Ophthalmologic
Ophthalmologic 4-1 Corneal Abrasion Anthony S. Mazzeo Clinical Presentation Patients with corneal abrasion (CA) present with eye pain, tearing, foreign body sensation, photophobia, blurry vision, and, occasionally, headache. Pathophysiology Any…
Neurologic
Neurologic 3-1 Intracranial Hemorrhage Allon Amitai Clinical Presentation Patients with intracranial hemorrhage (ICH) typically present with headache, nausea, and vomiting, with or without focal neurologic deficits. Onset of ICH is…
Airway, Breathing, Circulation
Airway, Breathing, Circulation 1-1 Normal Airway Arun Nagdev Anatomically, the upper airway begins at the nares and continues to the proximal aspect of the trachea. Clinical Presentation Patients with an…
Emergency Medical Services and Pre-Hospital Care
Emergency Medical Services and Pre-Hospital Care 2-1 Vehicular Rollover Gerald Wydro Of the five types of vehicle collisions—head-on, T-bone, rear-ended, rotational impact, and rollover—rollover has the greatest mechanistic potential for…
Trauma Procedures in the Emergency Department
Trauma Procedures in the Emergency Department Rahim Valani MD, CCFP-EM, FRCPC, PG Dip Med Ed INTRAOSSEOUS (IO) ACCESS1, 2, 3, 4 and 5 (FIG. 21-1) Immediate and urgent vascular access…
Transport of the Pediatric Trauma Patient
Transport of the Pediatric Trauma Patient Adam Cheng MD, FRCPC (Ped EM), FAAP BACKGROUND Critically ill children have better outcomes when treated in pediatric trauma centers and tertiary pediatric intensive…
Nonaccidental Trauma
Nonaccidental Trauma Michelle Shouldice MD, FRCPC EPIDEMIOLOGY A survey of over 10,000 Canadian adults indicated that 10% of adults experienced severe physical abuse during childhood.1 Eleven percent of women and…
Injury Prevention
Injury Prevention Safe Kids Canada EPIDEMIOLOGY In Canada, the leading cause of death for children is unintentional injury (Figs. 20-1 and 20-2). Falls Babies fall off beds or out of…
Pain Management and Sedation
Pain Management and Sedation Rahim Valani MD, CCFP-EM, FRCPC, PG Dip Med Ed ANATOMY OF PAIN1 Pain is a neuro-biochemical phenomenon. Nociceptors from the periphery transduce stimuli into neural impulses…
