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Harwood-Nuss' Clinical Practice of Emergency Medicine PDF

6379 Pages·2014·110.73 MB·English
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Harwood-Nuss’ CLINICAL PRACTICE OF EMERGENCY MEDICINE SIXTH EDITION Harwood-Nuss’ CLINICAL PRACTICE OF EMERGENCY MEDICINE SIXTH EDITION Editor-in-Chief ............................................... Allan B. Wolfson, MD Professor and Vice Chair for Education Department of Emergency Medicine University of Pittsburgh Program Director University of Pittsburgh Emergency Medicine Residency Pittsburgh, Pennsylvania Associate Editors ............................................... Robert L. Cloutier, MD, MCR Associate Professor of Emergency Medicine and Pediatrics Co- Director, Pediatric Emergency Medicine Fellowship Assistant Program Director, Emergency Medicine Training Program Oregon Health and Science University Portland, Oregon Gregory W. Hendey, MD Professor and Chief of Emergency Medicine UCSF Fresno Medical Education Program Community Regional Medical Center Fresno, California Louis J. Ling, MD Professor of Emergency Medicine University of Minnesota Medical School Medical Toxicologist Hennepin Regional Poison Center Minneapolis, Minnesota Senior Vice President for Hospital-based Accreditation Accreditation Council for Graduate Medical Education Chicago, Illinois Carlo L. Rosen, MD Associate Professor Harvard Medical School Program Director and Vice Chair for Education Department of Emergency Medicine Associate Director of Graduate Medical Education Beth Israel Deaconess Medical Center Boston, Massachusetts Jeffrey J. Schaider, MD Professor, Department of Emergency Medicine Rush Medical College Chairman, Department of Emergency Medicine Cook County Health and Hospital System Chicago, Illinois Acquisitions Editor: Jamie M. Elfrank Product Development Editor: Ashley Fischer Editorial Assistant: Brian Convery Production Project Manager: David Orzechowski Design Coordinator: Holly McLaughlin Manufacturing Coordinator: Beth Welsh Marketing Manager: Stephanie Kindlick Prepress Vendor: Aptara, Inc. 6th edition Copyright © 2015 Wolters Kluwer Copyright © 2010 Wolters Kluwer Health/Lippincott Williams & Wilkins. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer Health at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at [email protected], or via our website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Printed in the United States of America ISBN 13: 978-1-4511-8881-3 ISBN 10: 1-4511-8881-1 Library of Congress Cataloging-in-Publication Data available upon request This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work. This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments. Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer’s package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contradictions, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work. LWW.com To my family, friends, mentors, and colleagues, and to the many residents and students who continue to teach me so much. Allan B. Wolfson, MD To my wife Nicola and my children, Jared and Joanna, for their patience and support of my time-consuming endeavors; and to my parents, Rene and Charlotte, for their earliest support of my career aspirations. Robert L. Cloutier, MD, MCR To Lisa, Eric, and Adam for the love and support they continue to give me. And to the residents and faculty at UCSF Fresno for making my job so much fun for so many years. Gregory W. Hendey, MD Thanks to the authors for sharing their valuable insight and wisdom; to Beth, Eric, Ali and Amanda for their never-ending understanding and love; and to the faculty and residents at Hennepin County Medical Center who have taught me so much. Special thanks to Ann for picking me for her program, not so many years ago. Louis J. Ling, MD To Cathy, Sofia, and Sam for being so supportive. And to the memory of my father, John F. Rosen, MD. And to the residents and faculty at Beth Israel Deaconess Medical Center with whom I am proud to work. Carlo L. Rosen, MD This book is dedicated to my wife Anna and my children, Jacob and Isaac. Without their support and love, nothing would be possible. Jeffrey J. Schaider, MD Contributors Janak Acharya, MD Assistant Professor Department of Emergency Medicine University of California, San Francisco San Francisco, California Attending Physician Department of Emergency Medicine Fresno Community Hospital Fresno, California Nicole M. Acquisto, PharmD, BCPS Assistant Professor Department of Emergency Medicine University of Rochester Emergency Medicine Clinical Pharmacy Specialist Department of Pharmacy University of Rochester Medical Center Rochester, New York James G. Adams, MD Professor and Chair Department of Emergency Medicine Feinberg School of Medicine Northwestern University Senior Vice President and Chief Medical Officer Northwestern Medicine Chicago, Illinois Sasha D. Adams, MD Assistant Professor Department of Surgery University of North Carolina at Chapel Hill Department of Surgery Memorial Hospital Chapel Hill, North Carolina Hagop M. Afarian, MD, MS Assistant Clinical Professor Department of Emergency Medicine UCSF Fresno Chief Medical Informatics Officer Community Medical Centers Department of Emergency Medicine UCSF Fresno Chief Medical Informatics Officer Community Medical Centers Fresno, California Dewesh Agrawal, MD Director, Pediatric Residency Program Childrens National Medical Center Associate Professor of Pediatrics and Emergency Medicine George Washington University School of Medicine Washington, DC Steven E. Aks, DO Director, The Toxikon Consortium Division of Toxicology Department of Emergency Medicine Cook County Hospital Chicago, Illinois D. Adam Algren, MD Assistant Professor Departments of Emergency Medicine and Pediatrics University of Missouri—Kansas City School of Medicine Medical Toxicologist Clinical Pharmacology and Medical Toxicology Children’s Mercy Hospital and Truman Medical Center Kansas City, Missouri Janet G. Alteveer, MD Emergency Attending Emergency Department Centrastate Medical Center Freehold, New Jersey Siraj Amanullah, MD, MPH Assistant Professor Department of Emergency Medicine and Pediatrics Alpert Medical School of Brown University Attending Physician Pediatric Emergency Medicine Hasbro Children’s Hospital and Rhode Island Hospital Providence, Rhode Island Minal Amin, MD Assistant Professor Department of Emergency Medicine VCU School of Medicine Emergency Physician Department of Emergency Medicine Inova Fairfax Hospital Falls Church, Virginia Department of Emergency Medicine Inova Fairfax Hospital Falls Church, Virginia David Amponsah, MD Henry Ford Hospital Detroit, Michigan Eric Anderson, MD, MBA Assistant Professor of Emergency Medicine Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Staff Physician, Emergency Medicine Cleveland Clinic Cleveland, Ohio Thomas C. Arnold, MD Professor and Chair Department of Emergency Medicine Louisiana State University Health Sciences Center Shreveport, Louisiana Paul S. Auerbach, MD, MS Redlich Family Professor of Surgery Division of Emergency Medicine Department of Surgery Stanford, California Peter S. Auerbach, MD Adjunct Assistant Professor Department of Emergency Medicine Oregon Health and Science University Fellowship Co-Director Pediatric Emergency Department Randall Children’s Hospital Portland, Oregon Mark J. Ault, MD Professor of Clinical Medicine University of California, Los Angeles School of Medicine Cedars-Sinai Medical Center Los Angeles, California Jeffrey R. Avner, MD Professor of Clinical Pediatrics Department of Pediatrics Albert Einstein College of Medicine Chief, Pediatric Emergency Medicine Department of Pediatrics Children’s Hospital at Montefiore Bronx, New York

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Harwood-Nuss' Clinical Practice of Emergency Medicine presents a clinically focused and evidence-based summary of this specialty, giving you fast, dependable answers to the clinical questions that arise in your practice. Templated chapters guide you through the clinical presentation, differential
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