Table Of Content

Emergency Management of the Hi-Tech Patient in Acute and Critical Care Emergency Management of the Hi‐Tech Patient in Acute and Critical Care Editors Ioannis Koutroulis, MD, PhD, MBA Attending Physician, Emergency Medicine Children’s National Hospital Assistant Professor of Pediatrics, Emergency Medicine, Genomics and Precision Medicine George Washington University School of Medicine and Health Sciences Nicholas Tsarouhas, MD Medical Director, CHOP Transport Team Attending Physician, Emergency Medicine Children’s Hospital of Philadelphia Professor of Clinical Pediatrics Perelman School of Medicine at the University of Pennsylvania Associate Editors Richard J. Lin, MD Attending Physician, Critical Care Medicine Clinical Director, Progressive Care Unit Associate Professor of Clinical Anesthesiology, Critical Care and Pediatrics, Perelman School of Medicine at the University of Pennsylvania Jill C. Posner, MD, MSCE, MSEd Attending Physician, Emergency Medicine Children’s Hospital of Philadelphia Professor of Clinical Pediatrics Perelman School of Medicine at the University of Pennsylvania Michael Seneff, MD Director, Intensive Care Unit Associate Professor of Anesthesiology and Critical Care Medicine George Washington University Hospital George Washington University School of Medicine and Health Sciences Robert Shesser, MD Professor and Chair Department of Emergency Medicine George Washington University School of Medicine and Health Sciences This edition first published 2021 © 2021 John Wiley & Sons Ltd All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions. 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You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. Library of Congress Cataloging‐in‐Publication Data Names: Koutroulis, Ioannis, 1980– editor. Title: Emergency management of the hi-tech patient in acute and critical care / senior editors, Ioannis Koutroulis, Nicholas Tsarouhas ; editors, Richard J. Lin, Jill C. Posner, Michael Seneff, Robert Shesser. Description: Chichester, West Sussex ; Hoboken, New Jersey : Wiley-Blackwell, 2021. | Includes bibliographical references and index. Identifiers: LCCN 2020028239 (print) | LCCN 2020028240 (ebook) | ISBN 9781119262923 (cloth) | ISBN 9781119262954 (adobe pdf) | ISBN 9781119262985 (epub) Subjects: MESH: Emergency Treatment–instrumentation | Emergency Medicine–instrumentation | First Aid–instrumentation | Critical Care–methods Classification: LCC RC86.8 (print) | LCC RC86.8 (ebook) | NLM WB 26 | DDC 616.02/5–dc23 LC record available at https://lccn.loc.gov/2020028239 LC ebook record available at https://lccn.loc.gov/2020028240 Cover Design: Wiley Cover Image: © Donald Iain Smith/iStock/Getty Images Set in 9.5/12.5pt STIXTwoText by SPi Global, Pondicherry, India 10 9 8 7 6 5 4 3 2 1 v Contents List of Contributors ix Preface xv Acknowledgments xvii Section I Gastro-intestinal Devices 1 1 Using and Troubleshooting Enteral Feeding Devices 3 Courtney E. Nelson and Thane A. Blinman 2 Gastrointestinal Diversions: Colostomies, Ileostomies, Mucous Fistulas, and Spit Fistulas 21 Ellen G. Szydlowski and Peter Mattei 3 Management of the Bariatric Surgery Patient in the Emergency Department 27 Megan Lavoie and Joy Collins 4 Transjugular Intrahepatic Portosystemic Shunt 37 Heather House and Anne Marie Cahill Section II Central Catheters 43 5 Indwelling Central Venous Catheter Devices 45 Anna Weiss 6 Vascular Access for Hemodialysis 57 Sarah Fesnak, Xenia Morgan, and Kimberly Windt 7 Peritoneal Dialysis Catheters 63 Jamie Lovell vi Contents Section III ENT and OMFS Devices 71 8 Orthopedic Devices 73 Carmelle Wallace, Andrew Tyler, and Keith D. Baldwin 9 Spine Devices 95 Susan E. Nelson and Keith D. Baldwin 10 Facial Distractors: Cranial Vault, Midface, and Mandibular 109 Francesca Drake and Phuong D. Nguyen 11 Management of Facial Fractures in Adults and Children 117 Sameer Shakir and Phuong D. Nguyen 12 Cranial Orthotics and Ear Molding 129 Meg Ann Maguire and Phuong D. Nguyen 13 Ear, Nose, and Throat Devices 137 Eva Delgado and Adva Buzi Section IV CNS Devices 157 14 Cerebral-ventricular Shunts 159 Panagiotis Kratimenos, Angela Burd, and Chima Oluigbo 15 Initial Evaluation and Management of Patients with Neurosurgical Devices 169 Peter J. Madsen, Chariton Moschopoulos, and Benjamin C. Kennedy Section V Miscellaneous Devices 183 16 Ophthalmic Devices 185 Marlet Bazemore and William P. Madigan 17 Breast Implants 189 R. Jason VonDerHaar and Liza C. Wu 18 Cutaneous Delivery Systems/Patches 203 Desiree M. Seeyave 19 Dental Emergencies Involving Oral Hardware 209 Chisom O.A. Agbim and Ioannis Koutroulis Contents vii Section VI Wound Management Devices 215 20 Emergency Management of Patients with Negative Pressure Wound Therapy Devices (NPWTD) 217 David Yamane and Tenagne Haile-Mariam 21 Emergency Management of Patients with Wound Infections 233 David Yamane and Tenagne Haile-Mariam Section VII GU Devices 235 22 Emergency Management of Patients with Genitourinary Prostheses 237 Katie Wagner, Michael Phillips, and Kelly Chiles Section VIII Cardiac Devices 245 23 Management of Prosthetic Valve Complications 247 Massoud Kazzi and Guenevere V. Burke 24 Emergency Management of Patients with Vascular Occlusion Devices, Stents, or Filters 257 Amy Caggiula 25 The Emergency Department Approach to the Patient with an Implantable Mechanical Circulatory Support Device 267 Robert Shesser 26 Emergency Management of the Patient with an Implantable Pacemaker or Defibrillator 277 Michael J. O’Neal Section IX Pulmonary Devices 289 27 Invasive Ventilation: A Discussion of Equipment and Troubleshooting 291 Pelton A. Phinizy, Joseph J. Bolton, and John F. Tamasitis 28 Respiratory Medication Devices 313 Natalie Napolitano and James B. Fink 29 Secretion Clearance Devices 325 Amanda J. Nickel, Daniel Dawson, and Oscar H. Mayer viii Contents 30 Non-invasive Ventilation 337 Oscar H. Mayer and Anthony Mozzone 31 Tracheostomy Tubes 347 Joanne Stow, Allison E. Boyd, and Jerry Cabrera Index 373 ix List of Contributors Chisom O.A. Agbim, MD, MSHS and Division of Emergency Medicine Perelman School of Medicine at the Children’s National Medical Center University of Pennsylvania Washington, DC Philadelphia, PA, USA USA Joseph J. Bolton, MBA, RRT-NPS Keith D. Baldwin, MD, MSPT, MPH Department of Respiratory Care Services Department of Orthopedic Surgery Children’s Hospital of Philadelphia Perelman School of Medicine at the Philadelphia, PA University of Pennsylvania USA Philadelphia, PA USA Allison E. Boyd, MSN, CRNP and Division of Otolaryngology Department of Orthopedic Surgery Department of Surgery Children’s Hospital of Philadelphia Children’s Hospital of Philadelphia Philadelphia, PA Philadelphia, PA USA USA Marlet Bazemore, MD, MPH Division of Ophthalmology Angela Burd, DNP, CPNP-AC Children’s National Hospital Hospital Medicine Division Washington, DC, USA Children’s National Hospital and Washington, DC George Washington University School of USA Medicine and Health Sciences Washington, DC, USA Guenevere V. Burke, MD Thane A. Blinman, MD, FACS Department of Emergency Medicine Division of General and Thoracic Surgery George Washington University School of Department of Surgery Medicine and Health Sciences Children’s Hospital of Philadelphia Washington, DC Philadelphia, PA, USA USA x List of Contributors Adva Buzi, MD Philadelphia, PA Attending Physician USA Division of Otolaryngology and Department of Surgery Perelman School of Medicine at the Children’s Hospital of Philadelphia University of Pennsylvania Philadelphia, PA Philadelphia, PA USA USA and Perelman School of Medicine at the Daniel Dawson, RRT-NPS University of Pennsylvania Department of Respiratory Care Services Philadelphia, PA Children’s Hospital of Philadelphia USA Philadelphia, PA USA Jerry Cabrera, RRT Smith’s Medical Eva Delgado, MD Gary, IN Division of Emergency Medicine USA Department of Pediatrics Children’s Hospital of Philadelphia Amy Caggiula, MD Philadelphia, PA, USA Department of Emergency Medicine George Washington University School of Francesca Drake, RNFA, BSN, CNOR Medicine and Health Sciences Division of Plastic and Washington, DC Reconstructive Surgery USA Children’s Hospital of Philadelphia Philadelphia, PA Anne Marie Cahill, MBBch, BAO USA Division of Interventional Radiology Department of Radiology Sarah Fesnak, MD Children’s Hospital of Philadelphia Division of Emergency Medicine Philadelphia, PA, USA Department of Pediatrics and Children’s Hospital of Philadelphia Perelman School of Medicine at the Philadelphia, PA University of Pennsylvania USA Philadelphia, PA and USA Perelman School of Medicine at the University of Pennsylvania Kelly Chiles, MD Philadelphia, PA Urology USA Private Practice Washington, DC James B. Fink, PhD, RRT, FAARC, FCCP USA Aerogen Pharma Corporation San Mateo, CA, USA Joy Collins, MD and Division of General and Thoracic Surgery Rush Medical School Department of Surgery Chicago, IL Children’s Hospital of Philadelphia USA