Friday, June 29, 2007

Essential Guide to Acute Care

This book contains everything you really need to know about acute care that you can’t find in a standard textbook and have probably never been taught before. It is written for:
trainees in internal medicine, general surgery, emergency medicine, anaesthesia and critical care
clinical medical students
nursing staff and allied professionals working in critical care areas
Two experienced teachers explain the principles of acute care simply yet comprehensively. This book is practical and case-based. Throughout, ‘mini-tutorials’ expand on the latest thinking or controversies.
Chapters include: patients at risk (recognising critical illness and the use of early warning scores), oxygen, acid-base balance, respiratory failure, fluid balance and volume resuscitation, circulatory failure and the use of inotropes, sepsis, acute renal failure, brain failure and optimising physiology before surgery.
This book is essential reading for anyone who looks after acutely ill adults.

Book details:
Author:Nicola Cooper,Paul Cramp
Publisher:BMJ Books (31 Jan 2002)
Size: 644 KB


Thursday, June 28, 2007

Rosen's Emergency Medicine: Concepts and Clinical Practice, 6th Ed

Apply the expertise of todays leading Emergency Medicine authorities! The completely revised 6th Edition of "Rosen's Emergency Medicine" continues to serve as the definitive Emergency Medicine resource, and is now available online - a state-of-the art website, featuring the entire content of the book with continuous updates to the reflect important new advances in the field and more! Now with a new full-colour page layout (and many full-colour illustrations) it encompasses all of todays scientific and clinical knowledge, with a focus on the diagnosis and management of the problems most frequently encountered in the Emergency Department. Comprehensive in scope (and featuring a templated, user-friendly organisation) it remains the reference for up-to-the-minute, quick-access information when time is of the essence.


I: Critical Management Principles
1. Airway
2. Mechanical Ventilation and Noninvasive Ventilatory Support
3. Monitoring the Emergency Patient
4. Shock
5. Blood and Blood Components
6. Brain Resuscitation
7. Adult Resuscitation
8. Pediatric Resuscitation
9. Neonatal Resuscitation

II: Cardinal Presentations
10. Clinical Decision Making
11. Fever in the Adult Patient
12. Weakness
13. Dizziness and Vertigo
14. Confusion
15. Coma and Depressed Level of Consciousness
16. Seizures
17. Headache
18. Dyspnea
19. Chest Pain
20. Syncope
21. Nausea and Vomiting
22. Abdominal Pain
23. Gastrointestinal Bleeding
24. Diarrhea
25. Constipation
26. Jaundice
27. Acute Pelvic Pain
28. Vaginal Bleeding
29. Back Pain
30. Cyanosis
31. Sore Throat
32. Hemoptysis
33. Red and Painful Eye


I: General Concepts
34. Multiple Trauma
35. Trauma in Pregnancy
36. Pediatric Trauma
37. Geriatric Trauma

II: System Injuries
38. Head
39. Facial Trauma
40. Spinal Injuries
41. Neck
42. Thoracic Trauma
43. Abdominal Trauma
44. Genitourinary System
45. Peripheral Vascular Injury

III: Orthopedic Lesions
46. General Principles of Orthopedic Injuries
47. Hand
48. Wrist and Forearm
49. Humerus and Elbow
50. Shoulder
51. Musculoskeletal Back Pain
52. Pelvis
53. Femur and Hip
54. Knee and Lower Leg
55. Ankle and Foot
56. Wound Management Principles
57. Foreign Bodies
58. Mammalian Bites
59. Venomous Animal Injuries
60. Thermal Burns
61. Chemical Injuries
62. Injury Prevention and Control
63. Forensic Emergency Medicine
64. Child Maltreatment
65. Sexual Assault
66. Intimate Partner Violence and Abuse
67. Elder Abuse and Neglect
68. Youth, Gangs, and Violence


I: Head and Neck Disorders
69. Oral Medicine
70. Ophthalmology
71. Otolaryngology

II: Pulmonary System
72. Asthma
73. Chronic Obstructive Pulmonary Disease
74. Upper Respiratory Tract Infections
75. Pneumonia
76. Pleural Disease

III: Cardiac System
77. Acute Coronary Syndromes
78. Dysrhythmias
79. Implantable Cardiac Devices
80. Heart Failure
81. Pericardial and Myocardial Disease
82. Infective Endocarditis and Valvular Heart Disease

IV: Vascular System
83. Hypertension
84. Aortic Dissection
85. Abdominal Aortic Aneurysm
86. Peripheral Arteriovascular Disease
87. Pulmonary Embolism and Deep Venous Thrombosis
88. Esophagus, Stomach and Duodenum
89. Liver and Biliary Tract
90. Pancreas
91. Disorders of the Small Intestine
92. Acute Appendicitis
93. Acute Gastroenteritis
94. Large Intestine
95. Anorectum
96. Renal Failure
97. Sexually Transmitted Diseases
98. Selected Urologic Problems

VII: Neurology
99. Stroke
100. Seizures
101. Headache
102. Delirium and Demetia
103. Brain and Cranial Nerve Disorders
104. Spinal Cord Disorders
105. Peripheral Nerve Disorders
106. Neuromuscular Disorders
107. Central Nervous System Infections

VIII: Psychiatric and Behavioral Disorders
108. Thought Disorders
109. Mood Disorders
110. Anxiety Disorders
111. Somatoform Disorders
112. Factitious Disorders and Malingering
113. Suicide

IX: Immunologic and Inflammatory
114. Arthritis
115. Tendinopathy and Bursitis
116. Systemic Lupus Erythmatosus and the Vasculitides
117. Allergy, Hypersensitivity, and Anaphylaxis
118. Dermatologic Presentations

X: Hematology and Oncology
119. Anemia, Polycythemia, and White Blood Cell Disorders
120. Disorders of Hemostasis
121. Selected Oncologic Emergencies

XI: Metabolism and Endocrinology
122. Acid-Base Disorders
123. Electrolyte Disturbances
124. Diabetes Mellitus and Disorders of Glucose Homeostasis-
125. Rhabdomyolysis
126. Thyroid and Adrenal Disorders

XII: Infectious Disease
127. Bacteria
128. Viruses
129. Rabies
130. AIDS and HIV
131. Parasites
132. Tick
133. Tuberculosis
134. Bone and Joint Infections
135. Soft-Tissue Infections
136. Sepsis Syndrome


I: Environmental
137. Frostbite
138. Accidental Hypothermia
139. Heat Illness
140. Electrical and Lighting Injuries
141. Scuba Diving and Dysbarism
142. High-Altitude Medicine
143. Submersion
144. Radiation Injuries

II: Toxicology
145. General Approach to the Poisoned Patient
146. Acetaminophen
147. Aspirin and Non-steroidal Agents
148. Anticholinergics
149. Antidepressants
150. Cardiovascular Drugs
151. Caustics
152. Cocaine and Other Sympathomimetics
153. Toxic Alchohols
154. Hallucinogens
155. Heavy Metals
156. Hydrocarbons
157. Inhaled Toxins
158. Lithium
159. Antipsychotics
160. Opioids
161. Pesticides
162. Plants, Mushrooms, and Herbal Medications
163. Sedative Hypnotics


I: The Pediatric Patient
164. General Approach to the Pediatric Patient
165. Fever
166. Pediatric Respiratory Emergencies: Upper Airway Obstruction and Infections
167. Pediatric Respiratory Emergencies: Lower Airway Obstruction
168. Pediatric Respiratory Emergencies: Disease of the Lungs
169. Cardiac Disorders
170. Gastrointestinal Disorders
171. Infectious Diarrheal Disease and Dehydration
172. Renal and Genitourinary Tract Disorders
173. Neurologic Disorders
174. Musculoskeletal Disorders
175. Sudden Infant Dath Syndrome and Apparent Life-Threatening Events

II: The Pregnant Patient
176. General Approach to the Pregnant Patient
177. Acute Complications of Pregnancy
178. Chronic Medical Illness During Pregnancy
179. Drug Therapy and Substance Abuse
180. Labor and Delivery and Their Complications

III: The Geriatric Patient
181. The Elder Patient

IV: The Patient with Compromised Immune Function
182. The Immunocompromised Patient

V: The Patient with an Organ Transplant
183. The Solid Organ Transplant Patient

VI: The Alcoholic and Substance Abuse Patient
184. Alcohol-Related Disease
185. Substance Abuse
186. Evaluation of the Developmentally and Physically Disabled Child
187. Pain Management
188. Procedural Sedation and Analgesia

IX: The Problem Patient
189. The Combative Patient
190. The Difficult Patient


191. Emergency Medical Service: Overview and Ground Transport
192. Air Medical Transport
193. Tactical Emergency Medical Support and Urban Search and Rescue
194. Disaster Preparedness
195. Weapons of Mass Destruction


I: Clinical Practice and Administration
196. Guidelines in Emergency Medicine
197. Medical Literature and Evidence
198. Observation Medicine: Clinical Decision Units
199. Occupational Medicine and Occupational Health
200. Hyperbaric Medicine
201. The Social Role of Emergency Medicine
202. Information Technology
203. Multiculturalism and Care Delivery
204. Process Improvement and Patient Safety

II: Philosophical Issue of Practice
205. Bioethics
206. End of Life
207. Medicolegal and Risk Management
208. Wellness, Stress, and the Impaired Physician

Book details:
Author: John A. Marx Robert S. Hockberger Ron M. Walls
Publisher: C.V. Mosby; 6th edition (2006)
Size: 166 MB
Format: Compiled HTML help FILE(chm)

part 1
part 2
part 3
part 4

Wednesday, June 27, 2007

The Washington Manual Pulmonary Medicine Subspecialty Consult

Written by residents, fellows, and attending physicians, this handbook is ideal for residents called on to do an inpatient consult, for students working on an inpatient medicine service, and for specialists seeking information on pulmonology and general internal medicine management. The book covers inpatient and outpatient approaches, symptoms and diseases, and acute and chronic problems with the same front-lines practicality as the world-famous Washington Manual(R) of Medical Therapeutics. Chapters cover pulmonary function testing, respiratory failure, hemoptysis, solitary pulmonary nodule, community-acquired pneumonia, pulmonary embolus, and much more. Coverage includes a section on the appropriate conduct and approach of a medical consultant and reviews of selected clinical trials. The Washington Manual(R) is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University.

Book details:
Author:Adrian Shifren

Publisher:Lippincott Williams & Wilkins
Size:1,546 MB
Format:Compiled HTML help file (chm)


Tuesday, June 26, 2007

Interpretation of Pulmonary Function Tests :A Practical Guide, 2nd Edition

This practical, easy-to-read guide successfully meets the needs of pulmonary fellows, pulmonary clinicians, respiratory therapists, and nurses. Filled with tables, graphs, and illustrative cases, the book helps readers fully understand the clinical utility of pulmonary function tests. This Second Edition includes new information on a surrogate test for FVC, new ATS standards and procedures for bronchoprovocation, and use of CT to measure lung volume and detect emphysema and pulmonary embolism. The sections on preoperative pulmonary function testing and tests of exercise capacity have been expanded. This edition also includes teaching pearls on when to test and what to order and an algorithm for interpreting tests.

Book details:
Author: Hyatt, Robert E., MD/ Scanlon, Paul D
Publisher:Lippincott Williams & Wilkins; 1.00 edition (May 2003)
Size:5,120 MB
Format: Compiled HTML help file(chm)


Friday, June 22, 2007

Ocular Trauma: Principles and Practice

Ocular Trauma: Principles and Practice is the first comprehensive clinical reference on ocular injuries in more than a decade. Each chapter gives you detailed instructions on evaluation, treatment, and management, including "what to do", "how to do it", and "why to do it." You'll also learn techniques for developing individualized treatment strategies for hard-to-identify injuries.
The book begins with general terminology and classification of ocular trauma, and goes on to cover such topics as: the new role of endoscopy; eye restoration with complete iris loss; anterior chamber disorders; rehabilitation advances; medicolegal issues regarding the ophthalmologist as an expert witness; and much more! Insightful chapters written by patients offer their perspectives on the physical injuries and emotional trauma they have experienced.

Book details:
Author:Kuhn, Pieramici
Publisher: Thieme Medical Publishers (January 2002)
Pages: 496
Size: 18,282 MB

Poisoning & Drug Overdose

The best manual on the diagnosis and treatment of poisoning and drug overdose. Thoroughly updated, this reference features extensive tables summarizing toxicity and workplace exposure guidelines for over 500 industrial chemicals, an index containing the ingredients of over 150 common commercial products, and tabs for quick reference .

Book details:
Author: Olson, Kent R.
Publisher:McGraw-Hill Medical 3rd edition
Size:2,679 MB


The Physics of Coronary Blood Flow (Biological and Medical Physics, Biomedical Engineering)

Coronary blood flow is blood flow to the heart for its own metabolic needs. In the most common form of heart disease there is a disruption in this flow because of obstructive disease in the vessels that carry the flow. The subject of coronary blood flow is therefore associated mostly with the pathophysiology of this disease, rarely with dynamics or physics. Yet, the system responsible for coronary blood flow, namely the "coronary circulation", is a highly sophisticated dynamical system in which the dynamics and physics of the flow are as important as the integrity of the conducting vessels. While an obstruction in the conducting vessels is a fairly obvious and clearly visible cause of disruption in coronary blood flow, any discord in the complex dynamics of the system can cause an equally grave, though less conspicuous, disruption in the flow.
This book is devoted to the dynamics and physics of coronary blood flow. While it recognizes the range of clinical and pathophysiological issues involved, the book focuses on dynamics and physics, approaching the subject from a biomedical engineering viewpoint. With this approach, the book will complement other books on the subject that have so far focused largely on clinical and pathophysiological issues.

Book details:
Author:Zamir, M.
Publisher:Springer; 1 edition (June 8, 2005)
Size:5,084 MB


Current Diagnosis & Treatment of Pain

Current Pain D&T will represent the first clinical and truly management oriented book on pain medicine. It will cover with equal breadth and depth the management of the full array of both acute and chronic pain conditions. What will be especially unique about the approach here will be its ability to convey management strategies that correlate the severity of pain with the level of therapeutic intervention required to assuage it. The full array of drug treatment and analgesic strategies will be discussed in detail, and often-conveyed through a detailed management algorithm in each chapter. The treatment of pain has also become very much a multi-disciplinary effort in recent years, and this will be reflected by the fact that our editorial board on this volume includes a pain medicine specialist, internist, and a nurse practitioner.
Table of contents
1. Epidemiology,
2. Effects of Unrelieved Pain
3. Cost to Society, etc.
4. Assessment of pain (history, physical, diagnosis)
5. Common Pain Syndromes
6. Nonopioids
7. Opioids
8. Adjuvants
9. Interventional Procedures
10. Psychological Interventions
11. Rehabilitation
12. Pain and Addictive Disease
13. Cancer pain
14. End-of-life pain
15. Neuropathic pain
16. Visceral pain
17. Headaches
18. Low back pain
19. Osteoarthritis/RA
20. Fibromyalgia
21. Sickle cell disease
22. Chronic pelvic pain
23. Chest pain
24. Orofacial pain
25. HIV-related pain
26. Legal, regulatory, practical issues in prescribing
27. The Pediatric Patient
28. The Geriatric Patient

Book details:
Author:Jamie H Von Roenn, Michael Preodor
Publisher:McGraw-Hill Medical; 1 edition (May 23, 2006)
Size:3,559 MB
Format: Compiled HTML help file(chm)


Thursday, June 21, 2007

Manual of Intensive Care Medicine

Completely rewritten and updated for the Fourth Edition, this Spiral® Manual remains the leading quick-reference guide to both medical and surgical intensive care. The essential principles, protocols, and techniques from Irwin and Rippe's Intensive Care Medicine, Fifth Edition have been distilled into a portable, practical manual that is ideal for rapid bedside consultation. The user-friendly format features numerous tables, illustrations, and annotated references. This edition has completely revamped sections on cardiovascular problems and coronary care, surgical problems, shock and trauma, endocrine problems, and hematology, plus expanded coverage of gastroesophageal balloon tamponade, aspiration of joints, hepatic dysfunction, and noninvasive mechanical ventilation.

Book details:
Author:Richard S Irwin,James M Rippe
Publisher:Lippincott Williams & Wilkins; 4 edition (October 1, 2005)
Size:7,401 MB
Format:Compiled HTML help file (chm)


Artificial Oxygen Carrier: Its Frontline

While a reliable supply of donated blood is vital in modern medicine, it remains the case that blood transfusion comes with its own problems, such as infectious diseases, immunological adverse reactions, and difficulties with long-term storage and transportation of blood components. With a view to solving these problems, developing a suitable blood substitute has been a major goal for decades. Artificial Oxygen Carrier: Its Front Line is a compilation of reports on the concepts behind artificial oxygen carriers, as well as the new discoveries in the field that were presented during the 13th Keio International Symposium for Life Science and Medicine. This volume describes valuable topics, including artificial red blood cells, modified haemoglobin, perfluorocarbons, and haemoglobin vesicles. It explains cutting-edge developments in artificial oxygen carrier research and will be a valuable resource to all concerned with the field.This volume of the Keio University International Symposia for Life Sciences and Medicine contains the proceedings of the 13th symposium held under the sponsorship of the Keio University Medical Science Fund. The fund was established by the generous donation of the late Dr. Mitsunada Sakaguchi. The Keio University International Symposia for Life Sciences and Medicine constitute one of the core activities sponsored by the fund, of which the objective is to contribute to the international community by developing human resources, promoting scientific knowledge, and encouraging mutual exchange. Each year, the Committee of the International Symposia for Life Sciences and Medicine selects the most significant symposium topics from applications received from the Keio medical community. The publication of the proceedings is intended to publicize and distribute the information arising from the lively discussions of the most exciting and current issues presented during the symposium

Book details:
Publisher:Springer; 1 edition (December 15, 2004)
Size: 3,976 MB


Wednesday, June 20, 2007

Catastrophic Neurologic Disorders in the Emergency Department

This is a practical handbook on the management of critically ill neurologic patients in the Emergency Department. The focus is on disorders that have the potential for rapid deterioration. For this thoroughly updated second edition, the author has added eight new chapters, seven of which appear in an entirely new first section on the evaluation of presenting symptoms indicating urgency. This unique text will continue to be an invaluable guide for neurologists, neurosurgeons, neuroradiologists, emergency physicians, and their residents and fellows.
Part I Evaluation of Presenting Symptoms Indicating Urgency
1. "Short of Breath"
2. "Can't Walk or Stand"
3. "See Double," "See Shapes and Images," "See Nothing"
4. "Spinning"
5. "Twitching and Spasms"
6. "Terrible Headache"
7. "Confused and Febrile"
Part II Evaluation and Management of Evolving Catastrophes in the Neuraxis88. 8.Altered Arousal and Coma
9. Brain Edema
10. Status Epilepticus and Recurrent Seizures
11. Acute Obstructive Hydrocephalus
12. Acute Spinal Cord Compression
Part III Catastrophic Neurologic Disorders Due to Specific Causes
13. Aneurysmal Subarachnoid Hemorrhage
14. Intracerebral Hematoma
15. Major Ischemic Stroke Syndromes
16. Acute Bacterial Infections of the Central Nervous System
17. Acute Encephalitis
18. Acute White Matter Diseases
19. Traumatic Brain and Spine Injury
20. Forensic Neurologic Injury

Book details:
Author:Eelco F. M. Wijdicks
Publisher: Oxford University Press, USA; 2 edition (January 11, 2004)
Pages: 344
Size: 38,858 MB
Format:Compiled HTML help File(chm)


Ephedrine And Related Substances(1930:Old Book)

This an old book and this part from its introduction of the book:
The rise of ephedrine from obscurity to its present state of widespread popularity, within less than five years, involves a variety of features of unusual interest. Much of the initial enthusiasm for the drug was doubtless due to the somewhat dramatic circumstance that
the traditional faith of the Chinese in one of their ancient remedies was about to be justified by Western science. While ephedrine has recently found a real place in therapeutics, the drug was known to experimenters and clinicians for some thirty years before its possibilities were appreciated.

Book details:
Author:K. K. Chen and Carl F. Schmidt
Publisher:The Williams & Wilkins Company 1930
Pages: 130
Size: 1,728 MB


Avoiding Common ICU Errors

This pocket book succinctly describes 318 errors commonly made by attendings, residents, interns, nurses, and nurse-anesthetists in the intensive care unit, and gives practical, easy-to-remember tips for avoiding these errors. The book can easily be read immediately before the start of a rotation or used for quick reference on call. Each error is described in a short, clinically relevant vignette, followed by a list of things that should always or never be done in that context and tips on how to avoid or ameliorate problems. Coverage includes all areas of ICU practice except the pediatric intensive care unit.

Book details:
Author:Lisa Marcucci,Elizabeth A. Martinez,Elliott R. Haut,Anthony D. Slonim,Jose I. Suarez
Publisher:Lippincott Williams & Wilkins; 1 edition (November 1, 2006)
Size:5,312 MB
Format:Compiled HTML help file(chm)


Monday, June 18, 2007

Desert Emergency Survival Basics :Heartache and Heartburn

Desert Emergency Survival Basics By Jack Purcell Excellent books are available to explain primitive survival duplicating lifestyles of Native Americans a thousand years ago, living on bugs, lizards and native seeds. Most will tell you how to squeeze a quart of water out of an endangered species cactus that took half a century to mature so you can have a gallon of water. That is not the intent of this book. Anyone who survives an unanticipated week in desert country did so by having water, by carrying it in, or finding it. Search and Rescue workers believe a person missing in the desert should be found or walk out within three days. After three days the chances for live return spiral downward. When a missing person isn't found within a week it's usually because he's been dead for five days. This book is to assist in avoiding situations that lead to the need to survive those crucial three days and to provide the basics of how to walk out and how to find water. If you need the emergency information here it will be because you became lost, stranded by mechanical failure, or physically incapacitated. I won't address the flora and fauna you might eat. If you have water you'll survive to eat in town.

Book details:
Author:Jack Purcell
Publisher:NineLives Press
Size: 1,820 MB
Format: pdf


Caring for People in Pain

Caring for People in Pain is an excellent introduction for nurses to all aspects of pain and its management. Topics examines are relevant to all areas of health care practice and include: types of pain; psycho-social factors affecting pain; pharmacological, physical and psychological interventions; and alternative and complementary therapies. Bryn D. Davis clearly sets out the research base for practice and provides a thorough and accessible text for all nursing students and practitioners.Nurses take a leading role in assessing, monitoring and managing pain. Covering all aspects of pain and its management, this book provides an excellent introduction to the subject. The topics examined are relevant to all areas of health care practice and include:
kinds of pain
emotional, cognitive and socio-cultural factors affecting pain
interventions (pharmacological, physical and psychological)
alternative and complementary therapies.

Book details:
Author:Davis, Bryn D.
Publisher:Routledge; 1 edition (August 25, 2006)
Size: 49,929 MB


Thursday, June 14, 2007

Recomendaciones 2005 del European Resuscitation Council sobre Resuscitación Cardiopulmonar(Spanish).

Han pasado cinco años desde la publicación de las Directrices de
ResuscitaciónCardiopulmonar (RCP) 2000 y de Cuidados Cardiovasculares de
Emergencia (CCE). El Consejo Europeo de Resuscitación(ERC)1 basó sus propias
directrices de resuscitaciónen este documento y dichas normas fueron publicadas en
una serie de artículos durante 2001.2—7 Los conocimientos sobre
resuscitacióncontinúan avanzando y las directrices clínicas deben actualizarse
regularmente para reflejar estos avances y aconsejar al personal sanitario sobre las
prácticas más adecuadas. En el periodo que transcurre entre las actualizaciones de
los protocolos (aproximadamente cinco años), se realizan informes parciales que
comunican al personal sanitario los nuevos tratamientos que pueden influir de forma
significativa en los resultados;8 Contamos con que se publicarán más adelante
informes con recomendaciones como respuesta a los hallazgos importantes en las
Sección 1. Introducción
Sección 2. Soporte vital básico en adultos y uso de desfibriladores automáticos externos
Sección 3. Tratamientos eléctricos: desfibriladores externos
automáticos, desfibrilación, cardioversión y marcapasos.
Sección 4. Soporte vital avanzado en adultos.
Sección 5. Manejo inicial de los Síndromes coronarios agudos
Sección 6. Soporte vital pediátrico
Sección 7. La parada cardiaca en circunstancias especiales
Sección 8. La Ética de la resuscitacióny las decisiones del final dela vida
Sección 9. Fundamentos de la formación en Resuscitación

detalles del libro:
Autor: European Resuscitation Council
Editor: European Resuscitation Council
Pges: 398
tamaño: 3,004 MB
formato: pdf

password: DrWael

Osteoarthritic Joint Pain

Osteoarthritis is a chronic degenerative disease associated with joint pain and loss of joint function. It has an estimated incidence of 4 out of every 100 people and significantly reduces the quality of life in affected individuals. The major symptoms are chronic pain, swelling and stiffness; severe, chronic joint pain is often the central factor that causes patients to seek medical attention. Within the affected joint, there is focal degradation and remodelling of articular cartilage, new bone formation (osteophytes) and mild synovitis.
Several mechanisms are thought to contribute to osteoarthritic joint pain. These include mild synovial inflammation, bone oedema, ligament stretching, osteophyte formation and cartilage-derived mediators. Changes in joint biomechanics and muscle strength also influence the severity and duration of joint pain in osteoarthritis. Within the nervous system, the relative contributions of peripheral afferent nociceptive fibres and central mechanisms remain to be defined, and there is limited information on the phenotype of sensory neurons in the OA joint. Importantly, there is no relation between clinical severity, as measured by radiographic changes, and the presence and severity of joint pain. Patients with severe joint pain may have normal joint architecture as determined by X-ray, whereas patients with considerable evidence of joint remodelling may not have significant joint pain. Treatments for osteoarthritic joint pain include non-steroidal anti-inflammatory compounds, exercise, corrective shoes and surgical intervention. There remains a critical need for improved control of joint pain in osteoarthritis.
This book brings together contributions from key investigators in the area of osteoarthritic joint pain. It covers the clinical presentation of joint pain, the pathways involved in joint pain, osteoarthritis disease processes and pain, experimental models and pain control. The discussions provide insights into the nature of osteoarthritic joint pain, identify key studies needed to advance understanding of the problem, highlight possible intervention points and indicate future pathways towards a better treatment of osteoarthritic joint pain

Book details:
Author:Novartis Foundation
Publisher:Wiley (June 25, 2004)
Size: 3,348 MB


Goldfrank's Toxicologic Emergencies

The 1st reference in the field for the last quarter of a century, Goldfrank's Toxicologic Emergencies, Eighth Edition, has been completely updated to equip emergency physicians with today's most authoritative guide to clinical toxicology. The book presents unsurpassed coverage of all aspects of toxicologic emergencies_from pharmacology and clinical presentation…to treatment guidelines and case studies. Using a unique case-study approach, Goldfrank's fully examines general principles and techniques…the biochemical and molecular basis of toxicology…and how toxins affect vital signs, organs, and systems throughout the body. The Eighth Edition now features:
A case-based approach that maximizes understanding of clinical applications of the material.
Antidotes in depth, offering easy-to-find, detailed guidance on the use of antidotes.
Quick-reference tables on inside covers, providing immediate access to “must-have” vital-sign statistics, lab values, and common equations.
New to the Eighth Edition: expanded coverage of bioterrorism, inhalant abuse, and international considerations
A companion website with more than 1200 self- assessment questions and annotated answers critical cases in medical toxicology reviewed in detail, 100 color photos of plants, mushrooms, spiders, snakes, marine life, and dermatologic reactions of toxicologic importance.

Book details:
Author:Lewis R. Goldfrank, MD, Neal E. Flomenbaum, MD, Neal A. Lewin, MD, et al
Publisher:McGraw-Hill Professional; 8 edition (March 28, 2006)
Size: 38,837 MB
Format: Compiled HTML help (chm)


Wednesday, June 13, 2007

Emergency Ophthalmology: A Rapid Treatment Guide

This new handbook offers clinicians expert guidance on the most common ophthalmic problems that present to a doctor on call or to a primary care provider's office. Included is everything a non-specialist needs to know in order to screen, identify, treat, and if appropriate, refer conditions related to the eye.
Get step-by-step guidance on performing eye exams
Discover photos of diseased eyes highlighting urgent eye disease
Learn procedures and standards for useful eye tests
Find information on numerous Pearls Illustrated in full color, this guide provides everything nonspecialists need to screen, identify, treat, and if necessary, refer conditions of the eyes, generally the most difficult emergencies faced by nonophthalmologists
In this much-needed resource, an ophthalmologist explains what primary and emergency care medical personnel must know to care for frequently seen eye problems.
Guides you in step-by-step eye exams
Offers quick, visual access to answers in 175 illustrations
Covers conditions from simple eyelid inflammations to blow-out fractures and chemical splash injuries
Includes chapters on glaucoma, traumatic injuries, pediatric eye problems, retinal/vitreous conditions, and more
Explains procedures and standards for a number of useful tests
Provides clear guidelines on when to refer
Complete with numerous Pearls
More than emergency treatment reference, here is an excellent way for primary care providers to gain a solid working knowledge of ophthalmology.

Book details:
Author:Chern, Kenneth C.
Publisher:McGraw-Hill Professional; 1 edition (October 1, 2002)
Size:28.031 MB
Format: Compiled Html help file(Chm)


ASA Syllabus on Geriatric Anesthesiology

One of the goals of the ASA Committee on Geriatric Anesthesia is to promote education of residents and anesthesiologists about those aspects of aging that affect anesthetic practice. This syllabus is our attempt to provide basic information useful to all anesthesia practitioners. Chapters are deliberately short in order to force focus on the important issues. More detailed information can easily be obtained from the references at the end of each chapter
Cardiovascular and Autonomic Nervous System Aging
Physiology of the Cardiovascular Effects of General Anesthesia in the Elderly
Cardiovascular Response to Spinal Anesthesia in the Elderly
Hemodilution Tolerance in Elderly Patients
Aging and the Respiratory System
Aging and the Urinary System
Perioperative Renal Insufficiency and Failure in Elderly Patients
Thermoregulation in the Elderly
Pharmacokinetic and Pharmacodynamic Differences in the Elderly
Induction Agents
Muscle Relaxant Selection and Administration
Aging and the Central Nervous System
Postoperative Delirium in the Elderly
Safe Sedation of the Elderly Outside the Operating Room
Age-Related Disease
Anesthetic Risk and the Elderly
Perioperative Complications in Elderly Patients
Preanesthetic Evaluation for the Elderly Patient
Managing Medical Illness in the Elderly Surgical Patient
Ethical Challenges in the Anesthetic Care of the Geriatric Patient
Critical Care of the Elderly Patient
The Elderly Trauma Patient
Postoperative Pain Control in the Elderly Patient
Chronic Pain in Older Individuals: Consequences and Management
Palliative Care in Geriatric Anesthesia

Book details:
Author:ASA Committee
Publisher: American Society of Anesthesiologists
Pages: 78
Size: 769 KB
Format: pdf


Stanford Anesthesiology Regional Anesthesia Syllabus

The goal of the Stanford Anesthesiology Regional Anesthesia Syllabus is to help you to develop a fundamental understanding and appreciation
of regional anesthesia as well as the technical skills to act at the consultant level. We don’t expect you to become masters of each block - that will only come with time and after performing a large number of them. We do, however, expect that by the end of the month, you will have developed a fund of knowledge that will allow you to discuss:
The indications of each block including some of the published literature in support of the indication
Appropriate choice of local anesthetic and adjuvants The functional anatomy and physiology associated with each block
How to perform the regional block, which different approaches as appropriate
Possible complications as well as their treatment.
Book details:
Author:Sean Mackey,Eric Amador
Publisher:Anesthesia department of the Stanford University School of Medicine
Size: 37,5 MB
Format: pdf


Monday, June 11, 2007

Encyclopedia of Pain

This is the most comprehensive overview available anywhere on the broad, multi-faceted and complex topic of pain – and the rapidly evolving scientific and medical disciplines that seek to understand, assess and treat pain.
The Encyclopedia of Pain includes more than 3,000 entries and provides clear, detailed and up-to-date coverage of the current state of research, and treatment of pain. In addition, detailed essays provide in-depth information on all aspects of nociception and pain, including substrates, causes, pathophysiology, symptoms and signs, diagnoses and treatment. A thousand color figures enhance understanding of this too-little-understood topic.
Solidly structured and inclusive, this three-volume reference is an invaluable tool for clinical scientists and practitioners in academia, health care and industry, as well as students, teachers and interested laypersons.

Book details:
Author:Schmidt, Robert F.; Willis, W.D.(Eds)
Publisher:Springer; 1 edition (September 1, 2006)
Size: 45,285 MB
Format: pdf


Friday, June 8, 2007

Cardiac Pacing and ICDs (Fourth Edition)

The latest edition of this guide to heart pacing is a must have for cardiologists, residents, EP nurses and electrophysiologists. Cardiac Pacing, 3/e is a highly readable and comprehensive guide to the basic concepts and clinical techniques of heart pacing.
Covers indications, hemodynammics, implantation, and patient follow-up
Table of Contents:
Chapter 1: Indications for Permanent and Temporary Cardiac Pacing
Chapter 2: Basic Concepts of Pacing
Chapter 3: Hemodynamics of Cardiac Pacing
Chapter 4: Temporary Cardiac Pacing
Chapter 5: Techniques of Pacemaker Implantation and Removal
Chapter 6: Pacemaker Timing Cycles
Chapter 7: Evaluation and Management of Pacing System Malfunctions
Chapter 8: The Implantable Cardioverter Defibrillator
Chapter 9: Cardiac Resynchronization Therapy
Chapter 10: ICD Follow-up and Troubleshooting
Chapter 11: Follow-up Assessments of the Pacemaker Patient

Book details:
Author:Kenneth Ellenbogen and Mark Wood
Publisher:Blackwell Publishing Limited; 3 edition (February 1, 2005)
Size: 6,339 MB
Format: pdf


The Guidlines of The Association of Anaesthetists of Great Britain and Ireland(AAGBI)

The Association of Anaesthetists produces guidelines on issues affecting anaesthetists or anaesthesia. The guidelines are usually the end product of a working party that is established to discuss a specific subject. The working party, consisting of representatives from the Association together with experts from related agencies, meets regularly and then publishes it’s recommendations/findings in an Association publication.

Anaesthesia and Peri-Operative Care of the Elderly


The Anaesthesia Team Revised Edition 2005

password: DrWael

Anaphylactic reactions associated with Anaesthesia 3 (2003)


Blood Transfusion and the Anaesthetist - Blood Component Therapy (2006)


Blood Transfusion and the Anaesthetist - Red Cell Transfusion (2001)


Catastrophes in Anaesthetic Practice (2005)


Checking anaesthetic equipment 3 (2004)


Consent for Anaesthesia (2006)\


Controlled Drugs in Perioperative Care (2006)


Day surgery 2 (2005)


Fatigue and Anaesthetists (2004)


Good practice in the management of continuous epidural analgesia in the hospital setting (2004)


Good practice - A guide for departments of anaesthesia, critical care and pain management (2006)


Immediate postanaesthetic recovery (2002)


Infection Control in Anaesthesia (2002)


Jehovah's Witnesses 2nd Edition (2005)


MRI - Provision Of Anaesthetic Services In Magnetic Resonance Units (2002)


Obstetric anaesthesia services 2 (2005)


Pre-operative Assessment - The role of the Anaesthetist (2001)


Standards of Monitoring During Anaesthesia and Recovery 4th Edition (2007)


Theatre Efficiency (2003)


Transfer of patients with Brain Injury (2006)


Stres in Anaesthetists


Thanks (AAGBI)

Thursday, June 7, 2007

In the Line of Fire: Trauma in the Emergency Services

This much-needed new book, based on the authors' original research and clinical experience, describes the consequences of trauma exposure on police officers, fire fighters, and paramedics. Weaving data collected in large-scale quantitative studies with the personal stories of responders shared in qualitative interviews, this much-needed account explores the personal, organizational, and societal factors that can ameliorate or exacerbate traumatic response. Stress theory, organizational theory, crisis theory, and trauma theory provide a framework for understanding trauma responses and guiding intervention strategies. Using an ecological perspective, the authors explore interventions spanning prevention, disaster response, and follow-up, on individual, family, group, organizational, and community levels. They provide specific suggestions for planning intervention programs, developing trauma response teams, training emergency service responders and mental health professionals, and evaluating the effectiveness of services provided. Disaster, whether large-scale or small, underscores our ongoing vulnerability and the crucial need for response plans that address the health and well being of those who confront disaster on a daily basis. In the Line of Fire speaks directly to these emergency response workers as well as to the mental health professionals who provide them with services, the administrators who support their efforts, and the family members who wonder if their loved one will return home safely from work tonight.

Book details:
Author:Cheryl Regehr,Ted Bober
Publisher:Oxford University Press, USA (December 8, 2004)
Size:1,305 MB
Format: pdf


Wednesday, June 6, 2007

Burn Care

This handbook summarizes staff practices in burn care and is intended to be a practice guide for the care of burn patients. It contains chapters on resuscitation and transport, wound care, operative techniques, critical care issues, and care of special burns, among others. This book should be used primarily by newcomers to the field of burn care as a basis for their experience with these often challenging patients.

Table of contents
General Considerations
Pre-Hospital Care and Emergency Management of Burn Victims
Assessment, Operative Planning and Surgery for Burn Wound Closure
Anesthesia for Burned Patients
Nutrition in Burn Patients
Infections in Burns
Multiple Organ Failure
Inhalation Injury
Nonthermal Burns
Burn Reconstruction
Daily Work

Book details:
Author: Steven E. Wolf
Size: 844 KB
Format: pdf


Mechanical Circulatory Support

This book is a concise, portable handbook that focuses on the clinical use of mechanical blood pumps. All aspects of mechanical circulatory support are addressed, including patient selection, preoperative preparation, operative management, anesthetic considerations and conduct of cardiopulmonary bypass, postop management including complications associated with blood pump use and long-term care and rehabilitation.

Table of contents
Overview of Mechanical Circulatory Support
Developing a Mechanical Blood Pump Program
Intraaortic Balloon Couterpulsation
Extracorporeal Membrane Oxygenation (ECMO) Support for Cardiorespiratory Failure
Ventricular Assistance for Postcardiotomy Cardiogenic Shock
Ventricular Assistance as a Bridge to Cardiac Transplantation Special Situations
Special Situations
Anesthesia for Patients with Ventricular Assist Devices
Nursing Care of the Patient Requiring Mechanical Circulatory Support
Complications of Mechanical Ventricular Assistance / Device-Specific Considerations Device-Specific Considerations
Financial Aspects of a Mechanical Circulatory Support Program

Book details:
Author:Wayne E. Richenbacher
Size:2,019 MB
Format: pdf