Medicina d'urgenza

Deliver quality healthcare in the most challenging field conditions. Comprehensive yet compact, practical, and enduring, Improvised Medicine: Providing Care in Extreme Environments, Second Edition, is the one book to toss into your bag when going to practice medicine in global, disaster, or other resource-poor settings, including theaters of war, regions of civil unrest, and economically deprived areas. Full of practical clinical pearls and field-tested strategies, this indispensable guide provides detailed instructions on how to work successfully outside of your comfort zone. It demonstrates how to devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable or when providing care outside your primary area of expertise. In any crisis, from power failures and computer crashes to floods, tsunamis, and earthquakes, knowing how to deal with the unique challenges encountered saves lives and communities. This reference gives you that knowledge and inspires innovative crisis resolution. From Reviews of the first Edition: "Dr Iserson has given us a most remarkable book. Many readers may be familiar with David Werner's lay health worker book, Where There Is No Doctor; this new volume could be titled Where There Is a Doctor-But No Stuff. Drawing from his experience providing care in international, wilderness, and disaster settings, he has compiled an impressive collection of bare-bones equipment and work-around strategies to provide the best possible care in resource-poor settings. While presenting many creative examples, the purpose of the book is not to offer an exhaustive list of solutions to missing resource challenges but to inspire creativity in readers who may find themselves needing to improvise." (Family Medicine). "There is a lot of material here and, if nothing else, it may motivate more people to practice low-tech medicine and be willing to go where health care is dependent more on caring than on cost. I recommend this book to anyone who must practice in austere environments, and it will be in my rucksack when I respond to the next disaster." (The Journal of Emergency Medicine). Features: simple-to-follow directions, diagrams, and illustrations describing practical techniques and improvised equipment necessary to provide quality care during crises; contains improvisations in anesthesia and airway management, dentistry, gynecology/obstetrics, infectious disease/laboratory diagnosis, internal medicine, otolaryngology, pediatrics and malnutrition, orthopedics, psychiatry, and surgery; covers situational analysis and basic needs in a crisis; specific triage, diagnosis, and stabilization efforts; medical interventions for surgical and non-surgical problems; and debunks some commonly reported improvised techniques; features public health measures, basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods. New to the second edition: more concisely written, more extensively illustrated, and updated improvisations and references. Learn how to: make an endotracheal tube in seconds; perform digital-oral and blind-nasotracheal intubations; make plaster bandages for splints/casts; give open-drop ether, ketamine drips, and halothane; use subcutaneous/intraperitoneal rehydration/transfusion; make ORS and standard nutrition formulas; clean, disinfect, and sterilize equipment for reuse; warm blood units in seconds inexpensively; take/view stereoscopic x-rays with standard equipment; wuickly and easily stop postpartum hemorrhage; fashion surgical equipment from common items; build an evaporative refrigerator; make esophageal and precordial stethoscopes *Quickly improvise a saline lock; make ECG electrode/defibrillator pads and ultrasound gel; and evacuate patients easily from high-rise hospitals.

Evidence-Based Practice of Critical Care, 2nd Edition, presents objective data and expert guidance on managing critically ill patients in unique question-based chapters that focus on best practices. Now thoroughly updated by Drs. Clifford S. Deutschman, Patrick J. Neligan, and nearly 200 critical-care experts, this highly regarded title remains the only book of its kind that provides a comprehensive framework for translating evidence into practice, making it a valuable resource for both residents and practitioners.

The second edition of the Oxford Handbook of Critical Care Nursing has been fully revised to reflect a more systematic approach to care delivery and to follow the patient pathway. Focused on the practical issues of nursing care and nursing procedures, this handbook has been written by nurses, for nurses. Reflecting current best practice, the Oxford Handbook of Critical Care Nursing is an easily accessible and evidence-based guide for all levels of nursing staff working in critical care environments. It provides the nurse at the bedside with the answers to day-to-day problems experienced when caring for critically ill patients, and is also a guide to some of the less commonly encountered issues. The new edition of this handbook will continue to help support novice and experienced staff in critical care environments. Now including more detail on the psychological issues facing critically ill patients, and more information on the intricacies of receiving a critically ill patient and transferring from a critical care environment, this handbook is a concise, practical, and comprehensive resource.

For 30 years, the highly regarded Secrets Series(R) has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. The 6th Edition of Emergency Medicine Secrets, by Drs. Vincent J. Markovchick, Peter T. Pons, Katherine M. Bakes, and Jennie A. Buchanan, features the Secrets' popular question-and-answer format that also includes lists, mnemonics, tables, and an informal tone - making reference and review quick, easy, and enjoyable.

Does your heart rate increase when you are paged to the emergency department or ICU for emergency airway management? Would you know how to handle the unexpected arrival of a patient with a gunshot wound to the neck and worsening airway compromise? This guide to critical airway emergencies will prepare you to safely manage these high-pressure situations. Case-based discussions focus on specific scenarios and provide background on the relevant medical issues along with practical guidance and algorithms. This systematic approach gives quick access to vital clinical information. Multidisciplinary in approach and written by experts from a variety of specialties, the content covers both pediatric and adult patients, encompassing many of the challenging airway situations you could be faced with. Every healthcare practitioner involved with emergency airway management will benefit from this book.

This book presents a concise, evidence-based review of extracorporeal life support (ECLS) for adult diseases. It describes the use of ECLS with patients who are experiencing severe hypoxemic respiratory failure (ARDS and pneumonia), ventilatory failure (status asthmaticus and COPD), cardiogenic shock and circulatory or gas exchange failure following complications in cardiothoracic surgery, as well as its use as a bridge to lung transplant. Historically, clinicians have used ECLS as a last resort; however, this text details the technological improvements, evidence of improved outcomes and adverse consequences of alternative treatments that are causing this modality to be more commonly adopted. Topics include a description of the complex physiology and technology underlying ECLS; the evidence base for its use in specific clinical conditions; vascular access techniques; daily management of the circuit and patient; guidance regarding the weaning and decannulation process and recommendations for crisis management and rehabilitation related to ECLS. Extracorporeal Life Support for Adults is ideal reading for practicing physicians, nurses, perfusion specialists, therapists and critical care trainees who are considering whether to refer their patients for ECLS or are already providing ECLS and are seeking a practical reference to best practices and updated information.

La valutazione generale e l'ottimizzazione della gestione del paziente ad alto rischio chirurgico risponde sostanzialmente a tre domande: 1) Che cosa intendiamo per paziente ad alto rischio chirurgico?; 2) Qual è la risposta al trauma chirurgico nel paziente a rischio?; 3) Quali strumenti abbiamo per quantificare tale rischio? La percezione del rischio è spesso basata nella pratica clinica su impressioni soggettive che coinvolgono il giudizio sulla possibilità di successo di un intervento chirurgico, e tengono conto di altre valutazioni, una delle più importanti tra queste riguarda la possibilità del paziente di poter tornare a un'attività sociale piena. Il rischio chirurgico è in estrema semplificazione legato a due grandi gruppi di fattori: il primo è legato alle differenti procedure chirurgiche, il secondo allo stato del paziente nella sua valutazione clinica globale.

Sharpen your critical care skills, with the fully updated Quick Reference to Critical Care, fifth 5th edition. This well-illustrated pocket guide covers the full range of critical care scenarios, listing each disorder, medication, test, or device alphabetically by body system. Each entry supports the latest evidence-based nursing procedures and stabilization practices, all formatted in a convenient quick-read outline. Get immediate on-the-job answers to your critical care questions, with this comprehensive quick-use guide. Get on-the-spot, critical care direction and data ...* NEW neurological content: Salt table on sodium imbalances, table on intercranial hypertension treatments, lumbar puncture, the Ommaya reservoir, stroke, and more * NEW cardiovascular content: cardiomyopathy, cardiac surgery, new closure devices, EKGs, endovascular embolization, intra-aortic balloon counterpulsation, shock topics, transcatheter aortic valve replacement, ventricular assist device, hypothermia, and more * NEW pulmonary content: capnography, oxyhemoglobin dissociation curve, Severe Acute Respiratory syndrome (SARS), and more * NEW GI/GU content: intra-abdominal pressure management, lab abnormalities in acute liver failure, table for calculating body mass, and more * NEW renal content: the Quinton catheter in hemodialysis and new CDC guidelines * NEW endocrine content: metabolic syndrome * NEW hematologic content: clotting cascade and clotting factor, Middle East Respiratory Syndrome (MERS), Ebola virus, AIDS treatments, plasmaphoresis, thrombotic thrombocytopenic purpura, and more * NEW content on drugs, labs, and imaging; dressing options for wound care * NEW updated hotline phone numbers * More than 350 illustrations - Figures, algorithms, photos, drawings, and tables * Get vital information fast with the quick reference format that ICU nurses have relied on for decades: * Read-at-a-glance bulleted outline format enables quick comprehension * Extensive cross-referencing for additional, related information * Chapters for each body system with disorders and injuries listed in alpha order * Tables and charts with vital info on medication, dosing, conversions, compatibilities, lab tests, and more * Remember feature notes important points to aid easy recall

A physician's time is limited in the ED, and lengthy paragraphs that take several sentences to make a management recommendation are no longer useful to the emergency physician at the point of care. This customer-focused Atlas allows emergency physician to quickly look up a diagnosis and make the appropriate management decisions in 3 minutes or less. Features: * Visual presentation of the most common disorders that present in the emergency room* New editorial board, including young and up-and-coming emergency physicians* New table of contents focused on key disorders emergency medicine physicians see in practice* New chapter template emphasizes bulleted text organized by Clinical Presentation, Diagnosis, and ManagementNow with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like:* Complete content with enhanced navigation* A powerful search tool that pulls results from content in the book, your notes, and even the web* Cross-linked pages, references, and more for easy navigation* A highlighting tool for easier reference of key content throughout the text* Ability to take and share notes with friends and colleagues* Quick-reference tabbing to save your favorite content for future use

Textbook of Critical Care is an extensive two volume guide to all aspects of critical care. The first volume covers systems of the human body in individual sections; the second volume continues to cover other vital topics for those working in an intensive care unit. The two volumes are subdivided into fourteen sections, with 112 chapters in total. The book begins with general principles, before covering cardiovascular, respiratory, renal, and gastrointestinal systems, as well as neurology and endocrinology. The post-surgical critical care section includes a range of surgeries, and organ transplants. Further topics include obstetric critical care, haematology, rheumatology, oncology and trauma, with detailed advice on the design of, and research in the ICU. With over 100 international contributors ensuring authoritative content throughout, and full colour illustrations across 1500 pages, Textbook of Critical Care is a valuable resource for residents, intensivists, and emergency medicine doctors. Key Points * Extensive two volume guide to all aspects of critical care * Covers different systems of the human body in detail in separate sections * Full colour illustrations across 1500 pages * Over 100 international contributors

Manual of ICU Procedures is a comprehensive, step-by-step guide to intensive care procedures. The book is divided into four anatomical sections, and a final miscellaneous section. Section one covers airway and respiratory, followed by; vascular and cardiac; neurological; gastrointestinal, abdominal, and genitourinary procedures. Each section covers an extensive range of procedures, and each chapter begins with basic principles before describing the procedure step-by-step. Enhanced by 428 colour images and illustrations, Manual of ICU Procedures is an ideal resource for all critical care professionals. Key Points * Step-by-step guide to a range of intensive care procedures * Covers respiratory, cardiovascular, neurological, gastrointestinal, genitourinary and miscellaneous procedures *428 colour images

In this era of evidence-based medicine, one of the biggest challenges confronting acute medicine clinicians is keeping abreast with the rapidly changing recommendations that guide clinical practice. Oxford Desk Reference: Acute Medicine allows easy access to evidence-based materials on commonly encountered acute medical problems to ensure the optimum management of the acutely unwell patient. Collating all the research-based guidelines and protocols in one easily accessible place and presenting it in a uniform style, this practical book is hugely advantageous for a busy clinician as it is not always easy to access research-based guidelines and protocols when needed in the clinic. The book is designed so that each subject forms a self-contained topic in its own right. This makes the information simple to find, read, and absorb, so that the book can be consulted in the clinic or ward setting for information on the optimum management of a particular condition. Edited by three experts in acute medicine, this book should never be far from the acute medicine clinician's side.