دانلود کتاب بخش اورژانس احیای بیماران بدخیم

As emergency care providers, we rise to our professional best when evaluating, diagnosing, and providing life-sustaining therapies to critically ill patients. Whether performing rapid sequence intubation, initiating and adjusting mechanical ventilation, titrating vasoactive medications, administering intravenous fluids, or initiating extracorporeal membrane oxygenation, the emergency physician must be an expert at resuscitation. In recent years, it has become common for critically ill patients to remain in the acute setting for exceedingly long periods of time. In fact, the amount of critical care delivered in emergency departments across the United States has escalated more than 200% over the last decade! During these crucial initial hours of critical illness, many pathological processes begin to take hold — processes that, if not recognized and reversed, will undoubtedly lead to poor outcomes. During this time, lives can be saved — or lost. With these critical scenarios in mind, we have prepared this textbook for the acute health care provider working in an emergency department, urgent care center, or intensive care unit. Rather than discuss general medical conditions, we have emphasized scenarios in which a patient is “crashing” before your eyes. We have focused on caring for the sickest of the sick: the unstable patient with undifferentiated shock; the crashing ventilated patient; the crashing patient with pulmonary hypertension, septic shock, or cardiogenic shock; the crashing obese patient; and the hypotensive patient with a left ventricular assist device. You’ll also find imperative information about managing pediatric and neonatal resuscitation, intracerebral hemorrhage, and the difficult emergency delivery.