Attending Physician

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, illinois

Jonathon D. Palmer, MD

Assistant Professor

Department of Emergency Medicine

University of Arkansas for Medical Sciences

Little Rock, Arkansas

Matthew S. Patton, MD

Department of Emergency Medicine

Northwestern University Feinberg School of Medicine

Chicago, illinois

Rahul G. Patwari, MD

Medical Student Clerkship Director

Assistant Professor

Attending Physician

Department of Emergency Medicine

Rush Medical College

Chicago, illinois

Monika Pitzele, MD, PhD

Attending Physician

Department of Emergency Medicine

Mount Sinai Hospital

Chicago, Illinois

Henry Z. Pitzele, MD, FACEP

Deputy Director

Emergency Medicine

Jesse Brown VA Medical Center

Clinical Assistant Professor

Department of Emergency Medicine

University of Illinois at Chicago

Chicago, Illinois

Natalie Radford, MD

Associate Professor

Department of Clinical Medicine

Florida State University

Attending Physician

Bixler Emergency Department

Tallahassee Memorial Hospital

Tallahassee, Florida

Christopher Reverte, MD

Chief Resident

Department of Emergency Medicine

LA County + USC Medical Center

Los Angeles, California

Attending Physician

Department of Emergency Medicine

St. Luke's-Roosevelt

New York, New York

Neil Rifenbark, MD

Department of Emergency Medicine

University of Southern California

Department of Emergency Medicine

LA County + USC Medical Center

Los Angeles, California

Rebecca R. Roberts, MD

Director, Research Division

Attending Physician

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, Illinois

Sarah E. Ronan-Bentle, MD, MS, FACEP

Assistant Professor

Department of Emergency Medicine

University of Cincinnati College of Medicine

Attending Physician

Center for Emergency Care

University Hospital

Cincinnati, Ohio

CONTRIBUTORS

David H. Rosenbaum, MD, FAAEM

Attending Physician

Department of Emergency Medicine

WakeMed Health and Hospitals

Raleigh, North Carolina

Adjunct Professor

Department of Emergency Medicine

xiii

University of North Carolina School of Medicine

Chapel Hill, North Carolina

Christopher Ross, MD, FRCPC, FACEP, FAAEM

Assistant Professor

Department of Emergency Medicine

Associate Chair

Planning, Education, and Research

Cook County (Stroger) Hospital

Chicago, Illinois

John Sarko, MD

Attending Physician

Department of Emergency Medicine

Maricopa Medical Center

Assistant Professor

Department of Emergency Medicine

University of Arizona Phoenix School of Medicine

Phoenix, Arizona

Shari Schabowski, MD

Assistant Professor

Department of Emergency Medicine

Rush Medical College

Attending Physician

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, Illinois

Conor D. Schaye, MD, MPH

Department of Emergency Medicine

Northwestern Memorial Hospital

Chicago, Illinois

Michael A. Schindlbeck, MD, FACEP

Assistant Professor

Department of Emergency Medicine

Rush Medical College

Assistant Residency Director

Cook County (Stroger) Hospital

Chicago, Illinois

Suzanne M. Schmidt, MD, FAAP

Clinical Instructor

Department of Pediatrics

Northwestern University Feinberg School of Medicine

Attending Physician

Department of Pediatrics

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois

xiv

 

T heresa M. Schwab, MD

Attending Physician

Department of Emergency Medicine

Advocate Christ Medical Center

Oak Lawn, Illinois

Assistant Professor

Department of Emergency Medicine

University of Illinois at Chicago

Chicago, Illinois

Brian R. Sellers, MD

Department of Emergency Medicine

CONTRIBUTORS

Northwestern University Feinberg School of Medicine

Chicago, Illinois

Emily L. Senecal, MD

Clinical Instructor

Department of Emergency Medicine

Harvard Medical School

Attending Physician

Department of Emergency Medicine

Massachusetts General Hospital

Boston, Massachusetts

Michelle Sergei, MD

Assistant Professor

Department of Emergency Medicine

Rush Medical College

Attending Physician

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, Illinois

Scott C. Sherman, MD

Medical Student Clerkship Director

PA Residency Director

Associate Residency Director

Department of Emergency Medicine

Cook County (Stroger) Hospital

Rush Medical College

Chicago, Illinois

Jeffrey N. Siegelman, MD

Assistant Professor

Department of Emergency Medicine

Emory University

Atlanta, Georgia

Jessica Sime, MD

Department of Emergency Medicine

Union Memorial Hospital

Baltimore, Maryland

Lauren M. Smith, MD

Assistant Professor

Department of Emergency Medicine

Rush Medical College

Attending Physician

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, Illinois

William T homas Smith, MD

Emergency Medicine

Oregon Health and Sciences University

Portland, Oregon

Shannon E. Staley, MD

Pediatric Emergency Medicine Fellow

Department of Pediatrics

University of Chicago Comer Children's Hospital

Chicago, Illinois

Christine R. Stehman, MD

Clinical Fellow

Department of Surgery, Division of Trauma, Burn, and

Surgical Critical Care

Associate Physician

Department of Emergency Medicine

Brigham and Women's Hospital, Harvard Medical School

Boston, Massachusetts

Harsh Sule, MD, FAAEM, FACEP

Assistant Professor

Department of Emergency Medicine

Thomas Jefferson University & Hospitals

Philadelphia, Pennsylvania

Gim A. Tan, MBBS, FACEM

Adjunct Lecturer

Department of Emergency Medicine

Monash University

Senior Emergency Physician

Emergency and Trauma Centre

The Alfred Hospital

Melbourne, Australia

Katie L. Tataris, MD

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, Illinois

Matthew C. Tews, DO

Associate Professor

Department of Emergency Medicine

 

Emory University Hospital and Grady Memorial Hospital

Atlanta, Georgia

xii

Alisa A. McQueen, MD

Assistant Professor

CONTRIBUTORS

Department of Pediatrics, Section of Pediatric Emergency

Medicine

University of Chicago Pritzker School of Medicine

Attending Physician

Pediatric Emergency Medicine

University of Chicago Comer's Children Hospital

Chicago, illinois

Biswadev Mitra, MBBS, MHSM, PhD, FACEM

Emergency & Trauma Centre

The Alfred Hospital

Melbourne, Australia

Brooks L. Moore, MD

Assistant Professor

Department of Emergency Medicine

Emory University School of Medicine

Attending Physician

Department of Emergency Medicine

Emory University Hospital and Grady Memorial Hospital

Atlanta, Georgia

Tom Morrissey, MD, PhD

Associate Professor

Department Emergency Medicine

University of Florida-Jacksonville

Jacksonville, Florida

Jordan B. Moskoff, MD

Associate Medical Director

Department of Emergency Medicine

Cook County (Stroger) Hospital

Assistant Professor

Department of Emergency Medicine

Rush Medical College

Chicago, illinois

Mark B. Mycyk, MD, FACEP, FACMT

Associate Professor

Department of Emergency Medicine

Rush Medical College

Northwestern University Feinberg School of Medicine

Attending Physician

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, illinois

Isam F. Nasr, MD, FACEP

Assistant Professor

Department of Emergency Medicine

Rush Medical College

Attending Physician

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, illinois

Michael E. Nelson, MD, MS

Attending Physician, Medical Toxicology Fellow

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, illinois

Attending Physician

Department of Emergency Medicine

Northshore University Health System

Evanston, Illinois

Erik K. Nordquist, MD

Assistant Professor

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, illinois

Paula E. O ldeg, MD, FACEP

Attending Physician

Department of Emergency Medicine

West Suburban Medical Center

Oak Park, Illinois

Adjunct Clinical Instructor

Department of Emergency Medicine

Rush Medical College

Chicago, illinois

S. Margaret Paik, MD

Assistant Professor of Pediatrics

Department of Pediatrics

Associate Section Chief, Pediatric Emergency Medicine

The University of Chicago Comer Children's Hospital

Chicago, illinois

Lisa R. Palivos, MD

Assistant Professor

Department of Emergency Medicine

Rush Medical College

 

Cook County (Stroger) Hospital

Chicago, illinois

Pilar Guerrero, MD

Assistant Professor

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, illinois

Marianne Haughey, MD

Associate Professor of Emergency Medicine

Department of Emergency Medicine

Jacobi Medical Center, Albert Einstein College of Medicine

Bronx, New York

Tarlan Hedayati, MD

Assistant Program Director

Department of Emergency Medicine

Cook County (Stroger) Hospital

Assistant Professor

Department of Emergency Medicine

Rush Medical College

Chicago, illinois

Corey R. Heitz, MD

Assistant Professor

Department of Emergency Medicine

Virginia Tech Carilion School of Medicine

Roanoke, Virginia

Ross A. Heller, MD, MBA

Associate Professor

Department of Surgery/Division of Emergency Medicine

Saint Louis University School of Medicine

Saint Louis, Missouri

Colleen N. Hickey, MD

Assistant Professor

Department of Emergency Medicine

Northwestern University Feinberg School of Medicine

Attending Physician

Department of Emergency Medicine

Northwestern Memorial Hospital

Chicago, illinois

Katherine M. Hiller, MD, MPH, FACEP

Associate Professor

Department of Emergency Medicine

University of Arizona College of Medicine

Tucson, Arizona

Russ Horowitz, MD, RDMS

Assistant Professor

Department of Pediatrics

Northwestern University Feinberg School of Medicine

Attending Physician, Director Emergency Ultrasound

Division of Emergency Medicine

Children's Memorial Hospital

Chicago, illinois

Craig Huston, MD

Emergency Physician

Department of Emergency Medicine

Blessing Hospital

Quincy, illinois

Harry C. Karydes, DO

Assistant Professor

Attending Physician

Department of Emergency Medicine

Rush Medical College

Chicago, illinois

Elizabeth W. Kelly, MD

Assistant Professor

Department of Emergency Medicine

Wake Forest School of Medicine

Winston-Salem, North Carolina

Chad S. Kessler, MD

Section Chief, Emergency Medicine

Department of Medicine

Jesse Brown VA Medical Center

Chicago, illinois

Sorabh Khandelwal, MD

Associate Professor

Department of Emergency Medicine

Assistant Dean for Clinical Sciences

College of Medicine

The Ohio State University

Columbus, Ohio

Basem F. Khishfe, MD

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, Illinois

Brian C. Kitamura, MD

Emergency Medicine

Maricopa Integrated Health System

Phoenix, Arizona

Nicholas E. Kman, MD, FACEP

 

CONTENTS

VI I. Genitourinary Emergencies XI. Environmental Emergencies

39. Nephrolithiasis 166 61. Hypothermia 259

40. Urinary Tract Infections 170 62. Cold-Induced Tissue Injuries 263

41. Testicular Torsion 174 63. Heat-Related Illness 267

42. Penile Disorders 177 64. Drowning Incidents 270

VI II. Obstetrics/Gynecologic Emergencies 65. Envenomation 274

43. Vaginal Bleeding 181 XI I. Metabolic/Endocrine Emergencies

44. Vaginal Discharge 185 66. Diabetic Emergencies 280

45. Preeclampsia and Eclampsia 189 67. Potassium Disorders 284

46. Emergency Delivery 192 68. Thyroid Emergencies 288

IX. Pediatric Emergencies 69. Adrenal Emergencies 292

47. The Pediatric Patient 196 XI II. Hematologic/Oncologic Emergencies

48. Pediatric Fever 201 70. Oncologic Emergencies 295

49. Respiratory Distress 206 71. Sickle Cell Emergencies 299

50. Abdominal Pain 212 72. Transfusion Reactions 304

51. Dehydration 217 73. Anticoagulant Therapy and Its

Complications 308

52. Otitis Media 221

XIV. HEENT Emergencies

53. Pharyngitis 225

7 4. Slit Lamp Examination 312

X. Toxicology

75. Red Eye 315

54. The Poisoned Patient 230

76. Acute Visual Loss 319

55. Toxic Alcohols 235

77. Epistaxis 324

56. Acetaminophen Toxicity 239

78. Dental Emergencies 327

57. Salicylate Toxicity 244

XV. Neurologic Emergencies

58. Carbon Monoxide Poisoning 247

79. Altered Mental Status 332

59. Digoxin 251

80. Headache 336

60. Cyclic Antidepressants 255

81. Dizziness 341

CONTENTS vii

82. Cerebrovascular Accident 347 92. Low Back Pain 403

83. Seizures and Status Epilepticus 353 93. Compartment Syndromes 407

XVI. Trauma 94. Septic Arthritis 410

84. Trauma Principles 358 95. Splinting 414

85. Head Injuries 363 XVI II. Dermatologic Emergencies

86. Cervical Spine Injuries 368 96. Life-Threatening Dermatoses 418

87. Thoracic Trauma 374 97. Allergic Reactions 423

88. Abdominal Trauma 381 XIX. Psychiatric Emergencies

89. Burns 387 98. Approach to the Psychiatric Patient 426

 

XVI I. Orthopedic Emergencies Index 429

90. Upper Extremity Injuries 391

91. Lower Extremity Injuries 397

Contributors

Negean Afifi, DO

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, Illinois

Steven E. Aks, DO

Director, The Toxikon Consortiwn

Division of Toxicology, Department of Emergency

Medicine

Cook County (Stroger) Hospital

Associate Professor

Department of Emergency Medicine

Rush Medical College

Chicago, Illinois

Amer Zia Aldeen, MD

Assistant Professor

Department of Emergency Medicine

Northwestern University Feinberg School of Medicine

Attending Physician

Department of Emergency Medicine

Northwestern Memorial Hospital

Chicago, Illinois

Kim L. Askew, MD

Assistant Professor

Department of Emergency Medicine

Wake Forest University School of Medicine

Winston-Salem, North Carolina

John Bailitz, MD, RDMS

Emergency Ultrasound Director

Department of Emergency Medicine

Cook County (Stroger) Hospital

Assistant Professor of Emergency Medicine

Department of Emergency Medicine

Rush Medical College

Chicago, Illinois

Jeffery A. Baker, MD

Attending Physician

Department of Emergency Medicine

Ochsner Health System

Clinical Instructor

University of Queensland, Ochsner Clinical School

New Orleans, Louisiana

viii

Jonathan Bankoff, MD, FACEP

Medical Director

Emergency Department

Middlesex Hospital

Middletown, Connecticut

Eric H. Beck, DO, NREMT-P

Assistant Professor

Section of Emergency Medicine

The University of Chicago

EMS Medical Director

Chicago EMS

Illinois EMS Region 1 1, Medical Directors Consortium

Chicago, Illinois

Lauren Emily Bence, MD

Department of Emergency Medicine

University of Chicago Hospital

Chicago, Illinois

Steven H. Bowman, MD, FACEP

Assistant Professor

Department of Emergency Medicine

Rush Medical College

Program Director

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, Illinois

Sean M. Bryant, MD

Associate Professor

Emergency Medicine

Assistant Fellowship Director

Toxikon Consortium

Cook County (Stroger) Hospital

Associate Medical Director

Illinois Poison Center

Chicago, Illinois

Ann Buchanan, MD

 

Assistant Director/Trauma Medical Director

Department of Emergency Medicine

St. David's Medical Center

Austin, Texas

Paul E. Casey, MD

Instructor in Clinical Medicine

Department of Emergency Medicine

Rush University Medical Center

Chicago, illinois

Esther H. Chen, MD

Associate Professor

Emergency Medicine

University of California, San Francisco General Hospital

San Francisco, California

George Chiampas, DO

Assistant Professor, Department of Emergency Medicine

Northwestern University Feinberg School of Medicine

Team Physician, Northwestern University

Medical Director, Bank of America Chicago Marathon

Chicago, Illinois

Kristine Cieslak, MD

Assistant Professor

Department of Pediatrics

Northwestern University Feinberg School of Medicine

Chicago, Illinois

Director, Pediatric Emergency Medicine

Department of Pediatric Emergency Medicine

Children's Memorial at Central DuPage Hospital

Winfield, Illinois

Michael T. Cudnik, MD, MPH

Assistant Professor

Department of Emergency Medicine

The Ohio State University Medical Center

Columbus, Ohio

Joanna Wieczorek Davidson, MD

Department of Emergency Medicine

Cook County (Stroger) Hospital

Chicago, Illinois

John Davis, MD, PhD

Assistant Professor

Department of Medicine

The Ohio State University

Attending Physician

Department of Medicine

Wexner Medical Center at The Ohio State University

Columbus, Ohio

Alex de la Fuente, MD

Private Practice

Everett, Washington

Nicole M. Deiorio, MD

Associate Professor

Department of Emergency Medicine

Director, Medical Student Education

Oregon Health and Science University

Portland, Oregon

CONTRIBUTORS

E. Paul DeKoning, MD, MS

Assistant Professor

Emergency Medicine

Dartmouth-Hitchcock Medical Center

Medical Student Education Director

Emergency Medicine

Dartmouth Medical School

Lebanon, New Hampshire

Bradley L. Demeter, MD

EMS Physician

Emergency Medicine

University of Chicago

Chicago, Illinois

Vinodinee L. Dissanayake, MD

Global Toxicology Fellow Emergency Medicine

University of Illinois at Chicago and Cook County (Stroger)

 

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