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Compelling Ethical Challenges in Critical Care and Emergency Medicine

https://libcat.nshealth.ca/en/permalink/provcat45529
Andrej Michalsen, Nicholas Sadovnikoff, editors. --Cham: Springer , c2020.
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This book addresses the ethical problems that physicians have to face every day while caring for critically ill patients. Advances in medical technology, ageing societies worldwide, and their increased demands on health care systems have, on the one hand, led to better care and remarkable longevity in many parts of the world. On the other hand, however, improved treatments in many medical fields, amongst others in emergency and critical care, have resulted in more patients surviving with reduce…
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Other Authors
Michalsen, Andrej
Sadovnikoff, Nicholas
Responsibility
Andrej Michalsen, Nicholas Sadovnikoff, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (xix, 170 p.) : 10 illus. in color
ISBN
9783030431273
9783030431266 (Print ed.)
9783030431280 (Print ed.)
9783030431297 (Print ed.)
Subjects (MeSH)
Clinical Decision-Making - ethics
Critical Care - ethics
Critical Illness
Emergency Medicine - ethics
Ethics, Clinical
Specialty
Critical Care
Emergency Medicine
Ethics
Abstract
This book addresses the ethical problems that physicians have to face every day while caring for critically ill patients. Advances in medical technology, ageing societies worldwide, and their increased demands on health care systems have, on the one hand, led to better care and remarkable longevity in many parts of the world. On the other hand, however, improved treatments in many medical fields, amongst others in emergency and critical care, have resulted in more patients surviving with reduced quality of life. This entails tradeoffs for many patients, their families, and the teams caring for them. At the same time, health care expenditures have risen dramatically and have to be balanced against costs for other public goods. Finally, the humane aspects of care have often failed to keep pace with the remarkable technological strides made in recent years. In this book, experts in their respective fields describe compelling ethical challenges resulting from these discrepancies and discuss potential solutions. The book is primarily intended for clinicians who care for two of the most vulnerable patient subpopulations – those being treated in ambulances or emergency rooms, and those being treated at intensive care units – due in part to the fact that they may be temporarily or permanently incapacitated. Core medical skills, such as diagnosis and predicting outcomes, as well as implementing treatment, remain challenging. However, without adequate communication and collaboration both within the inter-professional treatment teams and between the teams and the patients/their families, delivering excellent care is difficult at best. Therefore, the so-called “soft skills” are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill.
Contents
Part I. Introduction -- 1. How Ethics Can Support Clinicians Caring for Critically Ill Patients -- 2. Patients and Teams Caring for Them: Parallels Between Critical Care and Emergency Medicine -- Part II. Goal of Therapy, Teams and Patients -- 3. Indication and Prognostication -- 4. Consent, Advance Directives, and Decision by Proxies -- 5. Cultural Diversity -- 6. Interprofessional Shared Decision-Making -- 7. Shared Decision-Making With Patients and Families -- Part III. Extent of Treatment -- 8. Emergency Medicine and Critical Care Triage -- 9. Usage of Cutting-Edge Technology: ECPR -- 10. Usage of Cutting-Edge Technology: ECMO -- 11. Limiting Life-Sustaining Therapies -- 12. Advancing Palliative Care in Intensive Care and Emergency Medicine -- 13. Organ Donation and Transplantation -- Part IV. Disproportionate Care -- 14. Disproportionate Care, Ethical Climate, and Moral Distress -- Part V. The Way Ahead -- 15. To Treat or Not to Treat: How to Arrive at an Appropriate Decision Under Critical Circumstances -- Part VI. Epilogue -- 16. Epilogue: Critical Care During a Pandemic – A Shift from Deontology to Utilitarianism?
Format
e-Book
Location
Online
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Core knowledge in critical care medicine

https://libcat.nshealth.ca/en/permalink/provcat33911
Wolfgang Krüger, Andrew James Ludman. --Heidelberg: Springer , c2014.
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Every year, numerous articles on critical care topics are published, and it is increasingly difficult for the busy practitioner to keep abreast of the latest developments. This book provides a detailed review of state of the art knowledge as well as the latest research findings. It covers the core aspects in excellent detail, but is not so comprehensive as to make its daily use unfeasible. For each condition considered, discussion of the pathophysiology is integrated with observations on diagno…
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Author
Krüger, Wolfgang
Other Authors
Ludman, Andrew James
Responsibility
Wolfgang Krüger, Andrew James Ludman
Place of Publication
Heidelberg
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (ix, 422 pages) : illustrations
ISBN
9783642549717 (electronic bk.)
9783642549700
Subjects (MeSH)
Critical Care
Critical Illness
Subjects (LCSH)
Critical care medicine
Internal Medicine
Cardiology
Emergency medicine
Abstract
Every year, numerous articles on critical care topics are published, and it is increasingly difficult for the busy practitioner to keep abreast of the latest developments. This book provides a detailed review of state of the art knowledge as well as the latest research findings. It covers the core aspects in excellent detail, but is not so comprehensive as to make its daily use unfeasible. For each condition considered, discussion of the pathophysiology is integrated with observations on diagnosis and treatment in order to allow a deeper understanding. The book is scientifically based, with extensive references to published research. This will allow readers to investigate their individual interests further and will enable physicians to base their approach upon evidence rather than upon traditions or routines. Accordingly, clinicians will be able to justify measures by providing a coherent, evidence-based strategy and relevant citations where needed. Core Knowledge in Critical Care Medicine will appeal to experienced practitioners as an aide-mémoire, but will also be of great value to a wide range of more junior staff wishing to complement their background knowledge with important facts applicable to everyday practice.
Contents
1 Mechanical Ventilation -- 2. Acute Respiratory Distress Syndrome (ARDS) -- 3. Shock -- 4. Sepsis -- 5. Acute Kidney Injury -- 6. Nutrition in Critical Illness -- Appendix: Analgesia and Sedation in the Critically Ill Patients.
Format
e-Book
Location
Online
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Hematologic Problems in the Critically Ill

https://libcat.nshealth.ca/en/permalink/provcat39514
Giorgio Berlot, Gabriele Pozzato, editors. --Milan: Springer , c2015.
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This book covers a wide array of hematologic problems commonly encountered in the daily practice of critical care and emergency medicine. Unfortunately, the symptoms and signs associated with underlying hematologic disorders are frequently rather unspecific and confounding; furthermore, the clinical course of patients admitted to intensive care units with such disorders can be fulminant, warranting prompt diagnosis. This book recognizes the importance of accurate and speedy interpretation of sy…
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Other Authors
Berlot, Giorgio
Pozzato, Gabriele
Responsibility
Giorgio Berlot, Gabriele Pozzato, editors
Place of Publication
Milan
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (v, 147 p. : 3 illus. in color)
ISBN
9788847053014
9788847053007 (print ed.)
Subjects (MeSH)
Critical Care - methods
Critical Illness
Emergency Medicine - methods
Hematologic Diseases
Abstract
This book covers a wide array of hematologic problems commonly encountered in the daily practice of critical care and emergency medicine. Unfortunately, the symptoms and signs associated with underlying hematologic disorders are frequently rather unspecific and confounding; furthermore, the clinical course of patients admitted to intensive care units with such disorders can be fulminant, warranting prompt diagnosis. This book recognizes the importance of accurate and speedy interpretation of symptoms in that the text is symptom oriented rather than disease oriented. Put another way, the reader confronted with a particular clinical problem or symptom will be guided step by step to the possible underlying disorder(s). The scenarios considered include critical illness in patients with anemia, leukopenia, leukocytosis, abnormal platelet count, and severe transfusion reactions. For each circumstance, factors relevant to symptom interpretation are fully discussed. In addition, helpful diagnostic algorithms are presented in the form of flow charts that will assist in decision making regarding the need for further investigations. The closing chapter is devoted to the drug-induced hematologic disorders. Although the book is intended mainly for intensivists, other specialists will find much information of value for their daily practice.
Contents
Introduction -- Anemia -- Anemia in the Critically Ill Patients -- Leukopenia in the Critically Ill Patients -- Leukocytosis in the Critically Ill Patients -- The Critically Ill Patient with Abnormal Platelet Count -- Adverse Transfusion Reactions in Critically Ill Patients -- Drugs and Blood Cells.
Format
e-Book
Location
Online
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Hemocoagulative Problems in the Critically Ill Patient

https://libcat.nshealth.ca/en/permalink/provcat31242
Giorgio Berlot, editor. --Milan: Springer , c2012.
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Since the very beginning of critical care medicine, much attention has been paid to the risk of bleeding, but only recently the risk of thrombosis has been recognized in critical patients; in fact, current laboratory investigationsáaimed to monitor blood coagulation are more focused on the assessment of the hemorrhagic than of the thrombotic risk. Since mid-90s, many studies have detected powerful pro-thrombotic actions of endogenous mediators in sepsis and other inflammatory conditions, includ…
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Other Authors
Berlot, Giorgio
Responsibility
Giorgio Berlot, editor
Place of Publication
Milan
Publisher
Springer
Date of Publication
c2012
Physical Description
1 online resource (xiii, 238 p. : 13 ill., 7 ill. in color)
ISBN
9788847024489
Subjects (MeSH)
Blood Coagulation Disorders
Critical Illness
Subjects (LCSH)
Anesthesiology
Emergency medicine
Critical care medicine
Surgery
Abstract
Since the very beginning of critical care medicine, much attention has been paid to the risk of bleeding, but only recently the risk of thrombosis has been recognized in critical patients; in fact, current laboratory investigationsáaimed to monitor blood coagulation are more focused on the assessment of the hemorrhagic than of the thrombotic risk. Since mid-90s, many studies have detected powerful pro-thrombotic actions of endogenous mediators in sepsis and other inflammatory conditions, including trauma and postoperative status. Unfortunately, the related complication are both hard to detect and extremely harmful. The volume provides a full coverage of the hemocoagulative problems in anesthesia and intensive care, taking into consideration the physiology and monitoring of hemostasis, its relation with sepsis, and the specific aspects of the various critical conditions - from trauma to burns, to heart and transplant surgery or acute renal failure
Contents
Physiology of Hemostasis -- Monitoring of Hemostasis -- Anticoagulation therapy in ICU patients -- Inborn Prothrombotic States -- Inborn Defects of the Coagulative System -- Inflammation and Coagulation -- Disseminated Intravascular Coagulation -- Coagulative Disturbancies in Trauma -- Hypothermia and Coagulative Disorders -- Hemostasis in Pregnancy and in Obstetric Surgery -- Hemostasis During Heart Surgery -- Hemocoagulative Aspects of Solid Organ Transplantation -- Antiphospholipid Antibody Syndrome -- Pulmonary-Renal Syndrome -- Coagulative Disorders after Central Nervous System Injury.
Format
e-Book
Location
Online
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Prepare for the Pediatric Emergency Medicine Board Examination

https://libcat.nshealth.ca/en/permalink/provcat45544
Muhammad Waseem, Isabel A. Barata, Jennifer H. Chao, David Foster, Noah Kondamudi, editors. --Cham: Springer , c2020.
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This book outlines the essential knowledge required for the management of critically ill and severely injured children. It is designed to facilitate successful completion of the Pediatric Emergency Medicine Board Examination of the American Board of Pediatrics (ABP). Each chapter follows a Question & Answer format, covering major areas in pediatrics such as cardiology, dermatology, nephrology, surgery and trauma. The book concludes with a comprehensive practice test, allowing it to function as …
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Other Authors
Waseem, Muhammad
Barata, Isabel A.
Chao, Jennifer H.
Foster, David
Kondamudi, Noah
Responsibility
Muhammad Waseem, Isabel A. Barata, Jennifer H. Chao, David Foster, Noah Kondamudi, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2020
Physical Description
1 online resource (xvi, 755 p.) : 201 illus., 152 illus. in color
ISBN
9783030283728
9783030283704 (Print ed.)
9783030283711 (Print ed.)
Subjects (MeSH)
Critical Illness
Emergency Medicine
Pediatrics
Specialty
Emergency Medicine
Pediatrics
Abstract
This book outlines the essential knowledge required for the management of critically ill and severely injured children. It is designed to facilitate successful completion of the Pediatric Emergency Medicine Board Examination of the American Board of Pediatrics (ABP). Each chapter follows a Question & Answer format, covering major areas in pediatrics such as cardiology, dermatology, nephrology, surgery and trauma. The book concludes with a comprehensive practice test, allowing it to function as a well-rounded reference and study guide. Prepare for the Pediatric Emergency Medicine Board Examination is an essential resource for any clinician or trainee seeking a concise review of how to manage critically ill and severely injured children.
Contents
1. Resuscitation -- 2. Critical Care and Transport -- 3. Emergency Medical Services -- 4. Environmental Emergencies -- 5. Asthma and Other Emergencies Treated Medically -- 6. Cardiology -- 7. Dermatology -- 8. Neonatal -- 9. Nephrology -- 10. Pediatric Neurology -- 11. Pediatric Gynecology -- 12. Infectious Diseases -- 13. Endocrine and Metabolic Diseases -- 14. Hematology and Oncology -- 15. Toxicology -- 16. Psychosocial Emergencies -- 17. Child Abuse -- 18. ENT -- 19. Pediatric Ophthalmology -- 20. Surgery -- 21. Trauma -- 22. Emergency Obstetric Ultrasound -- 23. Emergency Cardiac Ultrasound -- 24. Emergency Ultrasound in Trauma -- 25. Emergency Point of Care Ultrasound -- 26. Orthopedics -- 27. Procedures -- 28. Dental -- 29. Dental Procedures -- 30. Pediatric Burns -- 31. Snake Envenomation -- 32. Administration -- 33. Epidemiology -- 34. Biostatistics -- 35. Practice Chapter.
Format
e-Book
Publication Type
Examination Questions
Location
Online
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