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Acute Care Casebook provides a case-based approach to the broad practice of acute care medicine, covering a variety of common patient presentations and clinical environments. This book features over 70 illustrated cases, including presentations of trauma and medical illness in wilderness medicine, military and prehospital environments, pediatrics, emergency medicine, and intensive care unit and floor emergencies. Designed for students and trainees in medicine, nursing, emergency medical services, and other acute care specialties, this text guides readers through not only symptom evaluation and treatment but also the thought process and priorities of experienced clinicians. Each chapter features key diagnoses and management pearls from leading experts that will help prepare readers for any event, from stabilizing and transporting a trauma patient in the field, to managing postoperative complications in the intensive care unit.Less

Acute Pain Medicine tackles a large array of diagnostic and treatment consideration across a variety of surgical and nonsurgical acute pain conditions. It reviews a variety of acute pain–modulating factors followed by interventional and pharmacologic treatment options. For each applicable condition, perineural and neuraxial considerations are given when appropriate along with nociceptive anatomic complements. Pharmacologic modalities are described, stressing the use of multimodal analgesia and a variety of opioid-based options if necessary. The book reviews cases that commonly are associated with significant acute pain but also highlight the role of acute pain medicine physicians in the postdischarge phase. Finally, the book includes a critical update of the Military Advanced Regional Anesthesia and Analgesia handbook. This update serves as an essential bedside tool in the performance of regional anesthetic techniques and their corresponding anatomic considerations.Less

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

Cardiothoracic Critical Care addresses major recent developments in cardiothoracic critical care, such as cardiovascular support, mechanical support (IABP, VADS, and ECMO), and drug therapies such as nitric oxide and other new inotropic agents. The management of postoperative bleeding is covered in detail, as it increasingly involves updated fluid and blood-product therapies, including blood preservation techniques such as cell salvage.Less

Emergency psychiatric evaluation is a dynamic process requiring familiarity with a variety of psychiatric syndromes and medical and neurologic issues that mimic and overlap with psychiatric illness. In many areas, emergency medicine physicians and non-psychiatric clinicians are called upon to evaluate and manage psychiatric illness in the emergency or urgent-care setting, or patients may be boarded in an emergency department awaiting disposition. This book uses a case-based teaching format to illustrate principles of diagnosis, evaluation, and treatment across a broad spectrum of phenomena encountered by clinicians in the emergency setting. Chapters cover the basic diagnostic categories of mood, anxiety, trauma-related, personality and psychotic disorders, with focus on risk-assessment and initial treatment recommendations. Additional chapters focus on special populations, including children and adolescents, geriatric patients, patients with developmental disabilities, and patients who are homeless or do not speak English. Medical and neurologic syndromes that mimic psychiatric pathology are discussed, as well as somatic symptom disorders, focusing on the role of consultants to the medical emergency department. Therapeutic relationships in the ED setting are discussed from a psychodynamic perspective, including how clinicians can avoid blind spots and provide a therapeutic environment by being more aware of their own reactions to patients. Also discussed are the use of short-term crisis intervention treatment and community-based mobile crisis teams for managing complex cases and the ethical, legal, and forensic issues encountered in the emergency setting. The case descriptions are followed by discussions and literature review and highlighted by clinical pearls for the ED setting.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

Widely varying patient needs, a wide provider mix, significant power differentials, and a heightened emotional state all contribute to barriers in communication in the medical field and all of these elements are magnified in an emergency department. Communication in Emergency Medicine highlights key challenges to effective communication in Emergency Medicine that may be experienced by healthcare providers, students, nurses, and even hospital administrators. The text addresses these pitfalls by demonstrating how a mix of foundational communication techniques and leadership skills can be used to successfully overcome barriers in information exchange highlighted by real-life clinical scenarios with an emphasis on avoidable pitfalls. Chapters explore principles of communication, patient and family interactions, and communications within and outside of the healthcare system, rounding off with a number of case studies. The approach of utilizing the environment of an emergency department with high stakes conflicts faced every day by medical professionals distinguishes Communication in Emergency Medicine as an ideal resource for Emergency Medicine providers, with lessons which can also be applied in many other settings as well.Less

This resource provides practical guidelines for improving the success rates of airway managers of all specialties who use modern airway devices and techniques, and addresses various clinical scenarios that mimic the approach clinicians encounter at educational workshops. Sections address airway devices and techniques, awake intubation, algorithms of difficult airway management, pharmacologic adjuncts useful in airway management, equipment, preoxygenation, and patient positioning strategies to ensure effective airway management.Less

The ultimate hope and great challenge undertaken by the authors of this volume is to improve disaster preparedness and response efforts globally by providing a standardized way to conduct rigorous and comprehensive scientific evaluative studies of the medical and public health response to these horrific events. It is our strongly held belief that the framework for the conduct of evaluative studies, as developed by specialists in scientific evaluation, offers the most appropriate and comprehensive structure for such studies. Our ‘eight-step approach’ is based upon a conceptual framework that is now widely used by health organizations globally as a basis for the evaluation of community-based medical and public health programs. We contend that many more disaster-related injuries and deaths can be prevented if the concepts and methods of evaluation science are applied to disaster events. In Part 1 of this book we describe the basic concepts and scientific methods used by program evaluation scientists to assess the structure, process, and outcomes of medical and public health interventions. In addition, a detailed description of a comprehensive medical and public health response system is described. In Part 2 we present an eight-step model for conducting an evaluative study of the response, again with a focus on the medical and public health components. Ethical issues that come into play in the conduct of disaster evaluative disaster research, and how these should be addressed, are the focus of Chapter 13. The final chapter offers a look to the future as new technology for data collection becomes available. We are not so naïve as to believe that disaster preparedness and response will change as a direct result of the availability of scientifically conducted assessments. Change requires a double pronged commitment—leaders from both the ranks of government and of the health professions must carefully consider, fund, and adopt policy positions and programs that are based upon the findings and recommendations that emerge from scientific evaluation studies. That is the most certain pathway to a better future.Less

This resource provides a practical, accessible guide for mental health nurses confronted with emergencies so as to enable them to manage these emergencies in a therapeutic, safe and legally proper manner. As with all emergencies, the immediate care of patients with mental health problems must be simple and quick, and so this resource comprises easy to read bulletted short notes with an emphasis on establishing the diagnosis while maintaining a high index of suspicion. 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.

This reference provides the on-call junior doctor with a rapid reference guide to the management of the key trauma topics.

Patients with acute critical illness are often cared for initially in the emergency department (ED), and the beginning actions can help alter outcomes hours, day and months later. This resource targets selected common or high risk critical condition or therapies needed to optimize ED care, using the newest research and experiences, and chapters are organized in a readable and user-friendly format, with each describing the topic, defining key terms, cutting edge and controversial aspects, and delivering pragmatic advice.Less

Emergency Medicine: Board Review is a comprehensive guide for preparing for the American Board of Emergency Medicine (ABEM) certification or ConCert recertification exam and for residents preparing for in-training examinations in Emergency Medicine. The text consists of over 950 multiple-choice questions organized into 20 chapters covering topics such as gastrointestinal, cardiovascular, and nervous system emergencies as well as various disorders. Chapters include questions, answers with detailed explanations, and test-taking tips to help better navigate a standardized exam. Questions are written in a case-based format that emulates the ABEM and ConCert exams and are supplemented by numerous figures, tables, and boxes.Less

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