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First multi-year cumulation covers six years: 1965-70.
The backbone of in-patient care is the hospital ward, and I believe that this will remain so in the future. Shortcomings in the staffing, organization and layout of the conventional ward have been recog nized for a long time, but there have been few changes and not all these have benefited the patient. The evolution of specialized treat ment centres for poliomyelitis, thoracic surgery, burns and so on, showed the need for a new staffing structure-a re-organization of patient care and of secondary importance, new forms of accom modation. These regional or referral centres serve large populations or areas and are collectively known as specialized intensive care (or therapy) units. The idea of using similar principles of staffing, organ ization and facilities to serve each large district hospital came much later (1959) and was first applied in the United States. Thus, the general intensive care unit was born, a unit which would treat critically ill patients irrespective of the nature of their disease, in sharp contrast to the specialized intensive care unit. The staffing structure and technologies of the two are however similar. Special ized intensive care consists of a single speciality or two specialities, for example thoracic surgery and thoracic anaesthesia. General intensive care cannot be a speciality because it embraces the whole of acute medicine, acute surgery, accident surgery, toxicology and many more individual specialities. This very diversity makes it difficult to organize, but interesting to perform.
One of the time-honored foundations of the practice of pediatric medicine is the understanding and application of the principles of fluid, electrolyte and acid-base disorders. Presented in a new softcover format, Fluid and Electrolytes in Pediatrics: A Comprehensive Handbook brings together a select group of authors who share a passion and an appreciation of the contributions of pioneers in pediatric medicine and an expertise for their respective areas in a new softcover edition. The volume provides in-depth discussions of the basic functioning of the kidneys, skin and the lungs. Each chapter describes the etiology and demographics, biological mechanisms, patient presentation characteristics, therapy options and consequences of optimal treatment as well as delayed treatment. Fluid and Electrolytes in Pediatrics: A Comprehensive Handbook provides health professionals in many areas of research and practice with the most up-to-date, accessible, and well referenced volume on the importance of the maintenance of fluid and electrolyte concentrations in the pediatric population, especially under acute care.
Fluids and Electrolytes: An Incredibly Easy! Pocket Guide, Second Editionprovides just the essential facts in a streamlined, bulleted quick-reference format, using illustrations, logos, and otherIncredibly Easy!features to help nurses spot key points at a glance. The opening chapters review the basics of fluid, electrolyte, and acid-base balance. Subsequent chapters address specific imbalances, providing vital information for safe and effective care. The last chapter covers such treatments as IV fluid replacement and total parenteral nutrition. This edition has been revised and updated and includes new entries on acute pancreatitis and heat syndrome.
Interpreting the fluid requirements of a patient and working out what to do next can seem like a daunting task for the non-specialist, yet it is a skill that any doctor, nurse or paramedic needs to be fully appraised of and comfortable with. Making Sense of Fluids and Electrolytes has been written specifically with this in mind, and will help the student and more experienced practitioner working across a variety of healthcare settings to understand why fluid imbalance in a patient may occur, to assess quickly a patient's fluid needs through a thorough clinical assessment and to develop an effective management plan. Reflecting the latest guidelines, this practical, easy-to-read and easy-to remember guide will be an invaluable tool to aid speedy and appropriate management in emergency situations, on the ward and in the clinic.