Current Surgical Guidelines


Book Description

Back for a second edition, Current Surgical Guidelines has been fully updated to reflect changes in guidelines across the surgical sub-specialities since its first publication. Drawing together printed and digital guidelines from the Scottish Intercollegiate Guidelines Network (SIGN), the National Institute for Health and Clinical Excellence (NICE), and relevant US guidelines, this book acts as a valuable complete and comprehensive reference for those embarking on their surgical training, revising for exams, or for senior staff as an aide-memoire. Guidelines have been distilled into summary tables, and topics are formulated to answer most real-life clinical practice questions with contemporary facts and figures, decision recommendations, and treatment options. New chapters on hernias, skin malignancies, trauma, and medicolegal practice have been added to increase fresh challenges facing the contemporary surgical trainee.




Crisis Standards of Care


Book Description

During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable health care providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them. Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges.




Aacn Scope and Standards for Acute and Critical Care Nursing Practice


Book Description

Standards for Acute and Critical Care Nursing Practice describes the practice of the nurse who cares for an acutely or critically ill patient. The measurement criteria, which details how nurses meet each standard; were evaluated and revised to reflect the unique aspects of acute and critical care nursing practice. This volume has incorporated the AACN Synergy Model for Patient Care language within the Standards and Measurement Criteria.




Crisis Standards of Care


Book Description

Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.




AACN Core Curriculum for Pediatric High Acuity, Progressive, and Critical Care Nursing


Book Description

AACN Core Curriculum for Pediatric High Acuity, Progressive, and Critical Care, Third Edition, provides content required to deliver the best care for critically ill or injured children. As acuity increases in all inpatient departments and the practice of pediatric critical care expands beyond the acute phase of illness or injury, knowledge of pediatric critical care is more essential than ever. Pediatric acute and critical care nurses find themselves handling not only their patients, but care of their families and management of an interprofessional team of caregivers. With emphasis on evidence-based care and professionalism, this essential resource captures the professional role of the pediatric critical care nurse and the nurse’s contributions to the process of continuous quality improvement. Ideal for pediatric critical care and acute care nurses, high acuity/critical care courses, and continuing education, AACN Core Curriculum for Pediatric High Acuity, Progressive, and Critical Care, Third Edition, contains core AACN guidelines for the highest quality nursing practice. The text covers anatomic, physiologic, cognitive, and psychosocial changes that occur throughout the pediatric lifespan. Chapters are systems focused and review developmental anatomy and physiology, clinical assessment, pharmacology, diagnostic tests, and therapeutic procedures. For each type of disease and injury, information is provided on pathophysiology, etiology, risk factors, signs and symptoms, nursing and collaborative interprofessional management, and complications. New to the Third Edition: Updated to include current patient management and the latest pediatric drug information Contains a completely new chapter on professional nursing issues, including quality, safety, communications, teamwork, work environment, and personal wellness Provides revised case studies and review questions/answers reflecting the latest version of the CCRN® Pediatric exam Key Features: Delivers comprehensive, current information for nursing students and those preparing for the CCRN® Pediatric exam Content is based on the most current standards of care, scope of practice, national guidelines, key AACN initiatives, and the AACN Certification Corporation Pediatric CCRN® Test Plan Presented in easy-to-read outline format for quick access to information Written and endorsed by AACN and AACN-affiliated subject matter experts Provides case studies to illustrate patient scenarios Discusses the application of AACN’s Synergy Model for Patient Care in pediatric high acuity and critical care nursing practice Includes in-depth coverage of multisystem problems such as multiple trauma, toxicology, septic shock, and burns




Acute and Critical Care in Adult Nursing


Book Description

This book helps adult nursing students to competently manage care of critically and acutely ill patients, and to recognize and deal with the early signs of deterioration. The book takes a practical real-life approach to care, with each chapter focusing on patients with specific problems, then interweaving the knowledge and skills needed to care for that patient. New to this edition: · two new chapters focusing on the renal system and endocrine system · updates to include the latest evidence and guidelines from NICE · refreshed activities and scenarios reflecting current nursing practice.




Evidence-Based Practice of Critical Care E-book


Book Description

Evidence-Based Practice of Critical Care, edited by Drs. Clifford S. Deutschman and Patrick J. Neligan, provides objective data and expert guidance to help answer the most important questions challenging ICU physicians today. It discusses the clinical options, examines the relevant research, and presents expert recommendations on everything from acute organ failure to prevention issues. An outstanding source for "best practices" in critical care medicine, this book is a valuable framework for translating evidence into practice. Gain valuable evidence-based recommendations on key topics such as acute organ failure, infection, sepsis and inflammation, and prevention issues pointing the way to the most effective approaches. Get an overview of each question, an outline of management options, a review of the relevant evidence, areas of uncertainty, existing management guidelines, and authors’ recommendations. Navigate a full range of challenges from routine care to complicated and special situations. Find the information you need quickly with tables that summarize the available literature and recommended clinical approaches.




Textbook of Critical Care


Book Description

A new multimedia e-dition package includes the book and CD-ROM plus access to the continuously updated website! The website (http://www.criticalcaretext.com) also offers links to important websites, calculators, the full text online, and all the illustrations--downloadable for presentations. A completely new editorial team presents the radical revision to this leading critical care text, previously edited by Shoemaker et al. Today's best coverage of both adult and pediatric critical care, with contributions from an impressive roster of world experts. In addition to numerous new chapters and many extensively rewritten ones, it features a completely new section on commonly encountered problems and a new, more user-friendly organization. Covers both adult and pediatric critical care. Features the authority of the top names in critical care from around the world, including an outstanding new editorial team as well as authors who are among the most highly respected researchers, instructors, and clinicians in the field. Offers a brand-new section that provides quick access to practical guidance on the problems most frequently encountered in the ICU. Explores hot new topics such as Inter- and Intra-Hospital Transport, Disaster Medicine for the ICU Physician, and Teaching Critical Care. Provides a new, more user-friendly organization. Presents only the most essential references within the text, with the rest provided on the enclosed CD-ROM. Is available in a multimedia package that combines the book with access to a fully searchable, continuously updated web site!. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.




Core Topics in Critical Care Medicine


Book Description

The critical care unit manages patients with a vast range of disease and injuries affecting every organ system. The unit can initially be a daunting environment, with complex monitoring equipment producing large volumes of clinical data. Core Topics in Critical Care Medicine is a practical, comprehensive, introductory-level text for any clinician in their first few months in the critical care unit. It guides clinicians in both the initial assessment and the clinical management of all CCU patients, demystifying the critical care unit and providing key knowledge in a concise and accessible manner. The full spectrum of disorders likely to be encountered in critical care are discussed, with additional chapters on transfer and admission, imaging in the CCU, structure and organisation of the unit, and ethical and legal issues. Written by Critical Care experts, Core Topics in Critical Care Medicine provides comprehensive, concise and easily accessible information for all trainees.




Design for Critical Care


Book Description

It is now widely recognized that the physical environment has an impact on the physiology, psychology, and sociology of those who experience it. When designing a critical care unit, the demands on the architect or designer working together with the interdisciplinary team of clinicians are highly specialized. Good design can have a hugely positive impact in terms of the recovery of patients and their hospital experience as a whole. Good design can also contribute to productivity and quality of the work experience for the staff. 'Design for Critical Care' presents a thorough and insightful guide to the very best practice in intensive care design, focusing on design that has been successful and benefi cial to both hospital staff and hospital patients. By making the connection between research evidence and design practice, Hamilton and Shepley present an holistic approach that outlines the future for successful design for critical care settings.