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This helps the user initiate the key medical interventions that maintain and protect the critically ill child until he/she reaches a paediatric intensive care unit. It presents the first degree principles including the critically ill child presented in terms of (impending) system failure.
The care of the critically ill or injured child begins with timely, prompt, and aggressive res- citation and stabilization. Ideally, stabilization should occur before the onset of organ failure in order to achieve the best possible outcomes. In the following pages, an international panel of experts provides an in-depth discussion of the early recognition, resuscitation, and stabilization of the critically ill or injured child. Once again, we would like to dedicate this textbook to our families and to the physicians and nurses who provide steadfast care every day in pediatric intensive care units across the globe. Derek S. Wheeler Hector R. Wong Thomas P. Shanley V Preface to Pediatric Critical Care Medicine: Basic Science and Clinical Evidence The ? eld of critical care medicine is growing at a tremendous pace, and tremendous advances in the understanding of critical illness have been realized in the last decade. My family has directly bene? ted from some of the technological and scienti? c advances made in the care of critically ill children. My son Ryan was born during my third year of medical school. By some peculiar happenstance, I was nearing completion of a 4-week rotation in the newborn intensive care unit (NICU). The head of the pediatrics clerkship was kind enough to let me have a few days off around the time of the delivery—my wife, Cathy, was 2 weeks past her due date and had been scheduled for elective induction.
Focused on the practical issues of nursing care and nursing procedures, the Oxford Handbook of Critical Care Nursing has been written by nurses, for nurses Reflecting current best practice, this handbook is an easily accessible and evidence-based guide for all levels of nursing staff working in critical care environments. It provides the nurse at the bedside with the answers to day-to-day problems experienced when caring for critically ill patients, and is also a guide to some of the less commonly encountered issues. Now including more detail on the psychological issues facing critically ill patients and further information on the intricacies of receiving and transferring critically ill patients to and from critical care environments, this handbook is a concise, practical, evidence-based guide for nursing professionals caring for critically ill patients
The S.T.A.B.L.E. Program is a neonatal education program that focuses on the post-resuscitation/pre-transport stabilization care of sick newborns. S.T.A.B.L.E. stands for the 6 assessment parameters covered in the program: Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support for the family. The S.T.A.B.L.E. Program is designed to provide important information about neonatal stabilization for maternal/infant healthcare providers in all settings - from community hospitals and birth centers, to emergency rooms and hospital environments.
Welcome to the gold standard in critical care transport training. Published in conjunction with the American Academy of Orthopaedic Surgeons (AAOS) and the American College of Emergency Physicians (ACEP), and endorsed by the University of Maryland, Baltimore County (UMBC) and the International Association of Flight and Critical Care Providers (IAFCCP), Critical Care Transport, Second Edition, offers cutting-edge content relevant to any health care provider training in critical care transport. Authored by leading critical care professionals from across the country, Critical Care Transport, Second Edition, contains state-of-the-art information on ground and flight transport that aligns with the latest evidence-based medicine and practices. Content includes information specific to prehospital critical care transport, such as flight physiology, lab analysis, hemodynamic monitoring, and specialized devices such as the intra-aortic balloon pump. Standard topics such as airway management, tra
A practical, user-friendly guide to the management of sick children, written by experienced paediatric emergency physicians and anaesthetists.
Sick babies and children are moved between hospitals for many reasons, often to receive specialist care and treatment not available locally. For the transfer to be safe and effective it is necessary to plan carefully for these occasions, and for the doctors and nurses attending the transport to be able to provide intensive care on the move. The book provides guidance in both of these major areas. The first section - 'Planning for Safe and Effective Transport' - details issues to be considered by senior staff in setting-up or modernising a transport programme. General principles and relevant physiology are outlined, and vehicles and equipment are discussed in depth. The second section - 'Practical Transport Management' - is concerned with different patient groups and key clinical issues. These include the distinctive features of neonatal and paediatric patients, and management of airway, breathing and circulation. Other chapters discuss airborne transport, pharmacology, trauma, and special interventions for transport such as extracorporeal membrane oxygenation and inhaled nitric oxide.
Retrieval Medicine is a core, concise and practical text covering the complex clinical and logistical problems experienced in the retrieval environment. Focusing on evidence-based management and clear clinical guidance, this easily portable handbook provides a comprehensive and accessible guide to this growing field for all health professionals involved in the retrieval and transfer of critically ill patients. Covering the practice of acute, emergency and critical care medicine in the transport environment, this handbook provides the practical guidance and clinical knowledge to enable medical practitioners to function independently in highly variable and resource limited environments with acutely unwell, unstable and often clinically undifferentiated patients over long durations. Closely mapped to the Royal College of Surgeons syllabus on retrieval and transfer medicine, this title comprehensively covers all aspects of retrieval medicine, from basic flight physiology to more complex retrievals and common pitfalls. Authored by an authoritative, international team of expert editors and specialist authors, this clinically focused text is complemented by a range of checklists and reference tools for practical and accessible use in the field. These deliver core information for use in the primary retrieval setting, allowing the retreivalist to structure their approach to a crisis and correct the problem with suggested interventions. Topics include retrieval systems and coordination, crisis resource management, shock, and a range of chapters focusing on responding to specific areas of medicine when encountered in the retrieval environment, such as cardiology and obstetrics and gynaecology.
Children represent a special challenge for emergency care providers, because they have unique medical needs in comparison to adults. For decades, policy makers and providers have recognized the special needs of children, but the system has been slow to develop an adequate response to their needs. This is in part due to inadequacies within the broader emergency care system. Emergency Care for Children examines the challenges associated with the provision of emergency services to children and families and evaluates progress since the publication of the Institute of Medicine report Emergency Medical Services for Children (1993), the first comprehensive look at pediatric emergency care in the United States. This new book offers an analysis of: • The role of pediatric emergency services as an integrated component of the overall health system. • System-wide pediatric emergency care planning, preparedness, coordination, and funding. • Pediatric training in professional education. • Research in pediatric emergency care. Emergency Care for Children is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency health care providers, professional organizations, and policy makers looking to address the pediatric deficiencies within their emergency care systems.
Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.