Emergency Medicine Review , livre ebook

Emergency Medicine Review
Preparing for the Boards

Richard A. Harrigan, MD
Professor of Emergency Medicine, Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania

Jacob W. Ufberg, MD
Associate Professor and Residency Director, Department of Emergency Medicine, Temple University School of Medicine, Philadelphia, Pennsylvania

Matthew L. Tripp, MD
Assistant Medical Director and Director of Service Excellence, Department of Emergency Medicine, Santa Clara Valley Medical Center/California Emergency Physicians, San Jose, California
Saunders
Copyright

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Emergency Medicine Review: Preparing for the Boards
ISBN: 978-1-4160-6191-5
Copyright © 2010 by Saunders, an imprint of Elsevier Inc.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).


Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Emergency medicine review : preparing for the boards / [edited by] Richard Harrigan, Matthew Tripp, Jacob Ufberg.—1st ed.
p. ; cm.
ISBN 978-1-4160-6191-5
1. Emergency medicine—Outlines, syllabi, etc. 2. Emergency medicine—Examinations, questions, etc. I. Harrigan, Richard. II. Tripp, Matthew. III. Ufberg, Jacob.
[DNLM: 1. Outlines. 2. Emergency Medicine—methods. WB 18.2 E5295 2010]
RC86.92.E44 2010
616.02′5—dc22
2010016623
Publishing Director: Judith Fletcher
Acquisitions Editor: Stefanie Jewell-Thomas
Associate Developmental Editor: Joanie Milnes
Publishing Services Manager: Linda Van Pelt/Anne Altepeter
Senior Project Manager: Priscilla Crater/Cheryl A. Abbott
Design Direction: Steven Stave
Illustrator: Lesley Frazier
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Dedication
To my daughters, Quinn and Kelly, who continue to ask the best questions and be the perfect answer.

R.A. H.
To Amy, Hayden, Robby, and Jenna, who continue to make every day my best day yet.

J.W. U.
To all Temple EM faculty who took the time to teach.

M.L. T.
Contributors

Jeffrey Barrett, MD,
Assistant Professor Emergency Medicine Assistant Clerkship Director Department of Emergency Medicine Temple University School of Medicine Philadelphia, Pennsylvania

Nathan P. Charlton, MD,
Assistant Professor of Emergency Medicine University of Virginia School of Medicine Charlottesville, Virginia

Pierre Detiege, MD, FAAEM,
Clinical Assistant Professor Section of Emergency Medicine Louisiana State University Health Sciences Center New Orleans, Louisiana

Manish Garg, MD, FAAEM,
Clinical Associate Professor of Emergency Medicine Associate Residency Program Director Temple University School of Medicine Philadelphia, Pennsylvania

Carl A. Germann, MD, FACEP,
Department of Emergency Medicine Maine Medical Center Portland, Maine Assistant Professor Tufts University School of Medicine Boston, Massachusetts

Jeffrey Green, MD, FACEP,
Assistant Program Director New York Hospital, Queens Flushing, New York Department of Emergency Medicine Clinical Instructor, Weil Cornell Medical Center New York, New York

Michael Greenberg, MD,
Professor of Emergency Medicine and Public Health Department of Emergency Medicine Hahnemann University Hospital Philadelphia, Pennsylvania

Sanjey Gupta, MD,
Clinical Assistant Professor Weill Cornell College of Medicine Attending Emergency Physician New York Hospital, Queens Flushing, New York

Richard A. Harrigan, MD,
Professor of Emergency Medicine Department of Emergency Medicine Temple University School of Medicine Philadelphia, Pennsylvania

Terence Hauver, MD,
Clinical Instructor Section of Emergency Medicine Louisiana State University Health Sciences Center New Orleans, Louisiana

Robert G. Hendrickson, MD, FAACT, FACEP,
Associate Professor of Emergency Medicine Associate Medical Director, Oregon Poison Center Program Director, Fellowship in Medical Toxicology Oregon Health and Science University Portland, Oregon

Christopher P. Holstege, MD,
Chief, Division of Medical Toxicology Associate Professor Department of Emergency Medicine and Pediatrics University of Virginia School of Medicine Medical Director, Blue Ridge Poison Center Charlottesville, Virginia

Joel Kravitz, MD, FACEP, FRCPSC,
Attending Physician Emergency Department Director of Medical Student Education Community Medical Center Barnabas Health System Toms River, New Jersey

Kenneth T. Kwon, MD,
Director of Pediatric Emergency Medicine Associate Clinical Professor University of California Irvine Medical Center Director, Pediatric Emergency Services Mission Hospital/Children’s Hospital of Orange County Irvine, California

Tracy Leigh LeGros, MD, PhD, UHM/ABEM, FAAEM, FACEP,
Clinical Assistant Professor of Emergency Medicine Program Director, Hyperbaric Medicine Fellowship Program Medical Director of Emergency Medicine Services Louisiana State University Health Sciences Center New Orleans, Lousiana

Alexander T. Limkakeng, Jr., MD, FACEP,
Assistant Professor Interim Director of Acute Care Research Division of Emergency Medicine Department of Surgery Duke University Medical Center Durham, North Carolina

Bernard Lopez, MD,
Professor and Vice Chair for Academic Affairs Residency Program Director Department of Emergency Medicine Thomas Jefferson University Jefferson Medical College Philadelphia, Pennsylvania

Nathanael J. McKeown, DO,
Assistant Professor Department of Emergency Medicine Oregon Health and Science University Portland VA Medical Center Medical Toxicologist Oregon Poison Center Portland, Oregon

Heather Murphy-Lavoie, MD,
Clinical Assistant Professor Assistant Residency Director for Emergency Medicine Associate Director for Undersea and Hyperbaric Medicine Fellowship Louisiana State University School of Medicine New Orleans, Louisiana

Andrew Lee Nyce, MD,
Assistant Professor of Emergency Medicine University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School at Camden Cooper University Hospital Camden, New Jersey

Jennifer A. Oman, MD, FACEP, FAAEM, RDMS,
Associate Clinical Professor of Emergency Medicine Department of Emergency Medicine School of Medicine University of California, Irvine Irvine, California

Leslie C. Oyama, MD,
Assistant Clinical Professor Department of Emergency Medicine University of California, San Diego San Diego, California

Sundip Patel, MD,
Assistant Director of Undergraduate Medical Education Department of Emergency Medicine University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School at Camden Cooper Hospital University Camden, New Jersey

Andrew D. Perron, MD, FACEP, FACSM,
Professor and Residency Program Director Maine Medical Center, Portland Portland, Maine

Robert L. Rogers, MD, FACEP, FAAEM, FACP,
Associate Professor of Emergency Medicine and Internal Medicine Director of Undergraduate Medical Education Department of Emergency Medicine University of Maryland School of Medicine Baltimore, Maryland

Bisan Salhi, MD,
Assistant Professor Department of Emergency Medicine Emory University School of Medicine Atlanta, Georgia

H. Edward Seibert, MD,
Attending Physician Emergency Trauma Center Abington Memorial Hospital Abington, Pennsylvania

Ghazala Q. Sharieff, MD,
Division Director and Clinical Professor Rady Children’s Hospital Emergency Care Center University of California, San Diego Director of Pediatric Emergency Medicine Palomar-Pomerado Health System/California Emergency Physicians San Diego, California

Sarah A. Stahmer, MD,
Associate Professor of Surgery Residency Program Director Division of Emergency Medicine DukeMedical Center Durham, North Carolina

Edward A. Stettner, MD,
Assistant Professor of Emergency Medicine Assistant Program Director, Emergency Medicine Department of Emergency Medicine Emory University School of Medic