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Acute Coronary Syndromes in Clinical Practice
by Deepak L. Bhatt Anthony A BavryThis practical book provides a comprehensive overview of the epidemiology and clinical presentation of acute coronary syndromes (ACS). It also guides the reader through risk assessment, risk stratification, diagnosis, and treatment of ACS.
Acute Elbow Trauma: Fractures And Dislocation Injuries (Strategies in Fracture Treatments)
by Peter Biberthaler Sebastian Siebenlist James P. WaddellThis volume focuses on acute trauma to the adult elbow, including fractures, dislocations, tendon ruptures, and vascular and nerve injuries. Each chapter addresses anatomical key features, surgical and conservative therapeutic procedures, postoperative regimes and complication strategies. International elbow experts explore a range of surgical approaches, the usage of modern implants, advances in surgical techniques, and pearls and pitfalls for each trauma entity. Moreover, the authors describe total elbow arthroplasty and radial head replacement in detail, outline current clinical outcomes, and provide recommendations for therapeutic approaches and salvage measures. The book enables the orthopedic surgeon to deal with the entire spectrum of acute simple and complex elbow injuries in adults.
Acute Emergencies and Critical Care of the Geriatric Patient
by Thomas T. Yoshikawa Dean C. NormanThis incisive reference systematically reviews the diagnosis and treatment of common surgical and medical emergencies in elderly patients-thoroughly examining surgical interventions, drug therapies and drug prescribing protocols, life-threatening drug reactions, ethical issues, and methods of profiling patients for nursing care. Evaluates disea
Acute Endocrinology: From Cause to Consequence (Contemporary Endocrinology)
by Greet Van den BergheThe integration of endocrinology in critical care medicine has led to new experimental and clinical data on the complex endocrine and metabolic derangements accompanying non-endocrine severe illnesses. The joining of these two disciplines has generated important novel insights with significant clinical implications. Acute Endocrinology: From Cause to Consequence compiles these new findings into an important and highly relevant new resource. Part one deals with the classical life-threatening illnesses caused by primary endocrine diseases such as thyrotoxicosis, hypothyroidism, acute adrenal crisis, acute calcium disorders, pheochromocytoma, severe hyper- and hypoglycemia. Part two looks at endocrinology from the ICU side, starting with a general overview of the dynamic neuroendocrine and metabolic stress responses in the condition of intensive care-dependent, non-endocrine critical illness. Acute Endocrinology: From Cause to Consequence provides a unique and up-to-date overview of the joining of these two disciplines and seeks to stimulate further interdisciplinary research in this important and exciting field.
Acute Exacerbation of Chronic Hepatitis B: Volume 2. Diagnosis and Management
by Qin NingThis book assembles recent achievements in both basic research and clinical management in the field of hepatology, virology and immunology. It provides up-to-date information for clinicians who can apply the relevant knowledge to their daily clinical practice and for researchers who are interested in clinically orientated studies. The updated and detailed technology, state-of–the-art treatment strategies provided in this book serve as references for clinicians and resident physicians in the daily management of ACLF. The rationality and strategies for basic research as well as patient management in this book can also be a valuable reference for other fatal and end stage liver diseases than HBV induced ACLF. This Volume 2 has 6 chapters and focuses on its diagnosis and management.
Acute Exacerbation of Chronic Hepatitis B: Volume 1. Definition, Research Technology, Virology, Genetics and Immunology
by Qin NingThis book assembles recent achievements in both basic research and clinical management in the field of hepatology, virology and immunology. It provides up-to-date information for clinicians who can apply the relevant knowledge to their daily clinical practice and for researchers who are interested in clinically orientated studies. The updated and detailed technology, state-of–the-art treatment strategies provided in this book serve as references for clinicians and resident physicians in the daily management of ACLF. The rationality and strategies for basic research as well as patient management in this book can also be a valuable reference for other fatal and end stage liver diseases than HBV induced ACLF. This volume 1 has 6 chapters and focuses on the definition, research technology, virology, genetics, and immunology.
Acute Exposure Guideline Levels for Selected Airborne Chemicals: Volume 17
by Committee on Acute Exposure Guideline LevelsExtremely hazardous substances can be released accidentally as a result of chemical spills, industrial explosions, fires, or accidents involving railroad cars and trucks transporting EHSs. Workers and residents in communities surrounding industrial facilities where these substances are manufactured, used, or stored and in communities along the nation's railways and highways are potentially at risk of being exposed to airborne EHSs during accidental releases or intentional releases by terrorists. Pursuant to the Superfund Amendments and Reauthorization Act of 1986, the U. S. Environmental Protection Agency (EPA) has identified approximately 400 EHSs on the basis of acute lethality data in rodents. "Acute Exposure Guideline Levels for Selected Airborne Chemicals, Volume 17" identifies, reviews, and interprets relevant toxicologic and other scientific data for selected AEGL documents for acrylonitrile, carbon tetrachloride, cyanogen, epichlorohydrin, ethylene chlorohydrin, toluene, trimethylacetyl chloride, hydrogen bromide, and boron tribromide in order to develop acute exposure guideline levels (AEGLs) for these high-priority, acutely toxic chemicals. AEGLs represent threshold exposure limits (exposure levels below which adverse health effects are not likely to occur) for the general public and are applicable to emergency exposures ranging from 10 minutes (min) to 8 h. Three levels - AEGL-1, AEGL-2, and AEGL-3 - are developed for each of five exposure periods (10 min, 30 min, 1 h, 4 h, and 8 h) and are distinguished by varying degrees of severity of toxic effects. This report will inform planning, response, and prevention in the community, the workplace, transportation, the military, and the remediation of Superfund sites.
Acute Exposure Guideline Levels for Selected Airborne Chemicals
by Committee on Acute Exposure Guideline LevelsThe Bhopal Disaster of 1984 resulted in the death of around 2,000 residents living near chemical plants and irreversible injuries to more than 20,000 other residents. These numbers can be attributed to the community's lack of awareness concerning the chemicals' existence, dangers and effects, and/or how to react in case of emergency. The disaster emphasized the need for governments to identify hazardous substances and to aid local communities in developing plans for emergency exposures. As a result, the United States government issued the Superfund Amendments and Reauthorization Act (SARA) of 1986; requiring the identification of extremely hazardous substances (EHSs) by the Environmental Protection Agency (EPA). EPA was also tasked with assisting Local Emergency Planning Committees (LEPCs) in conducting health-hazard assessments to develop emergency-response plans for sites where EHSs are produced, stored, transported, or used. The EPA identified nearly 400 EHSs in terms of their immediate danger to life and health (IDLH) as their first step in assisting these LEPCs. In 1991 the EPA went on to request that the National Research Council (NRC) Committee on Toxicology (COT) develop criteria and methods for developing emergency exposure levels for EHSs for the general population. The COT, who had published many reports on emergency exposure guidance levels at the time, designated the task to a subcommittee. The subcommittee focused on Guidelines for Developing Community Emergency Exposure Levels for Hazardous Substances. Four years later the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances (NAC) was created with a focus on identifying, reviewing, and interpreting relevant toxicologic and other scientific data and developing acute exposure guideline levels (AEGLs) for high-priority, acutely toxic chemicals. In Acute Exposure Guideline Levels for Selected Airborne Chemicals: Volume 4, the NAC outlines acute exposure guideline levels for chlorine, hydrogen chloride, toluene 2,4, hydrogen fluoride, 2,6-diisocyanate, and uranium hexafluoride.
Acute Exposure Guideline Levels for Selected Airborne Chemicals
by National Research Council Committee on Toxicology Division On Earth Life Studies Board on Environmental Studies Toxicology Committee on Acute Exposure Guideline LevelsAcute Exposure Guideline Levels for Selected Airborne Chemicals, Volume 15 identifies, reviews, and interprets relevant toxicologic and other scientific data for ethyl mercaptan, methyl mercaptan, phenyl mercaptan, tert-octyl mercaptan, lewisite, methyl isothiocyanate, and selected monoisocyanates in order to develop acute exposure guideline levels (AEGLs) for these high-priority, acutely toxic chemicals. AEGLs represent threshold exposure limits (exposure levels below which adverse health effects are not likely to occur) for the general public and are applicable to emergency exposures ranging from 10 minutes (min) to 8 h. Three level--AEGL-1, AEGL-2, and AEGL-3--are developed for each of five exposure periods (10 min, 30 min, 1 h, 4 h, and 8 h) and are distinguished by varying degrees of severity of toxic effects. This report will inform planning, response, and prevention in the community, the workplace, transportation, the military, and the remediation of Superfund sites.
Acute Exposure Guideline Levels for Selected Airborne Chemicals: VOLUME 2
by National Research Council of the National AcademiesThis book reviews toxicity documents on five chemicals that can be released in the air from accidents at chemical plants, storage sites, or during transportation. The documents were prepared by the National Advisory Committee on Acute Exposure Guideline Levels for Hazardous Substances and were evaluated for their scientific validity, comprehensives, internal consistency, and conformance to the 1993 guidelines report.
Acute Exposure Guideline Levels for Selected Airborne Chemicals: VOLUME 3
by National Research Council of the National AcademiesThis report is the third volume in the series Acute Exposure Guideline Levels for Selected Airborne Chemicals. <P><P> In the Bhopal disaster of 1984, approximately 2,000 residents living near a chemical plant were killed and 20,000 more suffered irreversible damage to their eyes and lungs following accidental release of Methyl Isocyanate. The toll was particularly high because the community had little idea what chemicals were being used at the plant, how dangerous they might be, and what steps to take in case of emergency. This tragedy served to focus international attention on the need for governments to identify hazardous substances and to assist local communities in planning how to deal with emergency exposures.
Acute Exposure Guideline Levels for Selected Airborne Chemicals
by The National Academy of SciencesExtremely hazardous substances (EHSs)sup2; can be released accidentally as a result of chemical spills, industrial explosions, fires, or accidents involving railroad cars and trucks transporting EHSs. Workers and residents in communities surrounding industrial facilities where EHSs are manufactured, used, or stored and in communities along the nation's railways and highways are potentially at risk of being exposed to airborne EHSs during accidental releases or intentional releases by terrorists. Pursuant to the Superfund Amendments and Reauthorization Act of 1986, the U. S. Environmental Protection Agency (EPA) has identified approximately 400 EHSs on the basis of acute lethality data in rodents. As part of its efforts to develop acute exposure guideline levels for EHSs, EPA and the Agency for Toxic Substances and Disease Registry (ATSDR) in 1991 requested that the National Research Council (NRC) develop guidelines for establishing such levels. In response to that request, the NRC published Guidelines for Developing Community Emergency Exposure Levels for Hazardous Substancesin 1993. Subsequently, Standard Operating Procedures for Developing Acute Exposure Guideline Levels for Hazardous Substanceswas published in 2001, providing updated procedures, methodologies, and other guidelines used by the National Advisory Committee (NAC) on Acute Exposure Guideline Levels for Hazardous Substances and the Committee on Acute Exposure Guideline Levels (AEGLs) in developing the AEGL values. In 1998, EPA and DOD requested that the NRC independently review the AEGLs developed by NAC. In response to that request, the NRC organized within its Committee on Toxicology (COT) the Committee on Acute Exposure Guideline Levels, which prepared this report. Acute Exposure Guideline Levels for Selected Airborne Chemicalsis the tenth volume of the series and documents for N,N-dimethylformamide, jet propellant fuels 5 and 8, methyl ethyl ketone, perchloromethyl mercaptan, phosphorus oxychloride, phosphorus trichloride, and sulfuryl chloride.
Acute Geriatric Care: from Hospital to Territorial Charge
by Nicola Vargas Andrea Fabbo Antonio M EsquinasThis book is focused on geriatric patients in critically ill conditions in the Emergency Room. Their percentage is very high, about 60% of the total percentage of patients, and the availability of intensive care admission is reduced for them as clearly shown during last Covid-19 pandemic. However, the modern approach is not yet able to stop the frailty cascade after hospitalization.In this book authors offer an analysis to overcome this gap. The volume contains two main sections: in the first one, authors discuss recommendations and guidelines for setting organizations and treatment through different case reports of practical management of critically ill geriatric patients (especially patients treated with noninvasive ventilation). In the second part, they analyze the territorial networks that take charge of the older patients. Furthermore, a chapter will be reserved to a comparative investigation of the different types of hospital territorial integration in Europe. The book, written by renowned experts in their fields and by their teams, represents a new tool rich of suggestions for all those physicians involved in the management of this frail population.
Acute Heart Failure: Putting the Puzzle of Pathophysiology and Evidence Together in Daily Practice
by Wolfgang Krüger<P>Acute heart failure is a potentially life threatening situation where correct, rapid therapy can save lives. Information from the latest research and studies has been used to update this text to bring the latest understanding of the pathophysiology together with a practical guide to diagnosis and management using an evidenced based approach. <P> Since the first edition of Acute Heart Failure, this research has brought to light three important issues to be integrated into a second edition. First, the so-called “vascular heart failure” has been identified as a common and decisive mechanism provoking acute heart failure due to the coupling and interaction between the heart (right and left heart) and the large vessel systems (aorta and pulmonary artery). Second, the interaction and cross-talk between heart and kidneys, the so-called ‘cardiorenal syndrome’ has been identified as another feature of acute heart failure syndromes. Third, we have new knowledge and updated points of views about the development of pulmonary hypertension in patients suffering from heart failure, the group 2 of the classification system of pulmonary hypertension. These are all covered in this second edition. <P> This revision to a seminal text is a valuable addition to any practitioner who treats patients with acute heart failure and wants a deeper understanding of the condition.
Acute Illness Management
by Chris MulryanThe prospect of caring for acutely ill patients has the potential to overwhelm students and newly qualified health professionals, with many reporting feelings of stress, fear and inexperience. In this context, Acute Illness Management arrives as an important and much needed text covering the fundamental aspects of care in the hospital setting. This book is designed to address the student's needs by equipping them with a practical understanding of the essential skills ranging from resuscitation to early intervention and to trauma care. It explains the rationale behind the key protocols of care highlighting the relationship between theory and practice. Key features include: -Up-to-date legal and ethical content. -Tips for analysing care decisions in a critical and effective manner, and -Reflective activities and self-assessment questions to cement learning. Acute Illness Management is an invaluable resource for students and qualified practitioners in nursing and other health professions.
Acute Ischemic Stroke: Imaging and Intervention
by Joshua A. Hirsch Lee H. Schwamm Michael H. Lev Pamela W. Schaefer R. Gilberto GonzálezThis updated second edition of Acute Ischemic Stroke: Imaging and Intervention provides a comprehensive account of the state of the art in the diagnosis and treatment of acute ischemic stroke. The basic format of the first edition has been retained, with sections on fundamentals such as pathophysiology and causes, imaging techniques and interventions. However, each chapter has been revised to reflect the important recent progress in advanced neuroimaging and the use of interventional tools. In addition, a new chapter is included on the classification instruments for ischemic stroke and their use in predicting outcomes and therapeutic triage. All of the authors are internationally recognized experts and members of the interdisciplinary stroke team at the Massachusetts General Hospital and Harvard Medical School. The text is supported by numerous informative illustrations, and ease of reference is ensured through the inclusion of suitable tables. This book will serve as a unique source of up-to-date information for neurologists, emergency physicians, radiologists and other health care providers who care for the patient with acute ischemic stroke.
Acute Ischemic Stroke: Medical, Endovascular, and Surgical Techniques
by Jaechan ParkThisbook approaches the topic of management of acute ischemic stroke in aninterdisciplinary manner, explaining how best to utilize the methods currentlyavailable for medical, surgical, and endovascular care. After anopening section on basics such as pathophysiology, radiological assessment, andpathology, comprehensive and up-to-date information is provided on each of the availabletherapies, techniques, and practices. Special attention is paid to recent advancesin neurointerventional and neurosurgical procedures, with clear description ofimportant technical details. The book includes plentiful high-quality caseillustrations and a wealth of practical information thatwill prove of value in emergency rooms, angiography suites, operating rooms,and intensive care units. It will aid not only neurologists,neurointerventionists, and neurosurgeons, but also all others who are involvedin the management of acute ischemic stroke, from radiologists and emergencyphysicians to healthcare providers.
Acute Kidney Injury and Regenerative Medicine
by Yoshio Terada Takashi Wada Kent DoiThis book presents up-to-date information on the clinical-pathophysiological features of acute renal injury and discusses the KDIGO diagnostic criteria, as well as novel experimental findings, including in the area of regenerative medicine. It also highlights the clinical-pathophysiological importance of AKI in clinical settings, including differential diagnoses and management of AKI. In the past, the pathology associated with sudden renal impairment was characterized as acute renal failure (ARF). However, in the 2000s, the joint efforts of specialists in fields including nephrology, intensive care medicine, and cardiovascular medicine led to the introduction of a novel concept known as acute kidney injury (AKI). As medical care progressed, patients such as high-risk elderly subjects who were not deemed to be candidates for invasive therapy came to be treated in intensive care units (ICUs). As a result, kidney injury as a subset of multiple organ failure was re-considered as AKI, especially in intensive care medicine. AKI was then proposed as a novel disease concept to emphasize the importance of early diagnosis and early intervention to improve prognosis.Presenting novel features, such as the definition of AKI, risk factors and management; biomarkers, such as neutrophil gelatinase-associated lipocalin (NGAL) and L-type fatty acid-binding protein (L-FABP); long-term outcomes of AKI; as well as renal regeneration using iPS cell, manipulation of embryonic genes, and Xenotransplanted embryonic kidney, this book is of interest to all physicians and researchers in this field around the globe.
The Acute Knee: A Handbook for Sports Medicine Physicians
by Mark F. ShermanThis handbook presents a concise, practical approach to the physical examination and diagnosis of acute injuries of the knee. While radiological diagnostic tools like CT and MRI are important tools for orthopedic and sports medicine injuries, the skills of history taking and an accurate physical exam are no less important in educated decision-making when it comes to injury management. The goal of this book is to make it easier for a beginning knee practitioner to take an educated history and then perform a thorough physical examination. This will invariably steer them to the course of the correct diagnosis. The focus here is on a consistent and thorough examination, including taking a full history of the injury, utilizing common physical tests, and limiting differential diagnoses. To this end, the book opens with a review of these general considerations. Subsequent chapters discuss these considerations across a number of acute knee injuries to the patella, ACL, MCL, PCL, meniscus, and multiligamentous and extensor mechanism injuries and conditions. Additional chapters describe osteochondral injuries and mimickers such as PVNS and tumors. Video clips demonstrating examination techniques are included throughout the text. While The Acute Knee is aimed primarily at younger practitioners, it is an excellent resource for any orthopedic surgeon or sports medicine physicians looking to refamiliarize themselves with the "lost art" of physical examination for the acute knee.
Acute Leukemias (Hematologic Malignancies)
by Stefan H. Faderl Hagop M. Kantarjian Elihu EsteyBetter therapy of acute leukemias depends ultimately on better understanding of the distinction between leukemic and normal progenitor cells. This hugely important new book describes the current knowledge of acute leukemia biology and discusses new classification systems that have arisen as a result of emerging insights into pathogenesis. Estey, Faderl and Kantarjian, who all work at the respected Anderson Cancer Center in Houston, Texas, USA, examine in detail advances in the treatment of particular types of acute leukemia. Their book also covers the management of acute leukemia in general as well as the development of new therapies. This book will be extremely useful to clinicians.
Acute Lung Injury and Repair: Scientific Fundamentals and Methods (Respiratory Medicine)
by Lynn M. Schnapp Carol Feghali-BostwickAcute Respiratory Distress Syndrome (ARDS) remains an important cause of morbidity and mortality worldwide, and the incidence is predicted to increase with the aging population Several clinical disorders can initiate ARDS, including pneumonia, sepsis, gastric aspiration and trauma but despite intense research over the past 40 years, we still have an incomplete understanding of the pathophysiology of the disease and treatment remains largely supportive. This book provides an overview of acute lung injury and repair, describes current animal models to study lung injury and reviews current methodologies to study and measure lung injury and repair. Special emphasis is given to state of the art techniques and methods and relevance to human disease. Acute Lung Injury and Repair: Scientific Fundamentals and Methods is a useful resource for physicians and scientists who are interested in experimental model systems for insight into ARDS pathogenesis and treatment strategies.
Acute Lymphoblastic Leukemia in Children and Adolescents (Pediatric Oncology)
by Gabriele Escherich Valentino ConterThis book is a comprehensive and up-to-date compendium on diagnosis, treatment and late effects of Acute Lymphoblastic Leukemia (ALL) in children, adolescents and young adults. After introductory chapters on the epidemiology and biology of ALL, treatment considerations are extensively reviewed, also with emphasis on special patient groups, such as Infants, Adolescents and patients with Down Syndrome. Immunotherapy in Acute Lymphoblastic Leukemia is reviewed as well as strategies for patients with Lymphoblastic Lymphoma and for patients with refractory or relapsed ALL. The authors are internationally recognized experts and offer up-to-date insights on etiology, biology, and treatment. This book will prove indispensable for those treating or researching into this disease.
Acute Management of Hand Injuries
by Andrew Weiland Rachel RohdeDo you encounter patients with hand and wrist problems? Are there times when you wish you had a hand surgeon next to you to help guide you in the right direction? The answers you are looking for can be found inside Acute Management of Hand Injuries by hand surgeons, Drs. Andrew J. Weiland and Rachel S. Rohde.Acute Management of Hand Injuries is a concise and user-friendly book including the most common acute hand and wrist complaints including fractures, dislocations, tendon and nerve injuries, infections, bite injuries, and industrial trauma. This book acts as a “pocket consultant” for non-hand specialists who temporize acute hand issues before referring the patient to a specialist.Acute Management of Hand Injuries is designed to provide the most current and up-to-date information on even the smallest hand afflictions.Inside You’ll Also Find: • Numerous photographs and radiographs • Hand evaluation diagram template • Suggested readings at the end of each chapter • Quick reference appendices covering topics such as antibiotic recommendations and burn treatmentAcute Management of Hand Injuries also will serve as a perfect introductory guide for residents and students in orthopedic or plastic surgery programs who will be expected to master these basic principles.Each Chapter Includes: • Mechanism of Injury • Evaluation • Acute Treatment • Definitive Treatment • Potential ProblemsAcute Management of Hand Injuries is ideal for orthopedic surgeons, physicians, physician assistants, nurse practitioners, residents, occupational therapists, physical therapists, and all who provide care in emergency room, urgent care, and primary practice settings.
The Acute Management of Surgical Disease
by Martin D. Zielinski Oscar GuillamondeguiEmergency General Surgery has become a cornerstone of Acute Care Surgery over the past decade. Once the scope of community general surgeons, the growing complexity of patients with acute surgical diseases has increasingly driven their care to tertiary referral centers. The aging population confounds this problem further as these patients present with more complex comorbidities, life-threatening physiology, and progressively severe anatomic disease severity. To ensure better outcomes, the practice has evolved to focus on evidence-based practice management guidelines in order to standardize care and optimize outcomes.The purpose of this text is to be a comprehensive volume for patients with acute surgical diseases. There will be three sections, each comprised of multiple chapters. The first section will be a comprehensive analysis of the background of Emergency General Surgery. The goal of this section will be to provide the reader background into the acute surgical practice and to introduce the reader to the important concepts discussed in the remainder of the textbook. The second section will be the largest and will discuss specific acute surgical diseases. Individual chapters will outline the diagnostic approach, current treatment standards, operative approaches, and expected outcomes with an emphasis on practice management guideline implementation into practice. As acute surgical diseases and surgical critical care are integral to each other, the last section will be Critical Care for the Acute Care Surgeon. These topics will focus on the critical care concepts essential to surgeons who care for acute diseases.This comprehensive text is targeted to any surgeon who takes emergency call for any of the listed diseases including community and referral general and vascular surgeons. In addition, this would be an excellent resource for all general surgery residents. Lastly, this would also serve as a resource to intensivists who care for acute surgical patients.
Acute Medical Emergencies
by Advanced Life Support GroupAcute Medical Emergencies is based on the popular Advanced Life Support Group course MedicALS (Medical Advanced Life Support) and is an invaluable resource for all doctors dealing with medical emergencies.This comprehensive guide deals with the medical aspects of diagnosis and treatment of acute emergencies. Its structured approach teaches the novice how to assess and recognise a patient in an acute condition, and how to interpret vital symptoms such as breathlessness and chest or abdominal pain.There are separate sections on interpretation of investigations, and procedures for managing the emergency. It covers procedures for acute emergencies occurring anywhere - on hospital wards or beyond. The clarity of the text, including simple line illustrations, ensure its tried and tested procedures provide clear, concise advice on recognition and management of medical emergencies.