Emergency Department Resuscitation of the Critically Ill, 2nd Edition: A Crash Course in Critical Care

"For those of us who want to ensure that we are up to date to guarantee clinical confidence, this book fills that need." —Stephen C. Morris, Annals of Emergency Medicine A CRASH COURSE IN CRITICAL CARE! STABILIZE, TREAT, AND SAVE YOUR SICKEST PATIENTS IN THE ED OR THE FIELD – WITH ACEP’S ULTIMATE RESUSCITATION GUIDE. PACKED WITH SUCCINCT EVIDENCE-BASED CHAPTERS WRITTEN BY THE NATION'S FOREMOST AUTHORITIES. With an in-depth and up-to-date description of the unique presentation, differential diagnosis, and management of specific critical illness, this second edition emphasizes on ECMO, sepsis, neuro, critical care, pulmonary hypertension, crashing obese patient, and neonatal. Readers will also see the addition of many new flow diagrams and diagnostic and treatment algorithms. The ability to manage critically ill patients is perhaps the defining skill of emergency physicians. Whether performing rapid sequence intubation, initiating and adjusting mechanical ventilation, titrating vasoactive medications, administering intravenous fluids, or initiating extracorporeal membrane oxygenation, emergency clinicians must be at their best in these high-octane scenarios, during which lives can be saved—or lost. Emergency Department Resuscitation of the critically Ill focuses on caring for the sickest of the sick: the unstable patient with undifferentiated shock; the crashing ventilated patient; the decompensating patient with pulmonary hypertension or septic shock; the crashing obese patient; or the hypotensive patient with a left ventricular assist device. You'll also find imperative information about managing pediatric and neonatal resuscitation, intracerebral hemorrhage, and the difficult emergency delivery. What physiological possibilities must you consider immediately? What steps should you take now to save the patient's life? The country's foremost emergency medicine experts tell you everything you need to know to deliver rapid, efficient, and appropriate critical care. Quite simply, this book will help you SAVE lives. What’s in it? Undifferentiated Shock The Difficult Airway The Crashing Ventilated Patient Fluid Management Cardiac Arrest Updates Postcardiac Arrest Management Deadly Arrhythmias Cardiogenic Shock Extracorporeal Membrane Oxygenation Cardiac Tamponade Aortic Catastrophes Severe Sepsis and Septic Shock The Crashing Morbidly Obese Patient Pulmonary Hypertension Left Ventricular Assist Devices The Critically Ill Poisoned Patient The Crashing Trauma Patient Emergency Transfusions Intracerebral Hemorrhage Subarachnoid Hemorrhage The Crashing Anaphylaxis Patient Bedside Ultrasonography The Difficult Emergency Delivery Neonatal Resuscitation Pediatric Resuscitation A Crash Course in Critical Care! Stabilize, treat, and save your sickest patients – in the ED or the field – with ACEP's ultimate resuscitation guide. Packed with succinct evidence-based chapters written by the nation's foremost authorities. The second edition emphasizes: ECMO, sepsis, neuro, critical care, pulmonary hypertension, crashing obese patient, neonatal The addition of many new flow diagrams and diagnostic and treatment algorithms In-depth, up-to-date descriptions of the unique presentation, differential diagnosis, and management of specific critical illnesses The ability to manage critically ill patients is perhaps the defining skill of emergency physicians. Whether performing rapid sequence intubation, initiating and adjusting mechanical ventilation, titrating vasoactive medications, administering intravenous fluids, or initiating extracorporeal membrane oxygenation, emergency clinicians must be at their best in these high-octane scenarios, during which lives can be saved—or lost. Emergency Department Resuscitation of the Critically Ill focuses on caring for the sickest of the sick: the unstable patient with undifferentiated shock; the crashing ventilated patient; the decompensating patient with pulmonary hypertension or septic shock; the crashing obese patient; or the hypotensive patient with a left ventricular assist device. You'll also find imperative information about managing pediatric and neonatal resuscitation, intracerebral hemorrhage, and the difficult emergency delivery.What physiological possibilities must you consider immediately? What steps should you take now to save the patient's life? The country's foremost emergency medicine experts tell you everything you need to know to deliver rapid, efficient, and appropriate critical care. Quite simply, this book will help you save lives. Disclaimer and Copyright Notice......Page 5 About the Editors......Page 6 Dedications......Page 14 Acknowledgments......Page 15 Contributors......Page 16 Foreword......Page 71 Preface......Page 72 Contents......Page 4 Chapter 1: Undifferentiated Shock......Page 74 Chapter 2: The Difficult Airway......Page 86 Chapter 3: The Crashing Ventilated Patient......Page 113 Chapter 4: Fluid Management......Page 141 Chapter 5: Cardiac Arrest Updates......Page 177 Chapter 6: Postcardiac Arrest Management......Page 228 Chapter 7: Deadly Arrhythmias......Page 248 Chapter 8: Cardiogenic Shock......Page 298 Chapter 9: Extracorporeal Membrane Oxygenation......Page 326 Chapter 10: Cardiac Tamponade......Page 348 Chapter 11: Aortic Catastrophes......Page 371 Chapter 12: Severe Sepsis and Septic Shock......Page 401 Chapter 13: The Crashing Morbidly Obese Patient......Page 436 Chapter 14: Pulmonary Hypertension......Page 466 Chapter 15: Left Ventricular Assist Devices......Page 493 Chapter 16: The Critically Ill Poisoned Patient......Page 523 Chapter 17: The Crashing Trauma Patient......Page 562 Chapter 18: Emergency Transfusions......Page 594 Chapter 19: Intracerebral Hemorrhage......Page 620 Chapter 20: Subarachnoid Hemorrhage......Page 650 Chapter 21: The Crashing Anaphylaxis Patient......Page 672 Chapter 22: Bedside Ultrasonography......Page 698 Chapter 23: The Difficult Emergency Delivery......Page 760 Chapter 24: Neonatal Resuscitation......Page 787 Chapter 25: Pediatric Resuscitation......Page 819 Index......Page 860

Noting the variety of methods by which the concept of economic capacity is measured and the different ways that the concept is defined, Richard E. Gift seeks here to develop a conceptual framework within which a meaningful interpretation of these many definitions and measures of productive capacity can be made.

Gift's method is to show the common structure that is shared by all capacity concepts and arguments. This structure consists of a list of variables that must always be considered when assessing the economic capacity of productive equipment. He then shows that the problems which arise in comparing capacities for different dates can be expressed in the form of a few simple generalizations. His third step is to illustrate specific problems. Finally, he sets out to develop a test for the logical completeness of any argument about capacity.