The critical care unit manages patients with a vast range of disease and injuries affecting every organ system. The unit can initially be a daunting environment, with complex monitoring equipment producing large volumes of clinical data. Core Topics in Critical Care Medicine is a practical, comprehensive, introductory-level text for any clinician in their first few months in the critical care unit. It guides clinicians in both the initial assessment and the clinical management of all CCU patients, demystifying the critical care unit and providing key knowledge in a concise and accessible manner. The full spectrum of disorders likely to be encountered in critical care are discussed, with additional chapters on transfer and admission, imaging in the CCU, structure and organisation of the unit, and ethical and legal issues. Written by Critical Care experts, Core Topics in Critical Care Medicine provides comprehensive, concise and easily accessible information for all trainees.
This volume is published under the auspices of the World Federation of Societies of Intensive Care Medicine, which consists of 48 members societies (both medical and nursing) - a truly world wide organisation - and whose aim is to promote excellence in the care of critically ill patients. The volume will be distributed to delegates on occasion of the 9th International Congress of the World Federation of Societies of Intensive and Critical Care Medicine, to be held in Buenos Aires at the end of August 2005.
The World Federation of Societies of Intensive and Critical Care Medicine (WFSIC- CM) has reached the age of maturity. Physicians, nurses, and many others associated with the field of Intensive and Critical Care Medicine will be coming from all corners of the world to Florence, Italy in August, 2009 to celebrate the 10th quadrennial congress. Every 4 years for the last 36 years, congresses in the magnificent venues of London (1973), Paris (1977), Washington (1981), Jerusalem (1985), Kyoto (1989), Madrid (1993), Ottawa (1997), Sydney (2001), and Buenos Aires (2005) have sig- fied an ever-developing process which has resulted in the four pillars of the field of Intensive and Critical Care Medicine, namely partnership, ethics, professionalism, and competence. The first pillar is based on a stronger interdisciplinary collaboration and a mul- professional partnership in the field of Intensive and Critical Care Medicine. In recent decades, professional activity in medicine has been regulated by well-defined, universal principles, such as the welfare of the patient, autonomy, social justice, and the patient–physician relationship. The second pillar, ethics, has offered welcomed assistance to all these principles in establishing an ethics curriculum.
Manual of Small Animal Emergency and Critical Care Medicine,Second Edition presents essential information on commonemergencies in small animals using a concise, practical outlineformat. Offering a thorough update to this classic reference,the new edition provides new chapters on orthopedic injuries andwound management, significant revisions to the treatment protocols,and expanded toxicology information, as well as new references anddrug information. The book retains its logical division into twoparts, the first covering initial stabilization and the secondoffering a systems approach to specific conditions. As in the previous edition, chapters are extensively indexed andcross-referenced to facilitate ease of use in emergency situations.With many formulas, tables, drug dosages, and illustrations,Manual of Small Animal Emergency and Critical Care Medicineis an indispensable, convenient resource for busy emergencyclinicians, whether they are new graduates or seasonedprofessionals.
The expense of critical care and emergency medicine, along with widespread expectations for good care when the need arises, pose hard moral and political problems. How should we spend our tax d'ollars, and who should get help? The purpose of this volume is to reflect upon our choices. The authors whose papers appear herein identify major difficulties and offer various solutions to them. Four topics are discussed throughout the volume: First, encounters between patients and health professionals in critical situations in general, and where scarcity makes rationing necessary; second, allocation and social policy, including how much to spend on preventive, chronic or critical care medicine, or for medicine in general compared to other important social projects; third, conflicts between or ranking of important goals and values; and fourth, conceptual issues affecting the choices we make. Since these topics are raised by the authors in almost every essay, we did not divide the papers into separate sections within the volume. Warren Reich begins the volume with a parable illustrating a key problem for contemporary medicine and two very different approaches to its solution. His story begins with the "delivery" of three indigent, critically ill, foreign patients to the emergency room of a large American private hospital. Although the hospital is legally bound to care for these patients, providing long term, high cost care for them and others soon becomes a major financial strain.
This invaluable clinical guide offers the only reference on infectious diseases encountered in intensive care patients-discussing infectious disease problems in the critical care unit and therapy. No other book describes in practical terms the mimics of infection and how to differentiate colonization from infection! Written by internationally renowned experts, Infectious Diseases in Critical Care Medicine differentiates between sepsis and conditions that can imitate sepsis highlights key diagnostic findings in all major infectious disease problems in critical care includes practical infection control measures provides easy to use recommendations on empiric antibiotic therapy furnishes a simple, effective method of adjusting drug doses in patients with abnormal hepatic and kidney function presents strategies for controlling resistance in critical care With over 2500 bibliographic citations and more than 200 tables, drawings, photographs, micrographs, and x-rays, Infectious Diseases in Critical Care Medicine is an indispensable resource for infectious disease specialists; intensive and critical care physicians; pulmonologists; primary care physicians; internists; hospitalists; medical house officers; and pulmonary, critical care, and infectious disease fellows.
The ? eld of critical care medicine is in the midst of a dramatic change. Technological and s- enti? c advances during the last decade have resulted in a fundamental change in the way we view disease processes, such as sepsis, shock, acute lung injury, and traumatic brain injury. Pediatric intensivists have been both witness to and active participants in bringing about these changes. As the understanding of the pathogenesis of these diseases reaches the cellular and molecular levels, the gap between critical care medicine and molecular biology will disappear. It is imperative that all physicians caring for critically ill children in this new era have a th- ough understanding of the applicability of molecular biology to the care of these patients at the bedside in order to keep up with the rapidly evolving ? eld of critical care medicine. To the same extent, the practice of critical care medicine is in the midst of fundamental change. In keeping with the Institute of Medicine’s report “Crossing the Quality Chasm,” the care of critically ill and injured children needs to be safe, evidence-based, equitable, ef? cient, timely, and fami- centered [1,2]. In the following pages, these changes in our specialty are discussed in greater scope and detail, offering the reader fresh insight into not only where we came from, but also where we are going as a specialty.
by S. GUASCHINO Dean, Trieste University School of Medicine The society we live in is in continual development and has a number of priori ties for improving the standards of communication. The scientific sector in par ticular thrives on the exchange of information, which is the foundation of progress itself. The channels through which this interaction takes place are many and are aimed at optimising teaching methodology. Researchers and scholars, research centres and the places of higher learning themselves are increasingly aware of the growing importance of universities, which, thanks to their intrinsic ability to renew themselves, have taken on a vital central and propulsive role. Communication develops as a result of free exchange, debate of the materials available and the study of the various references and analysis sources. With the advent. of information systems, the teaching methodology has assumed a decisive role, both in terms of the quantity of data available and the quality of the information. Distance learning is a new and important opportu nity for the immediate future. The Anaesthesia and Critical Care School of Trieste has promoted this inter esting and highly relevant initiative by drawing together teaching material from the academic year 2003/2004. Numerous international lecturers have con tributed to this valuable achievement. In addition, a large part of the material is the fruit of a real consortium between the various Italian Schools of Anaesthesia.
“Pediatric Critical Care Medicine” spans two 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 â€˜special interest' and â€˜of interest'. Consequently, the book is unique in its comprehensive coverage of pediatric critical care and its ease of use, and will be of value to those studying towards pediatric critical care examinations and those who are already qualified.
This book provides a practical overview of one of the fastest-growing areas of practice, aimed at physicians who are not board-certified in critical care and those in training, as well as ICU support staff. The book is divided into chapters based on organ systems, such as cardiovascular and gastrointestinal, as well as special topics, such as environmental disorders and traumatic injury. This Handbook covers the most essential points in all of the subject matter, supported by tables, formulas, lab values, and facts.
This authoritative reference published under the auspices of the American Society of Critical Care Anesthesiologists (ASCCA) is now in its Second Edition. More than 100 internationally recognized experts present state-of-the-art strategies for successful, cost-effective perioperative care and management of acutely ill patients.This thoroughly revised edition features many distinguished new contributors from anesthesiology, critical care medicine, internal medicine, surgery, and pediatrics. Timely new chapters cover medical informatics, evidence-based medicine, human genomics, research in critical care medicine, and imaging in the ICU. Chapters on acute respiratory distress syndrome, sepsis, and other diseases have been rewritten to reflect recent technological and therapeutic breakthroughs.
The at a Glance series is popular among medical students and junior doctors for its concise and simple approach and excellent illustrations. Each bite-sized chapter is covered in a double-page spread with colour summary diagrams on the left page and explanatory text on the right. Covering a wide range of topics, books in the at a Glance series are ideal as introductory subject texts or for revision purposes, and are useful throughout medical school and beyond. Everything you need to know about Acute and Critical Care Medicine...at a Glance! Following the familiar, easy-to-use at a Glance format, and now in full-colour, Acute and Critical Care Medicine at a Glance is an accessible introduction and revision text for medical students. Fully revised and updated to reflect changes to the content and assessment methods used by medical schools, this at a Glance provides a user-friendly overview of Acute and Critical Care Medicine to encapsulate all that the student needs to know. This new edition of Acute and Critical Care Medicine at a Glance: Provides a brief and straightforward, yet rapid, introduction to care of the critically ill that can be easily assimilated prior to starting a new job or clinical attachment Encompasses the clinical, diagnostic and therapeutic skills required to manage acutely ill patients in a variety of settings Includes assessment of the acutely unwell patient, monitoring, emergency resuscitation, oxygenation, circulatory support, methods of ventilation and management of a wide variety of medical and surgical emergencies Includes new chapters on fluid management, oxygenation, non-invasive ventilation, recognition of the seriously ill patient and hospital-acquired infections This book is an invaluable resource for all undergraduates in medicine, as well as clinical medical students, junior doctors, nurses caring for acutely-ill patients and paramedics. Pre-publication reviews: "The material forms an excellent basis for junior doctors in critical care and anaesthesia to get a good grounding in the subject, without appearing too scary." –Senior House Officer "The system-based approach...provides excellent reference material when studying a particular subject, allowing the reader to easily delve into the book when necessary, without having to read from cover-to-cover. It is an excellent revision aid.... Much time has gone into eliminating superfluous data so maximal essential information can be conveyed quickly." –UCL student
Ideally suited for students in critical care rotations and residents, this concise, practical handbook presents the essentials of medical and surgical critical care in an easy-to-read format. The authors succinctly explain the pathophysiology underlying clinical disorders and the key principles of diagnosis and patient management, emphasizing cost-effective approaches. The Fourth Edition includes Controversies in Critical Care boxes in many chapters, which briefly summarize opposing arguments on controversial points. Other highlights include enhanced discussion of CT for abdominal disorders, new ACLS guidelines, and new material on removable IVC filters, interventional radiologic techniques for GI bleeding, and use of vascular ultrasound.
Emergency and critical care medicine is one of the fastest growing fields of veterinary practice. Virtually every life-threatening disease can present for emergency evaluation, requiring knowledge of internal medicine, neurology, cardiology, oncology, anesthesia, and much more. Rapid and effective application of this knowledge can mean the difference between life and death for the animal. Critical care requires the recognition of subtle changes in the clinical course of animals, and the ability to take corrective action before severe systemic disease becomes irreversible. Clinical decisions regarding seemingly small items, such as fluid therapy, antibiotics, or analgesics, can have a profound impact on patient outcome. This book focuses on management of the more common emergency and critical care conditions encountered in clinical practice, collated in a concise manual. There are chapters on emergencies affecting each body system, on toxicology and other environmental causes, and on critical care techniques ranging from patient monitoring, anesthesia and analgesia to fluid therapy, transfusion medicine and nutritional support, plus a chapter describing clinical skills and procedures. The text is illustrated by top-quality color photos, imaging and diagrams, and key information is highlighted in tabular form. The authors combine experience in teaching and in clinical practice, and provide a ready resource for all those actively engaged in the field: practitioners and trainees, technicians, and nurses.
Here's the most clinically oriented critical care text focusing on the adult patient. In full-color and superbly illustrated with clinical photographs, imaging studies, and management algorithms, and with a broad multidisciplinary focus, this text will help you enhance your skills at any level of training. Stands alone as a clinically oriented comprehensive reference. Completely updated and authorship expanded to reflect the evolution in critical care practice. In color for the first time, with new color schematics and treatment algorithms for greater ease of reference. Utilizes key points lists at the end of chapter, to help you make decisions rapidly and easily. Delivers key references that list other useful resources for information. Includes these seven new chapters to keep you on the cutting edge of your specialty: Assessment of Cardiac Filling and Blood Flow Mechanical Ventilation of Obstructive Airways Disease Mechanical Ventilation of Acute Respiratory Distress Syndrome Severe Sepsis and Multiple Organ Dysfunction Stroke Delirium, Psychosis, Sleep and Depression in the ICU ICU Education
Presenting comprehensive and well-integrated coverage of physiology, pathophysiology, and clinical problems, Pediatric Critical Care Medicine is a core textbook and clinical reference for pediatric intensivists at all levels of training. It offers thorough preparation for subspecialty certification and recertification examinations and provides a ready reference for specific problems in the clinical setting. An extensive section on organ system physiology and pathophysiology provides the foundation for physiologically based clinical decision-making. Subsequent sections address clinical disorders of each organ system encountered in the pediatric ICU. The clinical chapters are concise and designed for rapid reference. Numerous illustrations and tables complement the text.