Rosen & Barkin's 5-Minute Emergency Medicine Consult
Read Rosen & Barkin's 5-Minute Emergency Medicine Consult Online
Authors: Jeffrey J. Schaider,Adam Z. Barkin,Roger M. Barkin,Philip Shayne,Richard E. Wolfe,Stephen R. Hayden,Peter Rosen
Tags: #Medical, #Emergency Medicine
5-Minute
Emergency
Medicine
Consult
5TH EDITION
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
Roger M. Barkin, MD, MPH
Clinical Professor of Emergency Medicine and Pediatrics
University of Colorado School of Medicine
Attending Physician
Department of Emergency Medicine
Denver Health Medical Center
Denver, Colorado
Stephen R. Hayden, MD
Professor of Clinical Medicine
Program Director, Residency Program
Department of Emergency Medicine
University of California
Editor-in-Chief, Journal of Emergency Medicine
Medical Center
San Diego, California
Richard E. Wolfe, MD
Associate Professor
Division of Emergency Medicine
Harvard Medical School
Chief of Emergency Medicine
Beth Israel Deaconess Medical Center
Boston, Massachusetts
Adam Z. Barkin, MD, MPH
Assistant Clinical Professor
Department of Emergency Medicine
University of Colorado School of Medicine
Aurora, Colorado
Associate Medical Director
Emergency Medicine
Rose Medical Center
Denver, Colorado
Philip Shayne, MD
Professor of Emergency Medicine
Vice Chair for Education and Program Director
Department of Emergency Medicine
Emory University School of Medicine
Atlanta, Georgia
Peter Rosen, MD
Senior Lecturer on Medicine
Harvard Medical School
Attending Physician
Beth Israel Deaconess Medical Center
Boston, Massachusetts
Visiting Professor
University of Arizona
Tucson, Arizona
5-Minute
Emergency
Medicine
Consult
5TH EDITION
Jeffrey J. Schaider, MD
Roger M. Barkin, MD, MPH
Stephen R. Hayden, MD
Richard E. Wolfe, MD
Adam Z. Barkin, MD, MPH
Philip Shayne, MD
Peter Rosen, MD
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Jamie M. Elfrank
Product Development Editor:
Ashley Fischer
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Bridgett Dougherty
Manufacturing Manager:
Beth Welsh
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Stephanie Manzo
Design Coordinator:
Teresa Mallon
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Library of Congress Cataloging-in-Publication Data
Rosen & Barkin’s 5-minute emergency medicine consult / edited by Jeffrey J. Schaider,
Adam Z. Barkin, Roger M. Barkin, Philip Shayne, Richard E. Wolfe, Stephen R. Hayden,
Peter Rosen. – 5th edition.
p. ; cm. – (5-minute consult series)
Rosen & Barkin’s five-minute emergency medicine consult
5-minute emergency medicine consult
Rosen and Barkin’s 5-minute emergency medicine consult
Includes bibliographical references and index.
ISBN 978-1-4511-9067-0 (hardback)
I. Schaider, Jeffrey, editor. II. Title: Rosen & Barkin’s five-minute emergency medicine consult.
III. Title: 5-minute emergency medicine consult. IV. Title: Rosen and Barkin’s 5-minute emergency medicine consult. V. Series: 5-minute consult (Series)
[DNLM: 1. Emergency Medicine–Handbooks. 2. Emergency Medical Services–Handbooks.
3. Emergency Treatment–Handbooks. WB 39]
RC86.8
616.02’5–dc23
2014017339
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of the information in a particular situation remains the professional responsibility of the practitioner.
The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in the publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.
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10 9 8 7 6 5 4 3 2 1
R
osen and Barkin’s 5-Minute Emergency Medicine Consult
continues to reflect the evolving nature of our clinical emergency medicine practices. Emergency medicine provides unique challenges to the clinician; the remarkable breadth of clinical conditions encountered, the time constraints of an acute illness, environmental considerations, and the logistical demands of busy emergency departments. Time is of the essence, and this book is truly designed to meet the needs of clinicians working in settings providing urgent and emergent care. To look for a diagnosis, one must think of it, and the very nature of the emergency department (ED) makes prolonged deliberation difficult. Nevertheless, it must become instinctive to think about the statistically rare, but clinically serious entity, rather than to just reach for the statistically probable but nonlife-threatening diagnosis.
R
osen
and Barkin’s 5-Minute Emergency Medicine Consult
provides concise formatted information allowing the busy clinician to respond to each patient appropriately. It is meant to be readily available in the ED, and frequently used in the trenches. Written and edited by practicing clinicians for their colleagues, the book is designed to synthesize a mountain of information into tightly formatted chapters that stimulate analysis and subsequent assessment.
We have attempted to integrate our authors’ expertise, experience, and knowledge base onto the pages of this book. The chapters are not meant to be a diagnostic engine, but rather a place to confirm a diagnosis supported by clinical judgment and the subjective and objective evidence of a patient’s presentation. Our authors attempt to provide a precise and clinically relevant summary useful in caring for the patient while also equipping students and residents with the structure needed to approach individual disease processes. We are indebted to our contributors for their commitment to this task.
The book is intended to be accurate, focused, and readily integrated into practice, rather than being definitive and all encompassing. As in the past, this new edition incorporates new information and approaches to management, while allowing us to modify topics that reflect some of the new challenges we face.
Our goal is to make
Rosen and Barkin’s 5-Minute Emergency Medicine Consult
useful to both novices in emergency medicine and experienced clinicians. The information and organization is designed to be easily used within the “chaos” that surrounds our clinical settings.
Clinical acumen, judgment, and experience are the foundations for our clinical practice. It is our hope that this book will serve students, nurses, emergency medical personnel, residents, and practicing emergency physicians as a readily used resource in excellent patient care and knowledge acquisition.
J
EFFREY
J. S
CHAIDER
R
OGER
M. B
ARKIN
S
TEPHEN
R. H
AYDEN
R
ICHARD
E. W
OLFE
A
DAM
Z. B
ARKIN
P
HILIP
S
HAYNE
P
ETER
R
OSEN
T
he dedication of our authors and the input of our readers is appreciated and forms the foundation for this book. Ashley Fischer of Lippincott Williams & Wilkins held our hands throughout the production.
To my wife Anna and sons Jacob and Isaac—thank you for your continued support and inspiration. Thanks to the Cook County Emergency Medicine Attendings and Residents for their contributions to the book and to enhancing my knowledge and understanding of our unique field.
J.J.S.
I am most appreciative for my family’s support. Suzanne Barkin, MD is an exemplary clinician and has been a remarkable role model and teacher for the residents she has trained. Adam, Jill, Jacob, Eli, Michael, and Rachael remind us daily of the importance of our roles as clinicians and reaffirm our commitment to excellence.
It is also important to acknowledge and thank our colleagues nationally and internationally who continue to teach each of us on an ongoing basis and will hopefully find this book useful in their practices.
R.M.B.
To my wife Marina, and my children Connor, Maia, and Kenny; without your support and understanding, my involvement in academic emergency medicine and this book would be not possible. To my current residents and past graduates; I hope the information in this book helps guide your clinical decisions and prompts you to always maintain your intellectual curiosity.
S.R.H.
To my wife Alice whose unflagging support, patience, and humor provide the support for these efforts. To the faculty members at BIDMC who share the vision and high standards that this book strives to achieve. To Peter who has been a lifelong mentor and a role model.
R.E.W.
To Jill, Jacob, and Eli who provide so much joy, support, laughter, and love.
A.Z.B.
To my wife Helen for her unending patience, support, guidance, and understanding for her support in allowing me the freedom to work on this book. And to my sons Dylan and David for keeping me grounded to what really matters.
P.S.
James G. Adams, MD
Department of Emergency Medicine
Feinberg School of Medicine
Northwestern University
Chair
Department of Emergency Medicine
Northwestern Memorial Hospital
Chicago, Illinois
Erik Adler, MD
Senior Resident
Emergency Medicine
Denver Health
Denver, Colorado
Rami A. Ahmed, DO
Assistant Professor
Department of Emergency Medicine
Northeastern Ohio Medical University
Rootstown, Ohio
Simulation Medical Director
Emergency Medicine
Summa Akron City Hospital
Akron, Ohio
Murtaza Akhter, MD
Senior Resident
Emergency Medicine
Grady Memorial Hospital
Atlanta, Georgia
Steven E. Aks, DO, FACMT, FACEP
Associate Professor
Department of Emergency Medicine
Rush University
Director
The Toxikon Consortium
Division of Toxicology
Department of Emergency Medicine
Cook County Hospital (Stroger)
Chicago, Illinois
Nadeem Alduaij, MD, MPH
Adjunct Assistant Professor
Institute of Public Health
UAE University
Abu Dhabi, UAE
Staff Physician
Department of Emergency Medicine
Adan Hospital
Riqqa, Kuwait
Paul J. Allegretti, DO, FACOEP, FACOI