Tintinalli’s Emergency Medicine: A Comprehensive Study Guide (9th Edition)

Description

The long-awaited new edition of the world’s most widely used and highly regarded textbook and reference of emergency medicine!

Unquestionably the leading text in emergency medicine, Tintinalli’s Emergency Medicine is a true must-have resource for everyone in emergency medicine, from residents to practicing physicians. The ninth edition provides the depth and breadth of coverage that reflects the complexity and expertise needed to practice emergency medicine successfully in today’s fast-paced environments. It is an important contemporary clinical emergency care resource for physicians, nurse practitioners, and physician assistants who practice emergency medicine and for emergency medicine and paediatric emergency medicine fellows. It remains the preferred study guide for in-training and board examinations and re-certification.

This comprehensive text covers everything from pre-hospital care, disaster preparedness, and basic resuscitative techniques to all the major diseases requiring emergency treatment in adults and children, such as pulmonary emergencies, renal and genitourinary disorders, and haemophilia.

Key Features

• Full-colour design with more tables than ever to succinctly present key information.
• Extensive updates to all sections, incorporating the latest guidelines, evidence-based protocols, and relevant research.
• NEW! Online access to more than 50 videos, covering a wide range of procedural and diagnostic topics and focusing on the latest ultrasound-guided techniques.
• NEW! Chief Complaint infographics for the Thirty Most Common Presenting Symptoms in the Emergency Department. These printable, downloadable guides feature algorithms, mnemonics, and succinct text to assist differential diagnosis.

Table of Contents

1. Contributors
2. Pharmacy Reviewers
3. Preface
4. Section 1. Prehospital Care
   1. Emergency Medical Services
   2. Prehospital Equipment
   3. Air Medical Transport
   4. Mass Gatherings
5. Section 2. Disaster Management
   1. Disaster Preparedness
   2. Natural Disasters
   3. Bomb, Blast, and Crush Injuries
   4. Chemical Disasters
   5. Bioterrorism
   6. Radiation Injuries
6. Section 3. Resuscitation
   1. Sudden Cardiac Death
   2. Approach to Nontraumatic Shock
   3. Approach to Traumatic Shock
   4. Allergy and Anaphylaxis
   5. Acid-Base Disorders
   6. Blood Gases, Pulse Oximetry, and Capnography
   7. Fluids and Electrolytes
   8. Cardiac Rhythm Disturbances
   9. Pharmacology of Antiarrhythmics and Anti-hypertensives
   10. Pharmacology of Vasopressors and Inotropes
   11. Hyperbaric Oxygen Therapy
7. Section 4. Resuscitative Procedures
   1. Basic Cardiopulmonary Resuscitation
   2. Defibrillation and Electrical Cardioversion
   3. Cardiac Resuscitation
   4. Resuscitation in Pregnancy
   5. Post-Cardiac Arrest Syndrome
   6. Ethical Issues of Resuscitation
   7. Noninvasive Airway Management and Supraglottic Airways
   8. Tracheal Intubation
   9. Mechanical Ventilation
   10. Surgical Airways
   11. Vascular Access
   12. Hemodynamic Monitoring
   13. Cardiac Pacing and Implanted Defibrillation
   14. Pericardiocentesis
8. Section 5. Analgesia, Anesthesia, and Procedural Sedation
   1. Acute Pain Management
   2. Local and Regional Anesthesia
   3. Procedural Sedation and Analgesia in Adults
   4. Chronic Pain
9. Section 6. Wound Management
   1. Wound Evaluation
   2. Wound Preparation
   3. Wound Closure
   4. Face and Scalp Lacerations
   5. Arm, Forearm, and Hand Lacerations
   6. Thigh, Leg, and Foot Lacerations
   7. Soft Tissue Foreign Bodies
   8. Puncture Wounds and Bites
   9. Post repair Wound Care
10. Section 7. Cardiovascular Disease
    1. Chest Pain
    2. Acute Coronary Syndromes
    3. Cardiogenic Shock
    4. Low-Probability Acute Coronary Syndrome
    5. Syncope
    6. Acute Heart Failure
    7. Valvular Emergencies
    8. Cardiomyopathies and Pericardial Disease
    9. Venous Thromboembolism Including Pulmonary Embolism
    10. Systemic Hypertension
    11. Pulmonary Hypertension
    12. Aortic Dissection and Related Aortic Syndromes
    13. Aneurysmal Disease
    14. Arterial Occlusion
11. Section 8. Pulmonary Disorders
    1. Respiratory Distress
    2. Hemoptysis
    3. Acute Bronchitis and Upper Respiratory Tract Infections
    4. Community-Acquired Pneumonia, Aspiration Pneumonia, and Noninfectious Pulmonary Infiltrates
    5. Lung Empyema and Abscess
    6. Tuberculosis
    7. Pneumothorax
    8. Acute Asthma and Status Asthmaticus
    9. Chronic Obstructive Pulmonary Disease
12. Section 9. Gastrointestinal Disorders
    1. Acute Abdominal Pain
    2. Nausea and Vomiting
    3. Disorders Presenting Primarily With Diarrhea
    4. Constipation
    5. Upper Gastrointestinal Bleeding
    6. Lower Gastrointestinal Bleeding
    7. Esophageal Emergencies
    8. Peptic Ulcer Disease and Gastritis
    9. Pancreatitis and Cholecystitis
    10. Hepatic Disorders
    11. Acute Appendicitis
    12. Diverticulitis
    13. Bowel Obstruction
    14. Hernias
    15. Anorectal Disorders
    16. Gastrointestinal Procedures and Devices
    17. Complications of General Surgical Procedures
13. Section 10. Renal and Genitourinary Disorders
    1. Acute Kidney Injury
    2. Rhabdomyolysis
    3. End-Stage Renal Disease
    4. Urinary Tract Infections and Hematuria
    5. Acute Urinary Retention
    6. Male Genital Problems
    7. Urologic Stone Disease
    8. Complications of Urologic Procedures and Devices
14. Section 11. Obstetrics and Gynecology
    1. Abnormal Uterine Bleeding
    2. Abdominal and Pelvic Pain in the Nonpregnant Female
    3. Ectopic Pregnancy and Emergencies in the First 20 Weeks of Pregnancy
    4. Comorbid Disorders in Pregnancy
    5. Maternal Emergencies After 20 Weeks of Pregnancy and in the Peripartum Period
    6. Emergency Delivery
    7. Vulvovaginitis
    8. Pelvic Inflammatory Disease
    9. Breast Disorders
    10. Complications of Gynecologic Procedures
15. Section 12. Pediatrics
    1. Emergency Care of Children
    2. Neonatal and Pediatric Transport
    3. Resuscitation of Neonates
    4. Resuscitation of Children
    5. Pediatric Trauma
    6. Minor Head Injury and Concussion in Children
    7. Cervical Spine Injury in Infants and Children
    8. Intubation and Ventilation of Infants and Children
    9. Vascular Access in Infants and Children
    10. Pain Management and Procedural Sedation for Infants and Children
    11. Neonatal Emergencies and Common Neonatal Problems
    12. Brief Resolved Unexplained Events and Apparent Life-Threatening Events
    13. Sudden Infant Death Syndrome
    14. Fever and Serious Bacterial Illness in Infants and Children
    15. Meningitis in Infants and Children
    16. Ear and Mastoid Disorders in Infants and Children
    17. Eye Emergencies in Infants and Children
    18. Nose and Sinus Disorders in Infants and Children
    19. Mouth and Throat Disorders in Infants and Children
    20. Neck Masses in Infants and Children
    21. Stridor and Drooling in Infants and Children
    22. Wheezing in Infants and Children
    23. Pneumonia in Infants and Children
    24. Congenital and Acquired Pediatric Heart Disease
    25. Syncope, Dysrhythmias, and ECG Interpretation in Children
    26. Vomiting, Diarrhea, and Dehydration in Infants and Children
    27. Fluid and Electrolyte Therapy in Infants and Children
    28. Acute Abdominal Pain in Infants and Children
    29. Gastrointestinal Bleeding in Infants and Children
    30. Urinary Tract Infection in Infants and Children
    31. Pediatric Urologic and Gynecologic Disorders
    32. Renal Emergencies in Children
    33. Seizures in Infants and Children
    34. Headache in Children
    35. Altered Mental Status in Children
    36. Pediatric Orthopedic Emergencies
    37. Rashes in Infants and Children
    38. Sickle Cell Disease in Children
    39. Hematologic Emergencies in Infants and Children
    40. Oncologic Emergencies in Infants and Children
    41. Metabolic Emergencies in Infants and Children
    42. Diabetes in Children
    43. The Child With Special Healthcare Needs
    44. Behavioral Disorders in Children
    45. Child Abuse and Neglect
16. Section 13. Infectious Diseases
    1. Sepsis
    2. Soft Tissue Infections
    3. Sexually Transmitted Infections
    4. Serious Viral Infections
    5. Human Immunodeficiency Virus Infection
    6. Endocarditis
    7. Tetanus
    8. Rabies
    9. Malaria
    10. Food and Waterborne Illnesses
    11. Zoonotic Infections
    12. Global Travelers
    13. Occupational Exposures, Infection Control, and Standard Precautions
17. Section 14. Neurology
    1. Neurologic Examination
    2. Headache
    3. Spontaneous Subarachnoid and Intracerebral Hemorrhage
    4. Stroke Syndromes
    5. Altered Mental Status and Coma
    6. Ataxia and Gait Disturbances
    7. Vertigo
    8. Seizures and Status Epilepticus in Adults
    9. Acute Peripheral Neurologic Disorders
    10. Chronic Neurologic Disorders
    11. Central Nervous System and Spinal Infections
    12. Central Nervous System Procedures and Devices
18. Section 15. Toxicology
    1. General Management of Poisoned Patients
    2. Cyclic Antidepressants
    3. Atypical and Serotonergic Antidepressants
    4. Monoamine Oxidase Inhibitors
    5. Antipsychotics
    6. Lithium
    7. Barbiturates
    8. Benzodiazepines
    9. Nonbenzodiazepine Sedatives
    10. Alcohols
    11. Opioids
    12. Cocaine and Amphetamines
    13. Hallucinogens
    14. Salicylates
    15. Acetaminophen
    16. Nonsteroidal Anti-Inflammatory Drugs
    17. Methylxanthines and Nicotine
    18. Digitalis Glycosides
    19. Beta-Blockers
    20. Calcium Channel Blockers
    21. Antihypertensives
    22. Anticonvulsants
    23. Iron
    24. Hydrocarbons and Volatile Substances
    25. Caustic Ingestions
    26. Pesticides
    27. Anticholinergics
    28. Metals and Metalloids
    29. Industrial Toxins
    30. Vitamins and Herbals
    31. Antimicrobials
    32. Dyshemoglobinemias
19. Section 16. Environmental Injuries
    1. Cold Injuries
    2. Hypothermia
    3. Heat Emergencies
    4. Bites and Stings
    5. Snakebite
    6. Marine Trauma and Envenomation
    7. Diving Disorders
    8. Drowning
    9. High-Altitude Disorders
    10. Thermal Burns
    11. Chemical Burns
    12. Electrical and Lightning Injuries
    13. Mushroom Poisoning
    14. Poisonous Plants
    15. Carbon Monoxide
20. Section 17. Endocrine Disorders
    1. Type 1 Diabetes Mellitus
    2. Type 2 Diabetes Mellitus
    3. Diabetic Ketoacidosis
    4. Ketoacidotic Syndromes
    5. Hyperosmolar Hyperglycemic State
    6. Hypothyroidism and Myxedema Crisis
    7. Hyperthyroidism and Thyroid Storm
    8. Adrenal Insufficiency
21. Section 18. Hematologic and Oncologic Disorders
    1. Anemia and Polycythemia
    2. Hemostasis
    3. Acquired Bleeding Disorders
    4. Clotting Disorders
    5. Hemophilias and von Willebrand’s Disease
    6. Disease and Hereditary Hemolytic Anemias
    7. Acquired Hemolytic Anemia
    8. Transfusion Therapy
    9. Thrombotics and Antithrombotics
    10. Emergency Complications of Malignancy
22. Section 19. Eye, Ear, Nose, Throat, and Oral Disorders
    1. Eye Emergencies
    2. Ear Disorders
    3. Face and Jaw Emergencies
    4. Nose and Sinuses
    5. Oral and Dental Emergencies
    6. Neck and Upper Airway
    7. Complications of Airway Devices
23. Section 20. Dermatology
    1. Initial Evaluation and Management of Skin Disorders
    2. Generalized Skin Disorders
    3. Skin Disorders: Face and Scalp
    4. Skin Disorders: Trunk
    5. Skin Disorders: Groin and Skinfolds
    6. Skin Disorders: Extremities
24. Section 21. Trauma
    1. Trauma in Adults
    2. Trauma in the Elderly
    3. Trauma in Pregnancy
    4. Head Trauma
    5. Spine Trauma
    6. Trauma to the Face
    7. Trauma to the Neck
    8. Pulmonary Trauma
    9. Cardiac Trauma
    10. Abdominal Trauma
    11. Trauma to the Flank and Buttocks
    12. Genitourinary Trauma
    13. Trauma to the Extremities
25. Section 22. Orthopedics
    1. Initial Evaluation and Management of Orthopedic Injuries
    2. Injuries to the Hand and Digits
    3. Wrist Injuries
    4. Elbow and Forearm Injuries
    5. Shoulder and Humerus Injuries
    6. Pelvis Injuries
    7. Hip and Femur Injuries
    8. Knee Injuries
    9. Leg Injuries
    10. Ankle Injuries
    11. Foot Injuries
    12. Compartment Syndrome
26. Section 23. Musculoskeletal Disorders
    1. Neck and Back Pain
    2. Shoulder Pain
    3. Hip and Knee Pain
    4. Systemic Rheumatic Diseases
    5. Nontraumatic Disorders of the Hand
    6. Joints and Bursae
    7. Soft Tissue Problems of the Foot
27. Section 24. Psychosocial Disorders
    1. Mental Health Disorders: ED Evaluation and Disposition
    2. Acute Agitation
    3. Mental Health Disorders of the Elderly
    4. Mood and Anxiety Disorders
    5. Psychoses
    6. Eating Disorders
    7. Substance Use Disorders
28. Section 25. Abuse and Assault
    1. Female and Male Sexual Assault
    2. Intimate Partner Violence and Abuse
    3. Abuse of the Elderly and Impaired
29. Section 26. Special Situations
    1. Injection Drug Users
    2. The Transplant Patient
    3. The Patient with Morbid Obesity
    4. The Transgender Patient
    5. Palliative Care
    6. Death Notification and Advance Directives
    7. Military Medicine
    8. Legal Issues in Emergency Medicine
30. Index

Authors Biography

Dr. Tintinalli is a world-renown emergency physician actively practicing at the University of North Carolina in Chapel Hill.

O. John Ma, M.D., Associate Professor, Vice Chair for Academic Advancement, and Research Director, Department of Emergency Medicine, Truman Medical Center, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.

Associate Professor Assistant Section Chief and Fellowship Director Department of Emergency Medicine and Pediatrics Oregon Health & Science University Portland, Oregon

J. Stephan Stapczynski, MD, Professor and Chair, Department of Emergency Medicine, University of Kentucky, Lexington, Kentucky

David Cline, M.D., Associate Professor, Director of Research, Department of Emergency Medicine, Wake Forest University School of Medicine, Baptist Medical Center, Winston-Salem, North Carolina

George Kaiser, Family Foundation Professor & Chair Department of Emergency Medicine, University of Oklahoma School of Community Medicine, Tulsa, Oklahoma