Clinical Procedures in Emergency Medicine and Acute Care: Evidence-Based, Step-by-Step Guide to Airway Management, Ultrasound-Guided Procedures, Resuscitation, Trauma, and Critical Care

Clinical Procedures in Emergency Medicine and Acute Care: Evidence-Based, Step-by-Step Guide to Airway Management, Ultrasound-Guided Procedures, Resuscitation, Trauma, and Critical CareA patient arrives unconscious. Another is bleeding through four dressings. A third has no blood pressure and a nurse asking what to do next. In the next sixty seconds, someone in that room will have to act. This textbook exists for that person.Clinical Procedures in Emergency Medicine and Acute Care is not a reference book to browse in a library. It is a working clinical tool built for the physician, nurse practitioner, physician assistant, or resident who is responsible for doing things to patients when those patients cannot wait. It covers the thinking before the procedure, the technique during it, and the recognition of when something has gone wrong after it.The book is organized across eight sections and forty chapters. It does not assume the reader already knows what they are doing. It assumes the reader wants to know it completely, correctly, and in the kind of depth that holds up at three in the morning when the attending has stepped out and the patient is deteriorating.Section one builds the procedural foundation that textbooks almost never teach: how to decide whether to do a procedure at all, how teams fail during procedures and why, how ultrasound has become the mandatory first step before nearly every bedside intervention, how to sedate patients safely across the full spectrum from mild anxiolysis to deep sedation, and how physiology changes in ways that matter when the patient is a child, an elderly woman with fragile veins, a woman at thirty-four weeks of gestation, or a critically ill man in multi-organ failure.From there the book moves systematically through airway management including basic maneuvers, supraglottic devices, rapid sequence intubation with complete pharmacology, video laryngoscopy, the failed airway algorithm, surgical cricothyrotomy, tracheostomy management, and mechanical ventilation across ARDS, obstructive disease, post-cardiac arrest, and the full clinical range. Every technique is presented with the specific pitfalls and danger points that cause real harm in real clinical practice.The resuscitation section addresses hemodynamic monitoring and shock resuscitation, every form of vascular access including intraosseous infusion, cardiac rhythm management with cardioversion and defibrillation, emergency pacing, pericardiocentesis, cardiopulmonary resuscitation including resuscitative thoracotomy and REBOA, and damage control resuscitation with hemorrhage control, massive transfusion protocol, and reversal of anticoagulation. Critical care chapters cover ICU procedures, renal replacement therapy, nutritional support, and palliative procedural care including structured ventilator withdrawal.Later sections address wound management and closure, soft tissue infections, burns, compartment syndrome, joint procedures, musculoskeletal trauma, gastrointestinal and urologic emergencies, obstetric and neonatal emergencies, toxicologic procedures, neurologic procedures, ophthalmologic and ENT procedures, forensic examination, behavioral emergencies, and mass casualty triage.Every chapter is built around a clinical decision framework, evidence-based recommendations referencing named guidelines and trials, clinical pearls, and a treatment algorithm. Back matter includes emergency drug tables, pre-procedure checklists for every major procedure, competency documentation templates, and clinical scoring systems.This is the book for the clinician who needs to know not just what to do, but why, how, and what to do when it does not go as planned. Read more