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This guide provides practical information on the care of patients with blunt injuries that will be invaluable for emergency personnel, trauma surgeons, orthopaedic traumatologists, and anesthesiologists. The management of both truncal injuries (head, chest, abdomen) and fractures of the extremities, the pelvis, and the spine is covered in a condensed fashion, emphasizing key information. Care is taken to highlight associated injuries that may alter the decision making in patients with polytrauma. The new, revised edition takes full account of three major developments of recent years, namely the increasing economic pressure on health care systems, including trauma care, the changes in trauma systems and related education, and the improved survival of polytrauma patients. In view of the greater recognition of the physical and psychological long-term sequelae of major injuries, post-traumatic stress disorder is discussed in depth in this new edition.
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, use of the prone position in ARDS, the role of therapeutic hypothermia in the critically ill, the value of immunoglobulins in the treatment of severe sepsis, drug management of septic shock, new strategies for prevention of ventilator-associated pneumonia, non-invasive ventilation outside of the ICU, management of postoperative bleeding and prognostic factors in cardiac arrest. 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 provides a comprehensive review, with illustrations and guidelines, of bed-side procedures performed in critical care units. Critical care procedures are included in a step-by-step manner. They are easy to review and help perform procedures confidently at the bed side with minimal complications. It is a great review book of procedures for the board exams, and gives an excellent review of intensive care unit procedures for clinicians and trainees. This book includes neuro-critical care, cardiothoracic and medical surgical intensive care unit procedures.
This title will provide an up-to-date review of the emerging practice of neurology telemedicine. Increasingly, neurology, like other disciplines of medicine, is implementing the technological advances and discoveries of the science of healthcare delivery to improve not only access and efficiency but outcomes and cost as well. For patients in remote and underserved areas, having a neurological condition means lengthy and costly travel to obtain specialist evaluation. Telemedicine has the ability to deliver such care to a patient's local community. Neurology telemedicine for acute stroke has already demonstrated clinical efficacy and cost effectiveness by raising the numbers of thrombolysis-eligible patients who can be treated in a timely fashion. More than 85% of leading US neurology departments currently use or plan to implement telemedicine within the next year. The US military has a limited number of neurologists - a store-and-forward consultation system has enabled military neurologists to deliver far-forward battlefield care for service members deployed overseas. The chapters in this book will review the use of telemedicine for the evaluation and treatment of patients with many common neurological conditions and will provide a practical guide for neurologists seeking to incorporate telemedicine into their daily practices.
Adverse drug reactions commonly affect the skin. In rare instances, they cause severe morbidity and possibly lead to drug-induced mortality. Toxic epidermal necrolysis (TEN) represents the archetype of such conditions. This book summarises the recent advances in the field of TEN as a major life-threatening adverse drug reaction. Indeed, this dramatic condition remains a puzzling topic for both the clinician at the bedside and in the laboratory. This book is fully updated about the putative biomechanisms, the clinico-pathological correlations and recent treatment advances. The most damaging effects of TEN reside in the skin, eyes and oral mucosa. Physicians keen in intensive care medicine, dermatology and ophthalmology should find here stimulating concepts applicable to the patient with the hope of reducing the TEN fatalities.
This text presents a basic guide of the principles and applications of ultrasound in the critical care setting. The text also addresses the basic and clinical uses of ultrasound, including clinical cases at the end of each of the 7 sections of the clinical subdivisions. The final chapters focus on the issues of training, certification, credentialing and billing. These discussions make the text unique, as literature regarding monetary and training issues for ultrasound in the ICU is sparse. Each chapter is written by experts in the field, and supplemented with illustrations and links to videos of actual ultrasound examinations in patients. Ultrasonography in the ICU: Practical Applications will be of great utility to critical care specialists in the disciplines of surgery, medicine, anesthesiology and emergency medicine. In addition this book can be used as a teaching tool for critical care fellows and residents interested in further training in ultrasound for the critically ill patient.
In the past, many tropical and parasitic infections were confined to tropical areas of the world located between the Tropic of Cancer and the Tropic of Capricorn. However, with the increase in air travel and tourism and the changing patterns of immigration, an increasing number of individuals are coming into contact with these infectious agents and transmission across the world has been enhanced. Tropical and Parasitic Infections in the Intensive Care Unit provides an international perspective on this topic and an overview of those infections that may cause critical illness.
Dieses Buch zeigt Neonatologen, Padiatern, Geburtshelfern, Kinderkrankenschwestern und Hebammen wie die intensivmedizinische Versorgung von Fruh- und Neugeborenen adaquat gelingt. Der Klassiker im Kitteltaschenbuchformat erscheint bereits in der 9. Auflage. Diese ist komplett aktualisiert und zugunsten noch groesserer Praxisnahe gekurzt. Viele Tipps und Tricks helfen Fallstricke und Gefahrensituationen zu erkennen und somit zu vermeiden. Ein praxisorientiertes Buch, auf hohem wissenschaftlichem Niveau zum schnellen Nachschlagen und kompetenten Handeln bei schwerkranken Fruh- und Neugeborenen. Aus dem Inhalt Beatmung, Blutgasanalyse und Sauerstofftherapie Ernahrung, Flussigkeits-und Elektrolytbilanz Diagnostik und Therapie pulmonaler, kardialer, renaler und neurologischer Erkrankungen Vermeiden, Erkennen und Behandeln von Komplikationen Grenzen der Neugeborenintensivmedizin Pharmakotherapie des Neugeborenen
This book is a comprehensive guide to the diagnosis and management of respiratory infections for practising pulmonologists, intensivists and trainees. Beginning with an overview of genetic predisposition to respiratory disorders, the following chapters discuss different types of infection including pneumonia, tuberculosis, viral infections and upper respiratory tract infections. Complete chapters are dedicated to respiratory tract infections in patients with pre-existing conditions such as HIV and lung cancer. The final sections examine the management of infections in the intensive care setting, and infection prevention through vaccines. Written by recognised experts from Milan and Athens, this practical reference includes nearly 50 images to enhance learning. Key points Comprehensive guide to diagnosis and management of respiratory infections Discusses genetic predisposition to respiratory disorders Complete chapters dedicated to respiratory infections in patients with comorbid conditions Recognised authors from Milan and Athens
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.
Sarah Thebarge, a Yale-trained physician assistant, nearly died of breast cancer at age twenty-seven, but that did not end her deeply felt spiritual calling to medical missions in Africa. Risking her own health, she moved to Togo, West Africa-ranked by the United Nations as the least happy country in the world-to care for sick and suffering patients. Serving without pay in a mission hospital, she pondered the intersection of faith and medicine in her quest to help make the world "well." In the hospital wards, she witnessed death over and over again. In the outpatient clinic, she daily diagnosed patients with deadly diseases, many of which had simple but unavailable cures. She lived in austere conditions and nearly succumbed herself in a harrowing bout with malaria. She describes her experiences in gripping detail and reflects courageously about difficult and deep human connections-across race, culture, material circumstances, and medical access. Her experience exemplifies the triumph of surviving in order to share the stories that often go untold. In the end, WELL is an invitation to ask what happens when, instead of asking why God allows suffering to happen in the world, we ask, "Why do we?"
In the prime of his life, Howard Hoover was suddenly struck down by an illness. It blindsided him and his family. It came out of nowhere, and all the prior trivialities that took up his thoughts and energy melted away in the face of a life-and-death drama: toxic shock syndrome. The aptly named illness was both toxic and shocking. Hoover recounts his battle in "Travels through a Toxic Shock Nightmare." His remarkable ability to recall details during this level of critical illness is rare-unheard of, in fact. Thankfully, Hoover did remember most of his journey, and his path to health put a lot of things in his life into proper perspective. Hoover shares the life lessons that only a sweeping tragedy can create. His perspective is personal, and he shares his story through a lens of sorrow, grief, fear, humor, and faith. Hoover's sudden illness was extreme and dangerous. He was on the brink of death and it was not certain that a positive outcome was on the horizon. He fought a courageous battle for weeks, and in the end his life was forever changed. Hoover fell victim to the number-one killer in hospitals today: sepsis. This killer disease that was once mostly dangerous to the very young, very ill, or very old is now reaching out to affect healthy adults. Strong people who were never thought to be at risk are now very much in danger, and Hoover wants everyone from critical care providers to patients and families to understand this very dangerous, prevalent menace. Hoover's book offers a complete picture from the patient's viewpoint of how the disease can take hold and how it progresses. Readers will be struck dumb by the tremendous devastation that can be unleashed in mere days-even hours-once the patient's immune system overreacts to fight the tenacious infection, leaving terrible damage and all too often death in its wake.
The second edition of Pediatric Critical Care Medicine spans four volumes, with major sections dedicated to specific organ systems. Each major section consists of separate chapters dedicated to reviewing the specific disease processes affecting each organ system. Each chapter concludes with a comprehensive list of references, with brief, concise remarks denoting references of 'special interest' and 'of interest'. Consequently, the books are unique in their comprehensive coverage of pediatric critical care and their ease of use and will be of value to those studying towards pediatric critical care examinations and those who are already qualified.
The origin of modern intensive care units (ICUs) has frequently been attributed to the widespread provision of mechanical ventilation within dedicated hospital areas during the 1952 Copenhagen polio epidemic. However, modern ICUs have developed to treat or monitor patients who have any severe, life-threatening disease or injury. These patients receive specialized care and vital organ assistance such as mechanical ventilation, cardiovascular support, or hemodialysis. ICU patients now typically occupy approximately 10% of inpatient acute care beds, yet the structure and organization of these ICUs can be quite different across hospitals. In The Organization of Critical Care: An Evidence-Based Approach to Improving Quality, leaders provide a concise, evidence-based review of ICU organizational factors that have been associated with improved patient (or other) outcomes.The topics covered are grouped according to four broad domains: (1) the organization, structure, and staffing of an ICU; (2) organizational approaches to improving quality of care in an ICU; (3) integrating ICU care with other healthcare provided within the hospital and across the broader healthcare system; and (4) planning for the future delivery of critical care. Each chapter summarizes a different aspect of ICU organization and includes a summary of key messages targeting individual clinicians and healthcare decision makers. Each chapter also concludes with a description of areas where future research in the field is needed. A long overdue contribution to the field, The Organization of Critical Care: An Evidence-Based Approach to Improving Quality is an indispensable guide for all clinicians and health administrators concerned with achieving state-of-the-art outcomes for intensive care.
The second edition of Pediatric Critical Care Medicine spans three volumes, with major sections dedicated to specific organ systems.Each major section consists of separate chapters dedicated to reviewing the specific disease processes affecting each organ system.Each chapter concludes with a comprehensive list of references, with brief, concise remarks denoting references of special interest and of interest .Consequently, the books are unique in their comprehensive coverage of pediatric critical care and their ease of use and will be of value to those studying towards pediatric critical care examinations and those who are already qualified."
The Editors and contributors of this book take seriously the statement that "For all of the science inherent in the specialty of pediatric critical care medicine, there is still art in providing comfort and solace to our patients and their families. No technology will ever replace the compassion in the touch of a hand or the soothing words of a calm and gentle voice." The four volumes of Pediatric Critical Care Medicine: Basic Science and Clinical Evidence, 2nd Edition detail the continued growth and evolution of the pediatric critical care medicine speciality. They reveal the technological innovations in monitoring and information management and gives witness to the rapid evolution and adoption of novel monitoring techniques, such as continuous venous oximetry and near-infrared spectroscopy. They also cover advances in molecular biology that have led to the era of personalized medicine with the ability to individualize treatment to the unique and specific needs of a patient. As such this volume and its three sister titles will be of immense value to all studying and practicing pediatric critical care medicine or those involved in the management of this group of patients.
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
Building on the previous edition with contributions from internationally renowned experts this book provides a fully comprehensive resource for managing the post emergency/treatment stage of acute poisoning. Chapters incorporate evidence-based paradigms with up-to-date citations from the original medical literature. Topic areas covered include: diagnosis and management of the critically poisoned patient, including pediatric patients and poisoning in pregnancy; toxic syndromes including hepatotoxic and pulmonary syndromes as well as poisonings from medications, drugs of abuse, chemical and biological agents. This book is an essential resource for Clinical Toxicologists, Intensivists and Emergency Medicine specialists in training and in practice.
There are some relatively-general books which have been written to address broad issues with respect to Mechanical Ventilation Support (MVS). There are also some general courses and training programs for use of such technology in patient care. However, there is a need for a practitioner resource that focuses on the specialized clinical issues which arise when treating patients with acute neurological injury who require mechanical ventilation. This book has been written to address this need. This book shares insights gleaned from many years of practice and leadership in neurocritical care, including mechanical ventilation for neurocritical care patients, and should prove useful for practitioners caring for such patients.
Every adult should read this book. In the USA you are considered to be a "Full Code" i.e. we will automatically keep you alive no matter what, if we can, unless you tell us otherwise. Is this what you want? Is it what your loved ones want for you or for themselves? Have you all EFFECTIVELY communicated your healthcare wishes? Linda Ingalls RN and critical care nurse for over 30 years wants to inform and empower you to understand the levels of resuscitation, critical care and long term life supports as well as your end of life choices so you can make decisions based upon Love not fear and then how to effectively communicate your wishes. She gives you guidelines she has successfully used with countless people to approach these subjects; how to ask relative questions of your doctors; and discusses withdrawing life support to promote a peaceful passing. She provides you with techniques on coping and creating a healing environment when you visit. Also included is a basic introduction to critical care equipment and common illnesses
"It's raining and the reflections of the red and white lights are
dancing off the buildings as we race down the wet streets. Sirens
are screaming a warning to the very few people who dare to walk the
street at night.
Dedicated to the critical management of acutely ill adults with congenital heart disease, this comprehensive book discusses the many challenges faced in the management of these patients, who require intensive inter- and trans-disciplinary care. It provides the first universal review of the practical management of patients with these complex conditions, who survive into adulthood with congenital cardiac malformations and are often affected by other morbidities. For this reason, it reflects a consistent interaction and collaboration between several disciplines: pediatric and adult cardiology, cardiac surgery, pediatric and adult cardiac intensive care, anesthesia, intensive care nursing, nutrition, psychology and many other specialties. It offers concise and pragmatic recommendations, and provides basic and advanced concepts that allow caregivers to anticipate, prevent and effectively treat such pathologies. The book also includes chapters focusing on cardiac-database and risk-factor assessment, organizational and operational topics, advanced mechanical circulatory assistance and pharmacology. Whilst bringing together top international experts who are leading reference programs around the globe, this book is an indispensable teaching tool for clinicians and caregivers involved in the management of critically ill adults with congenital heart disease.
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