The Comprehensive Textbook of Healthcare Simulation is a cohesive, single-source reference on all aspects of simulation in medical education and evaluation. It covers the use of simulation in training in each specialty and is aimed at healthcare educators and administrators who are developing their own simulation centers or programs and professional organizations looking to incorporate the technology into their credentialing process. For those already involved in simulation, the book will serve as a state-of-the-art reference that helps them increase their knowledge base, expand their simulation program's capabilities, and attract new, additional target learners. Features: * Written and edited by pioneers and experts in healthcare simulation * Personal memoirs from simulation pioneers * Each medical specialty covered * Guidance on teaching in the simulated environment * Up-to-date information on current techniques and technologies * Tips from "insiders" on funding, development, accreditation, and marketing of simulation centers * Floor plans of simulation centers from across the United States * Comprehensive glossary of terminology

This issue of Critical Care Clinics focuses on two crucial topics: Enhanced Recovery in the ICU After Cardiac Surgery (guest edited by Dr. Daniel Engelman) and New Developments in Cardiopulmonary Resuscitation (guest edited by Dr. Clifton Callaway).

For nearly 40 years, Oh's Intensive Care Manual has been the quick reference of choice for ICU physicians at all levels of experience. The revised 8th edition maintains this tradition of excellence, providing fast access to practical information needed every day in today's intensive care unit. This bestselling manual covers all aspects of intensive care in sufficient detail for daily practice while keeping you up to date with the latest innovations in the field. New coverage of the latest developments in ICU imaging techniques, including ultrasound. New information on the latest advances in ECMO (Extracorporeal Membrane Oxygenation) for cardiac and respiratory failure, ARDS, septic shock, neurologic disorders, muscle function, and hemodynamic therapy. New co-editor Dr. Jonathan Handy shares his knowledge and expertise on acid-base disturbances during critical illness, critical care transfers, intravenous fluid therapy, cardiovascular physiology, burn management, sepsis, and the immunological impact of surgery and burn injury. 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.

This book provides an overview of pulmonary hypertensive diseases, the current understanding of their pathobiology, and a contemporary approach to diagnosis and treatment. It discusses the definition and classification of these disorders and the epidemiology of pulmonary arterial hypertension (PAH); explores the approach to diagnosis and evaluation via methods such as echocardiography, right heart catheterization, and cardiopulmonary exercise testing; describes the major drug classes used to treat PAH and the cell signaling pathways that they target as well as adjunct and investigative therapies; and highlights special situations that are particularly challenging in the management of PAH. Written by experts in their respective fields, Diagnosis and Management of Pulmonary Hypertension is a valuable resource for pulmonologists, cardiologists, and practitioners in internal medicine and critical care.

Inflammation in itself is not to be considered as a disease . . . and in disease, where it can alter the diseased mode of action, it likewise leads to a cure; but where it cannot accomplish that solitary purpose . . . it does mischief - John Hunter, A Treatise on the Blood, ITfIlammation, and Gunshot Woundr (London, 1794)1 As we reached the millennium, we recognized the gap between our scientific knowledge of biologic processes and our more limited clinical capabilities in the care of patients. Our science is strong. Molecular biology is powerful, but our therapy to help patients is weaker and more limited. For this reason, this book focuses on the problems of multiple organ failure (MOF), multiple organ dysfunction syndrome (MODS), and systemic inflammatory response syndrome is, patients who have severe injuries; require major, (SIRS) in high-risk patients, that overwhelming operations; or have serious illnesses requiring intensive care; patients who have diseases elsewhere, in other organs or systems, that limit their capabilities to survive a new insult; and patients who are elderly or at high risk for sepsis or other complications. These are the patients who need our help. They need the advances in science, in molecular biology, immunology, pathophysiology, biochemistry, genetics, high technology, and other areas of maximum support at the bedside. These advances could potentially have the greatest impact on improving patient care.

This book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, is a graphical, dense and concise text describing fundamental theoretical concepts needed for doctors and other professionals new to the field of Intensive Care Medicine. The book serves two main purposes: as study material for any junior doctor, nurse or other allied healthcare professional who is time-pressured and wants to quickly learn the essentials; and as a course volume of new ESICM educational initiative called Intensive Care Fundamentals (c). The overarching goal of this initiative is to offer standardised high-quality introductory education to all starters in intensive care. There are two key elements of this initiative: the book, which is the prerequisite reading for attending the two day face-to-face course and the materials, registration of candidate and training and certifying the trainers that will be provided by ESICM.

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 issue of Critical Care Clinics, Guest Edited by Dr. Stephen M. Pastores and Dr. Wendy R. Greene, focuses on Critical Care of the Cancer Patient (Pastores) and Geriatric Critical Care (Greene). Dr. Pastores' section of the issue is devoted to Critical Care of the Cancer Patient and includes the following topics: Triage and Prognostication of Cancer Patients Admitted to the ICU; ICU Organization and Interdisciplinary Care for Critically Ill Patients with Cancer; Critical Care of the Hematopoietic Stem Cell Transplant Recipient; Management of Drug Toxicities; Acute Kidney Injury in the Critically Ill Patient with Cancer; Infectious Disease Complications in Cancer Patients; and Palliative, Ethics, and End-of-Life Care Issues in the Cancer Patient. Dr. Green's section of the issue, devoted to Geriatric Critical Care, includes the following topics: The effect of aging physiology on critical care; The frailty syndrome: a critical issue in geriatric oncology; Detection of delirium in the intensive care unit: comparison of confusion assessment method for the intensive care unit with confusion assessment method ratings; Evidence-based geriatric nursing protocols for best practice; The effect of dementia in the critically ill geriatric patient; Nutritional assessment: a primary component of multidimensional geriatric assessment in the ICU; Rehabilitation concerns in the geriatric critically ill and injured; and Geriatric palliative care.

This issue of Critical Care Clinics, guest edited by Dr. Mitchell M. Levy, focuses on Biomarkers in Critical Care. This is one of four issues each year selected by the series consulting editor, Dr. John Kellum. Articles in this issue include, but are not limited to: The History of Biomarkers; Biomarkers for Identifying Infection; Procalcitonin: Where Are We Now?; Soluble TREM-1: Diagnosis or Prognosis?; Lubricin as a Biomarker in Sepsis; Check Point Inhibitors and Their Role in Immunosuppression in Sepsis; Metabolomics and the Microbiome as Biomarkers in Sepsis; Lactate: Where Are We Now?; Predicting Renal Dysfunction; Biomarkers in the Evolution of ARDS; Biomarkers and RV Dysfunction; Biomarkers and Precision Medicine: State of the Art; The Use of Biomarkers for Population Homogeneity in Clinical Trials; and The Future of Biomarkers.

Der Pocketguide unterstutzt Intensivmediziner im Klinikalltag dabei, die richtige Entscheidung bei der Dosierung zu treffen, das empfohlene Diagnostikschema oder die passende Therapiestrategie zu finden. Die Autoren bringen das Wissen, das auf Intensivstationen gebraucht wird, stets auf den Punkt und gehen auch auf Spezialthemen wie Schwangere auf der Intensivstation oder padiatrische Intensivmedizin ein. Zahlreiche Tabellen und Ubersichten helfen, die benotigten Informationen schnell zu finden. Der Band enthalt die Reanimations-Leitlinien 2011."

Close monitoring of patients during anesthesia is crucial for ensuring positive treatment outcomes and patient safety. The increasing availability of new technologies and the repurposing of older monitors means more patient data is at anesthesiologists' fingertips than ever before. However, this flood of options can be overwhelming. A practical resource for understanding this array of clinical monitoring options in anesthesia, this important text focuses on real-world applications in anesthesia and perioperative care. Reviewing the evidence for improved patient outcomes for monitoring technology, neurological monitoring, echocardiography systems and ultrasound are amongst the techniques covered in a head-to-toe approach. Statistics used by manufacturers to gain approval for their technology are discussed, as well as the under-appreciated risks associated with monitoring such as digital distraction. Future monitoring technologies including wearable systems are explored in depth. Focusing on applied practice, this book is an essential text for front-line healthcare professionals in anesthesia.

Stehen Sie als Facharzt kurz vor Ende der Zusatzweiterbildung oder wollen in der Intensivmedizin arbeiten? Dann koennen Sie Ihr Wissen mit diesem Taschenbuch oder der App SN Flashcards optimal uberprufen! UEber 170 Multiple-Choice-Fragen mit kommentierten Antworten bringen Sie auf den aktuellen Stand von Themen der Intensivmedizin wie Pharmakotherapie, Atmung und Beatmung, Infektiologie, Notfalle und Komplikationen. Plus: Fallorientierte Fragen und Auszuge wichtiger klinischer Studien mit Kernaussagen. Neu: komplett aktualisiert plus App SN Flashcards zum digitalen Lernen und Wiederholen. So koennen Sie sich jederzeit und gezielt auf ausgewahlte Themen vorbereiten. Ideal fur Facharzte der Anasthesiologie, Chirurgie, Innere Medizin, Neurochirurgie, Neurologie und Wiedereinsteiger in der Intensivmedizin.

This issue of Critical Care Clinics, Guest Edited by Dr. Rinaldo Bellomo, focuses on Modern Critical Care Endocrinology. Article topics include: Diabetes insipidus and SIADH in the ICU; Estrogen therapy in ICU patients; The angiotensin family, ACE and ACE 2; Angiotensin II in vasodilatory shock; Vasopressin in vasodilatory shock; Hydrocortisone in vasodilatory shock; Erythropoietin in trauma and critical illness; HbA1c and permissive hyperglycemia in diabetic ICU patients; Osteoporosis and the critically ill patient; New oral agents for the treatment of diabetes; Melatonin in critical care; The incretins in ICU patients; Hepcidin; Thyroid hormone therapy in the ICU; and Hormonal therapy in organ donors.

Ethical issues facing anesthesiologists are more far-reaching than those involving virtually any other medical specialty. In this clinical ethics textbook, authors from across the USA, Canada and Europe draw on ethical principles and practical knowledge to provide a realistic understanding of ethical anesthetic practice. The result is a compilation of expert opinion and international perspectives from clinical leaders in anesthesiology. Building on real-life, case-based problems, each chapter is clinically focused and addresses both practical and theoretical issues. Topics include general operating room care, pediatric and obstetrical patient care, the intensive care unit, pain practice, research and publication, as well as discussions of lethal injection, disclosure of errors, expert witness testimony, triage in disaster and conflicts of interest with industry. An important reference tool for any anesthesiologist, whether clinical or research-oriented, this book is especially valuable for physicians involved in teaching residents and students about the ethical aspects of anesthesia practice.

With collaboration from Consulting Editor, Dr. Jan Foster, Dr. Beth Diehl has created a current issue that updates the topic of neonatal nursing. Expert authors have contributed clinical reviews that address the following topics: Family Centered Care and Multidisciplinary Rounding in the NICU; Standardized Feeding Protocols and NEC; Preventing Hypoglycemia: Finding the Sweet Spot; The EMR and Big Data in Neonatology; Fetal Surgery and Delayed Cord Clamping: Neonatal Implications; Neonatal Encephalopathy: Current Management and Future Trends; Modes of Neonatal Ventilation; Neonatal Resuscitation: NRP 7th Edition Practice Integration; Neonatal Pain: Perceptions and Current Practice; Neuroprotective Developmental Care for the Preterm Infant in the first 72 Hours of Life; NAS: An Uncontrollable Epidemic; and Neonatal Transport: Current Trends and Practices. Readers will come away with the current clinical information they need to improve patient outcomes in the NICU.

This issue of Critical Care Clinics, Guest Edited by Dr. Kenneth McCurry and Dr. Ali Al-Khafaji, focuses on Critical Care of the Solid Organ Transplant Patient. Dr. McCurry's section of the issue is devoted to Heart and Lung Transplants and includes the following topics: Long term outcomes of transplantation; Mechanical ventilation; Pulmonary hypertension therapy; Extracorporeal membrane oxygenation; Perioperative management of the lung graft following lung transplantation; Perioperative management of the heart graft following heart transplantation; Renal complications following lung and heart transplantation; and Infection and other complications following transplanation. Dr. Al-Khafaji's section of the issue is devoted to Liver, Kidney, and Small Bowel Transplants and includes the following topics: The immediate postoperative period; Live donor liver transplant; Graft dysfunction and management; Extracorporeal devices; Infectious complication following solid organ transplants; and Cardiac, renal, neurological, and gastrointestinal complications.

Dieses Buch gibt einen spannenden und unterhaltsamen Einblick in die Akutmedizin. Es begleitet ein AErzteteam bei seiner Arbeit und verpackt die medizinischen Fakten in Geschichten. Es soll Wissen vermitteln, ohne zu langweilen und jungen Medizinern dabei helfen, sich auf die Zeit in Notaufnahme und Intensivstation vorzubereiten. Dabei kommt neben dem Fachwissen auch das Zwischenmenschliche nicht zu kurz. Vom ersten Symptom uber die Behandlung in der Notaufnahme bis zur Versorgung auf der Intensivstation Faktencheck zu jedem Fall - das Hintergrundwissen zu Diagnostik und Therapie Fragen am Kapitelende zum Selbsttest Der Autor Dr. Marian Poetzsch ist Facharzt fur Innere und Allgemeinmedizin, Notfall- und Intensivmediziner. Seine Ausbildung machte er in den Bereichen Innere Medizin, Chirurgie, Padiatrie und Anasthesie. Er ist Leiter der interdisziplinaren Notaufnahme am Klinikum Landshut.

Die künstliche Ernährung von Intensivpatienten kann, wenn sie gezielt eingesetzt wird, die Dauer des Krankenhausaufenthalts verkürzen. In dem Band werden die Grundlagen der verschiedenen Arten künstlicher Ernährung (enteral und parenteral) übersichtlich und praxisorientiert erläutert. Auch die besonderen Bedürfnisse von Neugeborenen, von kachektischen Patienten, Patienten mit Organinsuffizienzen oder Sepsis werden behandelt. Die Inhalte orientieren sich an den Leitlinien der Deutschen Gesellschaft für Ernährungsmedizin (DGEM).

This issue of Critical Care Clinics focuses on Rapid Response Systems and Fluid Resuscitation, with topics including: RRS Now; Triggering Criteria: Big Data; Triggering Criteria: Continuous Monitoring; Measuring instability; Surgery/Trauma RRT; Obstetric RRT; Difficult airway rapid response teams; and Sepsis rapid response teams.

This issue of Critical Care Clinics, edited by Mervyn singer and Manu Shankar-Hari, includes: Sepsis 3.0 Definitions; Epidemiology and Outcomes; Pathophysiology of sepsis; Pathophysiology of Septic shock; Mechanism of organ dysfunction in sepsis; Endocrine and metabolic alterations in sepsis: challenges and treatments; The immune system in sepsis; Nutrition and Sepsis; Common sense approach to managing sepsis; Biomarkers for sepsis and their use; Personalizing sepsis care; Novel interventions - What's new and the future; and Long term outcomes following Sepsis.

This issue of Neurologic Clinics, edited by Dr. Alejandro A. Rabinstein, will cover Neurocritical Care. Topics include, but are not limited to: Anoxic Brain Injury; Treatment of Intracranial Hypertension; Management of Traumatic Brain Injury; Cortical Spreading Depression and Ischemia in Neurocritical Patients; Temperature Control in Acute Brain Injury; HSV Encephalitis; Primary Acute Neuromuscular Respiratory Failure; ICU-Acquired Weakness; Emergency and Critical Care Management of Intracerebral Hemorrhage; New developments in Refractory Status Epilepticus; Acute Cardiac Complications in Critical Brain Disease; Nosocomial Infections in Neurocritical Patients; Neurological Complications after Solid Organ Transplantation; and Shared Decision Making in the NICU.

The topics in this issue represent the most current research areas of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Collaborative Pediatric Critical Care Research Network (CPCCRN). The CPCCRN is a national pediatric critical care research network that is charged with investigating the efficacy of treatment and management strategies to care for critically ill and injured children, as well as to better understand the pathophysiological basis of critical illness and injury in childhood. The proposed authors are past and present principal and co-investigators affiliated with the CPCCRN; the proposed topics represent the individual author's area of clinical and research expertise. Each review article is an up-to-date review of the topic relevant to practicing clinicians and trainees in critical care medicine, with incorporation of the most recently published research findings pertinent to the topic, some of which may be the author's own. The specific articles are devoted to the following topics: Cardiopulmonary resuscitation in pediatric and cardiac ICU; Approach to the critically ill pediatric trauma patient; Transfusion Decision Making in Pediatric Critical Illness; Pathophysiology and management of ARDS in children; Ventilator associate pneumonias in critically ill children; Mechanical ventilation and decision support in pediatric intensive care; Inflammation, pathobiology, phenotypes and sepsis: From meningococcemia to H1N1-MRSA, to Ebola; Immune paralysis in pediatric critical care; Molecular biology of critical illness; Sedation in pediatric critical illness; Delirium in pediatric critical illness; Challenges of drug development in pediatric intensive care; Potential of All Steroid Hormone Subclasses as Adjunctive Treatment for Sepsis; Morbidity: Changing the outcome paradigm; and End-of-Life and Bereavement Care in Pediatric Intensive Care Units.

This issue of Critical Care Clinics focuses on Mechanical Circulatory Support. Editors Nitin Puri and Michael Baram have assembled an expert team of authors on topics such as: History of ECMO; Evolution current technique and equipment; Program Development; Review ELSO standards; Cardiac Failure of medical management; Cardiac Management and Complications; Pre-Respiratory; Respiratory Management and Complications; Post ECMO management; Post ECMO complication; DVT; Transport- Interhospital and How to prep patient; ECHO; Family understanding of ECMO (to cannulate or not); Pharmacy, Nutrition, Blood Management; Transport; The future of ECMO and ventilation.

This issue of Critical Care Clinics focuses on Psychiatric Aspects of Critical Care Medicine. Editor Jose Maldonado has assembled an expert team of authors on topics such as: Psychiatric Aspects of Organ Transplantation in Critical Care; Medical Complications of Psychiatric Treatment; Psychiatric and Palliative Care in the ICU; Psychiatric Aspects of Heart and Lung Disease in Critical Care; Alcohol Withdrawal Syndromes: Assessment and Management; Substance Abuse and Withdrawal in the Critical Care Setting; Mood Disorders and The Outcome of Suicidal Thoughts and Attempts; Anxiety Disorders and the Outcomes of Trauma; Assessment and Management of Toxidromes in the Critical Care Unit; Neuropsychiatric Consequences of Trauma and Head Injury; Detection and Management of Pre-Existing Cognitive Impairment in the Critical Care Unit; Delirium: Pathophysiology, Diagnosis and Treatment; Neuropsychiatric Aspects of Infectious Processes.

This comprehensive book provides an in-depth examination of a broad range of procedures that benefit from ultrasound guidance in the point-of-care setting. It covers common procedures such as ultrasound-guided central and peripheral venous access to regional nerve blocks, temporary pacemaker placement, joint aspirations, percutaneous drainage, a variety of injections and airway management. Chapters examine a variety of topics critical to successful ultrasound procedures, including relevant sonoantomy, necessary equipment, proper preparation, potential complications, existing evidence and how to integrate these procedures into clinical practice. For each procedure, the book includes step-by-step instructions and discusses the advantages of ultrasound guidance over traditional techniques. Providing rich procedural detail to help in clinical decision making, The Ultimate Guide to Point-of-Care Ultrasound-Guided Procedures is an indispensable, go-to reference for all health care providers who work in a variety of clinical settings including primary care, emergency department, urgent care, intensive care units, pediatrics, pre-hospital settings and those who practice in the growing number of new ultrasound programs in these specialties.