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Diagnosis and treatment of acute stroke has advanced considerably in the past 2 decades. Most notably, in cases of ischemic stroke, intravenous alteplase has become the standard of medical treatment despite its multiple contraindications and limited time window. More recently, trials have proven that endovascular thrombectomy is superior to medical therapy alone, advancing the standard of care for patients who present with acute ischemic stroke from a large vessel occlusion and salvageable brain tissue. The treatment of hemorrhagic stroke now involves the use of novel pharmacological agents and advanced minimally invasive technology. Important changes have also occurred at the levels of hospital organization and treatment decision-making. Such changes in organization and designation of hospitals with distinct levels of stroke care and the variety of stroke protocols now requires team work of emergency medical services (EMS), Emergency Department, stroke neurologists, neurosurgeons, and neurointerventionalists. This book provides an overview of the modern medical and surgical options for the treatment of patients with acute ischemic and hemorrhagic strokes. The pivotal role of EMS in prehospital evaluation and triage of a stroke patient and the levels of stroke systems of care are discussed. In addition, the current guidelines on the management of acute stroke, with the focus on early care of acute stroke patients at the Emergency Department and the first 24 hours of hospital admission, are reviewed. Each chapter contains a discussion of common clinical scenarios including initial management steps, practical points, and common pitfalls.Less

This concise resource covers the provision of all aspects of anaesthesia in an emergency setting. Ideal for use in the emergency department and in emergency sugery.

This resource contains relevant step-by-step information on how to detect, manage, and treat complications and emergencies during the perioperative period. Concisely written, highlighted sections on immediate management and risk factors reinforce essential points for easy memorization, while consistent organization and checklists provide ease of learning and clarity. Anesthesia providers will find this book an indispensable resource, describing assessment and treatment of life-threatening situations, including airway, thoracic, surgical, pediatric, and cardiovascular emergencies. The second edition contains a revised table of contents which presents topics in order of their priority during emergencies, as well as two new chapters on crisis resource management and disaster medicine.Less

Focused preparation for Critical Care Certification is needed to ensure success. The Anesthesiology Critical Care Certification examination in particular provides an objective assessment from the perspective of physicians who have a keen perioperative mindset and skillset, while simultaneously demonstrating comfort in caring for patients from every background and co-morbidity as all such patients frequently eventually require pre-operative or post-operative management. The Anesthesiology Critical Care board review provides Critical Care Examination style stems with an emphasis on being oriented toward Anesthesiology Critical Care certification, though examination preparation for the Internal Medicine (Pulmonary Critical Care), Neurocritical Care and Surgical Critical Care could easily be achieved with this text as part of one’s preparation strategy. The authors provide clinical vignettes with realistic images and values to test one’s diagnostic and critical thinking approach to the perioperative patient. Furthermore, every chapter is authored by a physician board certified in critical care medicine. While most authors are anesthesiologists, our text includes content from intensivists with core training in Surgery and Neurology in order to provide a well-rounded perspective on the cases in this book. Much like ICU rounds, this book is systems based and covers the keywords listed by the American Board of Anesthesiology for certification in Critical Care Medicine. Finally, as each area of content is covered, reference materials are available for the reader to gain further expertise in each topical area. The author’s goal is the impart this text to the reader as a formidable tool for Critical Care Examination Preparation.Less

This online resource is a case-based guide to challenging areas in emergency medicine, and covers the core and sub-specialty areas, in particular the often grey areas of intensive care and paediatric emergency medicine. Complex cases are comprehensively examined from a multidisciplinary perspective with detailed consideration given to management options and the contemporary evidence base behind these decisions. An effective revision aid for MCEM and FCEM and a reference during workplace-based assessments, Challenging Concepts in Emergency Medicine highlights critical information through the use of boxed features: 'Learning points', 'Clinical tips', 'Evidence base', and 'Future advances'. Each chapter has been reviewed by a national or international expert in the field and they have provided an 'Expert commentary', giving a unique insight into how today's opinion leaders confront and deal with the very same management challenges that all clinicians can potentially face on a daily basis.Less

The second edition of this essential handbook provides a practical, accessible guide to all emergency situations encountered in paediatrics and neonatology, from the immediately life-threatening to the smaller but urgent problems that may arise.Less

The essential quick-referral guide for any medical professional providing immediate care for patients with sporting injuries.

Emergency radiology is a relatively new subspecialty. It is a blend of organ systems and modalities, with dedication to the immediate evaluation of patients with acute conditions. Emergency radiologists provide time-critical support to trauma surgeons and other acute-care providers, using the full gamut of imaging modalities to provide the best care. Emergency radiologists also constitute the core of worldwide tele-radiology services, providing off-hour coverage to institutions that lack sufficient staff to provide these services. Emergency radiology is also a new academic discipline, with emergency radiology faculty who are dedicated to research and the teaching of emergency imaging to medical students, residents and fellows.Less

Essentials of Toxicology for Health Protection is ideal as both a course resource for students and a reference for field professionals involved in responding to chemical incidents and local environmental concerns. Produced by Health Protection England, it offers a comprehensive and structured approach to dealing with toxicological problems worldwide. It covers both the basics of toxicology and its application to issues of topical concern such as contaminated land, food additives, and water and air pollution. Each chapter is composed by an expert in the field, making this an essential resource for all professionals in environmental public health, including: health protection consultants, specialists and trainees; public health practitioners; environmental health practitioners; environmental scientists; and staff of the emergency services, the water and waste industries, and other industrial and regulatory bodies.Less

Infectious Diseases Emergencies is a compact reference that summarizes the key topics of those infectious disease processes that are most commonly seen in emergency departments, clinics, and urgent care facilities. The opening section reviews principles of infectious disease management and general management of severe infections in acute and emergency environments. The following sections provide a “head-to-toe” synopsis of common infections presenting in both outpatient and acute care settings, including the following human areas: central nervous system; ear, nose, and throat; ocular; cardiovascular; pulmonary; gastrointestinal; genitourinary; skin and soft tissue; and bone and joint. The concluding sections discuss vector-borne infections, infections in special populations, bioterrorism, and finally antibiotic resistance. Each chapter covers some basic elements of the disease, epidemiology, diagnosis and tests, organisms involved, treatment, and other key issues. Concisely written and consistently organized chapters outline the most useful elements of diagnosis and treatment for easy memorization and clarity.Less

Physicians have cared for acutely ill patients throughout history; after the devastating poliomyelitis epidemics of the 1950s, a new specialty emerged. Initially, respiratory care units were created for these severely affected patients, but soon they were transformed into intensive care units (ICUs). Trauma units and transplant units soon followed. Specialized care for patients with acute neurologic and neurosurgical disease occurred in parallel with these developments, but many of the early neuroscience ICUs were redesigned wards for neurosurgical or neurologic patients. Specialized physicians and nursing staff delivered multidisciplinary care, recognizing that no one group could function well alone. It was inevitable that critical care for the sickest patient was the only option to give them a fighting chance to survive. Currently, neurocritical care board examination combines neurocritical care with general intensive care, and questions are equally divided between the two. It is therefore appropriate to combine both areas of expertise in one single volume. The chapters correspond with the key disorders suggested by UCNS to assist in preparation for the examination. As expected, this book is not only detailed in basic pathophysiology but also presents major disorders and syndromes and their management. Because it has unprecedented full coverage of acute neurology, this book is equally useful as a preparation for the critical care medicine board examination.Less

This resource emphasises practical help, but also covers the evidence and science behind trauma management. It includes the most up-to-date guidance from national bodies making recommendations for trauma care, using an international team of contributing authors.Less

Regrettably, no year passes without some form of major incident occurring somewhere in the United Kingdom. To the traditional threats of transport, industrial, and natural disasters has been added the possibility of a major terrorist atrocity such as the London bombings of 7 July 2005 or the recent marauding gun attacks in Paris. The international situation continues to suggest that the likelihood of further similar attacks is a question of when, rather than if. That said, for most professional responders, a transport incident such as the GNER crash at Great Heck, a chemical incident such as Flixborough, or an environmental catastrophe like Boscastle is probably the most likely type of incident that they will be involved in. The key to a successful response lies in preparedness and effective planning built upon up-to-date knowledge and a full awareness of relevant policy and procedures. The recent enquiry into the emergency services response to ‘7/7’ highlighted a number of failings while also complementing the individuals from all services and specialities who offered aid. Although, due to the nature of this incident being especially sensitive, it is clear that the emergency services response to any incident will be subject to intense public scrutiny—both official and via the media. There is a clear need to establish a core knowledge base which extends beyond individual professional boundaries and hence the need for this manual. The Oxford Manual of Major Incident Management will, for the first time, bring together and integrate the key facts for potential emergency responders to, or who may be involved in the planning and preparation for, a major incident of any type or scale.Less

Point-of-Care Ultrasound for Emergency Medicine and Resuscitation (Oxford Clinical Imaging Guides) focuses on the day-to-day utility of point-of-care ultrasound in emergency medicine. The book explains how clinicians can safely and accurately use ultrasound for the diagnosis and management of shock, acute presentations, and phases of key conditions. The book begins with a summary of cardiac ultrasound before continuing through the chest, moving down to the abdomen, and finally considers the major vessels and soft tissues. Paediatric and pre-hospital ultrasound, as well as practical procedures, are also addressed. Each chapter begins at a basic level and moves on to higher-level skills. The book is highly illustrated with annotated diagrams showing structures and explaining how to interpret findings. The text is written in a user-friendly fashion with short paragraphs and headings. Technical terminology is explained throughout. A short section in each chapter outlines ‘core’ and ‘advanced’ applications. Each chapter has a clear ‘how to scan’ summary. The book reflects the content and skills included in current curricula for ultrasound use in national and international emergency medicine.Less

This handbook provides a practical approach to the evaluation, differential diagnosis, and management of common medical and surgical emergencies such as cardiac arrest, acute respiratory failure, seizures, and hemorrhagic shock occurring in hospitalized patients. Less common and special circumstances such as pediatric, obstetric, oncologic, neurologic, and behavioral emergencies as well as palliative care for terminally ill patients encountered in the context of rapid response team (RRT) events are also discussed. An overview of commonly performed bedside emergency procedures by rapid response team members complements the clinical resources that may need to be brought to bear during the course of the rapid response team event. Finally, an overview of organization, leadership, communication, quality, and patient safety surrounding rapid response team events is provided. This book is written with medical students, junior physicians, and nursing staff in mind working in both academic and community hospital settings. Both a novice and an experienced healthcare provider involved in a rapid response system (RRS) will find this handbook to be a valuable supplement to the clinical experiences gained through active engagement in the system. Hospital administrators and senior management staff will also find this book to be useful in the evaluation of quality and performance of the rapid response system, management of staff attitudes and behavior, performance of peer review, care for second victims, and implementation of countermeasures for patient safety problems discovered in the course of rapid response system reviews.Less

Retrieval Medicine is the practice of acute, emergency, and critical care medicine in the ‘transport’ environment. It requires medical practitioners to function independently in highly variable and resource-limited environments, in transport settings, and in the field, with acutely unwell, unstable and often clinically undifferentiated patients over long durations. This handbook covers the complex problems in the retrieval environment. It covers retrieval systems, governance, and coordination; the retrieval environment; and retrieval platforms, as well as equipment. It also involves crisis resource management. The treatment for patients with varying conditions is covered. Chapter titles include: respiratory support, cardiac, shock, sepsis, neurology and neurosurgery, obstetrics and gynaecology, behavioural disturbances, trauma, primary retrieval, bariatric, neonatal, paediatric, and specialized retrieval systems.Less

The Intermediate FRCEM SAQ revision book is the only book currently available for candidates preparing for the examination. This book is fully updated to reflect the new 2016 Royal College of Emergency Medicine (RCEM) syllabus and exam format and is arranged according to the curriculum to aid revision. It contains a chapter on exam tips, which focuses on new exam layout, as well as providing tips for preparing and sitting the exam. The book is subdivided into different sections based on the curriculum to aid revision. For example, there are chapters on resuscitation, trauma, and paediatrics, as well as system-based chapters. Every chapter contains two SAQs with explanations and further reading to maximize preparation for the challenges of this new exam. Its layout in bullet point structure is perfect for revision and each chapter has sample SAQ questions to consolidate knowledge. Each chapter relates to current national guidance in conjunction with the RCEM curriculum.Less

Revision Notes for the FRCEM Primary is the only book you’ll need to pass the Primary FRCEM examination. The text is framed around the Royal College of Emergency Medicine syllabus, and this comprehensive revision guide focuses on all the components of the exam, covering the basic sciences as they apply to Emergency Medicine. Each section of the book is tailored to match different elements of the syllabus, allowing you to revise efficiently and accurately. Written in concise, clear note form and filled with high-quality diagrams and tables, complex learning points are clearly and concisely described helping you to absorb information quickly. This latest edition includes many more diagrams to aid an understanding of anatomy, as well as a brand new section on evidence-based medicine, including statistics.Less

Spine Imaging uses a classic, case approach to provide multimodality imaging studies and management guidance of spine pathologies for the consulting radiologist as well as the neurologist, orthopedist, or emergency clinician diagnosing and managing spinal patients. Eighty cases are organized into sections by pathological process and include a clinical description followed by discussion on radiological findings, clinical management, and a summary of key points. An additional section on imaging signs closes the volume. Cases address which image findings are clinically significant and which are not, how to understand the severity of an injury, and when additional advanced imaging is needed, making Spine Imaging an essential resource for board and recertification examination preparation.Less