This issue of Emergency Medicine Clinics, guest edited by Drs. John Greenwood and Tsuyoshi Mitarai in collaboration with Consulting Editor Dr. Amal Mattu, is dedicated to Critical Care in the Emergency Department. Topics include: Cutting edge acute ischemic CVA management; The current status of TTM post-cardiac arrest and early post-cardiac arrest optimization; Beyond MAP and lactate: Perfusion endpoints for managing the shocked patient; Resuscitative Ultrasound & TEE; Mechanical ventilation for hypoxemic respiratory failure; Mechanical ventilation strategies for the patient with severe obstructive lung disease; Acute Renal Failure and electrolyte management in the critically ill; Advances in emergent airway management in paediatrics; Non-ischemic causes of cardiogenic shock; Critically ill patients with End-Stage Liver Disease; Intracranial Hemorrhage and intracranial hypertension; Sedation & Analgesia in the Critically Ill; Extubating in the ED; and Geriatric Critical Care.

This issue of Emergency Medicine Clinics, Guest Edited by Dr. Joelle Borhart and Dr. Rebecca Bavolek, is dedicated to Obstetric and Gynecologic Emergencies. Topics include: Nonpregnant vaginal bleeding; Sexually transmitted infections; Genital complaints at extremes of age; Acute pelvic pain; Complications in early pregnancy; Complications of assisted reproductive technology; Vaginal bleeding in late pregnancy; Precipitous delivery; Postpartum emergencies; Hypertensive disorders of pregnancy; Trauma in pregnancy; Cardiovascular emergencies in pregnancy; and Resuscitation in pregnancy.

The Must-Have Guide for Navigating the ICU. The House Officer's Guide to ICU Care is an eminently practical handbook for junior house officers, medical students, PAs, and nurses that offers nuts-and-bolts guidelines for optimal management of medical and surgical patients in the ICU setting. Using clear, straightforward language, the authors methodically guide clinicians through the decision-making process, first by outlining the pathophysiology of abnormalities seen in the ICU and then by explaining the principles underlying today's therapeutic measures and describing how these agents and devices are used to ensure safe patient recovery. While the text focuses on the postoperative cardiothoracic surgery patient, the principles and therapies covered are broadly relevant to all medical and general surgery ICU patients. This third edition has been thoroughly updated to include the newest diagnostic and treatment technologies, procedures, and practices, and covers everything the house officer needs to know to deliver safe, effective, front-line care - especially during those times when senior staff are not there to rely on. Updated references, self-assessment tools, and an Emergency Response Sheet of essential paradigms, drugs, and doses will ensure confident decision-making when it counts the most. For the house officer, this book gives you everything you need to know, and not a word more. Especially useful for: house officers and medical students embarking on ICU responsibilities,intensive care nurses and nurses in training physicians' assistants,and respiratory therapists.

This issue of Critical Care Clinics, Guest Edited by Dr. Rinaldo Bellomo, focuses on Modern Critical Care Endocrinology. Article topics include: Diabetes insipidus and SIADH in the ICU; Estrogen therapy in ICU patients; The angiotensin family, ACE and ACE 2; Angiotensin II in vasodilatory shock; Vasopressin in vasodilatory shock; Hydrocortisone in vasodilatory shock; Erythropoietin in trauma and critical illness; HbA1c and permissive hyperglycemia in diabetic ICU patients; Osteoporosis and the critically ill patient; New oral agents for the treatment of diabetes; Melatonin in critical care; The incretins in ICU patients; Hepcidin; Thyroid hormone therapy in the ICU; and Hormonal therapy in organ donors.

This book discusses multiple aspects of radiological and nuclear terrorism. Do you know what to do if there is a radiological or nuclear emergency in your city? These accidents are not common, but they have happened - and even though we have not seen an attack using these weapons, governments around the world are making plans for how to prevent them - and for how to respond if necessary. Whether you are an emergency responder, a medical caregiver, a public health official - even a member of the public wanting to know how to keep yourself and your loved ones safe - there is a need to understand how these weapons work, how radiation affects our health, how to stop an attack from taking place, how to respond appropriately in the event of an emergency, and much more. Unfortunately, the knowledge that is needed to accomplish all of this is lacking at all levels of society and government. In this book, Dr. Andrew Karam, an internationally respected expert in radiation safety and multiple aspects of radiological and nuclear emergencies, discusses how these weapons work and what they can do, how they can affect our health, how to keep yourself safe, and how to react appropriately whether you are a police officer investigating a suspect radiological weapon, a firefighter responding to a radiological or nuclear attack, a nurse or physician caring for potentially contaminated patients, or a governmental official trying to keep the public safe. To do this, he draws upon his extensive experience in the military, the several years he worked directly with emergency responders, his service on a number of advisory committees, and multiple trips overseas in the aftermath of the Fukushima accident and on behalf of the International Atomic Energy Agency, Interpol, and the Health Physics Society.

With collaboration from Consulting Editor, Dr. Jan Foster, Dr. Beth Diehl has created a current issue that updates the topic of neonatal nursing. Expert authors have contributed clinical reviews that address the following topics: Family Centered Care and Multidisciplinary Rounding in the NICU; Standardized Feeding Protocols and NEC; Preventing Hypoglycemia: Finding the Sweet Spot; The EMR and Big Data in Neonatology; Fetal Surgery and Delayed Cord Clamping: Neonatal Implications; Neonatal Encephalopathy: Current Management and Future Trends; Modes of Neonatal Ventilation; Neonatal Resuscitation: NRP 7th Edition Practice Integration; Neonatal Pain: Perceptions and Current Practice; Neuroprotective Developmental Care for the Preterm Infant in the first 72 Hours of Life; NAS: An Uncontrollable Epidemic; and Neonatal Transport: Current Trends and Practices. Readers will come away with the current clinical information they need to improve patient outcomes in the NICU.

This issue of Critical Care Clinics, Guest Edited by Dr. Kenneth McCurry and Dr. Ali Al-Khafaji, focuses on Critical Care of the Solid Organ Transplant Patient. Dr. McCurry's section of the issue is devoted to Heart and Lung Transplants and includes the following topics: Long term outcomes of transplantation; Mechanical ventilation; Pulmonary hypertension therapy; Extracorporeal membrane oxygenation; Perioperative management of the lung graft following lung transplantation; Perioperative management of the heart graft following heart transplantation; Renal complications following lung and heart transplantation; and Infection and other complications following transplanation. Dr. Al-Khafaji's section of the issue is devoted to Liver, Kidney, and Small Bowel Transplants and includes the following topics: The immediate postoperative period; Live donor liver transplant; Graft dysfunction and management; Extracorporeal devices; Infectious complication following solid organ transplants; and Cardiac, renal, neurological, and gastrointestinal complications.

This issue of Emergency Medicine Clinics focuses on Hematology and Oncology Emergencies, with topics including: Cardiovascular toxicities of cancer therapies; The latest cancer agents and their complications; Infections in the cancer patient; Pediatric oncologic emergencies; Rapid fire oncologic emergencies; Rapid fire hypercalcemia; Rapid fire sickle cell disease; Rapid fire SVC Syndrome; The Cancer ED; EM Oncology Fellowship; Anticoagulation Reversal; and Rapid Fire Blast Crisis/Hyperviscosity.

This issue of Emergency Medicine Clinics, edited by Dr. Stephen Liang and Rachel Chin, focuses on Infectious Disease Emergencies, with topics including: Cardiovascular and Bloodstream Infections; Pneumonia and Respiratory Tract Infections; Urinary Tract Infections; CNS Infections; Skin and Soft Tissue Infections; MSK infections; Sexually Transmitted Infections; HIV Emergencies; Oncology Infectious Disease Emergencies; Transplant Infectious Disease Emergencies; Emerging Infections in the Emergency Department, Trauma/disaster-related infections; Antimicrobial Stewardship in the Emergency Department; and Infection Prevention in the Emergency Department.

This issue of Emergency Medicine Clinics focuses on Pediatric Emergency Medicine, with topics including: BRUE/ALTE; Pediatric Minor Head Injury; PAIN MANAGEMENT and PAIN ALTERNATIVES; DEHYDRATION - ORT and IVF FLUID SELECTION; PEDIATRIC SYNCOPE - High Risk Conditions and Reasonable Approach; INBORN ERRORS OF METABOLISM IN THE ED; BRONCHIOLITIS - From Guideline to Clinical Practice; PED NON-INVASIVE VENTILATION; PED VENT MANAGEMENT; POST-OP TONSILLECTOMY HEMORRHAGE; UNDIFFERENTIATED SHOCK MANAGEMENT; PEDIATRIC BURN MANAGEMENT; MAJOR HEAD TRAUMA: Not a Minor Problem; and PEDIATRIC THORACIC TRAUMA.

This issue of Critical Care Clinics focuses on Rapid Response Systems and Fluid Resuscitation, with topics including: RRS Now; Triggering Criteria: Big Data; Triggering Criteria: Continuous Monitoring; Measuring instability; Surgery/Trauma RRT; Obstetric RRT; Difficult airway rapid response teams; and Sepsis rapid response teams.

Aquick reference to clinical information needed in Pediatric Intensive Care Units. The Manual makes extensive use of illustrations tables and boxes and provides up-to-date information on nursing interventions for the critically ill child. It also includes content on psychosocial issues, family needs and PICU instrumentation. Authored by an international expert in pediatric critical care who has incorporated the most up to-date policies, practices, and procedures into the text. Provides manageable summaries so that clinical information needed in PICU's can be quickly referenced. Contains more than 300 illustrations, tables, and boxes to aid in quick referencing of essential critical care information. Provides anatomy and physiology reviews to ensure complete understanding. Contains up-to-date information on nursing interventions that aids in the formulation of appropriate policy and accurate decision-making. Has many updated drug tables for the most current pharmacotherapy interventions. Includes content on psychosocial issues, family needs, and PICU instrumentation to prepare the nurse for the realities of working in a pediatric critical care unit. Features a chapter on burns to assist the pediatric critical care nurse in the care of a child with severe burns. Suggested resource lists provide a practical reference supplement for more detailed conditions.

Post-mortem computed tomography (PMCT) is increasingly used in forensic pathology practice in many jurisdictions. Such imaging has expanded the capacity to evaluate skeletal trauma improving the visualisation, documentation and presentation of forensic findings. Typically when deceased persons are located and exhibit evidence of trauma, forensic pathologist, anthropologists and radiologists base their interpretations of the mechanism of trauma on their experience and understanding of the biomechanics of fractures as well as recognisable patterns of injury. In order to augment this process, An Atlas of Forensic Skeletal Trauma presents a range of de-identified adult and child skeletal trauma cases that occur in medico-legal contexts where the cause of death and mechanism of trauma are recorded. An Atlas of Forensic Skeletal Trauma includes comprehensive photographs and PMCT images as well as descriptive text.

This issue of Critical Care Clinics, edited by Mervyn singer and Manu Shankar-Hari, includes: Sepsis 3.0 Definitions; Epidemiology and Outcomes; Pathophysiology of sepsis; Pathophysiology of Septic shock; Mechanism of organ dysfunction in sepsis; Endocrine and metabolic alterations in sepsis: challenges and treatments; The immune system in sepsis; Nutrition and Sepsis; Common sense approach to managing sepsis; Biomarkers for sepsis and their use; Personalizing sepsis care; Novel interventions - What's new and the future; and Long term outcomes following Sepsis.

This issue of Cardiology Clinics, edited by Dr. Amal Mattu and Dr. John Field, focuses Emergency Cardiology. Topics include, but are not limited to: Evaluation of Chest Pain and Acute Coronary Syndromes; Evolving Electrocardiographic Indications for Emergent Reperfusion; Cardiac biomarkers in emergency care; Non-ST-Segment Elevation Myocardial Infarction; Cardiogenic Shock, Acute Dyspnea and Decompensated Heart Failure; Evolving Strategies for Management of Cardiac Arrest; Multidisciplinary management post-cardiac arrest; Acute Myopericardial Syndromes; Acute Valvular Heart Disease; Ventricular Arrhythmias; Atrial Fibrillation, A New Face of Cardiac Emergencies: HIV-Related Cardiac Disease; Cardiovascular Emergencies in Pregnancy, and Blunt Cardiac Trauma.

This issue of Emergency Medicine Clinics, edited by Christopher Hicks and Andrew Petrosoniak, includes: Human factors in trauma resuscitation; rational approach to the trauma patient in shock; evidence-based updated on traumatic cardiac arrest; trauma airway; neuro-trauma management; managing thoracic trauma; major hemorrhage in trauma; major trauma in non trauma center; pelvic and abdominal trauma; major vascular injury; Special considerations in paediatric trauma; and Special considerations in geriatric trauma.

Advanced Perioperative Crisis Management is a high-yield, clinically-relevant resource for understanding the epidemiology, pathophysiology, assessment, and management of a wide variety of perioperative emergencies. Three introductory chapters review a critical thinking approach to the unstable or pulseless patient, crisis resource management principles to improve team performance and the importance of cognitive aids in adhering to guidelines during perioperative crises. The remaining sections cover six major areas of patient instability: cardiac, pulmonary, neurologic, metabolic/endocrine, and toxin-related disorders, and shock states, as well as specific emergencies for obstetrical and pediatric patients. Each chapter opens with a clinical case, followed by a discussion of the relevant evidence. Case-based learning discussion questions, which can be used for self-assessment or in the classroom, round out each chapter. Advanced Perioperative Crisis Management is an ideal resource for trainees, clinicians, and nurses who work in the perioperative arena, from the operating room to the postoperative surgical ward.

This issue of Emergency Medicine Clinics focuses on Vascular Disasters. Editors Alex Koyfman and Brit Long have assembled an expert team of authors on topics such as: Thoracic aortic syndromes; Abdominal aortic emergencies; SAH - aneurysmal/traumatic; Stroke - latest on ischemic stroke; Stroke - intracerebral bleeds (excluding SAH); Carotid / vertebral dissections (including post-traumatic); Cerebral venous sinus thrombosis; Mesenteric ischemia; Deep vein thrombosis upper/lower; Peripheral arterial occlusion; Penetrating vascular injury; and Vascular access complications.

This issue of Neurologic Clinics, edited by Dr. Alejandro A. Rabinstein, will cover Neurocritical Care. Topics include, but are not limited to: Anoxic Brain Injury; Treatment of Intracranial Hypertension; Management of Traumatic Brain Injury; Cortical Spreading Depression and Ischemia in Neurocritical Patients; Temperature Control in Acute Brain Injury; HSV Encephalitis; Primary Acute Neuromuscular Respiratory Failure; ICU-Acquired Weakness; Emergency and Critical Care Management of Intracerebral Hemorrhage; New developments in Refractory Status Epilepticus; Acute Cardiac Complications in Critical Brain Disease; Nosocomial Infections in Neurocritical Patients; Neurological Complications after Solid Organ Transplantation; and Shared Decision Making in the NICU.

The topics in this issue represent the most current research areas of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Collaborative Pediatric Critical Care Research Network (CPCCRN). The CPCCRN is a national pediatric critical care research network that is charged with investigating the efficacy of treatment and management strategies to care for critically ill and injured children, as well as to better understand the pathophysiological basis of critical illness and injury in childhood. The proposed authors are past and present principal and co-investigators affiliated with the CPCCRN; the proposed topics represent the individual author's area of clinical and research expertise. Each review article is an up-to-date review of the topic relevant to practicing clinicians and trainees in critical care medicine, with incorporation of the most recently published research findings pertinent to the topic, some of which may be the author's own. The specific articles are devoted to the following topics: Cardiopulmonary resuscitation in pediatric and cardiac ICU; Approach to the critically ill pediatric trauma patient; Transfusion Decision Making in Pediatric Critical Illness; Pathophysiology and management of ARDS in children; Ventilator associate pneumonias in critically ill children; Mechanical ventilation and decision support in pediatric intensive care; Inflammation, pathobiology, phenotypes and sepsis: From meningococcemia to H1N1-MRSA, to Ebola; Immune paralysis in pediatric critical care; Molecular biology of critical illness; Sedation in pediatric critical illness; Delirium in pediatric critical illness; Challenges of drug development in pediatric intensive care; Potential of All Steroid Hormone Subclasses as Adjunctive Treatment for Sepsis; Morbidity: Changing the outcome paradigm; and End-of-Life and Bereavement Care in Pediatric Intensive Care Units.

This issue of Critical Care Clinics focuses on Mechanical Circulatory Support. Editors Nitin Puri and Michael Baram have assembled an expert team of authors on topics such as: History of ECMO; Evolution current technique and equipment; Program Development; Review ELSO standards; Cardiac Failure of medical management; Cardiac Management and Complications; Pre-Respiratory; Respiratory Management and Complications; Post ECMO management; Post ECMO complication; DVT; Transport- Interhospital and How to prep patient; ECHO; Family understanding of ECMO (to cannulate or not); Pharmacy, Nutrition, Blood Management; Transport; The future of ECMO and ventilation.