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.

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 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.

50 Studies Every Anesthesiologist Should Know presents key studies that have shaped the practice of anesthesiology. Selected using a rigorous methodology, the studies cover topics ranging from pain medicine, critical care, cardiothoracic anesthesiology to general anesthesiology. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. Brief information on other relevant studies is provided, and an illustrative clinical case concludes the review. This book is a must-read for health care professionals in anesthesiology and pain medicine, and anyone who wants to learn more about the data behind clinical practice in anesthesiology, pain medicine, critical care and its broad subspecialties.

Trauma has been recognized in recent years as one of the most important health care issues still to be fully addressed. A new awareness of deficiencies in the clinical management of injured patients has led to an urgent reappraisal of procedures and training in many hospitals. Parallel to this, there has been a revolution in the field of radiology and diagnostic imaging. Imaging in Trauma provides guidance on the safe and effective application of imaging techniques to patients who have been injured - recommending appropriate techniques wherever they are known to be effective and highlighting cases where their use would be inappropriate. The use of basic conventional radiology is most comprehensively covered, recognising that some of the newer modalities, such as magnetic resonance imaging, will not be generally available for some years. . It is important to consider not only the production of good images, but also how to help clinicians to order them appropriately and to interpret them. A full report from a trained radiologist may not be immediately available to junior medical staff trying to manage the patient in the A&E department. Therefore, advice about viewing images systematically is offered, together with hints on the pitfalls which might be faced. This advice is patient- centred rather than image centred - an emphasis which makes the text different from others. Each chapter offers a summary of the key points it contains. The book will be of assistance to all medical and nursing staff working in the speciality of Accident and Emergency Medicine and also to those working in specialities which offer definitive care to injured patients. The contents of the book may also assist those wishing to study for higher examinations in Accident and Emergency, Surgery and Radiology, especially where the interpretation of images forms part of the examination.

This book offers a state-of-the-art description of the complexity of the healthy and pathological respiratory system, with particular reference to the mechanics of the airways, lung and chest wall. Detailed information is provided on new insights into the mechanics of breathing that have been obtained through technological innovations in measurement systems, cutting-edge modeling techniques and novel approaches to functional imaging of the respiratory system. It is explained how these advances permit the assessment of emerging treatment approaches, including new drugs, innovative surgical techniques and modes of mechanical ventilation and new forms of rehabilitation. In order to ensure comprehensive coverage of the subject, the editor has assembled a multidisciplinary team of authors comprising basic scientists in respiratory medicine, chest and intensive care physicians and bioengineers involved in both modeling and instrumentation. The book is intended for intensive care physicians, respirologists, physiologists, rehabilitation specialists, basic scientists in respiration, research and clinical fellows, biomedical engineers involved with respiratory mechanics and respiratory therapists. They will update their knowledge and improve their clinical expertise.

5 Tage gegen schlaflose N chte

Strukturiert und konzentriert bekommen Sie hier die pr fungsrelevante An sthesie, Intensivmedizin, Notfallmedizin und Schmerztherapie in 5 Tagen. F r alle, die sich kurz vor knapp auf das "Hammerexamen" vorbereiten und w hrend des PJs kaum Zeit haben ist dieses Buch "der Hammer." Die Inhalte sind nach ihrer H ufigkeit in den IMPP-Fragen gewichtet. So k nnen Sie sicher sein, nicht stundenlang Exoten zu lernen, die dann doch nie gepr ft werden. Die Texte sind stichpunktartig geschrieben, sinnvolle Tabellen und Hinweise auf Pr fungsfallen und Verwechslungsgefahren erg nzen die Fakten. Platz f r eigene Notizen bietet die Randspalte, so k nnen Sie auch ganz spezielle Inhalte f r die m ndliche Pr fung festhalten. Und nat rlich k nnen Sie die Lerneinheiten auch auf eine l ngere Zeit verteilen.

K rzer und kompakter geht es f r die Pr fung nun wirklich nicht.

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)

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.

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.

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 excellent value pack contains the Oxford Handbook of Critical Care Third Edition and Emergencies in Critical Care Second Edition. The combination of practical advice and essential background information with an easily accessible guide in emergencies presents a unique package essential to every doctor with an interest in Critical Care. The fully revised, third edition of the Oxford Handbook of Critical Care describes best practice of critical care in a succinct, concise and clinically-orientated way. Covering the principles of general management, it includes therapeutic and monitoring devices, specific disorders of organ systems, as well as detailed information on drugs and fluids. New material has been added on key areas such as airway maintenance, dressing techniques, infection control, echocardiography, tissue perfusion monitoring, coma and more. With up-to-date references and invaluable clinical advice, there is also plenty of space to add notes or amend sections to suit local protocols. Emergencies in Critical Care provides a practical, accessible guide to all emergency situations encountered in the critical care setting. Emergencies are very common in the critical care setting; but also surprisingly predictable. This book helps critical care staff identify those at risk, how to manage them, and be prepared in the ward. 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 into 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.

Doctors working for the first time in an intensive care unit are faced with a variety of extremely ill and technically demanding patients. Very often they are exposed to situations for which they have not been properly prepared. Although most disciplines and professional examinations now demand some understanding of intensive care, opportunities for learning intensive care medicine are limited, with few courses available. Critical Care Cases presents a cross section of common problems seen in intensive care, presented by experienced teachers working in this field. Each topic begins with a real life case history, complete with examination findings, biochemistry, and blood gases. The readers are then given the opportunity to consider how they would manage the situation, before turning over to find a full discussion and recommendations from an expert in the field. The book covers all the common intensive care problems, including: respiratory failure, trauma, infection, and neurological disorders, and will provide a stimulating and thought provoking text for anyone preparing to work in intensive care medicine.

Sepsis und septischer Schock gehen auch heute noch trotz aller Fortschritte der Intensivmedizin mit einer ausserst hohen Mortalitat einher. Auf der Basis eines verbesserten Verstandnisses der Pathophysiologie dieses komplexen Krankheitsbildes haben sich in den letzten Jahren neue therapeutische Ansatze entwickelt. Dieses Buch enthalt die Beitrage namhafter Grundlagenforscher und Kliniker aus Hygiene, Mikrobiologie, Infektologie, Physiologie, Chirurgie, innerer Medizin, Anasthesiologie und Intensivmedizin und gibt einen umfassenden UEberblick uber den derzeitigen Wissensstand zur AEtiologie, Pathophysiologie, Pravention und Therapie der Sepsis und ihrer Komplikationen.

All professionals now require a working knowledge of the law relating to their subject. This text offers practical guidance specifically for the doctor, nurse, manager or lawyer faced with legal difficulties arising out of a medical emergency. The first part of the book offers guidance, with examples, for those "on the spot" in difficult situations, whilst the second part consists of a condensed but authoritative summary of the various legal topics comprising emergency medicine law. Written in plain language, it makes several complex and difficult areas of the law accessible to the legal layman, yet it does not avoid more complicated issues and is fully referenced so that the truth of each statement can be validated.

Rontgenthoraxaufnahmen richtig interpretieren

Thoraxaufnahmen, die auf der Intensivstation aufgenommen werden, unterscheiden sich in der Aufnahmetechnik und in den veranderten physiologischen und anatomischen Verhaltnissen von Standard-Thoraxaufnahmen, die am Rasterwandstativ angefertigt werden. Die Interpretation dieser Bilder bereitet selbst erfahrenen Radiologen und Intensivmedizinern haufig Schwierigkeiten.

Der Weg zur korrekten Interpretation: - Rontgen- und Aufnahmetechnik - Strahlenschutz und -belastung - Klinische Problematik und Interpretation von Thoraxaufnahmen auf der Intensivstation.

Neu in der 2. Auflage:

Bildmaterial moderner Aufnahmeverfahren

Indikationsstellung fur CT-Aufnahmen

Vergleich von Projektionsradiographie und Schnittbildradiographie und mogliche Pitfalls

Ein Praxisbuch von Radiologen, Intensivmedizinern und Medizinphysikern zum Lernen und Nachschlagen. Ein Muss fur jeden auf der Intensivstation tatigen Arzt "

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.

Die Tracheotomie gewinnt im intensivmedizinischen Atemwegsmanagement stetig an Bedeutung. Mit Hilfe neuer perkutaner Tracheotomieverfahren wird dieser Eingriff zunehmend auch von nicht chirurgisch spezialisierten Intensivmedizinern aller Fachrichtungen durchgefuhrt. Dieses Buch wendet sich an den modernen Intensivmediziner; es stellt alle gegenwartig verfugbaren Verfahren zur Tracheotomie mit ihren Indikationen, Kontraindikationen und typischen Risiken detailliert vor und eignet sich auch als Nachschlagewerk fur intensivmedizinisch tatige Arzte aller Fachrichtungen."

Critical care happens where it is needed, not just in the ICU. Patients with acute critical illness are often cared for initially in the ED, and the beginning actions can help alter outcomes hours, day and months later. This handbook targets selected common or high risk critical condition or therapies needed to optimize ED care, using the newest research and experiences from respected authors. Chapters are organized in a readable and user-friendly format, and each describes the topic, defines key terms, notes cutting edge and controversial aspects, and delivers pragmatic advice. Our goal is not to discuss every pathology and care option, but to focus on the key thoughts and actions that can drive care and improve the health of those I need.

Bei Neugeborenen, Sauglingen und alteren Kindern konnen angeborene oder erworbene Organmissbildungen und -dysfunktionen zu spezifischen intra- oder postoperativen Problemen fuhren. Fur die anasthesiologisch-intensivmedizinische Betreuung dieser Patienten hilfreiche Daten und Erfahrungen finden sich in der Fachliteratur der verschiedensten medizinischen Teildisziplinen. Das vorliegende Buch ist eine erste Zusammenfassung der anasthesiologisch relevanten Fakten von uber 100 Missbildungssyndromen und aussergewohnlichen Krankheitszustanden im Kindesalter. Die verschiedenen Krankheitsbilder werden in Einzeldarstellungen prasentiert. Sie gliedern sich jeweils in die Abschnitte Erlauterung des Krankheitsbildes, Klinik und anasthesiologische Besonderheiten der Erkrankung. Im Anhang finden sich zusatzlich kinderanasthesiologisch bedeutsame Definitionen, Daten und Dosierungen. Das Buch ist eine ideale Erganzung zur kinderanasthesiologischen Fachliteratur.

In der Bundesrepublik Deutschland wurden 1970 knapp 2000 Herzopera- tionen (in 16 Zentren) durchgefuhrt. Innerhalb von nur 5 Jahren hat sich diese Zahl mehr als verdoppelt und ist bis 1982 auf fast 14000 Herzopera- tionen pro Jahr (in 22 Zentren) angewachsen. Die nicht minder eindrucks- vollen qualitativen Fortschritte der Herzchirurgie waren eng verbunden mit Fortschritten auf den Gebieten Physiologie, Kardiologie; Pharmakolo- gie, Technologie und nicht zuletzt der Anaesthesiologie. Die Anaesthesie in der Herzchirurgie hat sich dabei im Verlauf des letzten Dezenniums zu einer hochspezialisierten Teildisziplin entwickelt, zweifellos zum Nutzen beider Fachgebiete und zum Wohl der Patienten. Der Anaesthesist tragt: in ent- scheidenden Phasen des Eingriffes die Verantwortung fur die UEberwa- chung und Aufrechterhaltung der Vitalfunktionen, er muss alle ausserhalb des direkten Einwirkungsbereiches der Operateure liegenden Gefahren er- kennen und Komplikationen behandeln. Voraussetzung fur eine zeitgema- sse Versorgung herzchirurgischer Patienten ist eine umfassende Kenntnis der Pathophysiologie der Herzerkrankungen, der UEberwachungsmethoden des Kreislaufes und anderer lebenswichtiger Organfunktionen, der Phar- makologie, der Wechselwirkungen zwischen Hamodynamik und pulmona- lem Gasaustausch, der Physiologie und Pathophysiologie der Niere, des Saure-Basen-und des Elektrolyt-Haushaltes. Der Anaesthesist muss mit al- len Details des Operationsablaufes ebenso vertraut sein wie mit den Metho- den der extrakorporalen Zirkulation, der assistierten Zirkulation sowie der prae- und postoperativen Behandlung herzchirurgischer Patienten. Vom Anaesthesisten wird somit ein facherubergreifendes Wissensspektrum ge- fordert, er muss uber die traditionellen Aufgaben seines Fachgebietes hin- aus vor allem die Funktion eines Kardiologen im Operationssaal ausfullen, d. h.

Komplikationen in der Anasthesie konnen wahrend und nach der Narkose eintreten und zu einer Gefahrdung des Patienten fuhren. In diesem Buch werden die wahrend oder nach der Anasthesie moglicherweise auftretenden Komplikationen und deren Pravention ausfuhrlich dargestellt. In der Praxis bewahrte Therapiemassnahmen werden systematisch abgehandelt, wenn sie sich nicht ohnehin aus der Allgemeintherapie und Notsituation ableiten lassen. Physiologische Besonderheiten (Alter, Schwangerschaft) werden ebenso besprochen wie die in der Anasthesie eingesetzten spezifischen Medikamente und Techniken einschliesslich ihrer Risiken. Jedes Kapitel beinhaltet Definition, Haufigkeit, Ursachen, Vorkommen, Therapie sowie Pravention. Das Buch ist ein wichtiges Arbeitsmittel fur die praktische Tatigkeit des Anasthesisten und anasthesiologischen Pflegepersonals im Klinikalltag.

Unter Mitarbeit von Ackern, K. van; Geiger, K.; Georgieff, M.; Hartung, H. J.; Klose, R.;Martin E., Osswald, P. M.; Peter, K.; Striebel, J. P.; Tolksdorf, W.

Die Rettungsdienstgesetze der Lander haben die Einrichtung und Neuorganisation einer Vielzahl von Rettungs- und Notarztdiensten eingeleitet, so dass heute in der Bundesrepublik von einem annahernd flachendeckenden, technisch und einsatz- taktisch hervorragend ausgestatteten Rettungswesen gesprochen werden kann. Allen Vereinheitlichungstend.enzen zum Trotz haben sich fur den Rettungs- und Notarztdienst von Bundesland zu Bundesland, aber selbst innerhalb einzelner Bun- deslander, unterschiedliche Strukturen herausgebildet. Das vorliegende Werk versucht eine systematische Bestandsaufnahme des Entstan- denen, mit dem Ziel, die den Diensten gemeinsamen Strukturen herauszuarbei- ten. Den in den Diensten Tatigen soll es in Zweifelsfragen Ratgeber sein. Den am Ret- tungs- und Notarztdienst beteiligten Organisationen will es Grundlagen und Anre- gungen zur weiteren Ausgestaltung der Dienste geben. Ein derartiges Werk kann nicht vollstandig sein. Anregungen und Verbesserungsvorschlage werden daher gerne entgegengenom- men. Allen, die am Zustandekommen dieses Buches, vor allem an der Fertigung des Manuskriptes beteiligt waren, sagen wir Dank. Besonderen Dank schulden wir Herrn Dr. G. Hirsch fur eine kritische Durchsicht des Manuskripts und seine wert- vollen Anregungen. Schrifttum und Rechtsprechung sind bis Oktober 1983 berucksichtigt. Olm/Munchen im Oktober 1983 Hans-Dieter Lippert Walther Weissauer Inhaltsverzeichnis Teil 1 Die Grundlagen des Rettungswesens . . 1 1 Entstehung des Rettungswesens . . . 3 2 Rechtliche Grundlagen des organisierten Rettungswesens .

Nach dem Erfolg der ersten Auflage erscheint jetzt eine }berarbeitete Fassung dieses bew{hrten Buches. In Form eines Lehrbuches werden die w{hrendoder nach der An{sthesie m-g- licherweise auftretenden Komplikationen und deren Pr{vention ausf}hrlich dargestellt. In der Praxis bew{hrte Therapie- ma nahmen werden systematisch abgehandelt, wenn sie sich nichtohnehin aus der Allgemeintherapie und Notsituation ableiten lassen. Physiologische Besonderheiten (Neugeborene, Alter, Schwangerschaft) kommen ebenso zur Darstellung wie die in der An{sthesie eingesetzten spezifischen Medikamente und Techniken einschlie lich ihrer Risiken. Jedes Kapitel beinhaltet Definition, H{ufigkeit, Ursachen, Vorkommen, Therapiesowie Pr{vention.