Harwood-Nuss’ Clinical Practice of Emergency Medicine

Introduction: The Approach to the Emergency Department Patient
Section I: Resuscitation
1 Airway Management
2 Airway Procedures
3 Cardiopulmonary Arrest
4 Shock
5 Vascular Access
6 Chest Pain
7 Abdominal Pain

Section II: High-Risk Chief Complaints
8 Shortness of Breath
9 Syncope
10 Fever
11 Altered Mental Status and Coma
12 Headache
13 Weakness
14 Dizziness
15 Acute Pain Management
16 Chronic Pain Syndromes

Section III: Pain Management and Procedural Sedation
17 Procedural Sedation and Analgesia
18 General Principles of Trauma
19 Trauma Airway Management

Section IV: Trauma
20 Traumatic Shock
21 Wound Management
22 Head Injuries
23 Maxillofacial Injuries
24 Dental Injuries
25 Eye Trauma
26 Blunt Neck Trauma
27 Penetrating Neck Trauma
28 Cervical Spine Fractures
29 Thoracolumbar Spine Fractures
30 Spinal Cord Injuries
31 Blunt Chest Trauma
32 Penetrating Chest Trauma
33 Blunt Abdominal Trauma
34 Penetrating Abdominal Trauma
35 Genitourinary Trauma
36 Peripheral Vascular Injuries
37 Approach to Musculoskeletal Injuries
38 Shoulder Injuries
39 Elbow Injuries
40 Wrist and Forearm Injuries
41 Hand Injuries
42 Pelvic Fractures
43 Hip and Femur Injuries
44 Knee Injuries
45 Ankle and Foot Injuries
46 Burns
47 Replantation
48 Acute Compartment Syndrome
49 Ballistics
50 Blast Injuries
51 Hanging and Strangulation Injuries
52 Trauma in Pregnancy
53 Trauma in Older Adults/Trauma in the Elderly

Section V: Eye Emergencies
54 The Eye Examination
55 Common Opthalmic Medications/Common Eye Medications
56 The Red Eye
57 Corneal Abrasion and Foreign Bodies
58 Acute Vision Loss
59 Diplopia
60 Acute Eye Infections
61 Acute Angle-Closure Glaucoma

Section VI: ENT and Dental Emergencies
62 Dental Emergencies
63 Head and Neck Infections
64 Temporomandibular pain and dislocation
65 Upper Airway Obstruction
66 Sore Throat
67 Sinusitis and Rhinitis
68 Ear Infections in Adults/Acute Ear Infections in Adults
69 Epistaxis
70 Vertigo
71 Acute Hearing Loss and Tinnitus
72 Complications of Tracheostomies

Section VII: Pulmonary Emergencies
73 Respiratory Failure/ Respiratory Failure and Invasive Vent Management
74 Pneumonia
75 Pleural Effusion
76 Asthma
77 Chronic Obstructive Pulmonary Disease
78 Spontaneous Pneumothorax and Pneumomediastinum
79 Pulmonary Embolism
80 Hemoptysis
81 Sarcoidosis

Section VIII: Cardiac Emergencies
82 Acute Coronary Syndromes
83 Congestive Heart Failure and Cor Pulmonale
84 Bradydysrhythmias
85 Tachydysrhythmias
86 Pacemakers and Implantable Cardioverter-Defibrillators
87 Valvular Heart Disease
88 Infectious Endocarditis
89 Acute Pericarditis and Cardiac Tamponade
90 Hypertension

Section IX: Vascualar Emergencies
91 Carotid and Vertebral Artery Dissection and Aneurysm
92 Thoracic Aortic Dissection and Aneurysm
93 Abdominal Aortic Aneurysm
94 Mesenteric Ischemia/Mesenteric Ischemia and Infarction
95 Peripheral Arterial Disease
96 Deep Venous Thrombosis/Deep Venous Thrombosis and Thrombophlebitis
97 Vascular Graft Complications

Section X: Gastrointestinal Emergencies
98 Esophageal Disorders
99 Upper Gastrointestinal Bleeding
100 Lower Gastrointestinal Bleeding
101 Peptic Ulcer Disease
102 Jaundice
103 Biliary Tract Disease
104 Hepatitis
105 Hepatic Failure and Cirrhosis
106 The Liver Transplant Patient
107 Pancreatitis
108 Appendicitis
109 Bowel Obstruction
110 Hernias
111 Inflammatory Bowel Disease
112 Diarrhea
113 Diverticular Disease
114 Ano-rectal disorders
115 Gastrointestinal Foreign Bodies
116 Feeding tubes

Section XI: Renal and Urologic Emergencies
117 Hematuria
118 Acute Kidney Injury
119 Chronic Kidney Disease and Dialysis-Related Emergencies
120 The Renal Transplant Patient
121 Acute Scrotal Pain
122 Penile Disorders
123 Urinary Tract Infection
124 Prostatitis
125 Fournier Gangrene
126 Urolithiasis
127 Urinary Incontinence and Retention
128 Genitourinary Stents and Catheters

Section XII: Gynecologic Emergencies
129 Pelvic Pain
130 Pelvic Inflammatory Disease
131 Vaginal Bleeding in the Non-Pregnant Patient
132 Vaginitis
133 Bartholin's cyst
134 Breast Masses and Infections
135 Sexual Assault

Section XIII: Obstetric Emergencies
136 First Trimester Vaginal Bleeding
137 Ectopic Pregnancy
138 Hyperemesis Gravidarum
139 Post-abortion Complications
140 Hypertensive Disorders of Pregnancy
141 Third Trimester Vaginal Bleeding
142 Emergency Delivery
143 Postpartum Emergencies
144 Medical Treatment During Pregnancy

Section XIV: Musculoskeletal Emergencies
145 Hand and Wrist Pain
146 Bursitis and Tendinopathy
147 Hand Infections
148 Low Back Pain
149 Foot Disorders
150 Monoarticular Arthritis
151 Polyarticular Arthritis

Section XV: Neurologic Emergencies
152 Organic Brain Syndrome
153 Headache
154 Subarachnoid Hemorrhage
155 Cerebrovascular Disease
156 Seizures
157 Transient Global Amnesia
158 Peripheral Neuropathies
159 Bell's Palsy and Trigeminal Neuralgia
160 Myopathies and Disorders of Neuromuscular Transmission
161 Demyelinating Disease
162 Parkinsonism and Other Movement Disorders

Section XVI: Psychiatric Emergencies
163 Medical Clearance
164 Depression and Suicidal Ideation
165 Anxiety Disorders and Panic Attack
166 Schizophrenia and Bipolar Disorder
167 The Agitated or Violent Patient
168 Factitious Illness, Malingering, and Conversion Disorder
169 Bereavement and Grief Reactions

Section XVII: Dermatologic Emergencies
170 Life-Threatening Dermatoses
171 Papulosquamous Eruptions
172 Blistering Disorders
173 Purpuric Eruptions
174 Urticaria

Section XVIII: Allergic and Immunologic Emergencies
175 Anaphylaxis
176 Angioedema
177 Drug Allergy and Other Drug Reactions
178 Multisystem Autoimmune Disease

Section XIX: Infectious Disease Emergencies
179 Bacteremia, Sepsis, and Septic Shock
180 Skin and Soft-Tissue Infections
181 Tetanus
182 Meningitis and Encephalitis
183 Brain Abscess and Other Suppurative CNS Infections
184 Sexually Transmitted Diseases
185 Lyme Disease
186 Rocky Mountain Spotted Fever
187 Other Tick-Borne Diseases
188 Tuberculosis
189 Infectious Mononucleosis
190 Influenza
191 HIV Infection
192 Toxic Shock Syndrome
193 Parasitic Disease
194 Blood and Body Fluid Exposures in the Health Care Worker
195 Food Poisoning

Section XX: Hematologic/ Oncologic Emergencies
196 Bleeding Disorders
197 Disseminated Intravascular Coagulation, Thrombotic Thrombocytopenic Purpura, and Hemolytic-Uremic Syndrome
198 Complications of Antithrombotic Therapy
199 Sickle Cell Disease
200 Anemia
201 Transfusion Reactions and Complications
202 The Cancer Patient in the Emergency Department

Section XXI: Endocrine and Metabolic Emergencies
203 Acid-Base Disturbances
204 Diabetes Mellitus
205 Hyperglycemic Emergencies
206 Hypoglycemia
207 Alcoholic Ketoacidosis
208 Thyroid Emergencies
209 Adrenal and Pituitary Disorders
210 Disorders of Sodium and Water Metabolism
211 Disorders of Potassium Metabolism
212 Disorders of Calcium, Phosphate, and Magnesium Metabolism
213 Rhabdomyolysis

Section XXII: Pediatrics
214 General Approach to the Pediatric Emergency Patient
215 General Approach to the Neonate and Infants less than 12 Months of Age
216 Newborn Resuscitation in the Emergency Department
217 Pediatric Resuscitation
218 Airway Management and Rapid Sequence Intubation
219 Vascular Access in the Critically Ill Child
220 Procedural Sedation, Anxiolysis and Analgesia
221 Jaundice
222 Fever
223 Vomiting
224 Diarrhea
225 Dehydration
226 Failure to Thrive
227 Crying Infant
228 Abdominal Pain
229 Gastrointestinal Bleeding
230 Constipation
231 Cough
232 Shortness of Breath
233 Apnea and Apparent Life-Threatening Events (ALTE)
234 Chest Pain and Palpitations
235 Pediatric Syncope
236 Seizures
237 Altered Mental Status or Coma
238 Ataxia
239 Headache
240 Oral Lesions
241 Neck Masses
242 Limp
243 Dysuria and Hematuria
244 Vaginal Bleeding and Discharge
245 General Approach to Pediatric Trauma
246 Severe Head Trauma
247 Minor Head Trauma in Children
248 Sports Related Concussive Injuries
249 Cervical Spine Evaluation
250 Thoracic Trauma
251 Abdominal Trauma
252 Extremity Fractures
253 Sports Related Injuries and Overuse Syndromes
254 Newborn Problems
255 Eye Disorders
256 Ear Infections
257 Sinusitis
258 Lymphadenitis and Neck Masses
259 Torticollis
260 Pharyngitis
261 Croup and Other Upper Airway Disorders
262 Pertussis
263 Asthma
264 Bronchiolitis
265 Pneumonia
266 Arrhythmias in Children
267 Cardiac Murmurs
268 Congenital Heart Disease and CHF
269 Appendicitis
270 Intussusception
271 Malrotation and Midgut Volvulus
272 Pyloric Stenosis
273 Foreign Bodies, Gastrointestinal and Pulmonary
274 Diabetic Ketoacidosis in Children
275 Metabolic and Endocrine Disorders
276 Kawasaki Disease
277 Cellulitis
278 Meningitis and Encephalitis
279 Human Immunodeficiency Virus (HIV)
280 Sickle Cell Disease in Children
281 Rashes: Urticarial, Macular and Papular Lesions
282 Rashes: Eczematous, Vesicular, Pustular and Lesions
283 Rashes: Infestations
284 Immunizations
285 Nursemaid's Elbow and Upper Extremity Injuries
286 Renal Emergencies
287 Genitourinary Disorders
288 Urinary Tract Infections in Children
289 Psychosocial and Behavioral Emergencies
290 Abuse: Physical, Sexual and Neglect
291 Ventricular Shunt Problems and Technology Dependent Children
292 Pediatric and Neonatal Referral and Transport
293 Death, Catastrophic Illness and Parental Presence in Critical Cases
294 Consent for Care of Children, Adolescents and Emancipated Minors

Section XXIII: Toxicology
295 Evaluation of the Posion Patient
296 General Management of the Posioned Patient
297 Ethanol
298 Ethanol Withdrawal
299 Ethylene Glycol
300 Methanol
301 Isopropanol, Acetone, and Other Glycols
302 Acetaminophen
303 Salicylates
304 Nonsteroidal Anti-Inflammatory Drugs
305 Opioids
306 Complications of Injection Drug Use
307 Barbiturates
308 Benzodiazepines
309 Gamma Hydroxybutyrate
310 Muscle Relaxants and Other Sedative-Hypnotic Agents
311 Phenytoin
312 Valproic Acid
313 Carbamazepine
314 Other Anticonvulsants
315 Antimalarial Drugs
316 Herbicides
317 Isoniazid
318 Organophosphate and Carbamate Insecticides
319 Nicotine, Pyrethrin, and Organochlorine Pesticides
320 Rodenticides
321 Antidysrhythmic Drugs and Local Anesthetics
322 Centrally Acting Antihypertensive Agents
323 Beta Blockers
324 Calcium Channel Antagonists
325 Cardiac Glycosides
326 Arsenic and Mercury
327 Carbon Monoxide
328 Corrosives and Chemical Burns
329 Cyanide
330 Fluoride and Hydrofluoric Acid
331 Hydrocarbons
332 Hydrogen Sulfide
333 Iron
334 Lead
335 Methemoglobinemia
336 Irritant Gases
337 Smoke Inhalation
338 Antipsychotic Agents
339 Cyclic Antidepressants
340 Dystonic Reactions
341 Lithium
342 Monoamine Oxidase Inhibitors
343 Serotonin Re-uptake Inhibitors and the Serotonin Syndrome
344 Anticholinergic Agents
345 Cocaine
346 Hallucinogens
347 Phencyclidine and Ketamine
348 Amphetamines and Stimulants
349 Biological Warfare Agents
350 Chemical Warfare Agents
351 Drug Withdrawal
352 Botulism
353 Oral Hypoglycemic Agents
354 Mushrooms
355 Common Toxic Plant
356 Dietary Supplements and Herbal Medications
357 Seafood Toxins

Section XXIV: Enviormental Emergencies
358 Hypothermia
359 Cold-Induced Tissue Injuries
360 Heat-Related Illness
361 High-Altitude Illness
362 Diving Injuries
363 Submersion Injuries
364 Electrical Injuries
365 Lightning Injuries
366 Radiation Injuries
367 Crotaline Snake Envenomation
368 Elapid Snake Envenomation
369 Hymenoptera Envenomation
370 Marine Envenomations
371 Scorpion Envenomation
372 Black Widow Spider Envenomation
373 Brown Recluse Spider Envenomation
374 Insect, Tick, and Mite Bites and Infestations
375 Mammalian Bites and Associated Infections

Section XXV: EMS and Special Clinical Considerations
376 Emergency Medical Services
377 Air Medical Services
378 Disaster Planning and Management
379 Errors and Patient Safety
380 Quality Improvement
381 Legal and Ethical Issues
382 Regulatory Issues
383 Interpersonal Violence