Emergenze e urgenze

Prehospital Care of Neurologic Emergencies is a reliable and definitive resource for emergency medical services personnel at multiple levels: physicians, paramedics, nurses and others who encounter these critically ill patients. This focused and succinct book addresses the management of a wide range of neurologic emergencies, including traumatic brain injuries, spinal cord injuries, strokes, and seizures. In these emergencies time is critical, and the simply presented, straightforward format of the patient care and management recommendations help readers to treat patients rapidly and confidently. Each chapter follows a standard format that includes an overview of each neurologic emergency, important background, key challenges, and areas requiring future investigation. This book is unlikely to be placed on your bookshelf; instead, you will keep it nearby for times when you face life-threatening neurologic emergencies. When seconds count, this book has the answers.

New and groundbreaking therapeutic options for the critical care of patients with cerebrovascular disease have improved patient management, minimized morbidity, reduced in-patient care, improved quality of life, and had a positive economic impact on health service provision. This volume integrates these approaches and suggests the best therapy option for all cerebrovascular conditions. The early chapters of the book focus on monitoring techniques and interventions. Subsequent sections address the critical care of a wide range of cerebrovascular diseases: ischemic stroke, intracranial hemorrhage, subarachnoid hemorrhage, arteriovenous malformations, cerebral venous thrombosis and traumatic injury. The editors and authors are internationally recognized experts in their field, and the text is supplemented by tables and illustrations to demonstrate important clinical findings. This book will meet the needs of stroke physicians, neurologists, neurosurgeons, neurointensivists and interventional neuroradiologists seeking to maximize positive outcomes for their patients.

Modern vascular neurology, particularly in the emergency setting, often requires a great capacity for analysis and synthesis. Physicians who manage these patients must have acquired multidisciplinary skills, including a good knowledge of clinical neurology and medical imaging, but they may also need to be skilled in cardiology and intensive care. The initial clinical and imaging examinations play a decisive role in the management strategy. This book, written by neurologists and neuroradiologists, is designed to help all physicians involved in the management of neurovascular disease. The format and contents of this book, including the latest guidelines from learned societies, are designed to provide a succinct and practical guide. Although this book is particularly devoted to ischaemic stroke, other neurovascular diseases, especially haemorrhagic stroke, are also discussed. This book should constitute a valuable tool for everyday practice for all medical personnel involved in neurovascular disease.

This updated and refined new edition is the only book to provide a comprehensive approach to the intensive care of neurologically injured patients from the emergency room and ICU through the operating room and post-surgical period. It reviews neuroanatomy, neuroradiology, and neurophysiology, examines the neurological problems most frequently seen in intensive care, and describes the various types of neurosurgery. General issues are discussed, such as cardiac care, fluids and electrolytes, nutrition, and monitoring as well as more specific conditions and complications including elevated intracranial pressure, seizures, and altered mental states.

Rapid response, assessment and management are crucial for neurocritical situations Acute neurological illness is traumatic for patients and their families. Physicians caring for these patients are often under great distress and need to rapidly assess the situation to allow appropriate stabilization and management. Emergency Management in Neurocritical Care gives you the tools you need to perform under pressure in the neurocritical or emergency care unit. The no-nonsense approach corresponds to the attitude needed in both acute emergencies and in the neurocritical care unit. Packed with handy tips to improve your care of patients, and written by internationally renowned experts, the book covers: Acute Management of Neurological Emergencies Cerebrovascular Critical Care Infections of the Nervous System Neuromuscular Complications Encountered in the Intensive Care Unit Neurological Complications and Consultations in General Intensive Care Units Acute Neuroimaging and Neuromonitoring in Neurocritical Care Clinical in approach, practical in execution, Emergency Management in Neurocritical Care will help you perform better in pressure situations.

This is the first practical, protocol-based guide to the emerging field of neurocritical care. The goal of neurological critical care is to rapidly deliver acute medical therapies and appropriate interventions through effective monitoring of both neurological and end organ function. "The NeuroICU Book" puts that goal within the reach of every neurologist and critical care specialist. Combining the latest clinical perspectives in critical care medicine, neurology, and neurosurgery, this comprehensive, evidence-based text standardizes neurocritical care and takes you through the rationale for those standards. Filled with detailed case studies and featuring a question-and-answer format, the book not only builds competency in recognizing acute changes in neurological function, but also addresses all organ insufficiencies and failures, reflecting the real-life challenges in the modern neuro-ICU. Features Robust, wide-ranging scope goes beyond classic neurology to encompass other organ failures at the time of presentation or during the ICU stay. Evidence-based approach leverages the scientific and controlled research that supports the key treatment methods outlined in the book. Balanced coverage of neuro care and critical care offers outstanding preparation for the neurocritical care board certification exam as well as an indispensible primer for daily clinical work in critical care medicine. Cutting-edge insights into the care used in some of the more advanced neuroICUs provide a crucial blueprint for understanding the newer procedures and protocols. This title presents practical tools including algorithms, tables, illustration, photographs, detailed references, and critical take-home points.

The most common problems for which patients present to the Emergency Department are neurological disorders, including stroke, syncope, back pain and headache. The etiology of the patient's symptoms may be life-threatening, that is, when headache is due to subarachnoid hemorrhage or meningitis, or life-altering, that is, when back pain or weakness is due to spinal cord compression, if not diagnosed and treated urgently. This is a comprehensive textbook of the disorders that are neurological emergencies, including their differential diagnosis, diagnosis and treatment. Designed for any practitioner who makes time-sensitive decisions, Emergency Neurology is an indispensable, one-stop resource to aid your clinical decision-making.

The anesthetic considerations and procedures involved in the perioperative care of the neurosurgical patient are among the most complex in anesthesiology. The practice of neurosurgery and neuroanesthesiology encompasses a wide range of cases, from major spine surgery, to aneurysm clipping and awake craniotomy. Case Studies in Neuroanesthesia and Neurocritical Care provides a comprehensive view of real-world clinical practice. It contains over 90 case presentations with accompanying focussed discussions, covering the broad range of procedures and monitoring protocols involved in the care of the neurosurgical patient, including preoperative and postoperative care. The book is illustrated throughout with practical algorithms, useful tables and examples of neuroimaging. Written by leading neuroanesthesiologists, neurologists, neuroradiologists and neurosurgeons from the University of Michigan Medical School and the Cleveland Clinic, these clear, concise cases are an excellent way to prepare for specific surgical cases or to aid study for both written and oral board examinations.

In Cerebral Revascularization: Microsurgical and Endovascular Techniques, renowned surgical experts combine their expertise to provide the most current and comprehensive coverage of open brain bypass and endovascular options currently available. A detailed introduction familiarizes readers with the various indications for these technically demanding procedures. Concise chapters then supply thorough coverage of surgical strategies, complications, and outcomes using case examples from the authors' own collections to help prepare readers for surgery. Enhancing the text throughout, operative photographs and angiographic images clearly demonstrate the pre-, peri-, and postoperative management of ischemic stroke, giant aneurysms, and the spectrum of complex cerebrovascular diseases. Features * Extensive coverage of extracranial-intracranial bypass and the latest in endovascular therapy *369 high-quality operative photographs and endovascular images illustrate key concepts * A unique emphasis on the vital role perioperative care plays in optimizing patient outcomes Neurosurgeons, residents, and fellows will regularly refer to this definitive guide in both the operating room and the catheterization lab. It is also an indispensable resource for interventional radiologists, neurologists, vascular neurosurgeons, or for anyone who needs to learn more about these cutting-edge cerebral revascularization techniques.

When one is confronted with an acute major neurologic problem, this book of moderate size may not be always immediately available ( or has been "borrowed" by someone). This pocket size booklet compiles a selection of tables and figures mainly chosen to facilitate emergency care of critically ill neurologic patients. This small booklet should cover all the essential points and hopefully is also a "survival guide" for the house staff. It may even let them shine. It includes several blank pages for note taking and allows for finding topics in a hurry. All of these features render this book an invaluable companion to The Practice of Emergency and Critical Care Neurology.

È importante che medici e paramedici siano addestrati a riconoscere un ictus usando uno strumento di valutazione neurologica che sia validato e semplificato. Questa utilissima guida tascabile, corredata dalla prefazione di Riccardo Sterzi, direttore del reparto di neurologia del Niguarda Ca' Granda di Milano, sintetizza in modo chiaro le scale usate più spesso in caso di ictus.

The care of stroke patients has changed dramatically. As well as improvements in the emergency care of the condition, there have been marked advances in our understanding, management and rehabilitation of residual deficits. This book is about the care of stroke patients, focusing on behavioural and cognitive problems. It provides a comprehensive review of the field covering the diagnostic value of these conditions, in the acute and later phases, their requirements in terms of treatment and management and the likelihood and significance of long-term disability. This book will appeal to all clinicians involved in the care of stroke patients, as well as to neuropsychologists, other rehabilitation therapists and research scientists investigating the underlying neuroscience.

Praise for this book:Chapters are clearly written and...[the] black-and-white illustrations and reproductions of cerebral radiographs are of remarkably good quality...an excellent multidisciplinary overview. - Doody's Review From important aspects of the physical examination to imaging studies to treatment options and dosage guidelines, Decision Making in Neurocritical Care provides a solid introduction to the evidence-based management of patients in the neurological intensive care unit. Succinct text in a highly accessible bullet-point format details the essentials of history-taking, physical examination, differential diagnosis, diagnostic evaluation, and treatments for a range of neurological problems in the critical care setting. Special features: * Brief vignettes of typical cases emphasize key questions for the physician to consider and urgent orders to be given * Coverage of the basics of neurocritical care, including techniques of intubation, ventilator management, sedation, and multimodality monitoring * Pearls and pitfalls highlight key points in patient management * Convenient medication tables, including dosages, adverse effects, and contraindications * Consistent presentation in each chapter enhances ease of use Ideal for neurologists, neurosurgeons and critical care physicians at all levels, this book is invaluable for optimizing patient care. It is also an excellent choice for board review preparation in these specialties.

Written by a practicing critical care neurologist, this books includes a historical overview of the concepts of consciousness and unconsciousness, principles of neurologic examination of the comatose patient including instruction of a new coma scale - the 'FOUR Score', interpretation of neuroimaging and its role in daily practice and decision making, management in the emergency room and ICU and long-term supportive care and approach to communication with family members and end-of-life decisions. It also discusses landmark legal cases and ethical problems and a chapter is devoted to the public perception of coma.

The revised and updated second edition of this comprehensive text continues to offer careful critical evaluation and authoritative advice on stroke, the most complicated disease affecting the nervous system of children and young adults. New chapters, the latest guidelines from the American Heart Association, tips for preventing misdiagnoses, and more provide you with the knowledge you need to make the best clinical and management decisions of both common and rare cerebrovascular disorders in the young population. Tightly focused, this fully referenced textbook fills the void in the literature by including detailed discussions on topics such as stroke in neonates, atherosclerotic cerebral infarction in young adults, strokes caused by migraines, stroke during pregnancy, and a myriad of others. Up-to-date tables containing rich troves of data along with the careful selection of multiple references further enhances your acumen.