As the number of people aged 65 years and above rises, physicians are increasingly confronted by elderly patients with impaired renal function, altered drug metabolism and multiple comorbidities. This book examines in detail the nature of renal injury in the elderly and its optimal management. A wide range of key topics are covered, including end-stage renal disease, diabetic nephropathy, acute kidney injury, drug metabolism and renal toxicity, dialysis and its complications and the use of renal transplantation. In addition, the assessment of glomerular filtration rate in the elderly and the role of novel renal biomarkers are carefully examined. Quality of life issues, the significance of other age-related medical problems and end of life care are also discussed. This book will be of value not only to nephrologists but also to general practitioners, medical students, intensivists, cardiologists, pharmacologists and those working in related specialties.

The critical care unit is an intense clinical environment with huge responsibilities on the professionals caring for these patients. Imaging is a key source of diagnostic information, but the conditions in which diagnostic imaging has to be performed are often extremely challenging and significantly different to imaging in the non acute setting. Imaging the ICU Patient reviews imaging procedures on the ICU in a highly practical and memorable manner. Swift and efficient clinical decision-making is rewarded on the ICU and this book serves as a practical handbook.

This book highlights the practical characteristics of uncommon diseases and presents the most relevant features for the management of intensive care units. It does not aim to provide an exhaustive description of uncommon diseases, focusing instead on the major diseases that intensivists may encounter in their clinical practice. After a brief introduction on the epidemiology and pathophysiology of each disease, the authors emphasize the aspects related to diagnosis and treatment, providing concise and pragmatic guidance for residents and intensivists who care for patients with uncommon diseases. Although by definition uncommon diseases have a low prevalence in the general population, they can affect a large number of patients admitted to intensive care units, as they can often be diagnosed at intensive care units. Indeed, often a complication of the disease is what leads to the patient's being admitted to an intensive care unit.

Geriatric Trauma and Critical Care provides a multidisciplinary overview of the assessment and management of the elderly patient presenting with surgical pathology. By utilizing current literature and evidence-based resources, the textbook elucidates the unique nature of caring for the elderly population. The structure of the volume provides the reader with an overview of the physiologic and psychological changes, as well as the impact on the healthcare system, associated with the aging process. Emphasis is placed on the impact of aging, pre-existing medical problems, effects of polypharmacy, advanced directives and end-of-life wishes on acute surgical problems, including trauma and surgical critical care. Special attention is given to the ethical implications of management of the aged. The multidisciplinary contributors provide a unique point of view not common to surgical texts. The textbook is the definitive resource for practicing surgeons, emergency medicine physicians, intensivists, anesthesiologists, hospitalists, geriatricians, as well as surgical residents, nurses and therapists, all who care for elderly patients with surgical emergencies.

Infants and children are at high risk of acquiring infections and this is most critical on the pediatric intensive care unit, as these infections have serious effects on mortality. Infectious Diseases in the Pediatric Intensive Care Unit is the first to provide a thorough review of this most important area of intensive care medicine with an emphasis on evidence-based medicine.

This volume is a comprehensive, state-of-the-art review for clinicians with an interest in the peri-operative nutritional management of all surgical patients. The text reviews normal physiology, the pathophysiology of starvation and surgical stressors, and focuses on appropriate nutritional repletion for various common disease states. Specifically, the text addresses the severe metabolic demands created by systemic inflammation, infection, and major insults such as trauma and burns. In addition, the book addresses the growing problem of obesity in surgical populations, including appropriate strategies directed towards the metabolic management of these patients. The text is designed for clinicians across levels of training and provides clear and concise evidence based guidelines for the metabolic management and nutritional support of the surgical patient. Written by experts in the field, Surgical Metabolism: The Metabolic Care of the Surgical Patient is a valuable resource for all clinicians involved in the care of the critically ill.

The first detailed retrospective of the spread and management of COVID-19-and a blueprint for better management of the next major healthcare crisis From a team of global experts, Understanding Crisis in Critical Care describes the global spread of COVID-19 and analyzes how it was managed compared to other deadly epidemics, such as SARS and MERS. The book features contributors from across the world who dealt first-hand with COVID-19, making this a truly global retrospective on new global pandemics. Organized into three sections, the text covers critical care changes associated with crises, crises in pandemics, trauma, and crises in war and natural disasters. You'll learn how hospitals are transformed to accommodate surges in patients, while dealing with shortages in staffing, medications, mechanical ventilators, and personal protective equipment and get an invaluable look at how real-time critical decision were made during the height of the pandemic. This one-of-a-kind guide covers: * Working the frontlines * Antimicrobials versus Immunomodulators * Respiratory failure and mechanical ventilation * Repurposing therapies for COVID-19 * Endocrinologic and cardiovascular Issues * Special Populations: pediatrics and immunocompromised patients * SARS, MERS, COVID-19, Ebola, Anthrax, Influenza * Traumatic brain and lung injury * Palliative care and bioethics * Psychiatric issues * Intensive care units under austere conditions * Terrorism (biological and chemical)

More than 800 case-based Q&A combined with the authority of the field's leading text make this the best review for any Emergency Medicine examination McGraw-Hill Education Specialty Board Review: Tintinalli's Emergency Medicine Examination and Board Review, Eighth Edition delivers more than 800 case-based questions and answers. All answer options, both correct and incorrect, are keyed to Tintinalli's Emergency Medicine, Eighth Edition, the field's most authoritative and trusted text. This is an outstanding review for any examination in emergency medicine - including board certification - and can also be used as a clinical refresher. EKGs, radiographs, and clinical images are included to sharpen readers' diagnostic skills. This edition bolstered by enhanced answer explanations, an increased number of Q&A, and improved quality of photographs.

The Manchester Triage System (MTS), the most widely used emergency medical triage system in the UK and Europe, is employed to prioritise the treatment of tens of millions of patients each year. MTS utilises an easy-to-understand and safe, risk-based system of prioritisation. Emergency Triage contains all the information necessary for an MTS user: as such, it is an essential text for all emergency department staff, in particular triage nurses. The book is both a training tool and a reference for daily use. Well-organized and well-written Updated evidence-based concepts of triage for modern emergency departments New charts for abuse and neglect in childhood, unwell newborn, unwell baby A new approach to fever in childhood An introduction to telephone triage and advice This book is a must-have tool for all practitioners working in emergency and urgent care. Titles of related interest: Paediatric Emergency Triage 9781118299012 Telephone Triage and Advice 9781118369388

Neurointervention in the Medical Specialties is a first-of-its-kind reference that serves as a bridge between the neurointerventionalist and the physicians who most frequently look to these specialists for answers to some of the most intractable problems they face. Providing background on the wide range of diseases treated through neurointervention along with the indications and alternatives to such treatments, this landmark title is grouped into four parts: an introduction to the tools and anatomical structures that are integral to the field; disease processes most often encountered by neurologists, cardiologists, and vascular surgeons; those diseases more frequently treated by neurosurgeons; and finally those diseases first seen by several other specialties including ophthalmologists and head and neck surgeons. Importantly, each chapter includes details of neurointerventional technique and case discussions that are sufficiently detailed to provide a treatment template and guidance to neurointerventionalists in training and practice. At the same time, the descriptions provide referring physicians with insight into how neurointerventional procedures are performed. Finally, there are several concluding, thought-provoking chapters that examine what new opportunities await the field of neurointervention on the horizon. Neurointervention in the Medical Specialties is a major contribution to the literature and invaluable resource for all clinicians and researchers interested in this exciting field.

Does your heart rate increase when you are paged to the emergency department or ICU for emergency airway management? Would you know how to handle the unexpected arrival of a patient with a gunshot wound to the neck and worsening airway compromise? This guide to critical airway emergencies will prepare you to safely manage these high-pressure situations. Case-based discussions focus on specific scenarios and provide background on the relevant medical issues along with practical guidance and algorithms. This systematic approach gives quick access to vital clinical information. Multidisciplinary in approach and written by experts from a variety of specialties, the content covers both pediatric and adult patients, encompassing many of the challenging airway situations you could be faced with. Every healthcare practitioner involved with emergency airway management will benefit from this book.

Promoting Resilience offers a fresh perspective that views resilience through a sociological lens, emphasizing the significance of loss issues and highlighting a range of practice implications across a wide range of fields. Drawing on the expertise of a wide range of contributors, the book provides a solid foundation for developing a fuller and more holistic picture of the many challenges associated with promoting resilience. Chapters present a range of sociological perspectives that cast light on trauma and vulnerability. Combining theoretical richness with practical insights, chapter authors bring a sociological lens to enrich understanding of loss and adversity. This volume offers a bedrock of understanding for students, clinicians, and researchers who want to extend and deepen their knowledge of the sociological aspects of overcoming life challenges.

Healing Trauma in Group Settings offers a unique focus on the highly valuable role of attuned co-leader relationships in the practice of healing trauma. Drawing on their extensive experience of co-leadership, the authors demonstrate how to maximize the potential for effective trauma work while remaining attuned to the needs of individual group members and the group as a whole. With case studies, transcripts, and vignettes interwoven throughout, chapters suggest ways in which clinicians can model co-leader relationships as a means for developing a sense of interpersonal safety, exploring difficult material, and building opportunities for healing to take place. Demonstrating how concepts of attunement can be utilized in real-world settings, Healing Trauma in Group Settings enables mental health professionals to forge connections with clients while drawing on the potential of co-leadership in group therapy.

Resuscitation is a two-stage process comprising the achievement/maintenance of spontaneous circulation and post-resuscitation management. The approach is complex and multifaceted and entails the integration of new physiological insights, pharmacological options, and technological advances. The purpose of this volume, written by top experts in the field, is to promote, share, and disseminate new advances in resuscitation and post-resuscitation care. The issues addressed are wide ranging and of great topical interest or controversy. They include priorities of intervention, quality of resuscitation, use of mechanical supports, new defibrillation strategies, prevention of organ damage, strategies in cases of sudden cardiac death, new pharmacological treatments, and post-resuscitation care, including temperature management and prediction and improvement of outcome after cardiac arrest. Particular attention is devoted to up-to-date evidence from the most recent experimental and clinical trials on resuscitation science and to gold standard evidence-based resuscitation and post-resuscitation treatments and interventions. In addition, organizational models and integrated care systems for trauma are considered, and critical care education and the process of guideline development are reviewed.

50 Studies Every Intensivist Should Know presents key studies that have shaped the practice of critical care medicine. Selected using a rigorous methodology, the studies cover topics including: sedation and analgesia, resuscitation, shock, ARDS, nutrition, renal failure, trauma, infection, diabetes, and physical therapy. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. An illustrative clinical case concludes each review, followed by brief information on other relevant studies. This book is a must-read for health care professionals and anyone who wants to learn more about the data behind clinical practice.

During his lifetime John Bowlby, the founder of attachment theory, was unable to publish as he wished due to strong opposition to his ideas. Now, with the support of the Bowlby family, several complete and near-complete works from the John Bowlby Archive at the Wellcome Collection are published for the first time. The collection spans Bowlby's thinking from his early ideas to later reflections, and is split into four parts. Part 1 includes essays on the topic of loss, mourning and depression, outlining his thoughts on the role of defence mechanisms. Part 2 covers Bowlby's ideas around anxiety, guilt and identification, including reflections on his observations of and work with evacuated children. Part 3 features three seminars on the subject of conflict, in which Bowlby relates clinical concepts to both political philosophy and psychoanalysis in innovative ways. Part 4 consists of Bowlby's later reflections on trauma and loss, and on his own work as a therapist. This remarkable collection not only clarifies Bowlby's relationship with psychoanalysis but features his elaboration of key concepts in attachment theory and important moments of self-criticism. It will be essential reading for clinicians, researchers, and others interested in human development, relationships and adversity.

Trauma, Guilt and Reparation identifies the emotional barriers faced by people who have experienced severe trauma, as well as the emergence of reparative processes which pave the way from impasse to development. The book explores the issue of trauma with particular reference to issues of reparation and guilt. Referencing the original work of Klein and others, it examines how feelings of persistent guilt work to foil attempts at reparation, locking trauma deep within the psyche. It provides a theoretical understanding of the interplay between feelings of neediness with those of fear, wrath, shame and guilt, and offers a route for patients to experience the mourning and forgiveness necessary to come to terms with their own trauma. The book includes a Foreword by John Steiner. Illustrated by clinical examples throughout, it is written by an author whose empathy and experience make him an expert in the field. The book will be of great interest to psychotherapists, social workers and any professional working with traumatized individuals.

Integrating trauma studies with historical research and social psychology, Landscapes of Trauma examines a range of battlefields from across history, including Waterloo, the Battle of Sedan, the Battle of the Ebro and the Battle of Normandy, to bring to light what these battlefields say about our collective and individual psyches. Hunt explores how war shapes the nature of trauma, not only by its innate horror but also by the historical and societal contexts it is fought in, from the cultural and social conventions of the period to the topography of the settings. This book provides a deep analysis of how war is experienced and remembered in different eras and by different generations. Moving beyond the clinical concept of post-traumatic stress disorder, Hunt discusses how trauma can be understood socially and historically, as well as through the lens of individual suffering. This book also investigates the psychological foundations of memorialisation, remembrance and commemoration that shape the legacy of the battles discussed. Using interviews with veterans, their letters, journals and diaries, as well as literary and historical sources, Hunt locates the battlefield as a place where humans explore the parameters of human behaviour, thought and emotion. This book is in important resource for students and scholars interested in the psychology of trauma and war, as well as military history.

This book provides recommendations for evaluation and therapy in the area of acute pediatric neurology; these are presented didactically with frequent use of illustrations and algorithms. Chapters in the first part of the book discuss presenting symptoms of acute neurological conditions. The second part of the book covers major areas of acute pediatric neurology and each of these chapters has three key elements: description of presenting symptoms; recommended assessments; and recommended interventions. Acute Pediatric Neurology provides an accessible, clinically focused guide to assist physicians in the emergency ward or intensive care unit in decisions on diagnosis and therapeutic interventions in all major acute pediatric neurological diseases.

David O'Flaherty describes the physiology and techniques of carbon dioxide measurement and the clinical significance of the capnogram.

This reference focuses on individualized spinal injury assessments, immobilization techniques, nonoperative and operative indications, operative fixation strategies, and prognoses. Containing over 1900 references, Fractures of the Cervical, Thoracic, and Lumbar Spine is an invaluable resource for orthopedic, spinal, and trauma surgeons; neurosurgeons; emergency medicine physicians; and neurologists; and residents, nurses, and medical school students in these disciplines.

This book explains the chemistry of Organophosphorus compounds (OPs), their mechanism of toxicity and the history of OPs from their initial discovery to the development of new compounds such as Novichoks. It details the harmful effects to human health both as a result of acute and chronic OP exposure and the necessary clinical management of affected patients to reduce their toxic side effects. The book also explains the detrimental effect that OPs have had on the environment and the efforts being made to prevent this in the future. Finally, the book looks at the incidents where OPs have been used as chemical warfare agents. Basic and Clinical Toxicology of Organophosphorus Compounds aims to act as a comprehensive guide to all aspects of OPs and is a key resource for clinical toxicologists and related health professionals involved in the prevention, diagnosis and clinical management of OP patients, toxicologists and other scientists involved in research on OPs including regulatory issues and postgraduate students in Toxicology and related fields.

Emergency departments around the world may differ, but many of the problems they face are the same. Written by an international panel of experienced emergency department leaders Emergency Department Leadership and Management provides the latest knowledge and advice to improve your personal leadership skills. The book will assist emergency department leaders in overcoming common management and operational problems including overcrowding, risk management, implementing the right triage system, electronic and IT solutions, improving clinical teamwork, education of emergency department staff, improving patient flow, care pathways and leading during times of change. Example cases are included to allow leaders to compare common cases to the problems which they face in their own departments. Information on designing emergency medicine specialty residency programs is also provided. It is the official text of the International Emergency Department Leadership Institute (IEDLI) and has been endorsed by the International Federation for Emergency Medicine (IFEM).

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. SMALL ENOUGH TO FIT IN YOUR POCKET, DETAILED ENOUGH TO PROVIDE EVERYTHING YOU NEED TO KNOW Essential data on more than 1,000 of the most commonly used prescribed medications and more than 75 drugs most often used in the pre-hospital setting Drug-specific EMS pearls, including signs and symptoms of overdose and specific overdose management Sections on popular medicinal herbs and common street drugs Quick-reference tables encapsulate essential information Street Drug section updated to include "bath salts" and salvia