Building on the strengths of its award-winning predecessor, this new edition of An Introduction to Clinical Emergency Medicine is a must-have resource for individuals training and practising in this challenging specialty. Guided by the patient's chief complaint, this text presents a concise, methodical approach to patient evaluation, management and problem solving in the Emergency Department. Unlike other textbooks, which elaborate on known diagnoses, this extraordinary book approaches clinical problems as clinicians approach patients - without full knowledge of the final diagnosis. Fully revised and updated, the second edition includes new chapters on sepsis, bleeding, burns, neonatal, alcohol-related, and dental emergencies. Stunning full-color chapters include clinical images (photographs, ECGs and radiologic studies), detailed illustrations and practical tables. Written and edited by experienced educators, researchers, and practitioners in Emergency Medicine, this text is core reading for students and residents, and an important resource for practising emergency physicians, faculty, and other healthcare providers. Features • Chapters are arranged by presenting complaints, which helps readers methodically evaluate and manage patients • Includes detailed, practical tables and extensive DDXs for each presenting complaint, highlighting life-threatening conditions • Recommended by numerous student, resident, paramedic, physician assistant and nursing organizations • First edition won the prestigious American Medical Writers Association's Book Award (Physician category, 1st place) in 2006 Table of Contents Preface Part I. Principles of Emergency Medicine: 1. Approach to the emergency patient Gus M. Garmel 2. Airway management S. V. Mahadevan and Shannon Sovndal 3. Cardiopulmonary and cerebral resuscitation Matthew Strehlow and Brian Lin 4. Cardiac dysrhythmias S. V. Gurudevan 5. Sepsis Emanuel Rivers 6. Shock Robert J. Sigillito and Peter M. C. DeBlieux 7. Traumatic injuries David E. Manthey and Kim Askew 8. Prehospital care and emergency medical services Jeff Goodloe and Paul D. Biddinger 9. Pain management Eustacia (Jo) Su Part II. Primary Complaints: 10. Abdominal pain S. V. Mahadevan 11. Abnormal behavior Tim Meyers and Gus M. Garmel 12. Alcohol-related emergencies John Rose and Eric Laurin 13. Allergic reactions and anaphylactic syndromes Steven Go 14. Altered mental status Barry Simon and Flavia Nobay 15. Bleeding Jonathan E. Davis 16. Burns David Wald 17. Chest pain Jeffrey A. Tabas and Susan B. Promes 18. Constipation Victoria Brazil 19. Crying and irritability Lee W. Shockley and Katherine Bakes 20. Dental emergencies Kip Benko 21. Diabetes-related emergencies Christopher R. H. Newton 22. Diarrhea Rawle A. Seupaul 23. Dizziness and vertigo Andrew K. Chang 24. Ear pain, nosebleed and throat pain: 24a. Ear pain Gregory H. Gilbert and S. V. Mahadevan 24b. Nosebleed Gregory H. Gilbert 24c. Throat pain Alice Chiao 25. Extremity trauma Dan Garza and Gregory W. Hendey 26. Eye pain, redness and visual loss Janet G. Alteveer 27. Fever in adults Gus M. Garmel 28. Fever in children Lynne McCullough and Eric Savitsky 29. Gastrointestinal bleeding Stuart Swadron and H. Brendan Kelleher 30. Headache Gino A. Farina and Kumar Alagappan 31. Hypertensive urgencies and emergencies Robert Galli and Loretta Jackson-Williams 32. Joint pain Douglas W. Lowery 33. Low back pain Mel Herbert, Mary Lanctot-Herbert and S. V. Mahadevan 34. Neonatal emergencies Richard Cantor 35. Pelvic pain Peter G. Kumasaka 36. Rash Jamie Collings 37. Scrotal pain Jonathan E. Davis 38. Seizures Stephen R. Hayden 39. Shortness of breath in adults Sharon E. Mace 40. Shortness of breath in children Ghazala Sharieff 41. Syncope Amal Mattu 42. Toxicologic emergencies Steven A. Mclaughlin and Randy Myers 43. Urinary-related complaints Fred A. Severyn 44. Vaginal bleeding Pamela L. Dyne 45. Vomiting Jennifer A. Oman 46. Weakness R. Jason Thurman Part III. Unique Issues in Emergency Medicine: 47. Child abuse, elder abuse, intimate partner violence Carolyn J. Sachs 48. Environmental emergencies: 48a. Drowning Paul Auerbach and Ken Zafren 48b. Heat illness Ken Zafren 48c. Hypothermia Ken Zafren 48d. Lightning injuries Ken Zafren 48e. Terrestrial venomous bites and stings Robert L. Norris 49. Ethics and end of life issues Michael A. Gisondi 50. Legal aspects of emergency care Jorge Martinez 51. Medical errors, patient safety and injury prevention Cherri Hobgood 52. Occupational exposures in the emergency department Greg Moran and Sophie Terp Part IV. Appendices: Appendix A. Common emergency procedures George Sternbach Appendix B. Laceration repair Wendy Coates and Michelle Lin Appendix C. Clinical decision rules Micelle Haydel and Gus Garmel Appendix D. Procedural sedation and analgesia Eustacia (Jo) Su Appendix E. Focused assessment with sonography in trauma Sarah Williams and Laleh Gharahbaghian Appendix F. Interpretation of emergency laboratories Corey Heitz.