Rolando Rossi liefert die Kernformationen uber die logistischen und medizinischen Erfordernisse, die Moeglichkeiten und die Grenzen der Repatriierung. Er beantwortet Fragen nach Organisationskonzepten fur boden- und luftgebundene Patiententransporte und schildert den praktischen Ablauf der UEberwachung und Behandlung von der UEbernahme bis zur UEbergabe in der aufnehmenden Einrichtung. Checklisten zur Vorbereitung und Durchfuhrung von Repatriierungen runden die kompakte Einfuhrung ab.

Das Handbuch der gefahrlichen Guter ist ein Standardwerk fur den Transport von Gefahrgutern. Es gibt Informationen zu nationalen und internationalen Transportvorschriften und zu Notfallmassnahmen bei Unfallen sowie Hinweise fur die arztliche Erstbehandlung von Personen. Zusatzlich zu den neu aufgenommenen Gefahrstoffen sind jetzt auch die meisten der bisher noch nicht erfassten Kampfstoffe, die vor allem als Altlasten Bedeutung erlangt haben, im Band 6/2 aufgenommen.

From principles of oxygen delivery and patient assessment, through rapid sequence induction of anaesthesia and tracheal intubation, to the difficult and failed emergency airway, this book from an expert team of clinicians guides the reader through every aspect of emergency airway management. Retaining the concise, accessible format of the first edition, it includes a new section on human factors and improving teamwork and performance, an expanded special circumstances section, and a summary of the 4th National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society and its implications for practice. Updated guidelines, new technologies such as videolaryngoscopy, and recent evidence have all been incorporated into the chapter content, ensuring that the book reflects best current practice. This thoroughly updated new edition remains an essential resource for navigating a highly challenging clinical scenario and will be of value to emergency medicine, intensive care, anaesthesia and acute medicine clinicians.

This state-of-the-art book provides a concise and up-to-date review of key emergency medicine topics in a predominantly visual format along with extensive practice questions to assist in preparing for the emergency medicine board exams. It is comprised of numerous illustrations, created by Dr. Joseph Violaris, which are specifically tailored toward the visual learner studying and preparing for board exams in emergency medicine. The book is organized by organ system, with chapters on ophthalmology, cardiology, pulmonology, gastroenterology, nephrology, orthopedics, immunology, and more. Special chapters that conclude the book are dedicated to trauma, pediatrics, toxicology, environmental disorders, and epidemiology. Each chapter contains a visual learning guide followed by board practice questions at the end to reinforce topics addressed in the illustrations. Emergency Medicine Board Review for the Visual Learner is an essential guide for medical students, residents, and fellows in emergency and internal medicine studying for board exams as well as EM physicians and related professionals preparing for recertification.

Rechtliche und geschichtliche Grundlagen der Pflege mussen nicht trocken sein - das Handbuch vermittelt den Wissensstoff anschaulich und verstandlich. Neu in der 6. Auflage: - Berucksichtigt das neue Altenpflege- und Krankenpflegegesetz - Berufskunde komplett uberarbeitet und erweitert - Fallbeispiele und Gerichtsurteile - Prufungsfragen nach jedem Kapitel - Anhang mit Literatur, Muster eines Nottestamentes u.v.a. ...Ein empfehlenswertes Fachbuch fur die Ausbildung... (Altenpflege Journal) Das Buch ist zur intensiven Vor- und Nachbereitung des Unterrichts sowie zur Vorbereitung auf das Examen bestens geeignet. Es empfiehlt sich daruber hinaus als Handbuch fur die tagliche Praxis. (Kompass)

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.

Life threatening cardiovascular conditions constitute up to fifty per cent of emergency admissions to hospital. Immediate and appropriate management is crucial. This authoritative text provides up to date guidance for cardiologists and general physicians faced with patients in a critical condition.

Based on Oxford cardiologists' wide clinical experience, the individual chapters address the practical issues of managing patients during the acute phase, combining both evidence-based and practical approaches.

The text is enhanced with schematic illustrations and real examples, boxed summaries, and tables, making the book easy to use on the wards as well as being a reference for more detailed study.

This practical book describes the basic science, clinical presentation and management of the 67 common acute medical presentations stipulated in the Royal College of Physicians syllabus for Core Medical Training and Acute Core Common Stem. * Case scenarios are included for each presentation, and guidance about management is offered in the context of national guidelines and important studies * Experienced clinicians describe their approach to common difficult problems and explain the answers to questions often asked on the ward round by successive generations of trainees * Chapters highlight key decisions that need to be made early, common misunderstandings, and risks * Detailed discussion provides an understanding of the rationale, allowing the reader to apply their knowledge to other situations * Guidance is provided on urgency of referral, safe ambulatory management, and when to seek specialist help. This is an essential resource that provides readers with the knowledge base to practise as a confident medical registrar.

Head injuries are commonplace. Though most patients survive, the consequences, both physical and social, can be devastating. The methods of initial assessment and management can have a crucial effect on determining the outcome of the injury, and long-term effects. However, only a minority of head-injured patients are cared for by Neurosurgeons. The majority are seen by non-specialists, often junior doctors and nurses, and treated in district hospitals where specialist neurosurgical assistance is unavailable. As a guide for doctors and nurses working in the A & E department, or the Orthopaedic or General Surgical Ward, the emphasis of this book is on the early management of the head- injured patient. New to the second edition are chapters on managing the 'disturbed' head injured patient, a chapter of special value to nurses (who often have to deal with this difficult task). A new chapter on anaesthesia and head injuries has also been added, with other chapters significantly revised to reflect the crucial role played by anaesthetists in head injury management. Providing practical advice on the early treatment of minor head injuries, and the management of major head injuries, the book provides advice that will be essential in ensuring effective treatment of these patients. From reviews of first edition: '... an excellent account of the management of head injuries... this one certainly fulfils its stated aim and is to be recommended.' JOURNAL OF NEUROLOGY, NEUROSCIENCE, AND PSYCHIATRY '... concise and well-referenced... a worthwhile addition to an A& E department's bookshelves.' NURSING TIMES 'The text is easy to read, and is of particular use to non-specialist staff... Useful as an introduction for junior neurosurgeons in training.' ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND

You have just encountered a possible stroke patient. You ask yourself: what should I do first? How do I know it is a stroke? Is it too late to reverse the damage? This book provides integral assistance in answering these critical questions. All content is arranged in chronological order, covering all considerations in assessing and treating patients in the emergency room, stroke unit, and rehabilitation facilities. This new edition offers readers the latest information on stroke treatment, and features brand new chapters on stroke radiology, endovascular therapy, the uncommon causes of stroke, cerebral venous thrombosis, stroke prevention, and the transition to outpatient care. The comprehensive set of appendices contains useful reference information, including dosage algorithms, conversion factors, and stroke scales.

Overdose and poisoning are one of the most frequent acute medical presentations seen in emergency departments, and high dependency and intensive care facilities. The Oxford Desk Reference: Toxicology provides an authoritative guide for the management of patients with poisoning. Each chapter includes key clinical features and potential treatment options to help physicians to assess the potential severity of the poisoned patient and provide the optimum clinical care. A reader-friendly layout ensures that information is easy to find and assimilate, and topics are self-contained to aid quick diagnosis. Presented in an easy-to-use double-page spread format, highly bulleted and concise, the Oxford Desk Reference: Toxicology is ideal for quick referral when an acute problem arises. Contributions from the leading figures in toxicology make this book indispensable for all those involved with the management of poisoned patients, especially trainees and consultants working in emergency medicine, acute medicine, and critical care.

Die Behandlung postoperativer Schmerzen gehoert zu den wichtigsten Aufgaben des Anasthesisten, seiner chirurgisch tatigen Partner und des Pflegepersonals. Obwohl eine Vielzahl von effektiven und sicheren Methoden der postoperativen Schmerztherapie beschrieben worden ist, lasst die Umsetzung in die Routine noch sehr zu wunschen ubrig. Das Ziel dieses Buches in seiner grundlich uberarbeiteten 2. Auflage ist es, das Bewusstsein fur die derzeitigen Mangel zu scharfen und Anregungen fur dringend noetige Verbesserungen zu geben. Theoretische Grundlagen des postoperativen Schmerzes, der systemischen Pharmakotherapie sowie der Lokal- und Regionalanasthesie und alternative Methoden werden beschrieben; ausfuhrliche Reviews der derzeitigen Kenntnisse und praktische Empfehlungen fur die klinische Routine schliessen sich an. Das Buch wird so zu einem wichtigen Nachschlagewerk fur AErzte, Medizinstudenten und Pflegepersonal.

Extensively updated, with chapter revisions and an array of new material, the Sixth Edition of this Clinical Manual offers an indispensable resource on Emergency Pediatrics. Incorporating the latest guidelines concerning a wide range of conditions, the text is an up to date and practical resource for use at the point of care. Providing critical information in all sites where sick and injured children receive treatment - from emergency departments to private offices and primary care settings - this Sixth Edition enables first-rate care. * Fully updated with current knowledge and guidance within the field * New topics include Ovarian Emergencies, Bedside Ultrasound, Zika Virus and Commercial Sexual Exploitation among others * Clear guidance enables effective patient evaluation and follow-up * Streamlined chapters, with increased use of tables to enable readers to locate critical information rapidly. Successful and trusted for more than 30 years, this updated handbook is a key resource for pediatricians, emergency medicine physicians, family practitioners, and trainees.

As the global geriatric population continues to grow, an increasing proportion of people reporting to emergency departments are elderly. The work-up of these patients uses more time and resources than that of younger patients, and is complicated by the fact that acute disease often presents more subtly, without the outward manifestations typically seen in younger patients. This volume focuses on the unique pathophysiology of the elderly, presenting guidelines for resuscitation, evaluation and management. The first section discusses general principles including demographics, pharmacology and pain management. The following sections cover high-risk chief presenting complaints and review geriatric emergencies. Finally, topics of particular relevance in the geriatric population are discussed, including functional assessment, end-of-life care, financial considerations and abuse. This book provides a comprehensive, practical framework for community and academic emergency medicine practitioners, as well as emergency department administrators striving to improve delivery of care to this vulnerable, growing population.

Many patients come to the Accident and Emergency department in pain or with conditions requiring local or general anaesthesia. Close co-operation between the staff of the Anaesthesia and Accident and Emergency departments is vital if anaesthesia and analgesia are to be dealt with efficiently and safely. This new edition of Anaesthesia and Analgesia in Emergency Medicine has been extensively revised throughout, especially with regard to resuscitation techniques. It provides a concise guide to anaesthesia and pain relief in Emergency Medicine. Throughout, the emphasis is on the practical management of problems, giving clear instructions about the treatment of common conditions.

Musculo-skeletal problems underlie many of the cases seen by doctors working in accident and emergency departments. It is estimated that over 4 million patients per annum will attend an A & E department in England and Wales with such a condition. Although many of these problems may be considered less serious, when compared to others seen in A & E departments, a misdiagnosis could have far reaching and even fatal consequences. It is also the area where statistically A & E doctors are most likely to make an error of diagnosis. Musculo-skeletal problems in emergency medicine provides guidelines on the history taking and examination of patients with musculo-skeletal problems. The book starts by explaining the pathology of musculo-skeletal injuries, describing the wide range of non-traumatic musculo-skeletal problems that present to an A & E department. Each section of the body is then dealt with in detail, with advice given on the management of Uspecific patient presentations. Throughout, emphasis is placed on the diagnosis of traumatic and non-traumatic injuries, and detailed guidance provided on their initial investigation, management, and ongoing referral. This book is intended for

Lebensbedrohliche Situationen im OP und auf der Intensivstation koennen nur bei exakter Diagnostik entsprechend therapiert werden. Eine umfassende apparative UEberwachung hat sich neben der kontinuierlichen klinischen Beurteilung durch die funf Sinne des behandelnden Arztes als unbedingt notwendig erwiesen. Die Ausweitung des Monitorings unter Einschluss elektronischer Messgroessen und intelligenter Verarbeitung macht es moeglich, die Grenzen der operativen und Intensivmedizin zu erweitern. Zweck dieses Buches ist es, UEberwachungsparameter und -techniken aus beiden Bereichen und die Prinzipien, Moeglichkeiten und Grenzen der UEberwachung zu prasentieren.

Over the past decade there have been major advances in the management of patients with craniofacial trauma. These have been fuelled by new concepts and techniques arising from the elective repair of congenital craniofaciald deformities, and also by the increase in survival after trauma, due to improved resuscitation techniques. More radical approaches to complex problems have been achieved by multidisciplinary teams, with close collaboration between the neurosurgeon, maxillofacial surgeon, otorhinolaryngologist, ophthalmic, plastic, and accident and emergency surgeon. This book is the first to provide a multidisciplinary approach to the management of craniofacial trauma. Each section has been written by a specialist involved in craniofacial trauma, from the point of view of their own particular discipline, and presents vital information on the practical manamgement strategies.

Cardiac Anaesthesia: A Practical Approach is the first concise reference text to cover all aspects of cardiac anaesthesia. Aimed at trainee anaesthetists and cardiac anaesthetic nurses, the book presents clear and concise guidelines enabling the medical practitioner with little or no cardiac experience to develop and practise the required skills. For convenience the book has been divided into three main sections: Anatomy, physiology, and pharmacology Anaesthesia for adults Anaesthesia for children For both adults and children, the book explains how to prepare the patient for cardiac surgery, presents instructions on anaesthesia for different types of cardiac surgery, and provides information on postoperative care. Cardiac Anaesthesia: a practical handbook will be an essential guide for anaesthetists in training, and nurses involved in the care of cardiac patients.

Neurologische, neurovegetative und psychische Veranderungen nach gro- ssen Operationen oder Intensivbehandlungen weisen auf abgelaufene Stoe- rungen cerebraler Funktionen hin. Solche Veranderungen sind bei genauer Analyse keineswegs selten; sie haben ein weites Spektrum der klinischen Manifestation. Wahrend die bestmoegliche Kreislaufuberwachung unter Einbeziehung der fortlaufenden EKG-Registrierung bei Narkosen und In- tensivbehandlungen heute als selbstverstandliche Routine gilt, ist bisher die objektive und laufende Kontrolle cerebraler Funktionszustande unter den verschiedensten Einflussen von Anasthesie, Operation und Intensivmedizin nicht befriedigend geloest. Der klinischen Neurophysiologie gelingt zunehmend - vor allem durch das EEG bei visueller wie auch spektralanalytischer Auswertung - die Dar- stellung funktioneller Veranderungen als AEquivalent bzw. als Ursache klini- scher, neurologischer und psychischer Stoerungen. Von aktueller Bedeutung ist deshalb die Frage, ob anasthesiologische EEG-UEberwachung sowohl vom theoretischen Ansatz her als auch in der praktischen Durchfuhrbarkeit geeignet ist, cerebrale Stoerungen, die durch perioperative Massnahmen aus- geloest werden, fruhzeitig zu erkennen, zu deuten und hierdurch bestmoeglich zu vermeiden oder zu behandeln. Letzlieh steht dahinter die Grundfrage, inwieweit anasthesiologische Massnahmen sich am EEG-Bild orientieren und danach gesteuert werden koennen und ob eine EEG-Analy- se sowohl fur den einzelnen Patienten als auch generell fur die Wertung einer anasthesiologischen Massnahme bedeutsam ist. Diesen Fragen der Relevanz und der Praktikabilitat einer anasthesiolo- gisehen EEG-UEberwachung wird in diesem Buch nachgegangen. Grundla- ge hierfur ist die Analyse von uber 1500 durchgefuhrten EEG-Ableitungen im anasthesiologisch-chirurgischen bzw. -gynakologischen Krankengut.

This concise reference provides a core curriculum for those who have to look after critically ill children. Early recognition of those children who need intensive care, prompt resuscitation, and safe transportation to specialized units are the keys to success for the sickest children. Management of the common disorders is covered in a practical manner, as are the legal and ethical considerations.

This book describes all aspects of the management of cardiopulmonary arrest in both adults and children. The management of life-threatening cardiac emergencies, including myocardial infarction and various arrhythmias is also described in detail. This book will be useful to all those doctors, nurses, and paramedics working in the front line of medicine who are expected to respond promptly and effectively to such emergencies.

Speziell auf die Notfallsituation zugeschnitten, fuhrt dieses Buch den Arzt oder Apotheker rasch zu einer sicheren Identifizierung der Giftpflanze und informiert uber therapeutische Erstmassnahmen. Besonderen Wert legt der Autor auf Verwechslungsmoeglichkeiten mit ungiftigen Pflanzen.Anschauliche Fliessschemata und viele, groesstenteils vierfarbige Abbildungen erleichtern die rasche Orientierung. Der Autor verzichtet dabei weitgehend auf strenge botanische Systematik und ermoeglicht so auch dem Nichtapotheker eine sichere Identifizierung der Giftpflanze.

Providing the inside track on how the experts approach and deal with real-world clinical scenarios, Challenging Concepts in Emergency Medicine selects specific challenging cases that are encountered in everyday clinical practice but do not have simple answers. A case-based guide to challenging areas in emergency medicine, this book covers the core and sub-specialty areas, in particular the often grey areas of intensive care and paediatric emergency medicine. Complex cases are comprehensively examined from a multidisciplinary perspective with detailed consideration given to management options and the contemporary evidence base behind these decisions. An effective revision aid for MCEM and FCEM and a reference during workplace-based assessments, Challenging Concepts in Emergency Medicine highlights critical information through the use of boxed features: 'Learning points', 'Clinical tips', 'Evidence base', and 'Future advances'. Each chapter has been reviewed by a national or international expert in the field and they have provided an 'Expert commentary', giving a unique insight into how today's opinion leaders confront and deal with the very same management challenges that all clinicians can potentially face on a daily basis. Containing summaries of current national and international guidelines, this book is ideal for continuing medical education and revalidation as well as for trainees preparing for examinations.