Medicina d'urgenza

Surviving critical illness is not always the happy ending we imagine for patients. Many ICU survivors suffer from a range of long-lasting physical and psychological issues such end stage renal disease, congestive heart failure, cognitive impairment, neuromuscular weakness, and depression or anxiety, which affect their overall quality of life and ability to lead productive lives. This lingering burden or 'legacy' of critical illness is now recognized as a major public health issue, with major efforts underway to understand how it can be prevented, mitigated, or treated. The Textbook of Post-ICU Medicine: The Legacy of Critical Care discusses the science of the recovery process and the innovative treatment regimens which are helping ICU survivors regain function as they heal following trauma or disease. Describing the major clinical syndromes affecting ICU survivors, the book delineates established or postulated biological mechanisms of the post-acute recovery process, and discusses strategies for treatment and rehabilitation to promote recovery in the ICU and in the long term. The chapters are written by an interdisciplinary panel of leading clinicians and researchers working in the field. The book serves as a unique reference for general practitioners, internists and nurses caring for long term ICU survivors as well as specialists in intensive care medicine, neurology, psychiatry, and rehabilitation medicine.

Looking for a brief but authoritative resource to help you manage the types of complex cardiac, pulmonary, and neurological emergencies you encounter as a resident or attending emergency room physician? Look no further than Decision Making in Emergency Critical Care: An Evidence-Based Handbook. This portable guide to rational clinical decision-making in the challenging - and changing - world of emergency critical care provides in every chapter a streamlined review of a common problem in critical care medicine, along with evidence-based guidelines and summary tables of landmark literature. Features Prepare for effective critical care practice in the emergency room's often chaotic and resource-limited environment with expert guidance from fellows and attending physicians in the fields of emergency medicine, pulmonary and critical care medicine, cardiology, gastroenterology, and neurocritical care. Master critical care fundamentals as experts guide you through the initial resuscitation and the continued management of critical care patients during their first 24 hours of intensive care. Confidently make sustained, data-driven decisions for the critically ill patient using expert information on everything from hemodynamic monitoring and critical care ultrasonography to sepsis and septic shock to the ED-ICU transfer of care.

Make your best ED decisions-fast-with the aid of Rosen & Barkin's 5-Minute Emergency Medicine Consult. Containing the most essential information on over 600 clinical problems, this text was written by renowned practicing clinicians dedicated to providing a definitive guide to diagnosis and treatment in the emergency room. This succinct text synthesizes the vast diagnostic and treatment information as it pertains to emergency medicine, making it the perfect handbook for students, residents, nurses, and emergency medical personnel working in the trenches. Stay up-to-date and backed by the best research available in medicine today by making 5-Minute Emergency Medicine Consult an indispensible part of your clinical practice. Features 1-year access to companion site, offering supplemental images, resources, and more. New Topics: Acute Coronary Syndrome, Bath Salt Poisoning, Coagulopathy Reversal, Geriatric Trauma, Leukocystosis, Periodic Paralysis, Polyneuropathy, Retro Orbital Hematoma, Serotonin Syndrome, Uvulitis , Vomiting (Cyclic), and much more. Features: two-page outline format lends maximum readability; diagnoses span from pre-hospital to disposition stage; and ICD-9 and ICD-10 coding included.

Ramp up your knowledge of the clinical trials and evidence that laid the groundwork for current emergency practice with Emergency Medicine Evidence: The Practice-Changing Studies. Brief, easy-to-read, and accessible, this time-saving quick-reference allows you to quickly familiarize yourself with the 100 most practice-changing clinical trials in emergency medicine. Features: Master key information through one-page synopses of the 100 most-practicing changes clinical trials in emergency medicine; Explore landmark clinical trials in all areas of emergency medicine, including abdominal, airway, allergy, cardiology, endocrine, infectious disease, neurology, operations, orthopedics, pain, PE/DVT, psychiatry, pulmonary, toxicology, trauma, and ultrasound; Access crucial information you need to enter the world of evidence-based emergency medicine and Key findings in practical tips and commentary to improve your study. Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: 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; 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.

Clinicians and students at all levels and in all primary care disciplines will benefit from the clear, practical, evidence-based writing and recommendations that address the full spectrum of clinical problems encountered in the adult primary care practice. Whether it's the answer to a screening, prevention, evaluation, or management question or a comprehensive approach to a complex condition, the reader will find a review of best evidence integrated with considerations of affordability, cost-effectiveness, convenience and patient preference. Chapters present actionable, scientifically validated guidance that allows physicians to go beyond standard consensus guidelines and provide highly personalized care. Special consideration is given to team-based approaches of primary care delivery, recognizing its increasing importance to achieving high levels of practice performance. Primary Care Medicine's digital format and quarterly updates ensure current, point-of-care decision support. New, online resources include a recommended curriculum for trainees and faculty, emphasizing a core knowledge base needed for all members of the primary care team, and access to state-of-the-art, condition-specific decision grids to facilitate patient participation in shared decision-making. Features: interactive eBook with searchable text with quarterly updates integrating important new evidence; and unique problem-based chapter organization covers the spectrum of adult primary care, including expanded sections on complementary and alternative therapies, men's and women's health issues, ADHD, posttraumatic stress disorder, and biologic therapies for cancer and autoimmune disorders. All chapters are completely updated with new data from nearly 3000 of the latest and best randomized trials, systematic reviews, meta-analyses, and cost-effectiveness studies, addressing such issues as revised treatment goals for diabetes, hypertension, and hypercholesterolemia; new oral anticoagulants for stroke prophylaxis; new antiviral therapies for HIV and hepatitis C; new diagnostic standards for mental health disorders; and best approaches to screening for lung cancer and coronary disease; new sections on evidence-based approaches to team care that enhance patient outcomes; over 300 tables, figures, and photographs, many in color; and bulleted recommendations, blending best consensus guidelines with approaches to personalizing care. Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: searchable text with quarterly updates integrating important new evidence; 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; 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; and the result is an invaluable tool for decision support and learning at the point of care. "Compared with other primary care books written for use in the office at the point of care, Primary Care Medicine is the one to own." (Journal of the American Medical Association).

The origin of modern intensive care units (ICUs) has frequently been attributed to the widespread provision of mechanical ventilation within dedicated hospital areas during the 1952 Copenhagen polio epidemic. However, modern ICUs have developed to treat or monitor patients who have any severe, life-threatening disease or injury. These patients receive specialized care and vital organ assistance such as mechanical ventilation, cardiovascular support, or hemodialysis. ICU patients now typically occupy approximately 10% of inpatient acute care beds, yet the structure and organization of these ICUs can be quite different across hospitals. In The Organization of Critical Care: An Evidence-Based Approach to Improving Quality, leaders provide a concise, evidence-based review of ICU organizational factors that have been associated with improved patient (or other) outcomes. The topics covered are grouped according to four broad domains: (1) the organization, structure, and staffing of an ICU; (2) organizational approaches to improving quality of care in an ICU; (3) integrating ICU care with other healthcare provided within the hospital and across the broader healthcare system; and (4) international perspectives on critical care delivery. Each chapter summarizes a different aspect of ICU organization and targets individual clinicians and healthcare decision makers. A long overdue contribution to the field, The Organization of Critical Care: An Evidence-Based Approach to Improving Quality is an indispensable guide for all clinicians and health administrators concerned with achieving state-of-the-art outcomes for intensive care.

As the global geriatric population continues to grow, an increasing proportion of people reporting to emergency departments are elderly. The work-up of these patients uses more time and resources than that of younger patients, and is complicated by the fact that acute disease often presents more subtly, without the outward manifestations typically seen in younger patients. This volume focuses on the unique pathophysiology of the elderly, presenting guidelines for resuscitation, evaluation and management. The first section discusses general principles including demographics, pharmacology and pain management. The following sections cover high-risk chief presenting complaints and review geriatric emergencies. Finally, topics of particular relevance in the geriatric population are discussed, including functional assessment, end-of-life care, financial considerations and abuse. This book provides a comprehensive, practical framework for community and academic emergency medicine practitioners, as well as emergency department administrators striving to improve delivery of care to this vulnerable, growing population.