Abuse

Jun 25, 2016 by in EMERGENCY MEDICINE Comments Off on Abuse

Abuse 34-1 Child Abuse Charles Felzen Johnson Child abuse (CA) is defined as intentional injuries to children that are significant or threatening to the child’s physical or psychological welfare. From…

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Human Immunodeficiency Virus-Related

Jun 25, 2016 by in EMERGENCY MEDICINE Comments Off on Human Immunodeficiency Virus-Related

Human Immunodeficiency Virus-Related 33-1 AIDS-Defining Opportunistic Illnesses Michael Greenberg Acquired immunodeficiency syndrome (AIDS)-defining opportunistic illnesses (OIs) include 26 clinical conditions that affect people with advanced human immunodeficiency virus (HIV) disease….

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Complications of Drug Abuse

Jun 25, 2016 by in EMERGENCY MEDICINE Comments Off on Complications of Drug Abuse

Complications of Drug Abuse 32-1 Substance Abuse: Infectious Disease Complications Anthony Morocco A variety of infections occur in injection drug users. They are caused by diverse organisms that include bacteria,…

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Complications of Procedures

Jun 25, 2016 by in EMERGENCY MEDICINE Comments Off on Complications of Procedures

Complications of Procedures 31-1 Nasogastric Tube Complications Mark Silverberg Indications Nasogastric tubes (NGTs) can be used to decompress the upper gastrointestinal tract if enteric obstruction exists. In the past, NGTs…

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Weapons of Mass Destruction

Jun 25, 2016 by in EMERGENCY MEDICINE Comments Off on Weapons of Mass Destruction

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…

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Toxicologic

Jun 25, 2016 by in EMERGENCY MEDICINE Comments Off on Toxicologic

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…

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Forensic Emergency Medicine

Jun 25, 2016 by in EMERGENCY MEDICINE Comments Off on Forensic Emergency Medicine

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…

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Occupational

Jun 25, 2016 by in EMERGENCY MEDICINE Comments Off on Occupational

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…

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Alternative Medicine

Jun 25, 2016 by in EMERGENCY MEDICINE Comments Off on Alternative Medicine

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…

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Environmental

Jun 25, 2016 by in EMERGENCY MEDICINE Comments Off on Environmental

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…

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