The Atlas of Emergency Medicine.pdf

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Preface

We have a passion for improving patient care. Our journey with The Atlas of Emergency Medicine began with an

aggressive goal of producing the most comprehensive source of highquality emergency department images available.

The emergency department is, perhaps, the most diverse melting pot of patient conditions in the hospital. Diagnostic

accuracy and prognostic prediction often rely heavily on visual clues. Our efforts are directed toward maximizing this

skill. We also strongly believe the visual experience is critical to education in medicine, and that great images are the

next best tool besides actual bedside exposure. Images often teach faster and with greater impact than many pages

of text or hours of lecture.

We continue our pursuit of these goals with a substantially updated, expanded, and improved third edition of The

Atlas of Emergency Medicine . Nearly all of our changes and additions come from reader suggestions and criticisms,

all of which we receive with sincere gratitude. First, we have changed the format to reduce text and allow for more

images. Hence the text is more concise, providing only essential information. Each chapter item is now organized

into: “Clinical Summary,” which includes pertinent differential diagnosis where appropriate, followed by “Emergency

Department Treatment and Disposition” and, finally, “Pearls.” We have endeavored to provide “Pearls” that are more

relevant and represent tips for diagnosis or unique aspects of a condition that are difficult to find in a typical text.

Second, after extensive review and critique, hundreds of new and replacement images have been added.

Third, four new chapters grace the pages of this new edition: Tropical Medicine, Toxicology, Airway, and

Electrocardiography. Our increased emphasis on worldwide delivery of healthcare and easier patient travel is

represented with Tropical Medicine. Toxicology is one of our core skills and a welcome addition as a separate chapter.

We have made a decision to expand beyond our main emphasis on pictorial presentations with the addition of the

Airway and ECG chapters. We included these topics, beautifully displayed in an atlas format, as they represent critical

areas of emergency medicine expertise and are extremely visual. We believe they significantly contribute to the Atlas'

ability to provide important visual information in a single source. These new chapters also complement our greatly

expanded and updated Emergency Department Ultrasound chapter.

The primary audience for this text is emergency medicine clinicians, educators, residents, nurses, prehospital

caregivers, and medical students who provide emergency and primary care. We hope it will aid them in making

diagnoses and help take the student “to the bedside.” Many have found it extremely useful as a review for the ABEM

written examination. Other healthcare workers, such as internists, family physicians, pediatricians, nurse

practitioners, and physician assistants will find the Atlas a useful guide in identifying and treating the many

conditions for which visual cues significantly guide, improve, and expedite diagnosis and treatment.

We would also like to thank the many contributors and readers who have helped make this possible. Lastly, and most

importantly, we express our gratitude to our patients who were willing to be a “great case” in the Atlas, thus

ultimately paving the way for improved emergency care.

Kevin J. Knoop, MD, MS

Lawrence B. Stack, MD

Alan B. Storrow, MD

R. Jason Thurman, MD

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The Atlas of Emergency Medicine, Third Edition

permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed

in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the

publisher.

The views expressed in this work are those of the individual authors and do not reflect the official policy or position of

the Departments of the Navy, Army or Air Force, the Department of Defense, or the U.S. Government.

ISBN 978-0-07-149618-6

MHID 0-07-149618-1

Notice

Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in

treatment and drug therapy are required. The authors and the publisher of this work have checked with sources

believed to be reliable in their efforts to provide information that is complete and generally in accord with the

standards accepted at the time of publication. However, in view of the possibility of human error or changes in

medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation

or publication of this work warrants that the information contained herein is in every respect accurate or complete,

and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information

contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For

example and in particular, readers are advised to check the product information sheet included in the package of

each drug they plan to administer to be certain that the information contained in this work is accurate and that

changes have not been made in the recommended dose or in the contraindications for administration. This

recommendation is of particular importance in connection with new or infrequently used drugs.

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Contributors

Editors

Kevin J. Knoop, MD, MS

Director, Professional Education, Naval Medical Center, Portsmouth, Virginia

Assistant Professor of Military and Emergency Medicine,

Uniformed Services University of the Health Sciences,

Bethesda, Maryland

Lawrence B. Stack, MD

Associate Professor of Emergency Medicine,

Vanderbilt University, Nashville, Tennessee

Alan B. Storrow, MD

Vice Chairman for Research and Academic Affairs

Associate Professor of Emergency Medicine,

Vanderbilt University, Nashville, Tennessee

R. Jason Thurman, MD

Assistant Professor of Emergency Medicine

Associate Director, Residency Program, Department of Emergency Medicine,

Vanderbilt University, Nashville, Tennessee

Contributors

J. Michael Ballester, MD

Assistant Professor and Director, Fourth Year Medical Student Clerkship

Wright State University

Boonshoft School of Medicine

Dayton, Ohio

Chapter 20

Sean P. Barbabella, DO

LCDR, MC, USN

Associate Residency Director

Emergency Medicine

Naval Medical Center Portsmouth

Portsmouth, Virginia

Chapter 5

Diane M. Birnbaumer, MD

Professor of Clinical Medicine

Emergency Medicine

David Geffen School of Medicine at UCLA

Westwood, California

Chapters 9 and 25

Jeffery D. Bondesson, MD

Attending Physician

Emergency Department

Kaiser San Diego Medical Center

San Diego, California

Chapter 8

Robert G. Buckley, MD, MPH, FACEP

CAPT, MC, USN

Director for Branch Clinics

Staff Physician

Emergency Medicine

Naval Medical Center San Diego

San Diego, California

Chapter 10

Stephen W. Corbett, MD, PhD

Professor

Department of Emergency Medicine

Loma Linda University Medical Center

Loam Linda, California

Chapter 7

Paul DeFlorio, MD

MAJ, MC, USAF

Adjunct Assistant Professor

Military and Emergency Medicine

Uniformed Services University of the Health Sciences

Bethesda, Maryland

Chapter 2

David Effron, MD, FACEP

Assistant Professor

Emergency Medicine

Case Western Reserve University, Metro Health Medical Center

Cleveland, Ohio

Chapter 3

Francisco J. Fernandez, MD, MS

Clinical Instructor

Emergency Medicine

University of Cincinnati College of Medicine

Cincinnati, Ohio

Chapter 5

Lynn K. Flowers, MD, MHA, FACEP

Physician Partner

Emergency Medicine

Apollo MD

Atlanta, Georgia

Chapter 9

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