'Deeply affecting - a personal memoir that grips, harrows, inspires and, ultimately, uplifts with its vein of deep humanity' Philippe Sands' An extraordinarily frank book laced with humour and self-deprecation' The Times As a doctor on the intensive care unit at one of London's top hospitals, Jim Down has spent his life working as healthcare's last resort, where each day reveals a new challenge. But nothing could prepare Jim and his colleagues for the events of spring 2020, when the Covid-19 pandemic put them on the frontline of a global health crisis. In Life Support, Jim tells the extraordinary month-by-month story of how, as the world came to a standstill, he and his co-workers faced down the biggest challenge in the history of the NHS. Full of warmth, honesty and humour, this book is a gripping and moving testament to the everyday heroism of the NHS staff in a global emergency, and an unforgettable insight into what was really happening on the wards as we clapped on our doorsteps.

The adult critical care setting requires complex clinical decisions to be made that have a dramatic impact on the lives of patients and their families. This textbook offers evidence-based case histories around shared decision making, providing practical advice to clinicians who are trying to navigate routine clinical scenarios in adult critical care. Early chapters explore the definition of the shared decision making process and practical steps that aid its implementation. The greater part of the book focuses on how shared decision making can be practiced in specific situations that are common in adult critical care, highlighting the relevant knowledge base necessary to manage each situation. Do-not-resuscitate and do-not-intubate orders, ECMO, and resolving conflicts regarding potentially inappropriate treatment are among the topics covered. An essential resource for healthcare professionals working in critical care and those looking for a framework for the use of shared decision making in this setting.

A case-based guide with expert commentary, Challenging Concepts in Critical Care shows how the experts approach and deal with real-life clinical scenarios. Each chapter presents a clinically challenging case complete with a case history, evidence based tips, and up-to-date learning points. To give further insight into the field, each chapter has commentary from an expert who identifies and explains the key points and controversies of the case. Practical yet rich in detail, Challenging Concepts in Critical Care is a key title for anyone preparing for intensive care exams. For each case, key information is highlighted through the use of boxes to stimulate interest and facilitate learning: 'Learning points', 'Clinical tips', 'Evidence base', and 'Expert commentary'. With new information on key trials, clinical practise, and evidence based research, this book is also an invaluable resource for experienced critical care clinicians looking for a concise update on a wide range of challenging topics in the field. In addition, it is of high value to senior ICU nurses, allied health professionals, and anyone with an interest in intensive care medicine.

Neurocritical Care Pharmacotherapy: A Clinican's Guide is a practical, succinct but comprehensive pharmacy handbook provides up-to-date clinical guidance on the effective selection, prescription, and usage of neurocritical care drugs for patients with acute neurologic illnesses. The treatment of the critically ill neurologic patient is often difficult, specialized, and includes drugs infrequently used in other intensive care units such as antiepileptic drugs, osmotic agents or acute immunotherapy such as intravenous immunoglobulin and plasma exchange. This text discusses choosing the right combination of drugs; how to correctly prescribe and administer the drugs; how to monitor drug efficacy and side effects; how neurocritical care drugs interact with other medications; and comprehensive coverage of current treatment options. Key Feature of this Manual Include * A brief discussion of the basic pharmacology of each neurocritical drug, with an emphasis on how to select and use these drugs in multiple clinical contexts. * 150 drugs accompanied by a diagram for quick comprehension and drug administration guides. * Unique blending of expertise of neurointensivist with a critical care pharmacist to provide a vital resource for both specialities * References for further reading that are oriented toward utility in clinical practice.

Intensive care medicine is a rapidly expanding medical speciality that commands a significant proportion of health care resources. It is predicted that the demand on intensive care resources will rapidly increase in the foreseeable future, partially due to an ageing elderly population. There is an increasing wealth of literature as to the nature of the intensive care multi-disciplinary team, and how this impacts patient morbidity and mortality. This book presents current research from around the globe in the study of intensive care units including: intensive care unit staffing and its impact on patient outcome; medical and nursing intensive care delivery; acute compartment syndrome on intensive care units; and blood transfusions in the intensive care unit.

Rapid Response System: A Practical Guide provides a practical approach to the evaluation, differential diagnosis, and management of common medical and surgical emergencies such as cardiac arrest, acute respiratory failure, seizures, and hemorrhagic shock occurring in hospitalized patients. Less common and special circumstances such as pediatric, obstetric, oncologic, neurologic and behavioral emergencies as well as palliative care for terminally ill patients encountered in the context of rapid response team events are also discussed. An overview of commonly performed bedside emergency procedures by rapid response team members complements the clinical resources that may need to be brought to bear during the course of the rapid response team event. Finally, an overview of organization, leadership, communication, quality and patient safety surrounding rapid response team events is provided. This book is written with medical students, junior physicians and nursing staff in mind working in both academic and community hospital settings. Both a novice and an experienced healthcare provider involved in a rapid response system will find this handbook to be valuable supplement to the clinical experiences gained though active engagement in the system. Hospital administrators and senior management staff will also find this book to be useful in the evaluation of quality and performance of the rapid response system, management of staff attitudes and behavior, performance of peer review, care for second victims and implementation of countermeasures for patient safety problems discovered in the course of rapid response system reviews.

Demand for neuromonitoring in neonatal, pediatric and cardiac intensive care units continues to grow, motivated by increased awareness of the high prevalence of seizures among critically ill neonates and children, and emerging evidence that these seizures can contribute to brain injury. This book provides physicians, nurses and trainees caring for critically ill newborns and children with a practical overview of how to use and interpret continuous neuromonitoring to enhance patient care. Authored by international experts from diverse institutions and professional backgrounds, this is a practical guide that is accessible to intensive care specialists, but also comprehensive enough to serve as a reference book for neurologists and neurophysiologists. Concise enough to be read cover-to-cover and illustrated with over thirty case-based examples, this authoritative reference will guide readers in accurate neuromonitoring interpretation and optimal use of conventional EEG, amplitude-integrated EEG and other quantitative EEG techniques.

Das Buch fur jede Kinderintensivstation gibt in knapper Form praktische Handlungsanweisungen, damit Sie die Versorgung der kleinen Patienten erfolgreich meistern. Komplett uberarbeitet und an die aktuellen Leitlinien und Therapiekonzepte angepasst, ist die Neuauflage ubersichtlich nach Organen eingeteilt, die wichtigsten Angaben zu den haufigsten Erkrankungen und Verfahren sind stichwortartig aufgelistet. Die Diagnostik und praktische Therapiehinweise sind so hervorgehoben, dass sie auf einen Blick zu erfassen sind.

This is a comprehensive but concise reference that documents the nature and importance of the injury problem in the United States. For each of more than sixty causes of injury, data are presented by age, race, sex, geographic area, urban/rural residence, and per capita income. This second edition includes new chapters on injuries related to sports, work, aviation, and large trucks. Also new are many analyses subdivided by four racial groups as well as age and sex, made possible by the use of mortality data from a seven year period. The updated analyses of time trends throughout the book document major reductions in death rates over the past decade. As a statistical compilation, the book offers users a quick reference to valuable detail, much of which would otherwise be inaccessible. It also discusses reasons for many of the extreme differences among groups of people in injury death rates and describes promising avenues to prevention. This accessible, readable reference will be valuable to public health personnel, physicians, epidemiologists, safety planners and policy makers.

This 14th volume of Advanaes in Neurosurgery includes the papers presented at the 36th Annual Meeting of the German Society of Neurosurgery in Berlin, May 12-15, 1985. I would like to take this opportunity to thank the members of the program committee of the Society, Priv.-Doz. Dr. Klinger, Professors Brock, Dietz, Frowein, Lausberg, Wlillenweber, and Dr. Reuter for their assistance in selecting the contributions and in organizing the scientific program. The first main topic of the meeting was Spinal Cord Tumors. Introductory lectures dealing with basic anatomic knowledge, neuropathological as pects, and neurologic problems were followed by reports on examinations using conventional neuroradiology, scintiscanning, computer tomography as well as the most recent method in the diagnosis of spinal tumors, the magnetic resonance tomography. Also presented were the results of a multicentered study on spinal tumors, ascertained in cooperation with 43 German and Austrian neurosurgical clinics. The participants reported in great detail on the statistical data they recorded from 3056 cases and on the scientific findings obtained from this study. The session concluded with lectures on the possibilities for surgical treatment of spinal tumors and on oncologic and radiotherapeutic mea sures. E: x: perimental Neurosurgery was the second main topic. Leading authorities in the field presented interesting papers on topics such as the therapy of vasculogenetic brain edema, the determination of neurotransmitters in brain tumors, results of cerebral blood flow measurement, and im proved operative techniques using laser radiation."

Authored by three world experts, this is a clinically focused book on pediatric anesthesia. "The Manual", as it is known, has long dominated the market for a succinct and practical resource on administering anesthesia to children and is used by residents, general anesthesiologists, nurse anesthetists, and pediatric anesthesiologists. This new edition retains the basic structure of the book and is updated throughout. Text-heavy in the current edition, the Seventh Edition features the addition of figures to chapters where they are especially helpful (eg, the chapter on cardiovascular surgery and cardiac procedures) and makes greater use of headings to break up the text and guide reading. From reviews of the Sixth Edition:" This is an extremely well written book that I would recommend highly to anyone involved in anaesthetizing children. It is comprehensive enough to provide an excellent reference for trainees and general anaesthetists who occasionally deal with paediatric cases, while at the same time giving valuable supplemental information for paediatric anaesthetists encountering an unusual procedure or condition. In short, this is a book that would make a welcome addition to any anaesthetist's mobile library." --Anaesthesia

The Oxford Handbook of Pre-hospital Care provides the reader with authoritative, evidence-based advice on the assessment and management of pre-hospital care emergencies. It is designed to provide information for all immediate care practitioners including doctors, paramedics, emergency care practitioners, nurses and voluntary aid society members. The Oxford Handbook format and its pocket size make its content readily accessible and it can be carried easily in jackets or other personal protective clothing. Each section defines the important clinical features of the named condition and includes boxes containing essential advice. The treatment section incorporates national and international guidelines and protocols where available and reflects contemporary best practice. Topics include scene safety, personal protective equipment, basic and advanced life support, head injuries, chest injuries, abdominal and pelvic injuries, spinal injuries, musculoskeletal injuries, medical emergencies, mass gathering incidents, major incidents, burns and related problems. The authors have broad experience in pre-hospital care including civilian and military practice in various fields including medical emergencies, road traffic collisions, entrapments, ballistic trauma and major incidents. This is the essential quick-reference guide to pre-hospital medicine!

Prepare with confidence for the FFICM and EDIC with this dedicated guide featuring 300 original multiple choice (MCQ) and single best answer questions (SBAs) covering the whole FICM curricula. Organized into ten practice papers so readers can practice the style and format of the real exam, questions cover a broad range of intensive care topics for postgraduate exams. Each answer includes a full explanation, up-to-date evidence-based guidelines and sources for further reading to ensure high-quality self-assessment. Written by a team of consultants, these original and high-quality questions have been developed over years of clinical experience. This invaluable resource provides intensive care medicine trainees with an ideal companion for the FFICM and EDIC and other postgraduate critical care exams.

Delivering Emergency Medicine involves constant challenges to the emergency clinician, seen in the frequency of severely unwell patients, the wide breadth of conditions encountered, and the urgency required in diagnosis and treatment. Concise, and, critically, accessible, Algorithms for Emergency Medicine supports the key decision-making requirements of clinicians working in the Emergency Department. Designed to support rapid problem solving, this resource covers everything from common non-life-threatening emergencies such as headaches to life-threatening acute events such as major traumas. Each topic is divided into two; the left page provides essential knowledge, and on the right, an algorithm which guides the clinician in a step by step process in managing these conditions. Evidence based and up-to-date, this book follows the College of Emergency Medicine Curriculum, making it an invaluable resource for Emergency Nurse Practitioners, new doctors starting their placement in the Emergency Department, and trainee doctors working towards specialising in Emergency Medicine.

Written in a straightforward, readable, and highly informative style, Navigating the ICU: A Guide for Patients and Families is a compact, affordable guide to today's intensive care unit. This unique, patient-focused handbook is designed to help patients and their families navigate the complexities of the ICU-from the role of each member of staff, to common procedures, medications, and laboratory tests, to what to expect after the hospital stay. Author and ICU nurse Alex Gottsch concisely explains the ICU experience and provides accessible answers to common questions asked by patients and families. Provides a single, accessible resource for patients and families in the high-stress setting of the ICU, where life-changing decisions often need to be made rapidly in an unfamiliar and intimidating environment Improves communication between patients, families, and health care providers by educating families about how the ICU works, what questions to ask, and how to advocate for themselves and family members Guides you through the ins and outs of the ICU experience with an intuitive, easy-to-use table of contents Answers questions you may not have known you had, such as "What is the most important part of the day for me to be present?" and "What Medical Care Would I Want If I Could Not Choose?" Addresses a wide range of post-ICU possibilities including Post-Intensive Care Syndrome (PICS), what to expect from skilled nursing facilities and long-term acute care facilities, and end-of-life issues Includes a Foreword by Patricia M. Davidson, Dean of The Johns Hopkins School of Nursing Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

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

Irwin & Rippe's Manual of Intensive Care Medicine has established itself as an invaluable reference for students, interns, residents, fellows, nurse practitioners and physician assistants, nurses, and respiratory care practitioners working in the critical care medicine environment. Known for its reader-friendly outline format and compact portable size, this handy manual builds upon its tradition of excellence in its Sixth Edition. Available both in print and electronic formats, the Sixth Edition parallels the text, Irwin & Rippe's Intensive Care Medicine, Seventh Edition , and features fully updated and revised content with a focus on patient safety. Key Features:" Fully revised content addresses recent developments, including the larger role for ultrasound, in critical care medicine. Annotated references are provided at the close of each chapter to guide the interested reader through key articles in the relevant literature. Video clips have been added where appropriate to reinforce key points and findings. Logical organization begins with an extensive section on Procedures and Techniques, followed by 15 sections covering organ system problems as well as palliative care, legal and ethical issues, and transplantation. Thorough coverage of pharmacology, poisonings, and overdoses presented in a tabular format. New section editors share a wealth of experience and expertise targeted to broaden readers' skills.

Liver Anesthesiology and Critical Care Medicine emphasizes all aspects of this broad and important area and is the definitive textbook for anybody involved in the perioperative care of liver patients. The book is divided into three sections: Physiology and Pathophysiology, Anesthesiology, and Critical Care Medicine. The anesthesiology section contains information about liver transplantation and other liver surgeries and provides detailed practical direction and concise background information of all aspects of the anesthetic management of these patients based on the most recent evidence. The critical care section describes basic critical care management as it relates to liver surgical patients and addresses specific postoperative issues relevant for liver resection and liver transplant patients. The book combines practical guidance to the perioperative management with extensive background and clinical evidence to allow the reader gain an in -depth understanding of this complex and fascinating topic.

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.

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 softcover manual covers all procedures and techniques necessary for certification in critical care from teh internal medicine, anesthesiology, and surgical critical care certification exam. Each procedure or monitoring technique discusses indications/contraindications, equipment, anatomy, techniques, postprocedure care, and complications. Specific nursing indications are indicated where appropriate.

This book covers point of care ultrasound (POCUS) in a practical, problem oriented and illustrated manner. It begins with introduction to the basic principles of medical ultrasound imaging and ultrasound guided interventions and outlines point of care ultrasound in a lucid manner for rapid learning for medical students as well as practitioners. It contains chapters on ultrasound of the airways, thoracic ultrasound including lungs and transthoracic screening echocardiogram, vascular assessment, ultrasound of the abdomen for focussed trauma assessment, gastric volume assessment and ultrasound guided interventions such as vascular cannulations, pleurocentesis, etc. along with some of the latest point of care ultrasound techniques such as ocular assessment and assessment of the foetus and placenta in the operation theatre. This book will help the intensivist, emergency physician and anaesthesiologist to learn the basics of POCUS, which ostensibly, is the future of medical practice. It also includes objective structured clinical examination (OSCE) questions after every chapter as well as multiple choice questions (MCQs) that will benefit the students greatly. The book also includes videos from some of the celebrated practitioners of POCUS providing a unique learning experience. This book is suited for students, trainees and practitioners alike. The modules of POCUS described here are part of the curriculum of anaesthesiology in the UK, USA, Singapore, Australia/ New Zealand and most of the countries. The book also covers the curriculum of POCUS in critical care and emergency medicine courses.

Atlas provides insightful guidance on how to perform core procedures in the neuro ICU Neuro ICU Procedure Atlas by distinguished neurosurgeons Jack I. Jallo and David F. Slottje is a visually rich, step-by-step atlas describing technical aspects of common bedside procedures performed in patients with grave neurological conditions. With contributions from an impressive group of contributors, the book features 13 chapters encompassing fundamental techniques, such as shunt externalization/shunt tap, lumbar puncture, lumbar drain, ICP monitor, PbtO2 and JvO2 monitors, central and arterial line, cervical traction, intubation, cricothyrotomy, chest tube, and more. Key Highlights In-depth, reader friendly discussion of vital clinical issues including indications and contraindications, relevant anatomy/physiology, and complications Clinical pearls and troubleshooting sections for each approach Illustrations of ventricular drain or ICP monitor placement, non-conventional ventricular drain insertion points, trajectory lines for ventricular drain insertion, and more provide detailed visual learning guides This essential resource will help neurosurgical residents and early-career neurosurgeons, intensivists, nurse practitioners, and physician assistants accelerate the learning curve for the bedside care of critically ill patients. This book includes complimentary access to a digital copy on https://medone.thieme.com.

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.

Fully revised to meet the 2015 CPR/ECC Guidelines and to prepare students and professionals for PALS certification and recertification, Pediatric Advanced Life Support Study Guide, Fourth Edition, provides a clear and complete approach to managing pediatric emergencies. Designed for use by the spectrum of healthcare professionals, the Fourth Edition provides users with the critical information needed to approach real-life pediatric emergencies. The Fourth Edition includes: End-of-chapter quizzes with answers and objectives, as well as a comprehensive posttest to gauge material comprehension Case studies at the end of appropriate chapters for practice with real-world material application Clear procedural explanations written in descriptive yet accessible language A refined Table of Contents including standalone chapters on cardiac dysrhythmias, for focused learning and study PALS Pearl boxes that discuss practical applications of material for use in the field In-text references for deeper research if desired