ローゼン救急医学：概念と臨床実験 (第１０版・全２巻)
Rosen’s Emergency Medicine : Concepts and Clinical Practice 10th
By Ron Walls, Executive Vice President and Chief Operating Officer, Brigham and Women’s Health Care; Neskey Family Professor of Emergency Medicine, Harvard Medical School, Boston, Massachusetts; Robert Hockberger, Chair Emeritus, Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California; Emeritus Professor of Medicine, David Geffen School of Medicine, Westwood, California; Marianne Gausche-Hill, Medical Director, Los Angeles County EMS Agency, Professor of Clinical Emergency Medicine and Pediatrics, David Geffen School of Medicine at UCLA, Clinical Faculty, Harbor-UCLA Medical Center, Departments of Emergency Medicine and Pediatrics; Timothy B. Erickson, Chief, Division of Medical Toxicology, Department of Emergency Medicine, Brigham and Women’s Hospital; Harvard Medical School, Boston, Massachusetts; Faculty, Harvard Humanitarian Initiative, Cambridge, Massachusetts and Susan R. Wilcox, Associate Professor, Emergency Medicine, Harvard Medicial School, Boston, Massachusetts
2022:07 2 vols. 2,768 p. 1,800 illus. ISBN 978-0-323-75789-8 set (Elsevier) -US-
USD 398.99
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概要
約４０年にわたり救急医学のスタンダード・レファレンスとして活用され続けてきたローゼンの改訂第１０版です。救急医学に関する最先端のトピックを常に網羅し、その情報の信頼性、記述の明解さにおいて最高の評価を受けています。実際の緊急医療現場と密接に関わるコンテンツを用いて、適切な診断、処置やワークフローを紹介しています。
今回の改訂では、COVID-19、病的肥満患者、LGBTQの患者などについて８つの章を新たに設けると共に、気道確保、敗血症、蘇生法、免疫不全患者、児童虐待といった様々なトピックスに関して新たな情報を追加しています。
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内容明細
Preface to the Tenth Edition
Preface to the Ninth Edition
How This Medical Textbook Should Be Viewed by the Practicing Clinician and Judicial System
Volume I
Fundamental Clinical Concepts
Section One. Resuscitation and Analgesia
1. Airway
Principles
Management
Outcomes
2. Mechanical Ventilation and Noninvasive Ventilatory Support
Foundations
Management
Outcomes
3. Shock
Foundations
Management
Outcomes
4. Brain Resuscitation
Foundations
Management
Pharmacology
Outcomes
5. Adult Resuscitation
Foundations
Management
Pharmacology
Devices and Techniques
Outcomes
6. Pain Management
Foundations
Management
Outcomes: Treatment Endpoints
7. Procedural Sedation and Analgesia
Foundations
Management
Section Two. Signs, Symptoms, and Presentations
8. Fever in the Adult Patient
Foundations
Empirical Management
Disposition
9. Weakness
Foundations
Diagnostic Approach
Empiric Management
Disposition
10. Cyanosis
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empiric Management
Patient Disposition
11. Syncope
Foundations
Diagnostic Approach
Diagnostic and Management Algorithm
Risk-Stratification
Empiric Management
12. Depressed Consciousness and Coma
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empirical Management
13. Confusion
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empirical Management
14. Seizures
Foundations
Diagnostic Approach
Ancillary Testing
Diagnostic Algorithm
Empiric Management
15. Dizziness and Vertigo
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empirical Management
Disposition
16. Headache
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empirical Management
17. Diplopia
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empirical Management
18. Red and Painful Eye
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empiric Management
19. Sore Throat
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empiric Management
20. Hemoptysis
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empirical Management
21. Dyspnea
Foundations
Diagnostic Approach
Diagnostic Algorithm
22. Chest Pain
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empirical Management
23. Abdominal Pain
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empiric Management
24. Jaundice
Epidemiology
Pathophysiology
25. Nausea and Vomiting
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empirical Management
Disposition
26. Gastrointestinal Bleeding
Foundations
Diagnostic Approach
Diagnostic Algorithm
Management
27. Diarrhea
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empiric Management
Disposition
28. Constipation
Foundations
Diagnostic Approach
Empirical Management
29. Acute Pelvic Pain
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empirical Management
30. Vaginal Bleeding
Foundations
Diagnostic Approach
Diagnostic Algorithm
Empiric Management
Disposition
31. Back Pain
Foundations
Diagnostic Approach
Ancillary Testing
Diagnostic and Management Algorithms
Empiric Management
Disposition
Trauma
Section One. General Concepts and System Injuries
32. Multiple Trauma
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
33. Head Trauma
Foundations
Moderate and Severe Traumatic Brain Injury
Mild Traumatic Brain Injury (Also Known as Concussion)
34. Facial Trauma
Foundations
Differential Diagnoses Based on Anatomic Sites
Diagnostic Testing
Management
Disposition
35. Spinal Trauma
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
36. Neck Trauma
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
37. Thoracic Trauma
Chest Wall Injury
Pulmonary Injuries
Tracheobronchial Injury
Diaphragmatic Injury
Cardiovascular Trauma
38. Abdominal Trauma
Foundations
Differential Diagnoses
Diagnostic Testing
Management
Disposition
39. Genitourinary Trauma
Foundations
40. Peripheral Vascular Trauma
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
Section Two. Orthopedic Injuries
41. General Principles of Orthopedic Injuries
Overall Foundations
Fractures
Subluxation and Dislocations
Soft Tissue Injuries
Strains
42. Hand Injuries
Foundations: a General Approach to Hand Injuries
Specific Hand Injuries
Infectious Disorders of the Hand
43. Wrist and Forearm Injuries
Wrist
Forearm
44. Humerus and Elbow Injuries
Foundations
General Clinical Features
General Differential Diagnoses
General Diagnostic Testing
General Management
General Disposition
Acknowledgments
45. Shoulder Injuries
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Specific Injuries
46. Pelvic Injuries
Foundations
Clinical Features
Deep Venous Thrombosis
Differential Diagnosis
Diagnostic Testing
Management
Disposition
47. Femur and Hip Injuries
General Information
Clinical Features of Hip and Femur Pathology
Differential Diagnoses
Diagnostic Testing
Management
48. Knee and Lower Leg Injuries
Knee Injuries—Foundations
Knee Injuries—Clinical Features
Knee Injuries—Differential Diagnoses
Knee Injuries—Examination Maneuvers
Knee Injuries—Diagnostic Testing
Specific Knee Injuries
Overuse Syndromes
ARTHRITIS
Baker Cyst
Leg
Specific Leg Injuries
49. Ankle and Foot Injuries
Ankle
Ankle Fractures and Dislocations
Foot
Specific Pathologic Conditions
Special Considerations
Section Three. Soft Tissue Injuries
50. Wound Management Principles
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
51. Foreign Bodies
Foundations
Specific Disorders
52. Mammalian Bites
Foundations
Dog Bites
Cat Bites
Other Mammals
Uncommon Animal Bites
Domestic Herbivores
Wild Animals
53. Venomous Animal Injuries
Foundations
Venomous Reptiles
Management
Disposition
Venomous Arthropods
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
Venomous Marine Animals
Differential Diagnoses
54. Thermal Injuries
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
55. Chemical Injuries
General Approach to a Hazmat Event
Clinical Features and Differential Diagnoses
Diagnostic Testing
Management
Disposition
Ocular Injuries
Specific Toxins
Emergency Medicine by System
Section One. Head and Neck
56. Oral Medicine
Introduction
Disorders of the Tooth
Disorders of the Gingiva and Periodontium
Disorders Involing Dental Procedures
Odontogenic and Deep Neck Infections
Dentoalveolar Trauma
Temporomandibular Joint Disorder and Dislocation
57. Ophthalmology
Overview
Traumatic Conditions
Inflammatory Conditions
Infectious Conditions
Acute Angle-Closure Glaucoma
Primary Disorders of Vision
Diplopia
Anisocoria
Nystagmus
58. Otolaryngology
Otitis Media
Otitis Externa
Necrotizing (Malignant) External Otitis
Mastoiditis
Sudden Hearing Loss
Epistaxis
Sialolithiasis
Neck Masses
Section Two. Pulmonary System
59. Asthma
Foundations
Clinical Features
Differential Diagnoses
Management
Special Situations
Disposition
60. Chronic Obstructive Pulmonary Disease
Foundations
61. Upper Respiratory Tract Infections
Pharyngitis
Laryngitis
Epiglottitis
Peritonsillitis: Peritonsillar Cellulitis and Abscess
Ludwig Angina
Retropharyngeal Abscess
Parapharyngeal Abscess
Rhinosinusitis
62. Pneumonia
Principles
Management
Disposition
63. Pleural Disease
Introduction
Spontaneous Pneumothorax
Pleural Effusion
Section Three. Cardiac System
64. Acute Coronary Syndromes
Foundations
Epidemiology
Pathophysiology
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
65. Dysrhythmias
Foundations
Classification of Antidysrhythmic Drugs
Management
Disposition
66. Implantable Cardiac Devices
Permanent Pacemakers
Implantable Cardioverter-Defibrillators
Mechanical Circulatory Support Devices
67. Heart Failure
Foundations
Clinical Features
Differential Diagnosis
Diagnostic Testing
Management
Disposition
68. Pericardial and Myocardial Disease
Myocardial Disease
Pericardial Disease
69. Infective Endocarditis and Valvular Heart Disease
Infective Endocarditis
Rheumatic Fever
Valvular Heart Disease
Aortic Stenosis
Aortic Regurgitation
Section Four. Vascular System
70. Hypertension
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
71. Aortic Dissection
Foundations
Clinical Features
Differential Diagnosis
Diagnostic Testing
Management
Disposition
72. Abdominal Aortic Aneurysm
Principles
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Late Complications of Repair
Disposition
73. Peripheral Arteriovascular Disease
Foundations
Background
Clinical Features
Differential Diagnosis
Diagnostic Testing
Management
Specific Arteriovascular Diseases
74. Pulmonary Embolism and Deep Vein Thrombosis
Foundations
Deep Vein Thrombosis
Pulmonary Embolism
Disposition
75. Esophagus, Stomach, and Duodenum
Dysphagia
Foreign Bodies
Esophageal Perforation
Esophagitis
Gastritis and Peptic Ulcer Disease
Gastric Volvulus
76. Liver and Biliary Tract Disorders
Hepatic Disorders
Hepatitis
Cirrhosis
Hepatic Encephalopathy
Spontaneous Bacterial Peritonitis
Hepatic Abscesses
Miscellaneous Disorders and Conditions of the Liver
Biliary Tract Disorders
Cholecystitis
Cholangitis
Sclerosing Cholangitis
Aids Cholangiopathy
Section Five. Gastrointestinal System
77. Pancreas
Pancreatitis
Pancreatic Cancer
78. Small Intestine
Small Bowel Obstruction
Acute Mesenteric Ischemia
79. Acute Appendicitis
Principles
Clinical Features
Differential Diagnosis
Diagnostic Testing
Management
Disposition
80. Gastroenteritis
Overview
Clinical Features
Bacterial Gastroenteritis
Invasive Bacteria
Noninvasive Toxin-Forming Bacteria
Viral Gastroenteritis
Parasites
Food Poisoning
Specific Groups With Gastroenteritis
Gastroenteritis in the Immunocompromised Host With HIV/AIDS
81. Large Intestine
Irritable Bowel Syndrome
Diverticular Disease
Large Bowel Obstruction
Volvulus
Intussusception
Inflammatory Bowel Disease
Colonic Ischemia
Stercoral Colitis
Radiation Proctocolitis
Neutropenic Enterocolitis
82. Anorectum
Foundations
Clinical Features
Specific Anorectal Problems
Volume II
Section Six. Genitourinary and Gynecologic Systems
83. Renal Failure
Renal Failure
84. Sexually Transmitted Infections
Foundations
Disorders Characterized by Genital Ulcers
Disorders Characterized by Genital Discharge
Epithelial Cell Infections
Ectoparasites
85. Urologic Disorders
Urinary Tract Infection in Adults
Complicated Urinary Tract Infection in High-Risk Populations
Prostatitis
Renal Calculi
Bladder (Vesical) Calculus
Acute Scrotal Pain
Specific Disorders
Torsion of Appendages of the Testis
Epididymitis
Orchitis
Testicular Tumors
Testicular Trauma
Inguinal Hernia, Acute Hydrocele, Varicocele, and Spermatocele
Acute Urinary Retention
Hematuria
86. Gynecologic Disorders
Gynecologic Disorders
Adnexal Torsion
Ovarian Cysts and Masses
Abnormal Uterine Bleeding in the Nonpregnant Patient
Emergency Contraception
Section Seven. Neurology
87. Stroke
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Transient Ischemic Attack
Disposition
88. Seizure
Foundations
Clinical Features
Differential Diagnosis
Diagnostic Testing
Management
Special Cases
Disposition
89. Headache Disorders
Primary Headache Disorders
Secondary Headache Disorders
90. Delirium and Dementia
Overview
Delirium
Dementia
91. Brain and Cranial Nerve Disorders
Multiple Sclerosis
Cerebral Venous Thrombosis
Cranial Nerve Disorders
92. Spinal Cord Disorders
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Specific Disease Processes
Chronic Complications Of Spinal Cord Injury
93. Peripheral Nerve Disorders
Overview
Specific Types of Neuropathies
94. Neuromuscular Disorders
Foundations
Clinical Features
Differential Diagnosis
Diagnostic Testing
Disorders of the Neuromuscular Junction
Disorders of the Muscles
95. Central Nervous System Infections
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
Section Eight. Behavioral Disorders
96. Thought Disorders
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
97. Mood Disorders
Foundations
Epidemiology
Pathophysiology
Clinical Features
Differential Diagnoses
Management
Disposition
98. Anxiety Disorders
Foundations
Clinical Features
Differential Diagnosis
Diagnostic Testing
Management
Disposition
99. Somatic Symptoms and Related Disorders
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
100. Factitious Disorders and Malingering
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
101. Suicidal Behavior
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
Additional Ethical Considerations
Section Nine. Immunologic and Inflammatory
102. Arthritis
General Approach to Arthritis
Acute Monoarticular Joint Pain
Chronic Monoarticular Arthritis
Acute Polyarticular Joint Pain
Chronic Polyarthritis
103. Tendinopathy and Bursitis
Tendinopathy
Bursitis
104. Musculoskeletal Back Pain
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
105. Systemic Lupus Erythematosus and the Vasculitides
Systemic Lupus Erythematosus
Vasculitis
106. Allergy, Anaphylaxis, and Angioedema
Allergy
Anaphylaxis
Urticaria and Angioedema
107. Dermatologic Presentations
Overview
Infectious Disorders
Allergic Reactions
Drug Reactions
Inflammatory Conditions
Autoimmune Disorders
Cutaneous Malignancies
Skin Conditions Associated with Systemic Disease
Section Ten. Hematology and Oncology
108. Blood and Blood Components
Foundations
Management
Outcomes
109. Anemia and Polycythemia
Anemia
Anemias Due To Decreased Red Blood Cell Production
Polycythemia
110. White Blood Cell Disorders
Foundations
Specific Disorders
111. Disorders of Hemostasis
Foundations
Clinical Features
Differential Diagnosis
Diagnostic Testing
Management
Disposition
112. Oncologic Emergencies
Foundations
Febrile Neutropenia
Metastatic Spinal Cord Compression
Malignant Pericardial Disease
Hypercalcemia
Foundations
Tumor Lysis Syndrome
Leukostasis
Superior Vena Cava Syndrome
Monoclonal Antibody Therapies and Complications
T-Lymphocyte Checkpoint Inhibitor Therapies and Complications
Adoptive Cell Transfer Therapies and Complications
Section Eleven. Metabolism and Endocrinology
113. Acid-Base Disorders
Foundations
Clinical Features
Differential Diagnosis and Diagnostic Testing
Management
Disposition
114. Electrolyte Disorders
Hyperkalemia
Hypokalemia
Hypernatremia
Hyponatremia
Hypercalcemia
Hypocalcemia
Hypermagnesemia
Hypomagnesemia
Hyperphosphatemia
Hypophosphatemia
115. Diabetes Mellitus and Disorders of Glucose Homeostasis
Diabetes Mellitus
Late Complications of Diabetes
Diabetic Ketoacidosis
Hyperglycemic Hyperosmolar State
Diabetes in Pregnancy
Hypoglycemia
116. Rhabdomyolysis
Foundations
Clinical Features
Differential Diagnosis
Diagnostic Testing
Management
Disposition
117. Thyroid and Adrenal Disorders
Hyperthyroidism
Hypothyroidism
Adrenal Excess States
Adrenal Insufficiency
Section Twelve. Infectious Diseases
118. Bacteria
Diphtheria
Pertussis
Tetanus
Botulism
Pneumococcemia
Meningococcemia
Toxic Shock Syndrome
119. Viruses
Foundations
Vaccine-Preventable Infections of Childhood
Viral Infections with Vesicular Rash
Viral Infections Causing Nonspecific Febrile Illness
Viruses Associated with Respiratory Infections
Viruses Associated with Diarrheal Illness
Viral Infections with Neurologic Manifestations
Other Arboviral Infections
Viral Hemorrhagic Fevers
120. Coronaviruses
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
121. HIV
Foundations
Clinical Features
Differential Diagnoses
Management
Disposition
122. Parasites
Foundations
Malaria
Babesiosis
Schistosomiasis and Katayama Fever
Cysticercosis
African Trypanosomiasis
Toxoplasmosis
Eosinophilic Meningitis
Parasites Associated with Fever
Whipworm And Hookworm
Tapeworm
Parasites Associated with Cutaneous Manifestations
Parasites Associated with Ocular Manifestations
Parasites Associated with Pulmonary Manifestations
Parasitic Diseases With Cardiovascular Manifestations
Parasitic Diseases With Gastrointestinal Manifestations
Parasitic Coinfections in Patients with Hiv Infection And Aids
123. Tickborne Illnesses
Overview
Lyme Disease
Southern Tick-Associated Rash Illness
Relapsing Fever
Tularemia
Rocky Mountain Spotted Fever
Q Fever
Ehrlichioses
Babesiosis
Colorado Tick Fever
Other Tickborne Viruses
Tick Paralysis
Tick Bite Prophylaxis With Insect Repellents
124. Tuberculosis
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
Prevention of Transmission in the Emergency Department
125. Bone and Joint Infections
Foundations
Osteomyelitis
Septic Arthritis
126. Skin and Soft Tissue Infections
Foundations
Clinical Features
Cellulitis
Abscess
Impetigo
Folliculitis
Acne Vulgaris and Hidradenitis Suppurativa (ACNE INVERSA)
Necrotizing Skin and Soft Tissue Infections
Toxic Shock Syndromes
Other Infections With Skin Manifestations
127. Sepsis Syndrome
Foundations
Clinical Features
Diagnostic Considerations
Management
Disposition
Environment and Toxicology
Section One. Environment
128. Hypothermia, Frostbite, and Nonfreezing Cold Injuries
Accidental Hypothermia
Frostbite and Nonfreezing Cold Injuries
Frostbite
Nonfreezing Cold Injuries
129. Heat Illness
Foundations
Minor Heat Illnesses
Major Heat Illnesses
130. Electrical and Lightning Injuries
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
131. Scuba Diving and Dysbarism
Foundations
Clinical Features
Differential Diagnoses
Management
Disposition
132. High-Altitude Medicine
Foundations
Acute Mountain Sickness
High-Altitude Pulmonary Edema
High-Altitude Cerebral Edema
Special Considerations
Altitude and Underlying Medical Conditions
133. Drowning
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
134. Radiation Injuries
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
Additional Resources
Section Two. Toxicology
135. Care of the Poisoned Patient
Principles Of Toxicity
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Syrup Of Ipecac
Gastric Lavage
Single-Dose Activated Charcoal
Whole Bowel Irrigation
Multiple-Dose Activated Charcoal
Serum Alkalinization
Intravenous Fat Emulsion (Intralipid)
Disposition
136. Toxic Alcohols
Methanol
Ethylene Glycol
Isopropyl Alcohol
Other Alcohols of Clinical Significance
137. Alcohol-Related Disease
Foundations
Clinical Features
Differential Diagnosis
Diagnostic Testing
Management
Disposition
138. Acetaminophen
Foundations
Clinical Features
Diagnostic Testing
Management
Disposition
139. Aspirin and Nonsteroidal Agents
Aspirin
Nonsteroidal Agents
140. Anticholinergics
Principles of Toxicology
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
141. Antidepressants
Principles Of Toxicity
Monoamine Oxidase Inhibitors
Tricyclic Antidepressants
Selective Serotonin Reuptake Inhibitors
Serotonin-Norepinephrine Reuptake Inhibitors And Norepinephrine Reuptake Inhibitors
Serotonin Modulators And Stimulators
Miscellaneous Antidepressants
Serotonin Syndrome
Discontinuation Syndromes
142. Cardiovascular Drugs
Cardioactive Steroids (Digoxin)
Beta-Blockers
Calcium Channel Blockers
Clonidine and Other Central Alpha-2 Agonists
Nitrates, Nitrites, and Methemoglobinemia
143. Caustics
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
Special Cases
144. Cocaine and Other Sympathomimetics
Foundations
Differential Diagnoses
Diagnostic Testing
Management
Special Topics
Disposition
145. THC and Hallucinogens
Serotonergic Agents
Dissociative Agents
Cannabis and Synthetic Cannabinoids
146. Iron and Heavy Metals
Iron
Lead
Arsenic
Mercury
147. Hydrocarbons
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
148. Inhaled Toxins
Simple Asphyxiants
Pulmonary Irritants
Smoke Inhalation
Cyanide and Hydrogen Sulfide
Carbon Monoxide
149. Lithium
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
150. Antipsychotics
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
151. Opioids
Principles of Toxicity
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Disposition
Withdrawal
152. Pesticides
Organophosphate Insecticides
Substituted Phenols
Chlorophenoxy Herbicides
Bipyridyl Herbicides
Pyrethrin and Pyrethroid Insecticides
Glyphosate
DEET
Rodenticides
153. Plants, Herbal Medications, and Mushrooms
Plants
Mushrooms
Herbal Medications
154. Sedative-Hypnotics
Foundations
Benzodiazepines
Management
Barbiturates
Management
Individual Medications
Over-The-Counter Sleep Aids
Gamma-Hydroxybutyrate
Special Populations
Section One. The Pediatric Patient
155. Care of the Pediatric Patient
Foundations
Evaluation
Specific Disorders
Other Considerations
156. Pediatric Airway Management
Foundations
Anatomy
Physiology
Equipment
Management
Devices and Techniques
Outcomes
157. Pediatric Sedation and Analgesia
Sedation
Pain Management
158. Pediatric Resuscitation
Cardiac Arrest
Septic Shock in the Pediatric Patient
159. Neonatal Resuscitation
Foundations
Transition From Fetal to Extrauterine Life
Specific Issues
Meconium-Stained Amniotic Fluid
Special Anatomic Anomalies
Disposition
Outcomes
160. Pediatric Trauma
Foundations
Clinical Features
Diagnostic Testing
Disposition
Specific Injuries
Musculoskeletal Injuries
161. Pediatric Fever
Foundations
Specific Disorders
162. Pediatric Upper Airway Obstruction and Infections
Foundations
Clinical Features
163. Pediatric Lower Airway Obstruction
Asthma
Bronchiolitis
164. Pediatric Lung Disease
Specific Disorders
165. Pediatric Cardiac Disorders
Foundations
Clinical Features
Diagnostic Testing
Specific Disorders
166. Pediatric Gastrointestinal Disorders
Foundations
Specific Disorders
167. Pediatric Infectious Diarrheal Disease and Dehydration
Diarrhea
Dehydration
168. Pediatric Genitourinary and Renal Tract Disorders
Foundations
Specific Disorders
169. Pediatric Neurologic Disorders
Seizures
Altered Mental Status
Headaches
Pediatric Ataxia
Pediatric Vertigo
Motor Dysfunction
Stroke
Disorders of the Spinal Cord
Guillain-Barré Syndrome
Infant Botulism
Myasthenia Gravis
170. Pediatric Musculoskeletal Disorders
Foundations
Specific Disorders
171. Pediatric Drug Therapy
Foundations
Pharmacokinetic Considerations In Children
Other Considerations
172. Child Abuse
Physical Abuse
Sexual Abuse
Section Two. The Pregnant Patient
173. Complications of Pregnancy
Problems in Early Pregnancy
Complications of Late Pregnancy
Medical and Surgical Problems in the Pregnant Patient
174. Medical Emergencies During Pregnancy
Foundations
Asthma
Cardiovascular Disorders
Hematologic Disorders
Neurologic Disorders
Renal Disorders
Metabolic and Endocrine Disorders
Obesity
Thyroid Disorders
Systemic Infections
Inflammatory Disorders
Psychiatric Disorders
175. Drug Therapy in Pregnancy
Foundations
Pharmacologic Therapy
176. Labor and Delivery
Foundations
Normal Delivery
Third-Trimester Complications Associated With Delivery
Complicated Delivery
Multiple Gestations
Umbilical Cord-Related Emergencies
Maternal Complications Of Labor And Delivery
Postpartum Problems
177. Trauma in Pregnancy
Foundations
Specific Disorders
Diagnostic Testing
Special Procedures
Management
Disposition
Section Three. The Geriatric Patient
178. Care of the Geriatric Patient
Foundations
Specific Issues and Disorders
179. Geriatric Trauma
Foundations
Specific Issues
Common Injuries in Older Adults
Disposition, End-of-Life Considerations, and Recovery
180. Geriatric Drug Therapy
Foundations
Specific Disorders
181. Geriatric Abuse and Neglect
Foundations
Clinical Features
Diagnostic Testing
Management
Specific Issues
Section Four. Special Clinical Circumstances
182. The Immunocompromised Patient
Foundations
Physiology
Specific Disorders
Immunosuppressive Therapy
183. The Solid Organ Transplant Patient
Introduction
Organ-Specific Considerations
Other Considerations
Disposition
184. The Morbidly Obese Patient
Foundations
Pathophysiology
Trauma Considerations
Bariatric Surgery
Procedural Difficulties
185. The Combative and Difficult Patient
The Combative Patient
The Difficult Patient
Section Five. Underserved Populations
186. Multiculturalism, Diversity, and Care Delivery
Foundations
Rationale For Cultural Competence
Specific Issues
Cultural Competence
Recommendations
187. Human Trafficking
Foundations
Epidemiology
Impact On Health
Specific Issues
Disposition
Special Considerations
188. Sexual Minority Populations (LGBTQ)
Foundations
Specific Issues
189. Social Determinants
Foundations
Specific Issues
Management
190. Community Violence
Foundations
Specific Issues
Physical Trauma From Violent Injury and the Role of Hospitals, Emergency Departments, and Trauma Centers
191. Sexual Assault
Foundations
Clinical Features
Differential Diagnoses
Diagnostic Testing
Management
Special Populations
Disposition
Testifying in Court
192. Intimate Partner Violence and Abuse
Foundations
Clinical Features
Specific Issues
Diagnostic Testing
Management
Disposition
Section Six. Public Health and Humanitarian Emergencies
e1. Global Emergency Medicine
Foundations
Specific Issues
e2. Humanitarian Aid in Disaster and Conflict
Foundations
Specific Issues
Conclusion
Section Seven. The Practice of Emergency Medicine
e3. Emergency Ultrasound
Foundations
Specific Issues
e4. The Geriatric Emergency Department
Principles
Specific Disorders/Issues
Conclusion
e5. End of Life
Foundations
Core Aspects of Palliative Care in the Emergency Department
e6. Bioethics
Foundations
Specific Issues
Fundamental Bioethical Principles
Medical And Moral Imperatives In Emergency Medicine
Codifying Professional Values: Ethical Oaths And Codes
Applying Bioethics
Medical Imperatives And Bioethical Dilemmas
Rapid Ethical Decision-Making Model
Advance Directives
Consent, Decision-Making Capacity, And Surrogate Decision Makers
Resuscitation Ethics
Public Policy And Bioethics
e7. Emergency Medical Treatment and Labor Act and Medicolegal Issues
Principles
Specific Issues—Emergency Medical Treatment And Labor Act
Consent For Medical Care
Refusal Of Medical Care
Reporting Requirements
e8. Quality Improvement and Patient Safety
Principles
Sources of Failure in Emergency Care
Problem Areas in Emergency Care
Summary
e9. Patient Experience in the Emergency Department
Foundations
Specific Issues
Summary
e10. Wellness, Stress, and the Impaired Physician
Foundations
Wellness Strategies
e11. Forensic Emergency Medicine
Perspective
Forensic Aspects of Gunshot Wounds
Forensic Aspects of Physical Assault
Forensic Aspects of Motor Vehicle Trauma
Interfacing with the Law
Section Eight. Emergency Medical Services and Disaster Preparedness
e12. Emergency Medical Services: Overview and Ground Transport
Foundations
Oversight
Medical Care And Controversies In Management
Interfacility And Specialized Transports
Acknowledgments
e13. Air Medical Transport
Foundations
Specific Issues in Air Medical Transport
Specific Disorders
Lives Saved, Efficacy, and Cost-Effectiveness
Future of Air Medical Transport
e14. Disaster Preparedness
Foundations
Specific Issues In Disaster Management
Future Directions
e15. Weapons of Mass Destruction
Foundations
Specific Disorders
e16. Tactical Emergency Medical Support and Urban Search and Rescue
Principles
Special Issues
Urban Search And Rescue
Index
（学術洋書部）
