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As a society, we push aside stories of remarkable recovery which don't fit our paradigm of one cause, one cure. In the history of medicine, we have almost never used the tools of rigorous science to investigate remarkable recoveries from incurable illnesses. But, Dr Jeff Rediger, a world-leading Harvard medic, psychiatrist and theologian, has spent the last fifteen years studying thousands of individuals from around the world and examining the stories behind these extraordinary cases of spontaneous remission. From retiree Claire, diagnosed with a violent form of pancreatic cancer and given weeks to live, to 23-year-old Matt, given a 2 per cent chance of surviving a lethal brain tumour. Both rejected chemotherapy and radiation, and went home to try to prepare themselves for acceptance and a peaceful death. Both are alive over a decade later, their bodies absent of all tumours. Dr Rediger doesn't classify people like Claire or Matt as 'flukes' or 'outliers' but has analysed what they - and thousands of others - have done to cure themselves and reveals the common denominators of people who have beaten the odds, unlocking the secrets behind the mind-body connection and discovering the immense power of the immune system.
This book presents the parameters of Mastery Learning (ML), an especially stringent variety of competency-based education that guides students to acquire essential knowledge and skill, measured rigorously against a minimum passing standard (MPS). As both a scholarly resource and a teaching tool, this is a "how to" book that serves as a resource for a wide variety of health professions educators. A seminal source of information and practical advice about ML, this book divided into five parts: Clinical Education in the Health Professions, The Mastery Learning Model, Mastery Learning in Action, Transfer of Training from Mastery Learning and The Road Ahead. Complete with high-quality images and tables, chapters take an in-depth look into ML principles and practices across the health professions. Specific educational content instructs readers on how to build and present ML curricula, evaluate short and long-run results, conduct learner debriefing and give powerful feedback, set learner achievement standards, and prepare faculty for new educational roles. An invaluable addition to the Comprehensive Healthcare Simulation Series, Mastery Learning in Health Professions Education is written and edited by leaders in the field for practicing clinicians in a variety of health professions.
Home/community-based care addresses an issue which is becoming increasingly urgent in South Africa. Millions of people are affected by chronic diseases such as HIV and Aids, cancer and tuberculosis. With rising costs, lack of space and facilities in hospitals, providing care and support for these patients and their families in their own homes is a necessity.
The Annual Update compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.
This book provides readers with a detailed orientation to healthcare simulation research, aiming to provide descriptive and illustrative accounts of healthcare simulation research (HSR). Written by leaders in the field, chapter discussions draw on the experiences of the editors and their international network of research colleagues. This seven-section practical guide begins with an introduction to the field by relaying the key components of HSR. Sections two, three, four, and five then cover various topics relating to research literature, methods for data integration, and qualitative and quantitative approaches. Finally, the book closes with discussions of professional practices in HSR, as well as helpful tips and case studies.Healthcare Simulation Research: A Practical Guide is an indispensable reference for scholars, medical professionals and anyone interested in undertaking HSR.
This book describes the state of the art concerning some of the most hotly debated topics in anesthesia and intensive care and is at the same time intended to serve as a useful practical guide that will assist in improving outcomes. The topics covered are wide ranging and include, for example, the use of antibiotics during renal replacement therapy, the role of video laryngoscopy, management of mechanical ventilation in the operating room, use of high-frequency ventilation in patients with respiratory failure, management of the potentially brain dead patient, perioperative delirium, cardiac protection during general anesthesia, single-lung ventilation, and use of lung imaging in critically ill patients. Written by recognized experts in the field, the book will offer a comprehensive and easy to understand update for specialists and students of anesthesia and intensive care.
This book is a comprehensive and up-to-date study guide for those preparing to take the written emergency medicine board examination. It serves as a concise text of emergency medicine. It is distinguished by a problem-oriented approach and is presented in a visual and easily comprehensible format. The reader is walked through how to arrive at the diagnosis for each potential emergency situation, with each diagnosis or problem broken down into signs, symptoms, workup (labs and imaging), and disposition. This useful guide captures the latest developments in emergency medicine, including the newest technologies and methodologies, such as ultrasound, and simulation, which are becoming an increasingly important part of emergency medicine education and practice, as reflected in the board exam. This is an ideal tool for emergency medicine residents and faculty, critical care trainees, physician assistants and nurses working in emergency medicine, and medical students.
Maths, physics and clinical measurement hold a degree of mystery and trepidation for many working and training in anaesthesia, intensive care and theatre practice. This important new book covers these core topics in a logical and structured format, creating a more enjoyable learning experience that is accessible and easy to digest. Each chapter opens with a set of learning objectives and summary of chapter contents. Following this is a clinical scenario that relates to the themes of the chapter and a number of hypothetical questions relating to the scenario are laid-out. Clinical pearls are presented in boxes for more advanced learning opportunities. Each chapter closes with a set of MCQ or SBA self-test questions to test the readers' knowledge of the chapter. This book covers everything needed for the FFICM and FRCA exams, making it an essential text for exam candidates, tutors, and those working in theatres, anaesthesia and the ICU.
The Yearbook compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.
The Annual Update compiles reviews of the most recent developments in experimental and clinical intensive care and emergency medicine research and practice in one comprehensive reference book. The chapters are written by well recognized experts in these fields. The book is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.
Older patients carry some of the highest risks of suffering an adverse event or death following anesthesia and surgery. They are inherently vulnerable, presenting with numerous comorbidities and reduced physiological reserve, requiring 'gero-centric' perioperative care for everything from routine eye surgery to major cardiac surgeries. Dementia, frailty, and the need for palliative care and pain management for the orthopedic patient are important areas requiring special consideration in this group. This book provides a general overview of these topics for those healthcare providers who may not have extensive knowledge of this patient population, while at the same time offering practical tips for the more experienced clinician. Chapters cover the spectrum of perioperative care including preoperative management of comorbid conditions, intraoperative anesthetic management, postoperative pain control, and a primer on advanced directive discussions. This book is appropriate not only for anesthesiologists but for any perioperative physician caring for the older patient.
This manual is aimed at all healthcare practitioners, from novice to expert, who care for the critically ill patient, recognising that different disciplines contribute to the provision of effective care and that essential knowledge and skills are shared by all practitioners. It provides evidence-based guidelines on core critical care procedures and includes a comprehensive competency framework and specific competencies to enable practitioners to assess their abilities and expertise. Each chapter provides a comprehensive overview, beginning with basic principles and progressing to more complex ideas, to support practitioners to develop their knowledge, skills and competencies in critical care.
This comprehensive third edition provides robust support to clinicians providing perioperative care for patients. Patients with a range of medical conditions undergo surgeries of varying levels of risk, and the evolving field of consult medicine aims to address their needs, whether pre- or post-surgery. This book offers evidence and experience-based information, advice, and guidelines on all aspects of perioperative medicine. Care around surgeries in many major clinical areas are included, including cardiology, pulmonology, gastroenterology, rheumatology, endocrinology, and so on. This new edition has been updated throughout with the latest literature, more visual content (tables and algorithms), and eleven new chapters on topics such as: chronic pain, congestive heart failure, hormone therapy and transgender patients, and postoperative hypoxemia. This new edition focuses on high value care in order to improve outcomes, including minimizing complications and readmissions. It also provides streamlined key points for caring for patients with medical diagnoses that may be especially complicated around surgery. This resource is invaluable for practicing physicians (including medical consultants, surgeons, and anesthesiologists) and other professionals who aim to optimize care of surgical patients.
A significant number of critically ill neurological and neurosurgical patients are still managed in the medical or surgical ICU by non-neurointensivists, who have a hard time appreciating the delicate needs of these patients. This dynamic guide reviews current topics facing neurocritical care providers in a straight-forward, structured, and practical way. Providing clear summaries in the management of neuro critical care conditions, this text allows for accessible, highly structured, and focused protocols for the assessment, day-to-day management, and treatment of critically ill patients in various ICU settings. This comprehensive, thorough guide to the management and treatment of neurologic and neurosurgical patients is an excellent companion for trainees preparing for the Neurovascular Boards, Neurologists, Neurosurgeons and critical care physicians, alike. Designed by leaders in their field, this thorough guide presents practical, state-of-the-art suggestions for physicians worldwide.
Ethical issues facing anesthesiologists are more far-reaching than those involving virtually any other medical specialty. In this clinical ethics textbook, authors from across the USA, Canada and Europe draw on ethical principles and practical knowledge to provide a realistic understanding of ethical anesthetic practice. The result is a compilation of expert opinion and international perspectives from clinical leaders in anesthesiology. Building on real-life, case-based problems, each chapter is clinically focused and addresses both practical and theoretical issues. Topics include general operating room care, pediatric and obstetrical patient care, the intensive care unit, pain practice, research and publication, as well as discussions of lethal injection, disclosure of errors, expert witness testimony, triage in disaster and conflicts of interest with industry. An important reference tool for any anesthesiologist, whether clinical or research-oriented, this book is especially valuable for physicians involved in teaching residents and students about the ethical aspects of anesthesia practice.
Case Based Echocardiography will provide a case-based introduction/primer to the practice of echocardiography with liberal use of images and actual patient histories. The reader will be able to gain extensive practical knowledge of the practice of echocardiography with the use of these case reports. These will concentrate on the skills necessary to increase specialist knowledge of echocardiography practice.
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. Focused Intensive Care Ultrasound is a practical manual designed to help you use ultrasound to assess and treat critically ill patients. Extensively illustrated, the book comes with online access to over 70 videos and 60 self-assessment questions. This is the first book comprehensively mapped to the syllabi of Focused Intensive Care Echocardiography (FICE), Core Ultrasound for Intensive Care (CUSIC), Resuscitation Council UK's Focused Echocardiography in Emergency Life support (FEEL), British Society of Echocardiography's Level 1 Accreditation, and Focused Acute Medical Ultrasound (FAMUS). It is also ideal for European Focused Cardiac Ultrasound (FoCUS) training. Providing a clear distinction between basic and advance skills, it introduces relevant aspects of advanced echocardiography for more experienced learners. With a focus on clinical issues, and supported by relevant physiological principles, this book teaches you exactly what you need to know to assimilate ultrasound into your everyday intensive care practice. Designed as an essential day-to-day reference and learning tool, this resource is ideal for trainees, consultants and critical care practitioners wishing to master ultrasound skills.
This book is an important new resource for clinicians caring for ventilator dependent children, who often have complex health care needs, are supported by advanced technology and are at high-risk of serious complications. Despite the complicated health care needs of children who rely on chronic respiratory support, there are few guidelines and little evidence available to guide the clinicians who care for these patients. This book covers the many aspects involved in the care of these complex children, with input from experts in the fields of pediatric pulmonology, intensive care, ethics, respiratory therapy, and nursing. In depth chapters provide an introduction to the use of chronic invasive and non-invasive ventilation in children and describe and review what is known about methods of delivering ventilator support, care of the chronically ventilated patient in the community , use of chronic ventilator support in patients with disorders commonly leading to respiratory failure and outcomes for patients and their caregivers. This book is intended to be useful not only for pediatric pulmonologists, but also for intensivists, cardiologists, physical medicine/rehabilitation specialists, nurses, respiratory therapists and the primary care physicians involved in the complexities of managing care for this unique group of special needs children.
The perioperative management of newborns with surgical conditions is an interdisciplinary effort. These infants generally spend less than a day in the operating room, but require days, weeks, or even months of complex pre- and postoperative care that spans several medical and surgical areas of expertise. Multidisciplinary collaboration as a team is rarely covered in textbooks with a strictly medical or surgical focus. This tends to be working knowledge that is gained by experience. The Manual of Neonatal Surgical Intensive Care will therefore be useful to both medical and surgical clinicians who are taking care of newborn infants with surgical conditions. This work is a collaborative effort between the surgical staff at Children's Hospital and the medical staff at Boston Children's Hospital, Beth Israel Deaconess Medical Center, Brigham and Women's Hospital, and hospitals further afield. Its intended audience is surgeons, neonatologists, pediatricians, neonatal nurse practitioners, neonatal nurses, transport clinicians, and any other healthcare providers expected to render pre- or postoperative care or counseling for these newborns. Children's Hospital receives infants who require surgery and complex postoperative surgical care from local newborn nurseries, our associated Special Care Nurseries, Beth Israel Deaconess Medical Center, and Brigham and Women's Hospital, as well as from other referring hospitals across the country and around the world. The contributing authors reflect this web of community and tertiary hospitals. In this third edition, we have added several new chapters and have updated all existing chapters, adding illustrations to clarify the written descriptions.
The critical care unit is an intense clinical environment with huge responsibilities on the professionals caring for these patients. Imaging is a key source of diagnostic information, but the conditions in which diagnostic imaging has to be performed are often extremely challenging and significantly different to imaging in the non acute setting. Imaging the ICU Patient reviews imaging procedures on the ICU in a highly practical and memorable manner. Swift and efficient clinical decision-making is rewarded on the ICU and this book serves as a practical handbook.
In partnership with the American College of Physicians, here is the definitive point-of-care guide to managing critical care patients
A Doody's Core Title for 2011
This handy, yet comprehensive resource fully reviews the optimal clinical management of patients in the intensive care unit. Numerous clinical and procedural illustrations support this turnkey coverage, which is packed with clinical pearls and presented in an at-a-glance format. The "ACP Manual of Critical Care" touches on all core content areas and body/system regions, from cardiovascular critical care to critical care of neurological diseases. If it's important to achieving optimal patient outcomes in the critical care setting, you'll find it here.
FEATURES All content is prepared under the auspices of the ACP, the world's leading organization of internal medicine physicians Eye-catching two-color design simplifies reader navigation and referencing A trove of superb anatomical, clinical, and procedural illustrations commissioned especially for this book Extensive array of clinical pearls and step-by-step clinical procedures for issues commonly encountered in the ICU Evidence-based chapters provide practice guidelines and treatment recommendations grounded in rigorous scientific research Balanced coverage includes major controversies and unsettled issues Helpful appendix features commonly used parameters and formulae in critical care, plus useful treatment algorithms and tables
New and ground-breaking therapeutic options for the critical care of patients with cerebrovascular disease have improved patient management, minimized morbidity, reduced in-patient care, improved quality of life, and had a positive economic impact on health service provision. This volume integrates these approaches and suggests the best therapy option for all cerebrovascular conditions. The early chapters of the book focus on monitoring techniques and interventions. Subsequent sections address the critical care of a wide range of cerebrovascular diseases: ischemic stroke, intracranial hemorrhage, subarachnoid hemorrhage, arteriovenous malformations, cerebral venous thrombosis, and traumatic injury. The editors and authors are internationally recognized experts in their field, and the text is supplemented by tables and illustrations to demonstrate important clinical findings. This book will meet the needs of stroke physicians, neurologists, neurosurgeons, neuorintensivists, and interventional neuroradiologists seeking to maximize positive outcomes for their patients.
This book addresses the manifestation of lung disease in patients with rheumatoid arthritis (RA). Lung disease in RA is common and often associated with significant morbidity and mortality. This stems partially from the nature of RA and partially from the many therapies used to manage RA that are associated with pneumotoxicity. Despite the severity and commonality of this comorbidity, little has been written on the topic. This book thus takes a multidisciplinary approach to provide: a concise overview of RA and why lung disease so commonly coincides with it; overviews of the specific lung diseases, including interstitial lung disease, and their epidemiology, associated imaging, histopathology, biomarkers, and management; a presentation of risk factors for these diseases; and specifics on what still needs to be uncovered about these pulmonary manifestations. Lung Disease in Rheumatoid Arthritis is a comprehensive and practical resource for clinicians and clinician scientists in pulmonology, rheumatology, pathology, and primary care.
Previously published as Handbook of Critical Care by CMG this book is a pocket-sized basic intensive care manual. The handbook is divided into 15 chapters, eight substantial ones covering the major organ systems, as well as infection, nutrition, physical injury and toxicology, and brief chapters on scoring systems and obstetrics. Many of the sections are loaded with very clear pictures, comparative tables, diagrams and lists, and provide more than adequate information for juniors training in intensive care medicine. The definitions, aetiology, clinical features and differential diagnoses are well covered. Excellent use is made of bullet points and numbering, which vastly increases the clarity of presentation compared with many other books that are pitched at a similar audience.
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