Trauma has assumed a prominent role in contemporary medicine as an event that can significantly influence clinical variables such as morbidity, functional deficits and consequential disability, and mortality. Trauma is the principal cause of death in the population below 40 years of age in industrialized coun tries. Therefore, there is great interest in studying traumatic events from both the clinical and epidemiological viewpoints. The importance of trauma is exem plified by the fact that in many countries the trauma patient is first treated in specialized “trauma centers”, in which the diagnostic and treatment processes are facilitated by the 24-hour presence of personnel having interdisciplinary competencies. Trauma in this context consists of any acute, often unexpected, condition. Many of the medical difficulties associated with trauma occur in a relatively brief period that spans from the first call for help to the initiation of first aid measures. A correct approach depends on the availability of experienced personnel. The first measures of aid must guarantee, above all, the patient’s survival. The most critical, initial phases of care to trauma patients are represented by the triad: first aid, triage, and transport. Specific morbidity indices, whether anatomical, func tional or mixed, are indispensable elements for monitoring a patient’s clinical evolution. The immediate availability of “essential” drugs is imperative to con front the clinical situations that often present in the acute post-traumatic phase.
The 17th edition of Medical Knowledge Self-Assessment Program (MKSAP (R) 17) is specifically intended for physicians who provide personal, nonsurgical care to adults. Included are: general internists and primary care physicians; subspecialists who need to remain up-to-date in internal medicine; residents preparing for the Certification Exam in internal medicine; physicians preparing for the Maintenance of […]
Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, […]
This text reviews the postoperative management of patients who have undergone cardiac surgical procedures, some of the most common and most complicated forms of surgery. These patients and their management are characterized by complex challenges, while among the factors determining ultimate clinical outcome, postoperative critical care is of major importance. This new and extensively updated […]