The practice of intensive care medicine raises multiple legal and ethical issues on a daily basis, making it increasingly difficult to know who to admit and when, at what stage invasive management should be withdrawn, and who, importantly, should decide? These profound dilemmas, already complicated in a setting of scarce resources, mandate an understanding of law and ethics for those working in intensive care medicine. Clinically focused, this book explains the relevance of landmark rulings to aid your day-to-day decision-making. A spectrum of ethical and legal controversies in critical care are addressed to demonstrate how law and ethics affects the care available to patients and vice versa. Discussion of conflict resolution advises the options open to you when agreement on treatment decisions or withdrawal cannot be reached. The literature and variations surrounding Do Not Attempt Resuscitation decisions are outlined to help you navigate this complex area. This edition also provides an up-to-date analysis of issues such as futility and depreciation of liberty. Featuring contributions from leading legal and medical experts, this important reference should be read by every critical care professional.

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.

This key textbook equips all nurses with the knowledge and skills required to care for the deteriorating patient in the clinical environment. The book emphasises the importance of systematic assessment, interpretation of clinical signs of deterioration, and the need to escalate the patient in a timely manner. Using a unique system-based approach, each chapter contains structured learning outcomes and concludes with a competence-based skills assessment to perfect the reader's practice skills. These skills are recommended as essential for every nurse in an acute area and key to successful practice. Restructured for ease of use, this new edition has been fully updated to match current guidelines, with new chapters on pain management and the ethics and ceilings of treatment. Written by senior nurses, this key textbook uses real life case studies to link knowledge to practice and is essential reading for all nurses working in acute care settings and undertaking study in the field.

This book provides a systemic approach to acute trauma care in line with the ABCDE paradigm and up-to-date information on assessing and managing major trauma from the pre-hospital to the rehabilitation phase. The book's early sections are dedicated to identifying and managing pathology caused by massive haemorrhage, airway, breathing, circulation or neurological trauma and examining the current evidence base relating to their management. The book then builds from fundamental skills to advanced interventions so that each level of responder can identify and implement aspects of clinical practice that will be of benefit to them at their stage. This approach also explains advanced interventions that may be executed subsequently, explaining how each phase of care sits together. This has a further benefit of producing seamless care for patients by practitioners of different levels using this book as a reference point. Later sections deal with specifics of in-hospital trauma care by speciality, including the explanation of decision making processes by specialities, use of diagnostic and interventional radiology, rehabilitation and psychological aspects of trauma care. The Textbook of Acute Trauma Care also focuses on non-clinical issues relevant to trauma such as training and logistics of retrieval and repatriation, aviation considerations in HEMS, legal and forensic evidence considerations and ethical issues dealing with trauma patients. In addition, the book contains chapters from international experts on cognitive and human factors relating to healthcare and suggests strategies for training and minimising errors. This book is an essential resource for all grades of practitioner, from first responders to Consultant/Attending Physician level providers.

An essential reference text, the fifth edition of this popular book details drugs in anaesthesia and intensive care in an A-Z format. The book describes the pharmacokinetics and pharmacodynamics of all the drugs commonly used by anaesthetists. The A-Z organisation allows rapid access to specific information on the properties and characteristics of almost 200 drugs. The new edition includes a complete revision of all the featured drugs, and the addition of key new drugs. New diagrams of particular drug structures and comparison tables aid comparison of differences within a drug class for exam revision. Improved navigation in the index enables prompt discoverability of information. Written in a concise, bullet-point style to allow quick access to information, the book contains all necessary drug references for anaesthetists in training, consultant anaesthetists, intensive care nurses, and anaesthetic assistants.

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 book serves as the primary reference for precision medicine in the fields of pulmonary, critical care and sleep medicine by documenting principles written by experts in several aspects of precision medicine. It combines fundamental concepts of the field with state-of-the-art studies and how they translate into individual preventive, diagnostic and therapeutic plans. Precision medicine is focused on the integration of individual variability with disease prevention and treatment principles derived from population studies. This concept has risen to prominence in recent years in parallel with advances in genetics, molecular diagnostics and novel target-specific therapies. This fundamental shift in the approach to treatment has broad implications in how we prevent, diagnose and treat disease. Describing key concepts of precision medicine and relating these to pulmonary, critical care and sleep disorders is essential to educate relevant stakeholders and increase the impact of pulmonary precision medicine. The book is organized into seven sections: introduction; genetics; biomarkers; precise phenotyping; mobile health, wearables and telemedicine; precision therapeutics; and enabling widespread adoption of precision medicine. The chapters are organized with an introduction to the specific theme, followed by its basic concepts. They then delve into how these basic concepts relate to the larger theme of precision medicine, new precision medicine approaches to dealing with these problems, and key takeaway points. Liberally illustrated with images, figures, and tables, the text is thorough and intuitive for clinicians and researchers to learn the processes and applications of precision medicine. This is an ideal guide for clinicians to learn new precision medicine concepts in the fields of genetics, genomics, mobile health, and how they apply to their practice and their patients, as well as researchers seeking a basic understanding of precision medicine to assist in designing future research studies.

Portable and easy to use, Rogers' Handbook of Pediatric Intensive Care, Fifth Edition , contains key information from the best-selling Rogers' Textbook in a handy format designed for everyday use. Nearly 100 chapters offer a clinically relevant synopsis of core information needed for quick reference and safe practice in the PICU. Key Features: New chapters cover Rapid Response Systems; Non-Invasive Ventilation; Abusive Head Trauma; Pulmonary Hypertension; Dengue and Other Viral Hemorrhagic Fevers (including Ebola); Gastrointestinal Bleeding; Diagnostic Imaging of the Abdomen; and more. All chapters have been thoroughly updated and rewritten. Numerous tables and line drawings facilitate quick retrieval of information. Distills the authoritative, essential information you need in the PICU, in an easy-to-manage handbook format. Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use

Das Lehrbuch fur die Weiterbildung und daruber hinaus! Dieses Fachbuch bietet Pflegenden aus dem Bereich Intermediate Care (IMC) kompaktes Grundlagenwissen und zeigt dessen erfolgreiche Umsetzung anhand zahlreicher Beispiele aus dem Praxisalltag. Durch die Darstellung konkreter Falle mit unterschiedlichen Erkrankungen werden die pflegerischen Aufgaben und besonderen Herausforderungen nachvollziehbar dargestellt. Profitieren Sie vom Erfahrungsschatz der Autoren und lesen Sie die zahlreichen Tipps und Anregungen, auch fur die gelungene Anleitung neuer Mitarbeiter! Die ubersichtliche Struktur ermoeglicht Ihnen einen schnellen Zugang zu allen wichtigen Inhalten. Fur einen optimalen Einstieg auf die IMC-Station!

Das vorliegende Werk liefert das Basiswissen fur die Versorgung des internistischen Intensivpatienten - systematisch dargestellt, verstandlich erklart und mit vielen konkreten Tipps. Es wendet sich an Assistenzarzte in der Inneren Medizin, die im Rahmen ihrer Facharztweiterbildung auf die Intensivstation rotieren mussen und eine erste Anleitung fur die Arbeit auf der Intensivstation benoetigen. Dargestellt werden allgemeinen Prinzipien, wie apparative Diagnostik, Ernahrung und Gerinnungsmanagement uber spezielle Interventionen, wie Gefasspunktionen, Schrittmacheranlage und Analgosedierung bis hin zum konkreten Vorgehen bei haufigen intensivpflichtigen Krankheitsbildern und Akutsituationen, wie akutes Koronarsyndrom, Herzrhythmusstoerungen, ARDS und Intoxikationen. Ein praxisnahes Werk, mit dem der Einstieg in die internistische Intensivmedizin gelingt.

In recent years, neurocritical care has grown and matured as a subspecialty of Critical Care Medicine with the advent of new monitoring, diagnostic, and therapeutic capabilities. The goal of neurocritical care is to rapidly deliver acute medical therapies and appropriate interventions through effective monitoring of both neurological and end organ function. Neurocritical Care provides 'at the bedside' guidance on the medical knowledge and technical skills required to care for critically ill patients with neurologic conditions such as cerebrovascular disorders, neurotrama, neuro-oncology, refractory seizures, neuromuscular diseases, infections, alterations in consciousness, and perioperative neurosurgical care. Part of the Pittsburgh Critical Care Medicine series, this compact volume is an ideal reference for physicians and trainees working in either a general ICU or specialty Neuro ICU unit. Readers will gain an understanding of background knowledge and concrete solutions to questions and situations encountered in daily practice.

Best of Five MCQs for the Acute Medicine SCE is a new revision resource designed specifically for this high-stakes exam. Containing over 350 Best of Five multiple choice questions, this dedicated guide will help candidates to prepare successfully. The content mirrors the SCE in Acute Medicine Blueprint to ensure candidates are fully prepared for all the topics that may appear in the exam. Topics range from how to manage acute problems in cardiology or neurology to managing acute conditions such as poisoning. All answers have full explanations and further reading to ensure high quality self-assessment and quick recognition of areas that require further study.

Continuous Renal Replacement Therapy (CRRT) is the standard of care for management of critically ill patients with acute renal failure. Part of the Pittsburgh Critical Care series, Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance about this treatment modality, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice. Organized into sections on theory, practice, special situations, and organizational issues, this volume provides a complete view of CRRT theory and practice. Tables summarize and highlight key points, and key studies and trials are included in each chapter. The second edition has been updated to include a new chapter on the use of biomarkers to aid in patient selection and timing, extensive revisions on terminology and nomenclature to match current standards, and the most up-to-date information on newly developed CRRT machines.

Intensivmedizin zum Nachschlagen und Lernen fur die Zusatzbezeichnung "Intensivmedizin". Das Repetitorium Intensivmedizin stellt das Fach der Intensivmedizin kompakt und fundiert dar und gehoert in die Reihe der Repetitorien, die sich hervorragend zur Prufungsvorbereitung oder Beantwortung von Fragen im Klinikalltag eignen. Alle Inhalte sind systematisch und ubersichtlich dargestellt und klar und pragnant in den Aussagen. Zahlreiche Schemazeichnungen und Tabellen erleichtern das Verstandnis und bundeln Informationen. Das Werk erscheint bereits in der 5. Auflage. Dieses ist komplett aktualisiert und erscheint in neuem Layout. Das Werk richtet sich an alle auf einer Intensivstation tatigen AErzte.

This essential handbook provides a practical, accessible guide to all emergency situations encountered in the critical care setting. Emergencies are very common in the critical care setting and this book helps critical care staff identify patients at risk, how to manage them, and be prepared. To help the reader find advice quickly, most chapters begin with a generic description of how to manage emergencies affecting that system, or patient group. This is followed by details of specific diagnoses and how they should be managed. The author team, where possible, follow the 'ABC' approach, which is not only the standard approach to emergency management, but also a widely-used scheme for documenting daily reviews on ICU, and for documenting trauma management. This second edition covers new areas of importance, including sections on how to deal with adverse events and critical incidents involving critically ill patients, patient-safety and improved patient rescue packages, and on the practicalities of infection control procedures. Normal values have been combined in to one short chapter for easy reference. Easy to use and evidence-based, this book will help all critical care staff involved with the management of emergencies, from the new junior doctor to the experienced consultant in a portable and easily-readable format.

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.

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.
The contents are based on the syllabus of the FRCA exam in mathematics, physics, clinical measurement, monitoring, and equipment. The book starts with mathematics, statistics and physics background, not only to enhance the understanding for what follows in the book, but also because these basic sciences are fundamental to many other aspects of medical science. Areas, which in the authors' teaching experience, candidates have found particularly troublesome, such as electricity and electrical safety, are discussed in some detail in order to clarify.

A brand new series from Oxford University Press, the Oxford Clinical Imaging Guides are specifically designed to help doctors master imaging techniques. Each guide explains the principles and practice of using imaging in an easy-to-read, highly-illustrated, and authoritative manner. Acute and Critical Care Echocardiography is the first practical guide dedicated to helping doctors use transthoracic echocardiography to manage acutely and critically ill patients. The book provides readers with a grounding in theoretical evidence-based aspects of critical care echocardiography. Expert authors help the reader apply this knowledge on a daily basis via clear step-by-step techniques and a focus on problem-solving and safe practice. The book is mapped to the new accreditation syllabus in Advanced Critical Care Echocardiography set by the British Society of Echocardiography, ensuring that it is relevant to professional standards and teaches doctors exactly what they need to know. Self-assessment questions help readers retain what they have learned and revise for exams. An essential day-to-day reference and interactive guide, this unique book should never be far from the critical care medic's side.

Stories of life, death and unforgettable clinical cases A psychiatrist and a patient with supernatural connections. A family man's resilience as he recovers from a life-changing terrorist attack. A rural nurse specialist and his incredible roadside rescue of a woman on the brink of cardiac death. A trauma therapist caught in the aftermath of a violent methamphetamine episode. The Unexpected Patient tells the stories of patients who impacted health carers in unforgettable ways: patients who showed stubborn perseverance on the road to recovery, who clung to hope in the face of unexpected trauma, and who illuminated the indomitable depths of the human spirit. These stories look at the things that lead to bad health outcomes, from the seeds that are set before we are born, to the personal choices we make, and to societal and health sector shortcomings. Yet, ultimately, The Unexpected Patient is about human relationships and the bonds forged between two people: a medic and that one, unforgettable patient.

Prescription Drug Diversion and Pain provides an interdisciplinary overview of medications used to treat chronic pain, specifically the benefits and risks that are posed by long-term opioids use. These essential pain-relieving medications must be carefully managed to prevent serious side effects that may include physical dependence, addiction, and even death, which has led in recent years to increased attention on the development of alternative treatments for chronic pain. This book not only offers a single, comprehensive source for understanding the specialized field of the opioid crisis, but also addresses provocative topics including how pain drugs came to be regulated by the U.S. Government and the rarely-discussed aggressive marketing behind the spread of these drugs. Chapters are written by expert contributors from diverse backgrounds in medicine, psychiatry, pharmacy, nursing, health law, and ethics. Prescription Drug Diversion and Pain is a must-read for healthcare professionals, caregivers, policy makers, regulatory officials, law enforcement, and those in the pharmaceutical industry seeking to address the current and future opioid crisis.

Lectures on scientific data, educational lectures, and the various other forms of oral presentation are the basis for every medical meeting. Physicians are not professionally trained in giving lectures. This becomes very obvious when one visits a medical meeting. Often the message of the presentation is lost because of poor preparation, slides that fail to communicate effectively, and a generally unconvincing performance by the lecturer. To give a high-quality lecture that will be remembered for its content and form, one first has to learn some basic rules about preparation, PowerPoint slides, and oral communication. This book will enable the reader to overcome all the common presentation mistakes and to start a new career as a professional lecturer and esteemed faculty member.

Mechanical ventilation is an essential life-sustaining therapy for many critically-ill patients. As technology has evolved, clinicians have been presented with an increasing number of ventilator options as well as an ever-expanding and confusing list of terms, abbreviations, and acronyms. Unfortunately, this has made it extremely difficult for clinicians at all levels of training to truly understand mechanical ventilation and to optimally manage patients with respiratory failure. Mechanical Ventilation was written to address these problems. This handbook provides students, residents, fellows, and practicing physicians with a clear explanation of essential physiology, terms and acronyms, and ventilator modes and breath types. It describes how mechanical ventilators work and explains clearly and concisely how to write ventilator orders, how to manage patients with many different causes of respiratory failure, how to "wean" patients from the ventilator, and much more. Mechanical Ventilation is meant to be carried and used at the bedside and to allow everyone who cares for critically-ill patients to master this essential therapy.

This book on post-injury multiple organ failure (MOF) offers a comprehensive overview and clinically focused practical guide to treating the condition. MOF is arguably the most difficult complication to manage in polytrauma patients and is responsible for the majority of trauma deaths among patients who survived the first 24 hours after injury. Beyond mortality, it has a major impact on healthcare resource utilization and a persistent negative effect on patients' long-term reported outcomes. This book is edited by surgeons who are passionate about the topic, and about optimizing the outcomes for polytrauma patients. Grasping the fascinating pathophysiology of MOF is essential for providing patients with quality early care. Each chapter highlights key learning objectives, historical perspectives, diagnostic and therapeutic pearls, and includes a must-know summary, additional reading suggestions and future research directions. Flowcharts, decision-making guides, summary tables, graphics and clinical photographs help to maximize the learning experience and to ensure readers retain what they've learned. The book fills a unique niche area for many specialties dedicated to critical care of polytrauma patients and to their management before and beyond intensive care.

This book provides a concise yet comprehensive overview on the use of opioids in the ICU, offering practical, real-world recommendations on opioid utilization and alternative therapies. The text explains the physiology and assessment of pain and the need for analgesia in the ICU, details the pharmacology of opioids and their use in providing analgesia, sedation, and comfort for patients during critical illness, and summarizes advanced pharmaceutical and surgical approaches to pain management and procedural applications that can supplement, minimize, or replace opioids for the ICU patient. The book also includes algorithms and step-by-step approaches on navigating the delicate balance between the relief of suffering and the adverse effects of opioids, as well as a dedicated section on the management of critically ill patients with preexisting opioid tolerance. Written by experts in the field, Opioid Use in Critical Care: A Practical Guide is a valuable resource for ICU providers who treat and manage critically ill patients with opioids.

Oxford Case Histories in Infection and Microbiology contains over 45 well structured cases, providing comprehensive coverage of the diagnostic and management dilemmas in clinical microbiology and infectious diseases. Each case comprises of a brief patient history with relevant clinical examination findings, thus insuring the reader is aware of how to confirm a diagnosis rapidly, with reference throughout to laboratory techniques, advice on therapy, epidemiological features, and areas which can be controversial. The cases discussed include common and important pathogens, infections, and serious conditions due to risk of onward spread. Divided by main organ systems, the book also includes a section on systemic infections, and miscellaneous cases which don't fit neatly into one category. The text is complimented by over 50 clinical photographs and laboratory illustrations. Each case includes a concise list of further reading to aid learning and understanding. The format of the book is thought provoking, and helps to improve critical thinking and interpretative skills. It is a perfect self-assessment tool for clinical microbiology and infectious diseases postgraduate trainees. It will also be on interest to medical professionals working in critical care and public health.