Jno
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