Sampson Davis is best known as one of three friends from inner-city Newark who made a pact in high school to become doctors. Their book 'The Pact' and their work through the Three Doctors Foundation have inspired countless young men and women to strive for goals they otherwise would not have dreamed they could attain. In this book, Dr Davis looks at the healthcare crisis in the inner city from a rare perspective: as a doctor who works on the front line of emergency medical care in the community where he grew up, and as a member of that community who has faced the same challenges as the people he treats every day. He also offers invaluable practical advice for those living in such communities, where conditions like asthma, heart disease, stroke, obesity, and AIDS are disproportionately endemic.

This book is the 4th in a series of Acute Care books written with the aim to address the NEEDS of health care providers when handling the acutely ill patients. Globally it has become apparent that the study of pharmacology and subsequent clinical training has not always adequately equipped young doctors with the ability to administer drugs to their patients safely and confidently, particularly in the critically ill patient. Compounding this issue is the lack of resource material related to these pharmacological concepts contained in one book that can help health care providers to understand and manage drug therapy in the acute situation. In spite of progressively newer and more developed protocols, guidelines, algorithms and many other books addressing the technical aspects of what needs to be done, most health care providers still find it difficult to grasp the basic pharmacological knowledge and rationally deliver the CARE that is required in the acute phase of patient management. The editors/authors have therefore aimed for a book that highlights topics and pharmacological issues pertinent to management of patients in their hour of need. This is a multi-author book but the style has been guided by 3 editors. The editors have used a different perspective - that of normalizing abnormal physiological processes with pharmacological agents - to address the GAPS in a bedside to bench approach. The details are pared down but important principles/concepts are emphasized.

The care of children with acute medical problems is evolving as knowledge of new conditions develops. In addition, technology also changes to provide solutions to optimize care. This issue of PCNA highlights the important populations, disease states, and technological advancements in pediatric emergency medicine. Although concussion and head injury are common occurrences for the practicing pediatrician, we now better understand how to evaluate and manage these children and to use CT scans appropriately. Pediatric offices need to be incorporated in any emergency plan for both acute emergencies and common injuries. Analgesia and sedation must always be considered to provide comfort for children. Technologically assisted children and children with acute psychiatric and behavioral problems are now more commonplace in the Emergency Department as well as the office setting, and the practicing pediatrician needs to have a clear plan in understanding these medical conditions and appropriate management and referral. New drugs of abuse and foreign body ingestions are prevalent and have unique diagnostic and treatment challenges. Skin infections and abscesses have always been common but our knowledge of resistance patterns and best practices for treatment is changing. Finally, whether it is the pediatric office practitioner or the Emergency medicine physician, we need to continue our important efforts in injury prevention for the future of our children.

This issue is centered on emergency situations and complications brought about by high fevers. Guest edited by Emilie Calvello and Christian Theodosis, this issue focuses on topics such as: Approach to Dangerous Fever in the Emergency Department, Fever in the Returning Traveler, Drug Induced Hyperthermic Syndromes Part I: Hyperthermia in Overdose, Drug Induced Hyperthermic Syndromes Part II: Hyperthermia caused by drug interactions, withdrawal syndromes, and idiopathic mechanisms, Fever and Signs of Shock, Fever and Neurologic Abnormalities, Fever and Endocrine Derangements, and Fever in the Post Procedure Patient.

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This issue of Emergency Medicine Clinics guest edited by Drs. Alisa Gibson and Kip Benko focuses on Head, Eyes, Ears, Nose, and Throat emergencies. It features article topics such as: Inflammatory/infectious ophthomology, Eye trauma and other catastrophes, Facial fractures, Mandible fractures and dental trauma, Facial wound management, Ear, Sore throat, Oral lesions, and Salivary gland pathology.

This issue focuses on Pediatric Emergency Medicine in the topic areas of: Seizure, Pain and Sedation, Trauma, Cardiac Emergencies, Shock, Asthma, Infant Fever, Head Injuries and Concussions, and more

The field of interventional bronchoscopy is rapidly expanding and has emerged as a new and exciting subspecialty in pulmonary medicine. To date, the impact of interventional bronchoscopy procedures has been felt in diagnosis, staging, and management of lung cancer, the most lethal cancer worldwide. Interventional Bronchoscopy: A Clinical Guide provides a state-of-the art description of interventional bronchoscopy procedures, addressing the scientific basis, indications, techniques, results, complications, and cost issues. Chapters address the current status, the advantages of new techniques and, most importantly, when to choose new techniques over the existing techniques. Each chapter will discuss the future of these procedures. Interventional Bronchoscopy: A Clinical Guide is an essential resource for a successful interventional pulmonology service and will be useful for the bronchoscopist, anesthesiologist, radiologist, thoracic surgeon and oncologist as well as practicing pulmonologists who do not perform these procedures but have to make decisions regarding appropriate referral of their patients to advanced airway centers.

This issue of Critical Care Clinics edited by Dr. Robert Hyzy on Enhancing the Quality of Care in the ICU features topics such as: Taking Central Line-Associated Bloodstream Infection Rates to Zero, Preventing ICU Delirium, Avoiding Clostridium difficile associated diarrhea, Reducing ventilator associated complications and pneumonia, Can Venous Thromboembolism be avoided?, Preventing urinary catheter associated infections, Improving ICU quality through collaboratives, Do performance measures enhance patient quality in the ICU, and The Future of Quality in the ICU.

Enormous advances in information technology have permeated essentially all facets of life in the past two decades. Formidable challenges remain in fostering tools that enhance productivity but are sensitive to work practices. Cognitive Informatics (CI) is the multidisciplinary study of cognition, information and computational sciences that investigates all facets of human computing including design and computer-mediated intelligent action, thus is strongly grounded in methods and theories from cognitive science. As an applied discipline, it has a close affiliation with human factors and human-computer interaction, and provides a framework for the analysis and modeling of complex human performance in technology-mediated settings and contributes to the design and development of better information systems. In recent years, CI has emerged as a distinct area with special relevance to biomedicine and health care. In addition, it has become a foundation for education and training of health informaticians, the Office of the National Coordinator for Health Information Technology initiating a program including CI as one of its critical elements to support health IT curriculum development. This book represents a first textbook on cognitive informatics and will focus on key examples drawn from the application of methods and theories from CI to challenges pertaining to the practice of critical-care medicine (CCM). Technology is transforming critical care workflows and re-organizing patient care management processes. CCM has proven to be a fertile test bed for theories and methods of cognitive informatics. CI, in turn, has contributed much to our understanding of the factors that result in complexity and patient errors. The topic is strongly interdisciplinary and will be important for individuals from a range of academic and professional backgrounds, including critical care specialists, psychologists, computer scientists, medical informaticians, and anthropologists.

This issue of Critical Care Clinics edited by Dr. Margaret Parker on Pediatric Critical Care features topics such as:1. Acute Respiratory Failure, Post-op Cardiac Surgery, Septic Shock, Acute Renal Failure, Traumatic Brain Injury, Encephalitis, Status Asthmaticus, Status Epilepticus, Bleeding/coagulopathy, and Transfusi

Injury is recognized as a major public health issue worldwide. In most countries, injury is the leading cause of death and disability for children and young adults age 1 to 39 years. Each year in the United States, injury claims about 170,000 lives and results in over 30 million emergency room visits and 2.5 million hospitalizations. Injury is medically defined as organ/tissue damages inflicted upon oneself or by an external agent either accidentally or deliberately. Injury encompasses the undesirable consequences of a wide array of events, such as motor vehicle crashes, poisoning, burns, falls, and drowning, medical error, adverse effects of drugs, suicide and homicide. The past two decades have witnessed a remarkable growth in injury research, both in scope and in depth. To address the tremendous health burden of injury morbidity and mortality at the global level, the World Health Organization in 2000 created the Department of Injury and Violence Prevention, which has produced several influential reports on violence, traffic injury, and childhood injury. The biennial World Conference on Injury Control and Safety Promotion attracts a large international audience and has been successfully convened nine times in different countries. In the United States, the National Center for Injury Prevention and Control became an independent program of the federal Centers for Disease Prevention and Control in 1997. Since then, each state health department has created an office in charge of injury prevention activities and over a dozen universities have established injury control research centers. This volume will fill an important gap in the scientific literature by providing a comprehensive and up-to-date reference resource to researchers, practitioners, and students working on different aspects of the injury problem and in different practice settings and academic fields.

This issue focuses on Critical Skills and Procedures in the following topic areas: Pediatric, Orthopedics, Vascular, ENT Procudures, Cardiovascular, Airway, Trauma, Ultrasound, OB/GYN, and Urologic.

An important review on trauma for the general surgeon! Topics include spectrum of TBI from mild to severe, management of complex extremity injuries, long-range ICU transport, advanced technologies in trauma/CC management, non-compressible torso hemorrhage, trauma system configurations in other countries, graduate medical education in trauma/CC and acute care surgery, improving care in the trauma ICU, damage control surgery, massive transfusion and damage control resuscitation, burn/electrical/environmental injury resuscitation, pre-hospital management and tactical combat casualty care, research and analytics in trauma care, verification and regionalization of trauma systems, and more!

This issue of Emergency Medicine Clinics guest edited by Drs. Kathleen Wittels and Sara Sommerkamp focuses on OB/GYN emergencies. It features article topics such as: Emergencies in early pregnancy, Hypertension in pregnancy, Complications in late pregnancy, Trauma in pregnancy, Cardiovascular disasters in pregnancy, Precipitous and difficult deliveries, Ultrasound in pregnancy, and Gynecologic infections.

Topics include: Cocaine intoxication, Carbon monoxide poisoning, Update on miscellaneous drug overdoses, Toxidromes, Cardiac glycoside toxicity, Acetaminophen overdose, Envenomations, Methanol and ethylene glycol ingestion, and Toxicologic causes of ketoacidosis.

Top authors were selected to write clinical review articles devoted to Advances in Respiratory Care of the Newborn. Articles are devoted to: Effects of chorioamnionitis on lung function and growth; Delivery room respiratory management of the term and preterm infant; CPAP or INSURE for initial respiratory support; Which CPAP is best?; Non-invasive respiratory support; Volume limited and volume targeted ventilation; Weaning from mechanical ventilation; Predictors of bronchopulmonary dysplasia; Brain Injury in Chronically Ventilated Preterm Neonates: Collateral Damage Related to Ventilation Strategy; The Pulmonary Circulation in Respiratory Failure; Novel methods for assessment of right heart structure and function in pulmonary hypertension; Control of oxygenation; Non-invasive monitoring by photoplethysmography; Cell-based strategies to reconstitute lung function in infants with severe bronchopulmonary dysplasia; Permissive Hypercapnea; Prevention of BPD with Nitric Oxide; and Aero-digestive pulmonary disorders in the neonate.

Topics include: Why Economics Matters to Critical Care Clinicians, Overview of Health Economics: Basics Concept for Clinicians;Health Economic Methods; Costs of Critical Care Medicine; Economic Aspects of Sepsis and Severe Infections; Economic Aspects of Renal Failure and Acute Kidney Injury; Economic Aspects of Cardiovascular Disease; Economics of Mechanical Ventilation and Respiratory Failure and Comparative Effective Research and Health Care Reform.

Topics include: Pediatric Stroke; Stroke Mimics; Intracranial Hemorrhage; Transient Ischemic Attack; Intensive Care Management of Acute Ischemic Stroke; Endovascular and Neurosurgical Management of Acute Ischemic Stroke; Intravenous Thrombolysis in Acute Ischemic Stroke; Vertigo, Vertebrobasilar Disease and Posterior Circulation Ischemic Stroke; and Neuroimaging in Acute Stroke.