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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.
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.
The Oxford Handbook of Pre-hospital Care provides the reader with authoritative, evidence-based advice on the assessment and management of pre-hospital care emergencies. It is designed to provide information for all immediate care practitioners including doctors, paramedics, emergency care practitioners, nurses and voluntary aid society members. The Oxford Handbook format and its pocket size make its content readily accessible and it can be carried easily in jackets or other personal protective clothing. Each section defines the important clinical features of the named condition and includes boxes containing essential advice. The treatment section incorporates national and international guidelines and protocols where available and reflects contemporary best practice. Topics include scene safety, personal protective equipment, basic and advanced life support, head injuries, chest injuries, abdominal and pelvic injuries, spinal injuries, musculoskeletal injuries, medical emergencies, mass gathering incidents, major incidents, burns and related problems. The authors have broad experience in pre-hospital care including civilian and military practice in various fields including medical emergencies, road traffic collisions, entrapments, ballistic trauma and major incidents. This is the essential quick-reference guide to pre-hospital medicine!
This text provides a comprehensive, state-of-the-art overview of the diagnosis and management of the critically ill cirrhotic patient. The book reviews recent data about risk factors for acute on chronic liver failure (including infection, renal dysfunction and acute alcoholic hepatitis), profiles the latest treatment strategies for the management of variceal bleeding, ascites, hepatocellular carcinoma and presents current and novel therapies for acute hepatic encephalopathy, and anticoagulation in liver disease. The volume also focuses on the changing etiology of liver disease, with an emphasis on obesity and frailty/sarcopenia, and advances in surgical techniques, including living donor liver transplants and gender disparities in liver transplantation. Palliative care for the critically ill liver patient is also discussed in the book. Written by experts in the field, The Critically Ill Cirrhotic Patient: Evaluation and Management is a valuable resource for clinicians, practitioners, health care providers, and researchers who encounter patients with chronic liver disease, including end-stage liver cirrhosis.
Urticaria is one of the most common diseases in dermatology and allergy. Unlike many other diseases, the ? eeting nature of the wheals makes ? rst diagnosis by both patients and phy- cians in many cases easy. However, this only refers to the ordinary wheals. The disease itself is highly complex in nature, with variety of clinical manifestations ranging from pinpoi- sized wheals to extensive angiodema. Complexity is also seen in the diversity of possible eliciting factors, the many different clinical subtypes and the therapeutic responsiveness. Only in recent years has a better understanding of the diversity in the different subtypes led to new classi? cations and new evidence-based guidelines for diagnostics and mana- ment of the disease. While mast cells are in the center of most urticaria reactions, it is now clearly understood that the responsible mediators are not only limited to histamines. The current book appears in a series of books by Springer. In 1986, the ? rst monograph was edited by Professor Henz nee Chanewsky. Since then, two updates of the book have appeared in the German language with Professor Henz as ? rst editor and T. Zuberbier, J. Grabbe, and E. Monroe as the co-editors of the most recent English version, published in 1998. All these books have been written as a joint effort of Professor Henz together with her team at the Department of Dermatology at the Virchow Clinic, Humboldt University, Berlin.
This text provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in surgical critical care. The book reviews up to date data regarding the management of common problems that arise in the Surgical Intensive Care Unit. The protocols, care bundles, guidelines and checklists that have been shown to improve process measures, and in certain circumstances, are discussed in detail. The text also discusses several well designed randomized prospective trials conducted recently that have altered the way we care for surgical patients with traumatic brain injury, hemorrhagic shock, acute respiratory distress syndrome, and sepsis. This book provides the practicing physician with a clinically oriented practical approach to handle basic and complex issues in the Surgical Intensive Care Unit. This text will serve as a very useful resource for physicians dealing with critically ill surgical patients. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most up to date scientific and clinical information. This text will become an invaluable resource for all graduating fellows and practicing physicians who are taking the surgical critical care board examinations.
This textbook fills a gap in education for licensed practical nurses (LPN), providing information specific to their own needs and concerns. Firstly, it clarifies the leadership role of LPNs in the healthcare setting, and then identifies the knowledge, skills and abilities related to leadership, management, communication, culture change and person-directed care concepts. It also explains the efficacy of these concepts related to the LPN care of patients in the work setting and reviews the Nurse Practice Act (NPA) enacted in every US state. LPNs play an essential role in the patient care team and we have to ensure they receive advanced education as practitioners in healthcare settings that reach vulnerable populations such the elderly. They have been considered as the registered nurses' right hand in acute care as well as many home-health settings. They provide basic medical and nursing care, ensure the comfort of patients, discuss health care with patients, and report the status of patients to registered nurses and doctors. But the LPNs are often expected to take on a real leadership role based on the perception that as licensed nurses they already have all the qualifications and education necessary for leadership roles. However, there is a gap in the education they receive and a limited body of literature dedicated to them. Written in honor of all LPNs, this educational textbook fills that gap. With learning objectives, review questions and scenarios, it is a valuable resource for courses for undergraduate students training to be LPNs.
This book offers up-to-date information on the recording and analysis of respiratory sounds that will assist in clinical routine. The opening sections deliver basic knowledge on aspects such as the physics of sound and sound transmission in the body, a clear understanding of which is key to good clinical practice. Current techniques of breath sound analysis are described, and the diagnostic impact of advances in the processing of lung sound signals is carefully explained. With the aid of audio files that are available online, detailed guidance is then provided on differentiation of normal and abnormal breath sounds and identification of the various sounds, including crackles, wheezes, other lung sounds, cough sounds, and sounds of extrathoracic origin. The book is of high educational value and represents an excellent learning tool at pre- and postgraduate levels. It will also appeal to researchers as it provides comprehensive summaries of knowledge in particular research fields. The editors bring high-level expertise to the subject, including membership of the European Respiratory Society Task Force on the standardization of categories and nomenclature for breath sounds.
This book presents a systematic approach to the potential pulmonary complications of various systemic non-pulmonary pediatric disorders. Chapters focus on the pulmonary complications associated with: the major organ systems, types of disorders, metabolic conditions, and various modalities. Although specific diseases will be discussed, the main focus will be on describing the associated organ mechanisms and how they can negatively affect the respiratory system. Each chapter will also discuss methods of prevention, the diagnostic test(s) that may be necessary to diagnose or monitor these complications, and, if applicable, the recommended therapeutic modalities. Pulmonary Complications of Non-Pulmonary Pediatric Disorders provides pulmonologists, pediatricians, and other clinicians with a detailed, reliable explanation of seemingly unrelated signs and symptoms so they can form a more thorough differential diagnosis and prescribe the appropriate diagnostic tests and treatment.
Recent Advances in Critical Care - 1 features a collection of in-depth reviews of the latest developments in the field. Written in an accessible format and featuring such topics as trauma coagulopathy, renal replacement therapy and the use of focussed transthoracic echocardiography in haemodynamic assessment, each chapter provides a comprehensive overview and emphasises points of interest. This first volume in the series is an invaluable resource for busy clinicians. Key points 12 chapters summarising important recent advances within the field of critical care. All topics are written in a practical and clinically relevant manner, further enhanced by the 'Key Points for Clinical Practice' section at the end of each chapter All chapters are written by expert authors ensuring authoritative and accurate content Full colour photographs throughout
Because of his international prominence, Professor Khan has been able to gather an enviable list of experts in the field to contribute their experience with airway management in a multitude of clinical settings. The critical appraisal of the airway authored by the editor, Professor Khan, sets the stage for the important preoperative tests that may alert the clinician of the potential for a difficult airway so that appropriate plans can be made. The formidable "guest list" of authors spans the world and encompasses clinicians from Malaysia, the United States, Pakistan, India, Denmark, Singapore, Germany, Canada and Iran. What is equally remarkable is the list of topics discussed in the textbook and the varied clinical settings in which airway management is likely to pose particular and unique challenges: pediatrics; patients with cervical spine injury and those with traumatic brain injury; ambulatory surgery; patients with obstructive sleep apnea and obstetric patients. The book also addresses the latest in technological advances that can aid the clinician in diagnosing and managing the difficult airway, such as ultrasonography and also describes surgical approaches to managing the difficult airway, such as cricothyrotomy. Finally, underscoring the truly international appeal of the textbook and acknowledging the potential technological limitations of the developing world, a chapter is dedicated to the use of indigenous devices in managing the difficult airway.
The latest edition of this handbook is a concise yet comprehensive guide for attending physicians, fellows, residents, and students who cover the ICU. The chapters follow an outline format and are divided by organ system, including neurologic disorders and cardiovascular disorders, and special topics, such as environmental disorders, trauma, and toxicology. The handbook includes thoroughly updated chapters from the previous edition, alongside completely new material. Written by an authority in the field, the Handbook of Critical and Intensive Care Medicine, Third Edition is a valuable one-stop reference for every practitioner engaged in Critical Care Medicine across the world.
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.
The definitive treatment on the medical evacuation and management of injured patients in both peace- and wartime. Edited by eminent experts in the field, this text brings together medical specialists from all four branches of the armed services. It discusses the history of aeromedical evacuation, triage and staging of the injured patient, evacuation from site of injury to medical facility, air-frame capabilities, medical capabilities in-flight, response to in-flight emergencies, and mass emergency evacuation. Specific medical conditions are addressed in detail, including such general surgical casualties as abdominal wounds and soft tissue, vascular, maxillofacial, head and spinal cord injuries, ophthalmologic, orthopaedic, pediatric, obstetric-gynecologic casualties, burns, and more. Over 80 illustrations provide a review of transport equipment and both medical and surgical treatment. A must-have reference for all armed forced physicians and flight surgeons, for general and trauma surgeons, internists, intensive care specialists, orthopaedic surgeons, and public health service physicians.
Critical Care Neurology, Part II: Neurology of Critical Illness focuses on the care specialists and general neurologists that consult in the ICU and their work with patients in acute, life-threatening situations who are dealing with neurologic or neurosurgical crises emanating from either a preexisting neurologic syndrome or from a new neurologic complication appearing as a result of another medical or surgical critical illness. These two separate clinical situations form the pillars of neurocritical care, hence these practices are addressed via two separate, but closely related, HCN volumes. Chapters in both focus on pathophysiology and management, and are tailored for both general neurologists and active neurocritical specialists, with a specific focus on management over diagnostics. Part I addresses the principles of neurocritical care and the management of various neurologic diseases. Part II addresses the interplay between neurologic complications and the surgical, medical, cardiac, and trauma of critical illnesses that most typically present in the ICU.
The complex IT requirements of a critical care unit have led to the development of numerous information systems. In this concise handbook, the authors share their experience and research findings on how to unleash the power of the technology and overcome potential problems. Clinical Information Systems in Critical Care explains the key aspects of the information systems currently available, covering topics such as how to select the best system to match the requirements of a critical care unit, the issues surrounding data maintenance, patient confidentiality and the concept of the paperless patient record. It discusses both the benefits that may justify investment in the technology and hurdles that may arise, and offers advice for avoiding common problems. Clinical Information Systems in Critical Care is essential reading for all clinicians and health managers involved in developing, implementing, maintaining and using clinical information systems.
This book discusses the factors that affect outcomes in patients requiring various types of neurocritical care. Neurocritical care was originally developed to manage patients with traumatic brain injury or stroke. Today, neurocritical care involves patients with a wide variety conditions, including not only brain injury, cerebrovascular disease and brain tumors but also post cardiac arrest syndrome, metabolic disorders, sepsis-related encephalopathy, degenerative diseases, and electrolyte abnormalities. Recently, there has been a focus on improving the outcomes and patients' quality of life. Covering the latest topics in the field, and written by specialists such as neurosurgeons, anesthesiologists and neurologists, the book provides an update on therapeutic / management strategies for disorders requiring neurocritical care for emergency physicians, intensivists and critical care physicians.
A case-based guide with expert commentary, Challenging Concepts in Critical Care shows how the experts approach and deal with real-life clinical scenarios. Each chapter presents a clinically challenging case complete with a case history, evidence based tips, and up-to-date learning points. To give further insight into the field, each chapter has commentary from an expert who identifies and explains the key points and controversies of the case. Practical yet rich in detail, Challenging Concepts in Critical Care is a key title for anyone preparing for intensive care exams. For each case, key information is highlighted through the use of boxes to stimulate interest and facilitate learning: 'Learning points', 'Clinical tips', 'Evidence base', and 'Expert commentary'. With new information on key trials, clinical practise, and evidence based research, this book is also an invaluable resource for experienced critical care clinicians looking for a concise update on a wide range of challenging topics in the field. In addition, it is of high value to senior ICU nurses, allied health professionals, and anyone with an interest in intensive care medicine.
Written by experts in the anesthesiology field, this unique resource explores the various issues and complications that arise during the administration of anesthesiology in various clinical settings. To convey the depth and breadth of these potential obstacles, 26 real-life cases are explored and examined throughout the book. Each chapter includes a case summary, discussion questions, and selected references - all of which are supplemented by high quality illustrations and images that provide distinctive visual synopses of key teaching points. Clinical Anesthesiology II: Lessons from Morbidity and Mortality Conferences is an indispensable guide that functions as both a pragmatic reference and compelling read for practitioners and critical care medicine trainees.
Traditional Doctor / Nurse boundaries are being eroded with nurses expanding their sphere of practice to encompass assessment skills and enable them to manage total episodes of patient care with true autonomy (DOH 2000). More recently we have seen the emergence of Nurse Practitioners undertaking this advanced level of health assessment in the acute medical arena. This book will support the decision-making process and treatment that can be offered by these individuals.
"Acute Medicine - A Handbook for Nurse Practitioners"is an up-to-date, practical and comprehensive guide, offering invaluable information and advice on the management of acute medical conditions. Key features include:
Assessment, investigation, diagnosis and management of the most acute medical conditions A guide through the management of the patient and identification of priorities for treatment Legal, professional and ethical issues faced by nurses working at an advanced level Role development The development of protocols and prescribing Examples of Clinical Management Plans for the supplementary prescriber and Patient Group Directions to support practice
Written by an experienced Consultant Nurse in Acute Medicine, this engaging book will serve as a text from which the busy and highly skilled nurse can refer to for information on assessment, diagnosis and management of acute medical conditions.
This innovative book for Neonatal Nurses and NICU clinicians provides evidence-based clinical guidelines proven to mitigate and reduce the often profound trauma experience and subsequent developmental challenges for vulnerable hospitalized infants and their families. Each in-depth guideline includes the latest scientific research explaining the clinical rationale for the recommended practices, associated short-term and long-term outcomes, and implementation strategies to support practice improvement. The text reflects a trend - the provision of trauma-informed care in the neonatal intensive care unit - that has recently gained increasing momentum. With endorsements by respected transdisciplinary neonatal clinicians, it provides guidelines that encompass the five core measures for age-appropriate care, including the Healing Environment, Pain and Stress, Protected Sleep, Activities for Daily Living, Age-Appropriate Infant Guided Feeding, and Family-Integrated Care. The book also features downloadable sample competencies and parent teaching guides, along with additional eLearning modules with Nursing CE. A self-assessment checklist and teaching sheets, sample competencies, and sample algorithms add to the book's utility. Key Features:Provides clinically relevant, evidence-based practice guidelines for minimising trauma in neonates.Encompasses the five core measures for age-appropriate care.Includes proven implementation strategies to facilitate practice transformation.Offers downloadable sample competencies and parent teaching guides and eLearning modules with Nursing CE.Reviewed and endorsed by transdisciplinary neonatal clinicians.
Designed specifically for the revised Final FRCA examination, this book contains four mock exams, combining the new single best answer format with the traditional true/false format MCQs. A further fifth chapter contains only single best answer questions allowing candidates extra practice on this new and more difficult format. Uniquely the book includes answers with explanations and cross-references to key textbooks, allowing the candidate to read around on more difficult areas. The editor team balances extensive exam experience with recent exam success. Each question has also been expertly reviewed to ensure the highest quality and relevance to the Final FRCA. This is a must buy when preparing for this key exam.
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.
The AFEM Handbook of Acute and Emergency Care 2e provides a field reference for emergency care providers in Africa, which addresses the African regional disease burden and recommends diagnostic and management pathways. The text is designed to be used by all levels of providers for the care of acutely ill or injured patients, and covers the full scope of emergency and acute care. It addresses both out-of-hospital and in-hospital interventions, and provides diagnostic and management strategies for the most common emergency care problems faced by providers in sub-Saharan Africa. Uniquely, the text offers care providers management strategies based on available resources: it guides care providers through a rapid systematic and integrated approach to patient stabilisation and resuscitation, stratified to three resource levels: minimal, moderate and full resources. The primary target market includes emergency medicine practitioners (medical doctors and emergency care technicians). In addition, it is aimed at MBChB students and National Diploma students taking modules in Emergency Medicine or Emergency care, and students enrolled in certificate courses in Emergency care at provincial colleges.
The care that a patient receives in the first hours after surgery is crucial to minimizing the risk of complications such as heart attacks, pneumonia, and blood clots. As the patient awakes from their drug-induced coma, it takes time for them to metabolize and excrete these drugs, during which period they remain unable to care for themselves, and at increased risk of harm. The recovery room staff must manage both comatose and physiologically unstable patients, and deal with the immediate post-operative care of surgical patients. The fifth edition of this popular book provides nurses, surgeons and anaesthetists with clear guidance on how to manage day-to-day problems and how to make difficult decisions. Previous editions of this book have established it as the definitive guide to setting-up, equipping, staffing, and administering an acute care unit. It includes basic science such as physiology and pharmacology, specific symptoms including pain and vomiting, and has chapters devoted to the unique post-operative needs of individual types of surgery. This new edition brings this important text up to date and new drugs and techniques for monitoring are described. A new section looks ahead to the future development and design of recovery rooms and how they can contribute to patient well being.
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