1 Preparedness for Pediatric Emergencies |
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2 | (18) |
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3 | (1) |
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Emergency Department Preparedness |
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4 | (1) |
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4 | (1) |
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5 | (3) |
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8 | (1) |
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Interface With Out-of-Hospital Care |
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8 | (1) |
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8 | (4) |
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Other Preparedness Issues |
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12 | (1) |
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12 | (1) |
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13 | (2) |
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Transfer to a Higher Level of Care |
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15 | (1) |
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16 | (1) |
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17 | (3) |
2 Pediatric Assessment |
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20 | (32) |
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21 | (4) |
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Developing a General Impression: The Pediatric Assessment Triangle |
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25 | (10) |
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Assessing the Pediatric ABCDEs |
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35 | (9) |
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Summary of Initial Assessment |
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44 | (1) |
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Focused History and Physical Examination |
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44 | (3) |
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47 | (2) |
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49 | (3) |
3 The Pediatric Airway in Health and Disease |
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52 | (54) |
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53 | (1) |
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Anatomic and Physiologic Responses to Airway Maneuvers |
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54 | (2) |
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General Approach to Airway Emergencies |
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56 | (5) |
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61 | (10) |
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61 | (3) |
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64 | (2) |
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66 | (2) |
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68 | (1) |
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69 | (2) |
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71 | (4) |
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75 | (10) |
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Disease of Oxygenation and Ventilation and Disease of the Lungs |
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85 | (9) |
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Bronchopulmonary Dysplasia |
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85 | (2) |
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87 | (4) |
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91 | (3) |
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94 | (3) |
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97 | (9) |
4 Cardiovascular System |
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106 | (40) |
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107 | (1) |
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108 | (8) |
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109 | (4) |
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Noncyanotic Heart Disease |
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113 | (1) |
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114 | (2) |
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116 | (21) |
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116 | (2) |
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118 | (2) |
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120 | (2) |
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122 | (2) |
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124 | (2) |
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126 | (7) |
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133 | (1) |
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133 | (1) |
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Postsurgical Complications |
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134 | (3) |
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137 | (4) |
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137 | (1) |
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138 | (1) |
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139 | (2) |
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141 | (5) |
5 Central Nervous System |
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146 | (40) |
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Altered Level of Consciousness |
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148 | (6) |
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154 | (5) |
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159 | (4) |
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163 | (3) |
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166 | (2) |
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168 | (6) |
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168 | (2) |
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170 | (4) |
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174 | (5) |
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179 | (7) |
6 Metabolic Disease |
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186 | (22) |
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187 | (1) |
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187 | (5) |
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Hypoglycemia in Diabetic Children |
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192 | (1) |
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Hypoglycemia in Nondiabetic Children |
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192 | (2) |
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Adrenal Insufficiency/Congenital Adrenal Hyperplasia |
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194 | (2) |
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196 | (1) |
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Syndrome of Inappropriate Secretion of Antidiuretic Hormone |
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197 | (2) |
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199 | (2) |
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Metabolic Disease of the Newborn and Young Child |
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201 | (4) |
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205 | (3) |
7 Environmental |
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208 | (1) |
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209 | (1) |
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209 | (7) |
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209 | (4) |
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213 | (3) |
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Body Temperature Disturbances |
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216 | (2) |
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218 | (1) |
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218 | (2) |
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220 | (4) |
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224 | (5) |
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229 | (5) |
8 Toxicology: Ingestions and Smoke Inhalation |
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234 | (34) |
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General Evaluation and Management of Ingestions |
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235 | (5) |
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240 | (17) |
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240 | (2) |
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242 | (1) |
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Methanol and Ethylene Glycol |
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242 | (1) |
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243 | (1) |
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244 | (1) |
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245 | (1) |
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246 | (1) |
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247 | (1) |
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248 | (1) |
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249 | (2) |
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251 | (1) |
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252 | (1) |
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253 | (2) |
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Selective Serotonin Reuptake Inhibitors |
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255 | (1) |
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256 | (1) |
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256 | (1) |
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Overall Management Issues |
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257 | (1) |
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Additional Routes of Exposure |
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257 | (1) |
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258 | (5) |
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263 | (5) |
9 Trauma |
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268 | (56) |
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270 | (1) |
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Pathophysiologic and Anatomic Considerations |
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270 | (3) |
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Assessment and Management |
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273 | (1) |
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Primary and Secondary Surveys |
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274 | (12) |
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Central Nervous System Injuries |
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286 | (5) |
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Cranial and Intracranial Injuries |
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291 | (4) |
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295 | (1) |
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Extracranial Head Injuries |
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295 | (1) |
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296 | (11) |
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307 | (2) |
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309 | (3) |
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312 | (4) |
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316 | (2) |
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318 | (1) |
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319 | (1) |
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320 | (4) |
10 Child Maltreatment |
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324 | (36) |
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325 | (1) |
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326 | (11) |
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328 | (1) |
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329 | (1) |
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330 | (2) |
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332 | (1) |
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333 | (4) |
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337 | (7) |
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344 | (5) |
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349 | (2) |
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Münchausen Syndrome By Proxy |
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351 | (1) |
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352 | (2) |
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354 | (6) |
11 Nontraumatic Surgical Emergencies |
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360 | (50) |
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Necrotizing Enterocolitis |
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361 | (6) |
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Malrotation and Midgut Volvulus |
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367 | (4) |
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371 | (5) |
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376 | (6) |
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382 | (4) |
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386 | (3) |
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Pediatric Inguinal Hernia |
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389 | (4) |
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393 | (5) |
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398 | (12) |
12 Nontraumatic Orthopedic Emergencies |
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410 | (36) |
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Developmental Dysplasia of the Hip |
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411 | (5) |
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416 | (1) |
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416 | (1) |
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417 | (1) |
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Excessive Femoral Anteversion |
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418 | (3) |
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421 | (1) |
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421 | (4) |
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425 | (2) |
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Legg-Calvé-Perthes Disease |
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427 | (2) |
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Slipped Capital Femoral Epiphysis |
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429 | (3) |
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432 | (4) |
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436 | (1) |
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437 | (1) |
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438 | (8) |
13 Medical Emergencies |
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446 | (30) |
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447 | (1) |
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447 | (4) |
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Fever in Children at Risk for Sepsis |
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451 | (4) |
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455 | (3) |
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458 | (4) |
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462 | (1) |
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Balanitis/Balanoposthitis |
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463 | (1) |
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Urinary Tract Infections-Cystitis and Pyelonephritis |
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464 | (2) |
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466 | (2) |
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468 | (1) |
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469 | (1) |
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470 | (3) |
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473 | (3) |
14 Neonatal Emergencies |
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476 | (22) |
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477 | (1) |
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Resuscitation of the Newly Born |
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477 | (4) |
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481 | (1) |
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482 | (2) |
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484 | (1) |
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485 | (1) |
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486 | (1) |
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486 | (1) |
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487 | (1) |
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487 | (1) |
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487 | (2) |
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489 | (1) |
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490 | (1) |
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490 | (1) |
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491 | (1) |
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Gastrointestinal Bleeding |
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491 | (1) |
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492 | (1) |
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492 | (2) |
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494 | (4) |
15 Procedural Sedation and Analgesia |
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498 | (26) |
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499 | (4) |
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503 | (3) |
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Medications Used in Analgesia and Sedation |
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506 | (8) |
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514 | (4) |
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518 | (2) |
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520 | (4) |
16 Interface With EMS |
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524 | (18) |
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525 | (1) |
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526 | (1) |
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527 | (6) |
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533 | (3) |
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536 | (1) |
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537 | (1) |
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538 | (4) |
17 Disaster Management |
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542 | (26) |
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543 | (1) |
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Emergency Management Process |
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544 | (1) |
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Children and Disaster Planning |
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545 | (4) |
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Planning by Community Medical Practitioners |
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549 | (1) |
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550 | (2) |
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552 | (2) |
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Planning by Community Agencies |
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554 | (1) |
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Planning by Community Emergency Management |
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|
555 | (1) |
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Response and Recovery Phases |
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556 | (3) |
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559 | (1) |
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Pediatric Medical Issues After Community-wide Disasters |
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559 | (3) |
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Pediatric Mental Health Issues After Disasters |
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562 | (1) |
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562 | (2) |
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564 | (4) |
18 Preparedness for Acts of Nuclear, Biological, and Chemical Terrorism |
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568 | (24) |
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569 | (2) |
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571 | (1) |
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571 | (4) |
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575 | (1) |
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576 | (1) |
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576 | (1) |
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577 | (1) |
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577 | (1) |
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577 | (1) |
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577 | (3) |
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580 | (1) |
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580 | (1) |
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581 | (6) |
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587 | (2) |
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589 | (3) |
19 Children With Special Health Care Needs |
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592 | (18) |
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593 | (2) |
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Tracheostomies and Home Ventilation |
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595 | (4) |
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Feeding Tubes and Gastrostomy Tubes |
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599 | (3) |
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602 | (2) |
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Dialysis Shunts and Peritoneal Dialysis Catheters |
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604 | (1) |
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Ventriculoperitoneal Shunts |
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605 | (2) |
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607 | (3) |
20 Medical-Legal Considerations |
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610 | (28) |
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612 | (1) |
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Medical Malpractice and the ED |
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612 | (1) |
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613 | (1) |
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High-Risk Cases in Pediatric Emergency Medicine |
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613 | (1) |
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614 | (2) |
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616 | (1) |
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617 | (2) |
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619 | (3) |
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622 | (1) |
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623 | (2) |
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625 | (2) |
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627 | (3) |
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630 | (1) |
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631 | (1) |
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632 | (6) |
21 Office-Based Emergencies |
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638 | (36) |
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Section 1. General Office Preparedness |
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|
640 | (4) |
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|
640 | (1) |
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1.2 Monitoring the Waiting Area |
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|
640 | (1) |
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|
640 | (2) |
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1.4 Equipment and Medications |
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|
642 | (2) |
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644 | (1) |
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1.6 Patient and Parent Education |
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|
644 | (1) |
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|
644 | (10) |
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|
644 | (1) |
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644 | (1) |
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645 | (1) |
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646 | (1) |
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646 | (1) |
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647 | (1) |
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|
647 | (4) |
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651 | (3) |
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2.9 Tissue Adhesive Application |
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654 | (1) |
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2.10 Human and Animal Bites |
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654 | (1) |
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Section 3. Foreign Bodies |
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|
654 | (6) |
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3.1 Subcutaneous Foreign Body Removal |
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|
655 | (1) |
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3.2 Nail Bed Splinter Removal |
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656 | (1) |
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3.3 Ocular Foreign Body Removal |
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656 | (1) |
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3.4 Cerumen/Aural Foreign Body Removal |
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|
657 | (2) |
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3.5 Nasal Foreign Body Removal |
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659 | (1) |
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660 | (2) |
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|
660 | (2) |
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Section 5. Miscellaneous Procedures |
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|
662 | (9) |
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5.1 Subungual Hematoma Drainage |
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662 | (1) |
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662 | (1) |
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5.3 Skin Abscess Drainage |
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663 | (1) |
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664 | (1) |
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665 | (1) |
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666 | (1) |
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666 | (1) |
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5.8 Tooth Reimplantation and Stabilization |
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|
667 | (1) |
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5.9 Management of Penile Zipper Injury |
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|
667 | (1) |
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5.10 Reduction of Inguinal Hernia |
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|
668 | (1) |
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5.11 Reduction of Paraphimosis |
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|
668 | (1) |
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5.12 Reduction of Rectal Prolapse |
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|
669 | (2) |
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|
671 | (3) |
22 Critical Procedures |
|
674 | (95) |
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|
676 | (1) |
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Section 1: Pediatric Length-Based Resuscitation Tape |
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|
676 | (1) |
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Section 2: Cervical Spine Immobilization |
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|
677 | (4) |
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681 | (5) |
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|
681 | (2) |
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3.2 Impedance Pneumatography |
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|
683 | (1) |
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3.3 Blood Pressure Monitors |
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|
683 | (1) |
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683 | (2) |
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685 | (1) |
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Section 4:Oxygen Administration |
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|
686 | (2) |
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686 | (1) |
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687 | (1) |
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687 | (1) |
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688 | (1) |
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|
688 | (3) |
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Section 6: Opening the Airway |
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691 | (1) |
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691 | (1) |
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692 | (1) |
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Section 7: Airway Adjuncts |
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|
692 | (3) |
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7.1 Oropharyngeal Airways |
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|
692 | (1) |
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7.2 Nasopharyngeal Airways |
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|
693 | (2) |
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Section 8: Bag-Mask Ventilation |
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|
695 | (4) |
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Section 9: Management of Upper Airway Foreign Bodies With Magill Forceps |
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|
699 | (1) |
|
Section 10: Emergent Intubation |
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|
700 | (10) |
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10.1 Endotracheal Intubation |
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|
700 | (2) |
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10.2 Rapid Sequence Intubation |
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|
702 | (8) |
|
Section 11: Rescue Airway Techniques |
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|
710 | (6) |
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11.1 Supraglottic Devices |
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|
710 | (4) |
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11.1 A Laryngeal Mask Airway |
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|
711 | (2) |
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|
713 | (1) |
|
11.2 Specialized Laryngoscopes |
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|
714 | (1) |
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|
714 | (1) |
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11.3 Laryngoscopes With Special Blades |
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|
714 | (1) |
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|
714 | (1) |
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|
715 | (1) |
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Section 12: Surgical Airway Techniques |
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|
716 | (7) |
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12.1 Needle Cricothyrotomy |
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|
716 | (2) |
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12.2 Retrograde Intubation |
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|
718 | (2) |
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12.3 Wire-Guided Cricothyrotomy |
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|
720 | (1) |
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12.4 Surgical Cricothyrotomy |
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|
720 | (1) |
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12.5 Tracheostomy Management |
|
|
721 | (2) |
|
Section 13: Cardioversion and Defibrillation |
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|
723 | (4) |
|
13.1 Cardioversion and Defibrillation |
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|
723 | (2) |
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13.2 Automated External Defibrillator |
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|
725 | (2) |
|
Section 14: Vascular Access |
|
|
727 | (14) |
|
14.1 Peripheral Venous Catheter Placement |
|
|
727 | (2) |
|
14.2 External Jugular Vein Cannulation |
|
|
729 | (1) |
|
14.3 Central Venous Catheter Placement |
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|
730 | (4) |
|
14.4 Umbilical Vein Catheterization |
|
|
734 | (2) |
|
14.5 Intraosseous Needle Placement |
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|
736 | (2) |
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|
738 | (3) |
|
Section 15: Thoracic Procedures |
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|
741 | (6) |
|
15.1 Needle Thoracostomy (Thoracentesis) |
|
|
741 | (1) |
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|
742 | (2) |
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15.3 Emergency Thoracotomy |
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|
744 | (1) |
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|
745 | (2) |
|
Section 16: Miscellaneous Procedures |
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|
747 | (5) |
|
16.1 Nasogastric/Orogastric Intubation |
|
|
747 | (2) |
|
16.2 Catheterization of the Bladder |
|
|
749 | (3) |
|
Section 17: Orthopedic Procedures |
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|
752 | (13) |
|
17.1 Compartment Syndrome |
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|
752 | (4) |
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|
756 | (1) |
|
17.3 Shoulder Dislocation |
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|
756 | (1) |
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|
757 | (1) |
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|
758 | (1) |
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|
759 | (1) |
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|
759 | (5) |
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|
760 | (1) |
|
17.7 B Sugar-Tong Splint (Forearm) |
|
|
760 | (1) |
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17.7 C Ulnar Gutter Splint |
|
|
761 | (1) |
|
17.7 D Thumb Spica Splint |
|
|
761 | (1) |
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17.7 E Sugar-Tong Splint (Upper Extremity) |
|
|
761 | (2) |
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|
763 | (1) |
|
17.7 G Posterior Splint (Lower Extremity) |
|
|
763 | (1) |
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17.7 H Sugar-Tong Splint(Lower Extremity) |
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|
763 | (1) |
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|
764 | (1) |
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|
765 | (4) |
Appendix A: Check Your Knowledge Answers |
|
769 | (12) |
Index |
|
781 | (24) |
Additional Credits |
|
805 | |