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Books > Medicine > Other branches of medicine > Accident & emergency medicine > Intensive care medicine
For more than 30 years, the highly regarded Secrets Series (R) has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Critical Care Secrets, 6th Edition, features the Secrets' popular question-and-answer format that also includes lists, tables, and an easy-to-read style - making reference and review quick, easy, and enjoyable. Fully updated throughout, with new chapters on neurological monitoring, obesity in the ICU, new ultrasound practices, ICU survivorship, and the latest cardiac technology such as ventricular assist and percutaneous support devices. Written and fully updated by clinical and thought leaders in critical care who have contributed chapters in their areas of expertise. The proven Secrets Series (R) format gives you the most return for your time - concise, easy to read, engaging, and highly effective. Covers the full range of essential topics in critical care for in-training or practicing professionals, including anatomy, physiology, immunology, and inflammation - fundamentally important topics in the effective care of critically ill patients. Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams. Portable size makes it easy to carry with you for quick reference or review anywhere, anytime. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
The care that a patient receives in the first hours after surgery is crucial to minimizing the risk of complications. The recovery room staff must manage both comatose and physiologically unstable patients, and deal with the immediate post-operative care of surgical patients. The Complete Recovery Room Book, Sixth edition, provides nurses, surgeons, and anaesthetists with up-to-date guidance and practical tips on the post-operative management of patients. Over 30 chapters, this resource covers key aspects of recovery room management from setting-up, monitoring and equipment, and managing symptoms as well as clear and concise explanations of physiology and pharmacology. Specific chapters address the unique post-operative needs of individual types of surgery and patient groups. Practical tips and short aphorisms are offered throughout the text to help retain practical information.
Providing the inside track on how the experts approach and deal with real-life clinical scenarios, Challenging Concepts in Paediatric Critical Care explores eighteen common, complex and often contentious topics seen in hospitals, high dependency units, and PICU's worldwide. These include cases on 'Paediatric acute respiratory distress syndrome', 'Traumatic brain injury', and 'Safeguarding children in paediatric intensive care'. With a case-based approach, complex patient presentations are explored thoroughly so that assessment, diagnosis, and management are fully considered and explored with 'Clinical Tips', 'Learning Points', and 'Evidence Base' boxes. Throughout commentary from an international expert identifies and explains the key points and controversies of each case. Aligned to the Royal College of Paediatrics and Child Health's paediatric intensive care medicine curriculum in the UK, the curriculum of Paediatric Basic Assessment and Support in Intensive Care (BASIC) course, and the European Paediatric/ Neonatal Intensive Care Diploma (EPIC), this text is ideal for training and assessment preparation. Aimed primarily at trainees and registrars in paediatric intensive care medicine, this text will appeal to those in the related disciplines of anaesthesia, emergency medicine, and paediatrics, as well as consultants and senior nurses.
Designed specifically for the revised Final FRCA examination, this book contains four mock exams, combining the new single best answer format with the traditional true/false format MCQs. A further fifth chapter contains only single best answer questions allowing candidates extra practice on this new and more difficult format. Uniquely the book includes answers with explanations and cross-references to key textbooks, allowing the candidate to read around on more difficult areas. The editor team balances extensive exam experience with recent exam success. Each question has also been expertly reviewed to ensure the highest quality and relevance to the Final FRCA. This is a must buy when preparing for this key exam.
Structured Oral Examination Practice for the Final FRCA offers well-researched, relevant, and carefully constructed questions with evidence-based answers. The book specifically addresses the new clinical emphasis in the FRCA examination, giving candidates an insight into the way the viva works, offering general guidance on examination techniques, and providing readily accessible information relating to a wide range of potential questions. The book is organized into 16 chapters, each offering trainees and trainers complete examinations as in the real structured oral examination, covering around 70 relevant topics. Each chapter includes clinical anaesthesia and basic science broadly organized into the six areas covered by the exam: long-cases, short-cases, applied anatomy, physiology, pharmacology and clinical measurement. The book also includes a hot topics chapter addressing recent advances beloved of examiners.
It gives me great pleasure to have this opportunity to write a Foreword for this new book. In the past two decades we have witnessed very significant advances in the management of the very ill patient. The great success in this field of medical endeavour is largely due to the establishment of intensive care units, but a great deal of progress can also be attributed to the major developments in technology, which affect patient management and care as well as the many sophisticated techniques of diagnosis and patient monitoring. Imaging and Labelling Techniques in the Critically III covers this new important and difficult field of diagnosis and visual monitoring. By establishing the criteria and algorhythms for the choice of the different methods available for this purpose, defining the diagnostic signs on images and resolving some of the mis conceptions and pitfalls, this book will go a long way to help the reader, particularly those involved in the care of patients in the intensive care units. This book brings together many different methods of investigation and discusses the advantages and limitations of these techniques in different clinical circumstances. Some of the techniques are well established and their usefulness in the intensive care unit is in no doubt. Some of the newer techniques such as PET scanning or NMR imaging have not yet found a defined position of usage in the critically ill patient. There is, however, little doubt that in due course this situation will change.
This book offers a comprehensive solution to any person wishing to sit, and ultimately pass, the SAQ paper for the Final FRCA exam. It is designed specifically to fit the examination format, with each double page spread containing a sample question and detailed model answer, acting both as a revision guide and as a template for answering similar questions in the exam. It includes the most recent guidelines and evidence base, whilst also covering in detail areas not included in other revision books. Written by two recent and successful exam candidates, and a highly respected senior anaesthetist, this book holds the key to passing the final FRCA examination.
During the last 20 years two groups of investigators have concerned themselves with the problem of acid-base regulation at various body temperatures. Each group, in professional isolation, pursued a separate path. Surgeons and anesthe tists developed techniques and tools for hypothermic cardio-pulmonary by-pass operations and based their rationale for acid-base management on in vitro models of blood behavior. Physiologists and biochemists, on the other hand, endeavored to understand acid-base regulation in living organisms naturally subjected to changes in body temperature. Only in the last decade has there been an increasing awareness that each group could benefit from the other's experiences. With this goal in mind members of both groups were invited to present their views and observations in the hope of arriving at a better understanding of acid-base management during hypothermia and gaining a greater insight into the factors which control acid-base regulation during normothermia. This led to the presen tation of the present volume with the aim of providing the clinician with a survey of present theories and the resulting strategies for management of the hypother mic patient. Acknowledgment The editors express their great appreciation to Miss Augusta Dustan for her dedicated effort in the preparation and editing of the manuscripts. Contributors Heinz Becker, M. D. Department of Surgery, University of California Medical Center, Los An geles, Los Angeles, CA 90024, U. S. A. Gerald D. Buckberg, M. D. Department of Surgery, University of California Medical Center, Los An geles, CA 90024, U. S. A."
A good knowledge of physics, measurement, and equipment is
essential for practising anaesthetists. However, these subjects do
present considerable problems because few anaesthetists have any
background in physics. This book explains the physical principles
and applications of physics in anaesthesia, and the statistical
methods that anaesthetists are required to understand. The book
includes sections on equipment and safety in anaesthesia, and
electrical safety. Fully updated for the second edition, the book
also includes new chapters on the depth of anaesthesia and on
electrical safety.
Infectious Diseases and Antimicrobial Stewardship in Critical Care Medicine 4E has been fully updated and revised. The clinical diagnostic approach to common infectious disease problems in the CCU is the underlying theme in the book. Emphasized throughout is the importance of formulating an accurate early presumptive clinical syndromic diagnosis which is the basis for selecting optimal initial antimicrobial therapy in the CCU. Without an accurate presumptive clinical diagnosis, effective therapy is unlikely at best. Based on the most probable clinical diagnosis, optimal antibiotic empiric therapy, based on antimicrobial stewardship principles, minimizes resistance and antibiotic complications in the CCU. This new edition features chapters that explain the tenets of differential diagnostic reasoning, differential diagnostic characteristics of fever patterns in the CCU. The proper interpretation of rapid diagnostic tests, in the appropriate clinical context, is included. The diagnostic importance of cardinal clinical findings, particularly when combined, in the appropriate clinical context is emphasized and remains the basis for clinical problem solving in the CCU. Uniquely, critical diagnostic physical findings in the CCU, including color atlas of diagnostic eye findings, are included as important diagnostic determinants in the CCU. Written by infectious disease clinicians for CCU consultants, Infectious Diseases and Antimicrobial Stewardship in Critical Care Medicine 4E remains a useful evidence based and experience tempered key clinical resource for infectious disease problems in the CCU. Key Features Essentials of the tenets of clinical diagnostic reasoning is explained as it relates to formulating a rapid and accurate clinical syndromic diagnosis in the CCU The diagnostic significance of fever patterns and their relationship to the pulse rate in the proper clinical context is explained in depth as related to the CCU setting Formulating an accurate early clinical syndromic diagnosis is presented as essential since it is the basis of effective empiric antibiotic therapy in the CCU How to combine key non-specific laboratory and imaging findings to increase diagnostic specificity and diagnostic probability in the CCU is presented Clinical perspective on the proper interpretation of the clinical significance of rapid diagnostic test results in the CCU is included A clinical approach to apparent "antibiotic failure" in the CCU is presented either due to actual antibiotic failure or seeming but unrelated non-antibiotic failure Section focuses on the practical aspects of antimicrobial stewardship particularly as related to optimizing dosing effectiveness while minimizing resistance and adverse effects in the CCU
One in three people will develop some kind of cancer in their
lifetime. The overall cancer incidence has increased by 25% since
1975. Anaesthetic involvement in hospital interactions has been
estimated at around 75%, and so anaesthetists are likely to have
major input into the care of the cancer patient. This input may
start with the preoperative assessment, but often extends to the
intensive care unit and the management of both acute and chronic
disease, or procedural related pain.
The Oxford Desk Reference: Major Trauma is the missing link between
basic trauma management and advanced specialist care. Advanced
Trauma Life Support courses have revolutionised trauma care in the
last 3 decades, but there is little advice for the key decision
makers in trauma care once the primary and secondary surveys are
complete. This volume is a practical and evidence-based desk
reference, giving a comprehensive walk-through from the initial
phases of injury, through key decision-making in the resuscitation
room, to surgical principles and rehabilitation. Including chapters
on damage control, ballistic and blast injuries, and bariatric
trauma, this text covers all the main areas of trauma care
necessary for the trauma specialist in the 21st Century.
"It's raining and the reflections of the red and white lights are
dancing off the buildings as we race down the wet streets. Sirens
are screaming a warning to the very few people who dare to walk the
street at night.
The fully updated second edition of this popular handbook concisely summarizes all current knowledge about delirium in critically ill patients and describes simple tools the bedside clinician can use to prevent, diagnose and manage delirium. Chapters discuss new developments in assessing risk and diagnosis, crucial discoveries regarding delirium and long-term cognitive outcomes, and dangers of sedation and death. Updated management advice reflects new evidence about antipsychotics and delirium. This book explains how to minimise the risks of delirium, drugs to avoid, drugs to use and when to use them, as well as current theories regarding pathophysiology, different motoric subtypes leading to missed diagnosis, and the adverse impact of delirium on patient outcomes. While there are still unanswered questions, this edition contains all the available answers. Illustrated with real-life case reports, Delirium in Critical Care is essential reading for trainees, consultants and nurses in the ICU and emergency department.
This popular handbook provides a practical guide to managing common and important problems in the critically ill patient, as well as sufficient background information to enable understanding of the principles and rationale behind the therapy without overloading the reader with detailed basic science. Fully updated throughout, this third edition of Handbook of ICU Therapy includes new chapters on coagulation problems in the critically ill, airway management, electrolyte and metabolic acid/base problems, optimizing antimicrobial therapy, chronic critical illness, recognizing and responding to the deteriorating patient, ICU rehabilitation, palliative care, neurotrauma, the comatose patient, the obstetric patient, endocrine problems, and care of organ donors. Authored by senior clinicians from both sides of the Atlantic, chapters retain the easy-to-read format of previous editions. Aimed particularly at residents and trainees starting out in the ICU or preparing for postgraduate examinations, this handbook also serves as a valuable refresher for established intensivists, anesthesiologists and surgeons.
Nunn's Applied Respiratory Physiology, Ninth Edition, is your concise, one-stop guide to all aspects of respiratory physiology in health, disease, and in the many physiologically challenging situations and environments into which humans take themselves - coverage is from basic science to clinical applications. Trusted for over 50 years, this most comprehensive single volume on respiratory physiology will prove invaluable to those in training or preparing for examinations in anaesthesia, intensive care, respiratory medicine or thoracic surgery - as well as an essential quick reference for physiologists and the range of practitioners requiring ready access to current knowledge in this field. Now fully revised and updated, this ninth edition includes a larger page format for improved clarity, as well as full access to the complete, downloadable eBook version. This incorporates BONUS chapters, handy topic summaries, interactive self-assessment material and a NEW series of expert lectures on key topics. The result is a more flexible, engaging and complete resource than ever before. Enhancements to this edition include: A new dedicated chapter on obesity - covering the effects of this global challenge on the physiology of the respiratory system in health and disease, in both adults and children Expanded coverage of the adverse effects of hyperoxia - including the physiology of the now popular technique of high-flow nasal therapy A revised section on air pollution - reflecting the growing importance and understanding of the impact of pollution on the lungs and other body systems, along with the latest worldwide guidelines Detailed coverage of artificial ventilation during general anaesthesia - covering post-operative respiratory complications and the physiological basis of current best-practice for optimizing ventilation Print comes with enhanced eBook - includes access to the complete, fully searchable text, PLUS: bonus chapters handy chapter summaries interactive self-assessment material a NEW series of 25 expert lectures focusing on the most essential topics in respiratory physiology
Written for trainees who are preparing to take the Anesthesia Oral Board exam, Rapid Review Anesthesiology Oral Boards is focused on the most commonly tested topics on the ABA oral board exam. Presented in a question-and-answer format, the book covers 39 different clinical scenarios encountered in the exam, including the Parkland formula to calculate fluid resuscitation in burn patients, ICP monitoring in craniotomy and hemodynamic goals in patients with cardiac disease. Questions follow the normal course of a case, from pre-operative assessment to intra-operative management and post-operative care. The answers to the questions are carefully structured to not only help the reader understand the medicine of anesthesia but also to provide the correct terminology needed to successfully pass the exam. This book is essential reading for trainees preparing for one of the toughest exams of their careers.
This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further. This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.
Trauma has been recognized in recent years as one of the most important health care issues still to be fully addressed. A new awareness of deficiencies in the clinical management of injured patients has led to an urgent reappraisal of procedures and training in many hospitals. Parallel to this, there has been a revolution in the field of radiology and diagnostic imaging. Imaging in Trauma provides guidance on the safe and effective application of imaging techniques to patients who have been injured - recommending appropriate techniques wherever they are known to be effective and highlighting cases where their use would be inappropriate. The use of basic conventional radiology is most comprehensively covered, recognising that some of the newer modalities, such as magnetic resonance imaging, will not be generally available for some years. . It is important to consider not only the production of good images, but also how to help clinicians to order them appropriately and to interpret them. A full report from a trained radiologist may not be immediately available to junior medical staff trying to manage the patient in the A&E department. Therefore, advice about viewing images systematically is offered, together with hints on the pitfalls which might be faced. This advice is patient- centred rather than image centred - an emphasis which makes the text different from others. Each chapter offers a summary of the key points it contains. The book will be of assistance to all medical and nursing staff working in the speciality of Accident and Emergency Medicine and also to those working in specialities which offer definitive care to injured patients. The contents of the book may also assist those wishing to study for higher examinations in Accident and Emergency, Surgery and Radiology, especially where the interpretation of images forms part of the examination.
Intended for diabetes researchers and medical professionals who work closely with patients with diabetes, this newly updated and expanded edition provides new perspectives and direct insight into the causes and consequences of this serious medical condition from one of the foremost experts in the field. Using the latest scientific and medical developments and trends, readers will learn how to identify, prevent, and treat this challenging phenomenon within the parameters of the diabetes care regimen.
Wound management forms the bulk of the work in Accident and Emergency practice. Although most of these wounds will appear minor and the treatment straightforward for many injuries, the consequences of improper assessment or management can be very serious. Disabling injury may be overlooked, and life threatening infections can follow inappropriate treatment. Accident and Emergency staff must be prepared to begin initial assessment and treatment while surgical help arrives. This new edition of The Management of Wounds and Burns provides practical and authoritative information on all aspects of wound and burn care, taking the reader from initial assessment to the treatment of specific injuries. The care and legal aspects of life-threatening wounds are covered, together with anaesthesia, surgical techniques of wound care, wound infection, and injuries to the hand, face, neck, chest, and abdomen. Throughout , the authors present their guidelines concisely and lucidly, with detailed advice on anatomy, medication, and treatment techniques, providing an invaluable guide for junior doctors and nurses in A & E. Reviews of the first edition: 'Any doctor, regardless of seniority or speciality, likely to be called on to treat a wound would do well to read this valuable book from cover to cover and to retain the wealth of practical information that it contains... the best insurance against patients suffering needless harm after sustaining a wound.' British Journal of Surgery (1993) 'There is good advice throughout the book... It is well suited to the target audience of junior doctors starting a job in A & E and to the nursing staff of an A & E department... Patients can only benefit.' British Journal of Hospital Medicine (1993) 'Each chapter has a clear and well structure layout... I think this book would provide a useful addition to any A & E library.' Accident and Emergency Nursing (1993) 'It covers just about every wound that one is likely to encounter... It will be of great help in the treatment room.' The Medical Journal of Australia (1993)
This book is devoted to COVID-19 associated coagulopathy, one of the main determinants of mortality. The volume, intended as a guide, will lead the reader in a pathway starting from pathophysiology and passing through laboratory data, clinical aspects, imaging, and therapeutic options. Written in the middle of the second wave, the book is the first addressing the topic and summarizing the results of studies and articles meanwhile published, thus representing a unique tool for clinicians fighting the disease. The Coagulation Labyrinth of Covid-19 is intended for clinicians working with acute and sub-acute ARDS cases: intensivists, anesthesiologists, cardiologists, hematologists, who will find in it an essential guide to manage the COVID-19 pandemic.
This book assesses the most appropriate forms of aerosol therapy for critically ill patients. Aerosol therapy is applied for the treatment of several pulmonary diseases in addition to some promising applications intended for systemic absorption. Nowadays, aerosol delivery to clinically stable patients in the outpatient settings is done easily with a lot of focus on patient counseling and enhancement of lung deposition. A lot of guidelines are available for several diseases and it could offer adequate guidance to the therapists concerning escalation or de-escalation of therapy to enhance treatment efficiency and safety. However, in critically ill patients aerosol delivery is mostly done by the choice of the respiratory therapist only according to his knowledge. The book describes the type of patients requiring aerosol therapy, different aerosol generators available for the treatment of critically ill patients, mechanisms of aerosol lung deposition, and factors affecting aerosol deposition. It also discusses the special needs of neonates and infants, transitioning aerosol from hospital to home, and the methods of aerosol delivery to different patient e.g. nasal delivery patients, ventilated patients, etc. Moreover, it reviews methods of detecting such aerosol delivery to the lung. At the end, it discusses the suggested monitoring plans and weaning protocols to ensure high efficacy and safety of the ventilatory support in such patients. Given its scope, the book can serve as guidelines or specific recommendations to maximize clinical benefits of medicated aerosols in critically ill patients and it represents a valuable resource for intensivists, pulmonologists and healthcare professionals working at ICUs.
Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field. Discusses recent changes in cardiac intensive care, including new care paradigms, new mechanical support modalities, and new therapies and interventions. Contains 11 new chapters: Palliative Care, Temporary Pacemaker Insertion, Pericardiocentesis, Distributive Shock, Electrical Storm, Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest, Temporary Mechanical Circulatory Support Devices, Cardiorenal Syndrome, Fulminant Myocarditis, Stress-Induced Cardiomyopathy, Diagnosis and Treatment of Unstable Supraventricular Tachycardia. Online access features heart sounds and murmurs to accompany the chapter on history and physical examination, videos of clinical images and key procedures, frequently updated information on late-breaking clinical trials, reviews of new research publications, and more. Concisely yet thoroughly covers acute and severe heart failure, chronic pulmonary hypertension, life-threatening dysrhythmias, aortic dissection, and other cardiac conditions as they relate to intensive care. Explains drug therapy for key cardiac drugs, such as inotropes, vasodilators, anti-arrhythmics, diuretics, anticoagulants, and anti-platelets, and discusses important drug interactions. Ideal for all healthcare professionals involved in cardiac intensive care, including intensivists, cardiologists, cardiac surgeons, residents, fellows, cardiac nurses, respiratory therapists, physical therapists, and nutritionists. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices and contains an up to date collection of all relevant ACC/AHA and ESC guidelines.
Good record keeping is essential in medicine, a point often stressed by the defence organizations. A & E records are frequently very bad - which may cause medicological problems as well as impairing effective patient care. The reason is inexperience. This book explains what it is important to record (and why) and gives examples. Good records are essential in A & E. This book explains the reasons for keeping good records and describes how A & E records should be kept, both in general terms nad emphasizing the essential information to be recorded with different mechanisms of injury and in different anatomical sites. Some performas for collecting information on examination, especially orthopaedic and neurological examination, but none which specifically covers record-keeping or even discusses it other than to stress its importance. There are pamphlets for medical students often provided by individual medical schools, but these just cover general medicine and surgery. |
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