| Associate Editors |
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iv | |
| Contributors |
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vi | |
| Preface |
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xxx | |
| Acknowledgments |
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xxxii | |
| Section I Crashing Patient |
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1 Don't Lose That Airway! Imminent Airway Loss: Who Needs Endotracheal Intubation? |
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1 | (2) |
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3 | (3) |
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3 Airway Adjuncts: Know Your Backup Plans |
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6 | (2) |
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8 | (2) |
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5 Did You Maximize Your Laryngeal View? |
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10 | (3) |
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6 Don't Fear the Blade: Surgical Airway |
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13 | (2) |
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7 Do Not Rely on Clinical Examination Alone for Confirmation of Endotracheal Tube Placement |
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15 | (2) |
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17 | (3) |
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9 BP Still Low? Postintubation Hypotension |
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20 | (3) |
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10 Finding the Site: Site Selection and Minimizing Complications for Central Line Placement |
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23 | (2) |
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11 Managing Cardiac Arrest |
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25 | (3) |
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12 Medications in Cardiac Arrest: Time for a Requiem? |
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28 | (3) |
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13 What Are Your Vent Settings, Bud? |
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31 | (3) |
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14 After the Cardiac Arrest: Postarrest Care |
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34 | (3) |
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15 Cooling, How Low Do You Go? Therapeutic Hypothermia in the Postarrest Patient |
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37 | (2) |
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16 Activate the Cardiac Cath Team following Sudden Cardiac Arrest-Don't Be Afraid to Call |
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39 | (2) |
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41 | (2) |
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18 Do Not Delay the Administration of Epinephrine for Patients with Anaphylaxis |
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43 | (3) |
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19 Putting on the Squeeze...Vasopressors |
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46 | (2) |
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20 How Much Is Enough? Transfusions in the Bleeding Patient: Don't Forget the Rest of the Blood |
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48 | (2) |
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21 Fluid Therapy: Beware of (AB)Normal Saline-Choose Your Resuscitation Fluids Carefully |
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50 | (3) |
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53 | (3) |
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23 Needle This: Do Not Assume That Needle Decompression of a Tension Pneumothorax Is Reliable and Effective |
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56 | (1) |
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24 Resuscitative Thoracotomy |
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57 | (4) |
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25 Increased ICP in Resuscitation |
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61 | (2) |
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26 Massive Pulmonary Thromboembolism and Thrombolytics |
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63 | (2) |
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27 Fluid in the Sac? Cardiac Tamponade |
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65 | (2) |
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28 Is It Wide or Is It Narrow? PEA: A Simplified Approach to Pulseless Electrical Activity |
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67 | (2) |
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29 Undifferentiated Shock |
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69 | (3) |
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30 Know How to Identify Abdominal Compartment Syndrome |
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72 | (3) |
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75 | (2) |
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32 Know When to Administer Sodium Bicarbonate in the Critically Ill Poisoned Patient |
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77 | (3) |
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33 Think Big Vessels: Vascular Catastrophes |
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80 | (2) |
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34 Stop the Bleeding! Novel Therapies: REBOA |
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82 | (2) |
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35 Avoid the Tube! Noninvasive Ventilation Strategies |
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84 | (3) |
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36 Be Wary of Intubation in the Asthma Patient |
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87 | (2) |
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| Section II Critical Care |
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37 Stop Using Benzodiazepines to Sedate Your Critically Ill Intubated Patient |
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89 | (2) |
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38 Monitor the Plateau Pressure in Intubated ED Patients |
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91 | (4) |
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39 Forget CVP! Use Dynamic Markers of Volume Responsiveness to Guide Fluid Resuscitation in the Critically Ill Patient |
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95 | (2) |
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40 Consider Abdominal Compartment Syndrome in Patients with Refractory Hypotension |
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97 | (3) |
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41 Know the Thresholds for Red Blood Cell Transfusion in the Critically Ill |
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100 | (2) |
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42 Perform These Simple Interventions That Make a Big Difference in Preventing Ventilator-Associated Pneumonia |
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102 | (2) |
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43 Know How to Care for the ICU Boarder in Your ED |
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104 | (2) |
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44 Know How to Evaluate and Manage the Intubated Patient with Refractory Hypoxemia |
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106 | (3) |
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45 Ready for Prime Time? Extracorporeal Life Support in the ED |
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109 | (2) |
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46 Rapidly Reverse Life-Threatening Hemorrhage in the Patient Taking an Oral Anticoagulant Medication |
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111 | (2) |
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47 Be Ready to Discuss and Deliver End-of-Life Care in the Emergency Department |
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113 | (3) |
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| Section III Cardiology |
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48 Recognize Atypical Presentations of Acute Coronary Syndrome |
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116 | (1) |
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49 Type A Behavior: Consider Aortic Dissection in Patients with Chest Pain and Ischemic Electrocardiograms |
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117 | (2) |
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50 Contents Under Pressure: Aggressive Hemodynamic Management in Patients with Acute Aortic Dissection |
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119 | (2) |
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51 Do Not Confuse Multifocal Atrial Tachycardia with Atrial Fibrillation |
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121 | (2) |
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52 Do Not Confuse Mobitz Type I and Mobitz Type II Atrioventricular Block |
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123 | (3) |
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53 Be Able to Recognize Electrocardiographic Artifact from Dysrhythmia |
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126 | (2) |
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54 Management of Atrial Fibrillation: Rate Control versus Rhythm Conversion |
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128 | (2) |
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55 Management of Atrial Fibrillation with Rapid Ventricular Response |
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130 | (2) |
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56 Atrial Fibrillation in the Wolff-Parkinson-White Syndrome |
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132 | (3) |
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57 Never Mistake Ventricular Tachycardia for Supraventricular Tachycardia with Aberrant Conduction |
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135 | (2) |
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58 Know the Mimics of Ventricular Tachycardia |
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137 | (2) |
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59 Do Not Exclude Cardiac Causes of Chest Pain because the Patient Does Not Have Traditional Risk Factors for Acute Coronary Syndrome |
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139 | (2) |
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60 Do Not Forget to Consider Nontraditional Risk Factors for Coronary Artery Disease in Patients with Chest Pain |
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141 | (2) |
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61 Do Not Forget about the Non-ACS Causes of Chest Pain |
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143 | (3) |
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62 Be Cautious Diagnosing "Anxiety" or "Panic Disorder" in Patients with Chest Pain and Anxiety |
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146 | (2) |
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63 One and Done: Rapid Rule-Out Protocols |
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148 | (3) |
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Maite Anna Huis in 't Veld |
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64 Beware of the "Highly Sensitive" Troponin |
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151 | (2) |
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Maite Anna Huis in 't Veld |
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153 | (3) |
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66 Don't Stress the Stress Test in Suspected ACS |
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156 | (2) |
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67 Remember to Obtain a Right-Sided Electrocardiogram in a Patient with an Inferior Myocardial Infarction |
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158 | (1) |
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68 Pitfalls in Hypertensive Emergencies |
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159 | (2) |
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69 Know the Differential for ST-Segment Elevation: It's More Than Just Acute Coronary Syndrome |
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161 | (2) |
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70 Do Not Rely on a Single ECG to Evaluate Chest Pain in the ED |
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163 | (1) |
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71 Know How to Diagnose Acute MI in Patients with an LBBB or Pacemaker |
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164 | (3) |
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72 Getting Ahead of Cardiogenic Pulmonary Edema: Aggressive Nitroglycerin Usage |
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167 | (2) |
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73 Beyond Diuresis: Treatment Adjuncts in Cardiogenic Pulmonary Edema |
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169 | (2) |
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74 Know How to Differentiate Cardiac versus Noncardiac Causes of Syncope |
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171 | (2) |
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75 Pearls in Syncope ECG Interpretation |
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173 | (2) |
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76 Syncope: Avoiding a Shotgun Wedding |
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175 | (3) |
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| Section IV Gastroenterology |
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77 When an Appy Doesn't Follow the Rules |
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178 | (2) |
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78 Analgesia for the Patient with Acute Abdominal Pain: Don't Delay! |
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180 | (1) |
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79 Get to It Early: Sigmoid Volvulus |
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181 | (2) |
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80 Cecal Volvulus: Don't Miss It! |
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183 | (2) |
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81 Altered Mental Status in a Child: Don't Forget about Intussusception! |
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185 | (3) |
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82 Don't Miss Aortoenteric Fistula: A Rare But Life-Threatening Cause of Gastrointestinal Bleeding! |
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188 | (2) |
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83 Acute Mesenteric Ischemia: A True Abdominal Catastrophe |
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190 | (2) |
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84 Not All Epigastric Pain Is Benign |
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192 | (2) |
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85 Don't Underestimate an Acute Variceal Hemorrhage! |
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194 | (2) |
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86 Don't Be Fooled by a Subtle Presentation-SBP Can Be Deadly! |
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196 | (2) |
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87 Ascending Cholangitis aka Biliary Sepsis aka "That Other Pus Under Pressure" |
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198 | (2) |
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88 Acalculous Cholecystitis: No Stones, No Problems? |
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200 | (2) |
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89 Anticipate Bleeding and Reverse Coagulopathies in Patients with Liver Failure |
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202 | (3) |
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90 Boerhaave Syndrome: Not All Life-Threatening Chest Pain Involves the Heart and Lungs |
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205 | (1) |
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91 Caustic Ingestions: Don't Make It Worse |
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206 | (3) |
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92 Ingested Foreign Bodies: When to Intervene? |
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209 | (2) |
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93 Severe Acute Pancreatitis Can Be Sneaky |
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211 | (2) |
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94 Use Restraint When Imaging Patients with Acute Pancreatitis |
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213 | (2) |
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95 The "Pain" in Chronic Pancreatitis |
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215 | (2) |
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96 Abdominal Pain in Inflammatory Bowel Disease: A Flare or Emergent Complication? |
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217 | (2) |
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97 Not Every Pregnant Patient with Vomiting Has Hyperemesis Gravidarum |
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219 | (2) |
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98 Beware of the Patient with Painless |
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221 | (2) |
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99 ERCP Can Cause a Lot of Complications! |
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223 | (2) |
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100 Don't Be Afraid to Order a CT on a Pregnant Patient If She Really Needs It |
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225 | (2) |
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101 Know How to Deal with the Displaced PEG Tube |
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227 | (2) |
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102 Common Pitfalls in Point of Care Ultrasound of the Gallbladder! |
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229 | (3) |
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| Section V Cutaneous |
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103 Don't Miss Necrotizing Fasciitis! |
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232 | (2) |
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104 SJS and TEN: Are They Different? |
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234 | (3) |
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237 | (3) |
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240 | (3) |
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107 Chickenpox and Shingles: More Than Just a Rash |
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243 | (2) |
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108 Erythema Nodosum, Nodules, and Hypersensitivity |
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245 | (2) |
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109 Classic Is Not Always Classic: Classic Rashes |
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247 | (4) |
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| Section VI Endocrine/Metabolic |
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110 A Normal Bicarbonate Value Does Not Exclude an Acid-Base Disturbance |
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251 | (2) |
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111 Don't Forget about Octreotide for Hypoglycemia |
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253 | (1) |
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112 Pitfalls in the Management of DKA |
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254 | (3) |
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113 Do Not Rely on Orthostatic Vital Signs to Diagnose Volume Depletion |
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257 | (2) |
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114 HHS: When High Sugars Have Got You Down! |
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259 | (1) |
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115 Do Not Over Treat Hypo- or Hypernatremia |
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260 | (2) |
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116 A 3-Pronged Approach to the Treatment of Hyperkalemia |
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262 | (3) |
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117 Know How to Recognize and Treat Thyroid Storm |
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265 | (2) |
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118 Understand the Role of Magnesium in the Treatment of Hypokalemia |
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267 | (2) |
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119 Know How to Interpret the Venous Blood Gas |
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269 | (2) |
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120 Know the Indications for Bicarbonate Therapy |
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271 | (3) |
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| Section VII Environment |
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121 Not So Fast! Rewarming the Cold Patient |
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274 | (2) |
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Kubwimana Moses Mhayamaguru |
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122 Acclimatize or Die or Descend |
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276 | (2) |
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123 Aggressive Cooling Is (Almost) Always the Correct Approach to the Critical, Environmentally Hyperthermic Patient |
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278 | (2) |
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124 Smoke Inhalation: Commonly Overtreated and Undertreated Aspects |
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280 | (2) |
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125 CO Poisoning: It Takes More Than O2 |
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282 | (2) |
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126 A Rash That Is More Than "Just a Rash" |
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284 | (3) |
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127 Diving Injuries: Don't Miss These Serious Injuries Because You Failed to Get the History! |
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287 | (4) |
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| Section VIII HEENT |
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128 Giant Cell Arteritis: Who the Heck Is Horton and Why Should I Worry about His Headache? |
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291 | (2) |
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129 Sight-Threatening Zoster Ophthahnicus: How to Recognize and Treat |
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293 | (2) |
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295 | (2) |
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131 "Your patient has a retrobulbar hematoma. I think he's going to need a canthotomy." |
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297 | (3) |
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132 Beware the Sore Throat That Kills |
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300 | (2) |
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133 Consider a Deep Space Neck Infection in a Child with Fever and Neck Pain or Torticollis |
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302 | (2) |
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134 Lemierre Syndrome: A Royal Pain in the Neck |
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304 | (2) |
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135 Peritonsillar Abscess |
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306 | (3) |
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136 Don't Misdiagnose, Overtreat, or Cause Perforation of the Tympanic Membrane |
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309 | (2) |
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137 If It Ain't Cancer, Why Do I Call This Malignant Otitis Externa? |
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311 | (2) |
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138 Approach to the Red Eye |
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313 | (3) |
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139 Eyeing the Causes of Acute Vision Loss |
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316 | (2) |
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140 Face-Eating Fungus: Rhinocerebral Mucormycosis |
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318 | (2) |
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141 Digging for Gold: Some Nuggets about Epistaxis |
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320 | (3) |
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142 Ludwig Angina-"The German Stranglehold" |
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323 | (2) |
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143 Dental Exams Are Not Just for Dentists; Remember to Identify and Treat Oral Infections |
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325 | (3) |
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144 The Infection behind the Infection: Distinguishing Periorbital from Orbital Cellulitis |
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328 | (3) |
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| Section IX HEME ONC |
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145 When Kidneys Explode; Everything Is Wrong with Tumor Lysis Syndrome |
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331 | (3) |
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146 Immune Thrombocytopenia: Oh the Platelets, You'll Go! |
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334 | (2) |
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147 Thrombotic Thrombocytopenic Purpura and Hemolytic Uremic Syndrome: Bloody Zebras with a Bad Bite |
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336 | (2) |
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148 High Temps and Low Counts: Treat Febrile Neutropenic Patients with Early and Appropriate Antibiotics |
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338 | (3) |
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149 My Chest! My Back! My Sickle Cell Attack! |
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341 | (2) |
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150 Warfarin Reversal: Factor It In |
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343 | (2) |
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151 Emergent Anticoagulant Reversal: Be Appropriately Aggressive |
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345 | (3) |
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152 Recognize Leukostasis and Know When to Consult for Emergent Treatment |
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348 | (3) |
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| Section X Immune |
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153 Don't Get Stung by Anaphylaxis |
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351 | (2) |
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154 Angioedema and Anaphylaxis Are Not the Same, They Just Happen to Present Similarly |
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353 | (3) |
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155 Treacherous Transplant Toxicities |
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356 | (3) |
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156 Think Outside the "Graft Box" When Evaluating the Transplant Patient |
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359 | (2) |
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157 Do's and Don'ts for Managing Heart Transplant Patients in the ED |
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361 | (2) |
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158 Anaphylaxis and Epinephrine-Can You Have One without the Other? |
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363 | (4) |
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| Section XI Infectious Disease |
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159 Avoid Relying on the Presence of SIRS to Diagnose Sepsis |
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367 | (3) |
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160 Prevent Catheter-Associated Urinary Tract Infections (CAUTIs) in the Emergency Department |
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370 | (2) |
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161 Know the Embolic Complications of Infective Endocarditis |
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372 | (2) |
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162 The Don't Miss Diagnosis: Acute Retroviral Syndrome |
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374 | (2) |
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163 Understand When and How to Initiate HIV Postexposure Prophylaxis in the Emergency Department |
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376 | (3) |
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164 Recognize the Presentation of Bioterrorism Agents |
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379 | (2) |
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165 Staphylococcal Toxic Shock Syndrome: Do Not Hesitate-Resuscitate |
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381 | (2) |
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166 Do Not Be Misled by the Traditional Myths of Diarrhea |
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383 | (2) |
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167 Meningitis Doesn't Have to Be a Pain in the Neck! |
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385 | (2) |
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168 Know Emerging Infections |
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387 | (2) |
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169 TB and Syphilis: Infections You Can't Forget About |
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389 | (3) |
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170 Avoiding Common Pitfalls in Influenza Treatment |
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392 | (2) |
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171 Appropriate Antibiotic Choices for Resistant Organisms |
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394 | (3) |
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172 Know Infection Prevention |
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397 | (3) |
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173 Treating Pneumonia in COPD |
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400 | (1) |
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174 Diagnose and Treat Necrotizing Soft Tissue Infections Quickly! |
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401 | (3) |
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175 What Is the Best Way to Measure Core Temperature? |
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404 | (2) |
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| Section XII MS Nontrauma |
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176 Ugh! Another Repeat Visit for Back Pain?! Keep Epidural Abscess on the Differential! |
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406 | (2) |
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177 If You Suspect the Horse's Tail, Check the Saddle! |
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408 | (2) |
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178 Under Pressure: Rapidly Diagnosing and Treating Acute Compartment Syndrome of the Extremities |
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410 | (2) |
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179 Physical Exam and Bloodwork Do Not Adequately Differentiate Infectious from Inflammatory Arthritis |
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412 | (2) |
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180 Don't Get Broken Up about Muscle Breakdown |
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414 | (2) |
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181 When Back Pain Is an Emergency |
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416 | (2) |
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182 Rheumatoid Arthritis and Spondyloarthropathies |
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418 | (3) |
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| Section XIII Neuro |
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183 An Update on Idiopathic Intracranial Hypertension |
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421 | (1) |
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184 Normal Diagnostic Studies Do Not Rule Out Shunt Malfunction |
|
|
422 | (2) |
|
|
|
185 Don't Be Fooled into Erroneously Diagnosing Peripheral Vertigo |
|
|
424 | (3) |
|
|
|
186 Diagnosing Cervical Artery Dissection in the ED: A Real Pain in the Neck! |
|
|
427 | (3) |
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|
|
|
|
187 Posterior Circulation Ischemic Stroke: If You Don't Think about It, You'll Miss It |
|
|
430 | (2) |
|
|
|
188 Understand the Utility and Limitations of Diagnostic Imaging in Nontraumatic Subarachnoid Hemorrhage |
|
|
432 | (2) |
|
|
|
189 Don't Forget Atypical Causes of Status Epilepticus! |
|
|
434 | (2) |
|
|
|
190 Leave It Alone: Blood Pressure Measurement in Ischemic |
|
|
436 | (2) |
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|
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191 Cerebral Venous Sinus Thrombosis: A Rare Diagnosis with a Common Chief Complaint |
|
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438 | (2) |
|
Margarita Santiago-Martinez |
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|
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192 Great Imitators of Acute Stroke |
|
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440 | (2) |
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|
193 Blood Pressure in the Patient with Intracranial Hemorrhage-Bring It Down! |
|
|
442 | (3) |
|
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|
|
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194 How to Disposition the Patient with Suspected TIA |
|
|
445 | (2) |
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195 The Elusive Brain Abscess |
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447 | (2) |
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196 Bulbar Symptoms in the ED: Watch the Airway |
|
|
449 | (3) |
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197 Multiple Sclerosis in the ED: Rule Out Other Diagnoses First |
|
|
452 | (2) |
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| Section XIV OB/GYN |
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|
198 Early Pregnancy: Sifting Out the Potential Catastrophes from the Worried Well |
|
|
454 | (4092) |
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199 Pitfalls in the Pursuit of Ovarian Torsion |
|
|
4546 | |
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|
458 | (2) |
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|
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201 Seizing Young Woman? Think Eclampsia. Thinking Eclampsia? Think Again |
|
|
460 | (3) |
|
|
|
202 Vaginal Bleeding in Late Pregnancy |
|
|
463 | (2) |
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|
|
203 Predict the Unpredictable: Preterm Labor |
|
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465 | (3) |
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|
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204 A Bump on the Bump: Minor Abdominal Trauma in Pregnancy |
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468 | (2) |
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|
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205 Stable Is the New Abnormal: Beware the Normal Vital Signs in Pregnancy |
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470 | (2) |
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472 | (2) |
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207 Times a Wastin': Perimortem Cesarean Section |
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474 | (2) |
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|
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208 Clotted Lungs: Not All Shortness of Breath in Pregnancy Is from Lamaze Class |
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476 | (2) |
|
|
|
209 Postpartum Complications |
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478 | (3) |
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|
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210 There Is No Single Test to Rule Out PID: Just Treat It! |
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481 | (2) |
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211 Don't Dismiss the Young, Female Patient with Shortness of Breath without Considering Peripartum Cardiomyopathy |
|
|
483 | (3) |
|
|
| Section XV Psych |
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486 | (2) |
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|
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213 Restraint with Restraints: Patient Restraint |
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488 | (2) |
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|
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214 Mental Status Concern? Consider Psychosis |
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490 | (2) |
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|
215 Ask about Suicide Risk |
|
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492 | (3) |
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|
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216 Strange Behavior? Personality Disorders in the ED |
|
|
495 | (2) |
|
|
|
217 Don't Ignore Affective Disorders! |
|
|
497 | (2) |
|
|
|
218 Drug-Seeking Behavior in the Emergency Department |
|
|
499 | (3) |
|
|
|
219 Anxiety in the Emergency Department |
|
|
502 | (3) |
|
|
|
220 Address It in the ED, Substance Abuse in the Emergency Department |
|
|
505 | (3) |
|
|
| Section XVI Genitourinary |
|
|
221 Don't Let Dialysis Disequilibrium Syndrome Catch You Off-Balance |
|
|
508 | (1) |
|
|
|
222 Fournier Gangrene: A Lethal Infection You Can't Sit on! |
|
|
509 | (2) |
|
|
|
223 Testicular Torsion Trickery |
|
|
511 | (2) |
|
|
|
224 Hemodialysis: Who Needs It Now? |
|
|
513 | (2) |
|
|
|
225 To Thrill or Not to Thrill: When Dialysis Access Sites Go Wrong |
|
|
515 | (2) |
|
|
|
226 Wrap Your Head around This: Avoiding the Pitfalls of Phimosis and Paraphimosis Management |
|
|
517 | (3) |
|
|
|
227 Pyelonephritis: When It's Complicated Urine Trouble |
|
|
520 | (2) |
|
|
|
|
|
228 What Goes Up Must Come Down |
|
|
522 | (2) |
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|
|
229 Streamlining Urethritis: Don't Let an STD Escape Your ED |
|
|
524 | (3) |
|
|
|
230 I Don't Think My Urine Is Supposed to Look Like This! |
|
|
527 | (2) |
|
|
| Section XVII Thoracic |
|
|
231 Do Not Forget to Administer Steroids in Patients with Acute Asthma Exacerbations |
|
|
529 | (2) |
|
|
|
232 Do Not Withhold Oxygen in a Hypoxic Patient with Chronic Obstructive Pulmonary Disease |
|
|
531 | (2) |
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|
|
233 Know Acute Illnesses That Lead to Rapid Deterioration in the Patient with Pulmonary Hypertension |
|
|
533 | (3) |
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|
|
234 Know the Critical Issues in Resuscitation of the Decompensated Patient with Pulmonary Hypertension |
|
|
536 | (2) |
|
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|
|
235 Know the Evaluation and Management of the Patient with Sarcoidosis |
|
|
538 | (4) |
|
|
|
236 Properly Risk Stratify the Patient with Suspected Pulmonary Embolism |
|
|
542 | (3) |
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|
|
237 Know How to Diagnose and Treat Pulmonary Embolism |
|
|
545 | (3) |
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|
|
238 Know Which Patients with Submassive Pulmonary Embolism May Benefit from Thrombolytic Therapy |
|
|
548 | (3) |
|
|
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|
|
239 Understand Proper Ventilator Management in Patients with Acute Asthma Exacerbations |
|
|
551 | (3) |
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|
|
240 Know the Causes, Evaluation, and Management of Hemoptysis |
|
|
554 | (3) |
|
|
|
241 Use High-Flow Nasal Cannula in Patients with Mild to Moderate Respiratory Distress from Hypoxemia |
|
|
557 | (2) |
|
|
|
|
| Section XVIII TOX |
|
|
242 Alcohol Intoxication and Withdrawal |
|
|
559 | (2) |
|
|
|
243 Acetaminophen Toxicity: Getting Reacquainted with Matthew and Rumack |
|
|
561 | (2) |
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|
|
244 Mixed Disturbance: Think Salicylate Poisoning |
|
|
563 | (3) |
|
|
|
|
|
|
|
566 | (2) |
|
|
|
246 The Five Stages Iron Toxicity: Beware of the Latent Period |
|
|
568 | (2) |
|
|
|
247 Don't Miss Anticholinergic Syndromes! |
|
|
570 | (2) |
|
|
|
248 Cholinergic Poisoning |
|
|
572 | (2) |
|
|
|
249 An Old Favorite Heart Medication: Digoxin |
|
|
574 | (2) |
|
|
|
250 Did You Consider Intravenous Lipid Emulsion Therapy? |
|
|
576 | (2) |
|
|
|
|
|
251 Managing the Hot and Bothered: Sympathomimetic Overdoses |
|
|
578 | (3) |
|
|
|
252 Emerging Drugs of Abuse |
|
|
581 | (2) |
|
|
|
253 Cyanide Poisoning: A Tale of Two Antidotes |
|
|
583 | (2) |
|
|
|
254 Methemoglobinemia: Blue Pearls |
|
|
585 | (2) |
|
|
|
|
|
255 Should I Take That? Nutritional Supplements |
|
|
587 | (4) |
|
|
|
|
| Section XIX Trauma/Ortho |
|
|
256 Electrical Injuries: Shocking or Subtle? |
|
|
591 | (2) |
|
|
|
257 "Don't Tase Me Bro!" The TASERed Patient in the ED |
|
|
593 | (2) |
|
|
|
258 Managing Penetrating Neck Injuries: Hard or Soft, Superficial or Deep? |
|
|
595 | (3) |
|
|
|
259 To Crack or Not to Crack: Indications for an ED Thoracotomy |
|
|
598 | (2) |
|
|
|
260 Performing an ED Thoracotomy |
|
|
600 | (3) |
|
|
|
261 Save a Limb! Vascular Injury in Penetrating Extremity |
|
|
603 | (2) |
|
|
|
262 Judicious Abdominal Imaging in Trauma |
|
|
605 | (2) |
|
|
|
263 Severe Traumatic Brain Injury: Avoid Making It Worse! |
|
|
607 | (3) |
|
|
|
264 Fluid Resuscitation in Trauma: Five Pitfalls |
|
|
610 | (2) |
|
|
|
265 How Do You Fill a Tank with Holes in It? Optimal Vascular Access in Trauma Resuscitation |
|
|
612 | (2) |
|
|
|
266 Don't Be Afraid to Place a Chest Tube |
|
|
614 | (2) |
|
|
|
267 Massive Transfusion in Trauma: A Changing Landscape |
|
|
616 | (2) |
|
|
|
268 Reversal of Warfarin in Trauma |
|
|
618 | (2) |
|
|
|
269 Reversal of Novel Anticoagulants and Antiplatelet Agents |
|
|
620 | (2) |
|
|
|
270 When to Suspect Cervical Vascular Injury |
|
|
622 | (1) |
|
|
|
|
|
271 Alternatives to Packed Red Blood Cells: The Latest |
|
|
623 | (2) |
|
|
|
272 Tough Break: Assessing and Treating Rib Fractures |
|
|
625 | (2) |
|
|
|
273 Not So FAST: Pearls and Pitfalls with the FAST Exam |
|
|
627 | (1) |
|
|
|
274 Closing the Book: Using a Bedsheet to Stabilize Pelvic Fractures |
|
|
628 | (2) |
|
|
|
|
|
275 Is Spinal Immobilization Still Necessary? |
|
|
630 | (2) |
|
|
|
276 Are Vital Signs Reliable at Assessing Degree of Hemorrhage? |
|
|
632 | (2) |
|
|
|
277 The ABCs of Major Burns |
|
|
634 | (2) |
|
|
|
|
|
278 When Can Interventional Radiology (IR) Be Your Friend in Trauma? |
|
|
636 | (2) |
|
|
|
|
|
279 Don't Miss the Gamekeeper Thumb |
|
|
638 | (2) |
|
|
|
280 Admit Displaced Supracondylar Fractures for Neurovascular Checks |
|
|
640 | (2) |
|
|
|
|
|
281 Know the Radiographic Signs of Scapholunate Dislocation |
|
|
642 | (3) |
|
|
|
|
|
282 Know the Difference between Jones and Pseudo-Jones Fractures |
|
|
645 | (2) |
|
|
|
283 Search for Other Injuries in Patients with Scapular Fracture |
|
|
647 | (2) |
|
|
|
284 Do You Know How to Do ABIs? |
|
|
649 | (2) |
|
|
|
285 Don't Miss the Proximal Fibula Fracture in Patients with Ankle Fracture |
|
|
651 | (2) |
|
|
|
|
|
286 Boxer's Fracture? Check for Rotational Deformity! |
|
|
653 | (3) |
|
|
|
287 Think of Achilles Tendon Rupture in Patients with Sprained |
|
|
656 | (2) |
|
|
|
288 Reduce Hip Dislocations in a Timely Manner |
|
|
658 | (2) |
|
|
|
289 Check for Snuffbox Tenderness and Don't Miss a Scaphoid Fracture |
|
|
660 | (2) |
|
|
|
290 Calcaneal Fracture? Don't Miss a Spinal Injury! |
|
|
662 | (1) |
|
|
|
291 Beware of Benign-Appearing High-Pressure Injection Injuries |
|
|
663 | (2) |
|
|
|
292 Lisfranc Injury: Danger in the Midfoot |
|
|
665 | (3) |
|
|
|
293 The Dorsal Chip: Is It a Triquetral Fracture? |
|
|
668 | (2) |
|
|
|
294 Lunate and Perilunate Dislocations: Pick These Up on Initial Presentation! |
|
|
670 | (3) |
|
|
|
295 Red Flags for Intimate Partner Violence and Human Trafficking |
|
|
673 | (2) |
|
|
| Section XX Procedures/Skills/Anesth |
|
|
296 Sedation Pearls and Pitfalls: Procedural Sedation in the Emergency Department |
|
|
675 | (3) |
|
|
|
297 Capnography in the ED: Qualitative or Quantitative Monitoring? For CPR and a Whole Lot More |
|
|
678 | (2) |
|
|
|
298 To Transfuse or Not to Transfuse |
|
|
680 | (2) |
|
|
|
299 Transfusion Confusion: Types and Management of Transfusion Reactions |
|
|
682 | (2) |
|
|
|
|
|
684 | (2) |
|
|
|
|
|
301 Lumbar Puncture and the Champagne Tap |
|
|
686 | (3) |
|
|
|
302 Tapping the Belly: Paracentesis in the Emergency Department |
|
|
689 | (2) |
|
|
|
|
|
303 Careful with That Tap: Accessing the VP Shunt |
|
|
691 | (3) |
|
|
|
304 No IV, Consider the IO |
|
|
694 | (1) |
|
|
|
305 What Nerve! Ultrasound-Guided Regional Nerve Blocks |
|
|
695 | (3) |
|
|
|
306 A Needling Issue: Decompressing Tension Pneumothorax |
|
|
698 | (2) |
|
|
|
307 Which Line Is It? Central Line Placement |
|
|
700 | (2) |
|
|
|
|
|
308 Size Matters; Spontaneous Pneumothorax: Chest Tube versus Pigtail |
|
|
702 | (3) |
|
|
| Section XXI Pediatrics |
|
|
309 Recognize Child Abuse Early |
|
|
705 | (2) |
|
|
|
310 Tips for Managing All That Is Pediatric Resuscitation |
|
|
707 | (2) |
|
|
|
|
|
311 Keep the Baby Warm! And Other Steps in Neonatal Resuscitation |
|
|
709 | (2) |
|
|
|
|
|
312 The Pediatric Airway: Learn It, Live It, Control It! |
|
|
711 | (2) |
|
|
|
313 All That Barks Is Not Croup |
|
|
713 | (2) |
|
|
|
314 Don't Get in Hot Water by Not Knowing How to Treat Pediatric Burns |
|
|
715 | (2) |
|
|
|
|
|
315 My Baby Won't Stop Crying! |
|
|
717 | (2) |
|
|
|
|
|
316 Pediatric Procedural Sedation in the ED: Easier Than You May Think |
|
|
719 | (3) |
|
|
|
317 The Ins and Outs of Intussusception |
|
|
722 | (2) |
|
|
|
|
|
318 Do Not Rely On Urinalysis to Exclude Urinary Tract Infections in Children Younger Than Two Years |
|
|
724 | (2) |
|
|
|
319 A Bundle of Joy! The Sick Neonate |
|
|
726 | (2) |
|
|
|
320 Beware Pediatric Appendicitis |
|
|
728 | (2) |
|
|
|
321 Diagnoses Not to Miss in the Acutely Limping Child |
|
|
730 | (2) |
|
|
|
322 Don't Diagnose Sepsis in an Alkalotic Infant |
|
|
732 | (2) |
|
|
|
|
|
323 BRUE: The Diagnosis Formerly Known as ALTE |
|
|
734 | (2) |
|
|
|
|
|
324 "Kid ECGs Are Not Just Little Adult ECGs" |
|
|
736 | (3) |
|
|
|
325 Not All Pediatric Head Injuries Require a Head CT |
|
|
739 | (2) |
|
|
|
|
|
326 Easy Does It: Be Cautious with the Cyanotic Postoperative Pediatric Cardiac Patient |
|
|
741 | (3) |
|
|
|
327 Not Too Sweet: Getting It Just Right in Initial Pediatric DKA Management |
|
|
744 | (2) |
|
|
|
|
|
328 Pediatric Concussion: A Levelheaded Approach |
|
|
746 | (3) |
|
|
|
|
| Section XXII Geriatrics |
|
|
329 Do Not Underestimate the Potential Morbidity of Abdominal Pain in Older Adults |
|
|
749 | (2) |
|
|
|
330 Think about ACS in Older Adults-Even without Chest Pain |
|
|
751 | (2) |
|
|
|
331 ACS the Geriatric Patient: Atypical Is Typical Treatment Differences in ACS in the Geriatric Patient |
|
|
753 | (2) |
|
|
|
332 Follow Your Elders' Footsteps, They May Be Ataxic |
|
|
755 | (2) |
|
|
|
|
|
333 Hip and Vertebral Compression Fractures |
|
|
757 | (2) |
|
|
|
|
|
334 Be Sure to Build a Safety Net around the Weak Geriatric Patient You Send Home |
|
|
759 | (2) |
|
|
|
335 Grandma is Loopy: Special Considerations for Altered Mental Status in the Older Adult |
|
|
761 | (2) |
|
|
|
336 The Geriatric Trauma Patient Is Sicker Than You Realize |
|
|
763 | (2) |
|
|
|
|
|
337 A Normal Physical Exam Does Not Exclude Infections in the Geriatric Patient |
|
|
765 | (2) |
|
|
|
338 Respecting Thy Elders: Defining, Detecting, and Reporting Elder Abuse |
|
|
767 | (2) |
|
|
|
339 How to Avoid Snowing Seniors: Pain Medications and Procedural Sedation in Older Adults |
|
|
769 | (2) |
|
|
|
|
|
340 The Consequences of Grandpa's Loaded Medicine Cabinet |
|
|
771 | (2) |
|
|
|
|
|
341 Communicating and Understanding the Elder Patient |
|
|
773 | (3) |
|
|
|
|
| Section XXIII Wound Care |
|
|
342 Deep Sutures: When, Why, and Why Not? |
|
|
776 | (7011) |
|
|
|
|
|
343 Pitfalls in Emergency Department Abscess Incision and Drainage |
|
|
7787 | |
|
|
|
|
|
344 Keep It Clean: Pitfalls in Traumatic Wound Irrigation |
|
|
780 | (2) |
|
|
|
|
|
345 Plantar Puncture Wound Pearls and Pitfalls |
|
|
782 | (2) |
|
|
|
346 Do Not Believe the Adage That Epinephrine Cannot Be Used for Digital Blocks |
|
|
784 | (2) |
|
|
|
347 When Are Prophylactic Antibiotics Indicated for Wounds? |
|
|
786 | (2) |
|
|
|
348 Do Not Miss a Foreign Body in a Wound |
|
|
788 | (2) |
|
|
|
|
|
349 Know How to Treat Mammalian Bites |
|
|
790 | (2) |
|
|
|
350 Is That Skin Lesion an Infection or an Envenomation? |
|
|
792 | (2) |
|
|
|
|
|
351 Know How to Treat Snake Bites |
|
|
794 | (3) |
|
|
|
|
|
352 Eyelid Lacerations: When to Repair and When to Refer |
|
|
797 | (1) |
|
|
|
353 Ear Injuries and Lacerations |
|
|
798 | (2) |
|
|
|
|
|
354 Know Which Wounds to Close... and Which Ones to Leave Open |
|
|
800 | (3) |
|
|
|
|
| Section XXIV Clinical Practice And Legal Issues |
|
|
355 Consult Communications: Optimal Communications with Consultants |
|
|
803 | (2) |
|
|
|
356 Treating the Patient and Not the Disease: Tips for Patient Satisfaction |
|
|
805 | (2) |
|
|
|
357 Your Patient Has Died, Now Focus on the Family: How to Deliver Bad News to Family Members |
|
|
807 | (3) |
|
|
|
358 Don't Be Afraid to Discuss End-of-Life Decisions with the Patient and Family |
|
|
810 | (2) |
|
|
|
359 Too Many at One Time? Emergency Department Overcrowding |
|
|
812 | (2) |
|
|
|
|
|
360 Discharge Documentation: Keep It Clear, Concise, Yet Complete |
|
|
814 | (3) |
|
|
|
361 Resident and Advanced Practice Provider Supervision |
|
|
817 | (1) |
|
|
|
|
|
362 What to Do with So Many? Strategies for Reducing Emergency Department Overcrowding |
|
|
818 | (4) |
|
|
|
|
|
363 What to Do When the Registered Letter Arrives |
|
|
822 | (2) |
|
|
|
|
|
824 | (3) |
|
|
|
|
|
827 | (4) |
|
|
| Index |
|
831 | |
