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Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8th Edition PDF Free Download
The most widely used and highly regarded textbook and reference of emergency medicine — Endorsed by the American College of Emergency Physicians
A Doody’s Core Title for 2019!
The 8th edition of Tintinalli’s Emergency Medicine 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, NPs, and PAs who practice emergency medicine and for emergency medicine and pediatric emergency medicine fellows. It remains the preferred study guide for in-training and board examinations and recertification.
NEW to this edition:
• Full-color 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
• Expanded pediatric section, with complete clinical information for general and pediatric emergency physicians
• Expanded coverage of common emergency department procedures, with improved illustrations
• Online access to more than 30 videos, covering a wide range of procedural and diagnostic topics and focusing on the latest ultrasound-guided techniques
From the reviews of the seventh edition:
“Collectively, they have once again produced an excellent text that manages to cover the broad scope of emergency medicine while remaining an easily readable and practical resource….Last, for the inevitable comparison of this current edition of Tintinalli’s Emergency Medicine with other available emergency medicine textbooks available: in my opinion, Tintinalli’s still comes out on top. It is more concise and easier to read than some, yet it covers the breadth of emergency medicine practice more comprehensively than others….Just as previous editions did, the seventh presents all of the most pertinent and up-to-date information in a well-organized format that is comprehensive yet easy to read. That and many of the attractive new features in this current edition will ensure its place on my bookshelf for years to come.”―JAMA
E-Book Details
Сategories: Medicine|Medical-Emergency
Language : English
Hardcover : 2176 pages
ISBN-10 : 007179476X
ISBN-13 : 978-0071794763
Language : English
Hardcover : 2176 pages
ISBN-10 : 007179476X
ISBN-13 : 978-0071794763
Table of Contents
Contributors . xvii
Pharmacy Reviewers xli
Preface xliii
SECTION 1 Prehospital Care. . 01
1 Emergency Medical Services 01
C. Crawford Mechem
2 Prehospital Equipment . 04
Andy Boggust
3 Air Medical Transport 10
C. Keith Stone, Stephen H. Thomas
4 Mass Gatherings. 14
Michael G. Millin
SECTION 2 Disaster Management 23
5 Disaster Preparedness. . 23
Robert G. Hendrickson, B. Zane Horowitz
6 Natural Disasters 30
Lisa D. Mills, Trevor J. Mills
7 Bomb, Blast, and Crush Injuries 34
Michael J. Bono, Pinchas Halpern
8 Chemical Disasters. . 39
B. Zane Horowitz, Robert G. Hendrickson
9 Bioterrorism . 46
Anthony G. Macintyre, Joseph A. Barbera
10 Radiation Injuries 51
Annette M. Lopez, Jennifer A. Stephani
SECTION 3 Resuscitation. . 59
11 Sudden Cardiac Death. . 59
Joseph P. Ornato
12 Approach to Shock. . 63
Bret A. Nicks, John Gaillard
13 Fluid and Blood Resuscitation in Traumatic Shock 69
David M. Somand, Kevin R. Ward
14 Anaphylaxis, Allergies, and Angioedema . 74
Brian H. Rowe, Theodore J. Gaeta
15 Acid-Base Disorders. 79
Gabor D. Kelen, David D. Nicolaou, David M. Cline
16 Blood Gases . 89
Casey Glass
17 Fluids and Electrolytes . 92
Roberta Petrino, Roberta Marino
18 Cardiac Rhythm Disturbances . 112
William J. Brady, Thomas S. Laughrey, Chris A. Ghaemmaghami
19 Pharmacology of Antiarrhythmics and Antihypertensives. . 135
Sara H. Shields, Rachel M. Holland, R. Dustin Pippin, Benjamin Small
20 Pharmacology of Vasopressors and Inotropes. 143
Sara H. Shields, Rachel M. Holland
21 Hyperbaric Oxygen Therapy 146
David S. Lambert, Stephen R. Thom
SECTION 4 Resuscitative Procedures. 151
22 Basic Cardiopulmonary Resuscitation . 151
Adam D. Friedlander, Jon Mark Hirshon
23 Defibrillation and Cardioversion 157
Marcus E. H. Ong, Swee Han Lim, Anantharaman Venkataraman
24 Advanced Cardiac Life Support. 160
Anantharaman Venkataraman, Swee Han Lim,
Marcus E. H. Ong, Kenneth B. K. Tan
25 Resuscitation in Pregnancy. 168
Boyd Burns
26 Post-Cardiac Arrest Syndrome . 174
Benjamin S. Abella, Bentley J. Bobrow
27 Ethical Issues of Resuscitation . 176
Catherine A. Marco
28 Noninvasive Airway Management. 178
Jestin N. Carlson, Henry E. Wang
29 Intubation and Mechanical Ventilation 183
Robert J. Vissers, Daniel F. Danzl
30 Surgical Airways. 192
Michael D. Smith, Donald M. Yealy
31 Vascular Access. . 198
Chris Wyatt
32 Hemodynamic Monitoring . 209
H. Bryant Nguyen, David T. Huang, Michael R. Pinsky
33 Cardiac Pacing and Implanted Defibrillation . 216
Swee Han Lim, Wee Siong Teo, Anantharaman Venkataraman
34 Pericardiocentesis. . 223
Carolyn K. Synovitz, Eric J. Brown
SECTION 5 Analgesia, Anesthesia, and Procedural Sedation. 231
35 Acute Pain Management 231
James Ducharme
36 Local and Regional Anesthesia. 238
Douglas C. Dillon, Michael A. Gibbs
37 Procedural Sedation. 249
Chris Weaver
38 Chronic Pain . 256
David M. Cline
SECTION 6 Wound Management. 263
39 Wound Evaluation. . 263
Adam J. Singer, Judd E. Hollander
40 Wound Preparation . 265
Aleksandr M. Tichter, Wallace A. Carter, Susan C. Stone
41 Wound Closure. . 268
Adam J. Singer, Judd E. Hollander
42 Face and Scalp Lacerations . 281
Wendy C. Coates
43 Arm and Hand Lacerations . 288
Moira Davenport
44 Leg and Foot Lacerations 296
Annabella Salvador-Kelly, Nancy Kwon
45 Soft Tissue Foreign Bodies . 302
Richard L. Lammers
46 Puncture Wounds and Bites 313
James Quinn
47 Postrepair Wound Care . 320
Adam J. Singer, Judd E. Hollander
SECTION 7 Cardiovascular Disease. . 325
48 Chest Pain 325
Simon A. Mahler
49 Acute Coronary Syndromes. 332
Judd E. Hollander, Deborah B. Diercks
50 Cardiogenic Shock. . 349
Casey Glass, David Manthey
51 Low-Probability Acute Coronary Syndrome. . 353
Kathleen A. Hosmer, Chadwick D. Miller
52 Syncope . 360
James Quinn
53 Acute Heart Failure . 366
Sean P. Collins, Alan B. Storrow
54 Valvular Emergencies. . 373
William D. Alley, Simon A. Mahler
55 Cardiomyopathies and Pericardial Disease 380
James T. Niemann
56 Venous Thromboembolism. 388
Jeffrey A. Kline
57 Systemic Hypertension . 399
Brigitte M. Baumann
58 Pulmonary Hypertension. . 409
Michael E. Winters
59 Aortic Dissection and Related Aortic Syndromes . 412
Gary A. Johnson, Louise A. Prince
60 Aneurysmal Disease. 416
Louise A. Prince, Gary A. Johnson
61 Arterial Occlusion 420
Anil Chopra, David Carr
SECTION 8 Pulmonary Disorders. 427
62 Respiratory Distress. 427
John Sarko, J. Stephan Stapczynski
63 Hemoptysis . 436
Troy Sims
64 Acute Bronchitis and Upper Respiratory Tract Infections 440
Cedric W. Lefebvre
65 Pneumonia and Pulmonary Infiltrates. 445
Gerald Maloney, Eric Anderson, Donald M. Yealy
66 Lung Empyema and Abscess 456
Eric Anderson, Sharon E. Mace
67 Tuberculosis . 459
Vu D. Phan, Janet M. Poponick
68 Pneumothorax. . 464
Bret A. Nicks, David Manthey
69 Acute Asthma 468
Rita K. Cydulka
70 Chronic Obstructive Pulmonary Disease. . 475
Rita K. Cydulka, Craig G. Bates
SECTION 9 Gastrointestinal Disorders. . 481
71 Acute Abdominal Pain. . 481
Mary Claire O’Brien
72 Nausea and Vomiting. . 489
Bophal Sarha Hang, Susan Bork, Jeff Ditkoff
73 Disorders Presenting Primarily With Diarrhea 492
Nicholas E. Kman, Howard A. Werman
74 Constipation. 500
Vito Rocco, Arash Armin
75 Upper Gastrointestinal Bleeding . 503
Christopher M. Ziebell, Andy Kitlowski, Janna M. Welch, Phillip A. Friesen
76 Lower Gastrointestinal Bleeding. . 506
Bruce M. Lo
77 Esophageal Emergencies 508
Moss Mendelson
78 Peptic Ulcer Disease and Gastritis . 514
Matthew C. Gratton, Angela Bogle
79 Pancreatitis and Cholecystitis . 517
Bart Besinger, Christine R. Stehman
80 Hepatic Disorders 525
Susan R. O’Mara, Kulleni Gebreyes
81 Acute Appendicitis. . 532
E. Paul DeKoning
82 Diverticulitis. 536
Autumn Graham
83 Bowel Obstruction . 538
Timothy G. Price, Raymond J. Orthober
84 Hernias. . 541
Donald Byars, Turan Kayagil
85 Anorectal Disorders . 545
Brian E. Burgess
86 Gastrointestinal Procedures and Devices . 563
Michael D. Witting
87 Complications of General Surgical Procedures 567
Edmond A. Hooker
SECTION 10 Renal and Genitourinary Disorders. . 575
88 Acute Kidney Injury . 575
Richard Sinert, Peter R. Peacock, Jr.
89 Rhabdomyolysis. 581
Francis L. Counselman, Bruce M. Lo
90 End-Stage Renal Disease 584
Mathew Foley, Ninfa Mehta, Richard Sinert
91 Urinary Tract Infections and Hematuria. . 589
Kim Askew
92 Acute Urinary Retention 597
David Hung-Tsang Yen, Chen-Hsen Lee
93 Male Genital Problems . 601
Jonathan E. Davis
94 Urologic Stone Disease . 609
David E. Manthey, Bret A. Nicks
95 Complications of Urologic Procedures and Devices. . 613
Elaine B. Josephson
SECTION 11 Obstetrics and Gynecology 619
96 Abnormal Uterine Bleeding. 619
Bophal Sarha Hang
97 Abdominal and Pelvic Pain in the Nonpregnant Female. 625
Melanie Heniff, Heather R.B. Fleming
98 Ectopic Pregnancy and Emergencies in the
First 20 Weeks of Pregnancy 628
Heather A. Heaton
99 Comorbid Disorders in Pregnancy . 636
Lori J. Whelan
100 Maternal Emergencies After 20 Weeks of
Pregnancy and in the Postpartum Period. 644
Janet Simmons Young
101 Emergency Delivery. 652
Sarah Elisabeth Frasure
102 Vulvovaginitis 661
Ciara J. Barclay-Buchanan, Melissa A. Barton
103 Pelvic Inflammatory Disease 668
Suzanne M. Shepherd, Brian Weiss, William H. Shoff
104 Breast Disorders. 672
Bophal Sarha Hang
105 Complications of Gynecologic Procedures. 676
Nikki Waller
SECTION 12 Pediatrics. 681
106 Emergency Care of Children 681
Garth Meckler
107 Neonatal and Pediatric Transport . 684
Samuel J. Prater, Manish Shah
108 Resuscitation of Neonates . 689
Marc F. Collin
109 Resuscitation of Children. . 695
William E. Hauda, II
110 Pediatric Trauma. 706
Camilo E. Gutiérrez
111 Intubation and Ventilation in Infants and Children. . 714
Robert J. Vissers, Nathan W. Mick
112 Intravenous and Intraosseous Access in Infants and Children 722
Matthew Hansen
113 Pain Management and Procedural Sedation
in Infants and Children . 727
Peter S. Auerbach
114 Neonatal Emergencies and Common Neonatal Problems 734
Quynh H. Doan, Niranjan Kissoon
115 Sudden Infant Death Syndrome and
Apparent Life-Threatening Event . 741
Ilene Claudius, Joel S. Tieder
116 Fever and Serious Bacterial Illness
in Infants and Children . 747
Vincent F. Wang
117 Meningitis in Infants and Children. 754
Amy Levine
118 Ear and Mastoid Disorders in Infants and Children 757
Carmen Coombs
119 Eye Emergencies in Infants and Children . 764
Janeva Kircher, Andrew Dixon
120 Nose and Sinus Disorders in Infants and Children. 775
Joanna S. Cohen, Dewesh Agrawal
121 Mouth and Throat Disorders in Infants and Children. 779
Derya Caglar, Richard Kwun, Abigail Schuh
122 Neck Masses in Infants and Children. . 786
Charles E. A. Stringer, Vikram Sabhaney
123 Stridor and Drooling in Infants and Children . 793
Elisa Mapelli, Vikram Sabhaney
124 Wheezing in Infants and Children . 802
Allan Shefrin, Alia Busuttil, Roger Zemek
125 Pneumonia in Infants and Children 814
Joseph E. Copeland
126 Congenital and Acquired Pediatric Heart Disease. 822
Esther L. Yue, Garth D. Meckler
127 Syncope, Dysrhythmias, and ECG Interpretation in Children. 835
Andrew C. Dixon
ix
128 Vomiting, Diarrhea, and Dehydration in Infants and Children. . 843
Stephen B. Freedman, Jennifer D. Thull-Freedman
129 Fluid and Electrolyte Therapy in Infants and Children 852
Melissa Chan, Paul Enarson
130 Acute Abdominal Pain in Infants and Children 857
Ross J. Fleischman
131 Gastrointestinal Bleeding in Infants and Children 864
Sarah M. Reid
132 Urinary Tract Infection in Infants and Children 871
Justin W. Sales
133 Pediatric Urologic and Gynecologic Disorders . 875
Deborah R. Liu
134 Renal Emergencies in Children . 881
Andrew Dixon, Brandy Stauffer
135 Seizures in Infants and Children 888
Maija Holsti
136 Headache in Children 895
David C. Sheridan, Garth Meckler
137 Altered Mental Status in Children . 901
Sarah Mellion, Kathleen Adelgais
138 Head Injury in Infants and Children 903
Alessandra Conforto, Ilene Claudius
139 Cervical Spine Injury in Infants and Children . 910
Solomon Behar
140 Musculoskeletal Disorders in Children. 915
Karen J.L. Black, Catherine Duffy, Courtney Hopkins-Mann,
Demilola Ogunnaiki-Joseph, Donna Moro-Sutherland
141 Rashes in Infants and Children. 934
Gary Bonfante, Amy Dunn
142 Sickle Cell Disease In Children . 953
John Marshall
143 Oncologic and Hematologic Emergencies in Children 958
Megan E. Mickley, Camilo Gutierrez, Michele Carney
144 Metabolic Emergencies in Infants and Children. . 977
Garth Meckler, Nadeemuddin Quereshi,
Mohammed Al-Mogbil, Osama Y. Kentab
145 Diabetes In Children 983
Adam Vella
146 The Child With Special Healthcare Needs . 987
Lila O’Mahony
147 Behavioral Disorders in Children 994
Quynh Doan, Tyler R. Black
148 Child Abuse and Neglect 999
Margaret Colbourne, Michelle S. Clarke
SECTION 13 Infectious Diseases 1007
149 Sexually Transmitted Infections . 1007
Flavia Nobay, Susan B. Promes
150 Toxic Shock Syndromes 1017
Stephen Y. Liang
x
151 Sepsis. . 1021
Michael A. Puskarich, Alan E. Jones
152 Soft Tissue Infections . 1029
Elizabeth W. Kelly, David Magilner
153 Serious Viral Infections 1039
Sukhjit S. Takhar, Gregory J. Moran
154 Human Immunodeficiency Virus Infection . 1047
Richard Rothman, Catherine A. Marco, Samuel Yang
155 Endocarditis 1057
Richard Rothman, Catherine A. Marco, Samuel Yang
156 Tetanus. 1062
Joel L. Moll, Donna L. Carden
157 Rabies . 1064
David Weber
158 Malaria. 1070
Malcolm Molyneaux
159 Food and Waterborne Illnesses. . 1077
Lane M. Smith, Simon A. Mahler
160 Zoonotic Infections 1085
Bryan B. Kitch, John T. Meredith
161 Global Travelers 1094
Raghu Venugopal, Shawn D’Andrea
162 Occupational Exposures, Infection Control,
and Standard Precautions 1108
Charissa B. Pacella
163 Pharmacology of Antimicrobials. 1116
Ralph H. Raasch
SECTION 14 Neurology . 1125
164 Neurologic Examination . 1125
J. Stephen Huff, Andrew D. Perron
165 Headache. . 1131
Michael Harrigan, Ana C. G. Felix
166 Spontaneous Subarachnoid and
Intracerebral Hemorrhage 1137
Jeffrey L. Hackman, Anna M. Nelson, O. John Ma
167 Stroke Syndromes . 1142
Steven Go, Daniel J. Worman
168 Altered Mental Status and Coma. 1156
J. Stephen Huff
169 Ataxia and Gait Disturbances. 1161
J. Stephen Huff
170 Vertigo . 1164
Brian Goldman
171 Seizures 1173
Joshua G. Kornegay
172 Acute Peripheral Neurologic Disorders. . 1178
Phillip Andrus, J. Michael Guthrie
173 Chronic Neurologic Disorders. 1185
Daniel A. Handel, Sarah Andrus Gaines
174 Central Nervous System and Spinal Infections . 1192
Mary Tanski, O. John Ma
175 Central Nervous System Procedures and Devices. . 1199
Jay G. Ladde
SECTION 15 Toxicology . 1207
176 General Management of Poisoned Patients. 1207
Shaun Greene
177 Cyclic Antidepressants. 1213
Frank LoVecchio
178 Atypical and Serotonergic Antidepressants. 1219
Frank LoVecchio, Erik Mattison
179 Monoamine Oxidase Inhibitors. . 1224
Frank LoVecchio
180 Antipsychotics. 1228
Michael Levine, Frank LoVecchio
181 Lithium. 1232
Sandra M. Schneider, Daniel J. Cobaugh, Benjamin D. Kessler
182 Barbiturates 1235
Chip Gresham, Frank LoVecchio
183 Benzodiazepines. . 1237
Dan Quan
184 Nonbenzodiazepine Sedatives 1240
Michael Levine, Dan Quan
185 Alcohols 1243
Jennifer P. Cohen, Dan Quan
186 Opioids. 1251
Guillermo Burillo-Putze, Oscar Miro
187 Cocaine and Amphetamines . 1256
Jane M. Prosser, Jeanmarie Perrone
188 Hallucinogens . 1260
Katherine M. Prybys, Karen N. Hansen
189 Salicylates . 1265
Rachel Levitan, Frank LoVecchio
190 Acetaminophen 1269
Oliver L. Hung, Lewis S. Nelson
191 Nonsteroidal Anti-Inflammatory Drugs . 1276
Joseph G. Rella, Wallace A. Carter
192 Methylxanthines and Nicotine. . 1280
Chip Gresham, Daniel E. Brooks
193 Digitalis Glycosides 1284
Michael Levine, Aaron B. Skolnik
194 Beta-Blockers . 1288
Jennifer L. Englund, William P. Kerns II
195 Calcium Channel Blockers. 1292
Alicia B. Minns, Christian Tomaszewski
196 Antihypertensives. 1297
Frank LoVecchio, Dan Quan
197 Anticonvulsants 1301
Frank LoVecchio
198 Iron. 1307
Stephanie H. Hernandez, Lewis S. Nelson
199 Hydrocarbons and Volatile Substances . 1310
C. William Heise, Frank LoVecchio
200 Caustic Ingestions. 1314
Nicole C. Bouchard, Wallace A. Carter
201 Pesticides. . 1318
Guillermo Burillo-Putze, Santiago Nogue Xarau
202 Anticholinergics. . 1326
Dan Quan, Frank LoVecchio
203 Metals and Metalloids. 1329
Heather Long, Lewis S. Nelson
204 Industrial Toxins. . 1336
Chip Gresham, Frank LoVecchio
205 Vitamins and Herbals . 1341
Rick Tovar
206 Antimicrobials. 1345
Joseph G. Rella, Wallace A. Carter
207 Dyshemoglobinemias. 1348
Brenna M. Farmer, Lewis S. Nelson
SECTION 16 Environmental Injuries. . 1353
208 Cold Injuries 1353
Michael T. Paddock
209 Hypothermia. . 1357
Doug Brown
210 Heat Emergencies. 1365
Frank LoVecchio
211 Bites and Stings 1371
Aaron Schneir, Richard F. Clark
212 Reptile Bites. . 1379
Richard C. Dart, Julian White
213 Marine Trauma and Envenomation . 1383
John J. Devlin, Kevin Knoop
214 Diving Disorders. . 1390
Brian Snyder, Tom Neuman
215 Drowning. . 1395
Stephen John Cico, Linda Quan
216 Thermal Burns. 1398
E. Paul DeKoning
217 Chemical Burns 1405
Anthony F. Pizon, Michael J. Lynch
218 Electrical and Lightning Injuries . 1411
Caitlin Bailey
219 Mushroom Poisoning . 1419
Anne F. Brayer, Lynette Froula
220 Poisonous Plants . 1424
Betty C. Chen, Lewis S. Nelson
221 High-Altitude Disorders. . 1429
Peter H. Hackett, Christopher B. Davis
xi
222 Carbon Monoxide . 1437
Gerald Maloney
SECTION 17 Endocrine Disorders . 1441
223 Type 1 Diabetes Mellitus . 1441
Nikhil Goyal, Adam B. Schlichting
224 Type 2 Diabetes Mellitus . 1445
Mohammad Jalili, Mahtab Niroomand
225 Diabetic Ketoacidosis . 1457
Andrew L. Nyce, Cary L. Lubkin, Michael E. Chansky
226 Alcoholic Ketoacidosis. 1464
William A. Woods, Debra G. Perina
227 Hyperosmolar Hyperglycemic State . 1466
Charles S. Graffeo
228 Hypothyroidism 1469
Alzamani Mohammad Idrose
229 Hyperthyroidism. . 1472
Alzamani Mohammad Idrose
230 Adrenal Insufficiency . 1479
Alzamani Mohammad Idrose
SECTION 18 Hematologic and Oncologic Disorders. 1483
231 Anemia. 1483
John C. Ray, Robin R. Hemphill
232 Tests of Hemostasis 1486
Stephen John Cico, Robin R. Hemphill
233 Acquired Bleeding Disorders . 1491
Robert W. Shaffer, Sally A. Santen
234 Clotting Disorders. 1496
Jessie G. Nelson, Robin R. Hemphill
235 Hemophilias and von Willebrand’s Disease . 1500
Robin R. Hemphill
236 Sickle Cell Disease and Hereditary Hemolytic Anemias. 1504
Jean Williams-Johnson, Eric Williams
237 Acquired Hemolytic Anemia . 1513
Laurie Ann Dixon, Robin R. Hemphill
238 Transfusion Therapy. . 1518
Clinton J. Coil, Sally A. Santen
239 Thrombotics and Antithrombotics. . 1524
David E. Slattery, Charles V. Pollack, Jr.
240 Emergency Complications of Malignancy 1535
J. Stephan Stapczynski
SECTION 19 Eye, Ear, Nose, Throat,
and Oral Disorders 1543
241 Eye Emergencies. . 1543
Richard A. Walker, Srikar Adhikari
242 Ear Disorders. . 1579
Kathleen Hosmer
243 Face and Jaw Emergencies 1585
Stephanie A. Lareau, Corey R. Heitz
244 Nose and Sinuses . 1591
Henderson D. McGinnis
245 Oral and Dental Emergencies. 1598
Ronald W. Beaudreau
246 Neck and Upper Airway. . 1613
Nicholas D. Hartman
247 Complications of Airway Devices. 1619
John P. Gaillard
SECTION 20 Dermatology. . 1625
248 Initial Evaluation and Management of Skin Disorders . 1625
William Rushton, Joseph M. Grover, William J. Brady
249 Generalized Skin Disorders 1642
Mark Sochor, Amit Pandit, William J. Brady
250 Skin Disorders: Face and Scalp 1646
Dean S. Morrell, Kevin W. Dahle
251 Skin Disorders: Trunk . 1652
Dean S. Morrell, Kara Luersen Brooks
252 Skin Disorders: Groin and Skinfolds . 1666
Dean S. Morrell, Edith V. Bowers
253 Skin Disorders: Extremities. . 1670
Rachna A. Bhandari, Dean S. Morrell
SECTION 21 Trauma . 1681
254 Trauma in Adults. . 1681
Peter Cameron, Barry J. Knapp
255 Trauma in the Elderly . 1688
Ross J. Fleischman, O. John Ma
256 Trauma in Pregnancy . 1692
Nicole M. DeIorio
257 Head Trauma. . 1695
David W. Wright, Lisa H. Merck
258 Spine Trauma . 1708
Steven Go
259 Trauma to the Face 1724
John Bailitz, Tarlan Hedayati
260 Trauma to the Neck 1733
Ashley S. Bean
261 Pulmonary Trauma 1740
David Jones, Anna Nelson, O. John Ma
262 Cardiac Trauma 1752
Christopher Ross, Theresa Schwab
263 Abdominal Trauma 1761
L. Keith French, Stephanie Gordy, O. John Ma
264 Trauma to the Flank and Buttocks. . 1765
Alicia Devine
265 Genitourinary Trauma 1767
Matthew C. Gratton, L. Keith French
266 Trauma to the Extremities 1772
James Heilman
xii
xiii
SECTION 22 Injuries to Bones and Joints. 1777
267 Initial Evaluation and Management of
Orthopedic Injuries 1777
Jeffrey S. Menkes
268 Injuries to the Hand and Digits. . 1791
Moira Davenport, Peter Tang
269 Wrist Injuries. . 1801
Robert Escarza, Maurice F. Loeffel, III, Dennis T. Uehara
270 Elbow and Forearm Injuries . 1816
Yvonne C. Chow
271 Shoulder and Humerus Injuries . 1828
Lars Petter Bjoernsen, Alexander Ebinger
272 Pelvis Injuries . 1842
Melissa A. Barton, H. Scott Derstine, Ciara J. Barclay-Buchanan
273 Hip and Femur Injuries 1848
Mark Steele, Amy M. Stubbs
274 Knee Injuries . 1857
Rachel R. Bengtzen, Jeffrey N. Glaspy, Mark T. Steele
275 Leg Injuries. 1865
Paul R. Haller
276 Ankle Injuries . 1868
Daniel A. Handel, Sarah Andrus Gaines
277 Foot Injuries 1876
Sarah Andrus Gaines, Daniel A. Handel
278 Compartment Syndrome . 1883
Paul R. Haller
SECTION 23 Musculoskeletal Disorders. . 1887
279 Neck and Back Pain 1887
David Della-Giustina, Jeffrey S. Dubin, William Frohna
280 Shoulder Pain . 1894
David Della-Giustina, David Hile
281 Hip and Knee Pain. 1900
Kelly P. O’Keefe, Tracy G. Sanson
282 Systemic Rheumatic Diseases 1911
R. Darrell Nelson
283 Nontraumatic Disorders of the Hand. 1921
Carl A. Germann
284 Joints and Bursae . 1927
John H. Burton, Timothy J. Fortuna
285 Soft Tissue Problems of the Foot. 1936
Mitchell C. Sokolosky
SECTION 24 Psychosocial Disorders. . 1941
286 Mental Health Disorders: ED Evaluation and Disposition. . 1941
Leslie Zun
287 Acute Agitation 1952
Shauna Garris, Caitlin Hughes
288 Mental Health Disorders of the Elderly . 1958
Kristen Barrio, Kevin Biese
289 Mood and Anxiety Disorders . 1963
Tracy M. DeSelm
290 Psychoses. . 1969
Adam Z. Tobias
291 Eating Disorders. . 1973
Gemma C. Lewis
292 Substance Use Disorders . 1976
Edward Bernstein, Judith A. Bernstein, Scott G. Weiner, Gail D’Onofrio
SECTION 25 Abuse and Assault 1983
293 Female and Male Sexual Assault. 1983
Lisa Moreno-Walton
294 Intimate Partner Violence and Abuse 1988
Mary Hancock
295 Abuse of the Elderly and Impaired. . 1991
Jonathan Glauser, Frederic M. Hustey
SECTION 26 Special Situations. 1997
296 Injection Drug Users. . 1997
Thomas Grosheider, Suzanne M. Shepherd
297 The Transplant Patient 2002
J. Hayes Calvert
298 The Patient With Morbid Obesity. 2010
Joanne Williams
299 Palliative Care . 2013
Robert J. Zalenski, Erin Zimny
300 Death Notification and Advance Directives . 2017
Lindsay Weaver, Cherri Hobgood
301 Prison Medicine 2020
Stephen H. Boyce, Richard J. Stevenson
302 Military Medicine . 2023
Ricardo C. Ong, Sean W. Mulvaney, Robert H. Lutz,
Gerald W. Surrett, Andre M. Pennardt, Ian S. Wedmore
303 Legal Issues in Emergency Medicine. 2030
Jonathan E. Siff
Index 2043
Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8th Edition PDF Ebook
Pharmacy Reviewers xli
Preface xliii
SECTION 1 Prehospital Care. . 01
1 Emergency Medical Services 01
C. Crawford Mechem
2 Prehospital Equipment . 04
Andy Boggust
3 Air Medical Transport 10
C. Keith Stone, Stephen H. Thomas
4 Mass Gatherings. 14
Michael G. Millin
SECTION 2 Disaster Management 23
5 Disaster Preparedness. . 23
Robert G. Hendrickson, B. Zane Horowitz
6 Natural Disasters 30
Lisa D. Mills, Trevor J. Mills
7 Bomb, Blast, and Crush Injuries 34
Michael J. Bono, Pinchas Halpern
8 Chemical Disasters. . 39
B. Zane Horowitz, Robert G. Hendrickson
9 Bioterrorism . 46
Anthony G. Macintyre, Joseph A. Barbera
10 Radiation Injuries 51
Annette M. Lopez, Jennifer A. Stephani
SECTION 3 Resuscitation. . 59
11 Sudden Cardiac Death. . 59
Joseph P. Ornato
12 Approach to Shock. . 63
Bret A. Nicks, John Gaillard
13 Fluid and Blood Resuscitation in Traumatic Shock 69
David M. Somand, Kevin R. Ward
14 Anaphylaxis, Allergies, and Angioedema . 74
Brian H. Rowe, Theodore J. Gaeta
15 Acid-Base Disorders. 79
Gabor D. Kelen, David D. Nicolaou, David M. Cline
16 Blood Gases . 89
Casey Glass
17 Fluids and Electrolytes . 92
Roberta Petrino, Roberta Marino
18 Cardiac Rhythm Disturbances . 112
William J. Brady, Thomas S. Laughrey, Chris A. Ghaemmaghami
19 Pharmacology of Antiarrhythmics and Antihypertensives. . 135
Sara H. Shields, Rachel M. Holland, R. Dustin Pippin, Benjamin Small
20 Pharmacology of Vasopressors and Inotropes. 143
Sara H. Shields, Rachel M. Holland
21 Hyperbaric Oxygen Therapy 146
David S. Lambert, Stephen R. Thom
SECTION 4 Resuscitative Procedures. 151
22 Basic Cardiopulmonary Resuscitation . 151
Adam D. Friedlander, Jon Mark Hirshon
23 Defibrillation and Cardioversion 157
Marcus E. H. Ong, Swee Han Lim, Anantharaman Venkataraman
24 Advanced Cardiac Life Support. 160
Anantharaman Venkataraman, Swee Han Lim,
Marcus E. H. Ong, Kenneth B. K. Tan
25 Resuscitation in Pregnancy. 168
Boyd Burns
26 Post-Cardiac Arrest Syndrome . 174
Benjamin S. Abella, Bentley J. Bobrow
27 Ethical Issues of Resuscitation . 176
Catherine A. Marco
28 Noninvasive Airway Management. 178
Jestin N. Carlson, Henry E. Wang
29 Intubation and Mechanical Ventilation 183
Robert J. Vissers, Daniel F. Danzl
30 Surgical Airways. 192
Michael D. Smith, Donald M. Yealy
31 Vascular Access. . 198
Chris Wyatt
32 Hemodynamic Monitoring . 209
H. Bryant Nguyen, David T. Huang, Michael R. Pinsky
33 Cardiac Pacing and Implanted Defibrillation . 216
Swee Han Lim, Wee Siong Teo, Anantharaman Venkataraman
34 Pericardiocentesis. . 223
Carolyn K. Synovitz, Eric J. Brown
SECTION 5 Analgesia, Anesthesia, and Procedural Sedation. 231
35 Acute Pain Management 231
James Ducharme
36 Local and Regional Anesthesia. 238
Douglas C. Dillon, Michael A. Gibbs
37 Procedural Sedation. 249
Chris Weaver
38 Chronic Pain . 256
David M. Cline
SECTION 6 Wound Management. 263
39 Wound Evaluation. . 263
Adam J. Singer, Judd E. Hollander
40 Wound Preparation . 265
Aleksandr M. Tichter, Wallace A. Carter, Susan C. Stone
41 Wound Closure. . 268
Adam J. Singer, Judd E. Hollander
42 Face and Scalp Lacerations . 281
Wendy C. Coates
43 Arm and Hand Lacerations . 288
Moira Davenport
44 Leg and Foot Lacerations 296
Annabella Salvador-Kelly, Nancy Kwon
45 Soft Tissue Foreign Bodies . 302
Richard L. Lammers
46 Puncture Wounds and Bites 313
James Quinn
47 Postrepair Wound Care . 320
Adam J. Singer, Judd E. Hollander
SECTION 7 Cardiovascular Disease. . 325
48 Chest Pain 325
Simon A. Mahler
49 Acute Coronary Syndromes. 332
Judd E. Hollander, Deborah B. Diercks
50 Cardiogenic Shock. . 349
Casey Glass, David Manthey
51 Low-Probability Acute Coronary Syndrome. . 353
Kathleen A. Hosmer, Chadwick D. Miller
52 Syncope . 360
James Quinn
53 Acute Heart Failure . 366
Sean P. Collins, Alan B. Storrow
54 Valvular Emergencies. . 373
William D. Alley, Simon A. Mahler
55 Cardiomyopathies and Pericardial Disease 380
James T. Niemann
56 Venous Thromboembolism. 388
Jeffrey A. Kline
57 Systemic Hypertension . 399
Brigitte M. Baumann
58 Pulmonary Hypertension. . 409
Michael E. Winters
59 Aortic Dissection and Related Aortic Syndromes . 412
Gary A. Johnson, Louise A. Prince
60 Aneurysmal Disease. 416
Louise A. Prince, Gary A. Johnson
61 Arterial Occlusion 420
Anil Chopra, David Carr
SECTION 8 Pulmonary Disorders. 427
62 Respiratory Distress. 427
John Sarko, J. Stephan Stapczynski
63 Hemoptysis . 436
Troy Sims
64 Acute Bronchitis and Upper Respiratory Tract Infections 440
Cedric W. Lefebvre
65 Pneumonia and Pulmonary Infiltrates. 445
Gerald Maloney, Eric Anderson, Donald M. Yealy
66 Lung Empyema and Abscess 456
Eric Anderson, Sharon E. Mace
67 Tuberculosis . 459
Vu D. Phan, Janet M. Poponick
68 Pneumothorax. . 464
Bret A. Nicks, David Manthey
69 Acute Asthma 468
Rita K. Cydulka
70 Chronic Obstructive Pulmonary Disease. . 475
Rita K. Cydulka, Craig G. Bates
SECTION 9 Gastrointestinal Disorders. . 481
71 Acute Abdominal Pain. . 481
Mary Claire O’Brien
72 Nausea and Vomiting. . 489
Bophal Sarha Hang, Susan Bork, Jeff Ditkoff
73 Disorders Presenting Primarily With Diarrhea 492
Nicholas E. Kman, Howard A. Werman
74 Constipation. 500
Vito Rocco, Arash Armin
75 Upper Gastrointestinal Bleeding . 503
Christopher M. Ziebell, Andy Kitlowski, Janna M. Welch, Phillip A. Friesen
76 Lower Gastrointestinal Bleeding. . 506
Bruce M. Lo
77 Esophageal Emergencies 508
Moss Mendelson
78 Peptic Ulcer Disease and Gastritis . 514
Matthew C. Gratton, Angela Bogle
79 Pancreatitis and Cholecystitis . 517
Bart Besinger, Christine R. Stehman
80 Hepatic Disorders 525
Susan R. O’Mara, Kulleni Gebreyes
81 Acute Appendicitis. . 532
E. Paul DeKoning
82 Diverticulitis. 536
Autumn Graham
83 Bowel Obstruction . 538
Timothy G. Price, Raymond J. Orthober
84 Hernias. . 541
Donald Byars, Turan Kayagil
85 Anorectal Disorders . 545
Brian E. Burgess
86 Gastrointestinal Procedures and Devices . 563
Michael D. Witting
87 Complications of General Surgical Procedures 567
Edmond A. Hooker
SECTION 10 Renal and Genitourinary Disorders. . 575
88 Acute Kidney Injury . 575
Richard Sinert, Peter R. Peacock, Jr.
89 Rhabdomyolysis. 581
Francis L. Counselman, Bruce M. Lo
90 End-Stage Renal Disease 584
Mathew Foley, Ninfa Mehta, Richard Sinert
91 Urinary Tract Infections and Hematuria. . 589
Kim Askew
92 Acute Urinary Retention 597
David Hung-Tsang Yen, Chen-Hsen Lee
93 Male Genital Problems . 601
Jonathan E. Davis
94 Urologic Stone Disease . 609
David E. Manthey, Bret A. Nicks
95 Complications of Urologic Procedures and Devices. . 613
Elaine B. Josephson
SECTION 11 Obstetrics and Gynecology 619
96 Abnormal Uterine Bleeding. 619
Bophal Sarha Hang
97 Abdominal and Pelvic Pain in the Nonpregnant Female. 625
Melanie Heniff, Heather R.B. Fleming
98 Ectopic Pregnancy and Emergencies in the
First 20 Weeks of Pregnancy 628
Heather A. Heaton
99 Comorbid Disorders in Pregnancy . 636
Lori J. Whelan
100 Maternal Emergencies After 20 Weeks of
Pregnancy and in the Postpartum Period. 644
Janet Simmons Young
101 Emergency Delivery. 652
Sarah Elisabeth Frasure
102 Vulvovaginitis 661
Ciara J. Barclay-Buchanan, Melissa A. Barton
103 Pelvic Inflammatory Disease 668
Suzanne M. Shepherd, Brian Weiss, William H. Shoff
104 Breast Disorders. 672
Bophal Sarha Hang
105 Complications of Gynecologic Procedures. 676
Nikki Waller
SECTION 12 Pediatrics. 681
106 Emergency Care of Children 681
Garth Meckler
107 Neonatal and Pediatric Transport . 684
Samuel J. Prater, Manish Shah
108 Resuscitation of Neonates . 689
Marc F. Collin
109 Resuscitation of Children. . 695
William E. Hauda, II
110 Pediatric Trauma. 706
Camilo E. Gutiérrez
111 Intubation and Ventilation in Infants and Children. . 714
Robert J. Vissers, Nathan W. Mick
112 Intravenous and Intraosseous Access in Infants and Children 722
Matthew Hansen
113 Pain Management and Procedural Sedation
in Infants and Children . 727
Peter S. Auerbach
114 Neonatal Emergencies and Common Neonatal Problems 734
Quynh H. Doan, Niranjan Kissoon
115 Sudden Infant Death Syndrome and
Apparent Life-Threatening Event . 741
Ilene Claudius, Joel S. Tieder
116 Fever and Serious Bacterial Illness
in Infants and Children . 747
Vincent F. Wang
117 Meningitis in Infants and Children. 754
Amy Levine
118 Ear and Mastoid Disorders in Infants and Children 757
Carmen Coombs
119 Eye Emergencies in Infants and Children . 764
Janeva Kircher, Andrew Dixon
120 Nose and Sinus Disorders in Infants and Children. 775
Joanna S. Cohen, Dewesh Agrawal
121 Mouth and Throat Disorders in Infants and Children. 779
Derya Caglar, Richard Kwun, Abigail Schuh
122 Neck Masses in Infants and Children. . 786
Charles E. A. Stringer, Vikram Sabhaney
123 Stridor and Drooling in Infants and Children . 793
Elisa Mapelli, Vikram Sabhaney
124 Wheezing in Infants and Children . 802
Allan Shefrin, Alia Busuttil, Roger Zemek
125 Pneumonia in Infants and Children 814
Joseph E. Copeland
126 Congenital and Acquired Pediatric Heart Disease. 822
Esther L. Yue, Garth D. Meckler
127 Syncope, Dysrhythmias, and ECG Interpretation in Children. 835
Andrew C. Dixon
ix
128 Vomiting, Diarrhea, and Dehydration in Infants and Children. . 843
Stephen B. Freedman, Jennifer D. Thull-Freedman
129 Fluid and Electrolyte Therapy in Infants and Children 852
Melissa Chan, Paul Enarson
130 Acute Abdominal Pain in Infants and Children 857
Ross J. Fleischman
131 Gastrointestinal Bleeding in Infants and Children 864
Sarah M. Reid
132 Urinary Tract Infection in Infants and Children 871
Justin W. Sales
133 Pediatric Urologic and Gynecologic Disorders . 875
Deborah R. Liu
134 Renal Emergencies in Children . 881
Andrew Dixon, Brandy Stauffer
135 Seizures in Infants and Children 888
Maija Holsti
136 Headache in Children 895
David C. Sheridan, Garth Meckler
137 Altered Mental Status in Children . 901
Sarah Mellion, Kathleen Adelgais
138 Head Injury in Infants and Children 903
Alessandra Conforto, Ilene Claudius
139 Cervical Spine Injury in Infants and Children . 910
Solomon Behar
140 Musculoskeletal Disorders in Children. 915
Karen J.L. Black, Catherine Duffy, Courtney Hopkins-Mann,
Demilola Ogunnaiki-Joseph, Donna Moro-Sutherland
141 Rashes in Infants and Children. 934
Gary Bonfante, Amy Dunn
142 Sickle Cell Disease In Children . 953
John Marshall
143 Oncologic and Hematologic Emergencies in Children 958
Megan E. Mickley, Camilo Gutierrez, Michele Carney
144 Metabolic Emergencies in Infants and Children. . 977
Garth Meckler, Nadeemuddin Quereshi,
Mohammed Al-Mogbil, Osama Y. Kentab
145 Diabetes In Children 983
Adam Vella
146 The Child With Special Healthcare Needs . 987
Lila O’Mahony
147 Behavioral Disorders in Children 994
Quynh Doan, Tyler R. Black
148 Child Abuse and Neglect 999
Margaret Colbourne, Michelle S. Clarke
SECTION 13 Infectious Diseases 1007
149 Sexually Transmitted Infections . 1007
Flavia Nobay, Susan B. Promes
150 Toxic Shock Syndromes 1017
Stephen Y. Liang
x
151 Sepsis. . 1021
Michael A. Puskarich, Alan E. Jones
152 Soft Tissue Infections . 1029
Elizabeth W. Kelly, David Magilner
153 Serious Viral Infections 1039
Sukhjit S. Takhar, Gregory J. Moran
154 Human Immunodeficiency Virus Infection . 1047
Richard Rothman, Catherine A. Marco, Samuel Yang
155 Endocarditis 1057
Richard Rothman, Catherine A. Marco, Samuel Yang
156 Tetanus. 1062
Joel L. Moll, Donna L. Carden
157 Rabies . 1064
David Weber
158 Malaria. 1070
Malcolm Molyneaux
159 Food and Waterborne Illnesses. . 1077
Lane M. Smith, Simon A. Mahler
160 Zoonotic Infections 1085
Bryan B. Kitch, John T. Meredith
161 Global Travelers 1094
Raghu Venugopal, Shawn D’Andrea
162 Occupational Exposures, Infection Control,
and Standard Precautions 1108
Charissa B. Pacella
163 Pharmacology of Antimicrobials. 1116
Ralph H. Raasch
SECTION 14 Neurology . 1125
164 Neurologic Examination . 1125
J. Stephen Huff, Andrew D. Perron
165 Headache. . 1131
Michael Harrigan, Ana C. G. Felix
166 Spontaneous Subarachnoid and
Intracerebral Hemorrhage 1137
Jeffrey L. Hackman, Anna M. Nelson, O. John Ma
167 Stroke Syndromes . 1142
Steven Go, Daniel J. Worman
168 Altered Mental Status and Coma. 1156
J. Stephen Huff
169 Ataxia and Gait Disturbances. 1161
J. Stephen Huff
170 Vertigo . 1164
Brian Goldman
171 Seizures 1173
Joshua G. Kornegay
172 Acute Peripheral Neurologic Disorders. . 1178
Phillip Andrus, J. Michael Guthrie
173 Chronic Neurologic Disorders. 1185
Daniel A. Handel, Sarah Andrus Gaines
174 Central Nervous System and Spinal Infections . 1192
Mary Tanski, O. John Ma
175 Central Nervous System Procedures and Devices. . 1199
Jay G. Ladde
SECTION 15 Toxicology . 1207
176 General Management of Poisoned Patients. 1207
Shaun Greene
177 Cyclic Antidepressants. 1213
Frank LoVecchio
178 Atypical and Serotonergic Antidepressants. 1219
Frank LoVecchio, Erik Mattison
179 Monoamine Oxidase Inhibitors. . 1224
Frank LoVecchio
180 Antipsychotics. 1228
Michael Levine, Frank LoVecchio
181 Lithium. 1232
Sandra M. Schneider, Daniel J. Cobaugh, Benjamin D. Kessler
182 Barbiturates 1235
Chip Gresham, Frank LoVecchio
183 Benzodiazepines. . 1237
Dan Quan
184 Nonbenzodiazepine Sedatives 1240
Michael Levine, Dan Quan
185 Alcohols 1243
Jennifer P. Cohen, Dan Quan
186 Opioids. 1251
Guillermo Burillo-Putze, Oscar Miro
187 Cocaine and Amphetamines . 1256
Jane M. Prosser, Jeanmarie Perrone
188 Hallucinogens . 1260
Katherine M. Prybys, Karen N. Hansen
189 Salicylates . 1265
Rachel Levitan, Frank LoVecchio
190 Acetaminophen 1269
Oliver L. Hung, Lewis S. Nelson
191 Nonsteroidal Anti-Inflammatory Drugs . 1276
Joseph G. Rella, Wallace A. Carter
192 Methylxanthines and Nicotine. . 1280
Chip Gresham, Daniel E. Brooks
193 Digitalis Glycosides 1284
Michael Levine, Aaron B. Skolnik
194 Beta-Blockers . 1288
Jennifer L. Englund, William P. Kerns II
195 Calcium Channel Blockers. 1292
Alicia B. Minns, Christian Tomaszewski
196 Antihypertensives. 1297
Frank LoVecchio, Dan Quan
197 Anticonvulsants 1301
Frank LoVecchio
198 Iron. 1307
Stephanie H. Hernandez, Lewis S. Nelson
199 Hydrocarbons and Volatile Substances . 1310
C. William Heise, Frank LoVecchio
200 Caustic Ingestions. 1314
Nicole C. Bouchard, Wallace A. Carter
201 Pesticides. . 1318
Guillermo Burillo-Putze, Santiago Nogue Xarau
202 Anticholinergics. . 1326
Dan Quan, Frank LoVecchio
203 Metals and Metalloids. 1329
Heather Long, Lewis S. Nelson
204 Industrial Toxins. . 1336
Chip Gresham, Frank LoVecchio
205 Vitamins and Herbals . 1341
Rick Tovar
206 Antimicrobials. 1345
Joseph G. Rella, Wallace A. Carter
207 Dyshemoglobinemias. 1348
Brenna M. Farmer, Lewis S. Nelson
SECTION 16 Environmental Injuries. . 1353
208 Cold Injuries 1353
Michael T. Paddock
209 Hypothermia. . 1357
Doug Brown
210 Heat Emergencies. 1365
Frank LoVecchio
211 Bites and Stings 1371
Aaron Schneir, Richard F. Clark
212 Reptile Bites. . 1379
Richard C. Dart, Julian White
213 Marine Trauma and Envenomation . 1383
John J. Devlin, Kevin Knoop
214 Diving Disorders. . 1390
Brian Snyder, Tom Neuman
215 Drowning. . 1395
Stephen John Cico, Linda Quan
216 Thermal Burns. 1398
E. Paul DeKoning
217 Chemical Burns 1405
Anthony F. Pizon, Michael J. Lynch
218 Electrical and Lightning Injuries . 1411
Caitlin Bailey
219 Mushroom Poisoning . 1419
Anne F. Brayer, Lynette Froula
220 Poisonous Plants . 1424
Betty C. Chen, Lewis S. Nelson
221 High-Altitude Disorders. . 1429
Peter H. Hackett, Christopher B. Davis
xi
222 Carbon Monoxide . 1437
Gerald Maloney
SECTION 17 Endocrine Disorders . 1441
223 Type 1 Diabetes Mellitus . 1441
Nikhil Goyal, Adam B. Schlichting
224 Type 2 Diabetes Mellitus . 1445
Mohammad Jalili, Mahtab Niroomand
225 Diabetic Ketoacidosis . 1457
Andrew L. Nyce, Cary L. Lubkin, Michael E. Chansky
226 Alcoholic Ketoacidosis. 1464
William A. Woods, Debra G. Perina
227 Hyperosmolar Hyperglycemic State . 1466
Charles S. Graffeo
228 Hypothyroidism 1469
Alzamani Mohammad Idrose
229 Hyperthyroidism. . 1472
Alzamani Mohammad Idrose
230 Adrenal Insufficiency . 1479
Alzamani Mohammad Idrose
SECTION 18 Hematologic and Oncologic Disorders. 1483
231 Anemia. 1483
John C. Ray, Robin R. Hemphill
232 Tests of Hemostasis 1486
Stephen John Cico, Robin R. Hemphill
233 Acquired Bleeding Disorders . 1491
Robert W. Shaffer, Sally A. Santen
234 Clotting Disorders. 1496
Jessie G. Nelson, Robin R. Hemphill
235 Hemophilias and von Willebrand’s Disease . 1500
Robin R. Hemphill
236 Sickle Cell Disease and Hereditary Hemolytic Anemias. 1504
Jean Williams-Johnson, Eric Williams
237 Acquired Hemolytic Anemia . 1513
Laurie Ann Dixon, Robin R. Hemphill
238 Transfusion Therapy. . 1518
Clinton J. Coil, Sally A. Santen
239 Thrombotics and Antithrombotics. . 1524
David E. Slattery, Charles V. Pollack, Jr.
240 Emergency Complications of Malignancy 1535
J. Stephan Stapczynski
SECTION 19 Eye, Ear, Nose, Throat,
and Oral Disorders 1543
241 Eye Emergencies. . 1543
Richard A. Walker, Srikar Adhikari
242 Ear Disorders. . 1579
Kathleen Hosmer
243 Face and Jaw Emergencies 1585
Stephanie A. Lareau, Corey R. Heitz
244 Nose and Sinuses . 1591
Henderson D. McGinnis
245 Oral and Dental Emergencies. 1598
Ronald W. Beaudreau
246 Neck and Upper Airway. . 1613
Nicholas D. Hartman
247 Complications of Airway Devices. 1619
John P. Gaillard
SECTION 20 Dermatology. . 1625
248 Initial Evaluation and Management of Skin Disorders . 1625
William Rushton, Joseph M. Grover, William J. Brady
249 Generalized Skin Disorders 1642
Mark Sochor, Amit Pandit, William J. Brady
250 Skin Disorders: Face and Scalp 1646
Dean S. Morrell, Kevin W. Dahle
251 Skin Disorders: Trunk . 1652
Dean S. Morrell, Kara Luersen Brooks
252 Skin Disorders: Groin and Skinfolds . 1666
Dean S. Morrell, Edith V. Bowers
253 Skin Disorders: Extremities. . 1670
Rachna A. Bhandari, Dean S. Morrell
SECTION 21 Trauma . 1681
254 Trauma in Adults. . 1681
Peter Cameron, Barry J. Knapp
255 Trauma in the Elderly . 1688
Ross J. Fleischman, O. John Ma
256 Trauma in Pregnancy . 1692
Nicole M. DeIorio
257 Head Trauma. . 1695
David W. Wright, Lisa H. Merck
258 Spine Trauma . 1708
Steven Go
259 Trauma to the Face 1724
John Bailitz, Tarlan Hedayati
260 Trauma to the Neck 1733
Ashley S. Bean
261 Pulmonary Trauma 1740
David Jones, Anna Nelson, O. John Ma
262 Cardiac Trauma 1752
Christopher Ross, Theresa Schwab
263 Abdominal Trauma 1761
L. Keith French, Stephanie Gordy, O. John Ma
264 Trauma to the Flank and Buttocks. . 1765
Alicia Devine
265 Genitourinary Trauma 1767
Matthew C. Gratton, L. Keith French
266 Trauma to the Extremities 1772
James Heilman
xii
xiii
SECTION 22 Injuries to Bones and Joints. 1777
267 Initial Evaluation and Management of
Orthopedic Injuries 1777
Jeffrey S. Menkes
268 Injuries to the Hand and Digits. . 1791
Moira Davenport, Peter Tang
269 Wrist Injuries. . 1801
Robert Escarza, Maurice F. Loeffel, III, Dennis T. Uehara
270 Elbow and Forearm Injuries . 1816
Yvonne C. Chow
271 Shoulder and Humerus Injuries . 1828
Lars Petter Bjoernsen, Alexander Ebinger
272 Pelvis Injuries . 1842
Melissa A. Barton, H. Scott Derstine, Ciara J. Barclay-Buchanan
273 Hip and Femur Injuries 1848
Mark Steele, Amy M. Stubbs
274 Knee Injuries . 1857
Rachel R. Bengtzen, Jeffrey N. Glaspy, Mark T. Steele
275 Leg Injuries. 1865
Paul R. Haller
276 Ankle Injuries . 1868
Daniel A. Handel, Sarah Andrus Gaines
277 Foot Injuries 1876
Sarah Andrus Gaines, Daniel A. Handel
278 Compartment Syndrome . 1883
Paul R. Haller
SECTION 23 Musculoskeletal Disorders. . 1887
279 Neck and Back Pain 1887
David Della-Giustina, Jeffrey S. Dubin, William Frohna
280 Shoulder Pain . 1894
David Della-Giustina, David Hile
281 Hip and Knee Pain. 1900
Kelly P. O’Keefe, Tracy G. Sanson
282 Systemic Rheumatic Diseases 1911
R. Darrell Nelson
283 Nontraumatic Disorders of the Hand. 1921
Carl A. Germann
284 Joints and Bursae . 1927
John H. Burton, Timothy J. Fortuna
285 Soft Tissue Problems of the Foot. 1936
Mitchell C. Sokolosky
SECTION 24 Psychosocial Disorders. . 1941
286 Mental Health Disorders: ED Evaluation and Disposition. . 1941
Leslie Zun
287 Acute Agitation 1952
Shauna Garris, Caitlin Hughes
288 Mental Health Disorders of the Elderly . 1958
Kristen Barrio, Kevin Biese
289 Mood and Anxiety Disorders . 1963
Tracy M. DeSelm
290 Psychoses. . 1969
Adam Z. Tobias
291 Eating Disorders. . 1973
Gemma C. Lewis
292 Substance Use Disorders . 1976
Edward Bernstein, Judith A. Bernstein, Scott G. Weiner, Gail D’Onofrio
SECTION 25 Abuse and Assault 1983
293 Female and Male Sexual Assault. 1983
Lisa Moreno-Walton
294 Intimate Partner Violence and Abuse 1988
Mary Hancock
295 Abuse of the Elderly and Impaired. . 1991
Jonathan Glauser, Frederic M. Hustey
SECTION 26 Special Situations. 1997
296 Injection Drug Users. . 1997
Thomas Grosheider, Suzanne M. Shepherd
297 The Transplant Patient 2002
J. Hayes Calvert
298 The Patient With Morbid Obesity. 2010
Joanne Williams
299 Palliative Care . 2013
Robert J. Zalenski, Erin Zimny
300 Death Notification and Advance Directives . 2017
Lindsay Weaver, Cherri Hobgood
301 Prison Medicine 2020
Stephen H. Boyce, Richard J. Stevenson
302 Military Medicine . 2023
Ricardo C. Ong, Sean W. Mulvaney, Robert H. Lutz,
Gerald W. Surrett, Andre M. Pennardt, Ian S. Wedmore
303 Legal Issues in Emergency Medicine. 2030
Jonathan E. Siff
Index 2043
Tintinalli’s Emergency Medicine: A Comprehensive Study Guide, 8th Edition PDF Ebook
About the Authors
Judith E. Tintinalli, MD, MS (Chapel Hill, NC) is Professor and Chair Emeritus of the Department of Emergency Medicine and Adjunct Professor in the Department of Health Policy and Administration at the University of North Carolina at Chapel Hill.
J. Stephan Stapczynski, MD (Phoenix, AZ) is Professor of Emergency Medicine at the University of Arizona College of Medicine, Phoenix.
O. John Ma, MD (Portland, OR) is Professor and Chair of the Department of Emergency Medicine at Oregon Health & Science University.
Donald M. Yealy, MD (Pittsburgh,PA) is Professor and Chair of the Department of Emergency Medicine at the University of Pittsburgh.
Garth D. Meckler, MD, MSHS (Vancouver, BC) is Associate Professor and Division Head, Pediatric Emergency Medicine at the University of British Columbia.
David M. Cline, MD (Winston-Salem, NC) is Professor of Emergency Medicine at Wake ForestUniversity School of Medicine.
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