دانلود کتاب کتاب درسی اورژانس بزرگسالان

The discipline of emergency medicine continues to grow, and the subspecialties continue to expand in breadth and number. Since the first edition of this book 20 years ago, there has been enormous change in the way emergency care is delivered. This has occurred both in countries where emergency medicine originally developed and in those where it was originally felt that it might not have a role because it was a ‘first-world’ specialty, limited in application because of cost. The World Health Organization is now completely changing this view and regards emergency medicine as the cornerstone of response to acute illness, even in countries with very limited resources. An emergency medicine program provides essential structure to develop a response to disasters, epidemics and humanitarian crises. The importance of emergency medicine in ensuring an appropriate response to all acute medical problems is also becoming more obvious. This edition covers not only specific medical emergencies such as cardiac, neurological and respiratory emergencies, it also covers the complex organizational issues for disaster planning and response, humanitarian emergencies and refugee medicine. A further feature of this book is that governance, training, research and organizational subjects are covered, to give the reader some frameworks to understand the complexity of managing major emergency systems of care. The clinical subjects in this edition have all been extensively reviewed and updates provided. There have been major updates in some of the clinical chapters, such as airway, shock and sepsis, because guidelines have changed rapidly. The imaging chapters have also evolved with changing practice, improved technology and evidence for inclusion of emergency physician interpretation of imaging becomes more robust. Despite the rapid escalation of topics and depth of potential content, we have tried to keep the book to a manageable length, to ensure accessibility for readers. As part of this process, we have moved many of the references online, so that readers who are interested can still access more detailed information. We have also moved many images and photos online to reduce printed matter. The additional material can be found in the free e-book that comes with the printed version— see inside front cover. In a book of this size and complexity, there are many people to thank—more than 200 contributing authors from around the world, and their family and friends who were deprived of their company whilst writing the chapters! The production staff from Elsevier was extremely helpful, especially Fiona Conn for overall coordination. A special thanks to Angela Hodges, for assisting the editors and authors to complete the book in a reasonable timeframe.