دانلود کتاب رویکردهای بالینی به پزشکی بیمارستانی

Welcome to the second edition of Clinical Approaches to Hospital Medicine: Advances, Updates and Controversies. As this text is completed, my colleagues and I are recovering from the devasting impact of Hurricane Ida. The rapidly intensifying storm made land fall as category 4 hurricane near New Orleans. Here, in southern Louisiana, we are ground zero for the effects of climate change and severe weather events. It is no longer an abstract concept. Climate change directly affects the practice of medicine in this region on a daily basis. After landfall of hurricane Ida, several regional hospitals and nursing homes were closed due to damage, and patients were urgently transferred to functioning locations. The impact on areas south of New Orleans was devastating and its recovering, including its healthcare infrastructure, will take years. Many of our most vulnerable patients were particularly impacted. Oxygen tanks ran out, dialysis centers lacked clean water, and nursing homes struggled to meet the basic needs of their residents. The fragile network that supports these patients was suddenly gone. As expected, our emergency rooms and hospital services were stretched beyond their capacity.