Table Of ContentAVOIDING
COMMON ERRORS
IN THE
EMERGENCY
DEPARTMENT
SECOND EDITION
EDITORS
Amal Mattu, MD
Professor and Vice Chair
Department of Emergency Medicine
University of Maryland School of Medicine
Baltimore, Maryland
Arjun Chanmugam, MD, MBA
Professor and Vice Chair
Department of Emergency Medicine
Johns Hopkins University School of MedicineBaltimore, Maryland
Stuart Swadron, MD, FRCPC
Professor
Department of Emergency Medicine
Keck School of Medicine of the University of Southern California
Los Angeles, California
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Dale P. Woolridge, MD, PhD
Professor of Emergency Medicine and Pediatrics
Department of Emergency Medicine and Pediatrics
University of Arizona College of Medicine
Tucson, Arizona
Michael E. Winters, MD
Associate Professor
Department of Emergency Medicine
University of Maryland School of Medicine
Baltimore, Maryland
Lisa MarcucciSeries Editor , MD
InsideSurgery, LLC
Wayne, Pennsylvania
3
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2nd edition
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Printed in China
Library of Congress Cataloging-in-Publication Data
Names: Mattu, Amal, editor. | Chanmugam, Arjun S., editor. | Swadron, Stuart P.,
editor. | Woolridge, Dale, editor. | Winters, Michael E., editor.
Title: Avoiding common errors in the emergency department / [edited by] Amal
Mattu, Arjun Chanmugam, Stuart Swadron, Dale P. Woolridge, Michael E. Winters.
Description: Second edition. | Philadelphia : Wolters Kluwer, [2017] | Includes
bibliographical references and index.
Identifiers: LCCN 2016054696 | ISBN 9781496320742 (paperback)
Subjects: | MESH: Critical Care—methods | Emergency Service, Hospital | Medical
Errors—prevention & control
Classification: LCC RC86.7 | NLM WX 215 | DDC 616.02/5—dc23
2016054696
This work is provided “as is,” and the publisher disclaims any and all warranties,
express or implied, including any warranties as to accuracy, comprehensiveness, or
currency of the content of this work.
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This work is no substitute for individual patient assessment based upon healthcare
professionals’ examination of each patient and consideration of, among other things,
age, weight, gender, current or prior medical conditions, medication history,
laboratory data and other factors unique to the patient. The publisher does not provide
medical advice or guidance and this work is merely a reference tool. Healthcare
professionals, and not the publisher, are solely responsible for the use of this work
including all medical judgments and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health information,
independent professional verification of medical diagnoses, indications, appropriate
pharmaceutical selections and dosages, and treatment options should be made and
healthcare professionals should consult a variety of sources. When prescribing
medication, healthcare professionals are advised to consult the product information
sheet (the manufacturer’s package insert) accompanying each drug to verify, among
other things, conditions of use, warnings and side effects and identify any changes in
dosage schedule or contraindications, particularly if the medication to be
administered is new, infrequently used or has a narrow therapeutic range. To the
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liability, negligence law or otherwise, or from any reference to or use by any person
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DISCLAIMER
The editors and authors of this textbook strongly believe that the complex
practice of medicine, the vagaries of human diseases, the unpredictability of
pathologic conditions, and the functions, dysfunctions, and responses of the
human body cannot be defined, explained, or rigidly categorized by any
written document. It is neither the purpose nor the intent of our textbook to
serve as a final authoritative source on any medical condition, treatment
plan, or clinical intervention, nor should our textbooks be used to rigorously
define a rigid standard of care that should be practiced by all clinicians.
Every medical encounter must be individualized, and every patient must
be approached on a case-by-case basis. At any given moment in time, a
physician’s actions and interventions should be guided by real-time, unique
circumstances, the current clinical and historical milieu, available resources,
his or her individual experience, and, most importantly, clinical judgment.
Every attempt has been made to ensure the accuracy of management
recommendations and medication dosages. However, the reader is urged to
consult other resources for confirmation of recommendations and medication
dosages.
The editors are pleased to accept comments, corrections, and
suggestions. Please send them to [email protected].
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ASSOCIATE EDITORS
Amin Anton Abdi, MD
Clinical Assistant Professor of Emergency
Medicine
Department of Emergency Medicine
LAC + USC Medical Center
Los Angeles, California
Kristin Berona, MD
Assistant Professor of Emergency Medicine
Department of Emergency Medicine
Keck School of Medicine of the University of Southern California
LAC + USC Medical Center
Los Angeles, California
Rahul Bhat, MD, FACEP
Associate Program Director
Assistant Professor of Clinical Emergency Medicine
Washington Hospital Center Emergency Medicine Residency Program
Georgetown University Hospital
Washington, District of Columbia
Paul Blackburn, DO
Clinical Associate Professor
Department of Emergency Medicine
University of Arizona College of Medicine—Phoenix
Attending Physician
Department of Emergency Medicine
Maricopa Medical Center
Phoenix, Arizona
William J. Brady, MD, FACEP, FAAEM
Professor of Emergency Medicine and The David A. Harrison Distinguished
7
Educator
University of Virginia School of Medicine
Charlottesville, Virginia
Ilene Claudius, MD
Associate Professor
Department of Emergency Medicine
Keck School of Medicine of the University of Southern California
Los Angeles, California
Lillian L. Emlet, MD, MS
Assistant Professor
Department of Critical Care Medicine and Emergency Medicine
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania
John C. Greenwood, MD
Assistant Professor
Department of Emergency Medicine
Department of Anesthesiology and Critical Care
Perelman School of Medicine at the University of Pennsylvania
Philadelphia, Pennsylvania
Tarlan Hedayati, MD, FACEP
Assistant Professor
Associate Program Director
Department of Emergency Medicine
Cook County (Stroger) Hospital
Chicago, Illinois
James (Jim) Homme, MD
Assistant Professor of Pediatrics and Emergency Medicine
Associate Program Director Pediatrics
Division of Pediatric Emergency Medicine
Mayo Clinical College of Medicine
Rochester, Minnesota
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J. Scott Lowry, MD, FACEP
Assistant Professor
Department of Emergency Medicine
University of Arizona College of Medicine
Tucson, Arizona
Joseph P. Martinez, MD
Associate Professor
Departments of Emergency Medicine and Medicine
University of Maryland School of Medicine
Baltimore, Maryland
Anna McFarlin, MD
Assistant Professor
Departments of Emergency Medicine and Pediatrics
Louisiana State University Health Sciences Center School of Medicine
New Orleans, Louisiana
Jenny S. Mendelson, MD
Assistant Professor of Pediatrics and Emergency Medicine
University of Arizona College of Medicine
Tucson, Arizona
Arun Nair, MD, MPH
Instructor
Department of Emergency Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland
Christopher R. Peabody, MD, MPH
Assistant Clinical Professor
Department of Emergency Medicine
University of California, San Francisco
San Francisco, California
Dena Reiter, MD
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Assistant Professor
Department of Emergency Medicine
Johns Hopkins University School of Medicine
Baltimore, Maryland
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
Emily Rose, MD
Assistant Professor of Clinical Emergency Medicine
Keck School of Medicine of the University of Southern California
LAC + USC Medical Center
Los Angeles, California
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
Assistant Professor
Department of Emergency Medicine
University of California, Davis
Sacramento, 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
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