When a boy named Billy follows a 70's man with a 70's hair style, he is suddenly thrust into an underground world filled with mystical creatures, such as dwarves. He finds out that his father was an important man in the land underneath, which is called Inbet. In a battle between good and bad, Retros versus Rock Devils, Billy joins the fight for the Retros. This book is written in the unique style of a medium book. There are short stories and regular books, but this is the best of both worlds. This style allows a more developed plot and more characters, while having more action in less space. Therefore more interesting and exciting, but still an easy to read and quick book. 62 pages

In anesthesiology, pain medicine, and critical care, practitioners at all levels need help to stay current with the continually evolving drug knowledge-base, and trainees need tools to prepare for in-training and board exams that increasingly test their knowledge of pharmacology. This practical book is aimed at both readerships. It features a unique and practical chapter on the United States Food and Drug Administration (FDA) "black box" warnings that describe what safety precautions should be taken with commonly used drugs. The editors and contributors are pharmacology experts representing a cross-section of clinical specialties and institutions in the United States and include pharmacologists, pharmacists, as well as physicians.

The majority of all road trauma deaths occur either at the scene of injury or in the pre-hospital setting. The World Health Organization has identified uncontrolled bleeding to be the leading cause of preventable traumatic death. Emergency Medical Services systems play a key role in helping to reduce motor vehicle-related fatalities by providing medical care at the crash scene and by quickly transporting injured patients to the most appropriate level of trauma care. This book's purpose is to present a systematic review and assessment of the biomedical and clinical literature describing pre-hospital treatment of external haemorrhage caused by traumatic injury. The primary focus of the book is the efficacy of pre-hospital application of tourniquets and hemostatic dressings to control traumatic external haemorrhage.

Strokes are a leading cause of brain injury that strike approximately 800,000 people per year in the US alone, killing about 150,000 meaning one death in every four minutes. According to World Health Organization, 15 million people suffer strokes world-wide each year and out of these, 5 million die and another 5 million are permanently disabled. Despite advances in stroke research during last decade, current strokes remain a vexing public health problem. Even with the onset of the 21st century, there is still no effective therapy for strokes beyond a limited group of patients who are treated with thrombolytics, which have significant adverse effects. This situation prevails despite intense research efforts and numerous clinical trials that have attempted to develop drugs to reduce morbidity and mortality from strokes. So far, drug development efforts have targeted modulators of ion channels (Ca2+and Na+), scavengers of oxygen radicals, and antagonists of excitotoxic neurotransmitters (primarily glutamate and glycine receptors). Despite tremendous progress in understanding the pathophysiology of a stroke, translation of this knowledge into effective therapies has largely failed, with the exception of thrombolysis, which only benefits a small proportion of patients. Systemic and local immune responses have important roles in causing stroke and are implicated in the primary and secondary progression of ischaemic lesions, as well as in repair, recovery, and overall outcome after a stroke. However, potential therapeutic targets in the immune system and inflammatory responses have not been well characterised. The development of novel and effective therapeutic strategies for strokes will require further investigation of these pathways in terms of their temporal profile (before, during, and after stroke) and risk-to-benefit therapeutic ratio of modulating them.

Inside God's Shed is a series of tales that describe the experiences of an Intensive Care specialist during his career working in two major Australian teaching hospital intensive care units (critical care units) and three private hospital intensive care units. The stories provide a portrait of the intensive care unit by taking the reader into the lives of patients, relatives, medical specialists, nurses, hospital administrators and even pharmaceutical industry 'reps'. The narrative breaks down the stereotypes often found in novels and TV shows about the care of the acutely ill patient with over-worked heroes and heroines who cure the incurable and operate on the inoperable. The accounts tell of the hazards of the medical industry, of unreliable information, the fallibility of individuals and the distance that sometimes exists between science and humanity. They also draw attention to the unique workplace repartee and banter between medical specialists and nurses, underscoring the esprit de corps in a well functioning unit. While the tales portray what can be achieved when a unified medical team manages a critically ill patient, they also describe the limits of acute medical care; highlighting the complexities and ethical dilemmas in the care of a dying and chronically ill elderly patient. These stories are of true events, gleaned from notes and memories of cases in almost 40 years of an intensive care practice. Many of the names are either changed or are not included. Those people who are identified are already known and on the public record.

Intensive Care Unit Manual is a practical, hands-on, how-to manual that covers the full spectrum of conditions encountered in the ICU, guiding you step-by-step from your initial approach to the patient through diagnosis and treatment. Compact, affordable, and comprehensive, the ICU Manual puts all the critical care information you need right at your fingertips! Stay at the forefront of critical care with a practice-oriented, relevant, and well-illustrated account of the pathophysiology of critical disease, presented in a highly readable format. Gain valuable insight into the recognition, evaluation, and management of critical conditions such as respiratory, hemodynamic, and infectious diseases; management of ICU patients with special clinical conditions; cardiovascular, hematologic, and neurological disorders; poisoning and overdoses; trauma and burns; and much more! Grasp the latest developments in critical care with extensive updates and revisions to several key chapters, as well as brand-new chapters on Alcohol Withdrawal Syndromes; Acute Heart Failure Syndromes; Noninvasive Ventilation; and more ICU conditions. Understand and apply the most important ICU practices, including management of acute respiratory failure, mechanical ventilation, invasive hemodynamic monitoring, and the care of patients with special needs, AIDS, end-stage renal disease, or end-stage liver disease. Get convenient access to the full text and image library online at Expert Consult, in addition to online-only text, figures, and tables from the Alcohol Withdrawal Syndromes and Acute Heart Failure Syndromes chapters.

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.

Management of critically-ill trauma patients presents multiple challenges that are unique to this patient population. Optimal management of the trauma patient requires establishing priorities of care, minimizing complications, and striving to return the trauma victim to the best possible functional outcome. Yet, most books devoted to trauma focus on prehospital care, the initial assessment of trauma patients, and operative management of specific injuries. Part of the Pittsburgh Critical Care Medicine series, this book will help intensivisits involved in the care of trauma patients implement best care practices for trauma victims in the intensive care unit. Chapters address issues such as: management priorities for trauma patients in the ICU, the use of monitors and drains in trauma patients, resuscitation from hemorrhagic shock, massive transfusions and coagulopathy, ventilator management of trauma patients including patients with chest trauma, as well as management ICU strategies and solutions for specific types of trauma, including traumatic brain injury, spinal cord injury, and burn management.

"There is no night in the ICU. There is day, lesser day, then day again. There are rhythms. Every twelve hours: shift change. Report: first all together in the big room, then at the bedside, nurse to nurse. Morning rounds. A group of doctors moves slowly through the unit like a harrow through a field. At each room, like a game, a different one rotates into the center. They leave behind a trail of new orders. Wean, extubate, titrate, start this, stop that, scan, film, scope. The steep hill the patient is asked to climb. Can you breathe on your own? Can you wake up? Can you live?" from Where Night Is Day

Where Night Is Day is a nonfiction narrative grounded in the day-by-day, hour-by-hour rhythms of an ICU in a teaching hospital in the heart of New Mexico. It takes place over a thirteen-week period, the time of the average rotation of residents through the ICU. It begins in September and ends at Christmas. It is the story of patients and families, suddenly faced with critical illness, who find themselves in the ICU. It describes how they navigate through it and find their way. James Kelly is a sensitive witness to the quiet courage and resourcefulness of ordinary people.Kelly leads the reader into a parallel world: the world of illness. This world, invisible but not hidden, not articulated by but known by the ill, does not readily offer itself to our understanding. In this context, Kelly reflects on the nature of medicine and nursing, on how doctors and nurses see themselves and how they see each other. Drawing on the words of medical historians, doctor-writers, and nursing scholars, Kelly examines the relationship of professional and lay observers to the meaning of illness, empathy, caring, and the silence of suffering. Kelly offers up an intimate portrait of the ICU and its inhabitants."

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.

Cardiothoracic Surgery covers all areas of adult and pediatric, cardiac and thoracic surgery and intensive care. This new edition, with updated cardiac surgery and thoracic sections, provides on-the-spot guidance to common and less common operative procedures.
Every chapter is divided into topics presented across two pages to enable easy reference, with pages on intensive care edged in red for immediate access. Completely updated with current evidence and guidelines, the book is practically oriented to provide reliable guidance in intensive care and in theatre. Fully indexed and lavishly illustrated, the book is a must for anyone seeking a comprehensive yet portable guide to all areas of cardiothoracic surgical practice.

Recent clinical studies reported that in critically ill patients, oxidative stress caused by an increased production of reactive oxygen species (ROS) and reactive nitrogen species (RNS) and reduced antioxidant response is an expectable event. This book presents the actual scientific available evidence of the pathophysiology of oxidative stress and the role of it in different clinical situations in the critically ill patient, supporting an adjunct therapy to prevent the evolution to a multiple organ dysfunction syndrome. This point of view is supported by many recent clinical and experimental studies.

Now in paperback, the second edition of the Oxford Textbook of Critical Care is a comprehensive multi-disciplinary text covering all aspects of adult intensive care management. Uniquely this text takes a problem-orientated approach providing a key resource for daily clinical issues in the intensive care unit. The text is organized into short topics allowing readers to rapidly access authoritative information on specific clinical problems. Each topic refers to basic physiological principles and provides up-to-date treatment advice supported by references to the most vital literature. Where international differences exist in clinical practice, authors cover alternative views. Key messages summarise each topic in order to aid quick review and decision making. Edited and written by an international group of recognized experts from many disciplines, the second edition of the Oxford Textbook of Critical Careprovides an up-to-date reference that is relevant for intensive care units and emergency departments globally. This volume is the definitive text for all health care providers, including physicians, nurses, respiratory therapists, and other allied health professionals who take care of critically ill patients.

This book provides healthcare professionals in Critical Care setting an easy consultation guide to fight against COVID-19. The book is divided into sections: Fundamentals of COVID-19, Pneumological critical care, Neurological manifestations, Cardiovascular manifestations, Renal manifestations, Haemostasis and coagulation, Other multi-organs involvement, Principles of therapy. Each section includes: * brief pathophysiology of COVID-19 (ventilation, neurological, cardiovascular, etc.); * principles of management (enriched with flowcharts and figures); * principles of therapy; * tips and key messages. Readers can find the most updated advices on how to face the ongoing pandemic: from principles of conventional oxygen therapy, assisted and invasive mechanical ventilation in critically ill COVID-19 patients to the complications sometimes underestimated. Tables and flowcharts provided are based on current knowledge in COVID-19 to help the clinician managing COVID-19 patients by a multiple-organs prospective. Written by international key opinion leaders of each field, the book represents a point of reference for all professionals involved in the management of COVID-19 pandemic.

Learning how to use a mechanical ventilator can be very challenging and frightening for most residents and other health care students. Many books and articles have been published on this subject, but they often leave the reader confused because they are generally written for pulmonary/critical care specialists. However, most patients will need the same basic respiratory support and will have similar complications. In this book we provide background information and outline strategies for use of mechanical ventilation to make this advanced patient support easy to understand and apply. Use this handbook to learn the basics about mechanical ventilators and to enhance your ICU experience.

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.

Quality and Safety in Anesthesia and Perioperative Care offers practical suggestions for improving quality of care and patient safety in the perioperative setting. Chapters are organized into sections on clinical foundations and practical applications, and emphasize strategies that support reform at all levels, from operating room practices to institutional procedures. Written by leading experts in their fields, chapters are based on accepted safety, human performance, and quality management science and they illustrate the benefits of collaboration between medical professionals and human factors experts. The book highlights concepts such as situation awareness, staff resource management, threat and error management, checklists, explicit practices for monitoring, and safety culture. Quality and Safety in Anesthesia and Perioperative Care is a must-have resource for those preparing for the quality and safety questions on the American Board of Anesthesiology certification examinations, as well as clinicians and trainees in all practice settings.

This is the story of one Mom and one very special family that had born into it one very special little girl who at this writing is waiting for a multi-organ transplant so that she can visit London and Paris, and so that she can see the world beyond the four corners of a hospital room. Delight in the joys and cry for the sorrows of this mother and family for an infant born with a very serious problem that for the most part is not given the recognition it deserves. Kourtney Najjar has neurogenic pseudo obstruction and osteopenia, and every single day since her birth, she has struggled with pain. Find out how one mom fought and continues to fight to get answers for her youngest child, and how she fights the system and juggles the schedules of her other three active children, while making choices no parent ever wants to make. Mother, father, and children all are a part of this process, and the journals inscribed herein are the true thoughts and feelings of the moment; and this book is as Laura Najjar's journal was inscribed. Laura Najjar wrote this book as a help to all parents of children with this condition, and for all families and children who face life threatening issues on a daily basis. It helps to cope when you know there are others who care, and others who share the same plight. Laura Najjar has a degree in early child development, and brings that expertise to the table in resolving her issues. This is a book everyone should read, because it is a book all about fighting hard for life and living life to its fullest. All profits from this book will be donated to Kourtney Najjar to cover her mult-transplant costs.

The second edition of this essential handbook provides a practical, accessible guide to all emergency situations encountered during, and immediately following, anaesthesia. It covers the major specialties including cardiovascular medicine, respiratory medicine, obstetrics, and paediatrics, and each section begins with a clear table listing presentation, diagnosis, exclusions, immediate action, and follow up action. These subsections are then expanded upon in bullet format. Additional sections cover practical procedures such as how to insert a chest drain and how to administer inhaled drugs under anaesthesia, plus a concise drug formulary. The book will provide consultant and trainee anaesthetists, operating department personnel and anaesthetic nurses with a useful source of information and guidance that can be carried in the pocket, handbag or briefcase.

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.

This memoir tells of my recovery from a coma when I was 13. Because I live a normal life now, people are surprised to learn that I have had a Traumatic Brain Injury, and they're always so curious: How did it happen? Do you remember anything? How long were you in a coma? Do you still ride horses? This book answers all those questions and more. An emotional Part I allows readers to experience the range of emotions my family felt as I lay unconscious. Part II describes my frustrations upon gaining consciousness: my right side was paralyzed and I couldn't speak. Part III tells how I was received once I returned to eighth grade and follows through to high school graduation, describing physical, social, and emotional problems I had along the way. This story shows how I met these problems with determination and how I accepted the ones I couldn't change.