EBOOK - THE WASHINGTON MANUAL TM OF EMERGENCY MEDICINE - FULL EDITION (Mark D. Levine)
19 thg 11, 2025 | 11:04

EBOOK - THE WASHINGTON MANUAL TM OF EMERGENCY MEDICINE - FULL EDITION (Mark D. Levine)



CẨM NANG Y HỌC CẤP CỨU WASHINGTON TM - (Mark D. Levine)


The South Asian Edition of The Washington Manual of Emergency Medicine presents contributions from faculty and residents at the Washington University School of Medicinein St. Louis and representative faculty from India. The book focuses on practical content on how physicians actually practice emergency care. It is a comprehensive, concise,handy quick-reference, delivering need-to-know information at your fingertips, even inpoint-of-care situations. 
The knowledge shared is practice-based and therefore extremely relevant for emergency medicine professionals. Ideal for students and residents in medicine and emergency departments, general physicians,and emergency medicine physicians. Each chapter follows a templated, bulleted structure that allows quick reference to the information that can be applied to a care situation effectively.



CONTENTS:



Cardiovascular Emergencies

1 Acute Coronary Syndrome 1

Xiaowen Wang and Stacey House

2 Approach to ECGs and Arrhythmias 8

Clark Samuel Smith and Rebecca Bavolek

3 Arterial System 14

Enyo Ablordeppey

4 Venous System 20

Chien-Jung Lin and Stacey House

5 Heart Failure and Cardiomyopathies 25

Rahul Chhana and Stacey House

6 Hypertension 29

Nicole Messenger and Stacey House

7 Pericarditis 35

Stacey House

8 Valvular Heart Disease and Infective Endocarditis 39

Rahul Chhana

Dermatologic Disorders

9 Overview 48

Christopher Lawrence

10 Dermatitis or Eczema 52

Lauren O’Grady and SueLin M. Hilbert

11 Infectious Disorders 54

Blake Bruton, Michael Willman, and Stephen Y. Liang

12 Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis 63

Lydia Luangruangrong and Caitlin Fuqua

13 Miscellaneous Conditions 67

Praveen Aggarwal

Endocrine Emergencies

14 Adrenal Disorders 69

Reuben D. Johnson

15 Pheochromocytoma 73

Reuben D. Johnson

Contents

xvi Contents

16 Glycemic Emergencies 74

Matthew Greer and Brian T. Wessman

17 Thyroid Disorders 79

Sara Manning, Chandra Aubin, and Reuben D. Johnson

Environmental Emergencies

18 Bites, Stings, and Envenomations 84

Lauren O’Grady and William Dribben

19 Drowning 95

P. Gabriel Miranda Gomez and Joan Noelker

20 Dysbarism and Scuba 98

Kurt Eifling and Joan Noelker

21 Electrical and Lightning Injuries 103

P. Gabriel Miranda Gomez, Kurt Eifling, Joan Noelker, and

David Seltzer

22 High-Altitude Illness 106

Kurt Eifling and Joan Noelker

23 Hyperthermia and Hypothermia 111

Aurora Lybeck and Joan Noelker

Gastrointestinal Emergencies

24 Abdominal Wall 117

Gregory M. Polites

25 Esophageal 120

Sonya Naganathan

26 Anorectal 123

Mark D. Levine

27 Gallbladder and Biliary Tract 130

Martin H. Gregory and Daniel K. Mullady

28 Stomach 139

Joseph Brancheck, Stephen Hasak,

and Robert Poirier

29 Liver 147

Michael Weaver and Robert Poirier

30 Large Bowel 155

Mark D. Levine

Contents xvii

31 Pancreatitis 162

David Page and Brian T. Wessman

32 Small Bowel 165

Mark D. Levine

Other Emergencies and Evaluations

33 Geriatric Evaluation 173

Christopher R. Carpenter

34 Ear Emergencies 178

Mark D. Levine

35 Eye Emergencies 183

Tracy Cushing and Mark D. Levine

36 Oropharyngeal Emergencies 195

Mark D. Levine

Hematologic Emergencies

37 Hemophilia 203

Mark D. Levine

38 Idiopathic (Immune) Thrombocytopenic Purpura 208

Amanda Poskin and Christopher Brooks

39 Sickle Cell Disease 211

Kevin Baumgartner and Christopher Brooks

40 Transfusion Reactions and Complications 215

Aimee Wendelsdorf

41 Thrombotic Thrombocytopenic Purpura (TTP) 221

Jordan Maryfield

42 Allergic Reactions and Anaphylaxis 224

W. Scott Gilmore

Infectious Emergencies

43 Antimicrobial Selection and Stewardship in the Emergency

Department 228

Diana Zhong and Stephen Y. Liang

44 Emerging Infectious Diseases 232

Diana Zhong and Stephen Y. Liang

45 Infections in the Immunocompromised Patient 239

Julianne S. Dean and Stephen Y. Liang

xviii Contents

46 Sepsis 241

Christopher Holthaus and Stephen Y. Liang

47 Sexually Transmitted Infections (STIs) 247

SueLin M. Hilbert

48 Tick Borne Diseases 256

Steven Hung and Stephen Y. Liang

49 Tropical Infectious Diseases 262

Steven Hung and Stephen Y. Liang

50 Coronavirus Disease 2019 (COVID-19) 278

Meera Ekka and Praveen Aggarwal

Electrolyte Emergencies

51 Calcium 285

Mark D. Levine

52 Potassium 288

Lauren O’Grady

53 Sodium 292

Emily Harkins and Lauren O’Grady

Musculoskeletal Emergencies

54 Ankylosing Spondylitis 296

Al Lulla

55 Arthropathies 298

Mark D. Levine

56 Compression Fractures 307

Al Lulla

57 Spinal Epidural Abscess 310

Al Lulla

58 Hand and Wrist Injuries and Disorders 312

Louis H. Poppler and Grant Kleiber

59 Inflammatory Myopathies 319

Maureen Gross

60 Osteomyelitis 322

Daniel C. Kolinsky and Stephen Y. Liang

61 Overuse Syndromes 325

Mark D. Levine

Contents xix

62 Low Back Pain 329

Al Lulla

63 Sciatica 333

Al Lulla

64 Spinal Stenosis 335

Al Lulla

Neurologic Emergencies

65 Cranial Neuropathies 338

Matthew C. Loftspring and Robert Bucelli

66 Demyelinating Disorders 349

Elizabeth Silbermann and Robert Bucelli

67 Dizziness and Vertigo 357

Matthew C. Loftspring and Robert Bucelli

68 Headache in the ER 360

Peter Kang and Robert Bucelli

69 Hydrocephalus and Shunt Malfunction 365

Mark D. Levine

70 Infections of the Central Nervous System 368

Maia Dorsett and Stephen Y. Liang

71 Neuromuscular Disorders 379

Matthew Burford and Robert Bucelli

72 Seizure 393

Sahar Morkos El Hayek, Laura Heitsch and Peter Panagos

73 Stroke 397

Laura Heitsch, Peter Panagos and Sahar Morkos El Hayek

74 Space-Occupying Lesions and Pseudotumor Cerebri 403

Mark D. Levine

Obstetric and Gynecologic Emergencies

75 Complications of Pregnancy 406

P. Gabriel Miranda Gomez and Mark D. Levine

76 Ectopic Pregnancy 415

Stephanie Charshafian, Rebecca Bavolek and SueLin M. Hilbert

77 Female Genital Tract 418

SueLin M. Hilbert and Rebecca Bavolek

78 Labor, Delivery, andRelated Complications 427

Chandra Aubin

xx Contents

79 Normal Pregnancy 430

P. Gabriel Miranda Gomez

80 Postpartum Hemorrhage 432

P. Gabriel Miranda Gomez

Psychiatric Emergencies

81 Substance-Use and Addictive Disorders 435

Evan Schwarz

82 Delirium and Dementia 442

Christopher P. Miller

83 Somatic Symptom and Related Disorders (Somatic Symptom Disorder,

Conversion Disorder, and Factitious Disorder) 446

Christopher P. Miller and Gregory M. Polites

84 Suicidal Ideation and Homicidal Ideation 449

A. Benjamin Srivastava

85 Acute Psychosis: Schizophrenia, Bipolar Disorder and Catatonia 452

A. Benjamin Srivastava

86 Anxiety Disorders 456

Christopher P. Miller

87 Personality Disorders 458

Christopher P. Miller

88 Tardive Dyskinesia 460

Christopher P. Miller

Renal and GU Emergencies

89 Acid–Base Disturbances 462

Lucy Yang Hormberg and S. Eliza Dunn

90 Acute Kidney Injury and Chronic Kidney Disease 468

S. Eliza Dunn and Carol Faulk

91 Dialysis Complications 473

Carla Robinson-Rainey

92 Hematuria 477

Mark D. Levine

93 Urinary Tract Infection 479

Steven Hung and Stephen Y. Liang

94 Male Genitourinary 486

Steven Hung and Reuben D. Johnson

Contents xxi

95 Rhabdomyolysis 492

Matthew Burford and Robert Bucelli

96 Acute Urinary Retention 494

Emily Harkins and S. Eliza Dunn

Pulmonary Emergencies

97 Asthma 497

Lawrence Lewis

98 Hemoptysis 502

Tanya Devnani and Christopher Holthaus

99 Lower Respiratory Tract Disease 507

Gregory Ratti

100 Mediastinitis 515

Aimee Wendelsdorf

101 Chronic Obstructive Pulmonary Disease 518

Lawrence Lewis

102 Pleural Disorders 525

Gregory Ratti

103 Pneumothorax 529

Gregory Ratti

104 Pulmonary Embolism 532

Kevin M. Cullison and Christopher R. Carpenter

105 Pulmonary Hypertension 538

Bob Cambridge and Niall Prendergast

106 Restrictive Lung Disease 541

Lawrence Lewis

Toxicology

107 General 545

David B. Liss and Anna Arroyo Plasencia

108 Poisonous Plants 555

Steven Hung

Traumatic Emergencies

109 Evaluation 556

Mark D. Levine

110 Massive Transfusion Protocol 559

Prakash R. Mishra & Praveen Aggarwal

xxii Contents

111 Blast Injuries 563

Bob Cambridge

112 Pregnancy 567

Mark D. Levine

113 Abdomen 570

Aldo Andino

114 Chest 573

Stephanie Charshafian and Michael Willman

115 Cutaneous and Soft Tissue 578

Deborah Shipley Kane

116 Extremities 580

Kelly Counts and Kurt Eifling

117 Face Trauma 585

Mark D. Levine

118 Genitourinary 589

Aldo Andino

119 Head 593

Daniel S. Greenstein

120 Neck 597

Al Lulla

121 Eye 600

Sahar Morkos El Hayek and Jason Wagner

122 Spine 608

Emily Harkins

Procedures

123 Airway Management 611

Bob Cambridge, Stephanie Charshafian, and Michael Willman

124 Analgesia 617

Christina Creel-Bulos

125 Arthrocentesis 627

Steven Hung and Michael Willman

126 Epistaxis Treatment 630

Mark D. Levine

127 Intraosseous Access 632

Steven Hung and Michael Willman

128 Incision and Drainage 634

Michael Willman and Steven Hung

Contents xxiii

129 Lumbar Puncture 636

Steven Hung and Michael Willman

130 Diagnostic Paracentesis 639

Steven Hung and Michael Willman

131 Pericardiocentesis 642

Mark D. Levine

132 Procedural Sedation 643

Louis Jamtgaard

133 Resuscitation 649

Christina Creel-Bulos, Jacob Keeperman, and Christopher Holthaus

134 Splinting 658

Steven Hung

135 Suturing 661

Steven Hung and Michael Willman

136 Thoracostomy 666

Michael Willman and Nathan Woltman

137 Thoracotomy 669

Michael Willman and Stephanie Charshafian

138 Ultrasound 670

Alicia Oberle, Enyo Ablordeppey, Daniel Theodoro, Michael Willman,

Steven Hung, Deborah Shipley Kane, and Nicholas Renz

139 Central Venous Catheter Placement 686

Michael Willman and Steven Hung

140 Ventilator Management 691

Bob Cambridge, Michael Willman, and Brian T. Wessman

Operational Aspects of Emergency Medicine

141 Consent and Capacity 697

Laura Ruble

142 Cultural Awareness: Providing Culturally Appropriate Care 698

Douglas Char

143 Delivering Bad News 701

Sonya Naganathan

144 Evidence-Based Medicine 704

Gary M. Gaddis

145 Burnout and Fatigue 707

Sonya Naganathan and Randall A. Howell

xxiv Contents

146 Federal Laws Affecting Provision of Emergency Care: EMTALA 710

Randy Jotte

147 Goals of Care Communication, End-of-Life Care,

and Palliative Care 711

Brian T. Wessman

148 Physician Impairment 716

Douglas Char and Aldo Andino

149 EMS: Emergency Medical Services 721

Jeffrey Siegler and Vincent Boston

150 Coding and Documentation 725

David Seltzer

151 Social Media 729

Aldo Andino

152 Violence in the Emergency Department 730

Vincent Boston and Robert Poirier

Index 733






CẨM NANG Y HỌC CẤP CỨU WASHINGTON TM - (Mark D. Levine)


The South Asian Edition of The Washington Manual of Emergency Medicine presents contributions from faculty and residents at the Washington University School of Medicinein St. Louis and representative faculty from India. The book focuses on practical content on how physicians actually practice emergency care. It is a comprehensive, concise,handy quick-reference, delivering need-to-know information at your fingertips, even inpoint-of-care situations. 
The knowledge shared is practice-based and therefore extremely relevant for emergency medicine professionals. Ideal for students and residents in medicine and emergency departments, general physicians,and emergency medicine physicians. Each chapter follows a templated, bulleted structure that allows quick reference to the information that can be applied to a care situation effectively.



CONTENTS:



Cardiovascular Emergencies

1 Acute Coronary Syndrome 1

Xiaowen Wang and Stacey House

2 Approach to ECGs and Arrhythmias 8

Clark Samuel Smith and Rebecca Bavolek

3 Arterial System 14

Enyo Ablordeppey

4 Venous System 20

Chien-Jung Lin and Stacey House

5 Heart Failure and Cardiomyopathies 25

Rahul Chhana and Stacey House

6 Hypertension 29

Nicole Messenger and Stacey House

7 Pericarditis 35

Stacey House

8 Valvular Heart Disease and Infective Endocarditis 39

Rahul Chhana

Dermatologic Disorders

9 Overview 48

Christopher Lawrence

10 Dermatitis or Eczema 52

Lauren O’Grady and SueLin M. Hilbert

11 Infectious Disorders 54

Blake Bruton, Michael Willman, and Stephen Y. Liang

12 Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis 63

Lydia Luangruangrong and Caitlin Fuqua

13 Miscellaneous Conditions 67

Praveen Aggarwal

Endocrine Emergencies

14 Adrenal Disorders 69

Reuben D. Johnson

15 Pheochromocytoma 73

Reuben D. Johnson

Contents

xvi Contents

16 Glycemic Emergencies 74

Matthew Greer and Brian T. Wessman

17 Thyroid Disorders 79

Sara Manning, Chandra Aubin, and Reuben D. Johnson

Environmental Emergencies

18 Bites, Stings, and Envenomations 84

Lauren O’Grady and William Dribben

19 Drowning 95

P. Gabriel Miranda Gomez and Joan Noelker

20 Dysbarism and Scuba 98

Kurt Eifling and Joan Noelker

21 Electrical and Lightning Injuries 103

P. Gabriel Miranda Gomez, Kurt Eifling, Joan Noelker, and

David Seltzer

22 High-Altitude Illness 106

Kurt Eifling and Joan Noelker

23 Hyperthermia and Hypothermia 111

Aurora Lybeck and Joan Noelker

Gastrointestinal Emergencies

24 Abdominal Wall 117

Gregory M. Polites

25 Esophageal 120

Sonya Naganathan

26 Anorectal 123

Mark D. Levine

27 Gallbladder and Biliary Tract 130

Martin H. Gregory and Daniel K. Mullady

28 Stomach 139

Joseph Brancheck, Stephen Hasak,

and Robert Poirier

29 Liver 147

Michael Weaver and Robert Poirier

30 Large Bowel 155

Mark D. Levine

Contents xvii

31 Pancreatitis 162

David Page and Brian T. Wessman

32 Small Bowel 165

Mark D. Levine

Other Emergencies and Evaluations

33 Geriatric Evaluation 173

Christopher R. Carpenter

34 Ear Emergencies 178

Mark D. Levine

35 Eye Emergencies 183

Tracy Cushing and Mark D. Levine

36 Oropharyngeal Emergencies 195

Mark D. Levine

Hematologic Emergencies

37 Hemophilia 203

Mark D. Levine

38 Idiopathic (Immune) Thrombocytopenic Purpura 208

Amanda Poskin and Christopher Brooks

39 Sickle Cell Disease 211

Kevin Baumgartner and Christopher Brooks

40 Transfusion Reactions and Complications 215

Aimee Wendelsdorf

41 Thrombotic Thrombocytopenic Purpura (TTP) 221

Jordan Maryfield

42 Allergic Reactions and Anaphylaxis 224

W. Scott Gilmore

Infectious Emergencies

43 Antimicrobial Selection and Stewardship in the Emergency

Department 228

Diana Zhong and Stephen Y. Liang

44 Emerging Infectious Diseases 232

Diana Zhong and Stephen Y. Liang

45 Infections in the Immunocompromised Patient 239

Julianne S. Dean and Stephen Y. Liang

xviii Contents

46 Sepsis 241

Christopher Holthaus and Stephen Y. Liang

47 Sexually Transmitted Infections (STIs) 247

SueLin M. Hilbert

48 Tick Borne Diseases 256

Steven Hung and Stephen Y. Liang

49 Tropical Infectious Diseases 262

Steven Hung and Stephen Y. Liang

50 Coronavirus Disease 2019 (COVID-19) 278

Meera Ekka and Praveen Aggarwal

Electrolyte Emergencies

51 Calcium 285

Mark D. Levine

52 Potassium 288

Lauren O’Grady

53 Sodium 292

Emily Harkins and Lauren O’Grady

Musculoskeletal Emergencies

54 Ankylosing Spondylitis 296

Al Lulla

55 Arthropathies 298

Mark D. Levine

56 Compression Fractures 307

Al Lulla

57 Spinal Epidural Abscess 310

Al Lulla

58 Hand and Wrist Injuries and Disorders 312

Louis H. Poppler and Grant Kleiber

59 Inflammatory Myopathies 319

Maureen Gross

60 Osteomyelitis 322

Daniel C. Kolinsky and Stephen Y. Liang

61 Overuse Syndromes 325

Mark D. Levine

Contents xix

62 Low Back Pain 329

Al Lulla

63 Sciatica 333

Al Lulla

64 Spinal Stenosis 335

Al Lulla

Neurologic Emergencies

65 Cranial Neuropathies 338

Matthew C. Loftspring and Robert Bucelli

66 Demyelinating Disorders 349

Elizabeth Silbermann and Robert Bucelli

67 Dizziness and Vertigo 357

Matthew C. Loftspring and Robert Bucelli

68 Headache in the ER 360

Peter Kang and Robert Bucelli

69 Hydrocephalus and Shunt Malfunction 365

Mark D. Levine

70 Infections of the Central Nervous System 368

Maia Dorsett and Stephen Y. Liang

71 Neuromuscular Disorders 379

Matthew Burford and Robert Bucelli

72 Seizure 393

Sahar Morkos El Hayek, Laura Heitsch and Peter Panagos

73 Stroke 397

Laura Heitsch, Peter Panagos and Sahar Morkos El Hayek

74 Space-Occupying Lesions and Pseudotumor Cerebri 403

Mark D. Levine

Obstetric and Gynecologic Emergencies

75 Complications of Pregnancy 406

P. Gabriel Miranda Gomez and Mark D. Levine

76 Ectopic Pregnancy 415

Stephanie Charshafian, Rebecca Bavolek and SueLin M. Hilbert

77 Female Genital Tract 418

SueLin M. Hilbert and Rebecca Bavolek

78 Labor, Delivery, andRelated Complications 427

Chandra Aubin

xx Contents

79 Normal Pregnancy 430

P. Gabriel Miranda Gomez

80 Postpartum Hemorrhage 432

P. Gabriel Miranda Gomez

Psychiatric Emergencies

81 Substance-Use and Addictive Disorders 435

Evan Schwarz

82 Delirium and Dementia 442

Christopher P. Miller

83 Somatic Symptom and Related Disorders (Somatic Symptom Disorder,

Conversion Disorder, and Factitious Disorder) 446

Christopher P. Miller and Gregory M. Polites

84 Suicidal Ideation and Homicidal Ideation 449

A. Benjamin Srivastava

85 Acute Psychosis: Schizophrenia, Bipolar Disorder and Catatonia 452

A. Benjamin Srivastava

86 Anxiety Disorders 456

Christopher P. Miller

87 Personality Disorders 458

Christopher P. Miller

88 Tardive Dyskinesia 460

Christopher P. Miller

Renal and GU Emergencies

89 Acid–Base Disturbances 462

Lucy Yang Hormberg and S. Eliza Dunn

90 Acute Kidney Injury and Chronic Kidney Disease 468

S. Eliza Dunn and Carol Faulk

91 Dialysis Complications 473

Carla Robinson-Rainey

92 Hematuria 477

Mark D. Levine

93 Urinary Tract Infection 479

Steven Hung and Stephen Y. Liang

94 Male Genitourinary 486

Steven Hung and Reuben D. Johnson

Contents xxi

95 Rhabdomyolysis 492

Matthew Burford and Robert Bucelli

96 Acute Urinary Retention 494

Emily Harkins and S. Eliza Dunn

Pulmonary Emergencies

97 Asthma 497

Lawrence Lewis

98 Hemoptysis 502

Tanya Devnani and Christopher Holthaus

99 Lower Respiratory Tract Disease 507

Gregory Ratti

100 Mediastinitis 515

Aimee Wendelsdorf

101 Chronic Obstructive Pulmonary Disease 518

Lawrence Lewis

102 Pleural Disorders 525

Gregory Ratti

103 Pneumothorax 529

Gregory Ratti

104 Pulmonary Embolism 532

Kevin M. Cullison and Christopher R. Carpenter

105 Pulmonary Hypertension 538

Bob Cambridge and Niall Prendergast

106 Restrictive Lung Disease 541

Lawrence Lewis

Toxicology

107 General 545

David B. Liss and Anna Arroyo Plasencia

108 Poisonous Plants 555

Steven Hung

Traumatic Emergencies

109 Evaluation 556

Mark D. Levine

110 Massive Transfusion Protocol 559

Prakash R. Mishra & Praveen Aggarwal

xxii Contents

111 Blast Injuries 563

Bob Cambridge

112 Pregnancy 567

Mark D. Levine

113 Abdomen 570

Aldo Andino

114 Chest 573

Stephanie Charshafian and Michael Willman

115 Cutaneous and Soft Tissue 578

Deborah Shipley Kane

116 Extremities 580

Kelly Counts and Kurt Eifling

117 Face Trauma 585

Mark D. Levine

118 Genitourinary 589

Aldo Andino

119 Head 593

Daniel S. Greenstein

120 Neck 597

Al Lulla

121 Eye 600

Sahar Morkos El Hayek and Jason Wagner

122 Spine 608

Emily Harkins

Procedures

123 Airway Management 611

Bob Cambridge, Stephanie Charshafian, and Michael Willman

124 Analgesia 617

Christina Creel-Bulos

125 Arthrocentesis 627

Steven Hung and Michael Willman

126 Epistaxis Treatment 630

Mark D. Levine

127 Intraosseous Access 632

Steven Hung and Michael Willman

128 Incision and Drainage 634

Michael Willman and Steven Hung

Contents xxiii

129 Lumbar Puncture 636

Steven Hung and Michael Willman

130 Diagnostic Paracentesis 639

Steven Hung and Michael Willman

131 Pericardiocentesis 642

Mark D. Levine

132 Procedural Sedation 643

Louis Jamtgaard

133 Resuscitation 649

Christina Creel-Bulos, Jacob Keeperman, and Christopher Holthaus

134 Splinting 658

Steven Hung

135 Suturing 661

Steven Hung and Michael Willman

136 Thoracostomy 666

Michael Willman and Nathan Woltman

137 Thoracotomy 669

Michael Willman and Stephanie Charshafian

138 Ultrasound 670

Alicia Oberle, Enyo Ablordeppey, Daniel Theodoro, Michael Willman,

Steven Hung, Deborah Shipley Kane, and Nicholas Renz

139 Central Venous Catheter Placement 686

Michael Willman and Steven Hung

140 Ventilator Management 691

Bob Cambridge, Michael Willman, and Brian T. Wessman

Operational Aspects of Emergency Medicine

141 Consent and Capacity 697

Laura Ruble

142 Cultural Awareness: Providing Culturally Appropriate Care 698

Douglas Char

143 Delivering Bad News 701

Sonya Naganathan

144 Evidence-Based Medicine 704

Gary M. Gaddis

145 Burnout and Fatigue 707

Sonya Naganathan and Randall A. Howell

xxiv Contents

146 Federal Laws Affecting Provision of Emergency Care: EMTALA 710

Randy Jotte

147 Goals of Care Communication, End-of-Life Care,

and Palliative Care 711

Brian T. Wessman

148 Physician Impairment 716

Douglas Char and Aldo Andino

149 EMS: Emergency Medical Services 721

Jeffrey Siegler and Vincent Boston

150 Coding and Documentation 725

David Seltzer

151 Social Media 729

Aldo Andino

152 Violence in the Emergency Department 730

Vincent Boston and Robert Poirier

Index 733




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