Critical Care

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 0826138276
Total Pages : 581 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Critical Care by : Mary Wyckoff, PhD, APRN, BC,

Download or read book Critical Care written by Mary Wyckoff, PhD, APRN, BC, and published by Springer Publishing Company. This book was released on 2009-07-08 with total page 581 pages. Available in PDF, EPUB and Kindle. Book excerpt: Named a 2013 Doody's Core Title! Winner of an AJN Book of the Year Award of 2009! "There is little doubt that every ACNP in practice or in training will want a copy of this reference in their lab coat pocket." --Ric Cuming, RN, MSN, EdD (c), CNOR, NEA-BC Chief Nursing Officer Jackson Memorial Hospital "Long overdue-This comprehensive critical care text will fill the void, especially for nurses advancing from BSN to Advanced Practice. The authors have covered all the basics and produced a text that provides a well-rounded knowledge base for critical care." -Jeanne H. Siegel, PhD, ARNP University of Miami School of Nursing and Health Studies This book defines what it means to be a nurse in critical care. With this text, Acute Care Nurse Practitioners (ACNPs) will learn what to expect in the critical care unit, and how to manage various complications with patients in acute and intensive care settings. Significant emphasis is given to the complex pathophysiology and appropriate management of common problems encountered in the critical care environment, including trauma, infections, and disease. One chapter is also dedicated to the medical, legal, and ethical aspects of critical care. Critical Care is thus the must-have reference for graduate students as well as for practicing ACPNs. Key topics include: The role of the ACPN in acute and critical care Pulmonary management Cardiac concepts in acute care settings Managing liver, kidney, and kidney pancreas transplant in the ICU Burn management Multisystem organ failure End-of-life and palliative care Family-centered care Winner of an AJN Book of the Year Award for 2009!

Cardiac Surgery Essentials for Critical Care Nursing

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284196003
Total Pages : 602 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis Cardiac Surgery Essentials for Critical Care Nursing by : Sonya R. Hardin

Download or read book Cardiac Surgery Essentials for Critical Care Nursing written by Sonya R. Hardin and published by Jones & Bartlett Learning. This book was released on 2019-03-07 with total page 602 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac Surgery Essentials for Critical Care Nursing, Third Edition is an indispensable resource for new and experienced nurses caring for patients in critical care units immediately following cardiac surgery and in the transitioning to home. With an evidence-based foundation, the Third Edition addresses nursing knowledge to meet the needs of acutely ill patients and strategies to optimizing patient outcomes in this dynamic field. Vital information has been added and updated to reflect significant changes in cardiac surgery as well as four new chapters based on needs of patients, families, and readers. These new chapters address nutritional issues, post ICU-care, psychological and spiritual support, and rehabilitation care post cardiac surgery.

Principles of Practice for the Acute Care Nurse Practitioner

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Author :
Publisher : Prentice Hall
ISBN 13 : 9780838581254
Total Pages : 0 pages
Book Rating : 4.5/5 (812 download)

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Book Synopsis Principles of Practice for the Acute Care Nurse Practitioner by : Paul Logan

Download or read book Principles of Practice for the Acute Care Nurse Practitioner written by Paul Logan and published by Prentice Hall. This book was released on 1999 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the role of nurse practitioners expand, the demand for comprehensive texts that address the diverse scope of acute care nurse practitioners (ACNPs) is also increasing. This new book meets this unique need by providing the necessary principles of competent clinical practice, including explanations of the role and duties of the ACNP and clinical aspects of care. KEY TOPICS: Included in this book are 54 chapters written by nationally recognized experts and clinicians with front-line experience. Comprehensive coverage of the information ACNPs require reduces the need for multiple texts. MARKET: Nurse practitioners and nurse practitioner students.

ACUTE & CRITICAL CARE NURSE PRACTITIONER: CASES IN DIAGNOSTIC REASONING

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Author :
Publisher : McGraw Hill Professional
ISBN 13 : 007184953X
Total Pages : 840 pages
Book Rating : 4.0/5 (718 download)

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Book Synopsis ACUTE & CRITICAL CARE NURSE PRACTITIONER: CASES IN DIAGNOSTIC REASONING by : Suzanne M. Burns

Download or read book ACUTE & CRITICAL CARE NURSE PRACTITIONER: CASES IN DIAGNOSTIC REASONING written by Suzanne M. Burns and published by McGraw Hill Professional. This book was released on 2015-11-22 with total page 840 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ultimate, case-based guide for learning and teaching the art of diagnostic reasoning for acute and critical care nurse practitioners Written by experienced nurse practitioners working in acute and critical care settings,and endorsed by the American Association of Critical-Care Nurses (AACN), Acute & Critical Care Nurse Practitioner:Cases in Diagnostic Reasoning presents a wide range of acute and critical care patient cases focusing on diagnosis and management. This authoritative book is designed to help nurse practitioners and students learn how to proceed from a broad differential diagnosis to a specific management plan through expert analysis of patient data. While reconstructing the course of real-life clinical cases, the authors “think out loud” and reveal how they identify pertinent positives and significant negatives to support or refute items on their differential diagnoses list, and further incorporate laboratory and diagnostic testing results to establish a medical diagnosis. Each case includes a description of the management for the identified diagnosis. INCLUDES: · 71 cases based on real-life clinical scenarios · Analysis questions and case discussions to enable learners to actively participate ininductive and deductive reasoning · Cases that can be used to support course work, certification review, and job training The first of its kind, Acute & Critical Care Nurse Practitioner: Cases in Diagnostic Reasoning is an essential learning and teaching resource for students, clinicians, and clinical faculty to master the art of diagnostic reasoning.

AACN Advanced Critical Care Nursing - E-Book Version to be sold via e-commerce site

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1437726208
Total Pages : 1635 pages
Book Rating : 4.4/5 (377 download)

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Book Synopsis AACN Advanced Critical Care Nursing - E-Book Version to be sold via e-commerce site by : American Association of Critical-Care Nr

Download or read book AACN Advanced Critical Care Nursing - E-Book Version to be sold via e-commerce site written by American Association of Critical-Care Nr and published by Elsevier Health Sciences. This book was released on 2008-04-24 with total page 1635 pages. Available in PDF, EPUB and Kindle. Book excerpt: From AACN experts comes a resource dedicated to helping you oversee or care for critical care patients in any practice setting. This comprehensive critical care nursing textbook addresses serious and potentially life-threatening patient conditions with a foundation rooted in the critical thinking process: the comprehension, analysis, synthesis, and application of knowledge. - Endorsed by the American Association of Critical-Care Nurses (AACN), the largest specialty nursing organization in the United States, for the most authoritative coverage available. - Thorough discussions of each body system emphasize advanced concepts, presenting physiology in an application format that examines the clinical implications of physiological science. - Coverage of assessment focuses on interpreting abnormal findings and linking those findings to diagnosis and intervention. - Appropriate interventions are discussed from an interdisciplinary, evidence-based perspective. - Hundreds of new, full-color illustrations and design clarify important concepts and improve the book's usability. - Complex, unfolding case studies are presented in all disease chapters, accompanied by review questions with a comprehensive answer key. - Multidisciplinary Plans of Care provide at-a-glance information for common ICU conditions. - Nutrition boxes appear in each relevant chapter, offering guidelines for patient needs with specific illnesses. - Research-Based Practice Guidelines boxes and Promoting Evidence-Based Practice features appear throughout the text whenever applicable to present the latest research-supported nursing assessment and intervention practices. - Drug boxes include common classifications of critical care drugs for specific disorders, including drug, actions, dosage, and special considerations. - Applying the Technology features help you apply the latest technology to patient care. - NIC Interventions boxes list NIC intervention labels appropriate for the conditions discussed in a chapter.

Practice Guidelines for Acute Care Nurse Practitioners

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Author :
Publisher : Saunders
ISBN 13 :
Total Pages : 980 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Practice Guidelines for Acute Care Nurse Practitioners by : Thomas Wesson Barkley

Download or read book Practice Guidelines for Acute Care Nurse Practitioners written by Thomas Wesson Barkley and published by Saunders. This book was released on 2001 with total page 980 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a comprehensive, easy-access clinical reference for acute care nurse practitioners and other clinicians in acute care. It features guidelines for managing over 230 of the most common conditions experienced by adult patients in acute care. Using an outline format, the coverage of each condition includes an overview with defining terms, incidence/predisposing factors, subjective and physical exam findings, diagnostic tests, and management strategies. Comprehensive coverage--over 230 conditions covered Consistent outline format--each chapter includes an overview with defining terms, incidence/predisposing factors, subjective and physical exam findings, diagnostic tests, and management strategies In addition to conditions by body system, the book also includes coverage of nutritional considerations, fluid/electrolyte imbalances, shock, and trauma Convenient pocket-size

Critical Care Secrets

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323085008
Total Pages : 669 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Critical Care Secrets by : Polly E. Parsons, MD

Download or read book Critical Care Secrets written by Polly E. Parsons, MD and published by Elsevier Health Sciences. This book was released on 2012-09-06 with total page 669 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get the most out of your study and review with Critical Care Secrets! This easy-to-read book uses the popular and trusted Secrets Series® question-and-answer format to cover all areas of critical care medicine, focusing on the practical, "in-the-trenches" know-how you need to succeed both in practice, and on board and recertification exams. The easy-to-read approach of the Secrets books has been serving medical professionals for decades. Expedite your reference and review with a question-and-answer format that's conversational and easy to read. Zero in on key information with bulleted lists, mnemonics, practical tips from the authors, and "Key Points" boxes that provide a concise overview of important board-relevant content. Explore effective solutions to patients' medical and ethical problems related to a wide range of specialties, including pulmonology, surgery, anesthesiology, pharmacy, and infectious disease. Get the evidence-based guidance you need to provide optimal care for the critically ill. Gain a new perspective on today's hot topics with new coverage of encephalitis, acute abdomen, antidepressants, and much more. Stay up to date with all-new chapters on General Approach to Trauma Victims, Arterial and Central Venous Lines, ICU Ultrasound, Extracorporeal Membrane Oxygenator (ECMO), H1N1/Influenza, Immunocompromised Host, Glycemic Control in the ICU, Disaster Medicine, Toxic Alcohols, Cardiovascular Drugs, Palliative Care, and Organ Donation. Learn from the experience of international experts, many of whom are new to this edition and offer a fresh viewpoint on critical care. A comprehensive, easy-to-read overview makes Critical Care Secrets the perfect review tool for board and recertification exams, a clinical refresher, or a quick reference guide.

A Practical Guide for Nurse Practitioner Faculty Using Simulation in Competency-Based Education

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975233905
Total Pages : 295 pages
Book Rating : 4.9/5 (752 download)

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Book Synopsis A Practical Guide for Nurse Practitioner Faculty Using Simulation in Competency-Based Education by : Pamela R. Jeffries

Download or read book A Practical Guide for Nurse Practitioner Faculty Using Simulation in Competency-Based Education written by Pamela R. Jeffries and published by Lippincott Williams & Wilkins. This book was released on 2024-01-09 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Authored by expert simulation researchers, educators, nurse practitioner faculty, and clinicians, A Practical Guide for Nurse Practitioner Faculty Using Simulation in Competency-Based Education looks at topics related to simulation design, development, and implementation for nurse practitioner and other graduate-level nursing programs.

Quality Outcomes and Costs, An Issue of Critical Care Nursing Clinics of North America, E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323682774
Total Pages : pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Quality Outcomes and Costs, An Issue of Critical Care Nursing Clinics of North America, E-Book by : Deborah Garbee

Download or read book Quality Outcomes and Costs, An Issue of Critical Care Nursing Clinics of North America, E-Book written by Deborah Garbee and published by Elsevier Health Sciences. This book was released on 2019-05-08 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: In consultation with Consulting Editor, Dr. Jan Foster, Drs. Garbee and Danna have put together a state-of the-art issue of the Critical Care Nursing Clinics devoted to Quality Outcomes and Costs. Clinical review articles are specifically devoted to the following: Information Technology, Electronic Medical Records, and Practice Alerts; Telehealth Use to Promote Quality Outcomes and Reduce Costs; Impact of a Mobility Team on ICU Patient Outcomes; MACRA and MIPS Impact on Quality and Cost Outcomes; Leadership’s Impact on Quality, Outcomes, and Costs; Big Data Sets Use for Quality, Outcomes, and Cost; Pediatric Quality Metrics Related to Quality Outcomes and Cost; Geriatric Outcomes Related to Quality and Cost; Mental Health/Behavioral Health Metrics; Obstetric Quality Outcomes and Cost; Emergency Department Throughput; and Veteran Outcomes. Readers will come away with the latest information they need to improve quality and improve out comes in critically ill patients.

ACCCN's Critical Care Nursing - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0729580687
Total Pages : 837 pages
Book Rating : 4.7/5 (295 download)

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Book Synopsis ACCCN's Critical Care Nursing - E-Book by : Leanne Aitken

Download or read book ACCCN's Critical Care Nursing - E-Book written by Leanne Aitken and published by Elsevier Health Sciences. This book was released on 2011-11-21 with total page 837 pages. Available in PDF, EPUB and Kindle. Book excerpt: A revised new edition of this comprehensive critical care nursing text, developed with the Australian College of Critical Care Nurses (ACCCN). This second edition of ACCCN's Critical Care Nursing has been fully revised and updated for critical care nurses and students in Australia and New Zealand. As well as featuring the most recent critical care research data, current clinical practice, policies, procedures and guidelines specific to Australia and New Zealand, this new edition offers new and expanded chapters and case studies. The ultimate guide for critical care nurses and nursing students alike, ACCCN's Critical Care Nursing 2e has been developed in conjunction with the Australian College of Critical Care Nurses (ACCCN). As with the first edition, the text in ACCCN's Critical Care Nursing 2e reflects the expertise of ACCCN's highly-qualified team of local and international critical care nursing academics and clinicians. This authoritative nursing resource takes a patient-centred approach, encouraging practising critical care nurses and students to develop effective, high-quality critical care nursing practice. ACCCN's Critical Care Nursing 2e outlines the scope of critical care nursing, before detailing the core components and specialty aspects of critical care nursing, such as intensive care, emergency nursing, cardiac nursing, neuroscience nursing and acute care. Specific clinical conditions such as emergency presentations, trauma, resuscitation, and organ donation are featured to explore some of the more complex or unique aspects of specialty critical care nursing practice. expanded chapters for cardiovascular, respiratory and neurological content new chapters on Quality and Safety; Recovery and Rehabilitation; Psychological care; and Obstetric emergencies new case studies elaborate on relevant care issues critiques of recent research publications explore related topics practice tips highlight areas of care particularly relevant to daily clinical practice learning activities support knowledge, reflective learning and understanding

COVID-19, An Issue of Critical Care Clinics, E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323987788
Total Pages : 201 pages
Book Rating : 4.3/5 (239 download)

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Book Synopsis COVID-19, An Issue of Critical Care Clinics, E-Book by : Michelle Ng Gong

Download or read book COVID-19, An Issue of Critical Care Clinics, E-Book written by Michelle Ng Gong and published by Elsevier Health Sciences. This book was released on 2022-06-09 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this issue of Critical Care Clinics, guest editors Drs. Michelle Ng Gong and Gregory S. Martin bring their considerable expertise to the topic of COVID-19. Top experts in the field cover key topics such as ECMO in COVID-19, neurologic manifestations and sequelae in COVID-19, pediatric COVID-19, anti-viral and anti-inflammatory therapeutics in COVID-19, the critical care surge during COVID-19 and lessons for the future, and more. - Contains 11 relevant, practice-oriented topics including post-acute sequelae of SARS CoV-2 infection; COVID-19 and renal failure; the role of acute thrombosis in COVID-19; COVID ARDS: different phenotype of ARDS or same diversity of phenotype in ARDS; COVID-19 in the critically ill pregnant patient; and more. - Provides in-depth clinical reviews on COVID-19, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Brunner and Suddarth’s Textbook of Medical-Surgical Nursing

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Author :
Publisher : Wolters kluwer india Pvt Ltd
ISBN 13 : 9387963721
Total Pages : 2320 pages
Book Rating : 4.3/5 (879 download)

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Book Synopsis Brunner and Suddarth’s Textbook of Medical-Surgical Nursing by : Janice L. Hinkle

Download or read book Brunner and Suddarth’s Textbook of Medical-Surgical Nursing written by Janice L. Hinkle and published by Wolters kluwer india Pvt Ltd. This book was released on 2018-08-30 with total page 2320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Trusted by nursing fraternity for more than 50 years, Brunner and Suddarth's Textbook of Medical-Surgical Nursing layers essential patient care information, engaging critical thinking exercises and diverse features to help students learn critical content. The South Asian edition is comprehensively updated to customize and keep pace with South Asia's health care environment by including Indian/Asian epidemiologic data of common diseases and disorders, flowcharts of pathophysiologic processes of various diseases and disorders and psychosocial concepts, which is contemporary to South Asian scenario. Furthermore, essential medical-surgical nursing content and diseases/disorders, which are specific to South Asia, are added to make this textbook most suitable to South Asian learners.

ACCCN's Critical Care Nursing

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Author :
Publisher : Elsevier Australia
ISBN 13 : 0729540685
Total Pages : 837 pages
Book Rating : 4.7/5 (295 download)

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Book Synopsis ACCCN's Critical Care Nursing by : Doug Elliott

Download or read book ACCCN's Critical Care Nursing written by Doug Elliott and published by Elsevier Australia. This book was released on 2011-11-21 with total page 837 pages. Available in PDF, EPUB and Kindle. Book excerpt: A revised new edition of this comprehensive critical care nursing text, developed with the Australian College of Critical Care Nurses (ACCCN). This second edition of ACCCN's Critical Care Nursing has been fully revised and updated for critical care nurses and students in Australia and New Zealand. As well as featuring the most recent critical care research data, current clinical practice, policies, procedures and guidelines specific to Australia and New Zealand, this new edition offers new and expanded chapters and case studies. The ultimate guide for critical care nurses and nursing students alike, ACCCN's Critical Care Nursing 2e has been developed in conjunction with the Australian College of Critical Care Nurses (ACCCN). As with the first edition, the text in ACCCN's Critical Care Nursing 2e reflects the expertise of ACCCN's highly-qualified team of local and international critical care nursing academics and clinicians. This authoritative nursing resource takes a patient-centred approach, encouraging practising critical care nurses and students to develop effective, high-quality critical care nursing practice. ACCCN's Critical Care Nursing 2e outlines the scope of critical care nursing, before detailing the core components and specialty aspects of critical care nursing, such as intensive care, emergency nursing, cardiac nursing, neuroscience nursing and acute care. Specific clinical conditions such as emergency presentations, trauma, resuscitation, and organ donation are featured to explore some of the more complex or unique aspects of specialty critical care nursing practice.

Civetta, Taylor, & Kirby's Critical Care

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Author :
Publisher : W. W. Norton & Company
ISBN 13 : 9780781768696
Total Pages : 2816 pages
Book Rating : 4.7/5 (686 download)

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Book Synopsis Civetta, Taylor, & Kirby's Critical Care by : Andrea Gabrielli

Download or read book Civetta, Taylor, & Kirby's Critical Care written by Andrea Gabrielli and published by W. W. Norton & Company. This book was released on 2009 with total page 2816 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in its fourth edition, this leading critical care textbook contains more than 30 new chapters and completely updated information. The book addresses every problem encountered in the intensive care unit and covers surgical critical care more thoroughly than any other text.

Critical Illness and Emergency Surgery: Prepare for the MRCS E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0702068152
Total Pages : 238 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Critical Illness and Emergency Surgery: Prepare for the MRCS E-Book by : William E. G. Thomas

Download or read book Critical Illness and Emergency Surgery: Prepare for the MRCS E-Book written by William E. G. Thomas and published by Elsevier Health Sciences. This book was released on 2015-04-07 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: For over 30 years Surgery has been at the forefront of providing high quality articles, written by experienced authorities and designed for candidates sitting the Intercollegiate surgery examinations. The journal covers the whole of the surgical syllabus as represented by the Intercollegiate Surgical Curriculum. Each topic is covered in a rolling programme of updates thus ensuring contemporaneous coverage of the core curriculum. For the first time the articles on critical care and emergency surgery are now available in ebook format. This collection of approximately 40 articles will be ideal for revision for the Intercollegiate MRCS examination as well as a useful update for all seeking to keep abreast with the latest advances in this particular branch of surgery - All the articles are written to correspond with the Intercollegiate Surgical Curriculum. - These high-calibre and concise articles are designed to help you pass the MRCS examinations. - The ebook contains both basic scientific and clinical articles. - Also includes both related MCQ and extended matching questions to test your understanding of the contents.

Evidence-Based Practice of Critical Care E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323394175
Total Pages : 691 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Evidence-Based Practice of Critical Care E-Book by : Clifford S. Deutschman

Download or read book Evidence-Based Practice of Critical Care E-Book written by Clifford S. Deutschman and published by Elsevier Health Sciences. This book was released on 2015-11-26 with total page 691 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence-Based Practice of Critical Care, 2nd Edition, presents objective data and expert guidance on managing critically ill patients in unique question-based chapters that focus on best practices. Now thoroughly updated by Drs. Clifford S. Deutschman, Patrick J. Neligan, and nearly 200 critical-care experts, this highly regarded title remains the only book of its kind that provides a comprehensive framework for translating evidence into practice, making it a valuable resource for both residents and practitioners. Tap into the expertise of nearly 200 critical-care experts who discuss the wide variety of clinical options in critical care, examine the relevant research, and provide recommendations based on a thorough analysis of available evidence. Think through each question in a logical, efficient manner, using a practical, consistent approach to available management options and guidelines. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches. Navigate a full range of challenges from routine care to complicated and special situations. Stay up to date with new issues and controversies such as the redefinition of sepsis • changing approaches to fluid administration • immune suppression in sepsis • monitoring the microcirculation • the long-term sequelae of critical illness • minimizing ventilator associated lung injury • the benefits of evidence-based medicine management guidelines • rapid response teams • and more. Benefit from all-new sections covering persistent critical illness and the role of advanced practice nurses and physician assistants in the ICU.

Evaluating Critical Care

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3642567193
Total Pages : 387 pages
Book Rating : 4.6/5 (425 download)

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Book Synopsis Evaluating Critical Care by : William J. Sibbald

Download or read book Evaluating Critical Care written by William J. Sibbald and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 387 pages. Available in PDF, EPUB and Kindle. Book excerpt: Measuring the quality of a complex service like critical care that combines the highest technology with the most intimate caring is a challenge. Recently, con sumers, clinicians, and payers have requested more formal assessments and comparisons of the quality and costs of medical care [2). Donabedian [1) pro posed a framework for thinking about the quality of medical care that separates quality into three components: structure, process, and outcome. An instructive analogy for understanding this framework is to imagine a food critic evaluating the quality of a restaurant. The critic might comment on the decoration and lighting ofthe restaurant, how close the tables are to each other, the extent ofthe wine list and where the chef trained. These are all evaluations of the restaurant structure. In addition, the critic might comment on whether the service was courteous and timely - measures of process. Finally, the critic might comment on outcomes like customer satisfaction or food poisoning. Similarly, to a health care critic, structure is the physical and human resources used to deliver medi cal care. Processes are the actual treatments offered to patients. Finally,outcomes are what happens to patients, for example, mortality, quality of life,and satisfac tion with care (Table 1). There is a debate about which of these measurements is the most important measure of quality.