Trisha Shetty (Editor)

Outline of emergency medicine

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The following outline is provided as an overview of and topical guide to emergency medicine:

Contents

Emergency medicine – medical specialty involving care for undifferentiated, unscheduled patients with acute illnesses or injuries that require immediate medical attention. While not usually providing long-term or continuing care, emergency physicians undertake acute investigations and interventions to resuscitate and stabilize patients. Emergency physicians generally practice in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units.

Medical emergencies

  • Medical emergency (list)
  • Presentations

  • Abdominal pain
  • Altered level of consciousness
  • Back pain
  • Chest pain
  • Coma
  • Confusion
  • Constipation
  • Cyanosis
  • Diarrhea
  • Dizziness
  • Dyspnea
  • Fever
  • Gastrointestinal bleeding
  • Headache
  • Hemoptysis
  • Jaundice
  • Nausea and vomiting
  • Pelvic pain
  • Seizure
  • Sore throat
  • Syncope
  • Testicular pain
  • Vaginal bleeding
  • Vertigo
  • Weakness
  • Types of emergencies

    Listed below are conditions that constitute a possible medical emergency and may require immediate first aid, emergency room care, surgery, or care by a physician or nurse. Not all medical emergencies are life-threatening; some conditions require medical attention in order to prevent significant and long-lasting effects on physical or mental health.

    Cardiac and circulatory

  • Acute coronary syndrome
  • Air embolism (arterial)
  • Aortic aneurysm (ruptured)
  • Abdominal aortic aneurysm
  • Aortic dissection
  • Bleeding
  • Hemorrhage
  • Hypovolemia
  • Internal bleeding
  • Cardiac arrest
  • Cardiac arrhythmia
  • Ventricular fibrillation
  • Supraventricular tachycardia
  • Cardiac tamponade
  • Deep vein thrombosis
  • Heart block
  • Heart failure
  • Hypertensive emergency
  • Infectious endocarditis
  • Myocardial infarction (heart attack)
  • Myocarditis
  • Pericarditis
  • Peripheral vascular disease
  • Pulmonary embolism
  • Valvular heart disease
  • Dermatologic

  • Acute urticaria
  • Angioedema
  • Erythema multiforme major
  • Kasabach–Merritt syndrome
  • Endocrinological

  • Acid base disorder
  • Diabetes mellitus
  • Rhabdomyolysis
  • Thyroid storm
  • Adrenal crisis
  • Environmental

  • Accidental hypothermia
  • Drowning
  • Electrical and lightning injuries
  • Frostbite
  • Heat illness
  • Radiation injuries
  • Scuba diving hazards and dysbarism
  • Gastrointestinal

  • Appendicitis
  • Biliary colic
  • Cholecystitis
  • Gastroenteritis
  • Small bowel obstruction
  • Genitourinary

  • Renal failure
  • Sexually transmitted diseases
  • Infections

  • Bacterial meningitis
  • Cholera
  • Ear infection (can occur with sudden sensorineural hearing loss)
  • Gas gangrene
  • Lyme disease infection
  • Malaria infection
  • Necrotizing fasciitis
  • Neutropenic sepsis
  • Rabies infection
  • Salmonella poisoning
  • Sepsis
  • Inflammatory

  • Allergy
  • Anaphylaxis
  • Arthritis
  • Bursitis
  • Systemic lupus erythematosus
  • Vasculitis
  • Hematologic

  • Anemia
  • Polycythemia
  • Infectious disease

  • AIDS
  • Cellulitis
  • HIV
  • Necrotizing fasciitis
  • Osteomyelitis
  • Rabies
  • Sepsis
  • Septic arthritis
  • Tuberculosis
  • Injury (trauma) and illness

  • Abdominal trauma
  • Acute epistaxis
  • Appendicitis (leading to peritonitis)
  • Ballistic trauma (gunshot wound)
  • Bite
  • Bone fracture
  • Burn
  • Crohn's disease, severe (possible obstruction, perforation)
  • Chest trauma
  • Child abuse
  • Domestic abuse
  • Facial trauma
  • Flail chest
  • Foreign body
  • Fulminant colitis
  • Head injury
  • Hyperthermia (heat stroke or sunstroke)
  • Malignant hyperthermia
  • Hypothermia or frostbite
  • Intestinal obstruction
  • Pancreatitis
  • Peritonitis
  • Poisoning
  • Food poisoning
  • Venomous animal bite
  • Pharmacological overdose
  • Botanical
  • Polytrauma
  • Ruptured spleen
  • Septic arthritis
  • Septicaemia blood infection
  • Severe burn (including scalding and chemical burns)
  • Sexual assault
  • Spinal disc herniation
  • Spinal injury
  • Spreading wound infection
  • Sudden sensorineural hearing loss (which may become permanent unless treated promptly)
  • Suspected spinal injury
  • Traumatic brain injury
  • Wound
  • Metabolic

  • Acute renal failure
  • Addisonian crisis (seen in those with Addison's disease)
  • Dehydration, advanced
  • Diabetic coma
  • Diabetic ketoacidosis
  • Hypoglycemic coma
  • Electrolyte disturbance, severe (along with dehydration, possible with severe diarrhea or vomiting, chronic laxative abuse, and severe burns)
  • Hepatic encephalopathy
  • Hypercalcemic crisis
  • Lactic acidosis
  • Malnutrition and starvation (as in extreme anorexia and bulimia)
  • Pheochromocytoma crisis
  • Thyroid storm
  • Neurological and neurosurgical

  • Acute spinal cord compression
  • Cerebrovascular accident (stroke)
  • Convulsion or seizure, no history or unusual
  • Delirium
  • Meningitis
  • Neuroleptic malignant syndrome
  • Seizures
  • Serotonin syndrome
  • Status epilepticus
  • Status migrainosus
  • Stroke
  • Subarachnoid hemorrhage
  • Subdural hematoma, acute
  • Obstetric

  • Ectopic pregnancy
  • Eclampsia
  • Pre-eclampsia
  • HELLP syndrome
  • Fetal distress
  • Obstetrical hemorrhage
  • Placental abruption
  • Prolapsed cord
  • Puerperal sepsis
  • Shoulder dystocia
  • Uterine rupture
  • pulmonary hypertension
  • Ophthalmological

  • Acute angle-closure glaucoma
  • Giant-cell arteritis
  • Orbital perforation or penetration
  • Retinal detachment
  • Pediatric

  • Croup
  • Limp
  • Psychiatric

  • Anxiety, acute
  • Attempted suicide, non-fatal
  • Excited delirium
  • Homicidal ideation
  • Mood disorder
  • Psychomotor agitation
  • Psychotic episode
  • Somatoform disorder
  • Suicidal ideation
  • Thought disorder
  • Respiratory

  • Agonal breathing
  • Asphyxia
  • Angioedema
  • Choking
  • Drowning
  • Smoke inhalation
  • Asthma, acute
  • Chronic obstructive pulmonary disease
  • Epiglottitis or severe croup
  • Pleurisy
  • Pneumonia
  • Pneumothorax
  • Pulmonary embolism
  • Respiratory failure
  • Upper respiratory infection
  • Shock

    Shock

  • Anaphylaxis
  • Cardiogenic shock
  • Hypovolemic shock (due to hemorrhage)
  • Neurogenic shock
  • Obstructive shock (e.g., massive pulmonary embolism or cardiac tamponade)
  • Septic shock
  • Toxicological

  • Overdose
  • Acetaminophen overdose
  • Aspirin overdose and other NSAIDs
  • Poisoning
  • Urological, andrological, and gynecologic

  • Acute prostatitis
  • Gynecologic hemorrhage
  • Ovarian torsion
  • Paraphimosis
  • Priapism
  • Sexual assault (rape)
  • Testicular torsion
  • Urinary retention
  • Emergency medical care

  • First aid
  • Golden hour
  • Triage
  • Critical care

  • Acute Care of at-Risk Newborns (ACoRN)
  • Airway management
  • Care of the Critically Ill Surgical Patient (CCrISP)
  • Mechanical ventilation
  • Shock
  • Resuscitation
  • Cardiopulmonary resuscitation (CPR)
  • Neonatal Resuscitation Program (NRP)
  • Advanced Cardiac Life Support (ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Advanced Trauma Life Support(ATLS)
  • Life support

  • Basic life support (BLS)
  • Advanced life support
  • Advanced cardiac life support (ACLS)
  • Advanced trauma life support (ATLS)
  • ABC (medicine)
  • Pneumothorax
  • Pericardial tamponade
  • Pediatric Advanced Life Support (PALS)
  • Environmental medicine

    Environmental medicine

  • High altitude medicine
  • Travel medicine
  • Mass-gathering medicine
  • Toxicology

    Toxicology

  • Anticholinergics
  • Antidepressants
  • Cardiovascular drugs
  • Beta blocker toxicity
  • Calcium channel blocker toxicity)
  • Caustics
  • Sympathomimetics and cocaine
  • Toxic alcohols
  • Methanol toxicity
  • Ethylene glycol poisoning
  • Hallucinogens
  • Heavy metals
  • Hydrocarbons
  • Inhaled toxins
  • Lithium
  • Antipsychotics
  • Opioids
  • Pesticides
  • Plants, mushrooms, herbal medications
  • Sedative hypnotics
  • Branches of emergency medicine

  • Emergency medical services
  • Emergency nursing
  • Emergency psychiatry
  • International emergency medicine
  • Pediatric emergency medicine
  • Pre-hospital emergency medicine
  • Contributory fields

    Emergency medicine is multidiciplinary – due to the diversity of medical emergencies encountered, emergency medicine relies heavily upon the knowledge and procedures of many medical specialties, including:

  • Critical care medicine
  • Disaster medicine
  • Hospice care
  • Hyperbaric medicine
  • Pain management
  • Palliative care
  • Sports medicine
  • Ultrasound
  • Wilderness medicine
  • Emergency medical system

  • Emergency telephone number
  • Emergency medical services

    Emergency medical services

  • Ambulance
  • Emergency medical dispatch
  • Medical Priority Dispatch System (US)
  • Computer-aided call handling (US)
  • Advanced Medical Priority Dispatch System (UK)
  • Emergency medical technician
  • Paramedic
  • Emergency medical facilities

  • Emergency department
  • Poison control center
  • Trauma center
  • Emergency medical professionals

  • Emergency physician
  • Emergency nurse
  • Emergency medical technician
  • Paramedic
  • Tools and equipment

    Emergency medical equipment

  • Bag valve mask (BVM)
  • Chest tube
  • Defibrillation (AED
  • ICD)
  • Electrocardiogram (ECG/EKG)
  • Intraosseous infusion (IO)
  • Intravenous therapy (IV)
  • Tracheal intubation
  • Laryngeal tube
  • Combitube
  • Nasopharyngeal airway (NPA)
  • Oropharyngeal airway (OPA)
  • Pocket mask
  • Drugs

  • Atropine
  • Amiodarone
  • Epinephrine / Adrenaline
  • Magnesium sulfate
  • Sodium bicarbonate
  • Naloxone
  • History of emergency medicine

  • History of the ambulance
  • History of emergency medical services
  • Publications

  • Critical Care Medicine
  • Intensive Care Medicine
  • Military Medicine
  • Shock
  • Trauma
  • Academic Emergency Medicine
  • American Journal of Emergency Medicine
  • Annals of Emergency Medicine
  • Annals of Intensive Care
  • Critical Care Clinics
  • Emergency Medicine Australasia
  • Emergency Medicine Journal
  • Indian Journal of Critical Care Medicine
  • Injury Prevention
  • Journal of Critical Care
  • Journal of Emergencies, Trauma, and Shock
  • Journal of Emergency Nursing
  • Journal of Injury and Violence Research
  • Journal of Intensive Care Medicine
  • Pediatric Critical Care Medicine
  • Prehospital Emergency Care
  • The Journal of Emergency Medicine
  • Organizations

  • American Board of Emergency Medicine
  • American College of Emergency Physicians
  • American Osteopathic Board of Emergency Medicine
  • Asian Society for Emergency Medicine
  • Australasian College for Emergency Medicine
  • British Association for Immediate Care
  • Canadian Association of Emergency Physicians
  • Emergency Nurses Association
  • European Resuscitation Council
  • European Society of Emergency Medicine
  • International Federation for Emergency Medicine
  • International Liaison Committee on Resuscitation
  • Resuscitation Council
  • Royal College of Emergency Medicine
  • Persons influential in emergency medicine

  • Dominique Jean Larrey
  • Peter Safar – Austrian physician of Czech descent, credited with pioneering cardiopulmonary resuscitation
  • References

    Outline of emergency medicine Wikipedia