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Minor Emergencies
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An essential quick reference for the office, the hospital, or anywhere, this book provides all the instructions you need to handle common, non-life-threatening emergencies with speed and expertise. Whether you’re called on to remove a bean from a child's nose or treat accidental tear gas exposure, this quick reference is ready to provide fast, efficient guidance just when you need it.
New to this edition
  • Consult this critical guide online wherever you go! At you can navigate the complete text, follow links to PubMed, browse images, and view 60 procedural videos, including:
    • Removing foreign body from skin
    • Upper facial injury-fracture examination
    • Upper facial injury-fracture examination, and much more!
  • Stay on top of the latest procedures and treatment guidelines with updated coverage of 184 topics, including Swimmer’s Ear, Dental Pain, Broken Rib, Locked Knee, Puncture Wounds, and Sunburn.
  • Get procedural sedation recommendations from Dr. Alfred Sacchetti, MD, FACEP.
Author Info
By Philip Buttaravoli, MD, FACEP, Medical Director of the Emergency Department, Palm Beach Gardens Medical Center, Palm Beach, FL


Table of Contents:
Part 1: Neurologic and Psychiatric Emergences

001 Dystonic Drug Reaction
002 Heat Illness (Heat Edema, Heat Syncope, Heat Cramps, Heat Exhaustion)
003 Hyperventilation
004 Hysterical Coma or Pseudoseizure
005 Idiopathic Facial Paralysis (Bell’s Palsy)
006 Migraine Headache
007 Seizures (Convulsions, Fits), Adult
008 Seizures (Convulstions, Fits), Febrile and Pediatric
009 Tension-Type (Muscle Contraction) Headache
010 Trivial, Minimal, and Minor Head Trauma (Concussion)
011 Vasovagal or Neurocardiogenic or Neurally Mediated Syncope (Faint, Swoon)
012 Vertigo (Dizziness, Lightheadedness)
013 Weakness

Part 2: Ophthalmologic Emergencies

014 Conjunctivitis (Pink Eye)
015 Contact Lens Complications
016 Corneal Abrasion
017 Foreign Body, Conjunctival
018 Foreign Body, Corneal
019 Hordeolum (Sty)
020 Iritis (Acute Anterior Uveitis)
021 Periorbital and Conjunctival Edema
022 Periorbital Ecchymosis (Black Eye)
023 Removal of Dislocated Contact Lens
024 Subconjunctival Hemorrhage
025 Ultraviolet Keratoconjunctivitis (Welder’s or Tanning Bed Burn)

Part 3: Ear, Nose, and Throat Emergencies

026 Cerumen Impaction (Earwax Blockage)
027 Epitaxis (Nosebleed)
028 Foreign Body, Ear
029 Foreign Body, Nose
030 Foreign Body, Throat
031 Laryngotracheobronchitis (Croup)
032 Mononucleosis (Glandular Fever)
033 Nasal Fracture (Broken Nose)
034 Otitis Externa (Swimmer’s Ear), Acute
035 Otitis Media, Acute
036 Otitis Media with Effusion; Serous (Secretory) Otitis Media (Glue Ear)
037 Perforated Tympanic Membrane (Ruptured Eardrum)
038 Pharyngitis (Sore Throat)
039 Rhinitis, Acute (Runny Nose)
040 Rhinosinusitis (Sinusitis)

Part 4: Oral and Dental Emergencies

041 Aphthous Ulcer, Acute
042 Avulsed Tooth, Dental Subluxation, and Dental Luxation
043 Bleeding after Dental Surgery
044 Burning Mouth Syndrome, Burning Tongue (Glossodynia)
045 Dental Pain, Periapical Abscess (Tooth Abscess)
046 Dental Pain, Pericoronitis
047 Dental Pain, Postextraction Alveolar Osteitis (Dry Socket)
048 Dental Pain, Pulpitis
049 Dental Trauma (Fracture, Subluxation, and Displacement)
050 Gingivitis and Acute Necrotizing Ulcerative Gingivitis (Trench Mouth)
051 Lacerations of the Mouth
052 Mucocele (Mucous Cyst)
053 Oral Candidiasis (Thrush or Yeast Infection)
054 Oral Herpes Simplex (Cold Sore, Fever Blister)
055 Orthodontic Complications
056 Perlèche (Angular Cheilitis)
057 Sialolithiasis (Salivary Duct Stones)
058 Temporomandibular Disorder
059 Temporomandibular Joint Dislocation (Jaw Dislocation)
060 Uvular Edema, Acute

Part 5: Pulmonary and Thoracic Emergencies

061 Bronchitis (Chest Cold), Acute
062 Costochondritis and Musculoskeletal Chest Pain
063 Inhalation Injury (Smoke Inhalation)
064 Irritant Incapcitant Exposure (Lacrimators, Riot Control Agents, Tear Gas)
065 Rib Fracture and Costochondral Separation (Broken Rib)

Part 6: Gastrointestinal Emergencies

066 Anal Fissure
067 Constipation, Irritable Bowel Syndrome, and Colic (Stomach Cramps)
068 Diarrhea (Acute Gastoenteritis)
069 Enterobiasis (Pinworm, Seatworm, Threadworm)
070 Esophageal Food Bolus Obstruction (Steakhouse Syndrome)
071 Foreign Body, Rectal
072 Foreign Body, Swallowed
073 Hemorrhoids (Piles)
074 Innocuous Ingestions
075 Singultus (Hiccups)
076 Vomiting (Food Poisoning, Gastroenteritis)

Part 7: Urologic Emergencies

077 Blunt Scrotal Trauma
078 Colorful Urine
079 Epididymitis
080 Genital Herpes Simplex
081 Phimosis and Paraphimosis
082 Prostatitis, Acute Bacterial
083 Urethritis (Drip, Clap)
084 Urinary Retention, Acute
085 Urinary Tract Infection, Lower (Cystitis), Uncomplicated
086 Urinary Tract Infection, Upper (Pyelonephritis)

Part 8: Gynecologic Emergencies

087 Bartholin Abscess
088 Condylomata acuminate (Genital Warts)
089 Contact Vulvovaginitis
090 Dysmenorrhea (Menstrual Cramps)
091 Foreign Body, Vaginal
092 “Morning After” Emergency Contraception
093 Pelvic Inflammatory Disease (PID)
094 Vaginal Bleeding
095 Vaginitis

Part 9: Musculoskeletal Emergencies

096 Acromioclavicular (Shoulder) Separation
097 Ankle Sprain (Twisted Ankle)
098 Annular Ligament Displacement, Radial Head Subluxation (Nursemaid’s Elbow)
099 Boutonnière Finger
100 Boxer’s Fifth Metacarpal Fracture
101 Bursitis
102 Carpal Tunnel Syndrome
103 Cervical Strain (Whiplash)
104 Cheiralgia Paresthetica (Handcuff Neuropathy)
105 Clavicle (Collarbone) Fracture
106 Coccyx Fracture (Tailbone Fracture)
107 DeQuervain’s Paratenonitis (Thumb Tenosynovitis)
108 Extensor Tendon Avulsion—Distal Phalanx (Baseball or Mallet Finger)
109 Finger Dislocation (PIP Joint)
110 Finger Sprain (PIP Joint)
111 Fingertip (Tuft) Fractures
112 Flexor Digitorum Profundus Tendon Avulsion—Distal Phalanx (Splay Finger)
113 Ganglion Cysts
114 Gouty Arthritis, Acute
115 Knee Sprain
116 Lateral Epicondylitis (Tennis Elbow) and Medial Epicondylitis (Golfer’s Elbow)
117 Ligament Sprains (Including Joint Capsule Injuries)
118 Locked Knee
119 Lumbar Strain (“Mechanical” Low Back Pain, Sacroiliac Dysfunction), Acute
120 Monarticular Arthritis, Acute
121 Muscle Cramps (Charley Horse)
122 Muscle Strains and Tears
123 Myofascial Pain Syndrome, Fibromyalgia (Trigger-Points)
124 Patellar Dislocation
125 Plantar Fasciitis (“Heel Spur”)
126 “Plantaris Tendon” Rupture, Gasrocnemius Muscle Tear (Calf Muscle Tear)
127 Polymyalgia Rheumatica
128 Radial Head Fracture
129 Radial Neuropathy (Saturday Night Palsy)
130 Scaphoid Fracture
131 Shoulder Dislocation
132 Tendinopathy: Tendinosis, Paratenonitis (Tendonitis)
133 Toe Fracture (Broken Toe)
134 Torticollis (Wryneck)
135 Ulnar Collateral Ligament Tear of the Thumb (Ski Pole or Gamekeeper’s Thumb)

Part 10: Soft Tissue Emergencies

136 Bicycle Spoke Injury
137 Contusion (Bruise)
138 Fingernail or Toenail Avulsion
139 Fingertip Avulsion, Superficial
140 Fishhook Removal
141 Foreign Body beneath Nail
142 Impalement Injuries, Minor
143 Laceration, Simple
144 Mammalian Bites
145 Marine Envenomations
146 Nailbed Laceration
147 Nail Root Dislocation
148 Needle (Foreign Body) in Foot
149 Paronychia
150 Pencil Point Puncture
151 Puncture Wounds
152 Ring Removal
153 Sliver, Superficial
154 Subcutaneous Foreign Bodies (Metal, Dental Fragments, Glass, Gravel, and Hard Plastic)
155 Subungual Ecchymosis; Tennis Toe
156 Subungual Hematoma
157 Torn/Split Earlobe
158 Traumatic Tattoos and Abrasions
159 Zipper Entrapment (Penis or Chin)

Part 11: Dermatologic Emergencies

160 Allergic Contact Dermatitis
161 Arachnid Envenomation (Spider Bite)
162 Arthropod Bites (Bug Bites, Insect Bites)
163 Cutaneous Abscess or Pustule
164 Cutaneous Larva Migrans (Creeping Eruption)
165 Diaper Dermatitis (Diaper Rash)
166 Erysipelas, Cellulitis, Lymphangitis
167 Fire Ant Stings
168 Friction Blister
169 Frostnip, Frostbite, and Mild Hypothermia
170 Herpes Zoster (Shingles)
171 Hymenoptera (Bee, Wasp, Hornet) Envenomation
172 Impetigo
173 Partial-Thickness (Second-Degree) Burns and Tar Burns
174 Pediculosis (Lice, Crabs)
175 Pityriasis Rosea
176 Pyogenic Granuloma or Lobular Capillary Hemangioma (Proud Flesh)
177 Scabies (Human Itch Mite)
178 Sea Bather’s Eruption (Sea Lice)
179 Sunburn
180 Tick Removal
181 Tinea Pedis, Tinea Cruris, Tinea Corporis (Athlete’s Foot, Jock Itch, Ringworm)
182 Toxicodendron (Rhus) Allergic Contact Dermatitis (Poison Ivy, Oak, or Sumac)
183 Uticaria (Hives), Acute
184 Warts (Common and Plantar)


Appendix A Complete Eye Examination
Appendix B Digital Block
Appendix C Fingertip Dressing, Simple
Appendix D Oral Nerve Blocks
Appendix E Procedural Sedation and Analgesia
Appendix F Rabies Prophylaxis
Appendix G Regional Poison Control Center Phone Numbers
Appendix H Tetanus Prophylaxis


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