📚 Rosen's Emergency Medicine: Concepts and Clinical Practice , 10th Edition (2023)

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This edition of Rosen’s was born in three labors. In the first, we set
about to build a creative new editorial team, one that would make this
current edition undeniably better, but also position us to expand the
influential leadership position of this book as a source of truth for the
next generation of learners and practitioners. We celebrated the contributions of editors departing and welcomed a new and diverse team
to lead us into the future. Ron reprised his role as Editor-in-Chief. Tim
and Susan joined Bob and Marianne as Senior Editors, Tim moving
from his role of Associate Editor for the ninth edition, Susan stepping
into the role directly from the solid foundation of her body of work
in emergency medicine and critical care. We welcomed our outstanding returning Associate Editors, Katie Bakes, Andy Jagoda, Amy Kaji,
and Mike VanRooyen, who generously agreed to again shoulder the
enormous load as primary editors. We bolstered our team with new
Associate Editors from leading academic centers: Calvin Brown III,
David Brown, and Leòn Sanchez, from the Harvard Medical School
affiliates Brigham and Women’s Hospital and Massachusetts General
Hospital; Adrian Tyndall, from the University of Florida; and Jonathan
Davis, from Georgetown University. With our outstanding editorial
team from Elsevier, we held detailed discussions about how to make
the book better, more succinct, easier to access, and with more clear
guidance for our readers. We brainstormed new topics and chapters,
identified promising new authors, debated whether some existing topics should be consolidated or retired, and what content should be in the
book versus available online only. Little did we know, when we held our
planning meetings in Cambridge, MA, in June, 2019, that we would
never again be together in one room until after the book was in print.
The second labor was, in reality, a pause. When the pandemic hit in
full force in spring of 2020, we recognized that neither authors nor editors should be distracted from their complete commitment to caring
for their teams, patients, and communities. From month to month, we
gathered editors in virtual meetings to discuss the evolving situation,
so we could collectively decide when it would be appropriate to turn
our attention back to the important work of editing. These meetings
kept us together as a team, reminded us of the long future ahead in
a post-pandemic world, and also informed us about new information
that was sorely needed, such as how to safely intubate patients with
high infectivity, high morbidity respiratory disease, and the need to
shift coronaviruses from a brief topic in a general chapter on viruses to
a chapter all of its own. Through it all, we supported one another and a
found common purpose.
The third labor was in bringing the book over the finish line when
we resumed our task, reconnected with authors, and attacked the work
with renewed energy. Fortunately, at the time of our pause, the book
was well ahead of schedule, a tribute to the diligence of our authors and
editors, which made the final steps less daunting than otherwise would
have been the case. Our editorial team from Elsevier never missed a
beat, always ready to help, support, cajole, remind, problem-solve, bolster, and cheer; often with a moment or two of humor, encouragement,
and respite.
And we got there. Not just there, not just to a good place, not simply
to the relief of finishing, but to the profound satisfaction of producing
what we know, without the slightest doubt, represents yet another significant advance in the evolution of Peter Rosen’s vision from almost 40
years ago. So, to you, the reader, we submit this, our finest work, born
of one of our finest hours, and perhaps the finest hour of our specialty.


When we began planning for this ninth edition, we challenged ourselves to make substantial and meaningful improvements to a book
that has become the trusted standard in our field. With broad and
rapid changes occurring in health care and information sciences, we
recognized that relevance is not an accidental or passive concept. To
advance in relevance and consolidate the book’s position as the defining reference in our specialty, we carefully and deliberately undertook
bold changes that we know make the book at once fresh, directive, and
current in a way we have never before dared.
First, we created a substantially enhanced role for our editors, one
that would demand a great deal more of their time, creativity, and
energy. This helped us build a substantially different team of editors,
a perfectly balanced blend of those with great experience with prior
editions and those who would bring new ideas and challenge our
assumptions. Ron Walls was asked to serve as Editor-in-Chief, with
Bob Hockberger in his long-standing role as senior editor. Marianne
Gausche-Hill, a highly respected academic emergency physician with
service as editor on four previous editions, stepped up to complete our
senior editorial ranks. At the editor level, Dr. Andy Jagoda returns and
is joined by six brilliant new editors drawn from academic programs
from coast to coast—Drs. Katherine Bakes, Jill Baren, Timothy Erickson, Amy Kaji, Michael VanRooyen, and Richard Zane. This dynamic
and innovative editorial team has dramatically redrawn our text’s blueprint by preserving what has served our readers the best, such as wellwritten discussions of the pathophysiologic basis of illness and injury,
while moving in entirely new directions in providing pithy, clear, and
succinct recommendations for diagnosis and treatment.
We collectively determined that all references prior to 2010 have
been sufficiently long in the public domain that they no longer warrant citation. The infrequent exception to this is for guidelines that
were issued in 2007 or later and have not been reissued or supplanted
since. Strict adherence to our referencing policy required authors to
diligently provide well-researched and detailed updates to their chapter content, based on only the most recent and relevant medical literature. In cases in which the literature is controversial or unclear, we have
used the combined experience and expertise of our authors and editors
to present cogent analyses of diagnostic and treatment options, make
specific recommendations, and give the reader clear indications of the
preferred actions. This makes the book much more immediately relevant for emergency clinicians. We recognize that emergency medicine
is practiced by specialist emergency physicians, other physicians, residents and other trainees, and a variety of nonphysician practitioners,
so were careful to ensure that we are addressing all these groups with
the same concise, highest quality information and recommendations.
We revisited page counts for every chapter, adjusting allocations
where indicated, and added new chapters on several important topics. We focused anew on consistency and redundancy, enhancing the
former and minimizing the latter. We moved some chapters to online
access only, allowing us to add new topics of interest, such as drug therapy for older patients, and have provided a rich array of dynamic videos and images, especially in emergency ultrasound. We substantially
expanded and reorganized the pediatric emergency medicine section,
introducing dedicated pediatric chapters on airway management, procedural sedation, and drug therapy. We introduced significant new
material on emergencies in the pregnant woman, the patient with cancer, and a variety of other highly important clinical conditions. And,
in every possible case, we insisted on adherence to referencing and
writing requirements, a focus on relevant directive information, and
appropriate use of prose and illustrations to provide the perfect balance
of depth, breadth, and ready accessibility.





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