0071643192.pdf

ENVIRONMENTAL EMERGENCIES SYMPTOMS/EXAM ■ AMS symptoms (common) ■ Cough (dry or productive) ■ Dyspnea at rest ■ Tachypnea and ta ...

ENVIRONMENTAL EMERGENCIES SYMPTOMS/EXAM ■ AMS symptoms (severe headache, nausea/vomiting) ■ HAPE symptoms may also be present. ■ ...

ENVIRONMENTAL EMERGENCIES A 50-year-old male complains of a headache, and then abruptly loses consciousness 3 minutes after surf ...

ENVIRONMENTAL EMERGENCIES Descent Dysbarism Descent dysbarism can occur in any air-filled space in the body (see Table 13.13). O ...

ENVIRONMENTAL EMERGENCIES PATHOPHYSIOLOGY ■ Increasing dive depth →increased ambient pressure →↓volume of tank air (Boyle’s law) ...

ENVIRONMENTAL EMERGENCIES TREATMENT ■ Typically resolves with rest ■ Supplemental O 2 as needed ■ Chest tube for large pneumotho ...

ENVIRONMENTAL EMERGENCIES SYMPTOMS/EXAM ■ Symptoms depend on tissues involved. Typically symptoms begin >10 min- utes after s ...

ENVIRONMENTAL EMERGENCIES DIAGNOSIS ■ Focuses on identifying associated injuries or abnormalities ■ CXR—if patient symptomatic ■ ...

ENVIRONMENTAL EMERGENCIES TABLE 13.15. Common Poisonous Plants PLANT TOXINMECHANISM OFTOXICITY MAJORTOXICEFFECTS Castor bean/jeq ...

ENVIRONMENTAL EMERGENCIES TREATMENT ■ Supportive therapy ■ Gastric decontamination (consider whole bowel irrigation) ■ Replace G ...

ENVIRONMENTAL EMERGENCIES Cardiac Glycosides Cardiac glycosides include: ■ Foxglove(Digitalis purpurea) ■ Common oleander(Nerium ...

ENVIRONMENTAL EMERGENCIES MECHANISM OFTOXICITY ■ Ingestion or large skin exposure →stimulation of nicotinic receptors and sympto ...

ENVIRONMENTAL EMERGENCIES SYMPTOMS/EXAM ■ Anticholinergic toxidrome ■ Hallucinations ■ Hyperthermia ■ Flushed skin, dry skin, an ...

ENVIRONMENTAL EMERGENCIES COMPLICATIONS ■ Severe hypertension, hyperthermia, seizures, or rhabdomyolysis MESCALINE Mescaline is ...

ENVIRONMENTAL EMERGENCIES A 54-year-old male presents to the ED with nausea/vomiting and abdominal pain. He reports eating some ...

ENVIRONMENTAL EMERGENCIES Delayed Onset Toxicity Delayed onset toxicity is a marker for ingestion of mushrooms with potential fo ...

ENVIRONMENTAL EMERGENCIES GI EFFECTSFOLLOWED BYRENALFAILURE ■ Cortinarius orellanus ■ Caused by orellanine toxin, a nephrotoxin ...

CHAPTER 14 Head, Eye, Ear, Nose, and Throat Emergencies Manon Kwon, MD Ear 661 OTITISEXTERNA(SWIMMER’SEAR) 661 ACUTEOTITISMEDIA ...

PHARYNGITIS 684 PERITONSILLARABSCESS 685 RETROPHARYNGEALABSCESS 686 DIPHTHERIALARYNGITIS 687 Dental Emergencies 688 DENTALCARIES ...

HEAD, EYE, EAR, NOSE, AND THROAT EMERGENCIES EAR Otitis Externa (Swimmer’s Ear) ETIOLOGY ■ Bacterial agents—Pseudomonas aerugino ...