Caring for the Intensive Care Patient Boarding in the Emergency Department (ED)

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Publisher :
ISBN 13 : 9781303443831
Total Pages : pages
Book Rating : 4.4/5 (438 download)

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Book Synopsis Caring for the Intensive Care Patient Boarding in the Emergency Department (ED) by : Allison Jessica Shuken

Download or read book Caring for the Intensive Care Patient Boarding in the Emergency Department (ED) written by Allison Jessica Shuken and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background Emergency Department (ED) crowding has led to the practice of caring for patients in the ED who are admitted to the hospital, but are waiting for inpatient beds; a practice known as boarding. Boarding in the ED has been shown to negatively affect patient outcomes. ED nurses need preparation to care for the critically ill, boarded patients in the ED. There is little evidence that describes how to best educate ED nurses to care for this patient population. Objectives The purpose of this pilot study was to describe the nursing care and interventions performed by ED nurses, caring for critical care, boarded patients in an academic medical center. This information could then be used to develop critical care education targeted to ED nurses. Methods This study used a non-experimental, descriptive design, and retrospective chart review of electronic health records to collect data on critical care patients boarded in the ED for [greater than/equal to] 3 hours (n=35). Results The majority of patients were male with a median age of 60 years. The primary diagnosis was sepsis, with many of the nursing interventions focused on guideline-recommended therapy. Patients [greater than/equal to] 55 years had higher acuities, required more critical care interventions, and had more in-hospital mortality. Future studies with a larger, more inclusive sample, and more variables of interest would be beneficial to best inform a critical care education program for ED nurses.

Critical Care Nursing Impact on the ICU Boarded Patient in the Emergency Department

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Publisher :
ISBN 13 : 9781392786185
Total Pages : pages
Book Rating : 4.7/5 (861 download)

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Book Synopsis Critical Care Nursing Impact on the ICU Boarded Patient in the Emergency Department by : Katherine Jordan

Download or read book Critical Care Nursing Impact on the ICU Boarded Patient in the Emergency Department written by Katherine Jordan and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Overcrowding in the Emergency Department (ED) is an increasing problem inhospitals. Compounding this issue is often the lack of inpatient beds for critical patients. While the ED staff focuses on caring for the influx of patients seeking treatment, as well as stabilizing patients in the ED, critical intensive care boarding patients are left with even fewerresources. Both ED nurses and intensive care unit (ICU) nurses are highly skilled in their specialties, their approaches to care being different. ICU nurses focus on improving the condition of the ICU patient, while ED nurses focus on stabilization and transferring the patient to the appropriate level of care. Objectives: The purpose of this pilot study was to determine if the early implementation of ICUspecialized nursing care reduced ED, ICU, hospital length of stay (LOS) and ED boarding time. Methods: This was a retrospective study that compared patients admitted directly from the ED tothe ICU during similar time periods before and after implementation of the SICU/ ED intervention program in February 2017 at a Level 1 Trauma Center. Data were abstracted from an electronic health record and analyzed using SPSS v 26. Results: The findings showed that the ED LOS in the pre-implementation group was longer whencompared with the post-implementation group of patients receiving care from ICU nurses (U=911.000; p=0.01). ED boarding times in the pre-implementation group were longer when compared with the post-implementation group (U=837.500; p=0.002). ICU and hospital LOS and total hospital time did not show a statistical significance in change in the pre- and post-intervention groups in this pilot study.

Emergency Department Critical Care

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Publisher : Springer Nature
ISBN 13 : 3030287947
Total Pages : 711 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Emergency Department Critical Care by : Joseph R. Shiber

Download or read book Emergency Department Critical Care written by Joseph R. Shiber and published by Springer Nature. This book was released on 2020-06-19 with total page 711 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive book provides practical guidance on the care of the critical patient in the emergency department. It focuses on the ED physician or provider working in a community hospital where, absent the consulting specialists found in a large academic center, the provider must evaluate and stabilize critically ill and injured patients alone. Structured in an easily accessible format, chapters present fundamental information in tables, bullet points, and flow diagrams. Emergency medicine scenarios covered across 38 chapters include acute respiratory failure, spinal cord Injuries, seizures and status epilepticus, care of the newborn, and end-of-life care. Written by experts in the field, Emergency Department Critical Care is an essential resource for practicing emergency physicians and trainees, internists and family physicians, advance practice nurses, and physician’s assistants who provide care in emergency departments and urgent care centers.

Critical Care in the Emergency Department, An Issue of Emergency Medicine Clinics of North America

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323682642
Total Pages : pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Critical Care in the Emergency Department, An Issue of Emergency Medicine Clinics of North America by : John C. Greenwood

Download or read book Critical Care in the Emergency Department, An Issue of Emergency Medicine Clinics of North America written by John C. Greenwood and published by Elsevier Health Sciences. This book was released on 2019-07-03 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Emergency Medicine Clinics, guest edited by Drs.John Greenwood and Tsuyoshi Mitarai in collaboration with Consulting Editor Dr. Amal Mattu, is dedicated to Critical Care in the Emergency Department. Topics include:Cutting edge acute ischemic CVA management;The current status of TTM post-cardiac arrest and early post-cardiac arrest optimization;Beyond MAP and lactate: Perfusion endpoints for managing the shocked patient;Resuscitative Ultrasound ; TEE;Mechanical ventilation for hypoxemic respiratory failure;Mechanical ventilation strategies for the patient with severe obstructive lung disease;Acute Renal Failure and electrolyte management in the critically ill;Advances in emergent airway management in paediatrics;Non-ischemic causes of cardiogenic shock;Critically ill patients with End-Stage Liver Disease;Intracranial Hemorrhage and intracranial hypertension;Sedation ; Analgesia in the Critically Ill;Extubating in the ED; and Geriatric Critical Care.

Intensive Care Unit Patients Boarding in the Emergency Department at Banner Del E. Webb Medical Center

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Publisher :
ISBN 13 :
Total Pages : 46 pages
Book Rating : 4.:/5 (728 download)

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Book Synopsis Intensive Care Unit Patients Boarding in the Emergency Department at Banner Del E. Webb Medical Center by : Theresa S. Bellus

Download or read book Intensive Care Unit Patients Boarding in the Emergency Department at Banner Del E. Webb Medical Center written by Theresa S. Bellus and published by . This book was released on 2009 with total page 46 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Critical Care of COVID-19 in the Emergency Department

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Publisher : Springer Nature
ISBN 13 : 3030856364
Total Pages : 214 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Critical Care of COVID-19 in the Emergency Department by : Joseph R. Shiber

Download or read book Critical Care of COVID-19 in the Emergency Department written by Joseph R. Shiber and published by Springer Nature. This book was released on 2021-11-17 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: ​This book functions as a comprehensive manual for emergency care providers who are treating critically ill COVID-19 patients. Beginning with an overview of the COVID-19 infection and an examination of the patients who received critical care from hospital emergency departments around the country, this book provides clinicians with a guide to best-practices in everything from personal protection while deploying critical care to COVID-19 patients to evaluation and diagnosis of the illness. Subsequent chapters break down care of various comorbidities seen in COVID-19 patients and the care offered to patients suffering from the illness in a multitude of ways. Closing chapters examine how emergency departments can best prepare for potential surges in COVID-19 patients as the illness continues to develop, providing important information on how to best protect hospital employees and best care for future patients in a constantly shifting landscape. Due to the rapid onset of the illness and strong-hold the pandemic had on the lives and careers of healthcare professionals, Critical Care of COVID-19 in the Emergency Department fills a critical gap in the literature available on this topic.

Intubating the Critically Ill Patient

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Publisher : Springer Nature
ISBN 13 : 303056813X
Total Pages : 139 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Intubating the Critically Ill Patient by : Rachel Garvin

Download or read book Intubating the Critically Ill Patient written by Rachel Garvin and published by Springer Nature. This book was released on 2020-11-19 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intubating critically ill patients is a process that requires a well-thought-out, step-by-step plan, specific to each patient. This book teaches the steps necessary to predict, prepare, perform, and provide pre and post-intubation care. The focus of the book is not on how to intubate, but rather all the steps leading up to and after the tube goes in. From the EMS stretcher to the ICU bed, this book has easily accessible, practical information for these tenuous patients, and answers the who, what, where, when and how of airway management. Included are specific chapters on special patient populations outlining the process of intubating patients with neurologic injury, cardiovascular compromise, sepsis, trauma and those with obesity Intubating the Critically Ill Patient: A Step-by-Step Guide for Success in the ED and ICU is an essential resource for physicians, medical students, and allied health professionals in emergency medicine and intensive care settings.

Hospital-Based Emergency Care

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Publisher : National Academies Press
ISBN 13 : 0309133777
Total Pages : 424 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Hospital-Based Emergency Care by : Institute of Medicine

Download or read book Hospital-Based Emergency Care written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-03 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Reducing Transfer Times of Patients Admitted to the Intensive Care Unit from the Emergency Department

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ISBN 13 :
Total Pages : 47 pages
Book Rating : 4.:/5 (122 download)

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Book Synopsis Reducing Transfer Times of Patients Admitted to the Intensive Care Unit from the Emergency Department by : Kelsie Montgomery

Download or read book Reducing Transfer Times of Patients Admitted to the Intensive Care Unit from the Emergency Department written by Kelsie Montgomery and published by . This book was released on 2017 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Communication failure between healthcare providers is the leading cause of sentinel events. To emphasize the critical need to improve such communication, TJC cited improving effectiveness of communication as one of the National Patient Safety Goals. Handoff tools have been used to improve communication, however, in its review TJC found that over 1/3 of patient handoff tools that are currently used are defective. Foreground: Currently, transfer times have been reported to be delayed at the facility. Currently no standardized handoff tool exists for critically ill patients being admitted to the intensive care unit (ICU) from the emergency department (ED). EBP Framework: Rosswurm and Larrabee's EBP model was used to guide the project in conjunction with Battey's Humanizing Nursing Communication Theory and Ethics of Humanizing Nursing Communication. Methods: The project manager held an educational in-service for staff of the ED and ICU to educate about the revised hand off tool that was implemented. Data was collected prior to implementation on current transfer times through TeleTracking, the patient tracking software in place at the facility. The revised transfer tool was implemented for one month. During the month, times were tracked weekly and at the end of one month time. An overall comparison was done to evaluate effectiveness off the handoff tool. Results were disseminated to staff during regularly scheduled staff meetings. Feedback was gathered at that time from participants and anonymously via a suggestion box. Data was analyzed with the help of clinical mentor. Results: The baseline data, with a sample size of 963 admissions, had a mean transfer time of 1:33 (HH:MM). During the project implementation period there were 202 admissions which ended having an average time of 1:45, a 12 minute increase from the baseline sample. When looking at the data by week, the times decrease from week 1 compared to week 4. Using MiniTab statistical software to compare week 1 times to week 4, no statistical difference was noted between the transfer times in week 1 and those in week 4. While no statistical difference was noted, clinical significance was noted in comments from participants. Conclusion: The implementation of the hand off tool did not decrease transfer times. Feedback gathered from the nursing staff included comments that the handoff report went more smoothly, less clarifying questions had to be asked, all pertinent information was given during the handoff, and the verbal report was more organized.

Drain’s PeriAnesthesia Nursing – E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323832687
Total Pages : 770 pages
Book Rating : 4.3/5 (238 download)

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Book Synopsis Drain’s PeriAnesthesia Nursing – E-Book by : Jan Odom-Forren

Download or read book Drain’s PeriAnesthesia Nursing – E-Book written by Jan Odom-Forren and published by Elsevier Health Sciences. This book was released on 2022-12-27 with total page 770 pages. Available in PDF, EPUB and Kindle. Book excerpt: UPDATED! Revised content throughout provides the most up-to-date information for effective perianesthesia nursing practice. NEW! Full-color layout makes content more visually appealing and highlights important information. NEW! Information on SARS/COVID-19 is now included in the Pathogens chapter. NEW! Chapter on International Care of the Perianesthesia Patient offers complete coverage on this key topic. UPDATED! Coverage of pain management for the perianesthesia patient features the latest guidelines. UPDATED! Patient with Chronic Disorders chapter provides current information on caring for these patients. UPDATED! Evidence-Based Research boxes provide the latest standards of care.

Bouncebacks! Critical Care

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Publisher : Gatekeeper Press
ISBN 13 : 1890018848
Total Pages : 835 pages
Book Rating : 4.8/5 (9 download)

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Book Synopsis Bouncebacks! Critical Care by : Michael B. Weinstock

Download or read book Bouncebacks! Critical Care written by Michael B. Weinstock and published by Gatekeeper Press. This book was released on 2021-07-13 with total page 835 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edition of Bouncebacks! Emergency Medicine books examines the bounceback visit, putting the reader in the footsteps of the clinician as the patient deteriorates. The story pauses at important decision points as possible management strategies are reviewed in a literature-based fashion, followed by a revelation of the path chosen by the actual provider. As the patient’s course progresses, we reach additional decision points and address further clinical questions. In addition to our chapter authors, many with expertise in critical care emergency medicine, we have an all-star lineup of expert-whisperers: first an EM/critical care section editor (below) and second, EMCRIT.org’s double-boarded critical care guru, Scott Weingart. Their comments are inserted in grey boxes and are intended to give tips and tricks borne of experience and to provide context to the literature, "as if" they are standing over our shoulder and advising during a resuscitation. Additionally, there are three chapters where we address the medical-legal aspects of care. Enter Greg Henry MD, past president of The American College of Emergency Physicians (ACEP) and one of the most experienced physician medical-legal experts in the country. He opines on the approach that both the defense and plaintiff would likely pursue and, by extension, how we can make patients safer through our evaluation and documentation before there is an adverse outcome. Whereas, these chapters contain the actual documentation from the ED chart, a very few chapters have slight modifications to the final aspects of the return visit at decision point 3, to allow for exploration of different critical care scenarios. There is still plenty of commentary on the documentation, missed red-flags, and what could have been done to improve care at the initial visit. Our goal is to make each chapter challenging, dynamic, and realistic… to move us from “standard of care” to “excellence in care.” Book Review: "It's back, it's Bouncebacks! One of the mostly widely read and highly regarded education series in all of Emergency Medicine. Clinicians fear the medical malpractice landscape, but Mike Weinstock and the team give you all the tools you need to protect yourselves. Documentation people, documentation. Now with a critical care version. Read this book, sleep better at night, as simple as that! Love, love this series!" -- Mel Herbert, MD, MBBS, BMedSci, FACEP, FAAEMProfessor of Emergency Medicine at the Keck School of Medicine LAC + USC Medical Center, Owner and Editor of EM: RAP

A model of care

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Publisher :
ISBN 13 :
Total Pages : 102 pages
Book Rating : 4.:/5 (966 download)

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Book Synopsis A model of care by : Jessica DeGrote

Download or read book A model of care written by Jessica DeGrote and published by . This book was released on with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Emergency Department (ED) is a frequently utilized care environment that functions to meet acute, chronic, and life threating healthcare needs. The unique care environment of the ED contributes to a documented inadequacy in discharge patient education. Review of the patient discharge process at a Midwest medical center’s ED revealed inconsistent and inadequate patient discharge education. The inadequate patient discharge education led to the creation of a model with a two-fold collaborative approach that includes patient centered care and caring principles. The model of care provides educational initiatives to address this educational deficiency in the Emergency Department, and to improve patient satisfaction and health outcomes. Watson’s (2010) theoretical concepts of presence and intentional caring relationships support the creation of the developed model of care, as well as a conceptual model that places the patients as the center of care. With improved patient education at ED discharge, it would be expected that patient safety and patient satisfaction would similarly improve. With thorough evaluation and review, the model of care has the potential to truly make a difference in the lives of ED patients and could potentially expand to other medical facilities and contribute to future research endeavors.

Concise Review of Critical Care, Trauma and Emergency Medicine

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Publisher :
ISBN 13 : 9781478716082
Total Pages : 225 pages
Book Rating : 4.7/5 (16 download)

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Book Synopsis Concise Review of Critical Care, Trauma and Emergency Medicine by : Asif Anwar

Download or read book Concise Review of Critical Care, Trauma and Emergency Medicine written by Asif Anwar and published by . This book was released on 2013 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: Concise yet uptodate review of the most commonly encountered topics reated to the critical care, taruama and emergency arena. All facets of medical profession may benefit, including doctors, nurses, pharmacists, respiratory therapist, physical, occupational, speech/lahnguage therapist. Emergency medical techs will also find it very useful in the field.

Critical Care Emergency Medicine, Second Edition

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Publisher : McGraw Hill Professional
ISBN 13 : 0071838775
Total Pages : 713 pages
Book Rating : 4.0/5 (718 download)

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Book Synopsis Critical Care Emergency Medicine, Second Edition by : David A. Farcy

Download or read book Critical Care Emergency Medicine, Second Edition written by David A. Farcy and published by McGraw Hill Professional. This book was released on 2016-11-05 with total page 713 pages. Available in PDF, EPUB and Kindle. Book excerpt: The groundbreaking text on critical care emergency medicine – updated with the latest evidence and recommendations A Doody’s Core Title for 2021! Critical Care Emergency Medicine has become the standard reference for all clinicians who wish to understand the overlap between emergency medicine and critical care. Much like the field of emergency medicine itself, this text is a collaborative effort involving emergency physicians as well as clinicians from trauma, critical care, infectious diseases, and pulmonary medicine. Critical Care Emergency Medicine teaches emergency physicians everything they must know and do to better care for critically ill patients in an emergency department or to provide care in an ICU. Enhanced by numerous algorithms that speed decision making and full-color illustrations demonstrating anatomy and technique, this book is an essential practice tool. Incorporating the wisdom of both academic and community emergency medicine experts, Critical Care Emergency Medicine, Second Edition delivers expert coverage of: Airway and Ventilatory Support Pulmonary Disorders Cardiovascular Disorders Gastrointestinal and Renal Disorders Neurologic and Neurosurgical Disorders Hematologic and Endocrine Disorders Infectious Disorders Toxicologic Conditions Ultrasonography in Critical Care Special Considerations (including nutritional support, end-of-life issues, fluid management, and more) If you are looking for an up-to-date, evidence-based text designed to take your critical care to the next level, your search ends here.

Washington Manual of Patient Safety and Quality Improvement

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1469885379
Total Pages : 478 pages
Book Rating : 4.4/5 (698 download)

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Book Synopsis Washington Manual of Patient Safety and Quality Improvement by : Emily Fondahn

Download or read book Washington Manual of Patient Safety and Quality Improvement written by Emily Fondahn and published by Lippincott Williams & Wilkins. This book was released on 2016-03-03 with total page 478 pages. Available in PDF, EPUB and Kindle. Book excerpt: Concise, portable, and user-friendly, The Washington Manual® of Patient Safety and Quality Improvement covers essential information in every area of this complex field. With a focus on improving systems and processes, preventing errors, and promoting transparency, this practical reference provides an overview of PS/QI fundamentals, as well as insight into how these principles apply to a variety of clinical settings. Part of the popular Washington Manual® series, this unique volume provides the knowledge and skills necessary for an effective, proactive approach to patient safety and quality improvement.

Emergency Department Resuscitation of the Critically Ill

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Publisher : American College Emergency Physicians
ISBN 13 : 9780983428800
Total Pages : 250 pages
Book Rating : 4.4/5 (288 download)

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Book Synopsis Emergency Department Resuscitation of the Critically Ill by : Michael E. Winters

Download or read book Emergency Department Resuscitation of the Critically Ill written by Michael E. Winters and published by American College Emergency Physicians. This book was released on 2011 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the American College of Emergency Physicians and the ACEP Bookstore (www.acep.org/bookstore). For physicians and all other health care providers who care for critically ill patients in emergency departments. Covers all aspects of resuscitation and management. Every chapter highlights critical points and pearls, along with management algorithms for quick reference. Chapters cover undifferentiated shock, fluid management, post-cardiac arrest management, septic shock, ultrasonography, critically ill neonates, transfusions, cardiogenic shock, pulmonary embolism, and much more.

Critical Care Update 2022

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Publisher : Jaypee Brothers Medical Publishers
ISBN 13 : 9354656528
Total Pages : 865 pages
Book Rating : 4.3/5 (546 download)

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Book Synopsis Critical Care Update 2022 by : Deepak Govil

Download or read book Critical Care Update 2022 written by Deepak Govil and published by Jaypee Brothers Medical Publishers. This book was released on 2022-06-30 with total page 865 pages. Available in PDF, EPUB and Kindle. Book excerpt: