Avoiding Common Errors in the Emergency Department - Book 1

University of Colorado School of Medicine
Attending Physician, Emergency Medicine
The Medical Center of Aurora
Aurora, Colorado
Attending Physician, Emergency Medicine
Denver Health Medical Center
Denver, Colorado
Attending Physician, Emergency Medicine
North Suburban Medical Center
Thornton, Colorado

Sachin Moonat, MD, PhD
Resident
Department of Emergency Medicine
Johns Hopkins Hospital
Baltimore, Maryland

Eric J. Morley, MD, MS, FAAEM
Clinical Associate Professor
Clinical Director
Department of Emergency Medicine
Stony Brook University School of Medicine
Stony Brook, New York

Matthew Morrison, MD
Attending Physician
Department of Emergency Medicine
Bronx Lebanon Hospital Center
Bronx, New York

Josh Mugele, MD
Assistant Professor
Department of Emergency Medicine
Indiana University School of Medicine
Indianapolis, Indiana

Nicole Muhlbauer, MD, MPH

51

Department of Pediatrics
University of Arizona College of Medicine
Tucson, Arizona

Terrence Mulligan, DO, MPH, FACEP, FAAEM, FACOEP, FIFEM,
FNVSHA
Clinical Associate Professor
Department of Emergency Medicine
University of Maryland School of Medicine
Affiliate Faculty
University of Maryland Institute for Global Health
Baltimore, Maryland

Collyn T. Murray, MD
Resident
Department of Emergency Medicine
University of North Carolina Hospitals
Chapel Hill, North Carolina

R. Alissa Mussell, MD
Attending Physician
Cottonwood Emergency Medicine Physicians
Salt Lake City, Utah

Benjamin D. Musser, MD
Resident Physician
Department of Emergency Medicine
LAC + USC Medical Center
Los Angeles, California

Arun Nair, MD, MPH
Instructor
Department of Emergency Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

52

Sreeja Natesan, MD
Assistant Program Director
Duke University Medical Center
Durham, North Carolina

Grant Nelson, MD
Emergency Medicine Specialist
St. John Hospital and Medical Center
Warren, Michigan

Adam E. Nevel, MD, MBA
Emergency Medicine Specialist
University of Virginia Health System
Lynchburg, Virginia

Vivienne Ng, MD, MPH
Assistant Professor
Department of Emergency Medicine
University of Arizona College of Medicine
Tucson, Arizona

Joshua (Josh) Nichols, MD
Resident
Department of Emergency Medicine
Carilion Roanoke Memorial Hospital
Roanoke, Virginia

Christopher P. Nickson, MBChB, MClinEpid, FACEM, FCICM
Adjunct Lecturer
School of Public Health & Preventive Medicine
Monash University
Intensivist
Department of Intensive Care
The Alfred Hospital
Melbourne, Australia

53

Michael Nitzberg, MD
Emergency Medicine Chief Resident
Georgetown/Washington Hospital Center
Washington, District of Columbia

Patricia Petrella Nouhan, MD, FACEP
Residency Program Director
St. John Hospital and Medical Center
Associate Clinical Faculty
Wayne State University School of Medicine
Detroit, Michigan

Shabnam Nourparvar, MD
Emergency Medicine Specialist
Piedmont Fayette Hospital
Fayetteville, Georgia

Ngozi Nweze, MD
Pediatric Specialist
Harlem Hospital Pediatric Clinic
New York, New York

Adeolu Ogunbodede, MD
Resident
University of Maryland Medical Center
Baltimore, Maryland

Talib Omer, MD, PhD, RDMS
Assistant Professor
Department of Emergency Medicine
LAC + USC Medical Center
Los Angeles, California

Jorge Ontiveros, MD
Resident Physician
Department of Emergency Medicine

54

LAC + USC Medical Center
Los Angeles, California

Erin Osiecki, MD
Resident Physician
Department of Emergency Medicine
University of California, Davis
Sacramento, California

Jessica Lange Osterman, MS, MD
Assistant Professor
Department of Emergency Medicine
Keck School of Medicine of the University of Southern California
Los Angeles, California

Garrett S. Pacheco, MD
Assistant Professor
Departments of Emergency Medicine & Pediatrics
University of Arizona College of Medicine
Banner University Medical Center
Tucson, Arizona

Kelly A. Painter, MD, FACEP
Adjunct Professor
Department of Family Medicine
Oklahoma State University
Southwest Medical Center
Oklahoma City, Oklahoma

Joseph S. Palter, MD
Assistant Professor of Emergency Medicine
Cook County Health and Hospitals System
Rush Medical College
Chicago, Illinois

Dilnaz Panjwani, MD, FACEP

55

Emergency Medicine Specialist
St. John Hospital and Medical Center
Warren, Michigan

Aisha Parker, MD
Resident
Section of Emergency Medicine
Louisiana State University Health Sciences Center School of Medicine
New Orleans, Louisiana

Richard Paul, MD
Resident Physician
Department of Emergency Medicine
St. John Hospital and Medical Center
Detroit, Michigan

Christopher R. Peabody, MD, MPH
Assistant Clinical Professor
Department of Emergency Medicine
University of California, San Francisco
San Francisco, California

Michael Wolfe Pierce, MD
Resident Physician
Department of Emergency Medicine
Johns Hopkins Hospital
Baltimore, Maryland

Lee Plantmason, MD, MPH
Clinical Instructor
Department of Emergency Medicine
LAC + USC Medical Center
Los Angeles, California
Attending Physician
Department of Emergency Medicine
Sharp Memorial Hospital
San Diego, California

56

Jennifer L. Plitt, MD

Clinical Instructor
Simulation Fellow
Banner University Medical Center
Tucson, Arizona

Haley M. Rapp, MD

Clinical Instructor of Surgery
Fellow, Emergency Medicine Simulation and Education Fellowship
Division of Emergency Medicine
Saint Louis University School of Medicine
St. Louis, Missouri

Debra Ravert, MD

Resident Physician
Department of Emergency Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

John C. Ray, MD

Assistant Professor
Department of Emergency Medicine
Medical College of Wisconsin
Milwaukee, Wisconsin

Kevin Reed, MD, FAAEM, FACEP

Vice Chair
Department of Emergency Medicine
EMS Medical & Base Station Director
MedStar Harbor Hospital
Assistant Professor of Emergency Medicine
MedStar Georgetown University Hospital
MedStar Washington Hospital Center
Washington, District of Columbia

Dena Reiter, MD
Assistant Professor

57

Department of Emergency Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

Rodica Retezar, MD, MPH
Assistant Professor
Department of Emergency Medicine
Johns Hopkins School of Medicine
Baltimore, Maryland

Lindsey Retterath, MD
Resident Physician
Departments of Emergency Medicine and Pediatrics
University of Arizona College of Medicine
Banner University Medical Center
Tucson, Arizona

Salim Rezaie, MD
Emergency Medicine/Internal Medicine Physician
Division of Emergency Medicine and Hospitalist Medicine
University of Texas Health and Science Center
San Antonio, Texas

Michelle Rhodes, MD
Assistant Professor
Department of Emergency Medicine
Section of Geriatrics, General and Palliative Medicine
University of Arizona College of Medicine
Department of Medicine
Banner University Medical Center
Tucson, Arizona

Randall T. Rhyne, MD, FACEP, FAAEM
Assistant Professor of Emergency Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

58

Derek K. Richardson, MD, MPH

Assistant Professor
Department of Emergency Medicine
San Francisco General Hospital
San Francisco, California

Diane Rimple, MD, FACEP

Professor
Department of Emergency Medicine
University of New Mexico School of Medicine
Albuquerque, New Mexico

Nicholas Risko, MD, MHS

Department of Emergency Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

Clare Roepke, MD

Assistant Professor
Department of Emergency Medicine
Temple University Hospital
Philadelphia, Pennsylvania

Anthony Roggio, MD

Clinical Instructor
Department of Emergency Medicine
University of Maryland School of Medicine
University of Maryland Medical Center—Midtown Campus
Baltimore, Maryland

Justin Boone Rose, MD

Emergency Medicine Specialist
University of Kentucky College of Medicine
Lexington, Kentucky

David Rose, MD

59

Resident Physician
Department of Emergency Medicine
Johns Hopkins Hospital
Baltimore, Maryland

John S. Rose, MD

Professor
Department of Emergency Medicine
University of California, Davis
Sacramento, California

Amir A. Rouhani, MD

Assistant Clinical Professor
RRUMC Emergency Department
David Geffen School of Medicine at UCLA
Los Angeles, California

Steven Roumpf, MD

Assistant Professor of Clinical Emergency Medicine
Department of Emergency Medicine
Indiana University School of Medicine
Indianapolis, Indiana

Thomas H. Rozen, MBBS, BMedSci, FCICM, FRACP, DDU

Consultant Intensivist
Paediatric Intensive Care Unit
Royal Children’s Hospital
Melbourne, Australia

Debra S. Rusk, MD, FAAEM, FAAP

Assistant Professor of Clinical Emergency Medicine and Pediatrics
Department of Emergency Medicine
Indiana University School of Medicine
Indianapolis, Indiana

Timothy Ruttan, MD

60

Assistant Professor
Department of Emergency Medicine

University of California, Davis
Sacramento, California

Daniel R. Rutz, MD
Resident Physician
Department of Emergency Medicine
Grady Memorial Hospital
Emory University School of Medicine
Atlanta, Georgia

Ashwin Sabbani, MD
Emergency Medicine Specialist
Memorial Healthcare System
Tamarac, Florida

Michael K. Safa, MD
Assistant Professor
Department of Emergency Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin

R. James Salway, MD
Clinical Assistant Professor
Division of International Emergency Medicine
Department of Emergency Medicine
Stony Brook University Hospital
Stony Brook, New York

Margarita Santiago-Martinez, MD
Resident Physician
Department of Emergency Medicine
LAC + USC Medical Center
Los Angeles, California

61

Debjeet Sarkar, MD
Assistant Professor
Department of Military and Emergency Medicine
USUHS School of Medicine
Bethesda, Maryland

Nicholas Sauber, MD, RN-BSN, EMT-B
Resident Physician, Emergency Medicine Residency
Johns Hopkins Medical Institutions
Baltimore, Maryland

H. Shae Sauncy, MD
Clinical Faculty
Department of Emergency Medicine
Ochsner Medical Center
Children’s Hospital New Orleans
New Orleans, Louisiana

Jason Saunders, MD
Resident Physician
Emergency Medicine and Pediatrics
Indiana School of Medicine
Indianapolis, Indiana

Daniel B. Savage, MD, MPH
Resident Physician
Department of Emergency Medicine
Johns Hopkins Hospital
Baltimore, Maryland

Anas Sawas, MD
Assistant Professor
Department of Emergency Medicine
Hofstra Northwell School of Medicine
Huntington, New York

62

Barry Schlansky, MD, MPH
Assistant Professor of Medicine
Oregon Health and Science University
Portland, Oregon

Todd Schneberk, MD, MA
Research Fellow
Department of Emergency Medicine
David Geffen School of Medicine at UCLA
Los Angeles, California

Joanna Schwartz, MD
Clinical Assistant Professor
Dell Children’s Medical Center of Central Texas
The University of Texas at Austin—Dell Medical School
Austin, Texas

Julia Schweizer, MD
Pediatric Emergency Medicine
Specialist
Department of Emergency Medicine
Children’s Hospital
New Orleans, Louisiana

Michael C. Scott, MD
Attending Physician
Adult Intensive Care Unit
Saint Agnes Hospital
Baltimore, Maryland

Erin Setzer, MD
Assistant Professor
Department of Emergency Medicine
West Virginia University
Robert C. Byrd Health Science Center
Morgantown, West Virginia

63

Jessica E. Shackman, MD, PhD
Department of Emergency Medicine
Howard County General Hospital (Johns Hopkins)
Columbia, Maryland

Krystle Shafer, MD
Chief Adult Fellow
Critical Care Medicine—Emergency Medicine
University of Pittsburgh
Pittsburgh, Pennsylvania

Stephen P. Shaheen, MD
Clinical Associate
Department of Emergency Medicine
Duke University Medical Center
Durham, North Carolina

Brian R. Sharp, MD, FACEP
Assistant Professor
Associate Vice Chair, Quality Medical Director, The American Center
BerbeeWalsh Department of Emergency Medicine
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin

Erica B. Shaver, MD, FACEP
Assistant Professor
Department of Emergency Medicine
West Virginia University
Morgantown, West Virginia

Daniel Sheets, MD, MPH
Resident
Department of Emergency Medicine
Johns Hopkins Hospital
Baltimore, Maryland

64

Christina L. Shenvi, MD, PhD

Assistant Professor
Assistant Residency Director
Department of Emergency Medicine
University of North Carolina
Chapel Hill, North Carolina

Zachary Shinar, MD

Department of Emergency Medicine
Sharp Memorial Hospital
San Diego, California

Jan Marie Shoenberger, MD

Associate Professor of Clinical Emergency Medicine
Keck School of Medicine of the University of Southern California
LAC + USC Medical Center
Los Angeles, California

Ashley Shreves, MD

Associate Program Director, Emergency Medicine Residency Program
St. Luke’s Roosevelt Hospital
New Orleans, Louisiana

Jeffrey N. Siegelman, MD

Assistant Professor
Department of Emergency Medicine
Emory University School of Medicine
Atlanta, Georgia

Ashley Sievers, MD

Instructor
Department of Emergency Medicine
Mayo Clinic
Rochester, Minnesota

Patrick Siler, MD

65

Fellow
Department of Emergency Medicine
University of Alabama at Birmingham
Birmingham, Alabama

Mark Silverberg, MD, MMB, FACEP
Associate Professor
Associate Residency Director
Department of Emergency Medicine
SUNY Downstate/Kings County Hospital
Brooklyn, New York

Elaine Hua Situ-LaCasse, MD
Ultrasound Fellow/Clinical Instructor
Department of Emergency Medicine
University of Arizona College of Medicine
Banner University Medical Center
Tucson, Arizona

Elicia Skelton, MD, MPH
Resident
Ronald O. Perelman Department of Emergency Medicine
NYU/Bellevue Emergency Departments
Bellevue Hospital Center
New York, New York

Zachary E. Smith, MMS, PA-C
Critical Care Resuscitation Unit
R. Adams Cowley Shock Trauma Center
University of Maryland Medical Center
Department of Emergency Medicine
Johns Hopkins Hospital
Baltimore, Maryland

Courtney K. Soley, MD
Resident, Department of Emergency Medicine
Indiana University School of Medicine

66

Indianapolis, Indiana

Prathap Sooriyakumaran, MD
Associate Physician and Clinical Instructor
UCSF Department of Emergency Medicine
Zuckerberg San Francisco General Hospital and Trauma Center
San Francisco, California

Rory Spiegel, MD
Clinical Instructor
Department of Emergency Medicine
University of Maryland School of Medicine
Baltimore, Maryland

J. Stephan Stapczynski, MD
Professor
Department of Emergency Medicine
University of Arizona College of Medicine—Phoenix
Phoenix, Arizona

Taylor Stayton, MD
Resident
Department of Emergency Medicine
University of California, Davis
Sacramento, California

Seth T. Stearley, MD
Associate Professor of Emergency Medicine
UK Chandler Emergency Department
University of Kentucky Albert B. Chandler Hospital
Lexington, Kentucky

Summer Stears-Ellis, MD
Department of Emergency Medicine
Kaiser Sunnyside Medical Center
Clackamas, Oregon

67

Christine R. Stehman, MD
Assistant Professor
Department of Emergency Medicine
Indiana University School of Medicine
Indianapolis, Indiana

Kathleen Stephanos, MD
Instructor of Clinical Emergency Medicine
University of Rochester School of Medicine and Dentistry
Strong Memorial Hospital
Rochester, New York

Edward Stettner, MD
Associate Professor
Department of Emergency Medicine
Emory University School of Medicine
Atlanta, Georgia

Heather T. Streich, MD
Instructor of Emergency Medicine
Department of Emergency Medicine
University of Virginia
Charlottesville, Virginia

William B. Stubblefield, MD
Resident
Department of Emergency Medicine
Spirit of Charity Emergency Medicine Residency
New Orleans, Louisiana

Amita Sudhir, MD
Emergency Medicine Clerkship Director
Emergency Medicine Assistant Residency Director
Department of Emergency Medicine
University of Virginia School of Medicine
Charlottesville, Virginia

68

Ashley Sullivan, MD
Emergency Medicine Specialist
St. John Hospital and Medical Center
Warren, Michigan

Scott E. Sutherland, MD
Resident
Department of Emergency Medicine
Johns Hopkins Hospital
Baltimore, Maryland

Stuart Swadron, MD, FRCPC
Professor
Department of Emergency Medicine
Keck School of Medicine of the University of Southern California
Los Angeles, California

Anand K. Swaminathan, MD, MPH
Assistant Professor of Emergency Medicine
Ronald O. Perelman Department of Emergency Medicine
NYU/Bellevue Emergency Departments
Bellevue Hospital Center
New York, New York

Daniel Swedien, MD
Resident
Department of Emergency Medicine
Johns Hopkins School of Medicine
Baltimore, Maryland

Ramin Tabatabai, MD
Assistant Professor of Clinical Emergency Medicine
Keck School of Medicine of the University of Southern California
Assistant Program Director
LAC + USC Medical Center
Los Angeles, California

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Robert B. Takla, MD, MBA, FACEP
Clinical Assistant Professor
Department of Emergency Medicine
St. John Hospital and Medical Center
Detroit, Michigan

Samuel J. Tate, MD
Ultrasound Fellow
Department of Emergency Medicine
University of California, Davis
Sacramento, California

Isaac Tawil, MD, FCCM
Associate Professor
Critical Care and Emergency Medicine
University of New Mexico School of Medicine
Albuquerque, New Mexico

Sophie Terp, MD, MPH
Assistant Professor of Clinical Emergency Medicine
Department of Emergency Medicine
Keck School of Medicine of the University of Southern California
Los Angeles, California

Semhar Z. Tewelde, MD
Assistant Professor
Assistant Residency Program Director
Department of Emergency Medicine
University of Maryland School of Medicine
Baltimore, Maryland

Dhaval Thakkar, MD
Fellow
Department of Pulmonary and Critical Care Medicine
Lahey Hospital and Medical Center
Burlington, Massachusetts

70

J. Jeremy Thomas, MD

Professor
Department of Emergency Medicine
UAB Hospital
Birmingham, Alabama

Travis Thompson, MD

Resident
Georgetown University Hospital/Washington Hospital Center
Washington, District of Columbia

Stephen Thornton, MD

Associate Professor
Department of Emergency Medicine
University of Kansas Hospital
Kansas City, Kansas

Edmund Timpano, MD

Resident Physician
Department of Emergency Medicine
Johns Hopkins Hospital
Baltimore, Maryland

Craig Torres-Ness, MD, MPH

Resident Physician
Department of Emergency Medicine
LAC + USC Medical Center
Los Angeles, California

Theresa Q. Tran, MD

Emergency Physician
Cypress Emergency Associates
Cypress, Texas

Alison Traver, PA
Physician Assistant

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Johns Hopkins Bayview Medical Center
Baltimore, Maryland

Ruben Troncoso Jr., MD, MPH
Resident
Department of Emergency Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

Nick Tsipis, MD, MPH
Resident Physician
Department of Emergency Medicine
Medstar Washington Hospital Center/Georgetown University Hospital
Washington, District of Columbia

Tsz Yee (Janice) Tsui, PharmD, BCPS
Emergency Medicine Pharmacy Resident
University of Arizona College of Pharmacy
Banner University Medical Center
Tucson, Arizona

Veronica Tucci, MD
Assistant Professor
Department of Emergency Medicine
Baylor College of Medicine
Houston, Texas

Christina Lynn Tupe, MD, RDMS
Clinical Instructor
Department of Emergency Medicine
University of Maryland School of Medicine/Prince George's Hospital Center
Baltimore, Maryland

Erika Flores Uribe, MD, MPH
Resident Physician
Department of Emergency Medicine

72

LAC + USC Medical Center
Los Angeles, California

Julie Y. Valenzuela, MD
Instructor in Clinical Surgery
Vanderbilt University Medical Center
Nashville, Tennessee

Rolando G. Valenzuela, MD, DTMH
Clinical Assistant Professor
Department of Emergency Medicine
Stony Brook University School of Medicine
Stony Brook, New York

Robert Vezzetti, MD, FAAP, FACEP
Clinical Assistant Professor of Pediatrics
Dell Children’s Medical Center of Central Texas
The University of Texas at Austin—Dell Medical School
Austin, Texas

John Villani, MD, PhD
Assistant Professor
Division of Emergency Medicine
Duke University School of Medicine
Durham, North Carolina

Sarika Walia, MD
Postdoctoral Research Fellow
Aurora Neuroscience Innovation Institute
Milwaukee, Wisconsin

Shabana Walia, MD
Resident
Department of Emergency Medicine
Johns Hopkins Hospital
Baltimore, Maryland

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Anna L. Waterbrook, MD

Associate Professor
Associate Program Director, South Campus Residency
Associate Director, Sports Medicine Fellowship
Sports Medicine Institute
University of Arizona Medical Center
Tucson, Arizona

Eric Wei, MD, MBA, FACEP, FAAEM

Assistant Professor of Clinical Emergency Medicine
Keck School of Medicine of the University of Southern California
Associate Medical Director, Quality, Safety and Risk
LAC + USC Medical Center
Los Angeles, California

David Wein, MD, MBA, FACEP

Assistant Professor
Department of Emergency Medicine
University of South Florida Morsani College of Medicine
Chief of Emergency Medicine
Tampa General Hospital
Tampa, Florida

Nash Whitaker, MD

Assistant Professor
Department of Emergency Medicine
Indiana University School of Medicine
Indianapolis, Indiana

Christopher N. White, MD, MS

Clinical Instructor
UAB Department of Emergency Medicine
Staff Physician, EMS Director
96th Medical Group (AFMC)
Eglin AFB, Florida

Lindsey White, MD

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Attending
Department of Emergency Medicine
MedStar Washington Hospital Center
Washington, District of Columbia

Melissa White, MD, MPH
Interim Program Director
Assistant Professor
Department of Emergency Medicine
Emory University School of Medicine
Atlanta, Georgia

Lauren Wiesner, MD
Assistant Professor of Clinical Emergency Medicine
Georgetown University School of Medicine
MedStar Washington Hospital Center
Washington, District of Columbia

R. Gentry Wilkerson, MD
Assistant Professor
Director of Clinical Research
Assistant Residency Program Director
Department of Emergency Medicine
University of Maryland School of Medicine
Baltimore, Maryland

Christopher G. Williams, MD, FAWM
Assistant Professor
Department of Emergency Medicine
University of Arizona College of Medicine
Tucson, Arizona

Chelsea Williamson, MPAS, PA-C
Physician AssistantDepartment of Emergency MedicineJohns Hopkins
Bayview Medical CenterBaltimore, Maryland

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Kelly Williamson, MD
Assistant Residency Program Director
Department of Emergency Medicine
Advocate Christ Medical Center
Oak Lawn, Illinois

Bryan Wilson, MD
Emergency Medicine and Pediatrics Resident
University of Arizona College of Medicine
Banner University Medical Center, Tucson Campus
Tucson, Arizona

Casey LEE Wilson, MD, RDMS
Clinical Instructor
Department of Emergency Medicine
Johns Hopkins Hospital
Baltimore, Maryland

Jason W. Wilson, MD, MA
Assistant Professor
Division of Emergency Medicine
University of South Florida
Morsani College of Medicine
Tampa General Hospital
Tampa, Florida

Carmen Wolfe, MD
Assistant Professor
Department of Emergency Medicine
Vanderbilt University School of Medicine
Nashville, Tennessee

Nathan Woltman, MD
Instructor of Emergency Medicine
Department of Emergency Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland

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Brian J. Wright, MD, MPH
Clinical Assistant Professor
Departments of Emergency Medicine and Neurosurgery
Stony Brook University School of Medicine
Stony Brook, New York

Sheryl Yanger, MD
Departments of Emergency Medicine and Pediatrics
Dell Children’s Medical Center of Central Texas
The University of Texas at Austin—Dell Medical School
Austin, Texas

Sang Keun “Sam” Yi, DO
Emergency Medicine Department
Honor Health North Mountain
Honor Health Deer Valley
Phoenix, Arizona

Krista Young, MD
Resident
Department of Pediatrics
University of Arizona College of Medicine
Banner University Medical Center
Tucson, Arizona

77

PREFACE

Emergency medicine is high risk. Emergency care providers are tasked with
caring for patients they don’t know in a time-pressured and overcrowded
environment. Complicating matters further is the fact that the majority of
patients in the emergency department have non–life-threatening conditions,
so health care providers are easily lulled into a false sense that the patient
laying before them has a benign condition. The great challenge in emergency
medicine is to sort through the morass of benign conditions in order to
properly find and treat the deadly ones to find the proverbial needles in the
haystack. Even when confronted with non–life-threatening conditions, acute
care providers face the challenge of delivering excellent care efficiently,
communicating with patients quickly, discharging patients with proper
outpatient care instructions, and then rapidly moving on to the next patient.
Errors in this setting are inevitable. It is our goal in creating this textbook to
help minimize those errors by educating the reader about common mistakes
and pitfalls in the practice of emergency medicine.

Most second edition textbooks tend to be fairly similar to prior editions,
generally with only 15% to 20% turnover of topics and writers. For this
second edition, however, we decided to take a completely different approach.
The majority of authors to this second edition are new, and those that are
repeat authors were given completely new topics on which to write. We
intentionally did this to provide a large group of new topics as well as a fresh
look at repeat topics. The result is that this new text reads more like a second
volume rather than a second edition. We anticipate that readers will continue
to benefit from the first edition even as they delve into the second.

As with the first edition, we chose topics based on three main themes:
errors that are common, errors that pose imminent danger to the patient, and
errors that pose significant medicolegal risk to the health care provider. The
majority of errors that we’ve included have been organized into various
organ systems, such as the cardiovascular system, neurologic system, and so
on. In addition, separate sections are present, which focus on nonclinical
aspects of emergency medicine practice such as proper documentation,
communication with consultants, interactions with lawyers, etc. It is our
expectation that that the text will be read not in a single sitting but instead
will be savored over a much longer time period. Our choice of 365 chapters
is no coincidence…we suggest that readers simply read one chapter per day

78

over the course of a year.
We’d like to thank the authors and associate editors for the significant

time and effort that they devoted to making their chapters informative,
cutting-edge, and practical. We thank the Errors Series Editor Dr. Lisa
Marcucci for giving us the opportunity to create what we believe is an
important educational contribution to the specialty. We also thank the
publisher and managing editors at Wolters Kluwer for their support of this
work. Finally, on behalf of the all of the authors and editors, we’d like to
thank our families and colleagues for providing the inspiration to carry on
our work.

It is our sincere hope that the reader finds this text practical and usable
and that learning about these common errors produces a tangible
improvement in patient care. Our best wishes to you and your patients!

Amal Mattu, MD
Arjun Chanmugam, MD

Stuart Swadron, MD
Dale P. Woolridge, MD
Michael E. Winters, MD

79

ACKNOWLEDGMENTS

I would like to thank my wife, Sejal, for her constant support and
encouragement. I thank my children, Nikhil, Eleena, and Kamran, for always
reminding me of my proper priorities in life. I thank the faculty, residents,
and students at the University of Maryland School of Medicine for providing
me the inspiration for the work I do every day. Finally, thanks are also due to
Dr. Lisa Marcucci and Wolters Kluwer for giving us this opportunity to
contribute to our specialty.

—Amal Mattu, MD
This book is dedicated to Karen, my beloved wife; to Sydney, William, and
Nathan who have made me appreciate the really important things in life; to
my parents who fostered a spirit of growth; and to the residents and students
of emergency medicine who help us all to remember the joy of learning and
who reinforce a commitment to one of the greatest specialties.

—Arjun Chanmugam, MD, MBA
To Joyce, Moses and the residents, students, and patients of the Los Angeles
County/University of Southern California Medical Center.

—Stuart Swadron, MD, FRCPC
I would like to thank my parents, Brenda and Joe, for believing in me; my
family, Michelle, Anna, and Garrett, for their patience with me; and my
residents in the combined Emergency Medicine and Pediatrics residency
program for all the inspiration.

—Dale P. Woolridge, MD, PhD
I would like to thank my wife, Erika, and my wonderful children, Hayden,
Emma, Taylor, and Olivia, for their selfless love, support, and
encouragement. You are my world. A special thanks also to Dr. Mattu for all
of the amazing educational opportunities I have been blessed to receive over
the past many years. You are an amazing colleague, inspirational mentor, and
dear friend. Finally, thank you to the faculty and residents in the Department
of Emergency Medicine at the University of Maryland. It is humbling to
work with such amazing physicians each day in our Department.

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—Michael E. Winters, MD
81

CONTENTS

Associate Editors
Contributors
Preface
Acknowledgments

SECTION I CRASHING PATIENT

1 Don’t Lose That Airway! Imminent Airway Loss:
Who Needs Endotracheal Intubation?

Nicholas Sauber, MD, RN-BSN, EMT-B and Dena Reiter, MD

2 Preoxygenation

Michael R. Ehmann, MD, MPH, MS

3 Airway Adjuncts: Know Your Backup Plans

Nicholas Sauber, MD, RN-BSN, EMT-B

4 Know Your RSI Meds

Daniel Swedien, MD

5 Did You Maximize Your Laryngeal View?

Devin M. Keefe, MD

6 Don’t Fear the Blade: Surgical Airway

Ernest Mavunga, MD, MSc

7 Do Not Rely on Clinical Examination Alone for
Confirmation of Endotracheal Tube Placement

Robert B. Takla, MD, MBA, FACEP and Ashwin Sabbani, MD

8 The Art of Bagging

Devin M. Keefe, MD

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9 BP Still Low? Postintubation Hypotension

Alison Traver, PA-C20

10 Finding the Site: Site Selection and Minimizing
Complications for Central Line Placement

Dilnaz Panjwani, MD, FACEP and Richard Paul, MD23

11 Managing Cardiac Arrest

E. Timpano, MD

12 Medications in Cardiac Arrest: Time for a Requiem?

Bachar Hamade, MD, MSc

13 What are Your Vent Settings, Bud?

Kelley Crane, MCMSc, PA-C

14 After the Cardiac Arrest: Postarrest Care

Chidubem Iloabachie, MD

15 Cooling, How Low Do You Go? Therapeutic
Hypothermia in the Postarrest Patient

Bachar Hamade, MD, MSc

16 Activate the Cardiac Cath Team following Sudden
Cardiac Arrest— Don’t Be Afraid to Call

Matthew J. Levy, DO, MSc, FACEP, FAEMS

17 Rush to Resuscitation

Daniel Sheets, MD, MPH and Randall T. Rhyne, MD, FACEP,
FAAEM

18 Do Not Delay the Administration of Epinephrine for
Patients with Anaphylaxis

Nour Al Jalbout, MD

19 Putting on the Squeeze…Vasopressors

Zachary E. Smith, MMS, PA-C

20 How Much is Enough? Transfusions in the Bleeding

83

Patient: Don’t Forget the Rest of the Blood

Emily Streyer Carlisle, MD, MA

21 Fluid Therapy: Beware of (AB)Normal Saline—
Choose Your Resuscitation Fluids Carefully

Nicole Alexander, MCMSc, PA-C

22 ECMO

Casey Carr, MD

23 Needle This: Do Not Assume That Needle
Decompression of a Tension Pneumothorax is
Reliable and Effective

Bahrenegash Getachew, MD

24 Resuscitative Thoracotomy

Michael R. Ehmann, MD, MPH, MS and Nathan Woltman, MD

25 Increased ICP in Resuscitation

Nicole Heidenreich, MSPAS, PA-C

26 Massive Pulmonary Thromboembolism and
Thrombolytics

Nour Al Jalbout, MD

27 Fluid in the Sac? Cardiac Tamponade

Ngozi Nweze, MD

28 Is It Wide or Is it Narrow? PEA: A Simplified
Approach to Pulseless Electrical Activity

Nicholas Risko, MD, MHS

29 Undifferentiated Shock

Daniel Sheets, MD, MPH and Randall T. Rhyne, MD, FACEP,
FAAEM

30 Know How to Identify Abdominal Compartment
Syndrome

Ruben Troncoso Jr., MD, MPH and Debjeet Sarkar, MD, FAAFP

84

31 Cardiogenic Shock

Kevin K. Chung, DO

32 Know When to Administer Sodium Bicarbonate in
the Critically Ill Poisoned Patient

Harry E. Heverling, DO and Tiffany C. Fong, MD

33 Think Big Vessels: Vascular Catastrophes

Kevin K. Chung, DO

34 Stop the Bleeding! Novel Therapies: REBOA

Casey Lee Wilson, MD, RDMS

35 Avoid the Tube! Noninvasive Ventilation Strategies

Rodica Retezar, MD, MPH

36 Be Wary of Intubation in the Asthma Patient

Daniel B. Savage, MD, MPH

SECTION II CRITICAL CARE

37 Stop Using Benzodiazepines to Sedate Your
Critically Ill Intubated Patient

Krystle Shafer, MD and Lillian L. Emlet, MD, MS

38 Monitor the Plateau Pressure in Intubated ED
Patients

Brian J. Wright, MD, MPH

39 Forget CVP! Use Dynamic Markers of Volume
Responsiveness to Guide Fluid Resuscitation in the
Critically Ill Patient

Michael Allison, MD

40 Consider Abdominal Compartment Syndrome in
Patients with Refractory Hypotension

Cindy H. Hsu, MD, PhD

85

41 Know the Thresholds for Red Blood Cell Transfusion
in the Critically Ill

Michael C. Scott, MD

42 Perform These Simple Interventions That Make a
Big Difference in Preventing Ventilator-Associated
Pneumonia

Nicholas Johnson, MD

43 Know How to Care for the ICU Boarder in Your ED

Joshua D. Farkas, MD, MS

44 Know How to Evaluate and Manage the Intubated
Patient with Refractory Hypoxemia

Thomas H. Rozen, MBBS, BMedSci, FCICM, FRACP, DDU and
Christopher P. Nickson, MBChB, MClinEpid, FACEM, FCICM

45 Ready for Prime Time? Extracorporeal Life Support
in the ED

Zachary Shinar, MD

46 Rapidly Reverse Life-Threatening Hemorrhage in
the Patient Taking an Oral Anticoagulant
Medication

Rory Spiegel, MD

47 Be Ready to Discuss and Deliver End-of-Life Care in
the Emergency Department

Ashley Shreves, MD

SECTION III CARDIOLOGY

48 Recognize Atypical Presentations of Acute Coronary
Syndrome

Amita Sudhir, MD

49 Type A Behavior: Consider Aortic Dissection in

86

Patients with Chest Pain and Ischemic
Electrocardiograms

Jessica Balderston, MD and Jeffrey D. Ferguson, MD, FACEP,
NRP

50 Contents Under Pressure: Aggressive Hemodynamic
Management in Patients with Acute Aortic Dissection

Jeffrey D. Ferguson, MD, FACEP, NRP and Jessica Balderston,
MD

51 Do Not Confuse Multifocal Atrial Tachycardia with
Atrial Fibrillation

Christopher Greene, MD

52 Do Not Confuse Mobitz Type I and Mobitz Type II
Atrioventricular Block

C. Blayke Gibson, MD and J. Jeremy Thomas, MD

53 Be Able to Recognize Electrocardiographic Artifact
from Dysrhythmia

George Glass, MD

54 Management of Atrial Fibrillation: Rate Control
versus Rhythm Conversion

Charles Khoury, MD, MSHA and J. Jeremy Thomas, MD

55 Management of Atrial Fibrillation with Rapid
Ventricular Response

Brian L. Bauerband, MD and J. Jeremy Thomas, MD

56 Atrial Fibrillation in the Wolff-Parkinson-White
Syndrome

William J. Brady, MD, FACEP, FAAEM and Heather T. Streich,
MD

57 Never Mistake Ventricular Tachycardia for
Supraventricular Tachycardia with Aberrant
Conduction

Heather Groth, MD

87

58 Know the Mimics of Ventricular Tachycardia

William C. Ferguson, MD and J. Jeremy Thomas, MD, FACEP,
FAAEM

59 Do Not Exclude Cardiac Causes of Chest Pain
because the Patient Does Not Have Traditional Risk
Factors for Acute Coronary Syndrome

Christopher N. White, MD, MS and J. Jeremy Thomas, MD,
FACEP, FAAEM

60 Do Not Forget to Consider Nontraditional Risk
Factors for Coronary Artery Disease in Patients with
Chest Pain

Thomas Hartka, MD, MS

61 Do Not Forget about the Non-ACS Causes of Chest
Pain

Patrick Siler, MD and J. Jeremy Thomas, MD, FACEP, FAAEM

62 Be Cautious Diagnosing “Anxiety” or “Panic
Disorder” in Patients with Chest Pain and Anxiety

Adam E. Nevel, MD, MBA

63 One and Done: Rapid Rule-Out Protocols

Maite Anna Huis in ‘t Veld, MD and Semhar Z. Tewelde, MD

64 Beware of the “Highly Sensitive” Troponin

Maite Anna Huis in ‘t Veld, MD and Semhar Z. Tewelde, MD

65 When Good VADs Go Bad

Christina Lynn Tupe, MD, RDMS

66 Don’t Stress the Stress Test in Suspected ACS

Christina Lynn Tupe, MD, RDMS

67 Remember to Obtain a Right-Sided
Electrocardiogram in a Patient with an Inferior
Myocardial Infarction

Carmen Avendano, MD and Semhar Z. Tewelde, MD

88

68 Pitfalls in Hypertensive Emergencies

Stephen D. Lee, MD

69 Know the Differential for ST-Segment Elevation: It’s
More Than Just Acute Coronary Syndrome

Kathleen Stephanos, MD and Semhar Z. Tewelde, MD

70 Do Not Rely on a Single ECG to Evaluate Chest Pain
in the ED

Kathleen Stephanos, MD and Semhar Z. Tewelde, MD

71 Know How to Diagnose Acute MI in Patients with an
LBBB or Pacemaker

Anthony Roggio, MD

72 Getting Ahead of Cardiogenic Pulmonary Edema:
Aggressive Nitroglycerin Usage

Semhar Z. Tewelde, MD

73 Beyond Diuresis: Treatment Adjuncts in Cardiogenic
Pulmonary Edema

Nicholas Goodmanson, MD

74 Know How to Differentiate Cardiac versus
Noncardiac Causes of Syncope

Omoyemi Adebayo, MD

75 Pearls in Syncope ECG Interpretation

Carmen Avendano, MD and Semhar Z. Tewelde, MD

76 Syncope: Avoiding a Shotgun Wedding

Omoyemi Adebayo, MD

SECTION IV GASTROENTEROLOGY

77 When an Appy Doesn’t Follow the Rules

Caroline Brandon, MD

89

78 Analgesia for the Patient with Acute Abdominal
Pain: Don’t Delay!

Adrian Flores, MD, MPH

79 Get to It Early: Sigmoid Volvulus

Jorge Ontiveros, MD

80 Cecal Volvulus: Don’t Miss It!

Jan Marie Shoenberger, MD

81 Altered Mental Status in a Child: Don’t Forget about
Intussusception!

Aaron E. Kornblith, MD and Jeffrey Bullard-Berent, MD

82 Don’t Miss Aortoenteric Fistula: A Rare But Life-
Threatening Cause of Gastrointestinal Bleeding!

Kristin Berona, MD

83 Acute Mesenteric Ischemia: A True Abdominal
Catastrophe

Talib Omer, MD, PhD, RDMS

84 Not All Epigastric Pain Is Benign

Alessandra Conforto, MD

85 Don’t Underestimate an Acute Variceal
Hemorrhage!

Lee Plantmason, MD, MPH

86 Don’t Be Fooled by a Subtle Presentation—SBP Can
Be Deadly!

Alessandra Conforto, MD

87 Ascending Cholangitis aka Biliary Sepsis aka “That
Other Pus Under Pressure”

Prathap Sooriyakumaran, MD

88 Acalculous Cholecystitis: No Stones, No Problems?

Christopher Martin, MD and Lauren Longyear, BS

90

89 Anticipate Bleeding and Reverse Coagulopathies in
Patients with Liver Failure

Derek K. Richardson, MD, MPH and Barry Schlansky, MD, MPH

90 Boerhaave Syndrome: Not All Life-Threatening
Chest Pain Involves the Heart and Lungs

Christopher J. Coyne, MD, MPH

91 Caustic Ingestions: Don’t Make It Worse

Erika Flores Uribe, MD and Christopher R. Peabody, MD, MPH

92 Ingested Foreign Bodies: When to Intervene?

Brian Doane, MD

93 Severe Acute Pancreatitis Can Be Sneaky

Dennis Hsieh, MD, JD

94 Use Restraint When Imaging Patients with Acute
Pancreatitis

Derek K. Richardson, MD, MPH and Barry Schlansky, MD, MPH

95 The “Pain” in Chronic Pancreatitis

Delphine J. Huang, MD, MS

96 Abdominal Pain in Inflammatory Bowel Disease: A
Flare or Emergent Complication?

Margaret Huang, MD

97 Not Every Pregnant Patient with Vomiting Has
Hyperemesis Gravidarum

Rolando G. Valenzuela, MD, DTMH and William K. Mallon, MD,
FACEP, FAAEM, DTMH

98 Beware of the Patient with Painless Jaundice

Andrés Guzmán, MD and Rolando G. Valenzuela, MD, DTMH

99 ERCP Can Cause a Lot of Complications!

Abraham Flinders, MD

91

100 Don’t Be Afraid to Order a CT on a Pregnant Patient
If She Really Needs It

Marita M. Harris-Naddell, MD and Michelle D. Lall, MD, MHS,
FACEP

101 Know How to Deal with the Displaced PEG Tube

Julie Y. Valenzuela, MD and Rolando G. Valenzuela, MD, DTMH

102 Common Pitfalls in Point of Care Ultrasound of the
Gallbladder!

Kristin Berona, MD

SECTION V CUTANEOUS

103 Don’t Miss Necrotizing Fasciitis!

Shaughn Keating, MD

104 SJS and TEN: Are They Different?

Arun Nair, MD, MPH

105 The Spectrum of TEN

Alexander Jenson, MD, MPH

106 Mimics in Cellulitis

Shabana Walia, MD

107 Chickenpox and Shingles: More Than Just a Rash

Aaryn K. Hammond, MD

108 Erythema Nodosum, Nodules, and Hypersensitivity

Nicholas Risko, MD, MHS

109 Classic Is Not Always Classic: Classic Rashes

Debra Ravert, MD247

SECTION VI ENDOCRINE/METABOLIC

110 A Normal Bicarbonate Value Does Not Exclude an

92

Acid-Base Disturbance

Seth T. Stearley, MD and Ian Boyd, MD

111 Don’t Forget about Octreotide for Hypoglycemia

Haley M. Rapp, MD and Erica B. Shaver, MD

112 Pitfalls in the Management of DKA

Anthony Roggio, MD

113 Do Not Rely on Orthostatic Vital Signs to Diagnose
Volume Depletion

Anand K. Swaminathan, MD, MPH and Gordon Wu, MD

114 HHS: When High Sugars Have Got You Down!

Stephanie Lareau, MD, FAWM, FACEP

115 Do Not Over Treat Hypo- or Hypernatremia

Nicole Cimino-Fiallos, MD and Wan-Tsu Wendy Chang, MD

116 A 3-Pronged Approach to the Treatment of
Hyperkalemia

Erica B. Shaver, MD and Christopher S. Kiefer, MD

117 Know How to Recognize and Treat Thyroid Storm

Henderson D. McGinnis, MD

118 Understand the Role of Magnesium in the Treatment
of Hypokalemia

Farhad Aziz, MD and Justin Boone Rose, MD

119 Know How to Interpret the Venous Blood Gas

Joshua (Josh) Nichols, MD and Corey Heitz, MD

120 Know the Indications for Bicarbonate Therapy

Kimberly Boswell, MD

SECTION VII ENVIRONMENT

121 Not So Fast! Rewarming the Cold Patient

93

Kubwimana Moses Mhayamaguru, MD, EMT-P and Christopher
G. Williams, MD, FAWM

122 Acclimatize or Die or Descend

Clinton G. Keilman, MD

123 Aggressive Cooling Is (Almost) Always the Correct
Approach to the Critical, Environmentally
Hyperthermic Patient

Christopher G. Williams, MD, FAWM

124 Smoke Inhalation: Commonly Overtreated and
Undertreated Aspects

Dennis Allin, MD, FACEP, FAAEM, FAEMS

125 CO Poisoning: It Takes More Than O2

Bryan Wilson, MD and Christopher G. Williams, MD, FAWM

126 A Rash That Is More Than “Just a Rash”

Nash Whitaker, MD

127 Diving Injuries: Don’t Miss These Serious Injuries
Because You Failed to Get the History!

Michael Iacono, MD, MS and Tracy Leigh LeGros, MD, PhD

SECTION VIII HEENT

128 Giant Cell Arteritis: Who the Heck is Horton and
Why Should I Worry about His Headache?

Aisha Parker, MD and James Aiken, MD, MHA

129 Sight-threatening Zoster Ophthalmicus: How to
Recognize and Treat

Suh H. Lee, MD and John Villani, MD

130 And the Eyes Have It

Summer Stears-Ellis, MD

94

131 “Your patient has a retrobulbar hematoma. I think
he’s going to need a canthotomy.”

Jonathan Dangers, MD, MPH

132 Beware the Sore Throat That Kills

Diane Rimple, MD, FACEP

133 Consider a Deep Space Neck Infection in a Child
with Fever and Neck Pain or Torticollis

Joanna Schwartz, BA, MD

134 Lemierre Syndrome: A Royal Pain in the Neck

Frank J. Edwards, MD, FACEP

135 Peritonsillar Abscess

Ben Leeson, MD and Kimberly Leeson, MD

136 Don’t Misdiagnose, Overtreat, or Cause Perforation
of the Tympanic Membrane

John Herrick, DO

137 If It Ain’t Cancer, Why Do I Call This Malignant
Otitis Externa?

Allison D. Lane, MD

138 Approach to the Red Eye

Lindsey Retterath, MD and Hans Bradshaw, MD

139 Eyeing the Causes of Acute Vision Loss

Benjamin Karfunkle, MD and Anna McFarlin, MD

140 Face-Eating Fungus: Rhinocerebral Mucormycosis

Eric C. Funk, MD and Casey M. Clements, MD, PhD

141 Digging for Gold: Some Nuggets about Epistaxis

Josh Mugele, MD

142 Ludwig Angina—“The German Stranglehold”

Dustin Leigh, MD

95

143 Dental Exams Are Not Just for Dentists; Remember
to Identify and Treat Oral Infections

Ashley Sievers, MD

144 The Infection behind the Infection: Distinguishing
Periorbital from Orbital Cellulitis

Samuel J. Tate, MD and John S. Rose, MD

SECTION IX HEME ONC

145 When Kidneys Explode; Everything is Wrong with
Tumor Lysis Syndrome

Daniel Cabrera, MD

146 Immune Thrombocytopenia: Oh the Platelets, You’ll
Go!

Nicole Muhlbauer, MD, MPH and Neha Bhasin, MD

147 Thrombotic Thrombocytopenic Purpura and
Hemolytic Uremic Syndrome: Bloody Zebras with a
Bad Bite

Stephen A. Manganaro, FACEP, FAAFP

148 High Temps and Low Counts: Treat Febrile
Neutropenic Patients with Early and Appropriate
Antibiotics

Matthew W. Connelly, MD and Steven Roumpf, MD

149 My Chest! My Back! My Sickle Cell Attack!

Cullen Clark, MD and Anna McFarlin, MD

150 Warfarin Reversal: Factor It In

William B. Stubblefield, MD and Daren M. Beam, MD, MS

151 Emergent Anticoagulant Reversal: Be Appropriately
Aggressive

Keith Azevedo, MD and Isaac Tawil, MD, FCCM

96

152 Recognize Leukostasis and Know When to Consult
for Emergent Treatment

Cameron Hypes, MD, MPH

SECTION X IMMUNE

153 Don’t Get Stung by Anaphylaxis

Vincent Devlin, DO, MHS and Jerussa Aita-Levy, MD, MPH

154 Angioedema and Anaphylaxis Are Not the Same,
They Just Happen to Present Similarly

Lui Caleon, MD, MPH and Pierre Detiege, MD

155 Treacherous Transplant Toxicities

Christopher J. Edwards, PharmD, BCPS and Tsz Yee (Janice) Tsui,
PharmD, BCPS

156 Think Outside the “Graft Box” When Evaluating the
Transplant Patient

Timothy S. Davie, MD

157 Do’s and Don’ts for Managing Heart Transplant
Patients in the ED

Lawrence DeLuca Jr., EdD, MD

158 Anaphylaxis and Epinephrine—Can You Have One
without the Other?

Ronna L. Campbell, MD, PhD

SECTION XI INFECTIOUS DISEASE

159 Avoid Relying on the Presence of SIRS to Diagnose
Sepsis

Kami M. Hu, MD and Joseph P. Martinez, MD

160 Prevent Catheter-Associated Urinary Tract
Infections (CAUTIs) in the Emergency Department

97

Stephen Y. Liang, MD, MPHS

161 Know the Embolic Complications of Infective
Endocarditis

Brian Edwards, MD

162 The Don’t Miss Diagnosis: Acute Retroviral
Syndrome

Adeolu Ogunbodede, MD and Joseph P. Martinez, MD

163 Understand When and How to Initiate HIV
Postexposure Prophylaxis in the Emergency
Department

Stephen Y. Liang, MD, MPHS and Ed Casabar, PharmD, BCPS,
AQ-ID

164 Recognize the Presentation of Bioterrorism Agents

Stephen P. Shaheen, MD and Jon Mark Hirshon, MD, MPH, PhD

165 Staphylococcal Toxic Shock Syndrome: Do Not
Hesitate—Resuscitate

Sarah B. Dubbs, MD

166 Do Not Be Misled by the Traditional Myths of
Diarrhea

Michael Nitzberg, MD and Kevin Reed, MD, FAAEM, FACEP

167 Meningitis Doesn’t Have to Be a Pain in the Neck!

Nick Tsipis, MD and Liesl A. Curtis, MD, FACEP

168 Know Emerging Infections

Travis Thompson, MD and Lindsey White, MD

169 TB and Syphilis: Infections You Can’t Forget about

Kayla Dewey, MD and Ghofrane Benghanem, MD

170 Avoiding Common Pitfalls in Influenza Treatment

Eric Stephen Kiechle, MD, MPH and Maryann Mazer- Amirshahi,
PharmD, MD, MPH

98

171 Appropriate Antibiotic Choices for Resistant
Organisms

Jessica E. Shackman, MD, PhD and Kathryn M. Kellogg, MD,
MPH

172 Know Infection Prevention

Lindsey DeGeorge, MD and Lauren Wiesner, MD

173 Treating Pneumonia in COPD

Diana Ladkany, MD and Jeffrey Dubin, MD, MBA

174 Diagnose and Treat Necrotizing Soft Tissue
Infections Quickly!

Tabitha Gargano, MD and Korin Hudson, MD, FACEP, CAQSM

175 What Is the Best Way to Measure Core
Temperature?

Matthew Morrison, MD

SECTION XII MS NONTRAUMA

176 Ugh! Another Repeat Visit for Back Pain?! Keep
Epidural Abscess on the Differential!

Elaine Hua Situ-LaCasse, MD

177 If You Suspect the Horse’s Tail, Check the Saddle!

Courtney K. Soley, MD and Heather Miller Fleming, MD

178 Under Pressure: Rapidly Diagnosing and Treating
Acute Compartment Syndrome of the Extremities

Anna L. Waterbrook, MD

179 Physical Exam and Bloodwork Do Not Adequately
Differentiate Infectious from Inflammatory Arthritis

Derick D. Jones, MD, MBA and Casey M. Clements, MD, PhD

180 Don’t Get Broken Up about Muscle Breakdown

H. Shae Sauncy, MD

99

181 When Back Pain Is an Emergency

James Bohan, MD

182 Rheumatoid Arthritis and Spondyloarthropathies

J. Stephan Stapczynski, MD

SECTION XIII NEURO

183 An Update on Idiopathic Intracranial Hypertension

Evelyn Lee, MD and Ramin Tabatabai, MD

184 Normal Diagnostic Studies Do Not Rule Out Shunt
Malfunction

Amy Buckowski, MD

185 Don’t Be Fooled into Erroneously Diagnosing
Peripheral Vertigo

Daniel Mindlin, MD

186 Diagnosing Cervical Artery Dissection in the ED: A
Real Pain in the Neck!

Erik R. Hofmann, MD, MS and Ramin Tabatabai, MD

187 Posterior Circulation Ischemic Stroke: If You Don’t
Think about It, You’ll Miss It

Craig Torres-Ness, MD, MPH

188 Understand the Utility and Limitations of Diagnostic
Imaging in Nontraumatic Subarachnoid Hemorrhage

Manuel R. Montano, MD

189 Don’t Forget Atypical Causes of Status Epilepticus!

R. James Salway, MD

190 Leave It Alone: Blood Pressure Measurement in
Ischemic Stroke

Amir A. Rouhani, MD

100