Weapons of Mass Destruction 30-1 Personal Protective Equipment Anthony Morocco Personal protective equipment (PPE) is usually classified into four levels based on respiratory and contact protection.1 Level A: Self-contained breathing…
Toxicologic 24-1 Gastrointestinal Decontamination Anthony Morocco The appropriate use of gastrointestinal decontamination after potentially harmful ingestions remains controversial.1,2,3,4,5 Modalities include single- and multi-dose activated charcoal (AC), gastric lavage, cathartics, and…
Forensic Emergency Medicine 29-1 Identification of Wounds: Shotgun Wounds Robert Hendrickson Clinical Presentation Shotguns are capable of producing a variety of wounds, depending on the ammunition used. Ammunition may be…
Occupational 26-1 Welder’s Flash Michael Greenberg Clinical Presentation Patients with Welder’s flash (WF) present in a delayed fashion (usually 6 to 12 hours) after welding or observing welding activities. Presenting…
Alternative Medicine 28-1 Coining/Spooning Michael Greenberg Clinical Presentation Patients who have undergone coining or spooning present with multiple erythematous linear marks on the back and/or chest.1,2 FIGURE 28-1 Characteristic skin…
Environmental 25-1 Snake Bite: North American Crotalid Anthony Morocco Clinical Presentation Dry bites, which occur in up to 20% of cases, result in no significant symptoms. After true envenomation, patients…
Psychosocial 27-1 Munchausen’s Syndrome Michael Greenberg Clinical Presentation Patients with Munchausen’s syndrome (MS), who usually are men, can present with any of a myriad of symptoms and complaints referable to…
Rheumatologic 23-1 Rheumatoid Arthritis Robert Hendrickson Clinical Presentation Rheumatoid arthritis (RA) affects less than 1% of the U.S. population1 and most commonly occurs in women aged 40 to 70 years.2…
Infectious Diseases 20-1 Rocky Mountain Spotted Fever Rakesh D. Mistry Clinical Presentation The clinical presentation of Rocky Mountain spotted fever (RMSF) is characterized by fever, headache, and a petechial rash….
