Acknowledgments

It has taken a huge international "village" to produce this strange compendium. The significant help I received is the only reason this book exists. First and foremost is the fantastic assistance and support from my wife, Mary Lou Iserson, CPA, who has also been a research medical technologist and a field member of the Southern Arizona Rescue Association. Acting as a skilled and persistent editor, she patiently explained why some sections made no sense—even before the manuscript went to the publisher.

Libby Lamb Wagner, biomedical content illustrator, created most of the new illustrations in the second edition.

Jennifer Gilbert supplied most of the great original artwork for the first edition and some additional pieces for this edition. She also was the diligent proofreader and organizer for both editions, nicely and diplomatically pointing out my errors. Any remaining errors in the drawings or a sense of incompleteness are my fault entirely, because I was the final arbiter.

As with all my books, I owe a debt of gratitude to my friends at the University of Arizona Health Sciences Library, who find sources of information in inscrutable ways. I am especially grateful to Nga T. Nguyen, BA, BS, Senior Library Specialist and to Ms. Hannah Fisher, RN, MLS, AHIP (now retired), who helped me to find obscure references that added immensely to the information I could provide.

Because many of the most valuable references are neither online nor contained in The University of Arizona's extensive collection, the Arizona Health Sciences Center's Inter-Library Loan staff provided amazing assistance in gathering hundreds of references for this book.

I also want to thank Suzanne Schoenfelt (aka, The Wordsmith) for her superb editing skills for the first edition.

Finally, I must extend my thanks to Brian Belval, Executive Editor, and Kim J. Davis, Associate Managing Editor, at McGraw-Hill Education for believing in this project and seeing it to fruition.

Chapter Reviewers

Quite a few content experts willingly gave of their time to review specific chapters and provide input. Their expertise proved invaluable in clarifying and augmenting the information provided. In alphabetical order, I sincerely thank:

• Geoffrey Ahern, MD, PhD, Prof., Neurology, Psychology, Psychiatry and the Evelyn F. McKnight Brain Institute; Bruce and Lorraine Cumming Endowed Chair in Alzheimer's Research; Medical Director, Behavioral Neuroscience and Alzheimer's Clinic, The University of Arizona, Tucson, AZ

• Robert (Denny) Bastron, MD, Prof., Clinical Anesthesiology, The University of Arizona, Tucson, AZ

• Paul Cartter, Former Communications Chief, AZ-1 DMAT, Tucson, AZ

• Julie Dixon, MD, Dermatologist, Tucson, AZ

• Daniel Godoy Monzón, MD, Orthopedic Surgeon, Orthopedic and Traumatology Service; Prof., Instituto Universitario del Hospital Italiano, Buenos Aires, Argentina

• Michael Grossman, DDS, General and Special-needs Dentist, Tucson, AZ

• Tim B. Hunter, MD, Prof. Emeritus, Radiology, The University of Arizona, Tucson, AZ

• Lawrence Hipshman, MD, MPH, Department of Psychiatry, Intercultural Psychiatric Clinic and Public Psychiatry Clinic, Oregon Health Sciences University, Portland, OR

• Andrew R. Iserson, MSB, Adj. Asst. Prof., University of Maryland University College, Information Systems Management Dept (College Park); Lecturer, Georgetown School of Continuing Studies

• Daniel Klemmedson, MD, DDS, DMD, Oral/Maxillofacial Surgery, Tucson, AZ

• William Madden, MD, Assoc. Prof. (Retired), Clinical Pediatrics, The University of Arizona, Tucson, AZ

• David Merrell, MD, Otolaryngologist, Toledo, OH; Past President, Medical Society of the US and Mexico

• Joseph Miller, MD, MPH, Prof. and Department Head, Ophthalmology and Vision Science; Prof., Optical Sciences and Public Health; Murray and Clara Walker Memorial Endowed Chair in Ophthalmology, The University of Arizona, Tucson, AZ

• Bernard (Barry) M. Morenz III, MD, Assoc. Prof., Clinical Psychiatry; Director, Forensic Psychiatry, The University of Arizona, Tucson, AZ

• Steve Nash, JD, Executive Director, Tucson Osteopathic Medical Foundation, Tucson, AZ

• Wallace Nogami, MD, Assoc. Prof., Clinical Anesthesiology and Pediatrics, The University of Arizona, Tucson, AZ

• Asad (Sid) Patanwala, PharmD, Assoc. Prof., Pharmacy Practice and Science, The University of Arizona College of Pharmacy, Tucson, AZ

• Alan Reeter, MSEE, Reeter Associates, Tucson, AZ

• Barnett R. Rothstein, DMD, MS, Orthodontist and former Indian Health Service Dentist, Tucson, AZ

• John C. Sakles, MD, Prof., Clinical Emergency Medicine, The University of Arizona, Tucson, AZ

• Kenneth Sandock, MD, Consulting Radiologist, Tucson, AZ

• Joe Serra, MD, Adj. Prof., Physical Therapy, University of the Pacific; Founding member of Wilderness Medical Society; National Ski Patrol (Retired)

• William Sibley, MD, Prof. Emeritus, Neurology (Deceased), The University of Arizona, Tucson, AZ

• Craig Steinberg, PharmD, Chairman, Pharmacy Emergency Response Team (RxERT); Pharmacy Manager, Sharp Coronado Disaster Medical Assistance Team, San Diego, CA

• Matthew L. Steinway, MD, Staff Urologist, Banner Good Samaritan Medical Center, Phoenix, AZ

• Bruce White, DO, JD, Director, Alden March Bioethics Institute; Prof., Center for Biomedical Ethics Education and Research, and Pediatrics, Albany Medical College, Albany, NY

Others

Many other people assisted in this book's development by providing information for techniques or equipment, reviewing specific elements, acting as test subjects for equipment, or clarifying published information. In many cases, their specific contributions have also been cited as personal communications within the text or endnotes. In alphabetical order, they are:

• Alan Beamsley, DO, President, Western New Mexico Emergency Physicians; Physician, Rehoboth McKinley Christian Hospital, Gallup, NM

• Manuel C. Bedoya, DMD, General Dentist, Tucson, AZ

• Jamil Bitar, MD, Emergency Physician, Tucson, AZ

• Jeffrey S. Blake, MD, Pediatric Emergency Medicine, Mary Bridge Children's Hospital, Tacoma, WA

• Cindy Blank-Reid, RN, MSN, CEN, Trauma Clinical Nurse Specialist, Temple University Hospital, Philadelphia, PA

• Leslie V. Boyer, MD, Founding Director, VIPER Institute, The University of Arizona, Tucson, AZ

• Megan Brandon, PharmD, The University of Arizona, Tucson, AZ

• Richard J. Bransford, MD, Assist. Prof., Orthopedics and Sports Medicine, University of Washington, Seattle, WA

• Julie Brown, MD, Co-Director, Emergency Medicine Research, Seattle Children's Hospital; Assoc. Prof., Pediatrics, University of Washington School of Medicine, Seattle, WA

• Singhal V. Chintamani, MS, FRCS(Edin), FRCS(Glasg), FICS, FIAMS, India

• Scott Clemans, Consulting Engineer, Tucson, AZ; Member, Southern Arizona Rescue Association

• Peter M.C. DeBlieux, MD, Director, Resident and Faculty Development; Prof., Clinical Medicine, LSUHSC University Hospital, New Orleans, LA

• Michael Dyet, BA, RRT, Technical Specialist, Respiratory Care, Banner University Medical Center, Tucson, AZ

• Gordon A. Ewy, MD, Prof. Emeritus, Internal Medicine (Cardiology); Director Emeritus, Sarver Heart Center, The University of Arizona, Tucson, AZ

• Eric Fleegler, MD, MPH, FAAP, Assist. Prof., Pediatrics, Harvard Medical School; Emergency Medicine, Boston Children's Hospital, Boston, MA

• Ronald Goodsite, MD, Pediatrician, Tucson, AZ

• Douglas H. Freer, MD, DPM, MPH, FAAFM, FAWM, Head, Acute Care Branch Health Clinic, Marine Corps Recruit Depot, San Diego, CA

• Donald "D.J." Green, MD, Assoc. Prof., Surgery, Medical Director of Trauma Services, Banner University Medical Center, Tucson, AZ

• Haywood Hall, MD, FACEP, FIFEM, Founding Director, PACEMD/PACE Global Health International; Medical Director, MDLIVE, Inc., Marfil, Guanajuato, Mexico

• Col. Patricia Hastings, DO, AMEDDCS; Medical Director, Joint Staff Support to Global Health, Office of the Director, Joint Staff, Joint Chiefs of Staff [JCS], US Dept. of Defense

• Sri Devi Jagjit, MD, Emergency Physician, Georgetown, Guyana

• Mark Hauswald, MS, MD, Prof., Emergency Medicine; Director of Global Health Programs, The University of New Mexico, Albuquerque, NM

• John Jared, EMT-P, Emergency Department, Banner University Medical Center, Tucson, AZ

• Harry Kraus, MD, FACS, Missionary Surgeon and Author, Tucson, AZ

• Yosef Leibman MD, Physician, Soroka Hospital, Beer Sheva, Israel; Founder, Israeli Journal of Emergency Medicine; Editor-in-Chief, Emergency Medicine Update

• Michael K. Levy, MD, FAAEM, Emergency Physician, Alaska Regional Hospital, Anchorage, AK

• Joe Lex, MD, FACEP, FAAEM, Prof. (Retired), Emergency Medicine, Temple University, Philadelphia, PA

• David Liem, PhD, Assist. Research Physiologist, David Geffen School of Medicine at UCLA, Los Angeles, CA

• Mario Llurie, RN, CWCS, Wound Specialist, Banner University Medical Center, Tucson, AZ

• Darrell G. Looney, MD, FACEP, FAAEM, Emergency Physician, OSF St. Joseph Medical Center, Bloomington, IL

• Thomas O. McMasters, Director, US Army Medical Department Museum, Fort Sam Houston, TX

• Naveen Malhotra, MD, Department of Obstetrics and Gynaecology, All-India Institute of Medical Sciences, New Delhi, India

• Tawnya Meeks-Modrzejewski, Nurse Practitioner, CareMore Health Plan; Flight Nurse, Tucson, AZ

• Katherine Mehaffey, BSN, RN, CWS, CWOCN, Wound, Ostomy, and Continence Nursing Service, Banner University Medical Center, Tucson, AZ

• Andy Norman, MD, Assist. Prof., Obstetrics and Gynecology; Affiliated faculty member, Vanderbilt Institute for Global Health (VIGH), Vanderbilt University Medical Center, Nashville, TN

• Charles O. Otieno, MD, MPH, Emergency Physician, Los Robles Emergency Physicians Medical Group, Burbank, CA

• Sue Philpott, RN, Training Officer, AZ-1 Disaster Medical Assistance Team, Tucson, AZ

• Farhad Pooran, PhD, PE, Vice President, Engineering, Schneider Electric, Washington, DC

• Laurence H. Raney, MD, FAAEM, FACEP, Emergency Physician, Isle of Palms, SC

• Mykle Raymond, Engineering Technician, Tucson, AZ; Member, Southern Arizona Rescue Association

• James Riopelle, MD, Prof., Clinical Anesthesiology, LSUHSC School of Medicine, New Orleans, LA

• Mohammed RM Rishard, Teaching Hospital, Kandy; GVMP Galgomuwa, Faculty of Medicine, University of Peradeniya; and K. Gunawardane, Teaching Hospital, Kandy, Sri Lanka

• Karen Schneider, RSM, MD, Assist. Prof., Pediatrics, Johns Hopkins University, Baltimore, MD

• Sandra M. Schneider, MD, FACEP, Prof., Emergency Medicine, University of Rochester, Rochester, NY; Physician-Editor, AHC Media

• John J. Shaw, DMD, Emergency Preparedness Planner, JJS Consulting; Former Program

• Director, Capitol Region Metropolitan Medical Response System, Hartford, CT; Chair, ESF 8, Capitol Region Emergency Planning Committee

• Ronald A. Sherman, MD, MSc, DTM&H, Director, BioTherapeutics, Education and Research Foundation, Orange County, CA

• Farshad (Mazda) Shirazi, MD, PhD, Assoc. Prof., Clinical Toxicology; Medical Director, University of Arizona Poison and Drug Information Center; Director, Medical Toxicology Fellowship, Emergency Department, The University of Arizona, Tucson, AZ

• Rhonda Shirley, EMT-P, Emergency Department, Banner University Medical Center, Tucson, AZ

• John Spero, Emergency Department, Banner University Medical Center, Tucson, AZ

• Daniel Tsze, MD, MPH, Assist. Prof., Pediatrics; Director, Pain Management and Sedation Program, Columbia University College of Surgeons and Physicians, New York, NY

• Oren Weissman, MD, Department of Plastic and Reconstructive Surgery, Asaaf Harofeh Medical Center, Zerifin, Israel

• Lara Zibners-Lohr, MD, Emergency Pediatric Physician, London, UK

Finally, I must thank everyone whose name I inadvertently omitted. While I tried to include everyone who helped me produce this enormous project, I'm sure that there were some that I omitted. Sorry. I hope you still enjoy the book.