Revision Notes in Intensive Care Medicine is a key resource for candidates preparing for postgraduate intensive care examinations. Mapped to the FFICM, EDIC and FCICM syllabuses, this title ensures candidates have all the information needed to prepare for their examinations. Information is presented in concise note form and bullet points with visually memorable tools, such as tables and diagrams, making revising and retaining key facts easier. Chapters are arranged into physiological systems, such as 'Respiratory Intensive Care' and 'Obstetric Intensive Care', and are subdivided into major clinical issues within each chapter so specific areas of further study can be found easily. Drawing from the authors' experiences as successful candidates, and carefully reviewed by consultants, Revision Notes in Intensive Care Medicine provides the foundation for postgraduate intensive care exam revision.

Linking existing knowledge to new knowledge by presenting it in the form of a case or a problem is a popular and effective educational approach resulting in better retention of the knowledge and improved ability to apply that knowledge to solve real problems. This problem-based learning (PBL) method was introduced into medical education at McMaster University in Ontario, Canada, in 1969. Since then it has been widely incorporated into secondary, undergraduate, and graduate education in a variety of disciplines worldwide. This new volume for the Anesthesiology Problem-Based Learning series reviews pediatric anesthesia utilizing the PBL approach. Each chapter deals with conditions and problems in pediatric anesthesia practice presented as a case stem with questions to encourage critical thinking, followed by an evidence-based discussion and multiple-choice questions for self-assessment. Cases were carefully selected to present a broad systems-based tour of commonly encountered clinical cases in pediatric anesthesia. The book can be used to review an upcoming clinical case or as a PBL tool. The 'Stem Case and Key Questions' and 'Discussion' sections can serve as the basis for interactive learning experiences for study groups or as a broad yet in-depth clinical review of the subspecialty for the individual learner. Self-assessment questions can be used as a measure of knowledge acquisition or simply as a question bank to prepare for examinations.

"Critical Care MCQs" is the perfect companion for anyone sitting exams in intensive care, as a training resource or just wanting to improve their knowledge in this constantly developing area of medical practice. Written by critical care doctors with experience of UK and European examination formats, this book leads the reader through 450 true/false questions with referenced explanations, covering core syllabus topics and key influential papers to date. A detailed list of further resources and recommendations relevant to critical care revision is also provided to enable readers to further their knowledge and understanding. It is hoped that this book will prove invaluable for preparation and success in upcoming intensive care exams for both candidates and trainers. This book would be useful for not only candidates sitting the UK Final Fellowship of Intensive Care Medicine (FFICM) and European Diploma of Intensive Care (EDIC) exams, but also the Indian Diploma in Critical Care Medicine (IDCCM), the Diploma of the Irish Board of Intensive Care Medicine (DIBICM), the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (CICM), American Board and any other examinations related to intensive care.

Patients with a range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address their needs, whether pre- or post-surgery. This new edition of The Perioperative Medicine Consult Handbook provides useful information, advice, and guidelines based on a combination of clinical experience and evidence-based medicine. It covers topics in many major clinical areas (anesthesiology, cardiology, pulmonology, gastroenterology, rheumatology, endocrinology, and many others) and puts critical surgery information at a consult physician's fingertips. New to this edition are chapters on thyroid disease, restrictive lung disease, sickle cell disease, inflammatory bowel disease, nutrition, and perioperative care of elderly patients. The entire volume has been streamlined for a more precise presentation of essential perioperative management guidelines. Originally created by the Medicine Consult Service team at the University of Washington Medical Center, and now fully updated into a comprehensive second edition, this quick reference is sure to be indispensable for residents and consult physicians alike.

An indispensible pocket reference for critical care trainees, consultants and intensive care nurses, this new Oxford Specialist Handbook provides an evidence-based approach to all aspects of patient care in cardiothoracic intensive care. Written in the Oxford Handbook format, each section is comprised of short topics ideal for quick reference. Portable, accessible, and reliable, the book equips the clinician with the basic scientific and clinical knowledge to safely assist in formulating management plans, based on current best practice. Cardiothoracic Critical Care addresses major recent developments in cardiothoracic critical care, such as cardiovascular support, mechanical support (IABP, VADS, and ECMO), and drug therapies such as nitric oxide and other new inotropic agents. The management of postoperative bleeding is covered in detail, as it increasingly involves updated fluid and blood-product therapies including blood preservation techniques such as cell salvage.

The complex IT requirements of a critical care unit have led to the development of numerous information systems. In this concise handbook, the authors share their experience and research findings on how to unleash the power of the technology and overcome potential problems. Clinical Information Systems in Critical Care explains the key aspects of the information systems currently available, covering topics such as how to select the best system to match the requirements of a critical care unit, the issues surrounding data maintenance, patient confidentiality and the concept of the paperless patient record. It discusses both the benefits that may justify investment in the technology and hurdles that may arise, and offers advice for avoiding common problems. Clinical Information Systems in Critical Care is essential reading for all clinicians and health managers involved in developing, implementing, maintaining and using clinical information systems.

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.

"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.
We make a final turn and the scene comes into view. There's a lone police car; its light bar extinguished so as not to call attention to itself. We follow suit and shut our lights and siren off as we approach. In the center of the rain-soaked street, a crowd has gathered. A woman is screaming, being held up by friends or family. A man lies crumpled in the middle of the road next to his wheelchair. The cop looks nervous as we roll to a stop and exit the ambulance. 'He's been shot - a lot, ' he shouts from about 10 feet away.
The decibel level immediately increases from the crowd of distraught onlookers. We know we're going to have to work quickly to try to save the patient and get away from the scene for our own safety. We grab the heart monitor, oxygen, trauma bag and the stretcher for the fourth time this shift and once again go wading into chaos..."
Paramedics and EMTs are the front line of the world's emergency medical system and serve as eyewitnesses to some of life's most precious and equally most tragic moments.
Wading Into Chaos, written by a veteran paramedic, gives you a first hand, real life glimpse inside the chaotic world of Emergency Medical Services. Ride along and experience the emotions, the frustration, the sadness and the dark humor that accompanies responding to fatal car crashes, 14-year-old suicides, inner city gang violence, train accidents, med-e-vac helicopter landings, and the forgotten elderly who just need someone to talk to.

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

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.

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."

Respiratory disease is the most common reason for admission to intensive care, and advanced respiratory support is one of the most frequently used interventions in critically ill patients. A clear understanding of respiratory disease is the cornerstone of high quality intensive care. Although a plethora of literature is available, both in print and online, finding the necessary relevant information can be difficult and time consuming. This handbook provides comprehensive clinical detail in an easily readable format. It is written by practising clinicians and has both in-depth theoretical discussion and practical management advice. The book is divided into sections: Section 1 deals with the approach to the patient with respiratory failure - including pathophysiology, investigation and diagnosis Sections 2 covers non invasive treatment modalities Sections 3 and 4 examine invasive ventilation in detail. Section 3 considers the principles of mechanical ventilation while section 4 deals with individual ventilator modes Section 5 discusses the management of the ventilated patient including sedation, monitoring, asynchrony, heart - lung interaction, hypercapnia and hypoxia, complications, weaning and extubation. It also has chapters on areas less frequently covered such as humidification, suction, tracheal tubes and principles of physiotherapy Section 6 is a comprehensive breakdown of each respiratory condition seen in ICU. This book is designed to bridge the gap between Intensive Care starter texts and all-encompassing reference textbooks. It is aimed at consultants and senior trainees in Intensive Care Medicine, senior ICU nursing staff, consultants in other specialties and allied healthcare professionals who have an interest in advanced respiratory critical care.

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.

The objective structured clinical examination (OSCE) has become widely employed in intensive care medicine (ICM) exams such as the UK Final Fellowship of Intensive Care Medicine (FFICM), the European Diploma of Intensive Care (EDIC) exam, or the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (CICM). This book is not only an essential tool for the rehearsal of OSCEs in preparation for these exams, but also for American and Indian exams, and any other exams within the field of intensive care medicine. The OSCE is a style of examination that requires the candidate to present specific information in a short space of time matched to a prescriptive mark scheme. This book allows candidates preparing for an ICM OSCE to format their knowledge for this type of examination whilst practising and rehearsing against time. The 60 OSCE stations provide a broad array of topics from past exams ranging across the training ICM curriculums. The mark schemes are presented in a short, punctuated form allowing the candidate access to important points, ideal at the sharp end of an exam campaign. The 5 sets of OSCE exams are designed to run as a set of 12. Each set will have an array of clinical scenarios requiring swift assessment, diagnosis, recommendations for investigations and management, whilst also exploring aspects of pathophysiology. There are a number of data-interpretation tools that are incorporated into clinical scenarios as well as standalone stations for electrocardiogram and radiology analysis. This book is an important preparatory tool crucial to the armamentarium of any candidate preparing for an ICM exam.

Emergency bedside ultrasound assessment is well established for adult patients, but has only recently been introduced into everyday clinical practice for the care of pediatric patients. Pediatric Emergency and Critical Care Ultrasound is a concise, practical text which explains the principles of ultrasound, its diagnostic application in all organ systems and its use as a procedural adjunct. Both well-established and innovative applications are described, assisting the practitioner in incorporating ultrasound into daily practice, facilitating patient care and decreasing radiation exposure. Case studies and abundant illustrations enable the reader to study the appropriate techniques in detail and learn from real examples from the pediatric emergency department and intensive care unit. Pediatric Emergency and Critical Care Ultrasound is the first comprehensive bedside ultrasonography resource focusing on pediatric patients and is essential reading not only for pediatric emergency medicine subspecialists but for all emergency physicians, intensivists/critical care physicians and pediatricians.

This comprehensive third edition provides robust support to clinicians providing perioperative care for patients. Patients with a range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address their needs, whether pre- or post-surgery. This book offers evidence and experience-based information, advice, and guidelines on all aspects of perioperative medicine. Care around surgeries in many major clinical areas are included, including cardiology, pulmonology, gastroenterology, rheumatology, endocrinology, and so on. This new edition has been updated throughout with the latest literature, more visual content (tables and algorithms), and eleven new chapters on topics such as: chronic pain, congestive heart failure, hormone therapy and transgender patients, and postoperative hypoxemia. This new edition focuses on high value care in order to improve outcomes, including minimizing complications and readmissions. It also provides streamlined key points for caring for patients with medical diagnoses that may be especially complicated around surgery. This resource is invaluable for practicing physicians (including medical consultants, surgeons, and anesthesiologists) and other professionals who aim to optimize care of surgical patients.

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.

This textbook comprehensively covers mechanical ventilation in neonates and children integrating the latest knowledge and understanding of developmental biology, age-related and disease-specific physiologic differences in the practice of mechanical ventilation. The physiology associated with ventilation and lung mechanics are described. Guidance is provided on how to carry out a range of clinical assessments appropriately, including those for ventilation, mechanics and breathing control. Available pathophysiology-based management strategies for a range of situations including respiratory failure and ventilatory failure are also provided. Mechanical Ventilation in Neonates and Children: A Pathophysiology Based Management Approach broadly covers a range of topics associated with mechanical ventilation in children and neonates. It is a valuable resource for specific seminars or courses that concentrate on respiratory failure in children and for those preparing for board certification examinations for neonatal/perinatal medicine and pediatric critical care medicine.

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.

A working knowledge of wound healing is essential in modern clinical practice. This knowledge draws on the expertise of a wide range of specialists - general and plastic surgeons, dermatologists, geriatricians, nurses, microbiologists, pathologists, biologists, and biochemists. This book presents a full appraisal of accepted knowledge in wound management, drawing on the expertise of leading specialists in all the fields concerned. It is extensively illustrated, and includes essential, practical advice. Throughout, the emphasis is on the control of healing, and particularly, the recognition of adverse factors.

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.

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.