| Contributing Authors |
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xvii | |
| Preface |
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xxxiii | |
| Introduction: The Approach to the Emergency Department Patient |
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01 | (5) |
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06 | (6) |
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12 | (15) |
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27 | (9) |
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36 | (7) |
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43 | (15) |
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SECTION II HIGH-RISK CHIEF COMPLAINTS |
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58 | (4) |
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62 | (8) |
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70 | (6) |
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76 | (4) |
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80 | (9) |
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Altered Mental Status and Coma |
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89 | (5) |
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94 | (6) |
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100 | (5) |
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105 | (7) |
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SECTION III EYE EMERGENCIES |
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The Ophthalmic Examination |
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112 | (5) |
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Common Ophthalmic Medications |
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117 | (3) |
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120 | (3) |
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Corneal Abrasion and Foreign Bodies |
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123 | (3) |
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126 | (5) |
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131 | (4) |
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135 | (5) |
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Acute Angle-Closure Glaucoma |
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140 | (10) |
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SECTION IV ENT AND DENTAL EMERGENCIES |
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150 | (3) |
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Oral and Maxillofacial Disorders |
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153 | (10) |
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Nontraumatic Upper Airway Obstruction |
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163 | (4) |
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167 | (5) |
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Complications of Tracheostomies |
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172 | (2) |
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174 | (4) |
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Acute Ear Infections in Adults |
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178 | (7) |
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185 | (5) |
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Vertigo and Labyrinthine Disorders |
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190 | (8) |
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SECTION V PULMONARY EMERGENCIES |
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198 | (8) |
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206 | (7) |
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213 | (7) |
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220 | (6) |
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Chronic Obstructive Pulmonary Disease |
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226 | (4) |
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Spontaneous Pneumothorax and Pneumomediastinum |
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230 | (2) |
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232 | (5) |
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237 | (3) |
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240 | (6) |
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SECTION VI CARDIOVASCULAR EMERGENCIES |
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246 | (9) |
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Congestive Heart Failure and Cor Pulmonale |
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255 | (5) |
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260 | (6) |
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266 | (11) |
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The Patient with a Pacemaker or Implantable Cardioverter--Defibrillator |
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277 | (4) |
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281 | (5) |
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286 | (8) |
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Acute Pericarditis and Cardiac Tamponade |
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294 | (3) |
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297 | (9) |
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SECTION VII VASCULAR EMERGENCIES |
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Nontraumatic Carotid and Vertebral Artery Disorders |
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306 | (4) |
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Peripheral Arterial Disease |
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310 | (4) |
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Deep Venous Thrombosis and Thrombophlebitis |
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314 | (4) |
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Complications of Vascular Grafts |
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318 | (4) |
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322 | (3) |
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Aortic Dissection and Thoracic Aortic Aneurysms |
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325 | (5) |
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Abdominal Aortic Aneurysm |
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330 | (4) |
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Mesenteric Ischemia and Infarction |
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334 | (6) |
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SECTION VIII GASTROINTESTINAL EMERGENCIES |
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340 | (5) |
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Upper Gastrointestinal Bleeding |
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345 | (4) |
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Lower Gastrointestinal Bleeding |
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349 | (3) |
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352 | (4) |
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356 | (5) |
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Acute Diseases of the Biliary Tract |
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361 | (4) |
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365 | (8) |
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Hepatic Failure and Cirrhosis |
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373 | (3) |
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The Patient with a Liver Transplant |
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376 | (6) |
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382 | (5) |
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387 | (4) |
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391 | (3) |
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394 | (2) |
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Inflammatory Bowel Disease |
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396 | (3) |
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399 | (7) |
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406 | (2) |
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Perianal, Rectal, and Anal Diseases |
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408 | (5) |
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Gastrointestinal Foreign Bodies |
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413 | (5) |
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SECTION IX RENAL AND UROLOGIC EMERGENCIES |
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418 | (2) |
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420 | (8) |
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428 | (7) |
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435 | (2) |
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437 | (2) |
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439 | (4) |
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Urinary Incontinence and Retention |
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443 | (5) |
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Genitourinary Stents and Catheters |
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448 | (3) |
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451 | (2) |
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Azotemia and Acute Renal Failure |
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453 | (4) |
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Chronic Renal Failure and Dialysis-Related Emergencies |
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457 | (6) |
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The Patient with a Renal Transplant |
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463 | (7) |
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SECTION X GYNECOLOGIC EMERGENCIES |
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470 | (4) |
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Pelvic Inflammatory Disease |
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474 | (3) |
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Vaginal Bleeding in the Nonpregnant Patient |
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477 | (4) |
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481 | (3) |
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Breast Masses and Breast Infection |
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484 | (3) |
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487 | (7) |
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SECTION XI OBSTETRIC EMERGENCIES |
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Emergencies in Early Pregnancy |
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494 | (6) |
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500 | (5) |
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Complications of Induced Abortion |
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505 | (3) |
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Hypertensive Disorders of Pregnancy |
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508 | (4) |
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Emergencies of Late Pregnancy |
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512 | (5) |
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517 | (5) |
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522 | (5) |
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Drugs in Pregnancy and Lactation |
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527 | (9) |
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SECTION XII MUSCULOSKELETAL DISORDERS |
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Painful Syndromes of the Hand and Wrist |
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536 | (4) |
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Bursitis and Tendinopathy |
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540 | (5) |
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545 | (10) |
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555 | (6) |
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561 | (2) |
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563 | (5) |
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568 | (6) |
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SECTION XIII NEUROLOGIC EMERGENCIES |
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574 | (4) |
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578 | (10) |
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588 | (4) |
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592 | (10) |
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602 | (8) |
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610 | (1) |
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611 | (5) |
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Christopher A. Lewandowski |
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Bell's Palsy and Trigeminal Neuralgia |
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616 | (3) |
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Myopathies and Disorders of Neuromuscular Transmission |
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619 | (6) |
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625 | (4) |
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Parkinsonism and Other Movement Disorders |
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629 | (5) |
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SECTION XIV PSYCHIATRIC EMERGENCIES |
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634 | (3) |
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Depression and Suicide Ideation |
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637 | (2) |
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Anxiety Disorders and Panic Attack |
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639 | (4) |
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The Agitated or Violent Patient |
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643 | (2) |
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Factitious Illness, Malingering, and Conversion Disorder |
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645 | (4) |
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Bereavement and Grief Reactions |
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649 | (7) |
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SECTION XV DERMATOLOGIC EMERGENCIES |
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Life-Threatening Dermatoses |
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656 | (9) |
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665 | (6) |
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671 | (5) |
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676 | (4) |
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680 | (6) |
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SECTION XVI ALLERGIC AND IMMUNOLOGIC EMERGENCIES |
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686 | (5) |
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691 | (3) |
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Drug Allergy and Other Drug Reactions |
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694 | (4) |
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Multisystem Autoimmune Disease |
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698 | (8) |
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SECTION XVII INFECTIOUS DISEASE EMERGENCIES |
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Bacteremia, Sepsis, and Septic Shock |
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706 | (6) |
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Skin and Soft-Tissue Infections |
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712 | (6) |
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718 | (2) |
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Meningitis and Encephalitis |
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720 | (4) |
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Central Nervous System Abscess |
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724 | (5) |
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Sexually Transmitted Diseases |
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729 | (6) |
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735 | (6) |
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Rocky Mountain Spotted Fever |
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741 | (4) |
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Other Tick-Borne Diseases |
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745 | (6) |
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751 | (6) |
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757 | (2) |
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759 | (3) |
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Human Immunodeficiency Virus Infection and Related Disorders |
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762 | (11) |
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773 | (2) |
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775 | (6) |
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Blood and Body Fluid Exposures in the Health-Care Worker |
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781 | (7) |
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SECTION XVIII HEMATOLOGIC/ONCOLOGIC EMERGENCIES |
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788 | (8) |
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Antithrombotic Therapy and Its Complications |
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796 | (9) |
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Disseminated Intravascular Coagulation, Thrombotic Thrombocytopenic Purpura, and Hemolytic-Uremic Syndrome |
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805 | (5) |
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810 | (5) |
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815 | (3) |
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Transfusion Reactions and Complications |
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818 | (4) |
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The Cancer Patient in the Emergency Department |
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822 | (8) |
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SECTION XIX ENDOCRINE AND METABOLIC EMERGENCIES |
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830 | (5) |
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835 | (7) |
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842 | (4) |
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Hyperosmolar Hyperglycemic State |
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846 | (3) |
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849 | (5) |
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854 | (9) |
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Adrenal and Pituitary Disorders |
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863 | (5) |
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Disorders of Sodium and Water Metabolism |
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868 | (6) |
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Disorders of Potassium Metabolism |
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874 | (4) |
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Disorders of Calcium, Phosphate, and Magnesium Metabolism |
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878 | (6) |
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884 | (6) |
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General Principles of Trauma |
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890 | (9) |
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899 | (8) |
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907 | (5) |
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912 | (11) |
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923 | (5) |
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928 | (10) |
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938 | (7) |
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945 | (8) |
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953 | (3) |
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956 | (6) |
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Thoracolumbar Spine Fractures |
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669 | (305) |
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974 | (7) |
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981 | (9) |
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990 | (10) |
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1000 | (7) |
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Penetrating Abdominal Trauma |
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1007 | (5) |
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1012 | (6) |
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Peripheral Vascular Injuries |
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1018 | (4) |
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Approach to Musculoskeletal Injuries |
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1022 | (11) |
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1033 | (7) |
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1040 | (8) |
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Wrist and Forearm Injuries |
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1048 | (10) |
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1058 | (12) |
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1070 | (8) |
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1078 | (6) |
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1084 | (8) |
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1092 | (9) |
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1101 | (6) |
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1107 | (2) |
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Acute Compartment Syndrome |
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1109 | (4) |
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Ballistics and Blast Injuries |
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1113 | (4) |
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Hanging and Strangulation Injuries |
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1117 | (3) |
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1120 | (4) |
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1124 | (6) |
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General Approach to the Pediatric Emergency Patient |
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1130 | (6) |
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1136 | (7) |
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1143 | (8) |
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1151 | (4) |
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Shock and Vascular Access |
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1155 | (7) |
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General Approach to Pediatric Trauma |
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1162 | (8) |
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1170 | (4) |
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Evaluation of the Cervical Spine |
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1174 | (5) |
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Chest and Abdominal Trauma |
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1179 | (6) |
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Fractures and Sports Injuries |
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1185 | (6) |
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1191 | (4) |
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1195 | (3) |
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Apnea and Apparent Life-Threatening Events (ALTE) |
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1198 | (4) |
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1202 | (3) |
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1205 | (5) |
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1210 | (2) |
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1212 | (3) |
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1215 | (3) |
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1218 | (5) |
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1223 | (2) |
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1225 | (6) |
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Gastrointestinal Bleeding |
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1231 | (5) |
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1236 | (3) |
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1239 | (5) |
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1244 | (4) |
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1248 | (4) |
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1252 | (4) |
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1256 | (5) |
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1261 | (3) |
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1264 | (4) |
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1268 | (3) |
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Abuse and Neglect: Physical |
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1271 | (3) |
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1274 | (3) |
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1277 | (7) |
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1284 | (3) |
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1287 | (4) |
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Congenital Heart Disease, Congestive Heart Failure, and Other Cardiac Presentations |
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1291 | (6) |
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Croup and Other Airway Disorders |
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1297 | (4) |
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1301 | (13) |
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1314 | (3) |
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1317 | (6) |
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1323 | (9) |
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1332 | (3) |
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1335 | (8) |
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Glomerulonephritis and the Nephrotic Syndrome |
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1343 | (4) |
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Human Immunodeficiency Virus (HIV) |
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1347 | (6) |
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1353 | (6) |
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Javier A. Gonzalez del Rey |
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1359 | (2) |
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1361 | (2) |
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Lymphadenitis and Neck Masses |
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1363 | (4) |
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Meningitis and Encephalitis |
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1367 | (6) |
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Metabolic and Endocrine Disorders |
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1373 | (5) |
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1378 | (15) |
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1393 | (1) |
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1394 | (2) |
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1396 | (2) |
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Pharyngitis and Rheumatic Fever |
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1398 | (3) |
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1401 | (4) |
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Psychosocial and Behavioral Emergencies |
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1405 | (3) |
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1408 | (2) |
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1410 | (3) |
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1413 | (3) |
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1416 | (2) |
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Urinary Tract Infections in Children |
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1418 | (4) |
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Ventricular Shunt Problems |
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1422 | (4) |
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Administrative and Clinical Issues |
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Pediatric Sedation and Pain Management |
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1426 | (4) |
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Dealing with Death or Catastrophic Illness in Children |
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1430 | (6) |
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Approach to the Poisoned Patient |
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1436 | (10) |
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Gastrointestinal Decontamination |
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1446 | (4) |
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Alcohol-Related Agents and Conditions |
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1450 | (4) |
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1454 | (4) |
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1458 | (3) |
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Isopropanol, Acetone, and Other Glycols |
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1461 | (3) |
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1464 | (2) |
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1466 | (4) |
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Other Complications of Chronic Ethanol Abuse |
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1470 | (7) |
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Analgesics and Related Conditions |
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1477 | (5) |
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1482 | (2) |
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Nonsteroidal Antiinflammatory Drugs |
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1484 | (4) |
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1488 | (5) |
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1493 | (6) |
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Complications of Injection Drug Use |
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1499 | (5) |
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Anticonvulsants and Sedative--Hypnotics |
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1504 | (3) |
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1507 | (5) |
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1512 | (2) |
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1514 | (3) |
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Muscle Relaxants and Other Sedative--Hypnotic Agents |
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1517 | (4) |
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1521 | (4) |
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1525 | (2) |
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1527 | (6) |
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Anti-Infective Agents and Biocides |
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1533 | (4) |
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1537 | (4) |
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1541 | (2) |
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Organophosphate and Carbamate Insecticides |
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1543 | (4) |
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1547 | (4) |
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1551 | (5) |
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Antidysrhythmic Drugs and Local Anesthetics |
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1556 | (4) |
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Centrally Acting Antihypertensive Agents |
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1560 | (3) |
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1563 | (4) |
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Calcium Channel Antagonists |
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1567 | (3) |
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1570 | (4) |
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Chemicals, Gases, and Metabolic Poisons |
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1574 | (4) |
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1578 | (2) |
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Corrosives and Chemical Burns |
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1580 | (5) |
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1585 | (2) |
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Fluoride and Hydrofluoric Acid |
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1587 | (3) |
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1590 | (3) |
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1593 | (3) |
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1596 | (3) |
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1599 | (4) |
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1603 | (3) |
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1606 | (3) |
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1609 | (5) |
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Psychotherapeutic Agents and Related Conditions |
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1614 | (5) |
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1619 | (3) |
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1622 | (3) |
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1625 | (2) |
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Monoamine Oxidase Inhibitors |
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1627 | (6) |
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Serotonin Re-uptake Inhibitors |
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1633 | (4) |
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Stimulants and Hallucinogens |
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1637 | (4) |
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1641 | (4) |
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1645 | (4) |
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1649 | (3) |
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Phencyclidine and Ketamine |
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1652 | (2) |
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1654 | (4) |
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1658 | (3) |
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Miscellaneous Agents and Conditions |
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Biological Warfare Agents |
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1661 | (5) |
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1666 | (8) |
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Complications of Parenteral Drug Therapy |
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1674 | (3) |
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1677 | (5) |
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1682 | (4) |
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1686 | (3) |
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1689 | (4) |
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1693 | (3) |
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1696 | (10) |
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Dietary Supplements and Herbal Medications |
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1706 | (4) |
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1710 | (4) |
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1714 | (6) |
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SECTION XXIII ENVIRONMENTAL EMERGENCIES |
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Crotaline Snake Envenomation |
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1720 | (2) |
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Elapid Snake Envenomation |
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1722 | (2) |
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1724 | (3) |
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1727 | (4) |
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1731 | (3) |
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Black Widow Spider Envenomation |
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1734 | (3) |
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Brown Recluse Spider Envenomation |
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1737 | (2) |
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Insect, Tick, Mite Bites and Infestations |
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1739 | (6) |
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Mammal Bites and Associated Infections |
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1745 | (4) |
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1749 | (4) |
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Cold-Induced Tissue Injuries |
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1753 | (4) |
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1757 | (3) |
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1760 | (3) |
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Underwater and Diving Injuries |
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1763 | (4) |
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1767 | (3) |
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1770 | (3) |
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1773 | (2) |
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1775 | (7) |
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SECTION XXIV ADMINISTRATIVE AND SPECIAL CLINICAL CONSIDERATIONS |
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Emergency Medical Services |
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|
1782 | (10) |
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1792 | (6) |
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Disaster Planning and Management |
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1798 | (5) |
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Patient Safety, Ethical, Legal and Regulatory Issues |
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Errors and Patient Safety |
|
|
1803 | (4) |
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1807 | (5) |
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1812 | (6) |
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1818 | (5) |
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Special Clinical Considerations |
|
|
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|
1823 | (7) |
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|
1830 | (6) |
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Procedural Sedation and Analgesia |
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1836 | (6) |
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1842 | (6) |
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| Appendix A: Dermatomes |
|
1848 | (1) |
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|
| Appendix B: Length-Based Equipment Chart |
|
1849 | (2) |
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|
| Subject Index |
|
1851 | |
Other versions by this Author