Monday, January 29, 2007

Oxford Handbook of Critical Care

Of all the medical specialties, few if any are as exacting and complex as critical care medicine. All members of the multidisciplinary team caring for critically ill patients require a sound knowledge of physiology, pathophysiology, biochemistry, technology and pharmacology.
The new edition of this enormously popular Oxford Handbook describes best practice in critical care in a succinct, concise, clinically orientated way. It covers therapeutic and monitoring devices, drugs and fluids, specific organ system disorders and complications, and general management philosophies. Ample space is provided to append or amend sections to suit local protocols and particular practices.
The Oxford Handbook of Critical Care will serve the consultant, junior doctor, nurse or other paramedical staff as a reference book, aide memoire and handy pocket book providing rationales and solutions to most of the problems encountered.

Book details:
Author:by Mervyn Singer, Andrew R
Publisher:Oxford University Press; 2Rev Ed edition (30 April 2005)
Size:3,115 MB


Sunday, January 28, 2007

Emergency Medical Services:At the Crossroads

Emergency Medical Services (EMS) is a critical component of our nation s emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems.

Book details:
Author:Committee on the Future of Emergency Care in the United States Health System Publisher:The National Academies Press
Size:2.706 MB


911 Responding for Life: Case studies in Emergency

Responding for Life is a self-directed study guide of case studies in emergency care. It integrates the theoreticial knowledge of prehospital emergency medicine with the critical thinking skills of assessment and intervention. This user-friendly resource focuses on a sytematic approach to problem-solving emergency patient care. (KEYWORDS: EMS, Emergency Care, EMT)

Book details:
Author: James Whittle
Publisher:Thomson Delmar Learning; 1 edition (May 8, 2001)
Size:594 KB

Saturday, January 27, 2007

Miller's Anesthesia, 6th Edition

"Miller's Anesthesia is without a doubt a complete and thorough reference of current knowledge in the field of anesthesia. Its strenght lies in its use of a wide range of recognized authors, contributors, and consulting editors, as well as a plethora of scientific information and extremely well-referenced chapters. Miller's Anesthesia is a reference text that every clinician should own or, at the very least, have access to. There are other reference books that provide quick summaries of various topics, but they should not be a replacement for such an in-depth and complete text.
There are significant new chapters in the Sixth Edition. Some of these reflect the importance of new developments in medicine and society as they relate to anesthesia. Perhaps chief among these is the chapter about medical concerns associated with chemical and biologic warfare. Other new additions include chapters about implantable cardiac pulse generators, perioperative blindness, anesthesia for robotic surgery, and human performance in patient safety. It is worth noting that, by and large, the existing chapters from previous additions seem to have been updated with more recent information. In fact, some of these chapters are by new authors and have been completely revised.

Table of Contents

1. History of Anesthetic Practice

2. Scope of Modern Anesthetic Practice

3. Basic Principles of Pharmacology Related to Anesthesia
4. Mechanisms of Action
5. Uptake and Distribution

6. Pulmonary Pharmacology
7. Cardiovascular Pharmacology

8. Metabolism and Toxicity of Inhaled Anesthetics
9. Inhaled Anesthetic Delivery Systems
10. Intravenous Nonopioid Anesthetics
11. Intravenous Opioid Anesthetics
12. Intravenous Drug Delivery Systems
13. Pharmacology of Muscle Relaxants and Their Antagonists

14. Local Anesthetics
15. Complementary and Alternative Therapies
16.. The Autonomic Nervous System
17. Respiratory Physiology and Respiratory Function During Anesthesia
18. Cardiac Physiology
19. Hepatic Physiology

20. Renal Physiology
21. Cerebral Physiology and the Effects of Anesthetics and Techniques
22. Neuromuscular Physiology and Pharmacology

23. Outcomes and Statistics in Anesthesia
24. Risk of Anesthesia
25. Preoperative Evaluation

26. Pulmonary Function Testing
27. Anesthetic Implications of Concurrent Diseases
28.. Patient Positioning
29. Malignant Hyperthermia
30. Fundamental Principles of Monitoring Instrumentation
31. Monitoring Depth of Anesthesia
32. Cardiovascular Monitoring

33. Transesophageal Echocardiography
34. Electrocardiography

35. Implantable Cardiac Pulse Generators: Pacemakers and Cardioverter-Defibrillators
36. Respiratory Monitoring
37. Renal Function Monitoring

38. Neurologic Monitoring
39. Neuromuscular Monitoring
40. Temperature Monitoring
41. Acid-Base Balance
42. Airway Management

43. Spinal, Epidural, and Caudal Anesthesia
44. Nerve Blocks
45. Regional Anesthesia in Childern
46. Fluid and Electrolyte Physiology
47. Transfusion Therapy
48. Autologous Transfusion
49. Anesthesia for Thoracic Surgery
50. Anesthesia for Adult Cardiac Surgery
51. Anesthesia for Pediatric Cardiac Surgery
52. Anesthesia for Vascular Surgery
53. Neurosurgical Anesthesia

54. Anesthesia and the Renal and Genitourinary Systems
55. Anesthesia and the Hepatobiliary System
56. Organ Transplantation
57. Anesthesia for Laparoscopic Surgery
58. Anesthesia for Obstetrics
59. Resuscitation of the Newborn
60. Pediatric Anesthesia
61. Anesthesia for Orthopaedic Surgery

62. Anesthesia for the Elderly
63. Anesthesia for Trauma
64. Civil Chemical & Biologic Warfare, with Emphasis on the Role of the Anesthesiologist
65. Anesthesia and Eye, Ear, Nose, and Throat Surgery
66. Anesthesia for Robotic Surgery
67. Anesthesia for Laser Surgery
68. Outpatient Anesthesia
69. Anesthesia at Remote Locations
70. Clinical Care at Altered Environmental Pressure
71. The Postanesthesia Care Unit
72. Acute Postoperative Pain
73. Chronic Pain
74. Overview of Anesthesiology and Critical Care Medicine
75. Respiratory Care
76. Pediatric and Neonatal Intensive Care
77. Nutritional Aspects
78. Cardiopulmonary Resuscitation: Basic and Advanced Cardiac Life Support
79. Brain Death
80. Finding Professional Information on the Internet
81. Quality Assurance/Quality Improvement
82. Perioperative Blindness
83. Human Performance and Patient Safety
84. Patient Simulation
85. Teaching Anesthesia
86. Operating Room Management
87. Electrical Safety in the Operating Room

88. Environmental Safety Including Chemical Dependency
89. Ethical and Legal Aspects of Anesthesia Care

Book details:
Author:Ronald Miller
Publisher:Churchill Livingstone; 6th edition (Sep 22 2004)
Size : 97.159 MB
Format: pdf

Download part 1
Download part 2


Epidural Analgesia in Acute Pain Management

Epidurals are increasingly popular and have become more versatile, with applications in adult surgery, trauma, obstetrics and paediatric practice. This book of best practice guidelines aims to help develop and improve patient care, stimulate learning and highlight ideas for nursing research. It can be used as a quick reference guide for clinical practice or as a framework for developing individual local epidural services and practice guidelines.
  • outlines the specific responsibilities of the multidisciplinary healthcare team in relation to epidural practice
  • reviews the issues of risk benefit analysis and informed consent
  • provides an overview of the physiology of acute pain, epidural catheter insertion procedure and the pharmacodynamics and pharmacokinetics of the commonest classes of drugs
  • describes the equipment required to ensure safe and effective delivery of epidural solution to patients

An overview of the nature and frequency of the observations required for close monitoring of patients and a practical guide to the removal of the catheter are also provided. Clinical governance and competency-based training are also addressed, and a framework provided to fit the training into the Agenda for Change Knowledge and Skills framework.

Book details:
Author:Carolyn Middleton
Publisher: Wiley (April 7, 2006)
Size:668 KB


Friday, January 26, 2007

Us Army Medical Course - Routine Procedures For An Operation

When you are assigned to scrub or to circulate for an operation, you are expected to
perform a series of tasks in the manner established by local policy and in the order
prescribed. These tasks begin with the preparation for the surgical procedure and
continue until the case is finished and the cleanup of the room is complete.
The tasks are done so as to protect the sterile setup, to prevent fires and explosions,
and to expedite the surgical procedure. The underlying purpose of all the tasks is to
afford maximum protection to the patient while rendering the best care possible.

Lesson 1. Introduction to the Operating Room
Lesson 2. Cleaning the Operating Room Suite
Lesson 3. Preparation of the Operating Room for Surgery
Lesson 4. Procedures During and Following Surgery

Book details:
Author:U.S. Army Medical Department Center and School
Publisher:U.S. Army Medical Department Center and School


Size:980 KB



US Army medical course - Introduction to the Operating Room

A patient scheduled for surgery will have his operation performed by specially trained personnel working in a highly specialized area of the hospital. This area--the operating room (OR) suite--has an environment suited to its needs, but one quite different from that in the rest of the hospital. All activities in the OR suite are centered around the best possible care of the patient. The purpose of this course is to familiarize you with certain aspects of the OR environment that will provide you with a basis for understanding your role as an OR specialist and enable you to enhance the performance of duties assigned to you in the care of the patient.

Lesson 1, Orientation.
Lesson 2, Operating Room Personnel, Policies, and Nomenclature.
Lesson 3, Safety in the Operating Room.

Book details:
Author:U.S. Army Medical Department Center and School
Publisher:U.S. Army Medical Department Center and School


Size:1,52 MB



Us Army Medical Course - Cardiopulmonary Resuscitation (Cpr) (2006 Edition)

This course provides instruction which will enable you to remove an obstruction from a casualty's airway, restore respiration to a casualty who has stopped breathing, and restore blood circulation to a casualty whose heart has stopped beating. Instruction is provided for performing these procedures for an adult casualty, a child, and an infant. Study and know these procedures BEFORE you are faced with an emergency.

Lesson 1, Review of the Circulatory and Respiratory Systems.
Lesson 2, Heart Attack and Cardiopulmonary Resuscitation.
Lesson 3, Initiate Rescue Breathing on an Adult.
Lesson 4, Perform Cardiopulmonary Resuscitation on an Adult.
Lesson 5, Remove an Upper Airway Obstruction in an Adult.
Lesson 6, Perform Cardiopulmonary Resuscitation on a Child or Infant.
Lesson 7, Remove an Airway Obstruction in a Child or Infant.
Lesson 8, Administer CPR and Automated External Defibrillation on an Unconscious Casualty with Suspected Cardiac Arrest.

Book details:
Author:U.S. Army Medical Department Center and School
Publisher:U.S. Army Medical Department Center and School
Size:919 KB


US Army medical course - Blood, Electrolytes, and Intravenous Infusions

This course is concerned with knowledge that is vital in order to understand the "whys" and "hows" for using the intravenous route to administer the kinds of fluids that can save life and limb. You should possess the knowledge to correct and expand on the medical procedures used by the Combat Medical Specialist and also have the ability to interact with the physicians and physician assistants who will have the final responsibility for treating battle injuries and illnesses. Some of the terms used in this course may be unfamiliar to you. You will have frequent contact with the physician and physician assistants and will need to understand their vocabulary. It would be wise to use one of the excellent medical dictionaries available in most bookstores and libraries. Some examples are the latest editions of Dorland's Illustrated Medical Dictionary (published by W. B. Saunders Company) or Taber's Cyclopedia Medical Dictionary (published by F. A. Davis Company). For general English usage, an example is Webster's New Collegiate Dictionary (published by G. and C. Merriam Company). Do not feel restrained by these examples. Any good dictionary will be useful.

Book details:
Author:U.S. Army Medical Department Center and School
Publisher:U.S. Army Medical Department Center and School
Size:1,04 MB


U S Army Medical Course:Anesthesia Apparatus

For over two thousand years, physicians of many cultures have performed
surgery upon anesthetized patients. The anesthetics ranged in type and effectiveness.
During certain periods of history, earlier anesthetics were forgotten. In the recent past, a physician relied upon the patient consuming alcohol and biting down hard on anything convenient. Modern general anesthesia began in 1846 when Dr. J.C. Warren first used ether. A dentist named Heidbrink invented the first anesthesia administering machine in1910. Aside from a few refinements, the machines physicians use today are verysimilar to the machine invented by Heidbrink. The Ohmeda 885A Anesthesia Apparatus is one such machine.
This course provide medical support to the combat soldier under field conditions. Most clinical medical equipment is not rugged enough to survive the field environment, so field medical equipment was designed. The Ohmeda 885A Anesthesia Apparatus is a field anesthesia unit which is rugged, portable, and self-contained. It is your job to keep it operationally efficient. The
material in this subcourse covers the preventive maintenance checks and services
(PMCS), routine maintenance, calibration and verification, and repair procedures you use to accomplish this task.

Book details:
Size:848 KB


Wednesday, January 24, 2007

The Intensive Care Manual

The handbook provides quick and practical access to didactic and perspective information. This problem-oriented clinical manual, meet the needs of the ICU staff as a quick access resource with important diagnostic and treatment information. It gives the ICU staff concrete procedures for the diagnosis and treatment of the critically ill patient. This highly practical reference presents instructive information, signs and symptoms, as well as perspectives, lab values, algorithms, and more.
This is an excellent and most complete guide for the broad range of physicians dealing with patients with epilepsy and psychiatric disorders. It gives neurologists and psychiatrists working in practice settings tools essential for correct diagnosis and treatment. The book also provides outstanding teaching material for academic neurologists and residents."

Book details:
Author: Michael J. Apostolakas, Peter J. Papadakos
Publisher:McGraw-Hill Professional; 1 edition (March 15, 2001)
Size:1.709 MB


Thursday, January 18, 2007

Advanced Cardiac Life Support 2000

Most of the information is based on the International Guidelines 2000 for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC). The International Resuscitation Guidelines 2000 are based on the best available evidences and is a consensus among organizations of different countries including the American Heart Association, European Resuscitation Council, the Heart and Stroke Foundation of Canada, Australian Resuscitation Council, New Zealand Resuscitation Council, Resuscitation Council of South Africa, the Latin American Resuscitation Council and from Japan.

Contents :
Adult cardiac arrest
Additional management
VF/ pulseless VT
Post-resuscitation care
Arrhythmia - acute Mx
Acute pulmonary edema / Shock
Arrest in special conditions
Synchronized cardioversion
Common drugs in ACLS
Evidence levels

Book details:
Author: Stephen Tam, MBChB, MRCP(UK), FHKCP, FHKAM (Medicine)
Size:32.7 KB

2005 American Heart Association Guidelines

The American Heart Association (AHA) guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care.1 These guidelines, based on the latest comprehensive review of resuscitation science by the International Liaison Committee on Resuscitation, emphasize streamlined algorithms and recommendations to reduce the amount of information rescuers must learn and to emphasize the most important skills they must master.
The guidelines are based on the work of eight task forces that addressed specific areas of resuscitation science: basic life support, advanced life support, acute coronary syndromes, life support for children, neonatal life support, stroke, first aid, and education. These groups used an evidence-based approach to classify the recommendations for CPR and emergency cardiac care. The guidelines also present 12 algorithms covering the essential assessments and interventions for cardiac arrest and other life-threatening conditions.

Book details:
Author:American Heart Association (AHA)
Publisher:American Heart Association (AHA)
Size:8.39 MB


Wednesday, January 17, 2007

A Pocket Book of the European Resuscitation Council
Guidelines for Resuscitation

This pocket book contains the European Resuscitation Council Guidelines for Resuscitation 2005. It follows hard on the heels of the 2005 International Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations produced by
the International Liaison Committee on Resuscitation published in "Resuscitation" in November 2005. The European representatives at that conference, held in Dallas in January 2005, more than pulled their weight in the process of producing the Consensus on Science conclusions arising as a result of presentations and debate. Their names are listed at the end of this preface and the resuscitation community, in Europe and beyond, is most grateful to them for their talent, dedication and selfless hard work. In addition, they, and many others from Europe, also produced worksheets addressing the evidence for and against every conceivable detail of resuscitation theory and practice. The European Resuscitation Council (ERC) Guidelines contain recommendations that, by consensus from the European representatives, are suitable for European practice in the light of today's conclusions agreed in the Consensus on Science. As with the Consensus on Science document, they represent an enormous amount of work by many people who have worked against the clock to produce the Guidelines for Europe. Each section of the guidelines has been masterminded and coordinated by the leaders of the ERC working groups and areas of special interest. Such ventures do not happen without leadership and we are grateful to Vinay Nadkami, Bill Montgomery, Peter Morley, Mary Fran Hazinski, Arno Zaritsky and Jerry Nolan for guiding the Consensus on Science process through to completion. It would not be invidious to single out Jerry Nolan, the ILCOR Co-Chairman, for thanks and praise. He is universally respected and popular and has proved to be a wonderful ambassador for Europe. His scientific credibility and understanding is beyond doubt and his integrity, dedication, sheer hard work, patience and meticulous attention to detail and sensitivities have won the admiration of all. He has led the Consensus on Science process on our behalf and has been the lead coordinator in producing the European Guidelines.

Book details:
Author:Peter Baskett,JeryNolan
Publisher:Mosby (23 Jan 2006)

Size:3.08 MB

Atlas of Emergency Medicine
Second Edition

The Atlas of Emergency Medicine is an excellent reference for paramedics and EMTs. Full of color photos identifying femur fractures, lymphangitis, digital clubbing, and scarlet fever, the book is divided between "Regional Anatomy" (covering facial trauma, chest and abdominal conditions, extremity trauma, and the like) and "Specialty Areas" (with pediatric and environmental conditions, child abuse, and microscopic findings). With glistening photos of conditions such as sublingual ranula and suppurative parotidsialoadenitis plus pictures distinguishing between dry, wet, and gas gangrene, the atlas is an emergency room necessity that has addictive appeal for nonprofessionals with strong stomachs.

Book details:
Author:Kevin J. Knoop
Publisher:McGraw-Hill Professional; 2 edition (July 25, 2002)
Size:45.9 MB

Sleep and Sedation in Critical Care
An Issue of Critical Care Nursing Clinics

This issue deals with sedation and the particular safety measures necessary for treating particular types of patients. Articles include sedation issues in neonates, safety issues for pediatric patients and the role of sedation in palliative care. Jan Foster, PhD, RN, CNS, CCRN, guest editor of the issue, has also invited contributors to include sleep disorder and sleep deprivation topics as part of the issue.

Book details:
Author:Jan Foster, PhD, RN, CNS, CCRN
Publisher:Saunders; 1st edition (September 19, 2005)
Size:1.83 MB


Monday, January 15, 2007

Emergencies in Diabetes

While diabetes can usually be well-controlled using modern therapies, metabolic emergencies inevitably occur. This book provides an easy-to-read yet comprehensive account of emergencies in diabetes conveniently collected into one volume. For each topic, a brief review of the pathophysiology is followed by a description of cardinal clinical features, clinical and biochemical assessment and clinical management Designed to fit conveniently into the pocket of a white coat, this book should be readily to hand in all hospital medical wards, particularly A&E. It will be useful to junior hospital doctors across a wide range of specialties, senior house officers in general medical training, and nurses involved in the care of patients with diabetes.

Book details:
Author:Andrew Krentz
Publisher:John Wiley & Sons (23 July, 2004)
Size: 551 KB


Essentials of Paediatric Intensive Care

This is an essential handbook for all those involved in the care of critically ill children. It covers all of the key aspects of paediatric intensive care and also features a comprehensive 'list' of drugs commonly used in paediatric anaesthesia and intensive care, including those used for premedication, anaesthesia, local anaesthesia, analgesia, cardiac anaesthesia, antibiotics, emergency and resuscitation drugs, inotropes, 'new' drugs (e.g. calcium infusions, epoprostenal).

Book details:
Author: C G Stack, FRCA ,P Dobbs, FRCA
Publisher:Greenwich Medical Media (April 5, 2004)

Size:672 KB

Intensive Care Nursery
House Staff Manual

This manual, now in its eighth edition, is designed for use by the pediatric residents, interns and medical students who work in the William H. Tooley Intensive Care Nursery at UCSF Children's Hospital. The recommendations in this manual are specific for the practices in that unit. If this manual is used in other intensive care nurseries, it must be revised and adapted to suit the circumstances in those units.
This is not a mini-textbook or outline of neonatology. The purpose of this manual is to assist pediatric house officers by providing:
Guidelines for the management of patients with conditions that require immediate attention ,
Reminders to help them in their daily work .
Detailed instructions for performing procedures

Book details:
Author:Thomas Bartman, M.D., Ph.D.Michael D. Becker, D. Pharm and others.
Publisher: William H. Tooley Intensive Care Nursery at UCSF Children's Hospital
Size:2.24 MB


Sunday, January 14, 2007

ICU Protocols

An essential guide for the management of the ICU patient. Includes detailed recommendations for daily management as well as approaches to common ICU issues such as transfusion therapy, sedation, ventilator management, and nutrition among others. Well-formatted.

Book details:
Author:PC Marik
Size:30.3 KB

CURRENT Emergency Diagnosis & Treatment

A major revision of this problem-oriented text, covering common problems, trauma, and non-trauma emergencies in a popular, quick-access format. Features clinically focused discussion of diagnosing and managing common emergency problems, extensive algorithms to guide quick management, a comprehensive table of drugs commonly used in the ER, and illustrations, including ultrasound and CT images.

Book details:
Author:Stone, C. Keith; Humphries, Roger L
Publisher:McGraw-Hill Medical; 5 edition (November 21, 2003)
Size: 7.2 MB
Format: pdb

Pediatric Emergency Manual

This manual was developed for use by pediatric housestaff as a pocket-sized
guide to the stabilization of potentially ill children. It is not a policy
manual, but offers the developing physician one reasonable framework upon
which knowledge and practice may be built. It is our hope that this manual,
used in conjunction with other sources, will contribute to resident education
and patient care by allowing rapid access to basic principles of the initial
management of pediatric patients.

Book details:
Author:Erica A. Kirsch, MD
Publisher:Department of Pediatrics ,San Antonio Uniformed Services HEC Pediatric residency ,Lackland AFB, Texas
Size: 695 KB
Format :pdf & pdb

Guidelines for essential trauma care
( WHO 2004 )

The authors of the guidelines have developed a series of resource tables for essential trauma care that detail the human and physical resources that should be in place to assure optimal care of the injured patient at the range of health facilities throughout the world, from rural health posts whose staff do not have training as doctors, to small hospitals staffed by general practitioners (known as GP-staffed hospitals), to hospitals staffed by specialists (specialist-staffed hospitals), to tertiary care centres. They also take into account the varying resource availability across the spectrum of low- and middle-income countries.2 Finally, a series of recommendations is made on methods to promote such standards including training, performance improvement, trauma team organization and hospital inspection. The resource tables and associated recommendations are intended to provide a template to assist individual countries in organizing and strengthening their own trauma treatment systems. It is anticipated that the template will be adapted to suit local circumstances.

Book details:
Author:Charles Mock, Jean-Dominique Lormand, Jacques Goosen, Manjul Joshipura,
Publisher:World Health Organization, 2004
Pages: 106
Size: 663 KB

Cardiac Arrest Lite! animated version

Cardiac Arrest! Lite is a graphically simpler version of the simulator -- either for users with older computers or for those who don't want all the noise and action of the video version. It includes all the drugs, all the patients, and all the fun.
This is state-of-the-art computer learning. Not "Choose A,B,C" nor "Guess what I'm thinking" but a real simulation that's stimulating and fun.
Patients cover a wide variety of medical problems associated with cardiovascular collapse. (And each patient behaves differently each time resuscitation is attempted.) Many patients pose difficult therapeutic priorities, presenting problems beyond heart attacks, such as hypocalcemia, hypothermia, and hyperkalemia.
Cardiac Arrest! casts you in the role of emergency physician. The patient's history is presented, and the resuscitation efforts begin. You read the ECG on the computer screen, interpret the vital signs and laboratory data, and give treatment orders. ACLS becomes a challenging computer adventure game.

Software details:
Producer:Mad scientist software
Supplied by Acute Care Education Inc.
Size: 4.2 MB

Principles of Critical Care, Third Edition

The classic text in critical care medicine! The 3rd Edition of this classic text is streamlined and focused on the needs of the working critical care physician and features important new treatment strategies. Organized by organ systems, this text, the only critical care source that includes evidence-based learning, guides physicians from initial patient assessment and differentiaA complete reference, with more than 1700 pages and 122 chapters, provides comprehensive coverage of every aspect relating to the practice of critical care . Pathophysiology is integrated throughout the book making more complex issues understandable An organ system approach makes it easier to find thorough and practical information for managing a patient s specific condition Case studies in each chapter demonstrate the clinical application of concepts and further improve diagnostic skills l diagnosis through therapeutic plan.

Book details:
Author:Jesse Hall
Publisher:McGraw-Hill Professional; 3 edition (July 14, 2005)
Size:22.2 MB


Wednesday, January 10, 2007

Evidence-Based Management of Patients with Respiratory Failure

Respiratory failure is a complex disease process whereby the underlying disease and therapeutic measures interact. The patient’s outcome is determined by a variety of factors including how we use therapeutic maneuvers such as mechanical ventilation for prevention of complications, e.g., ventilator associated pneumonia. This book is a comprehensive review of all aspects of acute respiratory failure, providing critical reviews of various topics related to respiratory failure and discussing the clinical evidence available for the diagnoses and management of patients with respiratory failure. This book contains an extensive bibliographic review, focusing on preventive and therapeutic studies, that was methodologically standardized, with authors assessing and classifying studies according to statutes of evidence-based medicine. It considers epidemiology and outcome of mechanical ventilation; addresses ventilator modes and utility of pulmonary mechanics monitoring for treatment; analyzes physiologic effect and patient-outcomes of pulmonary recruitment and lung protective ventilation procedures; describes complications that can be present in these patients such as ventilator associated pneumonia and useful methods to prevent respiratory infections; covers the impact of bronchodilators, corticosteroids, and antibiotics in acute exacerbation of chronic obstructive pulmonary disease; discusses how, when, and in whom to do tracheostomy; and evaluates the use of sedation and neuromuscular blockade, as well as current clinical trials in acute lung injury. In summary, this book on the Evidence-based Management of Patients with Respiratory Failure provides important information to improve patient outcome by clearly identifying the research evidence that we can apply in daily clinical practice.

Book details:
Author:Andres Esteban, Antonio Anzueto, Deborah J. Cook
Publisher:Springer (28 September, 2005)
Size:1.34 MB

Hospital-based Emergency Care
At the Breaking Point (Future of Emergency Care)

Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes:
The role and impact of the emergency department within the larger hospital and health care system.
Patient flow and information technology.
Workforce issues across multiple disciplines.
Patient safety and the quality and efficiency of emergency care services.
Basic, clinical, and health services research relevant to emergency care.
Special challenges of emergency care in rural settings.
Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Book Details:
Author:Committee on the Future of Emergency Care in the United States Health System
Publisher:Publisher: National Academies Press
Size:2.3 MB


Surgical Critical Care Vivas

An understanding of critical care is one of the key objectives of medical and surgical training, and viva examinations in particular remain a source of anxiety for many candidates. Surgical Critical Care Vivas follows the same format as the hugely popular General Pathology Vivas and gives candidates a means of practising some of the most common questions that they will be asked in their viva examinations. Pocket-sized, for portability, and packed with useful information in an east-to-use A-Z format, this book will help the reader to broaden their knowledge base and, by practising the vivas, gain confidence in their examination technique.

Book details:
Author:Mazyar Kanani
Publisher:Greenwich Medical Media Ltd (1 Dec 2002)
Size:842 KB


Saturday, January 6, 2007

Emergency War Surgery

Produced by the US Army in 2004, this outstanding textbook addresses the appropriate medical management of such typical military wounds as blast injuries, burns and multiple penetrating injuries. It also guides the treatment of other battle and non-battle injuries.
Chapter 1: Weapons Effects and Parachute Injuries
Chapter 2: Levels of Medical Care
Chapter 3: Triage
Chapter 4: Aeromedical Evacuation
Chapter 5: Airway/Breathing
Chapter 6: Hemorrhage Control
Chapter 7: Shock and Resuscitation
Chapter 8: Vascular Access
Chapter 9: Anesthesia
Chapter 10: Infections
Chapter 11: Critical Care
Chapter 12: Damage Control Surgery
Chapter 13: Face and Neck Injuries
Chapter 14: Ocular Injuries
Chapter 15: Head Injuries
Chapter 16: Thoracic Injuries
Chapter 17: Abdominal Injuries
Chapter 18: Genitourinary Tract Injuries
Chapter 19: Gynecologic Trauma and Emergencies
Chapter 20:Wounds and Injuries of the Column and Cord
Chapter 21: Pelvic Injuries
Chapter 22: Soft-Tissue Injuries
Chapter 23: Extremity Fractures
Chapter 24: Open-Joint Injuries
Chapter 25: Amputations
Chapter 26: Injuries to the Hands and Feet
Chapter 27: Vascular Injuries
Chapter 28: Burns
Chapter 29: Environmental Injuries
Chapter 30: Radiological Injuries
Chapter 31: Biological Warfare
Chapter 32: Chemical Injuries
Chapter 33: Pediatric care
Chapter 34: Care of Enemy Prisoners of War/Internees
Appendix 1: Principles of Medical Ethics
Appendix 2: Glasgow Coma Scale
Appendix 3: Theater Joint Trauma Record

Book details:
Author:Thomas E. Bowen
Publisher:Desert Pubns; 2nd U.S. revision edition&3rd revision
Size:1.63 MB(2nd revision) ,9.8 MB(3rd revision)

Download(The 3rd revision7,859 MB)

Download(2nd revison 1.63 MB)

Color Atlas of Physiology

The 5th English edition has been thoroughly revised in terms of content and organization of the didactic material; almost all of the color illustrations have been drawn anew for improved clarity. The extensive introductory chapter focuses on aspects of cytophysiology. Owing to the considerably expanded text and improved illustrative material, functional connections are easily recognized; new concepts and current advances in research are taken fully into account. Main features are: General and cellular physiology; Nerve and muscle; Autonomic nervous system; Blood; respiration; Acid-base balance; Kidney salt and water balance; Heart and circulation; Thermal balance and thermoregulation; Nutrition and digestion; Hormonal control; Central nervous system and senses

Book details:
Author: av / Silbernagl, S / Despopoulos, Agamemnon
Publisher:Thieme Medical Publishers; 4th edition
Size:25.6 MB


Tropical and Parasitic Infections in the Intensive Care Unit

In the past, many tropical and parasitic infections were confined to tropical areas of the world located between the Tropic of Cancer and the Tropic of Capricorn. However, with the increase in air travel and tourism and the changing patterns of immigration, an increasing number of individuals are coming into contact with these infectious agents and transmission across the world has been enhanced.
Tropical and Parasitic Infections in the Intensive Care Unit provides an international perspective on this topic and an overview of those infections that may cause critical illness.

Book details:
Author:Charles Feldman, George A. Saros
Publisher: Springer


Size:3.06 MB


Key Questions in Surgical Critical Care

An understanding of critical care is vital to the modern surgeon, who is often responsible for patients requiring intensive care or high-dependency support. Key Questions in Surgical Critical Care has been designed as a companion to Surgical Critical Care, by Robert Ashford and Neal Evans, and is split into two main sections, multiple choice questions and viva topics. Based on the syllabus of the Royal College of Surgeons, each of these two sections is further subdivided into six sub-sections covering the cardiovascular system, the respiratory system, other systems and multisystem failure, problems in intensive care, principles of intensive care and practical procedures. The MCQs and viva topics provided are typical of those appearing in the MRCS examination, and the authors provide detailed explanatory notes to accompany each answer, almost all of which are cross-referenced directly to the relevant pages of Surgical Critical Care, as well as other sources of further reading.

Book details:
Author:Robert U. Ashford, T. Neal Evans, and R. Andrew Archbold
Publisher:Greenwich Medical Media (December 1, 2002)

Size:693 KB



Friday, January 5, 2007

An Introduction to Clinical Emergency Medicine:
Guide for Practitioners in the Emergency Department

Winner of the 2006 AMWA Book Awards Physicians Category, An Introduction to Clinical Emergency Medicine is a much-needed resource for individuals practicing in this challenging field. It takes a novel approach, describing in detail the best and most current methods including initial patient evaluation, generation of differential diagnoses, problem-solving and management of challenging conditions based on presenting symptoms. Unlike other textbooks, in which the diagnosis is known, this textbook approaches clinical problems as clinicians approach patients - without full knowledge of the final diagnosis. It provides an understanding of how to approach patients with undifferentiated conditions, ask the right questions, gather historical data, utilize physical examination skills and order and interpret laboratory and radiographic tests. It provides current management and disposition strategies with controversies presented, including pearls and summary points for each topic covered. The book is multi-author, each contributor chosen because of a track record in teaching as well as being internationally recognised experts in the specialty.

Book details :
Swaminatha V. Mahadevan,Gus M. Garmel
Cambridge University Press (July 11, 2005)
Size:18.4 MB



Textbook of Pediatric Emergency Medicine

The best-selling Textbook of Pediatric Emergency Medicine is the most comprehensive textbook you can buy in this specialty. No other text delivers more information on more aspects of pediatric emergency medicine, including resuscitation; more than 70 signs and symptoms; trauma; medical and surgical emergencies; psychosocial emergencies; neonatal and adolescent care; and an all-inclusive section on procedures. This edition includes new pediatric indications for drugs used in the emergency department and more information on ultrasound imaging.
Hundreds of illustrations and tables complement the text throughout. Algorithms for diagnosis and treatment are included in all the chapters on signs and symptoms as well as many others.

Book details:
Author:Gary R. Fleisher MD; Stephen Ludwig MD; Fred M. Henretig MD; Richard M. Ruddy MD; Benjamin K. Silverman MD
Publisher: Lippincott Williams & Wilkins; 4 edition (2000)
Size:21 MB




Thursday, January 4, 2007

Anaphylaxis (CIBA Foundation Symposia Series)

Anaphylaxis is an immediate-type allergic reaction involving the whole organism. It is the most life-threatening allergic condition. Although there are few exact epidemiological data regarding prevalence, estimates regarding insect sting anaphylaxis range from 1--3 per cent in the general population, but much higher values have been reported by some authors for food and drug-induced anaphylaxis. Anaphylaxis is the main acute killer of allergic individuals. Although anaphylaxis was discovered at the beginning of the 20th century, there are still many unresolved issues. These include non-IgE-mediated anaphylactoid reactions, non-immunologically mediated anaphylactoid (pseudo-allergic) reactions, pathophysiological events at the microcirculatory level, appropriate therapy for the acute reaction, strategies for prevention, public education about the problem and new approaches to prevention and therapy at the IgE level. All these subjects are discussed in this book. Since anaphylaxis occurs acutely and is unforeseen, it is very difficult to organize controlled studies regarding therapy and prevention. The spectrum of symptomatology covers many clinical areas (skin, respiratory, cardiovascular and gastrointestinal system), therefore inter-disciplinary approaches are necessary for progress in the field. There is widespread uncertainty among physicians about therapy, especially concerning self-administered treatment. In this important book, an multidisciplinary group of experts explore the pathophysiology of different types of anaphylactic and anaphylactoid reactions. Evidence is presented on the epidemiology of these conditions while problems relating to diagnosis, therapy and prevention are examined in detail. This thorough and up-to-date coverage of the subject will be of great interest to all clinical immunologists, researchers and physicians who deal with this life-threatening condition.
An interdisciplinary group of experts explore the pathophysiology of different types of anaphylactic and anaphylactoid reactions in this timely publication. Data are presented on the epidemiology of these conditions and problems concerning diagnosis, therapy and prevention are discussed. Cardiovascular and microcirculatory events are examined, including microcirculatory disturbances, anaphylaxis during anesthesia, and the role of histamine receptors in the response of the heart to anaphylaxis. There is detailed consideration of the different initiators of anaphylaxis, including food, radiographic media, insect venom, and artificial materials used in operating rooms. The book ends with a discussion of the various controversies surrounding diagnosis and therapy.

Book details:
Author:Novartis Foundation
Publisher:John Wiley and Sons Ltd (23 Jan 2004)




Traité d'anesthésie générale à mises à jour périodiques(in French language)

Good book, complete for the general anaesthesia, with recalls of physio, pharmaco, and description of all drugs and techniques usual; unfortunately nothing on the loco-regional anaesthesia.
Pharmacology. Equipment, material and requirements safety.
Assumption of responsibility and anaesthetic strategies current.
Management of the critical situations and the complications.
Techniques and monitoring private individuals.
Anaesthetic specificities according to the ground.
Anaesthetic specificities according to surgical specialities'.
Risk, ethical, responsibility, formation and regulation.

Book details:
Author:Bernard Dalens
Publisher:Arnette Blackwell (1 January 2005)



Plumer's Principles and Practice of Intravenous Therapy

This text offers clear and practical guidance for providing quality infusion care to patients in every setting. The book provides reliable, up-to-date information on state-of-the-art procedures, techniques, and equipment and current Infusion Nurses Society standards of practice.
Major sections cover assessment and monitoring, principles of equipment selection and clinical applications, patient-specific therapies, and special applications. Procedures are described in step-by-step detail, with emphasis on patient and health care worker safety. Coverage includes patient education and home care management guidelines. Each chapter ends with review questions
  • Emphasis on health care worker and patient safety
  • State-of-the-art procedures, techniques, and equipment
  • Client education, home care management, and procedures highlights
Book details:
Author:Sharon M. Weinstein, MS, CRNI
Publisher:Lippincott Williams & Wilkins; 7 edition (Nov 1 2000)
Pages: 764
Size:3.34 MB