The eighth edition of this international bestselling emergency medicine handbook has been completely revised and updated to include the latest evidence-based guidelines and treatment protocols underpinning best practice in emergency medical care. Carefully designed to suit the needs of interns and resident doctors working in the emergency department as well as specialist trainees, the book covers the full range of emergencies - general medical, infectious disease and foreign travel-related, toxicological, surgical, paediatric, obstetric and gynaecological, ophthalmic and psychiatric - as well as practical procedures and administrative and legal issues.

Anaesthesiologists regularly administer potent, and potentially toxic, drugs that profoundly interfere with fundamental physiological functions such as breathing, cardiac output, blood pressure, the protective reflexes and the perception of pain. Reviewing all aspects of human physiology, Physiology for Anaesthesiologists provides a working knowledge of physiological principles and their application to anaesthesia and intensive care. The text covers the various systems of the human body, from the central nervous system to the liver and kidneys. The reader gains an understanding not only of each system discussed, but also of how each of those physiological systems interact with each other. The section on pain, for example, explains how the body warns of dysfunction in one or more systems. In addition to covering the core material for professional examinations, some topics not usually dealt with in textbooks for anaesthetists are also covered, such as the impact of anaesthesia and surgery on the immune system. Written in a clear and concise style, the book supplies up-to-date information to trainees in anaesthesiology and related specialities preparing for professional examinations: both editors have a wealth of experience in these subjects. The book also helps established anaesthesiologists, and those in other related specialities, who want to keep up with recent developments in the field.

1. Clinical cases set out as questions that are mapped directly to the curriculum and following the order of the RCoA curriculum 2. A focus on clinical anaesthesia with common cases, that can be used in the clinical environment either for teaching or as a refresher 3. Short, quick-fire cases that enable learning and retention of information with a summary of key points to remember for each question

This state-of-the-art reference provides current and effective disease-specific strategies for the management of patients receiving mechanical ventilation-emphasizing weaning processes, monitored sedation, minimization of complications and infection, and new modes of treatment for patients in critical care. Exploring ancillary approaches, noninvasive positive pressure ventilation, oxygenation, and bronchodilator therapy as options to optimize cost and reduce injury, Ventilator Management Strategies for Critical Care discusses -methods to diagnose, manage, and avoid ventilator-associated pneumonia -consequences of extubation failure -mechanics of true closed-loop ventilation -neuromuscular blocking agents and physiological disturbances -therapy for chronic obstructive pulmonary disease (COPD) -and more! With contributions by over 40 seasoned experts in the field, Ventilator Management Strategies for Critical Care is a valuable resource for intensive or critical care and pulmonary or critical care specialists, surgical critical care specialists, anesthesiologists, physiologists, physiatrists and rehabilitation physicians, respiratory therapists, and medical school and graduate students in these disciplines.

This incisive reference systematically reviews the diagnosis and treatment of common surgical and medical emergencies in elderly patients-thoroughly examining surgical interventions, drug therapies and drug prescribing protocols, life-threatening drug reactions, ethical issues, and methods of profiling patients for nursing care. Evaluates disease states and gauges optimal responses to each, supporting recommendations with valuable case studies. Written by over 40 distinguished medical experts, Acute Emergencies and Critical Care of the Geriatric Patient -describes ideal patient-physician relationships in critical care settings -highlights emergency management of myocardial infarction and cardiogenic pulmonary edema -illuminates ethical questions surrounding confidentiality, informed consent, surrogate decision making, and patient comfort -assesses special pharmacokinetic and pharmacodynamic conditions in geriatric patients -provides vital information on stroke, seizures, and spinal cord compression -investigates critical complications caused by pneumonia, meningitis, and endocarditis -explores acute lung disorders such as emphysema, chronic bronchitis, pneumonia, central nervous system dysfunction, and abnormal control of ventilation -clarifies preoperative procedures for emergency surgery -reviews anesthesia strategies for pulmonary, cardiovascular, renal, hepatic, and neurological conditions in the elderly -and more! Including over 1000 references, tables, and illustrations, Acute Emergencies and Critical Care of the Geriatric Patient is an indispensable resource for geriatricians, primary care physicians, internists, emergency medicine physicians, intensivists, hosptialists, surgeons, anesthesiologists, orthopedists, cardiologists, psychiatrists, neurologists, and internists/residents in these disciplines, as well as nurses, pharmacists, and medical students.

This new addition to the popular 100 cases series explores common clinical scenarios that will be encountered by the medical student and junior doctor during practical training in the emergency department, in the community and in intensive and critical care settings, and which are likely to feature in qualifying examinations. The book covers a broad range of presentations, organized by sub-specialty area for ease of reference. Comprehensive answers highlight key take home points from each case and provide practical advice on how to deal with the challenges that occur when practising emergency and critical care medicine at all levels.

* Complete coverage of the FFICM Structured Oral Examination curricullum ensuring confidence in sitting the exam * Facilitates structured study and revision * Organised by sub specialty area to enable focused revision * Up to date guidance in key areas

Since publication of the first edition of this book, new treatments have become available in acute intervention for stroke and new evidence has been uncovered regarding prevention and neurorehabilitation. Designed for the entire team at any stroke center, including physicians, nurses, therapists, and administrators, The Stroke Center Handbook: Organizing Care for Better Outcomes, Second Edition delivers a timely update of the latest developments in this critical area. Exploring best practice management protocols, the content covers initial presentation, rapid response and emergency interventions, clinical and administrative procedures, and neuro-critical care. Highlights of the second edition include: The significant contribution of telemedicine to stroke treatment Improved organization of EMS systems to route patients directly to stroke centers New devices available for intra-arterial thrombectomy The impact of CT and MR perfusion and angiography on case selection for advanced therapy New pharmaceutical therapies for the prevention of stroke in patients with atrial fibrillation Advances in stroke rehabilitation techniques The authors of the book are pioneers in developing stroke centers and regional networks that have provided diagnosis and treatment to thousands of patients. Their expertise enables practitioners to establish and efficiently manage a facility and to participate more effectively as part of a multidisciplinary care team-providing stroke victims with the best possible outcome.

This book provides clinical tips on management of catastrophic emergencies that are regularly faced by critical care and acute care cardiologists in resource-limited settings. Based on the current guidelines, it explores the evaluation of the patient, followed by its treatment methodology. It highlights the beneficial effects of the use of cardiac drugs during an emergency. There is also a special section on preoperative evaluation and postoperative management of cardiac patients of different subsets. Medicolegal/documentation points have also been discussed where relevant. It is useful as a ready reference for physicians, anaesthetists and cardiologists. Key features: • Reinforces certain teachings and recalls certain overlooked clinical points to address emergency situations in a busy, resource limited setting. • Explains lucidly what the acute cardiac care / Anesthesia registrar or cardiology fellows ought to do in the Intensive care and Post operative wards. • Emphasizes the importance of wit, clinical acumen and observation.

This book provides a comprehensive and contemporary discussion about the three key areas of acute care surgery; trauma, surgical critical care, and surgical emergencies. The 65 chapters are arranged by organ, anatomical site and injury type, and each includes a case study with evidence-based analysis of diagnosis, management, and outcomes. Unless stated otherwise, the authors used the GRADE evidence classification system established the American College of Chest Physicians.

Trauma, Critical Care and Surgical Emergencies is essential reading for all surgeons, fellows, residents and students, especially those working in trauma, emergency, and critical care environments.

A comprehensive review of clinical and exploratory aspects of lung (LT) and heart-lung transplantation (HLT), this reference focuses on cumulative data from the International Registry with data on outcomes associated with LT and HLT worldwide. Collecting in-depth discussions on graft dysfunction, infectious complications, and indications of LT for specific disease states including emphysema, cystic fibrosis, myriad interstitial lung diseases, and pulmonary hypertension, this guide explores the most current technologies and best practices affecting lung and heart-lung transplant surgeries.

Key features: • Expanded first chapter on levels of echocardiography. • New sections on COVID-19, cardio-oncology, multivalve disease, and specialist valve clinics. • Incorporation of new international guidelines, grading criteria and normal data. • Guide to how cardiac CT and magnetic resonance can compliment echocardiography. • Reformatted text and extra diagrams and tables to improve understanding.

Heralding critical developments in the rapidly expanding field of therapeutic hypothermia, this reference serves as the first authoritative source on thermoregulation, body temperature manipulation, and the consequences of hypothermia. Contributors include recognized leaders and pioneers who have done much of the critical research in the field.

In this era of evidence-based medicine, one of the biggest challenges confronting acute medicine clinicians is keeping abreast with the rapidly changing recommendations that guide clinical practice. Oxford Desk Reference: Acute Medicine allows easy access to evidence-based materials on commonly encountered acute medical problems to ensure the optimum management of the acutely unwell patient. Collating all the research-based guidelines and protocols in one easily accessible place and presenting it in a uniform style, this practical book is hugely advantageous for a busy clinician as it is not always easy to access research-based guidelines and protocols when needed in the clinic. The book is designed so that each subject forms a self-contained topic in its own right. This makes the information simple to find, read, and absorb, so that the book can be consulted in the clinic or ward setting for information on the optimum management of a particular condition. Edited by three experts in acute medicine, this book should never be far from the acute medicine clinician's side.

A collection of 25 thought provoking Essays which create a bridge between the Classical personification of values and link them to current training and education in Western Medicine. This readable and erudite text provides a framework for modern clinical values - with a particular emphasis on anesthesiology - set in the context of ageless dilemmas facing each generation of physicians. Medicine as a profession carries some specific obligations.The qualities of empathy, knowledge, generosity, respect, and scholarship provide a "family" of values that was personified by the Ancients in the family of Asklepios, and which form the basis of professional values today. Moreover, a substantial amount of professional growth should come from reflection based on the experience of caring for real patients - an appreciation of the human condition. Each essay within this beautifully crafted book illustrates the importance of expertise, skill, focus, mindfulness, and collaboration, all of which are integral to professionalism in medicine, and in particular to those working in the field of anesthesiology. Anesthesiologists, Certified Registered Nurse Anesthetists and Anesthesia Assistants will find much to enhance their professional understanding within this text. The principles, values and traits of professionalism are relevant to all medical specialties and these essays provide a lyrical understanding of the traits required for professional development.

A thoroughly revised second edition providing the knowledge and evidence-base needed for the perioperative practitioner, clarifying the underlying principles needed for an understanding of anaesthetic, surgical, and recovery practice. This book defines the level of knowledge required for perioperative practitioners and provides a comprehensive reference to the principles and practice of modern operating department practice. Featuring a diverse range of topics, it offers a multidisciplinary overview of new techniques and technologies, changes in medico-legal requirements, changes to professional accountability, and requirements for continuous professional development. Twelve new chapters cover healthcare ethics and professional regulation, health and safety, infection prevention and control, basic patient monitoring, human factors, and perioperative care of the paediatric patient. Incorporating a new focus on the provision of evidence-based practice and holistic care in all areas of perioperative care, this invaluable book is essential reading for anyone working in this sector, in both education and practice.

Landmark Papers in General Surgery will give surgeons, surgical trainees and other healthcare professionals an expert appraisal of key papers, and fast access to the evidence base behind current clinical practice in General Surgery. Each chapter draws together a fascinating selection of the most important clinical trials across every subspecialty within General Surgery, as selected and appraised by a panel of experts. Organized according to a common format, each discussion offers a clear structure by which to appraise the medical literature. Following a background summary of each trial, experts discuss the impact of the research and critique the methods used, giving the reader rapid understanding of the paper's place within the wider field of research. This emphasis on the tools of critical appraisal is enhanced by an introductory chapter equipping the reader with the skills required to knowledgeably appraise a research paper. For clinicians needing to keep abreast of the vast scope of medical research, this book will prove an interesting and timesaving resource, but it will also appeal to allied health professionals keen to improve the depth of their understanding of surgery. By bringing together the evidence base with expert guidance on critical appraisal, higher surgical trainees preparing for the academic and specialty sections of the FRCS exit examination will also find the text invaluable as a means of consolidating and nuancing their knowledge.

The definitive treatment on the medical evacuation and management of injured patients in both peace- and wartime. Edited by eminent experts in the field, this text brings together medical specialists from all four branches of the armed services. It discusses the history of aeromedical evacuation, triage and staging of the injured patient, evacuation from site of injury to medical facility, air-frame capabilities, medical capabilities in-flight, response to in-flight emergencies, and mass emergency evacuation. Specific medical conditions are addressed in detail, including such general surgical casualties as abdominal wounds and soft tissue, vascular, maxillofacial, head and spinal cord injuries, ophthalmologic, orthopaedic, pediatric, obstetric-gynecologic casualties, burns, and more. Over 80 illustrations provide a review of transport equipment and both medical and surgical treatment. A must-have reference for all armed forced physicians and flight surgeons, for general and trauma surgeons, internists, intensive care specialists, orthopaedic surgeons, and public health service physicians.

Key Features: • Features case-based scenarios in Critical Care as well as has a section on Tropical Diseases. • Appeals to a wide audience of trainees and consultants of Critical Care Medicine, Internal Medicine, Anaesthesiology, Pulmonary Medicine and those working in the ICU, due to its clinical relevance. • Reduces the dependency on the radiologist and help the physicians to save time which would enhance the quality of patient care.

This book covers the history of plastic surgery from the remarkable achievements of such ancient civilizations as India and Egypt up to the revolutionary techniques developed at the end of the Middle Age, the Renaissance and beyond. Coverage details how the knowledge of wound healing has changed and influenced plastic surgery, describes the development of various surgical reconstructive procedures and details the birth of Cosmetic Surgery.

A patient's personal view of long term care.

Seen through the eyes of a patient totally paralyzed with Guillain-Barré syndrome, this moving book takes you through the psychological and physical pain of an eleven month hospital stay. BED NUMBER TEN reads like a compelling novel, but is entirely factual.

You will meet:

The ICU staff who learned to communicate with the paralyzed woman - and those who did not bother.

The physicians whose visits left her baffled about her own case.

The staff and physicians who spoke to her and others who did not recognize her presence.

The nurse who tucked Sue tightly under the covers, unaware that she was soaking with perspiration.

The nurse who took the time to feed her drop by drop, as she slowly learned how to swallow again.

The physical therapist who could read her eyes and spurred her on to move again as if the battle were his own.

In these pages, which reveal the caring, the heroism, and the insensitivity sometimes found in the health care fields, you may even meet people you know.

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.

This book by Madbak and Dangleben has collated lot of information that has been presented and published in many disparate arenas into a single easy to read source. In an area where there is more experience and "favorite techniques" than true evidence based answers, they provide a wealth of information along with outstanding photographic support that makes this an excellent resource for all surgeons caring for this population. Similar to many things in life, when treating patients with the open abdomen one size or methodology does not fit all and this book will assuredly contain at least one possible answer to your patient's problem. Although the numbers of "open abdomens" are decreasing due to changes in resuscitation and transfusion practices, it still represents a complex complication that can be challenging to deal with. This ambitious textbook on the management of the open abdomen provides a practical approach for addressing this complex problem. One of the more unique aspects of this textbook is its detailed "How to" approach for the wide variety of techniques utilized in the management of the open abdomen. While there may be no consensus as to what constitutes the optimal management of the open abdomen, this book articulates a number of options and their advantages. Most importantly, it provides high quality photographs that enhance the step by step "How to" approach of the text. More recent developments including using biologic mesh, implementing complex abdominal wall reconstruction and utilizing minimally invasive endoscopic techniques are described. This book is not only appropriate for all practicing surgeons that deal with this complex issue, but is also relevant for residents and fellows who are just getting their first exposure to open abdomens.

Owing to their frequency and possible consequences and considering the fact they frequently affect young people, trauma tic lesions of the thoraco lumbar spine represent a special point of interest within the field of Neurotraumatology. Traffic accidents are the commonest cause, which accounts for the high peak of occurrence between 15 and 24 years of age. It is also worth noting that according to published series nearly 50% ofthe cases affect the thoraco-lumbar junction. From an anatomical point of view, we must note the severity of thoracic spinal cord lesions especially of the thoraco-lumbar junction and of the lumbar region and be able to associate injuries ofthe conus medullaris and of the ca uda equina where there is a possibility of neurological recovery. Clinical evaluation is not always easy, but remains the basis for diagnosis and prognosis. The neurological classification proposed by FRANKEL et al. in 1969 and used at STOKE MANDEVILLE Hospital seems to retain its value. A more sophisticated study of medullary evoked potentials, as described by TsUBOKAWA can allow a more precise localisation and appreciation of the extent ofthe lesion as well as a better evaluation ofthe prognosis and ofthe evaluation of treatment in the acute phase. The neuro-radiological study should include standard views ofthe whole of the spine with antero-posterior and lateral tomograms of the fractured or luxated area. At present, the unquestionable contribution of the CT.