9781405161398

Table of Contents


	Preface	6
	Acknowledgements	7
	Units, Symbols and Abbreviations	8
PART 1	GENERAL
1	Recognizing the Unwell Patient	12
2	Admission and Ongoing Management of the Acutely Unwell Patient	14
3	Monitoring in Acute and Critical Care Medicine	16
4	Oxygen Transport	18
5	Cardiopulmonary Resuscitation	20
6	Shock	22
7	Circulatory Assessment	24
8	Fluid Management	26
9	Fluid Choice: Specific Situations	28
10	Inotropes and Vasopressors	29
11	Failure of Oxygenation and Respiratory Failure	30
12	Oxygenation and Oxygen therapy	32
13	Airways Obstruction and Management	34
14	Non-Invasive Ventilation	36
15	Endotracheal Intubation	38
16	Mechanical Ventilation	40
17	Respiratory Management, Weaning and Tracheostomy	42
18	Arterial Blood Gases and Acid-Base Balance	44
19	Analgesia, Sedation and Paralysis	46
20	Enteral and Parenteral Nutrition	48
21	Hypothermia and Hyperthermia	50
22	SIRS, Sepsis, Severe Sepsis and Septic Shock	52
23	Hospital-Acquired (Nosocomial) Infections	54
24	End of Life Issues	56
PART 2	MEDICAL
	Cardiac
25	Acute Coronary Syndromes I: Clinical Pathophysiology	58
26	Acute Coronary Syndromes II: Investigations and Management	60
27	Arrhythmias	62
28	Heart Failure and Pulmonary Oedema	64
29	Cardiac Emergencies	66
30	Deep Venous Thrombosis and Pulmonary Embolism	68
	Respiratory
31	Community-Acquired Pneumonia	70
32	Hospital-Acquired (Nosocomial) Pneumonia	72
33	Asthma	74
34	Chronic Obstructive Pulmonary Disease	76
35	Acute Respiratory Distress Syndrome	78
36	Pneumothorax and Air Leaks	80
37	Respiratory Emergencies	82
	Renal and Metabolic
38	Acute kidney Injury: Pathophysiology and Clinical Aspects	84
39	Acute Kidney Injury: Management and Renal Replacement therapy	86
40	Diabetic Emergencies	88
41	Endocrine Emergencies	90
	Gastrointestinal
42	Gastrointestinal Haemorrhage	92
43	Acute Liver Failure	94
44	Acute Pancreatitis	96
	Neurological
45	Acute Confusional State, Coma and Status Epilepticus	98
46	Neurological Emergencies: Cerebrovascular Accidents	100
47	Neurological Emergencies: Infective	101
48	Neuromuscular Conditions	102
	Other Systems
49	Coagulation Disorders and Transfusion	104
50	Drug Overdose and Poisoning	106
51	The Immune Compromised Patient	108
PART 3	SURGICAL
52	Trauma	110
53	Head Injury	112
54	Chest Trauma	114
55	Acute Abdominal Emergencies	116
56	Obstetric Emergencies	118
57	Bums, Toxic Inhalation and Electrical Injuries	120
PART 4	SELF-ASSESSMENT
	Case Studies and Questions	122
	Case Studies Answers	125
APPENDICES
Appendix I	Classification of Antiarrhythmic Drugs	132
Appendix II	Acute Injury Network Staging System 2008 for Acute Kidney Injury	132
Appendix III	Rockall Risk-Scoring System for GI Bleeds	133
Appendix IV	Child-Pugh Grading	133
Appendix V	Typical Criteria for Liver Transplantation	133
	Index	135