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.
The proven Secrets Series® format gives you the most return for your time – succinct, easy to read, engaging, and highly effective.
Fully revised and updated throughout, including protocols and guidelines that are continuously evolving and that increasingly dictate best practices.
New chapter on Professionalism and Social Media Applications.
Expanded coverage of cost-effective emergency medicine, as well as weapons of mass destruction including chemical, biologic, and radiologic weapons; explosives; and tactical medicine.??
Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams.
Bulleted lists, mnemonics, practical tips from leaders in the field – all providing a concise overview of important board-relevant content. Multiple-choice questions online provide opportunities for further self-assessment.
Portable size makes it easy to carry with you for quick reference or review anywhere, anytime.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Inside front cover - p. iii 5. Copyright - p. iii 6. Dedication - p. iii 7. Editors - p. iii 8. Contributors - p. iii 9. Preface - p. iii 10. Acknowledgments - p. iii 11. Contents - p. iii 12. Top 100 secrets - p. iii 13. List of Illustrations - p. iii 14. List of Tables - p. iii 15. 1: Decision Making in Emergency Medicine - p. iii 16. Chapter 1: Decision making in emergency medicine - p. iii 17. Chapter 2: Adult cardiac arrest - p. 3 18. Chapter 3: Airway management - p. 9 19. Chapter 4: Shock - p. 16 20. Chapter 5: Emergency ultrasound - p. 21 21. Chapter 6: Geriatric emergency medicine - p. 27 22. Chapter 7: Palliative care and advance directives - p. 33 23. Chapter 8: Research methods and how to critically review emergency medicine literature - p. 37 24. Chapter 9: Evidence-based rational use of diagnostic imaging - p. 40 25. Chapter 10: Emtala, the joint commission, and hipaa - p. 46 26. Chapter 11: Emergency medicine observation medicine - p. 55 27. Chapter 12: Performance evaluation and improvement in emergency medicine - p. 57 28. Chapter 13: Professionalism and social media applications - p. 61 29. 2: Primary Complaints - p. 67 30. Chapter 14: Altered mental status and coma - p. 67 31. Chapter 15: Fever - p. 71 32. Chapter 16: Chest pain - p. 75 33. Chapter 17: Abdominal pain, nausea, and vomiting - p. 82 34. Chapter 18: Headache - p. 88 35. Chapter 19: Syncope, vertigo, and dizziness - p. 95 36. Chapter 20: Seizures - p. 101 37. Chapter 21: Anaphylaxis - p. 106 38. Chapter 22: Low back pain - p. 110 39. 3: Nontraumatic Illness - p. 114 40. Chapter 23: Nontraumatic ocular emergencies - p. 114 41. Chapter 24: Nontraumatic ear, nose, and throat emergencies - p. 120 42. Chapter 25: Dental and oral surgical emergencies - p. 127 43. 4: Central Nervous System - p. 134 44. Chapter 26: Transient ischemic attack and cerebrovascular accident - p. 134 45. Chapter 27: Meningitis - p. 141 46. 5: Respiratory System - p. 146 47. Chapter 28: Breathing and ventilation - p. 146 48. Chapter 29: Asthma, chronic obstructive pulmonary disease, and pneumonia - p. 151 49. Chapter 30: Venous thromboembolism - p. 161 50. 6: Cardiovascular System - p. 167 51. Chapter 31: Congestive heart failure and acute pulmonary edema - p. 167 52. Chapter 32: Ischemic heart disease - p. 171 53. Chapter 33: Cardiac dysrhythmias, pacemakers, and implantable defibrillators - p. 180 54. Chapter 34: Hypertension, hypertensive emergency, aortic dissection, and aortic aneurysms - p. 188 55. Chapter 35: Pericarditis and myocarditis - p. 198 56. 7: Gastrointestinal Tract - p. 203 57. Chapter 36: Esophagus and stomach disorders - p. 203 58. Chapter 37: Bowel disorders - p. 208 59. Chapter 38: Liver and biliary tract disease - p. 214 60. 8: Genitourinary Tract - p. 219 61. Chapter 39: Renal colic and scrotal pain - p. 219 62. Chapter 40: Acute urinary retention - p. 224 63. Chapter 41: Urinary tract infection: Cystitis, pyelonephritis, and prostatitis - p. 231 64. Chapter 42: Renal failure - p. 235 65. 9: Hematology/Oncology - p. 240 66. Chapter 43: Hemostasis and coagulopathies - p. 240 67. Chapter 44: Sickle cell disease - p. 246 68. Chapter 45: Oncologic emergencies - p. 250 69. 10: Metabolism and Endocrinology - p. 254 70. Chapter 46: Fluids and electrolytes - p. 254 71. Chapter 47: Acid-base disorders - p. 259 72. Chapter 48: Diabetes mellitus - p. 264 73. Chapter 49: Thyroid and adrenal disorders - p. 269 74. 11: Infectious Disease - p. 277 75. Chapter 50: Sepsis syndromes and toxic shock - p. 277 76. Chapter 51: Soft-tissue infections - p. 281 77. Chapter 52: Sexually transmitted infections and human immunodeficiency virus - p. 287 78. Chapter 53: Tetanus, botulism, and foodborne illnesses - p. 292 79. Chapter 54: Travel medicine and vector-borne diseases - p. 301 80. Chapter 55: Arthritis - p. 308 81. Chapter 56: Skin diseases - p. 313 82. 12: Environmental Emergencies - p. 319 83. Chapter 57: Lightning and electrical injuries - p. 319 84. Chapter 58: Drowning - p. 328 85. Chapter 59: Hypothermia and frostbite - p. 332 86. Chapter 60: Heat illness - p. 337 87. Chapter 61: Altitude illness and dysbarisms - p. 341 88. 13: Neonatal and Childhood Disorders - p. 346 89. Chapter 62: Evaluation of fever in children younger than age three - p. 346 90. Chapter 63: Seizures in infancy and childhood - p. 350 91. Chapter 64: Acute respiratory disorders in children - p. 357 92. Chapter 65: Pediatric gastrointestinal disorders and dehydration - p. 364 93. Chapter 66: Pediatric infectious diseases - p. 371 94. Chapter 67: Emergency department evaluation of child abuse - p. 376 95. Chapter 68: Procedural sedation and analgesia of the pediatric patient - p. 385 96. Chapter 69: Pediatric and neonatal resuscitation - p. 393 97. 14: Toxicologic Emergencies - p. 401 98. Chapter 70: General approach to poisonings - p. 401 99. Chapter 71: The alcohols: Ethylene glycol, methanol, isopropyl alcohol, and alcohol-related complications - p. 407 100. Chapter 72: Antipyretic poisoning - p. 412 101. Chapter 73: Bites and stings - p. 418 102. Chapter 74: Smoke inhalation - p. 427 103. Chapter 75: Common drugs of abuse - p. 431 104. Chapter 76: Cardiovascular toxicology - p. 441 105. Chapter 77: Pediatric ingestions - p. 444 106. 15: Gynecology and Ostetrics - p. 450 107. Chapter 78: Pelvic inflammatory disease - p. 450 108. Chapter 79: Sexual assault - p. 454 109. Chapter 80: Spontaneous abortion, ectopic pregnancy, and vaginal bleeding - p. 459 110. Chapter 81: Third-trimester complications and delivery - p. 466 111. 16: Trauma - p. 472 112. Chapter 82: Multiple trauma - p. 472 113. Chapter 83: Maxillofacial trauma - p. 478 114. Chapter 84: Cervical spine and spinal cord trauma - p. 484 115. Chapter 85: Head trauma - p. 486 116. Chapter 86: Traumatic ophthalmologic emergencies - p. 495 117. Chapter 87: Neck trauma - p. 498 118. Chapter 88: Chest trauma - p. 503 119. Chapter 89: Abdominal trauma - p. 510 120. Chapter 90: Pelvic fractures and genitourinary trauma - p. 517 121. Chapter 91: Trauma in pregnancy - p. 518 122. Chapter 92: Pediatric trauma - p. 526 123. Chapter 93: Musculoskeletal trauma, conditions of the extremity, and hand injuries - p. 532 124. Chapter 94: Burns - p. 545 125. Chapter 95: Wound management - p. 552 126. 17: Behavioral Emergencies - p. 560 127. Chapter 96: Acute psychosis - p. 560 128. Chapter 97: Depression, suicide, and posttraumatic stress disorder - p. 565 129. Chapter 98: Management of the violent patient - p. 572 130. Chapter 99: Intimate partner violence - p. 576 131. 18: EMS and Disaster Management - p. 582 132. Chapter 100: EMS medical oversight - p. 582 133. Chapter 101: Disaster management - p. 585 134. Chapter 102: Principles of response to weapons of mass destruction - p. 591 135. Chapter 103: Chemical weapons and terrorist agents - p. 594 136. Chapter 104: Biological weapons of mass destruction - p. 598 137. Chapter 105: Radiation emergencies - p. 602 138. Chapter 106: Explosive weapons of mass destruction - p. 606 139. Chapter 107: Tactical medicine - p. 608 140. Index - p. 614 141. Inside back cover - p. 614
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.
The proven Secrets Series® format gives you the most return for your time – succinct, easy to read, engaging, and highly effective.
Fully revised and updated throughout, including protocols and guidelines that are continuously evolving and that increasingly dictate best practices.
New chapter on Professionalism and Social Media Applications.
Expanded coverage of cost-effective emergency medicine, as well as weapons of mass destruction including chemical, biologic, and radiologic weapons; explosives; and tactical medicine.??
Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams.
Bulleted lists, mnemonics, practical tips from leaders in the field – all providing a concise overview of important board-relevant content. Multiple-choice questions online provide opportunities for further self-assessment.
Portable size makes it easy to carry with you for quick reference or review anywhere, anytime.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Inside front cover - p. iii 5. Copyright - p. iii 6. Dedication - p. iii 7. Editors - p. iii 8. Contributors - p. iii 9. Preface - p. iii 10. Acknowledgments - p. iii 11. Contents - p. iii 12. Top 100 secrets - p. iii 13. List of Illustrations - p. iii 14. List of Tables - p. iii 15. 1: Decision Making in Emergency Medicine - p. iii 16. Chapter 1: Decision making in emergency medicine - p. iii 17. Chapter 2: Adult cardiac arrest - p. 3 18. Chapter 3: Airway management - p. 9 19. Chapter 4: Shock - p. 16 20. Chapter 5: Emergency ultrasound - p. 21 21. Chapter 6: Geriatric emergency medicine - p. 27 22. Chapter 7: Palliative care and advance directives - p. 33 23. Chapter 8: Research methods and how to critically review emergency medicine literature - p. 37 24. Chapter 9: Evidence-based rational use of diagnostic imaging - p. 40 25. Chapter 10: Emtala, the joint commission, and hipaa - p. 46 26. Chapter 11: Emergency medicine observation medicine - p. 55 27. Chapter 12: Performance evaluation and improvement in emergency medicine - p. 57 28. Chapter 13: Professionalism and social media applications - p. 61 29. 2: Primary Complaints - p. 67 30. Chapter 14: Altered mental status and coma - p. 67 31. Chapter 15: Fever - p. 71 32. Chapter 16: Chest pain - p. 75 33. Chapter 17: Abdominal pain, nausea, and vomiting - p. 82 34. Chapter 18: Headache - p. 88 35. Chapter 19: Syncope, vertigo, and dizziness - p. 95 36. Chapter 20: Seizures - p. 101 37. Chapter 21: Anaphylaxis - p. 106 38. Chapter 22: Low back pain - p. 110 39. 3: Nontraumatic Illness - p. 114 40. Chapter 23: Nontraumatic ocular emergencies - p. 114 41. Chapter 24: Nontraumatic ear, nose, and throat emergencies - p. 120 42. Chapter 25: Dental and oral surgical emergencies - p. 127 43. 4: Central Nervous System - p. 134 44. Chapter 26: Transient ischemic attack and cerebrovascular accident - p. 134 45. Chapter 27: Meningitis - p. 141 46. 5: Respiratory System - p. 146 47. Chapter 28: Breathing and ventilation - p. 146 48. Chapter 29: Asthma, chronic obstructive pulmonary disease, and pneumonia - p. 151 49. Chapter 30: Venous thromboembolism - p. 161 50. 6: Cardiovascular System - p. 167 51. Chapter 31: Congestive heart failure and acute pulmonary edema - p. 167 52. Chapter 32: Ischemic heart disease - p. 171 53. Chapter 33: Cardiac dysrhythmias, pacemakers, and implantable defibrillators - p. 180 54. Chapter 34: Hypertension, hypertensive emergency, aortic dissection, and aortic aneurysms - p. 188 55. Chapter 35: Pericarditis and myocarditis - p. 198 56. 7: Gastrointestinal Tract - p. 203 57. Chapter 36: Esophagus and stomach disorders - p. 203 58. Chapter 37: Bowel disorders - p. 208 59. Chapter 38: Liver and biliary tract disease - p. 214 60. 8: Genitourinary Tract - p. 219 61. Chapter 39: Renal colic and scrotal pain - p. 219 62. Chapter 40: Acute urinary retention - p. 224 63. Chapter 41: Urinary tract infection: Cystitis, pyelonephritis, and prostatitis - p. 231 64. Chapter 42: Renal failure - p. 235 65. 9: Hematology/Oncology - p. 240 66. Chapter 43: Hemostasis and coagulopathies - p. 240 67. Chapter 44: Sickle cell disease - p. 246 68. Chapter 45: Oncologic emergencies - p. 250 69. 10: Metabolism and Endocrinology - p. 254 70. Chapter 46: Fluids and electrolytes - p. 254 71. Chapter 47: Acid-base disorders - p. 259 72. Chapter 48: Diabetes mellitus - p. 264 73. Chapter 49: Thyroid and adrenal disorders - p. 269 74. 11: Infectious Disease - p. 277 75. Chapter 50: Sepsis syndromes and toxic shock - p. 277 76. Chapter 51: Soft-tissue infections - p. 281 77. Chapter 52: Sexually transmitted infections and human immunodeficiency virus - p. 287 78. Chapter 53: Tetanus, botulism, and foodborne illnesses - p. 292 79. Chapter 54: Travel medicine and vector-borne diseases - p. 301 80. Chapter 55: Arthritis - p. 308 81. Chapter 56: Skin diseases - p. 313 82. 12: Environmental Emergencies - p. 319 83. Chapter 57: Lightning and electrical injuries - p. 319 84. Chapter 58: Drowning - p. 328 85. Chapter 59: Hypothermia and frostbite - p. 332 86. Chapter 60: Heat illness - p. 337 87. Chapter 61: Altitude illness and dysbarisms - p. 341 88. 13: Neonatal and Childhood Disorders - p. 346 89. Chapter 62: Evaluation of fever in children younger than age three - p. 346 90. Chapter 63: Seizures in infancy and childhood - p. 350 91. Chapter 64: Acute respiratory disorders in children - p. 357 92. Chapter 65: Pediatric gastrointestinal disorders and dehydration - p. 364 93. Chapter 66: Pediatric infectious diseases - p. 371 94. Chapter 67: Emergency department evaluation of child abuse - p. 376 95. Chapter 68: Procedural sedation and analgesia of the pediatric patient - p. 385 96. Chapter 69: Pediatric and neonatal resuscitation - p. 393 97. 14: Toxicologic Emergencies - p. 401 98. Chapter 70: General approach to poisonings - p. 401 99. Chapter 71: The alcohols: Ethylene glycol, methanol, isopropyl alcohol, and alcohol-related complications - p. 407 100. Chapter 72: Antipyretic poisoning - p. 412 101. Chapter 73: Bites and stings - p. 418 102. Chapter 74: Smoke inhalation - p. 427 103. Chapter 75: Common drugs of abuse - p. 431 104. Chapter 76: Cardiovascular toxicology - p. 441 105. Chapter 77: Pediatric ingestions - p. 444 106. 15: Gynecology and Ostetrics - p. 450 107. Chapter 78: Pelvic inflammatory disease - p. 450 108. Chapter 79: Sexual assault - p. 454 109. Chapter 80: Spontaneous abortion, ectopic pregnancy, and vaginal bleeding - p. 459 110. Chapter 81: Third-trimester complications and delivery - p. 466 111. 16: Trauma - p. 472 112. Chapter 82: Multiple trauma - p. 472 113. Chapter 83: Maxillofacial trauma - p. 478 114. Chapter 84: Cervical spine and spinal cord trauma - p. 484 115. Chapter 85: Head trauma - p. 486 116. Chapter 86: Traumatic ophthalmologic emergencies - p. 495 117. Chapter 87: Neck trauma - p. 498 118. Chapter 88: Chest trauma - p. 503 119. Chapter 89: Abdominal trauma - p. 510 120. Chapter 90: Pelvic fractures and genitourinary trauma - p. 517 121. Chapter 91: Trauma in pregnancy - p. 518 122. Chapter 92: Pediatric trauma - p. 526 123. Chapter 93: Musculoskeletal trauma, conditions of the extremity, and hand injuries - p. 532 124. Chapter 94: Burns - p. 545 125. Chapter 95: Wound management - p. 552 126. 17: Behavioral Emergencies - p. 560 127. Chapter 96: Acute psychosis - p. 560 128. Chapter 97: Depression, suicide, and posttraumatic stress disorder - p. 565 129. Chapter 98: Management of the violent patient - p. 572 130. Chapter 99: Intimate partner violence - p. 576 131. 18: EMS and Disaster Management - p. 582 132. Chapter 100: EMS medical oversight - p. 582 133. Chapter 101: Disaster management - p. 585 134. Chapter 102: Principles of response to weapons of mass destruction - p. 591 135. Chapter 103: Chemical weapons and terrorist agents - p. 594 136. Chapter 104: Biological weapons of mass destruction - p. 598 137. Chapter 105: Radiation emergencies - p. 602 138. Chapter 106: Explosive weapons of mass destruction - p. 606 139. Chapter 107: Tactical medicine - p. 608 140. Index - p. 614 141. Inside back cover - p. 614