1. 1. MEDICINA DE URGEN GHID PENTRU STUDIU COMPREHENSIV Volumul I mk
2. 2. Nota ediiei originale Medicina este o tiin n continu schimbare. Pe msur ce noile cercetri i experiena clinic ne lrgesc cunotinele, sunt necesare modificri ale tra- tamentelor i terapiei medicamentoase. Editorii i cea care a publicat aceast lucrare au verificat surse considerate de ncredere, n efortul lor de a furniza informaii complete i n acord cu standardele acceptate la momentul publi- crii. Totui, avnd n vedere posibilele erori umane sau modificri ale cunotinelor medicale, nici unul dintre editori i nici o alt persoan impli- cat n publicarea acestei lucrri nu poate garanta c informaia coninut aici este corect i complet i nu i asum responsabilitatea pentru eventualele erori sau omisiuni sau pentru rezultatele obinute prin utilizarea informaiilor din aceast lucrare. De exemplu, n mod particular, cititorii sunt sftuii s verifice prospectul tuturor medicamentelor pe care urmeaz s le administreze, pentru a se asigura c informaia coninut n aceast lu- crare este corect i nu s-au modificat dozele recomandate sau contrain- dicaiile. Aceste recomandri sunt foarte importante atunci cnd sunt legate de utilizarea de medicamente noi sau rar folosite. 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 editors 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 editors 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. Read-ers 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. mk
3. 3. MEDICINA DE URGEN GHID PENTRU STUDIU COMPREHENSIV Volumul I Editor pentru ediia n limba romn: C.P.S.S. - Centrul pentru Politici i Servicii de Sntate EDIIA A ASEA / PRIMA EDIIE n limba romn mk
4. 4. Traductor: C.P.S.S., dup EMERGENCY MEDICINE A COMPREHENSIVE GUIDE sixth edition Editor-in-Chief Judith E. Tintinalli, MD, MS Professor and Chiar Department of Emergency Medicine Adjunct Professor Department of Health Policy and Administration University of North Carolina at Chapel Hill Chapel Hill, North Carolina Co-Editors Gabor D. Kelen, MD Professor and Chair Department of Emergency Medicine Johns Hopkins University Baltimore, Maryland J. Stephan Stapczynski, MD Professor and Former Chair Department of Emergency Medicine University of Kentucky College of Medicine Lexington, Kentucky American College of Emergency Physicians McGraw-Hill Medical Publishing Division Editor pentru ediia n lb. romn: C.P.S.S. - Centrul pentru Politici i Servicii de Sntate Director editorial: Dr. Ioana Mirela Drmu D L . Preedinte C.P.S.S.: Dr. Dana Otilia Frcanu Copyright: [2008] CPSS, pentru ediia n limba romn conform contract nr. MED 0474 din 29.09.2006. Toate drepturile rezervate. Orice reproducere, integral sau parial, indiferent de mijloacele utilizare, este interzis fr acordul scris al CPSS. Copyright 2004, 2000, 1996, 1992, 1988, 1985 by The McGraw-Hill Companies, Inc. Copyright 1978 by the American College of Emergency Physicians.All right reserved. Romanian edition copyright 2008 by CPSS. All right reserved. Editori - edi ia n limba romn : r. Robert Alin Calotescu ef ucr. Dr Raed Arafat Str. Cderea Bastiliei nr. 33, sector 1, cod 010613 Bucureti, Romnia www.cpss.ro; informed@cpss.ro Imprimat la Tipografia ALPHAMDN s.a. Str. Col. Buzoianu nr. 94, Buzu, Romnia Tel&fax: 0238.721.303; www.alphamdn.ro; alpha@ buzau.ro Manager proiect: Andreea Davidescu Machetare&Tehnoredactare: Monica Balaban, Mdlina Barbu Descrierea CIP a Bibliotecii Naionale a Romniei CENTRUL PENTRU POLITICI I SERVICII DE SNTATE (Bucureti) Medicina de urgen : ghid pentru studiu comprehensiv / ed.: C.P.S.S. - Centrul pentru Politici i Servicii de Sntate. - Buzu : Alpha MDN, 2008- vol. ISBN 978-973-139-000-0 Vol. 1. - 2008. - ISBN 978-973-139-024-6 616-083.98 ISBN general 978-973-139-000-0 ISBN vol. I 978-973-139-024-6 ISBN vol. II 978-973-139-025-3 mk
5. 5. Studenilor i medicilor de medicin de urgen din ntreaga lume. JET Lui Laurie, Ardie i Mike, a cror dragoste i susinere m-au ajutat n aceast ncercare. GDK Celor care m-au nvat, mulumirile mele pentru rbdarea i nelepciunea lor; celor pe care i-am nvat, ncurajrile mele pentru a nva de-a lungul vieii. JSS mk
6. 6. CUPRINS Seciunea Unu Asistena medical prespitaliceasc 1 Seciunea Doi Pregtirea pentru dezastre 33 Seciunea Trei Probleme i tehnici n resuscitare 73 Seciunea Patru ocul 249 1 Servicii medicale de urgen Patrick Lilja 1 2 Echipamentul i logistica prespitaliceasc Daniel G. Hankins, Andy Boggust 6 3 Transportul medical aerian C. Keith Stone, Stephen H. Thomas 12 4 Transportul neonatal i pediatric Phillip V. Gordon, Carl Bose 18 5 Adunrile publice Eric W. Ossman, Arthur H. Yancey II 25 6 Serviciile medicale n caz de dezastru Eric K. Noji, Gabor D. Kelen 33 7 Rspunsul la atacul biologic bioterorism: implicaiile pentru medicul de medicin de urgen Anthony G. MacIntyre, Joseph A. Barbera 43 8 Managementul dezastrelor produse prin ageni chimici de distrugere n mas Suzanne R. White, Kelly R. Klein, Col. Edward M. Eitzen, Jr. 50 9 Leziuni prin unde de explozie i strivire John M. Wightman, Barry A. Wayne 55 10 Leziuni cauzate de iradiere Christina L. Catlett, Pamela L. Piggott 60 11 Moartea subit cardiac Joseph P. Ornato 73 12 Resuscitarea cardiopulmonar de baz la aduli Jon Mark Hirshon 79 13 Resuscitarea i urgenele neonatale Eugene E. Cepeda, Mary P. Bedard 85 14 Resuscitarea cardiopulmonar pediatric William E. Hauda II 92 15 Managementul cilor respiratorii n pediatrie Marcie Rubin, Nicholas Sadovnikoff 104 16 Aspecte ale resuscitrii n perioada sarcinii M. Datner, Susan B. Promes 111 17 Probleme etice n resuscitare Catherine A. Marco 116 18 Managementul non-invaziv al cilor aeriene A. Michael Roman 119 19 Intubaia traheal i ventilaia mecanic Daniel F. Danzl, Robert J. Vissers 126 20 Managementul chirurgical al cilor respiratorii David R. Gens 139 21 Accesul vascular William A. Berk, Bharat Sutariya 144 22 Tehnici de monitorizare invazive, pacing i defibrilatoare externe implantabile i automate Edward S. Bessman 154 23 Resuscitarea cerebral Gary S. Krause, Blaine C. White 160 24 Noi tehnici de resuscitare James E. Manning, Christopher W. Barton, Laurence M. Katz 163 25 Dezechilibrele acido-bazice David D. Nicolaou, Gabor D. Kelen 172 26 Gazele sanguine: fiziopatologie i interpretare L. Grogan, Peter Pronovost 184 27 Afeciuni legate de fluide i electrolii Michael Londner, Darcie Hammer, Gabor D. Kelen 193 28 Tulburrile de ritm i de conducere Edmund Bolton 206 29 Farmacologia medicamentelor antiaritmice i vasoactive Elizabeth A. Clements, Bryan R. Kuhn 232 30 Abordarea terapeutic a pacientului n stare de oc Emanuel P. Rivers, Ronny M. Otero, H. Bryant Nguyen 249 31 Reechilibrarea volemic James E. Manning 256 32 ocul septic Jonathan Jui 263 33 ocul cardiogen W. Franklin Peacck IV, Jim Edward Weber 275 34 Anafilaxia i reaciile alergice acute Brian H. Rowe, Stuart Carr 280 35 ocul neurogen Brian Euerle, Thomas M. Scalea 286 Autori xi Colaboratori - ediia n limba romn xxxiii Prefa la ediia n limba englez xxxvii Mulumiri xxxviii Prefa la ediia n limba englez xxxix mk
7. 7. Seciunea Cinci Analgezia, anestezia i durerea 291 Seciunea ase Managementul de urgen al plgilor 323 Seciunea apte Bolile cardiovasculare 375 Seciunea Opt Urgene pulmonare 493 Seciunea Nou Urgene gastrointestinale 551 36 Managementul durerii acute la pacientul adult Gary D. Zimmer 291 37 Anestezia local i regional Eric Higginbotham, Robert J. Vissers 298 38 Sedarea i analgezia procedural David D. Nicolaou 311 39 Managementul durerii cronice David M. Cline 316 40 Evaluarea plgilor Judd E. Hollander, Adam J. Singer 323 41 Pregtirea plgilor Susan Stone, Wallace A. Carter 326 42 Metode de nchidere a plgilor Adam J. Singer, Judd E. Hollander 329 43 Plgi ale feei i scalpului Wendy C. Coates 336 44 Leziuni ale braului, minii, vrfului degetului i unghiei Fiona E.Gallahue, Wallace A. Carter 343 45 Plgile gambei i piciorului Earl J. Reisdorff 351 46 Corpi strini la nivelul esuturilor moi Richard L. Lammers 357 47 Plgi nepate i mucturi de mamifere Robert A. Schwab, Robert D. Powers 365 48 ngrijirea postoperatorie a plgii Adam J. Singer, Judd E. Hollander 370 49 Abordarea durerii toracice Gary B. Green, Peter M. Hill 375 50 Sindroamele coronariene acute: infarctul miocardic acut i angina instabil Judd E. Hollander 386 51 Strategii terapeutice n sindroamele coronariene acute Judd E. Hollander, Deborah B. Diercks 396 52 Sincopa Barbara K. Blok, Tina M. Newman 404 53 Insuficiena cardiac congestiv i edemul pulmonar acut W. Franklin Peacock IV 410 54 Urgene valvulare David M. Cline 420 55 Cardiomiopatiile, miocarditele i bolile pericardului James T. Niemann 426 56 Trombembolismul pulmonar Jeffrey A. Kline 435 57 Hipertensiunea arterial Melissa M. Wu, Arjun Chanmugam 444 58 Disecia i anevrismele de aort Louise A. Prince, Gary A. Johnson 456 59 Tromboflebitele i arteriopatiile obliterante Anil Chopra 461 60 Transplantul cardiac Michael R. Mill, Michelle S. Mill 472 61 Procedee neinvazive de imagistic miocardic David A. Bluemke, Bennett Chin, Joao A. C. Lima, Malek Tebache 478 62 Detresa respiratorie Stephan Stapczynski 493 63 Bronita, pneumonia i empiemul pleural Donald A. Moffa, Jr., Charles L. Emerman 502 64 Pneumonia de aspiraie i abcesul pulmonar Eric Anderson 511 65 Tuberculoza Janet M. Poponick 515 66 Pneumotoraxul spontan i iatrogen William Franklin Young, Jr., Roger L. Humphries 521 67 Hemoptizia William Franklin Young, Jr., Michael Stava 524 68 Astmul acut la aduli Rita K. Cydulka 527 69 Boala pulmonar obstructiv cronic Rita K. Cydulka, Mohak Dave 535 70 Pacienii cu transplant pulmonar Thomas P. Noeller 542 71 Imagistica pulmonar Janet M. Poponick 545 72 Durerea abdominal acut E. John Gallagher 551 73 Durerea abdominal la vrstnici Robert McNamara 567 74 Hemoragia digestiv David T. Overton 571 75 Urgenele esofagiene Moss H. Mendelson 575 76 Corpi strini nghiii Wade R. Gaasch, Robert A. Barish 581 77 Boala ulceroas peptic i gastrita Matthew C. Gratton, Howard A. Werman 584 78 Apendicita acut Denis J. FitzGerald, Arthur M. Pancioli 589 79 Ocluzia intestinal Salvator J. Vicario, Timothy G. Price 592 viii CUPRINS mk
8. 8. 80 Hernia la aduli i copii Frank W. Lavoie, Mary Harkins Becker 596 81 Ileita, colita i diverticulita Howard A. Werman, Hagop S. Mekhjian, Douglas A. Rund 599 82 Patologia anorectal Brian E. Burgess, James K. Bouzoukis 609 83 Vrstura, diareea i constipaia Annie T. Sadosty, Jennifer J. Hess 622 84 Icterul Richard O. Shields, Jr. 632 85 Colecistita i colica biliar William J. Brady, Thomas P. Aufderheide, Judith E. Tintinalli 634 86 Bolile hepatice i insuficiena hepatic Joshua S. Broder, Rawden Evans 639 87 Pancreatita acut i cronic Robert J. Vissers, Riyad B. Abu-Laban 647 88 Complicaii ale procedurilor chirurgicale generale Edmond A. Hooker 652 89 Complicaiile dispozitivelor gastrointestinale Edmond A. Hooker 659 90 Pacientul cu transplant hepatic Steven Kronick 662 91 Imagistic gastrointestinal Michael J. Bono 667 92 Insuficiena renal acut Richard Sinert, Peter R. Peacock, Jr. 671 93 Urgenele la pacienii cu insuficien renal i dializai Richard Sinert, Mark Spektor 678 94 Infeciile tractului urinar David S. Howes, Mark P. Bogner 686 95 Afeciuni genitale masculine Robert E. Schneider 693 96 Nefrolitiaza Rakesh Engineer, W. Franklin Peacock IV 701 97 Hematuria i hematospermia David S. Howes, Mark P. Bogner 707 98 Complicaii ale procedurilor i dispozitivelor urologice Elaine B. Josephson, Jatinder Singh 712 99 Pacientul transplantat renal Richard Sinert, Mert Erogul 717 100 Imagistica renal Daniel E. Wiener, Emily H. Sheffer 725 101 Hemoragia vaginal din afara sarcinii Laurie J. Morrison, Julie M. Spence 731 102 Durerea abdominal i pelvin la femei n afara sarcinii Reb Close 738 103 Sarcina ectopic Richard S. Krause, David M. Janicke 744 104 Sarcina normal Christina E. Hantsch, Donna L. Seger 751 105 Comorbiditi n perioada sarcinii Jessica L. Bienstock, Harold E. Fox 757 106 Urgene n timpul sarcinii i n perioada postpartum Gloria J. Kuhn 764 107 Naterea de urgen Michael J. VanRooyen, Kimberly B. Fortner 774 108 Vulvovaginita Gloria J. Kuhn 781 109 Boala inflamatorie pelvin Amy J. Behrman, William H. Shoff, Suzanne M. Shepherd 787 110 Patologia mamar Janet Simmons Young 791 111 Patologie uroginecologic i oncologie ginecologic Michael Londner, Daniela Meshkat 796 112 Complicaii ale procedurilor ginecologice Michael A. Silverman, Karen M. Hardart 802 113 Ecografie pelvian Robert F. Reardon, Dietrich V. K. Jehle 809 114 Copilul sntos Peter Mellis 821 115 Febra Carol D. Berkowitz 825 116 Bacteriemia, sepsisul i meningita la copii Peter Mellis 830 117 Probleme neonatale frecvente Tonia J. Brousseau, Niranjan Kissoon 839 118 Sugarul externat de la terapie intensiv Daniel G. Batton 850 119 SIDS (Sudden Infant Death Syndrome = Sindromul de moarte subit al sugarului) i ALTE (Apparent Life-Threatening Event = Evenimente cu posibil potenial letal) Carol D. Berkowitz 853 120 Bolile cardiace ale copilului C. James Corrall 857 121 Otita i faringita la copii Kimberly S. Quayle, Susan Fuchs, David M. Jaffe 869 122 Infecii ale esutului cutanat i esuturilor moi Richard Malley 880 123 Pneumonia bacterian i viral la copii Kathleen Brown, Willie Gilford, Jr. 886 124 Astmul bronic i broniolita la copil Maybelle Kou, Thom Mayer 893 125 Convulsiile i statusul epileptic la copii Michael A. Nigro 902 126 Vrsturile i diareea la copii Christopher M. Holmes, Summer A. Smith 914 127 Urgenele abdominale pediatrice Robert W. Schafermeyer 921 128 Cetoacidoza diabetic Frederick Place, Thom Mayer 929 129 Hipoglicemia Randolph Cordle 934 Seciunea Zece Afeciuni renale i genitourinare 671 Seciunea Unsprezece Ginecologie i obstetric 731 Seciunea Doisprezece Pediatrie 821 CUPRINS ix mk
9. 9. 130 Statusul mental alterat i cefaleea la copii Nancy Pook, Natalie Cullen, Jonathan I. Singer 941 131 Sincopa i moartea subit William E. Hauda II, Thom Mayer 949 132 Terapia cu fluide i electrolii William Ahrens 955 133 Urgenele cilor aeriene superioare Randolph Cordle 961 134 Managementul durerii acute i sedarea procedural la copii Michael N. Johnston, Erica L. Liebelt 972 135 Exantemele pediatrice Michael S. Weinstock, Alexander M. Rosenau 985 136 Afeciunile musculoscheletale ale copilului Courtney Hopkins-Mann, David Leader, Donna Moro-Sutherland, Richard A. Christoph 993 137 Siclemia (boala hematiilor n form de secer) Peter J. Paganussi, Thom Mayer, Maybelle Kou 1008 138 Evaluarea copilului cu nevoi speciale Douglas R. Trocinski, Donna Moro-Sutherland 1014 139 Afeciuni urologice i ginecologice la copii Samy Saad, Olly Duckett 1019 140 Infeciile de tract urinar la copii Michael F. Altieri, Mary Camarca,Thom Mayer 1026 141 Boli cu transmitere sexual Joel Kravitz, Susan B. Promes 1031 142 Sindromul de oc toxic i sindromul de oc toxic streptococic Shawna J. Perry, Ashley E. Booth 1036 143 Infeciile virale frecvente: virusurile gripale i virusurile herpetice Robert A. Brownstein 1042 144 Infecia cu HIV i SIDA Richard E. Rothman, Catherine A. Marco, Gabor D. Kelen 1049 145 Endocardita infecioas Richard E. Rothman, Samuel Yang, Catherine A. Marco 1062 146 Tetanosul Donna L. Carden 1069 147 Rabia David J. Weber, David A. Wohl, William A. Rutala 1072 148 Malaria Jeffrey D. Band 1080 149 Infeciile cu helmini Harold H. Osborn 1086 150 Boli transmise prin alimente i prin ap William T. Anderson 1092 151 Infecii zoonotice John T. Meredith 1098 152 Infecii ale esuturilor moi Steven G. Folstad 1109 153 Boli infecioase care trebuie raportate Jane H. Brice, J. Brent Myers 1118 154 Expuneri ocupaionale profesionale, controlul infeciilor i precauii standard Kathy J. Rinnert 1126 155 Farmacologia antimicrobienelor, anti-fungicelor i antiviralelor Ralph H. Raasch 1139 Seciunea Treisprezece Boli infecioase 1031 x CUPRINS mk
10. 10. AUTORI* STEPHANIE B. ABBUHL, MD [304] JOSEPH A. BARBERA, MD [7] RIYAD B.ABULABAN, MD, MHSc [87] ROBERT A. BARISH, MD [76] BONNY J. BARON, MD [256, 258] WILLIAM AHRENS, MD [132] MICHAEL F. ALTIERI, MD [140] CHRISTOPHER W. BARTON, MD [24] ERIC ANDERSON, MD, MBA [64] DANIEL G. BATTON, MD [118] BRIGITTE M. BAUMANN, MD, DTM&H [306] WILLIAM T.ANDERSON, MD [150] NORMAN J. BEAUCHAMP, JR., MD [237] THOMAS P.AUFDERHEIDE, MD [85] RONALD W. BEAUDREAU, DMD, MD [242] CHENICHERI BALAKRISHNAN, MD [199] JEFFREY D. BAND, MD [148] MARY HARKINS BECKER, MD [80] Associate Professor and Medical Director Associate Professor of Engineering Management Department of Emergency Medicine Clinical Associate Professor of Emergency Medicine Hospital of the University of PA CoDirector, Institute for Crisis, Disaster, and Risk Management University of PASchool of Medicine The George Washington University Philadelphia, Pennsylvania Washington, DC Assistant Professor and Research Director Associate Dean for Clinical Affairs Division of Emergency Medicine Professor of Emergency Medicine and Surgery University of British Columbia University of Maryland School of Medicine Department of Emergency Medicine Baltimore, Maryland Vancouver General Hospital Vancouver, British Columbia, Canada Associate Professor Department of Emergency Medicine Director of Pediatric Emergency Medicine State University of New York Downstate Medical Center University of Illinois Director of Trauma, Emergency Department Chicago, Illinois Kings County Hospital Center Brooklyn, New York Associate Clinical Professor of Emergency Medicine George Washington University Clinical Professor of Medicine Washington, DC University of California San Francisco InovaFairfax Hospital for Children Medical Director, Emergency Services Department of Pediatrics San Francisco General Hospital Falls Church, Virginia San Francisco, California Associate Director of Operations Director, Neonatal Intensive Care Unit Department of Emergency Medicine William Beaumont Hospital The Cleveland Clinic Foundation Royal Oak, Michigan Assistant Professor of Emergency Medicine The Ohio State University Cleveland, Ohio Head, Division of Clinical Research Department of Emergency Medicine UMDNJRobert Wood Johnson Medical School Chief, Department of Emergency Medicine Cooper Health System William Beaumont Hospital Camden, New Jersey Troy, Michigan Professor and Chair Professor of Emergency Medicine and Research Director University of Washington Medical College of Wisconsin Department of Radiology Department of Emergency Medicine Seattle, Washington Milwaukee, Wisconsin Doctor's Hospital Associate Professor of Surgery Department of Emergency Medicine Department of Emergency Medicine Augusta, Georgia Wayne State University Medical Evacuation Services Detroit Receiving Hospital SOS International Detroit, Michigan Shanghai, China Director, Infectious Diseases and International Medicine Department of Emergency Medicine William Beaumont Hospital Maine Medical Center Royal Oak, Michigan Assistant Clinical Professor Clinical Professor of Medicine Department of Surgery Wayne State University School of Medicine University of Vermont Detroit, Michigan Portland, Maine * Numerele din paranteze reprezint capitolele scrise de - sau la care i-a adus contribuia- fiecare colaborator. mk
11. 11. MARY P. BEDARD, MD [13] MICHAEL B. BEUHLER, MD [180] AMY J. BEHRMAN, MD [109] JESSICA L. BIENSTOCK, MD [105] PAULBLACKBURN, DO [225] WILLIAM A. BERK, MD [21, 166, 295] BARBARA K. BLOK, MD [52] CAROL D. BERKOWITZ, MD [115, 119, 297] DAVID A. BLUEMKE, MD, PhD [61] EDWARD BERNSTEIN, MD [295] ANDY BOGGUST, MD [2] JUDITH BERNSTEIN, RNC, PhD [295] MARK P. BOGNER, MD [94, 97] EDMUND BOLTON, MD [28] HOWARD A. BESSEN, MD [192] MICHAEL J. BONO, MD [91] ASHLEY E. BOOTH, MD [142] EDWARD S. BESSMAN, MD [22] CARL BOSE, MD [4] Clinical Director, Neonatal Intensive Care Unit Medical Director Medical Director, Transport Program Carolinas Poison Center Children's Hospital of Michigan Charlotte, North Carolina Associate Professor of Pediatrics Adjunct Instructor of Emergency Medicine Wayne State University University of North Carolina at Chapel Hill Detroit, Michigan Chapel Hill, North Carolina Associate Professor Residency Program Director Department of Emergency Medicine Assistant Professor Director, Occupational Medicine Johns Hopkins Hospital Hospital of the University of Pennsylvania Baltimore, Maryland Philadelphia, Pennsylvania Residency Program Director Associate Professor Department of Emergency Medicine Department of Emergency Medicine Maricopa Medical Center Wayne State University Phoenix, Arizona ViceChief, Emergency Department Detroit Receiving Hospital Detroit, Michigan Assistant Professor Department of Emergency Medicine Johns Hopkins Hospital Executive Vice Chair and Professor Baltimore, Maryland Department of Pediatrics HarborUCLA Medical Center David Geffen School of Medicine at UCLA Associate Professor, Radiology Torrance, California Clinical Director, MRI Johns Hopkins University and Hospital Department of Radiology Professor and Vice Chair forAcademic Affairs Baltimore, Maryland Department of Emergency Medicine Boston University School of Medicine Professor of Social and Behavioral Sciences Department of Emergency Medicine Boston University School of Public Health Mayo Clinic School of Medicine Boston, Massachusetts Rochester, Minnesota Associate Professor Assistant Clinical Professor Department of Maternal and Child Health Department of Emergency Medicine Boston University School of Public Health University of Wisconsin Medical School Director, MCH Certificate Program Madison, Wisconsin Boston University School of Medicine Department of Emergency Medicine Boston, Massachusetts EM Healthcare Physicians Westmont, Illinois Professor of Medicine UCLA School of Medicine Associate Professor Los Angeles, California Associate Residency Program Director Director, Emergency Medicine Residency Program Department of Emergency Medicine Department of Emergency Medicine Eastern Virginia Medical School HarborUCLA Medical Center Norfolk, Virginia Torrance, California University of Florida Health Sciences CenterJacksonville Assistant Professor Department of Emergency Medicine Department of Emergency Medicine Jacksonville, Florida The Johns Hopkins University Baltimore, Maryland Clinical Director Chief, Division of NeonatalPerinatal Medicine Department of Emergency Medicine Professor of Pediatrics Johns Hopkins Bayview Medical Center University of North Carolina Baltimore, Maryland Chapel Hill, North Carolina xii AUTORI mk
12. 12. GEORGE M. BOSSE, MD [164] JAMES BROWN, MD [294] KATHLEEN BROWN, MD [123] SHARON A. BOSWELL, RN, BSN, CRNP [260] ROBERT A. BROWNSTEIN, MD [143] JAMES K. BOUZOUKIS, MD [82] G. RICHARD BRUNO, MD [172, 181, 187] WILLIAM M. BOWLING, MD [259] WILLIAM J. BRADY, MD [85, 161, 210, 245, 246] TIMOTHY G. BUCHMAN, PhD., MD [259] G. RICHARD BRAEN, MD [186] BRIAN E. BURGESS, MD [82] ANNE F. BRAYER, MD [204] JASON H. BREDENKAMP, MD [270] JOHN H. BURTON, MD [286] JANE H. BRICE, MD, MPH [153] DAVID G. CALDICOTT, MD [196] JOSHUA S. BRODER, MD [86] MARY CAMARCA, MD [140] DONNA L. CARDEN, MD [146] TONIA J. BROUSSEAU, DO [117] Associate Professor of Emergency Medicine Assistant Professor and Residency Program Director Department of Emergency Medicine Wright State University University of Louisville Department of Emergency Medicine Medical DirectorKentucky Regional Poison Center Dayton, Ohio Louisville, Kentucky State University of New YorkUpstate Clinical Nurse Practitioner Department of Emergency Medicine R. Adams Cowley Shock Trauma Center Syracuse, New York Baltimore, Maryland Department of Emergency Medicine Department of Emergency Medicine Rex Hospital Medical Center of Delaware Raleigh, North Carolina Wilmington, Delaware Director of Emergency Services Department of Surgery University Hospital BrooklynWashington University School of Medicine Assistant Professor of Emergency MedicineSt. Louis, Missouri Vice Chairman for Clinical Services Department of Emergency Medicine SUNY Downstate Medical CenterAssociate Professor State University of New YorkVice Chair and Program Director of Emergency Medicine Brooklyn, New YorkDepartment of Emergency Medicine University of Virginia School of Medicine Charlottesville, Virginia Edison Professor of SurgeryMedical Director Professor of Anesthesiology and MedicineCharlottesvilleAlbemarle Rescue Squad Department of SurgeryCharlottesville, Virginia Washington University in St. Louis St. Louis, Missouri Professor and Chairman Department of Emergency Medicine State University of New York at Buffalo Clinical Assistant Professor of Emergency Medicine Buffalo, New York Jefferson Medical College Attending Physician, Christiana Care Health System Newark, Delaware Assistant Professor of Emergency Medicine and Pediatrics Clinical Assistant Professor University of Rochester School of Medicine Physician Assistant Program Department of Emergency Medicine Drexel University School of Nursing Rochester, New York Hockessin, Delaware Rockford Memorial Hospital Research Director Department of Emergency Medicine Department of Emergency Medicine Rockford, Illinois Maine Medical Center Portland, Maine Assistant Professor Department of Emergency Medicine Emergency and Trauma RegistrarMedical Director, Orange County Emergency Medical Services Royal Adelaide HospitalUniversity of North Carolina Adelaide, South AustraliaChapel Hill, North Carolina Australia Assistant Professor Division of Pediatric Emergency MedicineCoordinator, International Programs Inova Fairfax Hospital for ChildrenDepartment of Emergency Medicine Falls Church, VirginiaUniversity of North Carolina at Chapel Hill Chapel Hill, North Carolina Professor of Emergency and Internal Medicine Louisiana State University Health Sciences CenterDepartment of Emergency Medicine Departments of Internal & Emergency Medicine and Molecular &Division of Pediatric Emergency Medicine Cellular PhysiologyThe University of Florida Health Science Center Jacksonville, Florida Shreveport, Lousiana xiiiAUTORI mk
13. 13. TERESA M. CARLIN, MD [175] BENNETT CHIN, MD [61] ANIL CHOPRA, MD [59] STUART CARR, MD [34] RICHARD A. CHRISTOPH, MD [136] WALLACEA. CARTER, MD [41, 44, 172, 181, 187] PATTY CHU, MD [222] RICHARD F. CLARK, MD [194] CHRISTINA L. CATLETT, MD [10, 232] ALAN L. CAUSEY, MD [198] ELIZABETH A. CLEMENTS, PharmD [29] EUGENE E. CEPEDA, MD [13] DAVID M. CLINE, MD [39, 54] RICHARD C. CHANDLER, MD [284] REB CLOSE, MD [102] WENDY C. COATES, MD [43] ARJUN CHANMUGAM, MD, MBA [57, 177] MICHAEL E. CHANSKY, MD [211] DANIEL J. COBAUGH, PharmD [162] St. Christopher's Hospital for Children Assistant Professor Department of RadiologyDivision of Pediatric Emergency Medicine Johns Hopkins University and HospitalPhiladelphia, Pennsylvania Baltimore, MarylandInstructor, Department of Emergency Medicine Johns Hopkins University School of Medicine Baltimore, Maryland Assistant Professor Department of Medicine University Health NetworkAssistant Clinical Professor University of TorontoStollery Children's Hospital Toronto, OntarioDepartment of Pediatrics CanadaEdmonton, Alberta Canada Front Royal Pediatrics Front Royal, VirginiaEmergency Medicine Residency Director New York Presbyterian Hospital Associate Professor of Emergency Medicine Department of Emergency MedicineWeill Medical College of Cornell University Methodist Willowbrook HospitalAssociate Professor of Medicine Houston, TexasCollege of Physicians & Surgeons of Columbia University New York, New York Professor of Medicine Director, UCSD Division of Medical ToxicologyAssistant Professor Medical Director, San Diego DivisionJohns Hopkins Hospital California Poison Control SystemDepartment of Emergency Medicine UCSD Medical CenterBaltimore, Maryland San Diego, California Clinical Assistant Professor of Pediatrics and Medicine Clinical Specialist Emergency Medicine University of South Florida College of Medicine Adjunct Assistant Professor Tampa, Florida Department of Pharmacy Practice Attending Physician, Pediatric Emergency Medicine Spectrum Health Butterworth Campus Tampa General Hospital Grand Rapids, Michigan Tampa, Florida Assistant Professor Attending Physician Department of Emergency Medicine All Children's Hospital Wayne State University St. Petersburg, Florida Detroit, Michigan Director, Newborn Nursery Associate Professor and Research Director Hutzel Hospital Wake Forest University Assistant Professor of Pediatrics Baptist Medical Center Wayne State University Department of Emergency Medicine Detroit, Michigan WinstonSalem, North Carolina Associate Program Director Department of Emergency Medicine Emergency Medicine Residency Hospital of the Monterey Peninsula Maine Medical Center Monterey, California Department of Emergency Medicine Portland, Maine Director Emergency Medicine Education HarborUCLA Medical Center Assistant Professor and Residency Director Associate Professor of Medicine The Johns Hopkins University School of Medicine ViceChair,Acute Care College Department of Emergency Medicine David Geffen School of Medicine at UCLA Baltimore, Maryland Torrance, California Chair, Department of Emergency Medicine Finger Lakes Regional Poison and Drug Information Center Associate Professor of Emergency Medicine and Internal Medicine Assistant Professor Robert Wood Johnson Medical School/Camden Department of Emergency Medicine The Cooper Health System University of Rochester Medical Center Camden, New Jersey Rochester, New York xiv AUTORI mk
14. 14. IRENE COLETSOS, MS [295] NATALIE CULLEN, MD [130] STEPHEN A. COLUCCIELLO, MD [257] RITAK. CYDULKA, MD, MS [68, 69] FRANK F. S. DALY, MD, MBBS [195] ALASDAIR K. T. CONN, MD [261] DANIEL F. DANZL, MD [19] MARCO COPPOLA, DO [282] RICHARD C. DART, MD, PhD [195] RANDOLPH CORDLE, MD [129, 133] ELIZABETH M. DATNER, MD [16] EDWARD E. CORNWELL, III, MD [251] MOHAK DAVE, MD [69] C. JAMES CORRALL, MD, MPH [120] DANIEL J. DEBEHNKE, MD [246] FRANCIS L. COUNSELMAN, MD [279] KATHLEENA. DELANEY, MD [188] GEORGE DELGADO, JR., PharmD [157] PAT CROSKERRY, MD, PhD [312] DAVID DELLAGIUSTINA, MD [282, 283] University of Massachusetts School of Medicine Department of Emergency Medicine Wright State UniversityWorcester, Massachusetts Dayton, Ohio Assistant Chair Associate ProfessorDirector of Clinical Services and Trauma Coordinator Department of Emergency MedicineDepartment of Emergency Medicine Case Western Reserve University School of MedicineCarolinas Medical Center Department of Emergency MedicineCharlotte, North Carolina MetroHealth Medical CenterAssistant Clinical Professor Cleveland, OhioDepartment of Emergency Medicine University of North Carolina at Chapel Hill Chapel Hill, North Carolina Rocky Mountain Poison and Drug Center University of Colorado Health Sciences Center Denver, ColoradoChief of Emergency Services Massachusetts General Hospital Assistant Professor of Surgery Professor and ChairHarvard Medical School Department of Emergency MedicineBoston, Massachusetts University of Louisville School of Medicine Louisville, Kentucky Professor of Emergency Medicine TexasA&M University System Health Science Center Director, Rocky Mountain Poison and Drug CenterTemple, Texas Denver Health Authority Professor, University of Colorado Health Sciences Center Denver, Colorado Department of Pediatric Emergency Medicine Boise, Idaho Assistant Professor of Emergency Medicine University of Pennsylvania School of Medicine Associate Professor Surgery,Anesthesiology and Critical Care Department of Emergency Medicine Medicine Philadelphia, Pennsylvania Johns Hopkins Hospital Department of Surgery Baltimore, Maryland Department of Emergency Medicine Case Western Reserve University/MetroHealth Medical Center Cleveland, Ohio Clinical Associate Professor of Emergency Medicine and Pediatrics Adjunct Associate Professor of Clinical Pharmacology Department of Emergency Medicine Associate Professor of Emergency Medicine Emergency Medicine and Trauma Center Director of Clinical Operations and Vice Chair Methodist Hospital of Indiana Department of Emergency Medicine Indiana University School of Medicine Medical College of Wisconsin Indianapolis, Indiana Milwaukee, Wisconsin EVMS Distinguished Professor of Emergency Medicine Professor of Emergency Medicine Chairman and Program Director University of Texas Southwestern Medical Center Department of Emergency Medicine Dallas, Texas Eastern Virginia Medical School and Emergency Physicians of Tidewater Norfolk, Virginia Clinical Pharmacy Specialist Emergency Medicine, Coordinator Emergency Medicine Specialty Residency Associate Professor Adjunct Assistant Professor Dalhousie University Pharmacy Practice, Wayne State University Halifax, Nova Scotia Detroit Receiving Hospital & University Health Center Canada Department of Pharmacy Services Dartmouth General Hospital Detroit, Michigan Department of Emergency Medicine Dartmouth, Nova Scotia Canada Chairman and Program Director xvAUTORI mk
15. 15. Emergency Medicine Residency Department of Emergency Medicine Madigan Army Medical Center Truman Medical Center and University of MissouriKansas City Department of Emergency Medicine Kansas City, Missouri Tacoma, Washington Professor and Chairman Division of Emergency Medicine Department of Emergency Medicine Faculty of Medicine MetroHealth Medical Center University of Toronto Cleveland, Ohio Toronto, Ontario Canada Sunnybrook and Women's Hospital Assistant Professor of Radiology Institute for Clinical Evaluative Sciences Department of Radiology and Radiological Science Toronto, Ontario Johns Hopkins University Canada Baltimore, Maryland Assistant Professor Cleveland Clinic Foundation Director, International Emergency Medicine Fellowship Program Department of Emergency MedicineDepartment of Emergency Medicine Cleveland, OhioJohns Hopkins University Baltimore, Maryland Assistant Professor State University of New YorkAssistant Professor of Internal Medicine and Emergency Medicine Downstate Medical CenterUniversity of California Department of Emergency MedicineDavis Medical Center Brooklyn, New YorkSacramento, California Clinical Assistant Professor of SurgeryAssociate Professor Department of SurgeryYale University School of Medicine Director of Research University of Illinois College of Medicine at Rockford Section of Emergency Medicine Rockford Memorial Hospital Yale New Haven Hospital Rockford, Illinois New Haven, Connecticut Assistant Professor Medical Director University of Maryland School of Medicine Maryland Poison Center Department of Emergency Medicine Baltimore, Maryland Baltimore, Maryland Assistant Professor Assistant Professor Division of Emergency Medicine Department of Emergency Medicine Washington University School of Medicine University of Michigan Medical Center St. Louis, Missouri Ann Arbor, Michigan Assistant Director, Pediatric Emergency Medicine President Wake Medical Center International Wound Ballistics Association Raleigh, North Carolina Hawthorne, FloridaAdjunct Instructor Department of Emergency Medicine University of North Carolina at Chapel Hill Associate Professor Division of Emergency Medicine Denver Health Medical CenterChief University of Colorado Health Sciences CenterDivision of Operational Medicine Denver, ColoradoUSAMRIID Ft. Detrick, Maryland Associate Clinical Professor Adjunct Professor in BioengineeringUniformed Services Electrical and Computer EngineeringUniversity of the Health Sciences University of Illinois, UrbanaChampaignBethesda, Maryland Clinical Assistant Professor of Emergency Medicine The Medical School at the University of Illinois Assistant Professor Urbana, Illinois CHARLES L. EMERMAN, MD [63, 173] CHRISTOPHER J. DENNY, MD [227] JOHN ENG, MD [302] CHAYAN C. DEY, MD, MPH [206] RAKESH ENGINEER, MD [96] MERT EROGUL, MD [99] DEBORAH B. DIERCKS, MD [51] ROBERT H. ESCARZA, MD [269]GAIL D'ONOFRIO, MD [295] BRIAN EUERLE, MD [35] SUZANNE DOYON, MD [167] WILLIAM DRIBBEN, MD [174] RAWDEN EVANS, MD, PhD [86] OLLYDUCKETT, MD [139] MARTIN L. FACKLER, MD [264] KIM M. FELDHAUS, MD [298] COL. EDWARD M. EITZEN, JR., MD, MPH [8, 185] RAYMOND M. FISH, MD, PhD [201, 202] STEPHANIE R. ELLISON, MD [273] xvi AUTORI mk
16. 16. DENIS J. FITZGERALD, MD [78] FIONA E. GALLAHUE, MD [44] STEVEN G. FOLSTAD, MD, [152] DAVID R. GENS, MD [20] KIMBERLEY B. FORTNER, MD [107] WILLIE GILFORD, JR., MD [123] MARK W. FOURRE, MD [285] JEFFREY N. GLASPY, MD [274] DAVID R. FOWLER, MD [265] LEWIS R. GOLDFRANK, MD [310] HAROLD E. FOX, MD, MS [105] BRIAN GOLDMAN, MD [231] WILLIAM J. FROHNA, MD [281] PHILLIP V. GORDON, MD, PhD [4] SUSAN FUCHS, MD [121] SUSAN J. GOTTLIEB, PhD [291] CHARLES S. GRAFFEO, MD [214] WADE R. GAASCH, MD [76] MATTHEW C. GRATTON, MD [77] E. JOHN GALLAGHER, MD [72] Albert Einstein College of Medicine Assistant Professor of Military and Emergency Medicine Bronx, New York Uniformed Services University of the Health Sciences Adjunct Assistant Professor of Emergency Medicine University of Cincinnati Associate Residency Director Cincinnati, Ohio New York Methodist Hospital Department of Emergency Medicine Brooklyn, New York MidAtlantic Emergency Medical Associates Charlotte, North Carolina Associate Professor of Surgery R. Adams Cowley Shock Trauma Center Division of Emergency Medicine Program in Trauma at the University of Maryland School of University of Toronto Medicine Sunnybrook and Women's College Health Sciences Center Baltimore, Maryland Toronto, Ontario, Canada Assistant Professor of Emergency Medicine Program Director University of Alabama at Birmingham Emergency Medicine Residency Department of Emergency Medicine Maine Medical Center Birmingham, Alabama Portland, Maine Associate Professor of Surgery University of Vermont School of Medicine Assistant Professor of Emergency Medicine Burlington, Vermont Associate Residency Program Director UMKCTruman Medical Center Department of Emergency Medicine Chief Medical Examiner State of Maryland Kansas City, Missouri Maryland Forensic Medicine Center Office of the Chief Medical Examiner Baltimore, Maryland Professor and Chair Department of Emergency Medicine New York University Medical Center Professor and Chair Bellevue Hospital Center Residency Program Director New York, New York Obstetrician/GynecologistinChief Department of OB/GYN Johns Hopkins University School of Medicine Staff Emergency Physician Johns Hopkins Hospital Mount Sinai Hospital Baltimore, Maryland Toronto, Canada Assistant Professor Department of Family and Community Medicine Chair, Department of Emergency Medicine University of Toronto Franklin Square Hospital Center Toronto, Ontario Baltimore, Maryland Canada Attending Physician Department of Emergency Medicine Washington Hospital Center and Children's National Medical Center Assistant Professor of Pediatrics Washington, DC Division of Neonatology University of Virginia Health Science Center Department of Pediatrics Associate Professor of Pediatrics Charlottesville, Virginia Feinberg School of Medicine Northwestern University Associate Director Department of Psychiatry Division of Pediatric Emergency Medicine William Beaumont Hospital Children's Memorial Hospital Royal Oak, Michigan Chicago, Illinois Associate Professor Assistant Professor of Surgery Eastern Virginia Medical School Division of Emergency Medicine Department of Emergency Medicine University of Maryland School of Medicine Norfolk, Virginia Baltimore, Maryland Associate Professor Professor and University Chair Department of Emergency Medicine Department of Emergency Medicine Truman Medical Center xviiAUTORI mk
17. 17. University of Missouri at Kansas City School of Medicine Kansas City, Missouri Department of Emergency Medicine EMS Medical Director CoMedical Director, Mayo Medical Transport Missouri EMS System Mayo Clinic Kansas City, Missouri Rochester, Minnesota Associate Professor of Emergency Medicine and Pathology Assistant Professor Johns Hopkins University School of Medicine University of Maryland School of Medicine Department of Emergency Medicine Baltimore, Maryland Baltimore, Maryland Middle Tennessee Poison Center Johns Hopkins Hospital Center for Clinical Toxicology Department of Anesthesiology and Critical Care Medicine Vanderbilt University Medical Center Baltimore, Maryland Nashville, Tennessee Assistant Professor Allegheny General Hospital Department of Emergency Medicine Department of Emergency Medicine Brody School of Medicine Pittsburgh, Pennsylvania East Carolina University Greenville, North Carolina Attending Physician Anne Arundel Medical Center Wake Medical Center Annapolis, Maryland Department of Emergency Medicine Raleigh, North Carolina Associate Professor of Emergency Medicine Temple University Hospital and School of Medicine Clinical Associate Professor Department of Emergency Medicine Division of Emergency Medicine Philadelphia, Pennsylvania University of Colorado School of Medicine Denver, Colorado President, International Society for Mountain Medicine Residency Director Ridgeway, Colorado Madigan Army Medical Center Department of Emergency Medicine Tacoma, Washington The Cleveland Clinic Foundation Department of Emergency Medicine Cleveland, Ohio Lynchburg General Hospital Department of Emergency Medicine Lynchburg, Virginia Assistant Professor of Surgery School of Medicine Adjunct Professor of Business Administration Assistant Clinical Professor of Emergency Medicine Olin School of Business Administration George Washington University School of Medicine Washington University in Saint Louis Washington, DC St. Louis, Missouri Inova Fairfax Hospital Department of Emergency Medicine Falls Church, Virginia Assistant Professor Adult Services Medical Director Department of Emergency Medicine Falls Church, Virginia University of Minnesota Minneapolis, Minnesota Assistant Professor, Division of Emergency Medicine Rocky Mountain Poison and Drug Center Professor and Chair University of Colorado Health Sciences Center Wright State University Denver, Colorado Department of Emergency Medicine Kettering, Ohio Clinical Professor, Emergency Medicine Temple University School of Medicine Department of Emergency Medicine Program Director, Emergency Medicine Residency The Johns Hopkins Hospital St. Lukes Hospital Baltimore, Maryland Bethlehem, Pennsylvania DANIEL G. HANKINS, MD [2] GARY B. GREEN, MD, MPH [49] KAREN N. HANSEN, MD [169] CHRISTINA E. HANTSCH, MD [104] KELLYL. GROGAN, MD [26] JASON B. HACK, MD [156] FRED P. HARCHELROAD, JR., MD [200] KAREN M. HARDART, MD [112] THERESA A. HACKELING, MD [244] RICHARD A. HARRIGAN, MD [161, 210] PETER H. HACKETT, MD [207] BENJAMIN HARRISON, MD [283] ROBERT HADDON, MD, MS [240] NAEL HASAN, MD [257] BRUCE L. HALL, MD, PhD, MBA [259] WILLIAM E. HAUDA II, MD [14, 131, 252] PAULR. HALLER, MD [275, 278] KENNON HEARD, MD [176] GLENN HAMILTON, MD, MSM [294] MICHAEL B. HELLER, MD [303] DARCIE HAMMER, MD [27] xviii AUTORI mk
18. 18. ROBIN R. HEMPHILL, MD [218, 219, 220, 221, 222] JEREMY J. HOLLERMAN, MD [264] WILMA V. HENDERSON, MD [166] CHRISTOPHER M. HOLMES, MD [126] JENNIFER J. HESS, MD [83] EDMOND A. HOOKER, MD [88, 89] ARMANDO HEVIA, MD [312] COURTNEY HOPKINSMANN, MD [136] ERIC HIGGINBOTHAM, MD [37] PETER M. HILL, MD, MSc [49] MARK A. HOSTETLER, MD, MPH [205] JON MARK HIRSHON, MD, MPH [12] DEBRA E. HOURY, MD, MPH [266] CHERRI HOBGOOD, MD [312] DAVID S. HOWES, MD [94, 97] ROBERT S. HOFFMAN, MD [156, 168] J. STEPHEN HUFF, MD [226, 229, 230] DAVID E. HOGAN, DO [193] ROGER L. HUMPHRIES, MD [66] JUDD E. HOLLANDER, MD, [40, 42, 48, 50, 51] Hospital of the University of Pennsylvania Assistant Professor of Emergency Medicine Department of Emergency Medicine Associate Residency Program Director Philadelphia, Pennsylvania Vanderbilt University School of Medicine Department of Emergency Medicine Nashville, Tennessee Department of Radiology Hennepin County Medical Center and University of Minnesota Minneapolis, Minnesota Assistant Professor, Department of Emergency Medicine Wayne State University Detroit Receiving Hospital Department of Emergency Medicine Detroit, Michigan Swedish Medical Center Englewood, Colorado Senior Clinical Instructor Department of Emergency Medicine University of Colorado Health Sciences Center Mayo Clinic Denver, Colorado Rochester, Minnesota Associate Professor and Research Director Assistant Professor Department of Emergency Medicine Department of Emergency Medicine University of Louisville Louisiana State University Louisville, Kentucky New Orleans, Louisiana Department of Pediatric Emergency Medicine Department of Emergency Medicine Wake Medical Center University of North Carolina at Chapel Hill Raleigh, North Carolina Assistant Consulting Professor Adjunct Instructor Division of Emergency Medicine Department of Emergency Medicine Duke University University of North Carolina at Chapel Hill Durham, North Carolina Chapel Hill, North Carolina Assistant Chief of Service Assistant Professor Johns Hopkins Bayview Medical Center Section of Emergency Medicine Instructor, Department of Emergency Medicine Department of Pediatrics Johns Hopkins University The University of ChicagoBaltimore, Maryland Medical Director Pediatric Emergency Department University of Chicago Children's HospitalAssistant Professor Chicago, IllinoisUniversity of Maryland School of Medicine Division of Emergency Medicine Departments of Surgery, Epidemiology and Preventative Medicine Assistant ProfessorBaltimore, Maryland Department of Emergency Medicine Associate Director, Center for Injury Control Emory University School of MedicineAssistant Professor Atlanta, GeorgiaDepartment of Emergency Medicine University of North Carolina at Chapel Hill Chapel Hill, North Carolina Program Director University of Chicago Emergency Medicine Residency Associate Professor of MedicineAssociate Professor of Emergency Medicine University of Chicago Pritzker School of MedicineNew York University School of Medicine Chicago, IllinoisAttending Physician, Bellevue Hospital Center Director, New York City Poison Control Center New York, New York Associate Professor of Emergency Medicine and Neurology Departments of Emergency Medicine and Neurology University of Virginia Health SystemOklahoma State University Charlottesville, VirginiaIntegris Southwest Medical Center Division of Emergency Medicine Oklahoma City, Oklahoma Assistant Professor and Residency Director University of Kentucky College of Medicine Professor and Clinical Research Director Department of Emergency Medicine Lexington, Kentucky xixAUTORI mk
19. 19. OLIVER L. HUNG, MD [171] CARROLL P. JONES, MD [280] D. MONTE HUNTER, MD [283] ELAINE B. JOSEPHSON, MD [98] JEFFERY C. HUTZLER, MD [289] JONATHAN JUI, MD, MPH [32] GEOFFREY K. ISBISTER, BSc, MBBS [196] LAURENCE M. KATZ, MD [24] KENNETH C. JACKIMCZYK, MD [293] GABOR D. KELEN, MD [25, 27, 144, 259, 262] DAVID M. JAFFE, MD [121] ARTHUR L. KELLERMAN, MD, MPH [266] F. MICHAELJAGGI, MD [224] SCOTT S. KELLEY, MD [280] DAVID M. JANICKE, MD, PhD [103] MARK A. KIRK, MD [174] DIETRICH V.K. JEHLE, MD [113] THOMAS D. KIRSCH, MD, MPH [255] MICHAEL N. JOHNSTON, MD [134] GARYA. JOHNSON, MD [58] NIRANJAN KISSOON, MD [117] SUNY Upstate Medical University Assistant Professor of Clinical Surgery and Emergency Medicine Department of Emergency Medicine Department of Emergency Medicine Syracuse, New York Bellevue Hospital Center and New York University Medical Center New York, New York Department of Orthopaedics University of North Carolina School of Medicine Division of Sports Medicine Chapel Hill, North Carolina Department of Orthopedics UCLA Medical Center Los Angeles, California Assistant Clinical Professor of Medicine Columbia University College of Physicians and Surgeons Department of Emergency Medicine Department of Psychiatry St. LukesRoosevelt Hospital Center Ohio State University New York, New York Columbus, Ohio Professor Clinical Toxicologist and Emergency Physician Oregon Health Sciences UniversityNewcastle Mater Hospital Department of Emergency MedicineLecturer, Discipline of Clinical Pharmacology Portland, OregonUniversity of Newcastle Newcastle, Australia Associate Professor Department of Emergency MedicineAssociate Chairman University of North CarolinaMaricopa Medical Center Chapel Hill, North CarolinaEmergency Department Phoenix, Arizona Professor and Chair Dana Brown Professor of Pediatrics Department of Emergency Medicine Washington University School of Medicine Johns Hopkins University Director of Emergency Services Baltimore, Maryland St. Louis Children's Hospital Department of Emergency Pediatrics St. Louis, Missouri Professor and Chair Department of Emergency Medicine Director, Center for Injury Control Clinical Assistant Professor Emory University School of Medicine Department of Emergency Medicine Atlanta, Georgia University of Michigan Medical Center Ann Arbor, Michigan Chief of Emergency Medicine Clinical Professor Hurley Medical Center Duke University Department of Surgery Flint, Michigan Division of Orthopaedics Durham, North Carolina Associate Research Director State University of New York at Buffalo Medical Toxicology Fellowship DirectorDepartment of Emergency Medicine Division of Medical ToxicologyBuffalo, New York Department of Emergency Medicine University of Virginia Blue Ridge Poison CenterDirector of Emergency Services Charlottesville, VirginiaErie County Medical Center Associate Professor and Vice Chaiman Department of Emergency Medicin Maricopa Medical Center Phoenix, Arizona Medical DirectorAssistant Professor of Clinical Pediatrics Department of Emergency MedicineDivision of Pediatric Emergency Medicine Chandler Regional HospitalLouisiana State University Health Sciences Center New Orleans, Lousiana Chandler, Arizona Associate Professor Professor of Pediatrics and Emergency Medicine xx AUTORI mk
20. 20. Chief, Division of Critical Care Medicine University of Florida Health Sciences CenterJacksonville Department of Emergency Medicine Department of Pediatrics Specialty Pharmacy Services Jacksonville, Florida Detroit Receiving Hospital and University Health Center Department of Pharmacy Services Detroit, Michigan Regional Poison Control Center Children's Hospital of Michigan Associate Professor and ViceChairDetroit, Michigan Department of Emergency Medicine Wayne State University Detroit Receiving HospitalDirector of Research Detroit, MichiganCarolinas Medical Center Department of Emergency Medicine Charlotte, North Carolina Lutheran General HospitalAdjunct Associate Professor Department of Emergency MedicineDepartment of Emergency Medicine Park Ridge, IllinoisUniversity of North Carolina at Chapel Hill Assistant Professor Department of Emergency Medicine and Director of Physician Valencia Community College Wellness Programs Department of Emergency Medical Services William Beaumont Hospital Orlando Regional Medical Center Royal Oak, Michigan Orlando, Florida Assistant Clinical Professor Department of Emergency Medicine Wayne State University Associate Professor of Emergency Medicine Detroit, Michigan Michigan State University/Kalamazoo Center for Medical Studies Department of Emergency Medicine Kalamazoo, Michigan Department of Emergency Medicine Pediatric Emergency Medicine Fellowship Director Inova Fairfax Hospital Assistant Professor Falls Church, Virginia Assistant Residency Director Assistant Professor of Pediatrics Clinical Director, Department of Emergency Medicine Georgetown University School of Medicine and George Washington University of North Carolina at Chapel Hill Chapel Hill, North CarolinaUniversity School of Medicine Washington, DC Chief, Department of Emergency Medicine Southern Maine Medical CenterEdward S. Thomas Distinguished Professor Biddeford, MaineDepartment of Emergency Medicine and the Center for Molecular Clinical Associate ProfessorMedicine and Genetics University of VermontWayne State University School of Medicine College of MedicineDetroit, Michigan Burlington, Vermont and University of New England College of Osteopathic Medicine Residency Director Biddeford, Maine State University of New York at Buffalo Department of Emergency Medicine Buffalo, New York Department of Emergency Medicine Wake Medical Center Raleigh, North Carolina Assistant Residency Director Adjunct Assistant Professor Department of Emergency Medicine Department of Emergency Medicine Albert Einstein Medical Center University of North Carolina at Chapel Hill Philadelphia, Pennsylvania Assistant Professor Clinical Assistant Professor Department of Emergency Medicine University of Michigan Johns Hopkins University Department of Emergency Medicine Baltimore, Maryland Ann Arbor, Michigan BRYAN R. KUHN, PharmD [29] KELLYR. KLEIN, MD [8, 185] GLORIA J. KUHN, DO, PhD [106, 108] JEFFREY A. KLINE, MD [56, 176] ALAN M. KUMAR, MD [263] JAYLADDE, MD [236] SANFORD H. KOLTONOW, MD, Psy.S. [296] RICHARD L. LAMMERS, MD [46] MAYBELLE KOU, MD [124, 137] JAMES L. LARSON, JR., MD [272] FRANK W. LAVOIE, MD [80] GARY S. KRAUSE, MD, MS [23] RICHARD S. KRAUSE, MD [103] DAVID LEADER, DO [136] JOEL KRAVITZ, MD [141] FREDERICK LEVY, MD [262] STEVEN KRONICK, MD, PhD [90] xxiAUTORI mk
21. 21. HORACE K. LIANG, MD, MA [215, 216] MICHAEL LUCCHESI, MD [239] ERICA L. LIEBELT, MD [134] DESMOND J. LUGG, MD [208] G. PATRICK LILJA, MD [1] JOAO A.C. LIMA, MD [61] O. JOHN MA, MD [253] CHRISTOPHER A. LIPINSKI, MD [255] ANTHONY G. MACINTYRE, MD [7] RICHARD MALLEY, MD [122] MICHAEL LONDNER, MD, MPH, MBA [27, 111] ANN E. MALONEY, MD [292]HEATHER LONG, MD [184] JAMES E. MANNING, MD [24, 31]KEITH E. LORING, MD, MPH [235] CATHERINEA. MARCO, MD [17, 144, 145] HEATHER MARSHALL, DO [173] CARY L. LUBKIN, MD [211] MARCUS L. MARTIN, MD [245] Assistant Professor Associate Professor and Chairman Department of Emergency Medicine Downstate Medical Center Johns Hopkins Hospital State University of New York Baltimore, Maryland Department of Emergency Medicine Brooklyn, New York Director Medical Toxicology Services Chief, Medicine of Extreme Environments Division of Pediatric Emergency Medicine Office of the Chief Health and Medical Officer Children's Hospital NASA Headquarters, CodeAM, Birmingham, Alabama Washington, DC Distinguished Research Professor George Mason University Clinical Professor, Emergency Medicine Fairfax, Virginia University of Minnesota Medical School Head Medical Director, Emergency and Trauma Services Polar Medicine Australian Antarctic Division North Memorial Medical Center Kingston, Tasmania Minneapolis, Minnesota Australia Assistant Professor, Cardiology Vice Chair Clinical Director, Echocardiology Lab Department of Emergency Medicine Johns Hopkins University and Hospital Truman Medical Center Department of Cardiology Associate Professor of Emergency Medicine Baltimore, Maryland University of MissouriKansas City School of Medicine Kansas City, Missouri Assistant Professor of Clinical Surgery and Director of Emergency Medicine Research Associate Professor of Emergency Medicine University of Arizona College of Medicine George Washington University Phoenix Programs Department of Emergency Medicine Maricopa Medical Center Washington, DC Phoenix, Arizona Assistant Professor in Pediatrics Assistant Professor Harvard Medical School Clinical Director Children's Hospital Johns Hopkins Hospital Divisions of Emergency Medicine and Infectious Diseases Department of Emergency Medicine Boston, MassachusettsBaltimore, Maryland Department of PsychiatryDepartment of Emergency Medicine University of North CarolinaNorth Shore University Hospital Chapel Hill, North CarolinaManhasset, New York Associate Professor and Vice ChairMedical Director and Chief University of North Carolina School of MedicineDepartment of Emergency Medicine Department of Emergency MedicineSt. Mary's Medical Center Chapel Hill, North CarolinaSan Francisco, California Assistant Clinical Professor of Surgery Department of Surgery Associate Professor, Medical College of OhioDivision of Emergency Services Acute Care Services, St. Vincent Mercy Medical CenterUniversity of California Toledo, OhioSan Francisco General Hospital San Francisco, California Department of Emergency Medicine Case Western Reserve UniversityAssitant Director Cleveland, OhioAssistant Professor of Emergency Medicine Department of Emergency Medicine UMDNJRobert Wood Johnson Medical School at Camden Professor and ChairThe Cooper Health System University of Virginia School of MedicineCamden, New Jersey Department of Emergency Medicine Charlottesville, Virginia xxii AUTORI mk
22. 22. Visiting Professor, Neuroradiology Associate Clinical Professor of Pediatrics Department of Radiology Virginia Commonwealth University Health System Chapel Hill, North Carolina Director, Pediatric Emergency Services Chippenham Medical Center Midlothian, Virginia Biltmore Dermatology Associates Ashville, North Carolina Associate Professor Eastern Virginia School of Medicine Department of Emergency MedicinePresident, Emergency Physicians of Northern Virginia, Ltd. Norfolk, VirginiaProfessor of Emergency Medicine and Pediatrics Georgetown University & George Washington University Schools of Medicine Hartford Medical GroupInovaFairfax Hospital Hartford HospitalDepartment of Emergency Medicine Hartford, ConnecticutFalls Church, Virginia Clinical Instructor of Emergency Medicine University of Connecticut School of Medicine Farmington, ConnecticutAssociate Professor Medical Director, UNC AirCare University of North Carolina Clinical Associate Professor of Emergency MedicineDepartment of Emergency Medicine Brody School of Medicine at East Carolina UniversityChapel Hill, North Carolina Department of Emergency Medicine Greenville, North Carolina Professor and Chair Department of Emergency Medicine Department of Obstetrics and GynecologyTemple University School of Medicine The Howard County General HospitalPhiladelphia, Pennsylvania Baltimore, Maryland Professor and Chief of Division of Toxicology Department of Emergency MedicineBrody School of Medicine at East Carolina University The Northshore Medical CenterDepartment of Emergency Medicine Salem, MassachusettsGreenville, North Carolina Professor and ChiefProfessor, Division of Gastroenterology Cardiothoracic SurgeryDepartment of Internal Medicine University of North Carolina School of MedicineThe Ohio State University College of Medicine and Public Health Director, Transplantation Services, University of North CarolinaColumbus, Ohio Hospitals University of North Carolina at Chapel Hill Chapel Hill, North CarolinaAssociate Director Emergency Medicine Residency St. Luke's Hospital Heart Transplant CoordinatorBethlehem, Pennsylvania University of North Carolina at Chapel HillAssistant Clinical Professor Chapel Hill, North CarolinaTemple University School of Medicine Philadelphia, Pennsylvania Clinical Assistant Professor Wayne State UniversityAssociate Professor of Emergency Medicine Detroit, MichiganCase Western Reserve University Cleveland, Ohio MetroHealth Medical Center Senior Attending SurgeonDepartment of Emergency Medicine Washington National Eye Center/Washington Hospital CenterCleveland, Ohio Washington, DC Executive Director ED Operations St Vincent Hospital Department of Emergency Medicine Santa Fe, New Mexico Case Western Reserve University President MetroHealth Emergency Medicine Northern New Mexico Emergency Medical Services Cleveland Clinic Foundation Cleveland, Ohio MARIA G. MATHEUS, MD [237] PETER MELLIS, MD [114, 116] LISA MAY, MD [247, 248, 249, 250] MOSS H. MENDELSON, MD [75] THOM MAYER, MD [124, 128, 131, 137, 140] JEFFREY S. MENKES, MD [267] MARSHALL C. McCOY, MD [301] JOHN T. MEREDITH, MD, [151] ROBERT McNAMARA, MD [73] DANIELA MESHKAT, MD [111] WILLIAM J. MEGGS, MD, PhD [182] JOHN A. MICHAEL, MD [276, 277] MICHAEL R. MILL, MD [60]HAGOP S. MEKHJIAN, MD [81] SCOTT W. MELANSON, MD [303] MICHELLE S. MILL, RN, BSN, CCTC [60] KIRK C. MILLS, MD [158, 159, 160] STEPHEN W. MELDON, MD [253] JOHN D. MITCHELL, MD [238] FRANTZ R. MELIO, MD, FACEP[287] DONALD A. MOFFA, JR., MD [63] xxiiiAUTORI mk
23. 23. Department of Emergency Medicine Associate Professor Kaiser Sacramento/Roseville University of North Carolina School of Medicine Sacramento, California Department of Psychiatry Volunteer Clinical Faculty Chapel Hill, North Carolina University of California at Davis Department of Emergency Medicine Affiliate Associate Professor of Pediatrics University of South Florida School of Medicine Department of Pediatric Emergency Medicine Chief, Division of Pediatric Critical Care Medicine Wake Medical Center All Children's Hospital Raleigh, North Carolina St. Petersburg, Florida Adjunct Assistant Professor Departments of Emergency Medicine and Pediatrics University of North Carolina at Chapel Hill Assistant Professor Chapel Hill, North Carolina Department of Emergency Medicine and Division of Health Sciences Informatics Johns Hopkins University School of Medicine Assistant Professor Johns Hopkins Hospital Director of Pediatric and Adolescent Dermatology Baltimore, Maryland University of North Carolina Department of Dermatology Chapel Hill, North Carolina Professor of Medicine HarborUniversity of California at Los Angeles Medical Center Department of Emergency Medicine Associate Professor, Division of Emergency Medicine Torrance, California University of Toronto Sunnybrook and Women's College Health Sciences Center Toronto, Ontario Professor of Pediatrics and Neurology Wayne State University School of Medicine Detroit, Michigan Professor and Chief Michigan Institute for Neurological Disorders University of Nebraska Medical Center Farmington Hills, Michigan Department of Emergency Medicine Omaha, Nebraska Department of Psychiatry The Ohio State University School of Medicine Assistant Professor Columbus, Ohio Department of Emergency Medicine Director, Wake County Emergency Medical Services University of North Carolina EPS/TeamHealth Chapel Hill, North Carolina St. John Westshore Hospital Westlake, Ohio Southwest General Health Center Assistant Clinical Professor of Emergency Medicine Middleberg Heights, Ohio New York University School of Medicine Director, Medical Toxicology Fellowship New York City Poison Center Special Assistant to the US Surgeon General for Homeland Security New York, New York and Disaster Medicine US Public Health Service Washington, DC Professor of Medicine and Surgery Department of Emergency Medicine Director, Hyperbaric Medicine Center Assistant Professor University of California, San Diego Medical Center University of North Carolina at Chapel Hill San Diego, California Department of Physical Medicine & Rehabilitation Chapel Hill, North Carolina Piedmont Emergency Medicine Associates Charlotte, North Carolina Professor and Chairman Virginia Commonwealth University Health System Department of Emergency Medicine Instructor Richmond, Virginia Loma Linda University School of Medicine Department of Emergency Medicine Loma Linda, California Bronx Lebanon Hospital GREGORY P. MOORE, MD, JD [293] LINDA M. NICHOLAS, MD, MS [292] MARK A. NICHTER, MD [198] DONNA MOROSUTHERLAND, MD [136, 138] DAVID D. NICOLAOU, MD [25, 38] DEAN MORRELL, MD [247, 248, 249, 250] JAMES T. NIEMANN, MD [55] LAURIE J. MORRISON, MSc, MD [101] MICHAEL A. NIGRO, DO [125] ROBERT L. MUELLEMAN, MD [268] RICHARD A. NOCKOWITZ, MD [290] J. BRENT MYERS, MD, MPH [153] THOMAS P. NOELLER, MD [70] LEWIS S. NELSON, MD [171, 179, 184, 189, 190] ERIC K. NOJI, MD, MPH [6] TOM NEUMAN, MD [197] JOHN N. OH, MD [308] TINA M. NEWMAN, MD [52] JOSEPH P. ORNATO, MD [11] H. BRYANT NGUYEN, MD, MS [30] HAROLD H. OSBORN, MD [149, 178] xxiv AUTORI mk
24. 24. Emergency Department Bronx, New York CoDirector Division of Toxicology Assistant Professor Assistant Professor Department of Emergency Medicine Emory University School of Medicine University of Pennsylvania School of Medicine Department of Emergency Medicine Attending Physician Atlanta, Georgia Emergency Department Hospital of the University of Pennsylvania Philadelphia, Pennsylvania Assistant Professor Division of Emergency Medicine Duke University Assistant Professor and Assistant Chair Durham, North Carolina University of Florida Health Sciences CenterJacksonville Department of Emergency Medicine Jacksonville, Florida Professor and Chairman Department of Emergency Medicine Emergency Medicine Program Director Department of Emergency Medicine Michigan State University College of Human Medicine Pitt County Memorial Hospital Michigan State Kalamazoo Center for Medical Studies East Carolina University School of Medicine Kalamazoo, Michigan Greenville, North Carolina Clinical Assistant Professor Clinical Pharmacist University of Florida Detroit Receiving Hospital/Detroit Medical Center Department of Emergency Medicine Department of Pharmacy Services Orlando, Florida Detroit, Michigan Department of Pediatric Emergency Medicine Department of Pediatric Emergency Medicine InovaFairfax Hospital Emergency Physicians of Northern Virginia Falls Church, Virginia Inova Fairfax Hospital Falls Church, Virginia Associate Professor and Vice Chairman University of Cincinnati College of Medicine Associate ProfessorDepartment of Emergency Medicine Department of Emergency MedicineCincinnatti, Ohio University of Pennsylvania Medical Center Philadelphia, Pennsylvania Assistant Professor State University of New YorkDownstate Clinical Assistant Professor of Emergency MedicineKings County Hospital Center Department of Emergency Medicine and PediatricsDepartment of Emergency Medicine Wright State UniversityBrooklyn, New York Dayton, Ohio Associate Professor MetroHealth Medical CenterThe Ohio State University Department of Emergency MedicineEmergency Department Clinical Operations Director Cleveland, OhioMedical Director, Event Medicine The Cleveland Clinic Foundation Department of Emergency Medicine Professor of Emergency MedicineCleveland, Ohio Chief of Emergency Medicine University of Connecticut School of Medicine Hartford HospitalAssociate Professor Department of Emergency MedicineDepartment of Emergency Medicine Hartford, ConnecticutUniversity of Virginia School of Medicine Charlottesville, Virginia Assistant Professor Department of Emergency MedicineDepartment of Emergency Medicine Maine Medical Center University of Louisville Portland, Maine Louisville, Kentucky JEANMARIE PERRONE, MD [168] ERIC W. OSSMANN, MD [5] RONNY M. OTERO, MD [30] SHAWNAJ. PERRY, MD [142] DAVID T. OVERTON, MD [74] PAMELAL. PIGGOTT, MD [10] JOSEPH PAGANE, MD [236] JAMIE PILAROWSKI, PharmD [157] PETER J. PAGANUSSI [137] FREDERICK PLACE, MD [128] ARTHUR M. PANCIOLI, MD, FACEP [78] CHARLES V. POLLACK, JR., MD [224] PETER R. PEACOCK, JR., MD [92] NANCY POOK, MD [130] W. FRANKLIN PEACOCK IV, MD [33, 53, 96, 240, 241] JANET M. POPONICK, MD [65, 71] ROBERT D. POWERS, MD, MPH [47] DEBRA G. PERINA [213] TIMOTHY G. PRICE, MD [79] ANDREW D. PERRON, MD [226, 245, 246] xxvAUTORI mk
25. 25. LOUISE A. PRINCE, MD [58] ROBERT F. REARDON, MD [113] SUSAN B. PROMES, MD [16, 141] SEAN M. REES, MD [189] PETER PRONOVOST, MD, PhD [26] EARL J. REISDORFF, MD [45] JOSEPH G. RELLA, MD [179, 190]ARTHUR F. PROUST, MD [270] KATHYJ. RINNERT, MD, MPH [154] KATHERINE M. PRYBYS, DO [169] EMANUEL P. RIVERS, MD, MPH [30] KIMBERLYS. QUAYLE, MD [121] RALPH H. RAASCH, PharmD [155] WALTER C. ROBEY III, MD [182] MARK B. RABOLD, MD [191] A. MICHAEL ROMAN, MD [18] KATHLEENA. RAFTERY, MD [311] ALEXANDER M. ROSENAU, MD [135] RAMA B. RAO, MD [310] RICHARD E. ROTHMAN, MD, PhD [144, 145] New York University Medical Center Assistant Professor Department of Emergency Medicine State University of New YorkUpstate New York, New York Department of Emergency Medicine Syracuse, New York Assistant Professor of Clinical Emergency Medicine University of Minnesota Department of Emergency MedicineAssociate Clinical Professor of Surgery Hennepin County Medical CenterResidency Director Minneapolis, MinnesotaDivision of Emergency Medicine Duke University Medical Center Chapel Hill, North Carolina Department of Emergency Medicine Bethesda and Good Samaritan Hospitals Cincinnati, OhioAssociate Professor Departments of Anesthesiology & Critical Care, Surgery, & Health Policy Director of Medical EducationManagement Medical Director Ingham Regional Medical CenterCenter for Innovations in Quality Patient Care Associate Professor of Emergency MedicineThe Johns Hopkins University School of Medicine Michigan State UniversityJohns Hopkins Hospital Lansing, MichiganBaltimore, Maryland Assistant Professor of Emergency MedicineAssociate Director Emergency Medicine University School of Medicine and Dentistry of New JerseyDepartment of Emergency Medicine Consultant, New Jersey Poison and Information Education SystemRockford Memorial Hospital Newark, New JerseyClinical Assistant Professor Department of Surgery University of Illinois College of Medicine Rockford Assistant Professor of Emergency MedicineRockford, Illinois University of TexasSouthwestern Medical Center Division of Emergency Medicine Department of SurgeryAssistant Professor of Emergency Medicine Dallas, TexasUniversity of Maryland School of Medicine Baltimore, Maryland Associate Professor and Senior Staff Attending Physician Departments of Emergency Medicine and SurgeryAssistant Professor of Pediatrics Director of ResearchWashington University School of Medicine Case Western Reserve UniversitySt. Louis Children's Hospital Cleveland, OhioDivision of Pediatric Emergency Medicine Henry Ford HospitalSt. Louis, Missouri Department of Emergency Medicine Detroit, Michigan Associate Professor of Pharmacy Clinical Associate Professor of Medicine Clinical Associate Professor of Emergency MedicineUniversity of North Carolina at Chapel Hill Brody School of Medicine at East Carolina UniversitySchool of Pharmacy Department of Emergency MedicineChapel Hill, North Carolina Greenville, North Carolina Medical Director Emergency Department Department of Emergency Medicine St. Peter's Hospital University of Arkansas Helena, Montana Little Rock, Arkansas Department of Emergency Medicine Department of Emergency Medicine Brigham & Women's Hospital Lehigh Valley Hospital Boston, Massachusetts Allentown, Pennsylvania Assistant Clinical Professor Assistant Professor Bellevue Hospital Center Department of Emergency Medicine xxvi AUTORI mk
26. 26. The Johns Hopkins University Baltimore, Maryland Department of Anesthesiology Critical Care Medicine Brigham & Women's Hospital Fellow, Medical Toxicology Boston, Massachusetts Department of Emergency Medicine Allegheny General Hospital Pittsburgh, Pennsylvania Senior Medical Director Center for Health Improvement Blue Shield of California Canada Research Chair in Emergency Airway Diseases San Francisco, California Research Director, Division of Emergency Medicine Professor, University of Alberta University of Alberta Hospital Professor of Emergency Medicine Edmonton, Alberta Department of Emergency Medicine Canada University of Arizona College of Medicine Tucson, Arizona Department of Emergency Medicine Beth Israel Deaconess Hospital Assistant Professor Boston, Massachusetts Vanderbilt University School of Medicine Assistant Program Director Vanderbilt University Department of Emergency Medicine Emergency Medicine Residency Rockford Memorial Hospital Department of Emergency Medicine Rockford, Illinois Nashville, Tennessee Professor and Chairman PhysicianinChief Ohio State University R. Adams Cowley Shock Trauma Center Department of Emergency Medicine Francis X Kelly Professor of Trauma Surgery Columbus, Ohio University of Maryland School of Medicine Baltimore, Maryland Assistant Professor University of MissouriKansas City Associate Chair Truman Medical Center Department of Emergency Medicine Department of Emergency Medicine Carolinas Medical Center Kansas City, Missouri Charlotte, North Carolina Clinical Professor Emergency Medicine and Pediatrics University of North Carolina School of Medicine University of North Carolina at Chapel Hill Chapel Hill, North Carolina Division of Infectious Diseases Chapel Hill, North Carolina Assistant Professor in Emergency Medicine Mayo Clinic, St. Mary's Hospital Department of Pediatric Emergency Medicine Department of Emergency Medicine Wake Medical Center Rochester, Minnesota Raleigh, North Carolina Adjunct Assistant Professor Department of Emergency Medicine Department of Emergency Medicine University of North Carolina at Chapel Hill Carolinas Medical Center Charlotte, North Carolina Clinical Assistant Professor CoordinatorEating Disorders Program Department of Emergency Medicine William Beaumont Hospital University of North Carolina at Chapel Hill Royal Oak, Michigan Associate Professor of Psychiatry Michigan State University Professor and Chair East Lansing, Michigan Department of Emergency Medicine University of Rochester School of Medicine and Dentistry Rochester, New York Assistant Professor of Emergency Medicine Mayo Clinic Department of Emergency Medicine Assistant Clinical Professor of Medicine Rochester, Minnesota University of California at San Diego Medical Center NICHOLAS SADOVNIKOFF, MD [15] DAVID M. ROTTINGHAUS, MD [200] PATRICIA R. SALBER, MD, MBA [299] BRIAN H. ROWE, MD, MSc [34] ARTHUR B. SANDERS, MD [307] MARCIE RUBIN, MD [15] SALLYA. SANTEN, MD [223] JOHN P. RUDZINSKI, MD [271] DOUGLAS A. RUND, MD [81, 288, 289, 290] THOMAS M. SCALEA, MD [35, 256, 260] MICHAEL D. RUSH, MD [212] ROBERT W. SCHAFERMEYER, MD [127] WILLIAM A. RUTALA, PhD, MPH [147] RAQUEL M. SCHEARS, MD, MPH [163, 165] SAMY SAAD, MD [139] ROBERT E. SCHNEIDER, MD [95] ALEXANDER H. SACKEYFIO, MD [291] SANDRA M. SCHNEIDER, MD [162, 204, 205] ANNIE T. SADOSTY, MD [83] AARON B. SCHNEIR, MD [194] xxviiAUTORI mk
27. 27. Department of Emergency Medicine Hospital of the University of Pennsylvania Division of Medical Toxicolgy Department of Emergency Medicine San Diego, California Philadelphia, Pennsylvania Assistant Professor Assistant Professor John Hopkins School of Medicine University of North Carolina School of Medicine Department of Emergency Medicine Department of Otolaryngology/Head and Neck Surgery Baltimore, Maryland Chapel Hill, North Carolina Assistant Professor Kansas City VA Medical Center Department of Medicine, Division of Emergency Medicine Kansas City, Missouri University of Toronto Clinical Assistant Professor Emergency Department University of Kansas Medical Center Sunnybrook and Women's College Health Sciences Center Kansas City, Kansas Toronto, Ontario Canada Medical Director Adolescent Inpatient Unit Professor and Chair Assistant Professor of Psychiatry University of MissouriKansas City School of Medicine University of North Carolina at Chapel Hill Truman Medical Center Division of Child Psychiatry Department of Emergency Medicine Chapel Hill, North Carolina Kansas City, Missouri Associate Director Assistant Professor Department of Emergency Medicine Department of Emergency Medicine St. Agnes Healthcare Wayne State University School of Medicine Baltimore, Maryland Detroit Receiving Hospital Instructor of Emergency Medicine Detroit, Michigan The Johns Hopkins University School of Medicine Baltimore, Maryland Assistant Professor University of Michigan Associate Professor Department of Emergency Medicine State University of New York Ann Arbor, Michigan Downstate Medical Center Department of Emergency Medicine Brooklyn, New York Assistant Professor of Medicine and Emergency Medicine Vanderbilt University School of Medicine Medical Director Professor of Emergency Medicine and Pediatrics Middle Tennessee Poison Center Wright State University School of Medicine Nashville, Tennessee Vice Chairman of Emergency Medicine Associate Emergency Medicine Residency Program Director Wright State University St. Luke'sRoosevelt Hospital Department of Emergency Medicine Department of Emergency Medicine Dayton, Ohio New York, New York Associate Professor Associate Professor, Emergency Medicine Director of Clinical Research Director of Education & Research Stony Brook University Hospital of the University of Pennsylvania Department of Emergency Medicine Department of Emergency Medicine Stony Brook, New York Philadelphia, Pennsylvania St. Luke'sRoosevelt Hospital Center Chairman, Department of Emergency Medicine Department of Emergency Medicine Candler Hospital New York, New York Savannah, Georgia Associate Professor and Research Development Director Associate Professor, Emergency Medicine Department of Emergency Medicine Director, PENN Travel Medicine University of Illinois College of Medicine CHARLES N. SCHOENFELD, MD [217] CAROL G. SHORES, MD, PhD [243, 244] MICHAEL J. SCHULL, MD, MSc [227] SUSAN L. SIEGFREID, MD [292] LINMARIE SIKICH, MD [309] ROBERT A. SCHWAB, MD [47] MICHAEL A. SILVERMAN, MD [112] LAWRENCE R. SCHWARTZ, MD [199] PHILLIP A. SCOTT, MD [228] RICHARD SINERT, DO [92, 93, 99] DONNA L. SEGER, MD [104] JONATHAN I. SINGER, MD [130] EMILYH. SHEFFER, MD [100] ADAM J. SINGER, MD [40, 42, 48] SUZANNE M. SHEPHERD, MD, MS [109, 306] JATINDER SINGH, MD [98] RICHARD O. SHIELDS, JR., MD [84] EDWARD P. SLOAN, MD, MPH [234] WILLIAM H. SHOFF, MD [109] xxviii AUTORI mk
28. 28. Attending Physician, Emergency Services Chair of Emergency Medicine Research University of Illinois Hospital Ottawa Health Research Institute Senior Scientist, Clinical Epidemiology UnitUniversity of IllinoisChicago Distinguished Investigator, Canadian Institutes of Health ResearchChicago, Illinois Ottawa Hospital Civic Campus Clinical Epidemiology Unit Ottawa, OntarioHead, Forensic Pathology CanadaAssociate Professor Department of Pathology University of Maryland ChairmanBaltimore, Maryland Department of Emergency Medicine*Deceased. TexasA&M University Health Science Center Scott and White Memorial Hospital Temple, TexasDepartments of Emergency Medicine and Pediatrics Swedish Hospital Englewood, Colorado Associate Residency Director Assistant Professor University of Southern California School of Medicine Assistant Clinical Professor of Medicine Department of Emergency Medicine Hyperbaric Medicine Center Los Angeles, California University of California, San Diego Medical Center Department of Emergency Medicine San Diego, California Clinical Assistant Professor Department of Emergency Medicine Wayne State University Assistant Professor Attending Physician, Emergency Medicine Assistant Residency Director Detroit Receiving and Huron ValleySinai Hospitals State University of New York Detroit, Michigan Downstate Medical Center Kings County Hospital Center Department of Emergency Medicine Professor of Surgery Brooklyn, New York Division of Emergency Medicine San Francisco General Hospital San Francisco, California Assistant Professor St. Michael's Hospital Division of Emergency Medicine Assistant Professor Toronto, Ontario Department of Emergency Medicine Canada The Johns Hopkins University Director, Division of Special Operations The Johns Hopkins Medical Institutions Professor and Former Chair Baltimore, Maryland Department of Emergency Medicine University of Kentucky College of Medicine Lexington, Kentucky Associate Professor University of North Carolina at Chapel Hill Voluntary Professor Department of Emergency Medicine Department of Radiology University of Kentucky College of Medicine Johns Hopkins Hospital Lexington, Kentucky Baltimore, Maryland Professor and Associate Dean Assistant in Emergency Services University of MissouriKansas City School of Medicine Massachusetts General Hospital Chief Medical Officer Assistant Professor of Surgery Truman Medical Center Harvard Medical School Department of Emergency Medicine Associate Medical Director, Boston MedFlight Kansas City, Missouri Boston, Massachusetts Professor and Head Department of Emergency Medicine Department of Emergency Medicine Johns Hopkins University School of Medicine University of Ottawa Baltimore, Maryland JOHN E. SMIALEK, MD [265]* C. KEITH STONE, MD [3] SUMMER A. SMITH, MD [126] SUSAN STONE, MD, MPH [41] BRIAN SNYDER, MD [197] BHARAT SUTARIYA, MD [21] MARK SPEKTOR, DO [93] ELLEN H. TALIAFERRO, MD [300] JULIE M. SPENCE, MD [101] NELSON TANG, MD [254] J. STEPHAN STAPCZYNSKI, MD [62] PAULJ.W. TAWNEY, MD [308] MICHAEL STAVA, MD [67] MALEK TEBACHE, MD [61] MARK T. STEELE, MD [273, 274] STEPHEN H. THOMAS, MD, MPH [3] IAN G. STIELL, MD, MSc [276, 277] KEITH THOMASSET, MD [177] xxixAUTORI mk
29. 29. CAROLINE A. TIMMERMAN, MD [228] SALVATOR J. VICARIO, MD [79] ANNE TINTINALLI, MD [239] ROBERT J. VISSERS, MD [19, 37, 87, 311] JUDITH E. TINTINALLI, MD, MS [85] MICHAEL C. WADMAN, MD [268] JAMES S. WALKER, DO [193] RUDOLPH J. TRIANA JR., MD [244] DOUGLAS R. TROSCINSKI, MD [138] MICHAEL M. WANG, MD, PhD [233] DENNIS T. UEHARA, MD [269, 270, 271] MARY CHESTER MORGAN WASKO, MD [284] KEITH W.VAN METER, MD [203] THOMAS A. WATERS, MD [241] MICHAEL J. VANROOYEN, MD, MPH [107, 206] PAULM. WAX, MD [180, 183] LARISSA I. VELEZ, MD [188] BARRYA. WAYNE, MD, CDR, MC, USN [9] RAGHU VENUGOPAL, MD [206] ROBERT L. WEARS, MD, MS [312] Department of Emergency Medicine Associate Professor of Emergency Medicine University of Michigan University of Louisville School of Medicine Detroit, Michigan Department of Emergency Medicine Louisville, Kentucky Clinical Instructor Department of Emergency Medicine Residency Director and Assistant Professor Wayne State University University of North Carolina Detroit Receiving Hospital Department of Emergency Medicine Detroit, Michigan Chapel Hill, North Carolina Professor and Chair Assistant Professor Department of Emergency Medicine Section of Emergency Medicine Adjunct Professor University of Nebraska College of Medicine Department of Health Policy and Administration Omaha, Nebraska University of North Carolina at Chapel Hill Chapel Hill, North Carolina Department of Emergency Medicine Oklahoma Heart Hospital MidWest Ear Nose & Throat Oklahoma City, Oklahoma Evansville, Indiana Clinical Professor of Surgery University of Oklahoma Health Sciences Center Oklahoma City, Oklahoma Assistant Emergency Medicine Residency Director Wake Medical Center Raleigh, North Carolina Assistant Professor Assistant Professor Departments of Neurology and Anesthesiology/Critical Care Department of Emergency Medicine Medicine University of North Carolina at Chapel Hill Johns Hopkins University Johns Hopkins Hospital Baltimore, Maryland Chairman, Department of Emergency Medicine Rockford Memorial Hospital Clinical Professor of Surgery, Department of Surgery Department of MedicineUniversity of Illinois College of Medicine Rockford Division of Rheumatology and Clinical ImmunologyRockford, Illinois University of Pittsburgh Pittsburgh, Pennsylvania Clinical Professor of Medicine Louisiana State University School of Medicine Clinical InstructorLouisiana State University Section Head of Emergency Medicine Charity Hospital of LouisianaLSU Case Western Reserve University New Orleans, Louisiana Director of Education Department of Emergency Medicine The Cleveland Clinic Foundation Associate Professor and Vice Chair Cleveland, Ohio Director, Center for International Emergency, Disaster and Refugee Studies Johns Hopkins University Fellowship Director, Medical Toxicology Department of Emergency Medicine Banner Samaritan Medical Center Baltimore, Maryland Professor of Clinical Emergency Medicine University of Arizona School of Medicine Phoenix, Arizona Assistant Professor of Emergency Medicine University of TexasSouthwestern Medical Center Division of Emergency Medicine Assistant Professor and Director, Education DivisionDallas, Texas Department of Military and Emergency Medicine Uniformed Services University of the Health Sciences Bethesda, MarylandCenter for International Emergency, Disaster and Refugee Studies Johns Hopkins University Department of Emergency Medicine ProfessorBaltimore, Maryland Department of Emergency Medicine xxx AUTORI mk
30. 30. University of Florida Health Sciences CenterJacksonville Assistant Professor of Clinical Medicine Jacksonville, Florida Columbia College of Physicians and Surgeons St. Luke'sRoosevelt Hospital Department of Emergency Medicine Professor of Medicine, Pediatrics, and Epidemiology New York, New York University of North Carolina at Chapel Hill Director of Hospital Epidemiology Associate ProfessorMedical Director of Occupational Health Services Department of Emergency MedicineUNC Heathcare Systems Wright State University School of MedicineChapel Hill, North Carolina Dayton, Ohio Assistant Professor DirectorUniversity of Michigan Medical School Space and Life Sciences DirectorateDepartment of Emergency Medicine NASA Johnson Space CenterAnn Arbor, Michigan Astronaut Office Houston, Texas Lehigh Valley Hospital Department of Emergency Medicine Senior Staff PhysicianAllentown, Pennsylvania Emergency Medicine Henry Ford Hospital System Detroit, MichiganConsulting Radiologists, Ltd. Minneapolis, Minnesota Clinical Assistant Professor of Radiology Surgeon GeneralUniversity of Minnesota State of MichiganCambridge Medical Center Attending Emergency PhysicianCambridge, Minnesota Henry Ford Hospital System Detroit, Michigan Professor of Clinical Emergency Medicine Medical Director, MedFlight Vanderbilt University School of MedicineThe Ohio State University College of Medicine and Public Health Department of Emergency MedicineDepartment of Emergency Medicine Nashville, TennesseeColumbus, Ohio University of North Carolina at Chapel Hill Professor and Associate Chair Division of Infectious Diseases Department of Emergency Medicine Chapel Hill, North Carolina Professor Department of Physiology, and the Center for Molecular Medicine and Genetics Clinical Associate Professor of Surgery and Medicine Wayne State University School of Medicine University of Illinois College of Medicine at Rockford Detroit, Michigan Director, Department of Emergency Medicine Harvard Memorial Hospital Harvard, Illinois Instructor Department of Emergency Medicine The Johns Hopkins University Injury Prevention Program Director Assistant Chief of Service University of Virginia The Johns Hopkins Medical Institutions Department of Emergency Medicine Johns Hopkins Hospital Charlottesville, Virginia Baltimore, Maryland Assistant Professor Director, Urgent Care CenterAssistant Professor of Emergency Medicine and Pediatrics Johns Hopkins University School of MedicineMedical Director Department of Emergency MedicineResgional Poison Control Center Baltimore, MarylandChildren's Hospital of Michigan Detroit, Michigan Assistant Professor Emory University School of MedicineChairman, Department of Emergency Medicine DAVID J. WEBER, MD, MPH [147] JOHN M. WIGHTMAN, MD [9] JIM EDWARDWEBER, DO [33, 224] DAVID WILLIAMS, MD, PhD [209] MICHAEL S. WEINSTOCK, MD [135] SONIA WINSLETT, MD [212] IRWIN D. WEISMAN, MD, PhD [305] KIMERLEY DAWN WISDOM, MD [212] HOWARD A. WERMAN, MD [77, 81] MARYA. WITTLER, MD [219] DAVID A. WOHL, MD [147] BLAINE C. WHITE, MD [23] DEAN WOLANYNK, MD [269] DREW WHITE, MD [254] WILLIAM A. WOODS, MD [213] MELISSA M. WU, MD, MBA[57] SUZANNE R. WHITE, MD [8, 185] ARTHUR H. YANCEY II, MD, MPH [5] DANIEL E. WIENER, MD [100] xxxiAUTORI mk
31. 31. Department of Emergency Medicine Atlanta, Georgia Instructor of Emergency Medicine Department of Emergency Medicine The Johns Hopkins University Baltimore, Maryland Attending Physician Rocky Mountain Poison and Drug Center Denver Health Medical Center Denver, Colorado Clinical Assistant Professor, School of Pharmacy Department of Pharmaceutical Sciences University of Colorado Health Sciences Center Assistant Professor University of Kentucky College of Medicine SAMUEL YANG, MD [145] LUKE YIP, MD [170] WILLIAM FRANKLIN YOUNG, JR., MD [66, 67] Department of Emergency Medicine Lexington, Kentucky Assistant Professor University of North Carolina at Chapel Hill Department of Emergency Medicine Chapel Hill, North Carolina Brigham and Women's Hospital Harvard Medical School Department of Emergency Medicine Boston, Massachusetts Assistant Chief of Service Johns Hopkins Hospital Department of Emergency Medicine Baltimore, Maryland JANET SIMMONS YOUNG, MD [110] RICHARD D. ZANE, MD [263] GARY D. ZIMMER, MD [36] xxxii AUTORI mk
32. 32. COLABORATORI ediia n limba romn Realizarea acestei prime ediii n limba romn a manualului Medicin de urgen: ghid pentru studiu comprehensiv a lui Judith Tintinalli a fost posibil datorit implicrii i entuziasmului a 40 de medici de medicin de urgen (n marea lor majoritate). n cadrul abordului sistemic pe care proiectul romno-elveian de mbuntire a Sistemului Serviciilor Medicale de Urgen din Romnia - REMSSy, n ultimele sale 2 faze - REMSSy 3 i 4 -, l-a avut asupra sistemului de asisten medical de urgen, dezvoltarea i ntrirea specialitii de medicin de urgen este un deziderat n realizarea cruia manualul de fa i aduce cu prisosin aportul.