Critical Care Neurology, Part I: Neurocritical Care focuses on the care specialists and general neurologists that consult in the ICU and their work with patients in acute, life-threatening situations who are dealing with neurologic or neurosurgical crises emanating from either a preexisting neurologic syndrome or from a new neurologic complication appearing as a result of another medical or surgical critical illness. These two separate clinical situations form the pillars of neurocritical care, hence these practices are addressed via two separate, but closely related, HCN volumes. Chapters in both focus on pathophysiology and management, and are tailored for both general neurologists and active neurocritical specialists, with a specific focus on management over diagnostics. Part I addresses the principles of neurocritical care and the management of various neurologic diseases. Part II addresses the interplay between neurologic complications and the surgical, medical, cardiac, and trauma of critical illnesses that most typically present in the ICU.

In this issue of Pediatric Clinics of North America, guest editors Drs. Mary Lieh-Lai and Katherine Cashen bring their considerable expertise to the topic of Pediatric Critical Care. The most common indications for admission to the PICU include respiratory disease, cardiac disease, and neurologic disorders. In this issue, top experts in the field provide current clinical knowledge about these admissions as well as other important critical care admissions, including COVID-19. Contains 13 relevant, practice-oriented topics including PICU pharmacology; COVID-19 in children; mechanical ventilation and respiratory support of critically ill children; cardiovascular critical care in children; neurocritical care in children; and more. Provides in-depth clinical reviews on pediatric critical care, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

The OSCEs have become a part of most examinations in Critical Care Medicine. This book will be of great help to the examinees. The contents have been divided into two sections one is Questions and the second is Answers. It contains chapters on Respiratory Medicine, Neurology, Nephrology, Microbiology and Infection Control, Hemodynamics, Drugs, Biochemistry, Miscellaneous, and Case Scenarios. Contains nearly 330 questions with model answers. Questions range from the old tests, new techniques and devices, and results of laboratory and other investigations. Also covers questions on all organ systems and different ways these systems may be affected by the disease. The answers are structured from examination point-of-view. These will help the examinees in developing the skills to face the objective structured clinical examinations (OSCEs) in their examination.

Hospital intensive care units have changed when and how we die-and not always for the better. The ICU is a new world, one in which once-fatal diseases can be cured and medical treatments greatly enhance our chances of full recovery. But, paradoxically, these places of physical healing can exact a terrible toll, and by focusing on technology rather than humanity, they too often rob the dying of their dignity. By some accounts, the expensive medical treatments provided in ICUs also threaten to bankrupt the nation. In an attempt to give patients a voice in the ICU when they might not otherwise have one, the living will was introduced in 1969, in response to several notorious cases. These documents were meant to keep physicians from ignoring patients' and families' wishes in stressful situations. Unfortunately, despite their aspirations, living wills contain static statements about hypothetical preferences that rarely apply in practice. And they created a process that isn't faithful to who we are as human beings. Further confusing difficult and painful situations, living wills leave patients with the impression that actual communication with their physicians has taken place, when in fact their deepest desires and values remain unaddressed. In this provocative and empathetic book, medical researcher and ICU physician Samuel Morris Brown uses stories from his clinical practice to outline a new way of thinking about life-threatening illness. Brown's approach acknowledges the conflicting emotions we have when talking about the possibility of death and proposes strategies by which patients, their families, and medical practitioners can better address human needs before, during, and after serious illness. Arguing that any solution to the problems of the inhumanity of intensive care must take advantage of new research on the ways human beings process information and make choices, Brown imagines a truly humane ICU. His manifesto for reform advocates wholeness and healing for people facing life-threatening illness.

In this issue of Obstetrics and Gynecology Clinics of North America, guest editors Drs. Henry Galan and Patricia Huguelet bring their considerable expertise to the topic of Emergencies in Obstetrics and Gynecology. This issue provides a comprehensive overview of obstetric and gynecologic emergencies, with emphasis on standards of practice and interdisciplinary collaboration. Expert authors discuss how to arrive at a differential diagnosis and how to prevent, manage, and treat an emergency. Contains 15 practice-oriented topics including hypertensive crisis in pregnancy; sexual assault/domestic violence; evaluation and management of heavy vaginal bleeding (non-cancerous); first trimester miscarriage; simulation in Ob/Gyn emergencies; and more. Provides in-depth clinical reviews on emergencies in obstetrics and gynecology, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This book is a practical revision guide for postgraduates preparing for the OSCE element of the FRCEM Final examinations. Divided into nine sections, each chapter covers a different element of the exam, beginning with history taking and communication skills, then discussing various systems of the body. Each station opens with a summary of relevant clinical information, followed by a practice OSCE scenario and examiner mark sheet. This third edition has been fully updated in line with the FRCEM Final syllabus and features many new scenarios, providing candidates with the ideal revision tool to help them achieve success in the examination. Key points Practical revision guide for candidates preparing for the OSCE element of the FRCEM Final examinations Covers various elements of the exam including history taking and communication skills, and various systems of the body Each station provides a summary of relevant clinical information, a practice scenario and examiner mark sheet Fully revised, third edition updated in line with the FRCEM Final syllabus and with many new scenarios

The award-winning guide to medical training for wilderness rescue and self-care Wilderness First Responder is a comprehensive text for the recognition, treatment, and prevention of backcountry emergencies, written by wilderness expert Buck Tilton with more than a dozen medical professionals. Thoroughly updated and revised, this teaching manual for the National Outdoor Leadership School's Wilderness First Responder course represents more than a century and a half of combined experience in wilderness medicine, rescue, and education. It is essential reading for wilderness educators, trip leaders, guides, search and rescue groups, and anyone who works or plays far from definitive medical care. This invaluable resource includes expert step-by-step instructions, clear illustrations, and "Signs and Symptoms" sidebars designed to help you provide immediate care in the wilderness-whenever you are more than an hour away from an ambulance or a medical facility. It shows how to conduct a patient assessment, improvise when ideal materials are not handy, and decide whether or not to evacuate the injured. Learn how to assess and treat: Airway obstructions Cardiac arrest External and internal bleeding Shock Spine injuries Head injuries Chest injuries Abdominal injuries Fractures and dislocations Athletic injuries Soft-tissue injuries Cold- or heat-induced injuries Altitude sickness Insect bites and stings Diabetic emergencies Poisoning emergencies Allergic reactions and anaphylaxis

Careful monitoring of at-risk patients, early intervention, and timely escalation to the critical care unit from a general ward has been shown to improve patient clinical outcomes. The first text of its kind in this important area, Rapid Response Events in the Critically Ill: A Case-Based Approach to Inpatient Medical Emergencies is designed to help you recognize the fundamental signs of deterioration in patients on medical wards and ensure that transfer is made to the ICU before the development of adverse clinical outcomes. Using a highly effective teaching approach preferred by both residents and fellows, this innovative text links theory to practice with a brief review of clinical cases sourced from various academic centers. Presents 62 real-world clinical cases that demonstrate the principles of diagnosis and therapy, helping you develop a thorough understanding of how to diagnose and treat each condition. Provides practical clinical insights into the best methods to improve patient safety and quality of care through the rapid identification and clinical intervention of hospitalized patients suffering acute deterioration. Emphasizes how to identify and manage problems in a way that integrates theory and clinical experience. Cases contain an algorithmic flow chart for rapid decision-making reference, clinical pearls on diagnosis and management, and a consistent format for quick and easy access to key information. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This issue of Critical Care Clinics, guest edited by Dr. Janice L. Zimmerman, focuses on Toxicology. This is one of four issues each year selected by the series consulting editor, Dr. John Kellum. Articles in this issue include, but are not limited to: Pharmacokinetic and pharmacodynamic principles for toxicology, Use of extracorporeal techniques in poisonings, Drugs of Abuse, Cardiovascular Drug Toxicity, Anticoagulant and Anti-platelet Drug Toxicity and Psychotropic Agents.

In this issue of Hand Clinics, guest editors Frederic Schuind, Fabian Moungondo, and Luc Van Overstraeten bring their considerable expertise to the topic of The Use of Sonography in Hand/Upper Extremity Surgery. Top experts in the field cover key topics such as Flexor Tendons Sonography, Sonographic Diagnosis of Carpal Tunnel Syndrome, Atlas of Sonographic Anatomy of the Hand and Wrist, and more. Contains 9 relevant, practice-oriented topics including Nerve Ultrasound-Assisted Surgery for Neuropathic Pain and Joint Denervation; Preoperative Evaluation of Thenar Muscles in Carpal Tunnel Syndrome by Ultrasonograph; Shear Wave Ultrasound Elastography for Hand Soft Tissue Assessment; and more. Provides in-depth clinical reviews on the use of sonography in Hand/Upper Extremity Surgery, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In the United States alone, burns are the third leading cause of death among children 0 to 14 years of age. In addition, each year greater than 125,000 children suffer serious burn injuries, with a disturbing percentage of those through abuse. Yet the number of specialized burn centers in the U.S. is not near enough to be in proximity or even accessible to the majority of these patients. The situation is even worse in most other regions of the world. Therefore, it is critical that the information in this book reaches as many caregivers as possible because treatment of burn injuries has undergone dramatic changes over time in every area, from surgical procedures to respiratory and fluid resuscitation and even nourishment and metabolic support. The ability to recognize and react appropriately to pediatric injury can greatly affect the outcome and prognosis, up to and including the patient's future quality of life. It is in this context that this comprehensive guide for the diagnosis, treatment and follow up of the burned child from Time Zero through Long-term Rehabilitation was put together. This book is essential for the medical professional involved in attaining the most positive outcome possible for their patients and their families.

ECG in Emergency Medicine and Acute Care provides a comprehensive, clinically relevant resource on electrocardiography for those who care for patients in the emergency setting. The book provides succinct information on ECG abnormalities and their aetiologic differential diagnoses, diagnostic criteria for the ECG manifestations of various clinical diseases/entities, and many 12-lead ECG examples for review. * Offers expert guidance from a premier editorial team. * Includes description/pathophysiology * causes * ECG findings * differential diagnosis/hints * and ECG examples in the Electrocardiographic Manifestations of Disease section. * Features a consistent chapter organization that follows a specific outline, ensuring consistent, reliable information throughout. * Uses over 450 illustrations, including a multitude of 12-lead examples for review-making this resource ideal for board preparation. * And much more.

What should a Navy SEAL do when faced with evidence that representatives of the U.S. Government are secretly buying old Soviet tactical nuclear weapoons for purposes other than disarmament? In this thriller, Andy Carlson responds by throwing a monkey wrench into the deal and by resigning from the Navy. Hoping to settle down on his family's Virginia farm and resume his career as an emergency physician, Andy instead finds himself and those he loves the targets of his own governement and a Russian arms dealer. Although a capable warrior and field surgeon, Andy is disallusioned with his country and unprepared for the female operative sent to ensnare him. He's a binge drinker, never comfortable around women when he's sober and scarred by personal losses. Andy's antebellum plantation is a major player in the action, with its network of limestone caves, family treasures, historical surprises, and natural defenses. Andy enlists three unlikely allies in his defense--a pregnant CIA agent, a male descendant of a former slave on the Carlson plantation who shares a common ancestor with Andy, and a teenage Saudi girl. Some of the secrets of the plantation have never been discused in polite company. Some have heretofore been unspeakable. There were good reasons why the Indians, the British, and the Yankees had lost on this same ground in previous battles. But the Carlsons knew who their enemies were in those fights. And tactical nuclear weapons had never been in Farmville before.

This issue of Emergency Medicine Clinics, guest edited by Drs. Michael K. Abraham and Evie Marcolini, focuses on Neurologic Emergencies. This issue is one of four selected each year by series Consulting Editor, Dr. Amal Mattu. Topics include: Traumatic injuries of the nervous system; Modern Neuroimaging Techniques in Diagnosing TIA and Acute Ischemic Stroke; Neurologic Emergencies at the Extremes of Age; Headache in the Emergency Department Avoiding Misdiagnosis of Dangerous Secondary Causes and Infections of the Central Nervous System.

Improvements in hospital management and emergency medical and critical care services require continual attention and dedication to ensure efficient and proper care for citizens. To support this endeavor, professionals rely more and more on the application of information systems and technologies to promote the overall quality of modern healthcare. Implementing effective technologies and strategies ensures proper quality and instruction for both the patient and medical practitioners. Hospital Management and Emergency Medicine: Breakthroughs in Research and Practice examines the latest scholarly material on emerging strategies and methods for delivering optimal emergency medical care and examines the latest technologies and tools that support the development of efficient emergency departments and hospital staff. While highlighting the challenges medical practitioners and healthcare professionals face when treating patients and striving to optimize their processes, the book shows how revolutionary technologies and methods are vastly improving how healthcare is implemented globally. Highlighting a range of topics such as overcrowding, decision support systems, and patient safety, this publication is an ideal reference source for hospital directors, hospital staff, emergency medical services, paramedics, medical administrators, managers and employees of health units, physicians, medical students, academicians, and researchers seeking current research on providing optimal care in emergency medicine.

This issue of Critical Care Clinics focuses on two crucial topics: Enhanced Recovery in the ICU After Cardiac Surgery (guest edited by Dr. Daniel Engelman) and New Developments in Cardiopulmonary Resuscitation (guest edited by Dr. Clifton Callaway).