High Risk Emergencies, An Issue of Emergency Medicine Clinics

Teri Reynolds, Jeffrey Tabas

Description

Guest editors Jeffery Tabas, MD and Teri Reynolds, MD have put together a top-notch panel of physicians on the topic of High Risk Emergency Medicine. Articles include: Pitfalls in the Low Risk Chest Pain Patient; Pitfalls in Patients with Shortness of Breath; High Risk Airway Management; Ultrasound in the Critically Ill Patient; Pitfalls in the Patient with Shock; and Pitfalls in the Evaluation/Resuscitation of the Trauma Patient.

Sujets

• Médecine
• Médecine d'urgence
• Médecine Générale
• Medical

Informations

• Publié par: Saunders
• Date de parution: 15 janvier 2010
• Nombre de lectures: 0
• EAN13: 9781455700257
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Emergency Medicine Clinics of North America
High Risk Emergencies
Jeffrey Tabas
UCSF School of Medicine, San Francisco, California, USA
Teri Reynolds
Department of Emergency Medicine, 505 Parnassus, Box 0208, UCSF, San Francisco, CA 94143, USA
ISSN  0733-8627
Volume 28 • Number 1 • February 2010

Contents
Cover
Forthcoming Issues
CME Accreditation Page and Author Disclosure
Foreword
Preface
Pitfalls in the Evaluation and Resuscitation of the Trauma Patient
The RUSH Exam: Rapid Ultrasound in SHock in the Evaluation of the Critically lll
Early Identification of Shock in Critically Ill Patients
Pediatric Emergencies Associated with Fever
High-Risk Pediatric Orthopedic Pitfalls
Pitfalls in Appendicitis
Pediatric Airway Nightmares
Pitfalls in the Management of Headache in the Emergency Department
Toxicology: Pearls and Pitfalls in the Use of Antidotes
Pitfalls in the Evaluation of Shortness of Breath
Pitfalls in Evaluating the Low-Risk Chest Pain Patient
The High-Risk Airway
Pitfalls in First-Trimester Bleeding
The Violent or Agitated Patient
Index
Emergency Medicine Clinics of North America , Vol. 28, No. 1, February 2010
ISSN: 0733-8627
doi: 10.1016/S0733-8627(09)00145-X

Forthcoming Issues
Emergency Medicine Clinics of North America , Vol. 28, No. 1, February 2010
ISSN: 0733-8627
doi: 10.1016/j.emc.2009.11.001

CME Accreditation Page and Author Disclosure

Goal Statement
The goal of Emergency Medicine Clinics of North America is to keep practicing physicians up to date with current clinical practice in emergency medicine by providing timely articles reviewing the state of the art in patient care.

Accreditation
The Emergency Medical Clinics of North America is planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Virginia School of Medicine and Elsevier. The University of Virginia School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
The University of Virginia School of Medicine designates this educational activity for a maximum of 15 AMA PRA Category 1 Credits™ for each issue, 60 credits per year. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The American Medical Association has determined that physicians not licensed in the US who participate in this CME activity are eligible for a maximum of 15 AMA PRA Category 1 Credits™ for each issue, 60 credits per year.
The Emergency Medicine Clinics of North America CME program is approved by the American College of Emergency Physicians for 60 hours of ACEP Category I Credit per year.
Credit can be earned by reading the text material, taking the CME examination online at http://www.theclinics.com/home/cme , and completing the evaluation. After taking the test, you will be required to review any and all incorrect answers. Following completion of the test and evaluation, your credit will be awarded and you may print your certificate.

Faculty Disclosure/Conflict of Interest
The University of Virginia School of Medicine, as an ACCME accredited provider, endorses and strives to comply with the Accreditation Council for Continuing Medical Education (ACCME) Standards of Commercial Support, Commonwealth of Virginia statutes, University of Virginia policies and procedures, and associated federal and private regulations and guidelines on the need for disclosure and monitoring of proprietary and financial interests that may affect the scientific integrity and balance of content delivered in continuing medical education activities under our auspices.
The University of Virginia School of Medicine requires that all CME activities accredited through this institution be developed independently and be scientifically rigorous, balanced and objective in the presentation/discussion of its content, theories and practices.
All authors/editors participating in an accredited CME activity are expected to disclose to the readers relevant financial relationships with commercial entities occurring within the past 12 months (such as grants or research support, employee, consultant, stock holder, member of speakers bureau, etc.). The University of Virginia School of Medicine will employ appropriate mechanisms to resolve potential conflicts of interest to maintain the standards of fair and balanced education to the reader. Questions about specific strategies can be directed to the Office of Continuing Medical Education, University of Virginia School of Medicine, Charlottesville, Virginia.
The faculty and staff of the University of Virginia Office of Continuing Medical Education have no financial affiliations to disclose.
The authors/editors listed below have identified no professional or financial affiliations for themselves or their spouse/partner:
Larry J. Baraff, MD; Ilene Claudius, MD; James D’Agostino, MD; Mohammad Diab, MD; Michael A. Gibbs, MD, FACEP;
Eric D. Isaacs, MD, FACEP, FAAEM; Scott P. Kaiser, MD; Jennifer C. Laine, MD; William B. Lennarz, MD; Robert C. Mackersie, MD, FACS; Thomas Mailhot, MD, RDMS; Patrick Manley (Acquisitions Editor); Amal Mattu, MD, FAAEM, FACEP (Consulting Editor); Flavia Nobay, MD; Charlotte Page Wills, MD; Teri Reynolds, MD, PhD (Guest Editor); David Riley, MD, MS, RDMS; Jennifer Rossi, MD; Corey M. Slovis, MD; Craig Smollin, MD; Matthew C. Strehlow, MD; Stuart Swadron, MD, FRCP(C), FAAEM, FACEP; Megan C. Swan, MD; Jeffrey Tabas, MD (Guest Editor); Robert J. Vissers, MD; Douglas W. White, MD; Bill Woods, MD (Test Author); and Megann Young, MD.
The authors/editors listed below have identified the following professional or financial affiliations for themselves of their spouse/partner:
Ian D. Jones, MD is a patent holder and has stock/ownership in Apogee Informatics Company.
Diku Mandavia, MD, FACEP, FRCPC serves as a consultant for Sonosite, Inc.
Phillips Perera, MD, RDMS FACEP is employed and is a consultant at SonoSite Ultrasound.
Susan B. Promes, MD, FACEP receives royalties as an editor of textbooks for McGraw Hill.
Disclosure of Discussion of Non-FDA Approved Uses for Pharmaceutical Products and/or Medical Devices.
The University of Virginia School of Medicine, as an ACCME provider, requires that all faculty presenters identify and disclose any off-label uses for pharmaceutical and medical device products. The University of Virginia School of Medicine recommends that each physician fully review all the available data on new products or procedures prior to clinical use.

To Enroll
To enroll in the Emergency Medicine Clinics of North America Continuing Medical Education program, call customer service at 1-800-654-2452 or visit us online at www.theclinics.com/home/cme . The CME program is available to subscribers for an additional fee of $195.00.
Emergency Medicine Clinics of North America , Vol. 28, No. 1, February 2010
ISSN: 0733-8627
doi: 10.1016/j.emc.2009.10.007

Foreword

Amal Mattu, MD, FAAEM, FACEP
Department of Emergency Medicine, University of Maryland School of Medicine, Emergency Medicine Residency, Baltimore, MD, USA
E-mail address: [e-mail]


Amal Mattu, MD, FAAEM, FACEP Consulting Editor
A common teaching in emergency medicine is that the first goal in patient evaluation is to rule out the worst possible condition. Once this goal has been accomplished, whether by history and physical examination alone or with additional testing, one can then proceed to evaluate the patient for the non–life threats and consider discharging the patient for outpatient follow-up. To rule out these high-risk conditions, however, the treating health care provider must first have a sound knowledge of what the life-threats are, the typical and (especially) the atypical presentations of these conditions, and their optimal treatment modalities. The provider must also be aware of the common pitfalls that may occur during the evaluation and treatment process: To avoid a trap, one must first know what a trap looks like.
In this issue of Emergency Medicine Clinics of North America , the guest editors, Drs Jeff Tabas and Teri Reynolds, have assembled an outstanding group of authors to address many of the highest-risk medical conditions we face in the specialty of emergency medicine. They specifically focus on the challenges in both diagnosing and treating these conditions. Rather than simply providing a series of diagnosis-related articles, the editors and authors have focused this text on what is most relevant to emergency health care providers: the chief complaint. Most articles address the deadly diseases that present via common chief complaints, such as fever, headache, dyspnea, trauma, chest pain, and vaginal bleeding. Additional articles are added to focus on high-risk patient groups, such as pediatric patients and violent patients. Both pediatric and adult airway disasters are addressed in detail. Two additional articles focus purely on patients in shock. Finally, a separate article is added to address one of the most commonly misdiagnosed high-risk conditions: acute appendicitis.
This issue of Emergency Medicine Clinics is an invaluable addition to the library of emergency physicians and other health care providers who diagnose and manage patients in acute care settings. This issue should be considered must-reading for all emergency health care providers, including attending emergency and urgent-care physicians, trainees, and midlevel providers. Knowledge and practice of the concepts discussed in the following pages are certain to save lives. The guest editors and authors are to be commended for providing this outstanding resource for our specialty.
Emergency Medicine Clinics of North America , Vol. 28, No. 1, February 2010
ISSN: 0733-8627
doi: 10.1016/j.emc.2009.10.008

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