Psychiatrists and diverse other mental health and broader healthcare professionals
are faced with many challenges in effectively evaluating and treating
persons with psychiatric illnesses and substance use disorders. Resources are
often stretched thin, especially for those with the most serious and disabling
conditions, and many people who would benefit from treatment are untreated,
undertreated, or treated only after extended delays for complex reasons.
Clinicians clearly have difficulties and barriers in their efforts to provide
comprehensive, efficacious, and timely treatment.
Intravascular catheters are an integral part of the daily practice of
medicine in the intensive care unit. As such, management of these catheters
poses significant challenges to the practitioner. Vascular access is necessary
in the intensive care setting, yet the devices themselves put patients at
significant risk for infection. As hospital infection rates are increasingly used
as a surrogate marker for measuring patient safety and quality healthcare,
preventing catheter-related infection takes on added import...
The physician treating the acutely ill febrile patient must be able to recognize infections that require emergent attention. If such infections are not adequately evaluated and treated at initial presentation, the opportunity to alter an adverse outcome may be lost. In this chapter, the clinical presentations of and approach to patients with relatively common infectious disease emergencies are discussed. These infectious processes and their treatments are discussed in detail in other chapters. ...
IMCI is an integrated approach to child health that focuses on the well-being of the whole child. IMCI aims to reduce death, illness and disability, and to promote improved growth and development among children under five years of age. IMCI includes both preventive and curative elements that are implemented by families and communities as well as by health facilities.
In the 4th edition we have distilled the text to a set of fl ow diagrams with
linked tables. Our aim is to provide the doctor caring for an acutely ill patient
with rapid access to key information, including a balanced interpretation of
current national and international guidelines.
We have substantially broadened the scope of the book to cover all problems
in general medicine likely to be encountered in the emergency department.
Integration of the use of echocardiography, which we believe is as
important in acute medicine as ECG interpretation, is a particular feature of
The successful epidemiologic evaluation of any particular disease
or condition has several prerequisites. Two of the most important
prerequisites are that the condition should be accurately defi ned
and that there should be measurable outcomes of interest.
Another requirement is that there must be some systematic way
of data collection or surveillance that will allow the measurement
of the outcomes of interest and associated risk factors. The epidemiologic
evaluation of critical illness associated with pregnancy
has met with mixed success on all of these counts....
Children are frightening. Frightening? In nearly
all contexts this statement would be indefensible.
In medicine, however, children are often frightening.
For one thing, clinical evaluation in young children
can be more difficult than with adults. In addition, in
the acutely ill or injured child, reserve can be limited
and appropriate assessment, including imaging evaluation,
and subsequent care are critically important
in improving outcome. Many care providers are not
pediatric specialists by practice, and evaluation and
treatment of children is less familiar than with adults....
Acute-care clinicians are well aware of the alphabetical
“ABC” (airway, breathing, circulation)
directive of resuscitation. This term has been
widely disseminated through programs such as
Advanced Trauma Life Support (ATLS) and Advanced
Cardiac Life Support (ACLS). In fact,
both courses have contributed significantly to
improving awareness of resuscitation priorities
required in managing patients rendered critically
ill from trauma or cardiac events.
This book is aimed at Foundation Programme trainees and for trainees in
medicine, surgery, anaesthesia and emergency medicine – people who deal
with acutely ill adults. Foundation Programme trainers, final year medical
students and nursing staff working in critical care areas will also find this
book extremely useful.
There are many books on the management of patients who are acutely ill,
but all have a traditional ‘recipe’ format. One looks up a diagnosis, and the
management is summarised.
The ICU Manual was developed as a bedside reference for house officers,
fellows, and attendings who care for patients in ICUs. The book is organized
in organ-specific chapters. This was done to increase the utility of and
simplify the use of this manual. The organ specific approach parallels the way
patients in the ICU are cared for. This approach enables the clinician to organize
the diagnosis and management of complicated critically ill patients.
This book is designed to fit into a handbag or shirt pocket. It
contains material which is usually required in a hurry when
treating a critically ill or injured infant or child. In addition to
information relevant to emergency care, there are what we
hope will be useful pages of data on subjects which without a
photographic memory would normally require reference to a
paediatric text book. Examples include a weight for height
chart, normal values for common biochemical tests, normal
developmental profiles and normal ECG measurements....
Since this book was first published in 1993, the Advanced Paediatric Life Support
(APLS) concept and courses have gone a great way towards their aim of bringing simple
guidelines for the management of ill and injured children to front-line doctors and
Over the years an increasing number of experts have contributed to the work and we
extend our thanks both to them and also to our instructors who unceasingly provide
helpful feedback.The Advanced Paediatric Life Support Course is now well established
in several countries outside the United Kingdom.
Hemodynamic monitoring is one of the major diagnostic tools available in the
acute care setting to diagnose cardiovascular insufficiency and monitor changes
over time in response to interventions. However, in recent years, the rationale and
efficacy of hemodynamic monitoring to affect outcome has come into question.
We now have increasing evidence that outcome from critical illness can be improved
by focused resuscitation based on existing hemodynamic monitoring,
whereas non-specific aggressive resuscitation impairs survival.
The American Medical Association Complete Guide to Men’s Health provides
up-to-date information that will enable you to adopt healthy habits that you can
follow throughout your life. The book emphasizes the basics of a healthy
lifestyle and the steps you can take to prevent illness.
In clear, easy-to-understand language, this book describes how different body
systems work, answers many questions you may have about common diseases
and disorders, and explains how many of these conditions can be prevented.
There is little question that this is the most exciting time
in history to be involved in the treatment of patients with
psychiatric disorders. The explosive growth in our knowledge
base in all areas of the field, particularly in neuroscience,
has revolutionized both our understanding of the nature of
psychiatric illnesses and our ability to provide effective treatments.
Chief complaint: Reason for admission to the ICU.
History of present illness: This section should included pertinent chronological
events leading up to the hospitalization. It should include events during
hospitalization and eventual admission to the ICU.
Prior cardiac history: Angina (stable, unstable, changes in frequency),
exacerbating factors (exertional, rest angina). History of myocardial infarction,
heart failure, coronary artery bypass graft surgery, angioplasty. Previous
exercise treadmill testing, ECHO, ejection fraction.
Vitamins and trace minerals are required constituents of the human diet since they are either inadequately synthesized or not synthesized in the human body. Only small amounts of these substances are needed for carrying out essential biochemical reactions (e.g., acting as coenzymes or prosthetic groups). Overt vitamin or trace mineral deficiencies are rare in Western countries due to a plentiful, varied, and inexpensive food supply; however, multiple nutrient deficiencies may appear together in persons who are chronically ill or alcoholic.
Botulism is a paralytic disease caused by potent protein neurotoxins elaborated by Clostridium botulinum. Illness begins with cranial nerve involvement and proceeds caudally to involve the extremities. Cases may be classified as (1) food-borne botulism, from ingestion of preformed toxin in food contaminated with C. botulinum; (2) wound botulism, from toxin produced in wounds contaminated with the organism; and (3) intestinal botulism, from ingestion of spores and production of toxin in the intestine of infants (infant botulism) or adults.
An English translation oi VEchographie Generale en Reanimation was necessary,
after two French versions in 1992 and 2002.
Ultrasound has, it is true, gained a more important place in emergency and
intensive care medicine. Technological evolution alone does not explain this popularity.
Technology develops extremely quickly, but we have always suggested -
and continue to do so - that before rushing to the most modern ultrasound units,
we should already make optimal use of so-called obsolete devices.
Coma may be anticipated as an integral component of the terminal event of all fatal
human illnesses. However, coma, which represents failure of the brain’s alerting system, may be
completely reversible. The earlier the process inciting the comatose state is treated, the greater
the likelihood of a more rapid complete recovery. The differential diagnoses of the causes of
coma are numerous and varied.