With growing numbers of chronically ill patients surviving longer and receiving novel medical and surgical treatments, emergency departments are increasingly the venue for associated acute presentations. How can emergency physicians respond to these challenging and emerging conditions? This book focuses on the unusual and complex disease presentations not covered in detail in the standard textbooks, helping you manage patients with conditions such as congenital heart disease, cystic fibrosis, morbid obesity, intellectual disability and intestinal failure. Not only does this book provide guidance on evaluation and diagnosis, but it also addresses the practical issues of acute management and continuing referral. The individual chapters are written by high profile emergency physicians, in conjunction with appropriate specialists, and include authoritative evidence to back up the clinical information.
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List of contributors, vii Acknowledgments, xiv Chapter 1 Introduction, 1 Arvind Venkat Chapter 2 The post-cardiac arrest patient, 5 Ankur A. Doshi and Clifton W. Callaway Chapter 3 Adults with congenital heart disease, 26 Kara M. Iskyan and Craig R. Cohen Chapter 4 The renal transplant patient, 51 Joseph B. Miller and K. K. Venkat Chapter 5 The end-stage renal disease patient on dialysis, 74 K. K. Venkat and Arvind Venkat Chapter 6 Adults with cystic fibrosis, 96 Arvind Venkat and Joseph M. Pilewski Chapter 7 Adults with sickle-cell disease: implications of increasing longevity, 115 Ward Hagar and Claudia R. Morris Chapter 8 HIV-positive adults on HAART, 141 Arvind Venkat and Sukhjit S. Takhar Chapter 9 Adults receiving chemotherapeutic regimens, 158 Moira Davenport and Mary Ann Howland Chapter 10 The bariatric surgery patient, 184 Melissa B. Bagloo and Alfons Pomp Chapter 11 The obese patient, 204 Andra L. Blomkalns and David W. Silver Chapter 12 The geriatric trauma patient, 228 John M. O'Neill and Elan Jeremitsky Chapter 13 Children with intestinal failure and complications from visceral transplant, 251 Melissa A. Vitale, Jeffrey A. Rudolph and Richard A. Saladino Chapter 14 Family violence, 271 Daniel M. Lindberg and Esther K. Choo Chapter 15 The intellectually disabled patient, 299 Jonathan S. Anderson and Shamai A. Grossman Chapter 16 Adults with conditions causing chronic pain, 319 Victoria L. Thornton and Lauren T. Southerland Index, 342
