Vascular Emergencies

Of all of the clinical entities within the discipline of medicine, vascular emergencies are the most time sensitive, and the patients with these conditions are amongst the most severely ill. Emergency care providers encounter these entities on a day-to-day basis in the emergency department. Vascular emergencies by their very nature are limb and life threatening, and emergency physicians and other providers have to be expert in the care and disposition of this group of patients. Vascular Emergencies focuses on the acute presentation in the emergency department. Each chapter includes a discussion on diagnosis and treatment when resources are limited, a list of critical actions, pearls and pitfalls, and definitive care. Written by emergency physicians with unique understanding of the pertinent issues in the emergency department, this book provides practical advice for all acute care providers caring for patients with vascular emergencies.Preface; List of contributors; Part I. Cerebrovascular Disease Jonathan Edlow: 1. Cerebral sinus venous thrombosis Jonathan C. Roberts and Christopher M. Fischer; 2. Acute ischemic stroke Cemal B. Sozener and Phillip A. Scott; 3. Intracerebral hemorrhage Lauren M. Nentwich and Joshua N. Goldstein; 4. Aneurysmal subarachnoid hemorrhage Jonathan Edlow; 5. Blunt and penetrating injuries to the neck Niels K. Rathlev and Joseph C. Schmidt; 6. Cervical artery dissection Bo E. Madsen and Selim H. Magdy; Part II. Acute Aortic Disease John A. Elefteriades: 7. Acute aortic dissection John A. Elefteriades and Samuel Youssef; 8. Acute aortic occlusion Akhilesh Jain, Jeffrey Indes, John A. Elefteriades and Bart E. Muhs; 9. Ruptured abdominal aortic aneurysms Matthew K. Folstein, Karan Chopra and Kapil Gopal; 10. Blunt aortic injury David J. Skarupa and Jay Menaker; 11. Thoracica aortic aneurysm Bart Muhs and John A. Elefteriades; Part III. Extremities Kapil Gopal: 12. Acute upper limb ischemia Kamil Vallabh; 13. Acute atraumatic lower limb ischemia Thomas S. Monahan; 14. Extremity aneurysms Kristian A. Ulloa; 15. Evaluation and management of thrombosed/occluded bypass grafts Jonathan Kittredge and Kapil Gopal; 16. Penetrating extremity trauma - vascular aspects Timothy Craig Hardcastle, Christopher Venter and Daan den Hollander; Part IV. Visceral Arterial/Venous Emergencies Joe Martinez: 17. Acute mesenteric ischemia George C. Willis; 18. Acute visceral venous disease Matthew K. Folstein, Karan Chopra and Kapil Gopal; Part V. Acute Venous Thromboembolic Disease Mike Mccurdy: 19. Upper extremity deep venous thrombosis Majid Afshar and Nirav G. Shah; 20. Lower extremity deep venous thrombosis Leann Silhan and Robert M. Reed; 21. Pulmonary embolism Samantha L. Wood and Robert M. Reed; 22. Thrombolytic therapy for venous thromboembolism Sa'ad Lahri; Part VI. Use of Ultrasound in the Emergency Department Brian Euerle: 23. Ultrasound-guided central venous access Sarah K. Sommerkamp and Alisa Gibson; 24. Use of ultrasound to assess the patient with hypotension and shock Leah Bright and Beatrice Hoffman; 25. Use of ultrasound to assess abdominal vascular emergencies Sam Hsu; Part VII. Miscellaneous Haney Mallemet: 26. Hemodialysis access emergencies Eugene J. Schweitzer; 27. Complications of central venous catheterization Ronald Tesoriero; 28. Complications of cardiac catheterization James T. DeVries; 29. Vascular manifestations of systemic autoimmune diseases Raymond Flores; Index.