Medicina d'urgenza

This practical guide provides the reader with answers to important clinically relevant questions regarding the evaluation and management of acute kidney injury (AKI). All aspects of critical care nephrology are covered, from pathophysiology and diagnosis to prevention and treatment. The questions considered relate to a wide range of issues, such as: How do I diagnose AKI? How can I protect the kidney in clinical practice? How do I manage patients with AKI? When should I initiate and how do I perform renal replacement therapy (RTT)? Which type of RTT is most appropriate for my patient? Should I give specific nutrients? In addition to providing practical guidelines and treatment algorithms, the book includes calculators for continuous RRT and anticoagulant dosing. The authors are internationally renowned experts in the fields of Intensive Care Medicine and Nephrology and all contributions are written in a clear and concise style and have been peer reviewed. Acute Nephrology for the Critical Care Physician will serve as a very useful source for intensivist internists, anesthesiologists and nephrologists involved in the management and treatment of critically ill patients at risk of or affected by AKI.

Merenstein & Gardner's Handbook of Neonatal Intensive Care, 8th Edition, is the leading resource for collaborative, interprofessional critical care of newborns. Co-authored by physicians and nurses, it offers concise, comprehensive coverage with a unique multidisciplinary approach and real-world perspective that make it an essential guide for both neonatal nurses and physicians. The 8th edition features the latest neonatal research, evidence, clinical guidelines, and practice recommendations - all in a practical quick-reference format for easy retrieval and review of key information.

A questo compendio, che raccoglie le principali nozioni del settore "criticità e urgenze", si è voluto dare un'impostazione sintetica ed essenziale, offrendo al lettore anche un'adeguata iconografia sufficiente a memorizzare specifici immagini del momento critico. Da anni, le tematiche delle urgenze sono materia di studio per lo studente in medicina e chirurgia, in odontoiatria e varie sono le pubblicazioni scientifiche sull'argomento. Le nozioni sulle urgenze sono motivo di continuo aggiornamento, sia sotto il profilo del trattamento farmacologico che tecnologico. In questo manuale abbiamo voluto trattare ogni argomento alla luce di tali aggiornamenti e consolidare la rapidità di consultazione.

Extracorporeal Membrane Oxygenation (ECMO) is a procedure that uses a machine to take over the work of the lungs and sometimes the heart. The system provides heart-lung bypass support using a pump to circulate blood through an artificial lung back into the bloodstream, providing enough oxygen to the patient, whilst allowing time for the lungs and heart to rest or heal during or after serious illness. ECMO is often used for babies, but can also be used for children and adults (Medline Plus). The techniques for ECMO require professionals from multidisciplinary background to be involved in the procedure. This practical manual is a comprehensive guide to ECMO. Divided into eleven sections, the book begins with an introduction to the procedure and equipment. The following sections provide step by step discussion on initiation, maintenance of support and monitoring, and techniques of ECMO for different case scenarios. The final sections present multiple choice questions for self assessment and extensive appendices. Key points *Comprehensive guide to Extracorporeal Membrane Oxygenation (ECMO) *Highly relevant for intensivists, anaesthesiologists, surgeons, paediatricians and cardiologists *Includes section of multiple choice questions for self assessment *More than 186 full colour images and illustrations

When seconds count, turn to the resource that provides easy-to-find, easy-to-follow guidelines for the essential procedures you're likely to use in today's Emergency Department. Essential Emergency Procedures, 2nd Edition delivers the information you need using a consistent, bulleted, outline format, so you can find what you're looking for quickly and easily. Abundantly illustrated in full color, it guides you step by step through nearly 100 adult and pediatric procedures. Consult seven all-new chapters for current information on procedures used in today's ED: video laryngoscopy, delayed sequence intubation, NO DESAT, meconium aspirator for airway suctioning, E-FAST, retrograde urethrogram/cystogram, and soft tissue ultrasound. You can quickly locate foreign body removal and trauma procedures in new, separate sections devoted to these key areas. You can find ultrasound procedures now conveniently located with their respective body system chapters. You can locate safety and quality guidelines easily within each chapter: an all-new feature edited by Dr. Reuben Strayer that reviews common procedural and cognitive errors to avoid for each procedure. Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: complete content with enhanced navigation; powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web; cross-linked pages, references, and more for easy navigation; highlighting tool for easier reference of key content throughout the text; ability to take and share notes with friends and colleagues; and, Quick reference tabbing to save your favorite content for future use.

Published in association with the Society for Vascular Surgery (SVS), the newly updated edition of Rich's Vascular Trauma draws on civilian and military authorities from around the world to offer comprehensive and up-to-date coverage of the management of vascular injury. Anatomic patterns of vascular trauma including extremity, torso and cervical injury are reviewed in detail, including the latest techniques to manage non-compressible torso hemorrhage. You'll have access to all of the current innovations across the broad spectrum of vascular trauma, presented in a well-organized fashion that allows you to quickly hone-in on the most important issues in patient care and management.

Questo breve manualetto si compone di due parti. Nella prima, dedicata al "primo soccorso", non ci proponiamo certo di sostituirci alla figura del sanitario professionista o, quando occorre, del Pronto Soccorso; ma di intervenire, in modo rapido ed efficace, per portare aiuto nei casi semplici, ma non banali, di piccoli accidenti domestici o disturbi non pericolosi, ma fastidiosi. Per intervenire è spesso sufficiente impiegare, in prima istanza, materiale e sostanze normalmente presenti in ogni casa, oppure pochi, sicuri rimedi naturali. La seconda sezione suggerirà consigli adatti a semplici interventi casalinghi per piccoli problemi pediatrici.

Accurately interpret cardiovascular images for fast, effective emergency management This unique combination atlas and text is a concise guide to acute care cardiovascular image interpretation for the diagnosis and management of emergency conditions. Each condition or disorder is described in a consistently designed, well-illustrated section. Concise, bulleted text details clinical highlights, emergency department treatment and disposition, and clinical pearls and pitfalls. Created for use at the point of care, Atlas of Cardiovascular Emergencies is enhanced by more than 400 images, many in full color. Atlas of Cardiovascular Emergencies is logically divided into nine chapters: Anatomy Electrocardiography: Normal Heart, Ischemic and Chronic Vascular Disease Principles of Cardiovascular Imaging Devices Arrhythmias Vascular Disease Cardiomyopathies Pediatric Cardiology Procedures

This manual provides a practical approach to operative trauma management. Written entirely by physicians who currently practice in shock trauma, the manual features a hands-on approach and practice to dealing with shock trauma that is regularly utilized by the faculty at the R Adams Cowley Shock Trauma Center. The volume includes numerous photographs that illustrate operative techniques in great detail. The book is also presented in a manual format so that it fits easily into a white coat pocket, making it a portable and readily accessible reference. The Shock Trauma Manual of Operative Techniques is a valuable resource for practicing surgeons in the community who cover the Emergency Department and thus, may be called upon to provide operative therapy for trauma, residents, particularly those in whom operative trauma is not a part of their training, and fellows who are training in surgical critical care and trauma.

From principles of oxygen delivery and patient assessment, through rapid sequence induction of anaesthesia and tracheal intubation, to the difficult and failed emergency airway, this book from an expert team of clinicians guides the reader through every aspect of emergency airway management. Retaining the concise, accessible format of the first edition, it includes a new section on human factors and improving teamwork and performance, an expanded special circumstances section, and a summary of the 4th National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society and its implications for practice. Updated guidelines, new technologies such as videolaryngoscopy, and recent evidence have all been incorporated into the chapter content, ensuring that the book reflects best current practice. This thoroughly updated new edition remains an essential resource for navigating a highly challenging clinical scenario and will be of value to emergency medicine, intensive care, anaesthesia and acute medicine clinicians.

ABC of Transfer and Retrieval Medicine provides the key information required to help health care professionals involved in the movement of critically ill patients to do so safely, correctly and with confidence. Beginning with the practical and clinical considerations to be taken into account during patient transfer and an overview of transfer equipment, it then addresses pharmacological aspects of patient transfer, the roles and responsibilities of the transfer team, and the requirements of neonatal, paediatric and specialist transfers. Mapped against the syllabus for the Diploma of Retrieval and Transfer Medicine (Royal College of Surgeons of Edinburgh), it has been developed as a core resource for the diploma whilst providing an invaluable resource for any healthcare professional involved in the transfer of critically ill patients including anaesthetists, intensivists, nurses from ICU/ED and paramedics. It also includes frameworks for radiology and arterial blood gas interpretation, guidance on patient triage, transfer checklists and equipment checklists, and a summary of the relevant national guidelines. From a multidisciplinary international author team, this new addition to the ABC series is a useful resource for all health care professionals involved in the transfer of patients. It is relevant to anaesthetists, intensivists, paramedics, critical care and emergency department nursing staff who are required to take part in intra and inter hospital transfers.

Completely revised and updated to reflect the latest guidelines and innovation, Emergency Nursing Made Incredibly Easy!, Second Edition, offers essential information on emergency, trauma, and critical care. Presented in the easy-to-learn and enjoyable Incredibly Easy! format, it covers emergency care basics, including patient assessment and triage, trauma, disease crises, and patient and family communication. It also addresses legal issues such as handling evidence and documentation, and holistic issues such as pain and end-of-life care. Chapters detail emergency nursing by body system and cover shock, multi-system traumas, environmental emergencies, disaster preparedness, communicable diseases, and obstetric and pediatric emergencies. The presentation features light-hearted cartoons and humor, "Memory Joggers" and other icons, and end-of-chapter review questions.

This is the premier evidence-based textbook in critical care medicine. The Third Edition features updated and revised chapters, numerous new references, streamlined content, and new chapters on key topics such as the new paradigm in critical care medicine, cardiac output monitoring, surgical optimization, vital signs, and arterial blood gas analysis. The book maintains the author's trademark humor and engaging writing style and is suitable for a broad and diverse audience of medical students, residents, fellows, physicians, nurses, and respiratory therapists who seek the latest and best evidence in critical care. From reviews of previous editions: "This is an excellent introduction to the concept of evidence-based medicine...The writing is clear, logical, and highly organized, which makes for fast and enjoyable reading. I believe this book will get daily use in most intensive care units, by a wide range of readers." -Respiratory Care "This is one of the most comprehensive handbooks on critical care medicine with a strong emphasis on evidence base...Overall, this book should be useful for junior doctors or intensive care trainees who are starting their term in an intensive care unit. " -Anaesthesia and Intensive Care

ACHIEVE SUCCESSFUL OUTCOMES WITH THE MOST CLINICALLY FOCUSED GUIDE TO PEDIATRIC EMERGENCY MEDICINE "...A comprehensive and current resource for anyone who cares for children in an acute setting." -- JAMA (review of previous edition) Endorsed by the American College of Emergency Physicians, this thoroughly updated, full-color resource presents a complete overview of pediatric emergency medicine. Pediatric Emergency Medicine begins with an essential symptom-based section on cardinal presentations that familiarizes you with crucial life-saving protocols. Subsequent sections cover all major categories of disease--from respiratory failure to pediatric hypertension--that present in children on an urgent or emergent basis. FEATURES Broad scope of the text spans the entire spectrum of pediatric emergencies, from resuscitation and trauma, to gastrointestinal and psychosocial emergencies Over 100 diagnostic and treatment algorithms present an at-a-glance review of best practices for optimizing patient care 1200 color images show you what to expect and what to do Chapter-opening key points, followed by concise coverage of pathophysiology, offers incisive guidance on what needs to be done to effectively stabilize and treat the pediatric patient NEW! Chapter on foreign bodies offers an in-depth overview of this common pediatric problem NEW! Updated references throughout include the most recent pediatric emergency guidelines and recommendations from professional societies

This is a no-nonsense guide to drug treatment in the intensive care unit. It covers the most commonly encountered conditions and is organized by system. Management of each condition is tersely outlined step-by-step in table format. The book also includes non-drug information that is essential to making informed, evidence-based pharmacotherapy decisions, such as risk scores, scales, and assessment tools. The Second Edition has been revised to reflect the latest critical care practice guidelines and up-to-date drug and non-drug information.

This popular handbook provides a practical guide to managing common and important problems in the critically ill patient, as well as sufficient background information to enable understanding of the principles and rationale behind the therapy without overloading the reader with detailed basic science. Fully updated throughout, this third edition of Handbook of ICU Therapy includes new chapters on coagulation problems in the critically ill, airway management, electrolyte and metabolic acid/base problems, optimizing antimicrobial therapy, chronic critical illness, recognizing and responding to the deteriorating patient, ICU rehabilitation, palliative care, neurotrauma, the comatose patient, the obstetric patient, endocrine problems, and care of organ donors. Authored by senior clinicians from both sides of the Atlantic, chapters retain the easy-to-read format of previous editions. Aimed particularly at residents and trainees starting out in the ICU or preparing for postgraduate examinations, this handbook also serves as a valuable refresher for established intensivists, anesthesiologists and surgeons.

This book covers a wide array of hematologic problems commonly encountered in the daily practice of critical care and emergency medicine. Unfortunately, the symptoms and signs associated with underlying hematologic disorders are frequently rather unspecific and confounding; furthermore, the clinical course of patients admitted to intensive care units with such disorders can be fulminant, warranting prompt diagnosis. This book recognizes the importance of accurate and speedy interpretation of symptoms in that the text is symptom oriented rather than disease oriented. Put another way, the reader confronted with a particular clinical problem or symptom will be guided step by step to the possible underlying disorder(s). The scenarios considered include critical illness in patients with anemia, leukopenia, leukocytosis, abnormal platelet count, and severe transfusion reactions. For each circumstance, factors relevant to symptom interpretation are fully discussed. In addition, helpful diagnostic algorithms are presented in the form of flow charts that will assist in decision making regarding the need for further investigations. The closing chapter is devoted to the drug-induced hematologic disorders. Although the book is intended mainly for intensivists, other specialists will find much information of value for their daily practice.