Acute Care Casebook

Edited by Bret P. Nelson

Provides step-by-step descriptions of each case including presentation, diagnostic testing, critical actions, and best evidence
Each case is debriefed, highlighting key management steps and priorities specific to the venue
Covers a wide variety of clinical environments to aid readers in understanding the "big picture" of caring for medical illness and injury

Acute Care Casebook

Edited by Bret P. Nelson

Description

Acute Care Casebook provides a case-based approach to the broad practice of acute care medicine, covering a variety of common patient presentations and clinical environments. This book features over 70 illustrated cases, including presentations of trauma and medical illness in wilderness medicine, military and prehospital environments, pediatrics, emergency medicine, and intensive care unit and floor emergencies. Designed for students and trainees in medicine, nursing, EMS, and other acute care specialties, this text guides readers through not only symptom evaluation and treatment, but also the thought process and priorities of experienced clinicians. Each chapter features key diagnoses and management pearls from leading experts that will help prepare readers for any event, from stabilizing and transporting a trauma patient in the field, to managing post-operative complications in the ICU.

Acute Care Casebook

Edited by Bret P. Nelson

Section I: Wilderness/Expedition
Edited by N. Stuart Harris
Chapter 1: Headache at High Altitude
Renee N. Salas
Chapter 2: Head Trauma
Todd W. Thomsen
Chapter 3: Dizziness While Traveling
Jacqueline Paulis
Chapter 4: Dizziness on Airplane
Justin T. Pitman
Chapter 5: Envenomation
Jillian Nickerson
Chapter 6: Wrist Pain
Eric Lee
Chapter 7: Abdominal Pain
Carlo Canepa
Chapter 8: Fever
Rittik Chaudhuri
Chapter 9: Acute Mountain Sickness
Nathaniel R. Mann
Chapter 10: Hypothermia
S. Terez Malka

Section II: Prehospital
Edited by Jeremy T. Cushman
Chapter 11: Vomiting
Maia Dorsett
Chapter 12: Fall with Syncope
Christopher J. Fullagar
Chapter 13: Excited Delirium
Thomas Williams
Chapter 14: Stridor
Sean Donovan and Heidi Cordi
Chapter 15: Interfacility Ventilator Management
Christopher Galton
Chapter 16: Difficulty Breathing
Essie Reed-Schrader and William T. Rivers
Chapter 17: Failing Asthmatic
David Poliner, Philip Nawrocki, and Benjamin J. Lawner
Chapter 18: Blunt Chest Trauma
Daniel Shocket
Chapter 19: Out of Hospital Cardiac Arrest
Erik Rueckmann
Chapter 20: Weakness
Aaron Farney

Section III: Emergency Department
Edited by Evie Marcolini
Chapter 21: Chest Pain
Aamer Khan
Chapter 22: Severe Headache
Aman Shah
Chapter23: Eye Pain
Abbie Saccary
Chapter24: Shortness of Breath
Harman S. Gill
Chapter25: Abdominal pain
Ali Kamran
Chapter26: Seizure
Olga Kovalerchik
Chapter 27: Extremity Swelling
Jennifer Repanshek
Chapter 28: Overdose
Evie Marcolini and Anthony Tomassoni
Chapter 29: Cat Bite
Martin Casey
Chapter 30: Vertigo
Usama Qadri
Chapter 31: Gastrointestinal Bleeding
Oliver Hulland

Section IV: Intensive Care Unit (ICU)
Edited by Julie Mayglothling Winkle
Chapter 32: Hypotension
Angie Creditt
Chapter 33: Hypoxia
Drew Clare
Chapter 34: Altered Mental Status
Cynthia Oliva
Chapter 35: Fever
Sarah Morgan
Chapter 36: Agitation
Megan Rashid
Chapter 37: Dyspnea
Michael Joyce
Chapter 38: Anemia
Kathy Li
Chapter 39: Abdominal Distention
Megha Rajpal
Chapter 40: Tachycardia
Steve Miller
Chapter 41: Focal Weakness
Jordan Tozer

Section V: Medicine Floor
Edited by Allen Tran
Chapter 42: Palpitations
Colin Turner
Chapter 43: No Urine Output
Alison Rodger
Chapter 44: Fever
Glenn Patriquin
Chapter 45: Chest Pain
Andrew Caddell
Chapter 46: Abdominal Pain
Rachelle Blackman
Chapter 47: Altered Mental Status
Jaclyn LeBlanc
Chapter 48: Low Blood Pressure
Scott Lee
Chapter 49: Blistering Rash
Ashley Sutherland
Chapter 50: Agitation
Christopher J. M. Green
Chapter 51: Dyspnea
Marko Balan

Section VI: Pediatric Clinic
Edited by Jennifer Sanders
Chapter 52: Rule out Sepsis in Infant
Temima Waltuch
Chapter 53: Drowning
Elysha Pifko
Chapter 54: Crying Infant
Caroline Black
Chapter 55: Limp
Sarah Yale and David Mills
Chapter 56: Fever in a Child
Shannon Drohan
Chapter 57: Altered Mental Status
Michelle N. Marin
Chapter 58: Swollen Eyes
Jeff Meyer
Chapter 59: Chest Pain
Jennifer Bellis
Chapter 60: Abdominal Pain
Peter Gutierrez
Chapter 61: Shortness of Breath
Sylvia E. Garcia
Chapter 62: Rash
Kara Cockrum and David Mills

Section VII: Military/Tactical
Edited by Leslie V. Simon
Chapter 63: Primary Blast Injury
Leslie V. Simon
Chapter 64: Secondary Blast Injury
Leslie V. Simon
Chapter 65: Crush Injury
Christopher M. Perry
Chapter 66: Abdominal Pain
Elizabeth DeVos
Chapter 67: Heat Stroke
Alexander Berk
Chapter 68: Facial Disfiguration
Douglas Hofstettler, Andrea Austin, and Ryan Maves
Chapter 69: Febrile Illness
Douglas Hofstettler, Andrea Austin, and Ryan Maves
Chapter 70: Extremity Swelling and Altered Mental Status
Denise Whitfield
Chapter 71: Eye Injury
Michael Mohseni
Chapter 72: Dyspnea and Hemoptysis after a Rigorous, Open-water Swim
Patrick Engelbert, John Haggerty, and Steven Portouw
Chapter 73: Penetrating Chest Trauma
Katherine Biggs

Acute Care Casebook

Edited by Bret P. Nelson

Author Information

Dr. Nelson completed training in Emergency Medicine at the Harvard Affiliated Emergency Medicine Residency program in Boston. He is currently Professor of Emergency Medicine and Chief of the Ultrasound Division in the Department of Emergency Medicine at Mount Sinai Hospital in New York City. He has authored dozens of articles and lectured around the world on emergency medicine, point-of-care ultrasound, and medical education. His other books include The Manual of Emergency and Critical Care Ultrasound, Emergency Medicine Oral Board Review Illustrated, and the Atlas of Handheld Ultrasound.

Contributors:

Andrea Austin, MD
Emergency Medicine Instructor
Assistant Professor
Uniformed Services University
Naval Medical Center
San Diego, CA

Marko Balan, MD, FRCPC
Department of Critical Care
Dalhousie University
Halifax, Nova Scotia, Canada

Jennifer Bellis, MD, MPH
Instructor, Department of Pediatrics
Section of Emergency Medicine
University of Colorado
Aurora, CO

Alexander Berk, MD
Assistant Clinical Professor of Medicine
Education Director, Hawaii Emergency Physicians Associated
The John H. Burns School of Medicine
University of Hawaii
Honolulu, HI

Katherine Biggs, DO, LT, MC, USN
Emergency Medicine PGY- 4, Chief Resident
Naval Medical Center Portsmouth
United States Navy
Portsmouth, VA

Caroline Black, MD
Pediatric Emergency Medicine
Department of Emergency Medicine
Ichan School of Medicine
Mount Sinai Hospital
New York, NY

Rachelle Blackman, MD
Department of Medicine
Dalhousie Internal Medicine
Queen Elizabeth II Health Sciences Centre
Halifax, Nova Scotia, Canada

Andrew Caddell, MD
Department of Medicine
Division of Cardiology
Dalhousie University
Halifax, Nova Scotia, Canada

Carlo Canepa, MD
Emergency Medicine Physician
Commonwealth Healthcare Corporation
Saipan, Northern Mariana Islands

Martin Casey, MD, MPH
Department of Emergency Medicine
Icahn School of Medicine
Mount Sinai
New York, NY

Department of Emergency Medicine
Massachusetts General Hospital
Brigham and Women's Hospital
Harvard Medical School
Boston, MA

Drew Clare, MD
Resident, Department of Emergency Medicine
Virginia Commonwealth University Health System
Richmond, VA

Kara Cockrum, DO
Resident, Department of Pediatrics
Medical University of South Carolina
Charleston, SC

Heidi Cordi, MD, MPH, MS, EMTP, FACEP
Assistant Professor of Clinical Medicine
Associate Medical Director of Emergency Medical Services
The New York Presbyterian Hospital
New York, NY
Associate Professor of Emergency Medicine
Core Faculty, Division of Emergency Medical Services
Albany Medical Center
Albany, NY

Angela Creditt, DO
Assistant Professor and Clinical Faculty
Department of Emergency Medicine
Virginia Commonwealth University Medical Center
Richmond, VA

Jeremy T. Cushman, MD, MS
Associate Professor of Emergency Medicine
Chief of the Division of Prehospital Medicine
University of Rochester
School of Medicine and Dentistry
Rochester, NY

Elizabeth DeVos, MD, MPH, FACEP
Associate Professor, Emergency Medicine
University of Florida College of Medicine
Jacksonville, FL

Sean Donovan, MB, BCh, BAO
Assistant Professor of Emergency Medicine
Division of Emergency Ultrasound
Division of Prehospital & Operational Medicine
Albany Medical Centre
Rochester, NY

Maia Dorsett, MD, PhD
Clinical Instructor of Emergency Medicine
Division of Prehospital Medicine
University of Rochester Medical Center
Rochester, NY

Shannon Drohan, MD
Pediatrician
Eastern Carolina Pediatrics
Wilson, NC

Patrick Engelbert, MD
Department of Emergency Medicine
Naval Medical Center
San Diego, CA

Aaron Farney, MD
Department of Emergency Medicine
University of Rochester Medical Center
Rochester, NY

Christopher J. Fullagar, MD, EMT- P, FACEP
Assistant Professor of Emergency Medicine
State University of New York Upstate Medical University
Syracuse, NY

Christopher Galton, MD
Assistant Professor
Departments of Anesthesiology and Emergency Medicine
University of Rochester Medical Center
Chief Medical Director, Mercy Flight Central
Deputy EMS Medical Director
Monroe County, NY

Sylvia E. Garcia, MD
Assistant Professor of Emergency Medicine
Assistant Professor of Pediatrics
Icahn School of Medicine at Mount Sinai
New York, NY

Harman S. Gill, MD
Assistant Professor of Medicine
Emergency Medicine and Critical Care Medicine
Dartmouth Hitchcock Medical Center
Lebanon, NH

Christopher J.M. Green, MD
Physician Fellow
Division of General Internal Medicine
Department of Medicine
Dalhousie University
Halifax, Nova Scotia, Canada

Peter Gutierrez, MD
Fellow of Pediatric Emergency Medicine
Emory University School of Medicine
Atlanta, GA

N. Stuart Harris, MD
Chief, Division of Wilderness Medicine
Department of Emergency Medicine
Massachusetts General Hospital
Boston, MA

John Haggerty, DO
Resident Physician, Emergency Medicine
Naval Medical Center
San Diego, CA

Douglas Hofstetter, MD
Department of Emergency Medicine
Uniformed Services University
Naval Medical Center
San Diego, CA

Oliver Hulland, MD
Resident, Emergency Medicine
Yale School of Medicine
New Haven, CT

Michael Joyce, MD
Virginia Commonwealth University School of Medicine
Richmond, VA

Ali Kamran, MD
Resident, Emergency Medicine
Yale School of Medicine
New Haven, CT

Aamer Khan, MD
Resident, Emergency Medicine
Yale School of Medicine
New Haven, CT

Olga Kovalerchik, MD
Instructor of Emergency Medicine
Yale University School of Medicine
New Haven, CT

Benjamin J. Lawner, DO, MS
Department of Emergency Medicine
Allegheny General Hospital
Department of Emergency Medicine
Temple University School of Medicine
Pittsburgh, PA

Jaclyn LeBlanc, PharmD, MD
Internal Medicine Resident
Saint John Regional Hospital
Saint John, New Brunswick, Canada

Eric Lee, MD
Department of Emergency Medicine
Maimonides Medical Center
Brooklyn, NY

Scott Lee, MD
Dalhousie University
Halifax, Nova Scotia, Canada

Kathleen Li, MD
Resident, Department of Emergency Medicine
Icahn School of Medicine at Mount Sinai
New York, NY

S. Terez Malka, MD
Physician, Emergency Medicine and Pediatric Emergency Medicine
Department of Emergency Medicine
University of Colorado School of Medicine
Carepoint Healthcare
Aurora, CO

Nathaniel R. Mann, MD
Department of Emergency Medicine
Massachusetts General Hospital
Boston, MA

Evie Marcolini, MD, FACEP, FAAEM, FCCM
Assistant Professor of Surgery and Neurology
Director of Critical Care Education
Emergency Medicine Fellowship Director
University of Vermont Medical Center
Burlington, VA

Michelle N. Marin, MD
Assistant Professor of Pediatric Emergency Medicine
Department of Emergency Medicine
Icahn School of Medicine at Mount Sinai
New York, NY

Ryan Maves, MD
Department of Emergency Medicine
Uniformed Services University
Naval Medical Center
San Diego, CA

Julie Mayglothling Winkle, MD
Assistant Professor, Emergency Medicine
Virginia Commonwealth University
Medical College of Virginia School of Medicine
Richmond, VA

Jeff Meyer, MD
Assistant Professor
Division of General Pediatrics
Department of Pediatrics
University of Louisville
Louisville, KY

Stephen Miller, DO
Assistant Professor of Emergency Medicine
Residency Assistant Program Director
Virginia Commonwealth University
Richmond, VA

David Mills, MD
Assistant Professor
Department of Pediatrics
Medical University of South Carolina
Charleston, SC

Michael Mohseni, MD
Assistant Professor of Emergency Medicine
Mayo Clinic
Jacksonville, FL

Sarah Morgan, MD
Resident of Internal Medicine
Virginia Commonwealth University Health System
Rochester, VA

Philip Nawrocki, MD
Department of Emergency Medicine
Allegheny General Hospital
Pittsburgh, PA

Jillian Nickerson, MD, MS
Department of Emergency Medicine
Icahn School of Medicine at Mount Sinai
New York, NY

Cynthia Oliva, MD
Resuscitation/ Ultrasound Fellow
Virginia Commonwealth University
Richmond, VA

Glenn Patriquin, MSc, MD, FRCPC
Resident Physician, Infectious Diseases and Medical Microbiology
Dalhousie University
Halifax, Nova Scotia, Canada

Jacqueline Paulis, MD
Clinical Instructor and Ultrasound Fellow
Department of Emergency Medicine
New York University School of Medicine
Bellevue Hospital Center
New York, NY

Christopher M. Perry, DO, LCDR, MC
Emergency Medicine Resident
Portsmouth Naval Hospital
Portsmouth, VA

Elysha Pifko, MD
Division of Pediatric Emergency Medicine
Nemours/ Alfred I. DuPont Hospital for Children
Wilmington, DE

Justin T. Pitman, MD
Physician
Department of Emergency Medicine
Mount Auburn Hospital
Cambridge, MA
Department of Emergency Medicine
Allegheny General Hospital
Pittsburgh, PA

Steven Portouw, MD
Staff Emergency Physician
Naval Medical Center
San Diego, CA

Usama Qadri, MD
Resident, Emergency Medicine
Yale New Haven Hospital
New Haven, CT

Megha Rajpal, MD
Resident
Icahn School of Medicine at Mount Sinai
New York, NY

Megan Rashid, MD
Assistant Professor of Anesthesiology
Virginia Commonwealth University Health System
Richmond, VA

Essie Reed-Schrader, MD
Fellow in EMS Medicine
University at Buffalo
Erie County Medical Center
Buffalo, NY

Jennifer Repanshek, MD
Associate Professor, Emergency Medicine
Lewis Katz School of Medicine
Temple University
Philadelphia, PA

William T. Rivers, MD
Department of Emergency Medicine
Jacobs School of Medicine and Biomedical Sciences
University at Buffalo
Buffalo, NY

Alison Rodger, MD, FRCPC
Department of Medicine
Division of Geriatric Medicine
Dalhousie University
Halifax, Nova Scotia, Canada

Erik Rueckmann, MPH, MD, FACEP
Assistant Professor of Emergency Medicine
University of Rochester Medical Center
Medical Director, American Medical Response
Rochester, NY

Abbie Saccary, MD
Resident
Department of Emergency Medicine
Yale University School of Medicine
New Haven, CT

Renee N. Salas, MD, MPH, MS
Assistant Wilderness Medicine Fellowship Director
Division of Wilderness Medicine
Department of Emergency Medicine
Massachusetts General Hospital; Instructor in Emergency Medicine
Harvard Medical School
Boston, MA

Jennifer Sanders, MD
Assistant Professor, Emergency Medicine
Assistant Professor, Pediatrics
Icahn School of Medicine at Mount Sinai
New York, NY

Aman Shah, MD
Instructor of Emergency Medicine
Department of Emergency Medicine
Yale School of Medicine
New Haven, CT

Daniel Shocket, MD
Emergency Physician
Carson Tahoe Emergency Physicians
Carson City, NV

Leslie V. Simon, DO
Assistant Professor of Emergency Medicine
Mayo Clinic
Jacksonville, FL

Ashley Sutherland, MSc, MD
Dalhousie Medical School
Halifax, Nova Scotia, Canada

Todd W. Thomsen, MD
Attending Physician
Department of Emergency Medicine
Mount Auburn Hospital
Cambridge, MA
Instructor in Medicine
Harvard Medical School
Boston, MA

Anthony Tomassoni, MD, MS, FACEP, FACMT, FAACT
Associate Professor
Department of Emergency Medicine
Yale School of Medicine
Medical Director
Yale New Haven Center for Emergency Preparedness and Disaster Response
New Haven, CT

Jordan Tozer, MD, MS
Assistant Professor of Emergency Medicine
Virginia Commonwealth University School of Medicine
Richmond, VA

Allen Tran, MD
Assistant Professor
Division of General Internal Medicine
Department of Medicine
Dalhousie University
Halifax, Nova Scotia, Canada

Colin Turner, MD
Resident
Dalhousie University Department of Medicine
Halifax, Nova Scotia, Canada

Temima Waltuch, MD
Resident, Emergency Medicine
Icahn School of Medicine at Mount Sinai
New York, NY

Denise Whitfield, MD
Adjunct Faculty
Department of Emergency Medicine
Assistant Professor of Clinical Medicine
David Geffen School of Medicine
Harbor- UCLA Medical Center
University of California, Los Angeles
Los Angeles, CA

Thomas Williams, MD
Department of Emergency Medicine
Glens Falls Hospital
Glens Falls, NY

Sarah Yale, MD
Resident, Department of Pediatrics
The Medical University of South Carolina
Charleston, SC