This book is the most comprehensive (and possibly the first) manual on 'Rhino-Orbito-Cerebral Mucormycosis (ROCM) that covers mucormycosis of the nose extending to sinuses, orbit, and brain, all in. This volume covers the surge of cases during the COVID-19 pandemic, early identification and causative factors, microbiology, pathology and radiology, and the clinical presentation. Notes on surgical approaches, extent, and techniques of debridement, number of sittings, antifungal therapy, complications, and their management equip readers to manage these cases confidently. Detailed descriptions of ROCM surgery accompanied by nearly 500 photographs and anatomical drawings help support diagnostic and surgical decision-making. Also included is information on various specifications of MRI that help in achieving a perfect surgical clearance. The book includes chapters on debates on salvaging the orbit in ROCM, various situations, their management, the extent of resection, antifungal dosage and duration, prognostication of the patient, and postoperative care. The book assists surgeons in gaining the skills to perform endoscopic clearance of difficult areas like pterygoplataine fossa, infratemporal fossa, pterygoid plates, and the lacrimal drainage system, which offers significant advantages in terms of avoiding postoperative morbidity as compared to an external route. Since the external route is required in the most extensive form of the disease, the book has also covered it extensively. This book is an indispensable resource for otorhinolaryngologists, ophthalmic surgeons, ophthalmic plastic surgeons, physicians, microbiologists, pathologists, radiologists, neurosurgeons, faciomaxillary surgeons and junior and senior consultants optometrists and students.

Intracranial injury, caused by a transorbital penetrating object, is a neglected topic in neurosurgery. With few exceptions, only occasional publications, often containing merely case histories, are present in the literature. Through a perusal of the world literature - for the first time - the author has collected and combined all available and relevant information, trying to give a thorough description of this rare, but extremely dangerous injury. This book is a major and definitive contribution to neurosurgery, but is also of importance to ophthalmology, neurology, traumatology, neuro-radiology and pediatrics.

This issue of Orthopedic Clinics will focus on orthopedic urgencies and emergencies. Articles to be included will cover pediatrics, trauma, upper extremity, adult reconstruction, and foot and ankle.

No local, os segundos contam. PHTLS: Suporte de Vida em Trauma Pre-hospitalar ensina e reforca os principios em avaliar rapidamente um paciente de trauma usando uma abordagem ordenada, tratando imediatamente os problemas com risco de vida, a medida que eles sejam identificados, e minimizando quaisquer atrasos em iniciar o transporte a uma destinacao apropriada. Desenvolvido pela Associacao Nacional de Tecnicos de Emergencia Medica (NAEMT) em colaboracao com o Colegio Americano do Comite dos Cirurgioes de Traumas (ASC-COT), o PHTLS, Nona Edicao reflete os conhecimentos e praticas atuais com base em evidencias, e promove o pensamento critico como a base para fornecer cuidados de qualidade. Avaliar rapidamente um paciente de trauma para identificar os cuidados de salvamento constitui o centro da nona edicao do PHTLS. Leva 2 minutos ou menos para um paciente exsanguinante. Nenhuma outra intervencao pre-hospitalar que os prestadores de cuidado realizam e mais importante do que parar esse nivel de sangramento em pacientes de trauma. A fim de refletir isso, o PHTLS, Nona Edicao utiliza a mnemonica XABCDE de avaliacao do paciente para colocar a hemorragia exsanguinante a frente de cada encontro com o paciente. A importancia de XABCDE (hemorragia grave exsanguinante, vias aereas, respiracao, circulacao, incapacidade neurologica e exposicao ao ambiente) e reforcada em cada capitulo clinico. Caracteristicas do PHTLS, Nona Edicao: Informacoes atuais sobre ressuscitacao com fluidos e imobilizacao espinhal a partir de pesquisas com base em evidencias e experientes provedores de cuidados pre-hospitalares que aplicam os principios e as praticas do PHTLS no local Tecnicas atualizadas de tratamento do paciente, incluindo colocacao de torniquete, locais de descompressao com agulha, o uso de ligantes pelvicos, ressuscitacao pediatrica com fluidos e manejo pediatrico das vias aereas Enfase em lesoes evitaveis, desde dirigir distraido ate quedas em adultos idosos, e violencia entre parceiros intimos Foco em ameacas e respostas tacticas civis, desde veiculos como armas de destruicao em massa ate um novo fluxograma de metodologia de avaliacao remota Componentes Dinamicos do Programa O manual do PHTLS, Nona Edicao e o recurso definitivo em cuidados de trauma que detalha as evidencias medicas por tras dos principios e praticas recomendados do curso do PHTLS. Como proximo passo na evolucao do programa do PHTLS, o manual principal sera acompanhado pelo novo manual do curso do PHTLS, que reforca e esclarece os conceitos-chave do curso; apresenta um design envolvente e interativo; e esta escrito de modo que voce sente estar participando de um bate-papo, versus ouvindo a uma aula expositiva.

Delayed recognition of an injury or improper stabilization of the spine can lead to irreversible spinal cord injury and permanent neurological damage. This highly illustrated resource chronicles the rapid developments in imaging technology and expertise over the past decades that have transformed the medical management of vertebral injury, including thoracolumbar trauma classification. With over 250 CT and MRI images, this essential text is designed to aid both trainees and practicing physicians in making rapid and accurate diagnoses to patients with spinal trauma and provide appropriate care. This clear, concise, case-based resource will serve as a guide and learning source for trainees as well as an easily navigable reference for medical practitioners that can be essential to establishing the presence of an acute spinal injury.

This issue of Emergency Medicine Clinics, edited by Drs. Joseph Martinez and Autumn Graham, focuses on Abdominal and Gastrointestinal Emergencies. Articles include: Gastrointestinal Bleed; Abdominal pain in the Immuncompromised Patient Lower Abdominal Pain: Diverticulitis, Colitis, Inflammatory Bowel Disease and Appendicitis;Acute Abdominal Pain in the Bariatric Surgery Patient;The Vomiting Patient: Bowel Obstruction, Cyclic Vomiting and Gastroparesis; Diarrhea; Non-abdominal Abdominal Pain;Evidence Based Approach to Abdominal Pain;Abdominal Pain in the Geriatric Patient; Abdominal Pain in Children; Evaluating the patient with Right upper quadrant abdominal pain, and more!

Guest editors Dr. David Kuo and Dr. Veronic Tucci have assembled an expert team of authors on the topic of Psychiatric and Behavioral Emergencies. Articles include: The Emergency Physician's role in the Medical Clearance of the Psychiatric Patient, Stabilization and Management of the Acutely Agitated or Psychotic Patient, Stabilizing and Managing Patients with Altered Mental Status and Delirium, Depression and Suicidal Patients, The New Drugs of Abuse and Withdrawal Syndromes, Strategies for Managing Patients with Personality and Somatoform Disorders, Special Considerations in the Trauma Patient, and more!

Urgent Care Dermatology: Symptom-Based Diagnosis, by Drs. James E. Fitzpatrick, Whitney A. High, and Lamar Kyle, helps you quickly identify skin conditions and provide necessary treatment at the point of care. Concise, to-the-point text is highlighted by more than 1,000 high-quality photographs - all conveniently organized by lesion appearance - making this resource ideal for first-line clinicians to quickly identify and treat dermatologic conditions. Appearance-based format designed for non-specialists who diagnose and treat skin conditions, such as family practice physicians, urgent care providers, nurse practitioners, and physician assistants Organized by presentation (scaly lesions, blisters, etc.), with a full chapter on treatment pearls that offers expert advice pertaining to diagnosis and treatment Richly illustrated with more than 1,000 full-color clinical examples of lesions you're likely to see Each topic is covered in a two-page spread for quick reference - text on the left and images on the right Up-to-date coverage of morbilliform eruptions, scaly papular lesions, dermatitis (eczematoid reactions), and abscesses, as well as a timely chapter on cutaneous diseases of travelers organized by global region Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos (including video updates), glossary, and references from the book on a variety of devices Appearance-based format designed for non-specialists who diagnose and treat skin conditions, such as family practice physicians, urgent care providers, nurse practitioners, and physician assistants. Organized by presentation (scaly lesions, blisters, etc.), with a full chapter on treatment pearls that offers expert advice pertaining to diagnosis and treatment. Richly illustrated with more than 1,000 full-color clinical examples of lesions you're likely to see. Each topic is covered in a two-page spread for quick reference - text on the left and images on the right. Up-to-date coverage of morbilliform eruptions, scaly papular lesions, dermatitis (eczematoid reactions), and abscesses, as well as a timely chapter on cutaneous diseases of travelers organized by global region. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos (including video updates), glossary, and references from the book on a variety of devices.

This updated textbook provides an essential evidence-based approach to echocardiography and includes practical case-based instruction illustrating a wide variety of clinical scenarios in which echocardiography is a vital diagnostic option for physicians. It reflects how echocardiography has evolved into a complex multimodality method for evaluating and quantifying cardiovascular lesions, and explains the use of hemodynamic assessment of the heart using echocardiography, transesophageal and three-dimensional echocardiography, deformation imaging and assessment of myocardial perfusion, which have added a new dimension to real-time noninvasive evaluation of patients. Echocardiography highlights the clinical utility of these evolving modalities that are now crucial to the renaissance of echocardiography, and it provides a thorough clinical review of this most revealing and adaptable methods of imaging a patient. The Editors and their world-class group of contributors have created an essential reference for those in training or who already use echocardiography in their practice.

Field hospitals are deployed in a wide range of scenarios including natural disasters, epidemic outbreaks, armed conflicts and refugee crises. Operation in these conditions requires adaptation to disaster medicine principles and operation in an austere environment and unfamiliar cultural milieu, whilst maintaining acceptable standards of care. For many of those involved it may be their first encounter. This book, which is the first to address the preparation and operation of field hospitals, brings together the experience of world leaders in the field. Coming from a wide variety of organizations and backgrounds, all have extensive experience in field hospital deployment in multiple scenarios. The text - containing both background information and practical guidelines - will serve all those involved in field hospital deployment, including policy makers and planners, physicians and nurses, paramedical professionals and logisticians. It will help them deliver optimal care to people around the globe in difficult times of need.

Drs. Tewelde and Reynolds have put together an excellent issue on Cardiovascuar Emergencies. Articles include:Pregnancy Related Coronary Artery Disease, Decompensated Cyanotic Heart Disease, Blunt Cardiac Injury, Blunt Cardiac Injury, STEMI Chameleons, Hypertensive Emergency, Troubleshooting the Pacer/ICD, Cardiogenic Shock, Cardiac Arrest, and more!

For this issue, Drs. David Della-Giustina and Katja Goldflam have provided an excellent array of topics and authors concerning Orthopedic Emergencies. Articles include: Evaluation and Treatment of the Neck and Cervical Spine, Evaluation and Treatment of Hand Injuries,Evaluation and Treatment of Wrist Injuries,Evaluation and Treatment of Elbow and Forearm Injuries,Evaluation and Treatment of the Shoulder and Humerus, Evaluation and Treatment of Pelvic Injuries, Evaluation and Treatment of Foot and Ankle Injuries, and more!

Bei der Bluttransfusion handelt es sich um die Transplantation eines fremden flussigen Organs. Blutkomponenten und Plasmaderivate sind dabei verschreibungspflichtige Arzneimittel und durfen nur auf arztliche Anordnung abgegeben werden. Von dem am Patienten tatigen Arzt werden damit grundlegende klinisch-transfusionsmedizinische Kenntnisse fur den differenzierten Umgang mit Blutkomponenten und Plasmaderivaten gefordert. Das vorliegende Werk gibt diese Hilfestellung und vermittelt Basiswissen zu Blutprodukten und Transfusionen fur Nicht-Transfusionsmediziner. Es beschreibt u.a. die Risiken von Bluttransfusionen, die Grundlagen der Blutgruppenserologie und die Zusammensetzung von Blut und Blutprodukten sowie das Management bei Transfusionszwischenfallen; es geht auf das aktuelle Transfusionsgesetz ein und die Richtlinien zur Bluttransfusion sowie auf die Verordnung und Gabe von Blut und Blutprodukten. Das Werk ist praxisnah und ubersichtlich gestaltet mit vielen konkreten Tipps, Flussdiagrammen und Tabellen. Die 2. Auflage erscheint komplett aktualisiert erweitert, u.a. zu juristischen und arzneimittelrechtlichen Aspekten autologer Transfusionsverfahren und zum Effektivitatsvergleich autologer Verfahren wie Eigenblutspende versus Hamodilution versus maschinelle Autotransfusion. Das Werk richtet sich an klinisch tatige AErzte aller Fachdisziplinen, die keine ausgewiesenen Transfusionsmediziner sind.

This issue of Emergency Medicine Clinics edited by Drs. John Perkins and and Jonathan Davis focuses on emergencies related to Hematology/Oncology and covers topics such as: Oncologic Mechanical Emergencies, Neutropenic Fever, Oncologic Metabolic Emergencies, Acute Leukemias, Pediatric Oncologic Emergencies, Chemotherapeutic Medications and their Emergent Complications, Anemia, Thrombotic Microangiopathies (TTP, HUS, HELLP), Congenital Bleeding Disorders, Acquired Bleeding Disorders and Antithrombotic agents, Sickle Cell Disease, and more!

This issue of Critical Care Clinics, guest edited by Shashank S. Desai and Nitin Puri, covers Cardiac Emergencies in the Intensive Care Unit. Articles include: Acute Myocardial Infarction, Managing Arrhythmias in the Intensive Care Unit, Cardiogenic Shock, Hemodynamic Assessment in the Contemporary Intensive Care Unit: A Review of Circulatory Monitoring Devices, Submassive Pulmonary Embolism, Management of Right Heart Failure in the Critically Ill, Cardiothoracic Surgical Emergencies in the Intensive Care Unit, Perioperative Complications of Cardiac Surgery and Postoperative Care, Mechanical Circulatory Devices in Acute Heart Failure, and more!

This issue of Emergency Medicine Clinics focuses on Clinical Toxicology and is edited by Drs. Daniel Lugassy and Silas Smith and includes such topics as Emerging Drugs of Abuse, Pediatric Toxicology; Dosing and Medical Errors and Child Abuse, The Approach to Toxin-Induced Coagulopathy, The Approach to Toxin-Induced Cardiovascular Failure, The Approach to Toxin-Induced Metabolic Acidosis, The Approach to Withdrawal Syndromes, The Approach to Radiation Exposure, and mor

This issue of Emergency Medicine Clinics edited by Drs. George Willis and Tyson Pillow focuses on Endocrine and Metabolic Emergencies and covers topics such as: Diabetes Mellitus, Hypothyroidism, Hyperthyroidism, Adrenal Emergencies, Derangements of Pottasium, Derangements of Sodium/Water Balance, Derangements of Calcium, Magnesium, and Phosphorus, Metabolic Acidosis, Neonatal Endocrine Emergencies and more.

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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.

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 of Emergency Medicine Clinics, Guest Edited by Dr. Laura Bontempo and Dr. Jan Shoenberger, is devoted to Ear, Nose, and Throat Emergencies. Topics in this issue include: Infections of the Ear; Sinusitis; Infections of the Oropharynx; Infections of the Neck; Peripheral Vertigo; Epistaxis; Soft Tissue Disorders of the Mouth; Dental Emergencies; Foreign Bodies; Tracheostomy Emergencies; Traumatic Injuries of the Ear, Nose, and Throat; and Facial Fractures.

The 2014?2015 Ebola epidemic in western Africa was the longest and most deadly Ebola epidemic in history, resulting in 28,616 cases and 11,310 deaths in Guinea, Liberia, and Sierra Leone. The Ebola virus has been known since 1976, when two separate outbreaks were identified in the Democratic Republic of Congo (then Zaire) and South Sudan (then Sudan). However, because all Ebola outbreaks prior to that in West Africa in 2014?2015 were relatively isolated and of short duration, little was known about how to best manage patients to improve survival, and there were no approved therapeutics or vaccines. When the World Heath Organization declared the 2014-2015 epidemic a public health emergency of international concern in August 2014, several teams began conducting formal clinical trials in the Ebola affected countries during the outbreak. Integrating Clinical Research into Epidemic Response: The Ebola Experience assesses the value of the clinical trials held during the 2014?2015 epidemic and makes recommendations about how the conduct of trials could be improved in the context of a future international emerging or re-emerging infectious disease events. Table of Contents Front Matter Summary 1 Introduction 2 Conducting Clinical Research During an Epidemic 3 Assessment of Therapeutic Trials 4 Assessment of Vaccine Trials 5 Strengthening Capacity for Response and Research 6 Engaging Communities in Research and Response 7 Facilitating International Coordination and Collaboration Appendix A: Study Approach and Methods Appendix B: Clinical Trial Designs Appendix C: Ethical Principles for Research with Human Subjects Appendix D: Biographical Sketches of Committee Members and Staff

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

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.

The Year Book of Emergency Medicine brings you abstracts of the articles that reported the year's breakthrough developments in emergency medicine, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed! Topics covered in the 2012 edition include Trauma, Resuscitation, Cardiovascular Emergencies, Gastrointestinal Emergencies, Infections and Immunologic Disorders, Neurology, and Pediatric Emergency Medicine. Focused, fast, and insightful information for the busy Emergency Room Physician!