Famous First Papers for the Neurointensivist


Book Description

A major contribution to the literature in neurology from renowned neurointensivist Eelco F.M. Wijdicks, MD, PhD, Famous First Papers for the Neurointensivist presents and critically assesses numerous papers that have made a profound impact on the diagnosis and treatment of neurologically acute conditions. In general, there has been little historical work in acute neurologic conditions, precisely because neurology is not perceived through this perspective. Famous First Papers for the Neurointensivist addresses this problem by a scholarly treatment of early descriptions of clinical signs, syndromes and presenting the development of treatment of these acute disorders. Using a uniform and easy-to-read format, the title offers a clear reproduction of each paper’s title page, a short historical note, and a brief discussion and its implications, and a final comment to provide perspective. Landmark clinical trials that apply to acute neurology are included, and the book also briefly discusses the birth of intensive care units. Ground-breaking and indispensable for all physicians and researchers interested in neurocritical care, Famous First Papers for the Neurointensivist is a unique, original reference, providing not only a single source for discovering the most important papers in the field but also a critical analysis of the impact of each paper on the development of neurocritical care. "Dr Wijdicks has been integral to the growth and development of neurocritical care as a specialty. He has cultivated it firsthand, serving as a contemporary of Raymond Adams, C. Miller Fisher, and Allan Ropper, all pioneers in acute neurological care. He established the neurocritical care program at the Mayo Clinic in the early 1990s and has served as the editor in chief of the journal Neurocritical Care, which was first published in 2004 after the foundation of the Neurocritical Care Society. His unique vantage point allows him to bring us a book that few others could produce, Famous First Papers for the Neurointensivist. This book is an original in the field and should be on the reading list of anyone who cares for critically ill neurologic and neurosurgical patients... Reading this book from cover to cover is highly recommended. The writing is clear and concise, and the transitions are smooth. Each essay is self-contained and allows the reader to set his or her own pace. Once completed,the book serves as a great reference book because each essay stands on its own. The photographs of the manuscripts' title pages and key tables and figures are of high quality, and a translation is provided if the original work was not in English... Dr Wijdicks has sifted through the library stacks and has emerged with a book that puts the specialty of neurocritical care into historical perspective. In order to know where you are going, you must first know where you have been. This holds especially true for neurocritical care because the specialty continues to grow and flourish." -- JAMA NEUROL/VOL 70 (NO. 4), APR 2013 WWW. JAMANEURO.COM




Landmark Papers in Neurology


Book Description

Current understanding of neurological disease has been evolving over the past 150 years. With the increasing and earlier sub-specialization of neurology trainees, and their variable exposure to higher academic study, there is little opportunity to put this development into a historical context as a whole. Understanding the 'evidence-base', or appreciating the lack of it in some cases, is an important part of training but this is rarely presented in a palatable, entertaining form. Part of the Landmark Papers in series, this book brings together the ten most important papers for each sub-speciality within neurology, covering the full range of major neurological conditions. Papers have been selected by leading international experts, who not only summarize what each paper showed, but place them into a wider context that makes a coherent story of how their sub-speciality has developed.




Ethics and Law for Neurosciences Clinicians


Book Description

The brain represents the final frontier in medical sciences. Clinical neurosciences include the subspecialties of neurology, neurosurgery, neuro-imaging, cerebrovascular interventional specialties, neurocritical care, and the allied specialties in pharmacy and nursing. The first lens through which we see our patients is the clinical perspective; however, the complexity of neurosciences and the rapidity of the advances in these subspecialties require that clinicians not lose sight of the personhood of the patients, the professionalism required in the care of these complex patients, or the regulatory environment in which we practice. Science and technology are advancing more rapidly than regulations or the law can interpret and integrate them into a supportive or regulatory framework. Thus, morality, ethics, and the law comprise the final lens through which we approach complex patient management issues, frame our communications with patients and families, and evaluate the risks and potential benefits of new technology. Ethics and Law for Neurosciences Clinicians is written for all clinicians in the neurosciences specialties to examine and re-examine the ethical and legal implications of advances in clinical neurosciences.




The Medico-Legal Development of Neurological Death in the UK


Book Description

Diagnosis of death by neurological criteria (DNC) is a construct which has been part of the British medico-legal landscape for nearly half a century. This book examines the factors behind its emergence, and discusses the various changes that took place in the last few decades that culminated in the current definition and clinical criteria for determining brain-based death. It highlights the continuities and discontinuities in practice, and the impact they have on the issue of withdrawal of mechanical ventilation in intensive care units and on the field of organ transplantation. The book also explores the law’s response to the introduction and development of DNC in clinical practice. It demonstrates how the legitimacy of the definition and criteria used by the medical profession were forged in the courtroom rather than in Parliament. It documents why case law were introduced in court, and assesses whether organ donation was a consideration in the deliberations. It will be emphasised that courts have given insufficient consideration to requests made in recent cases to consider a broader range of methods to determine death. Those pleas were made on the grounds that the definition and criteria used in the UK are dissimilar to those used in other jurisdictions that also adopt DNC; and that faith communities have a different understanding of death. By taking a close look at those other approaches before highlighting the inherent limitations of the courtroom as the forum that confers DNC its legitimacy, the book puts forward the argument that the democratic process should be engaged.




The Comatose Patient


Book Description

The Comatose Patient, Second Edition, is a critical historical overview of the concepts of consciousness and unconsciousness, covering all aspects of coma within 100 detailed case vignettes. This comprehensive text includes principles of neurologic examination of comatose patients as well as instruction of the FOUR Score coma scale, and also discusses landmark legal cases and ethical problems. As the Chair of Division of Critical Care Neurology at Mayo Clinic, Dr. Wijdicks uses his extensive knowledge to discuss a new practical multistep approach to the diagnosis of the comatose patient. Additionally, this edition includes extensive coverage of the interpretation of neuroimaging and its role in daily practice and decision making, as well as management in the emergency room and ICU. Dr. Wijdicks details long-term supportive care and an appropriate approach to communication with family members about end-of-life decision making. In addition, video clips on neurologic examination and neurologic manifestations seen in comatose patients can be found here: http://oxfordmedicine.com/comatosepatient2e. All video recordings from the first edition have been reformatted and remastered for optimal use, and several more video clips of patients have also been included.




Neurointensive Care Unit


Book Description

This book offers valuable guidance to neurointensivists, other neurocritical care staff, and those desiring to develop a neurocritical care unit via a thorough discussion of neurological emergencies and neurocritical care unit organization. This comprehensive volume begins with a review of acute neurological emergencies as managed clinically in the neurocritical care unit. Topics include acute cerebrovascular, neurological, and neurosurgical disorders. The unique aspect of this book is its description of the organization of the neurocritical care unit. We focus on how other services in the hospital interact with and assist neurocritical care operations, telemedicine/telestroke, and neurocritical care personnel and their roles. A review of expected outcomes of neurocritical care conditions is also included. Neurointensivists, neurocritical care unit staff leadership, hospital administrators, and those interested in developing a neurocritical care unit will find Neurointensive Care Unit: Clinical Practice and Organization to be an invaluable guide.




Neurocritical Care


Book Description

Part of the "What Do I Do Now?" series, Neurocritical Care provides insight into interventions in acute neurologic disorders. Using a case-based approach, this volume emphasizes how to handle comparatively common clinical problems emergently.




Examining Neurocritical Patients


Book Description

This indispensable title rethinks the neurologic examination in a format tailored, modified, and specialized for neurocritical illness. Generously illustrated, this book provides a detailed clinical assessment of the acutely ill neurologic patient. It explains why certain neurologic signs appear and provides fundamentals of localization. Certain situations demand certain structured examinations. Eventually, all information has to be integrated logically. Different examination techniques may be needed. Recognition of deterioration and increased vigilance with important mimickers and confounders are part of our professional fabric. Other necessary skills include predicting a clinical course and outcome, coordinating effective transfers of unstable patients, and communicating expected clinical changes. Neurologists traditionally have carefully considered the examination findings before acting and localized findings before ordering tests; these heuristics must remain. An indispensable title designed for all learners, Examining Neurocritical Patients preserves the beauty of a comprehensive clinical neurologic examination and serves as a high-yield master class for every health care professional tasked with clinical assessment of a neurocritically ill patient.




Concussions in Athletics


Book Description

Now in a fully revised and expanded second edition, this comprehensive text remains a timely and major contribution to the literature that addresses the neuromechanisms, predispositions, and latest developments in the evaluation and management of concussive injuries. Concussion, also known as mild traumatic brain injury, continues to be a significant public health concern with increased attention focusing on treatment and management of this puzzling epidemic as well as controversies within the field. The book is comprised of five thematic sections: current developments in evaluation; biomechanical mechanisms; neural substrates, biomarkers, genetics and brain imaging; pediatric considerations; and clinical management and rehabilitation. Since the publication of the original edition in 2014, much has changed regarding the current understanding of mild traumatic brain injury including development of more precise imaging modalities, development and classification of new biomarkers, and updates to clinical treatment and management of athletic concussion. This new edition will include new chapters targeting the influence of genetics on concussive injury, as well as an expansion on the knowledge of pediatric response to concussion and the influence of repetitive subconcussive impacts on athlete health. An invaluable contribution to the literature, Concussions in Athletics: From Brain to Behavior reestablishes itself as a state-of-the-art reference that will be of significant interest to a wide range of clinicians, researchers, administrators, and policy makers, and this updated version aims to narrow the gap between research findings and clinical management of sports-related concussion and other mild traumatic brain injury. The second edition also attempts to broaden the scope of the knowledge to apply to more professionals and pre-professionals in the fields of neuroscience, neuropsychology, and other allied health professionals that closely work with athletes and sports medicine professionals.




Death by Cyanide


Book Description

At just forty-one years old, Dr. Autumn Klein, a neurologist specializing in seizure disorders in pregnant women, had already been named chief of women's neurology at Pittsburgh's largest health system. More than just successful in her field, Dr. Klein was beloved - by her patients, colleagues, family, and friends. She collapsed suddenly on April 17, 2013, writhing in agony on her kitchen floor, and died three days later. The police said her husband, Dr. Robert Ferrante, twenty-three years Klein's senior, killed her through cyanide poisoning. Though Ferrante left a clear trail of circumstantial evidence, Klein's death from cyanide might have been overlooked if not for the investigators who were able to use Ferrante's computer, statements from the staff at his lab, and his own seemingly odd actions at the hospital during his wife's treatment to piece together what appeared to be a long-term plan to end his wife's life. In Death by Cyanide, Paula Reed Ward, reporter for the Pittsburgh Post-Gazette, describes the murder investigation and the trial in this sensational case, taking us from the poisoning and the medical staff's heroic measures to save Klein's life to the investigation of Ferrante and the emotion and drama inside the courtroom.