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This book will help you take a badly wounded patient to the operating room, organize yourself and your team, do battle with some vicious injuries and come out with the best possible result. It is a practical guide to operative trauma surgery for residents and registrars, for general surgeons with an interest in trauma, and for isolated surgeons operating on wounded patients in military, rural or humanitarian settings. A surgical atlas may show you what to do with your hands but not how to think, plan and improvise. Here you will find practical advice on how to use your head as well as your hands when operating on a massively bleeding trauma patient. The first part of this book presents some general principles of trauma surgery. The second part is about trauma surgery as a contact sport. Here we show you how to deal with specific injuries to the abdomen, chest, neck and peripheral vessels. The single most important lesson we hope you will derive from this book is to always keep it simple because, in trauma surgery, the simple stuff works.
Moshe Schein has previously compiled two books of surgical aphorisms and quotations - the first book Aphorisms & Quotations for the Surgeon, with its 1500 quotations, and the slimmer A Companion to Aphorisms & Quotations for the Surgeon. Here is the last in the trilogy of this international bestselling series.
Over ten percent of people infected with the COVID virus will suffer with long COVID syndrome. Up until now, more than one million people have been affected with this syndrome in the United Kingdom alone, and the incidence worldwide is estimated to be more than 35 million people, although this may be the tip of the iceberg. The World Health Organization has highlighted a need for the "three Rs" -- Recognition, Research and Rehabilitation. Long COVID syndrome can be frustrating and disabling, even many months or years after the infection; sufferers complain of fatigue, pain, post-exertional malaise, cognitive dysfunction and many other systemic symptoms. It can be challenging for healthcare professionals to recognise the disease and for patients who are suffering from the condition it can have a wide and far-reaching impact on their lives and day-to-day activities. Being a relatively new condition, many healthcare professionals, now more than ever, need to have the requisite knowledge to recognise and manage this severely debilitating disease. This book will be useful to all frontline healthcare professionals to help diagnose, manage and direct patients to the available resources. General practitioners, physiotherapists, pain therapists, nurses, surgeons, physicians, junior doctors, psychologists, medical students and other clinicians will be able to update their knowledge on long COVID syndrome with this easy to read book. Patients will also find the book useful to understand the basis of the disease and how they can seek help.This comprehensive treatise covers a wide variety of topics on long COVID syndrome including the aetiopathogenesis, recognition, systemic involvement, investigations, guidelines on management, available resources, systemic management and pain/fatigue management. This book will be handy for candidates preparing for various examinations conducted by the Royal College of General Practitioners, UK (MRCGP), Royal College of Anaesthetists, UK (FRCA), Faculty of Pain Medicine, UK (FFPMRCA), College of Anaesthesiologists of Ireland (FCAI), European Society of Anaesthesiology and Intensive Care (EDAIC), Australian and New Zealand College of Anaesthetists (FANZCA), World Institute of Pain (FIPP/CIPS), National Board of Examinations of India (Dip NB), and the American and Canadian board examinations, as well as other examinations conducted by medical boards across the globe.
The Royal College of Anesthetists has introduced Constructed Response Questions (CRQs) as an innovative way of testing trainees, in the fields of anesthesia and intensive care medicine, in their final FRCA examinations from September 2019. CRQs are a more structured way of assessing knowledge and understanding; they also assess the application of knowledge, evaluation and judgement.This book categorises questions based on the Royal College model, with six mandatory sections of training and two separate sections on general duties and optional units. It is an ideal companion for candidates who are preparing for their final exams in anesthesia and will help to assess their preparation and guide appropriate revision.The topics are pertinent for other anesthetic exams worldwide, including the European exams, Australian and New Zealand fellowships and the Indian DNB exams. The authors have extensive experience in anesthetic teaching and lead anesthetic intermediate teaching in the UK, running regular and successfully attended courses.This book will help candidates to adapt to the recent exam changes and revise in an efficient manner. It will not only be an invaluable educational resource for trainee anesthetists but also for practising anesthetists. Medical students and junior doctors, who are about to embark on a career in anesthesia or intensive care medicine, will also find the book to be a useful educational tool.
"SBAs, EMQs & SAQs in SURGERY" provides a broad range and style of questions, not only for medical students preparing for their final exams, but also for those clinicians preparing for their postgraduate exams. This book includes over 200 single best answer questions (SBAs), 400 extended matching questions (EMQs) and 100 short answer questions (SAQs), giving the reader a wide variety of topics to test their exam knowledge and technique. It is an invaluable educational resource for exam preparation and to help you succeed.Over 700 questions on the core medical subjects.• Compiled by a team of junior doctors with recent final exam and postgraduate specialty exam experience.• Overseen by experienced doctors to ensure relevance and accuracy.• The broad medical curriculum is covered in a succinct and consistent style.• Clear and concise answers are provided.• Easy accessible information to facilitate revision on the move.• Enables the reader to assess their knowledge and help identify gaps in their knowledge to target revision.• The following main specialties are covered:- Upper gastrointestinal surgery;- Lower gastrointestinal surgery; - Vascular surgery;- Breast surgery;- Urology;- Neurosurgery; - Ear, nose and throat surgery;- Trauma & orthopedics;- Fluids & electrolytes.Watch out for our other titles in the MedQ4exams series:- Medicine- The Specialties- Practice papers
"SBAs, EMQs & SAQs in MEDICINE" provides a broad range and style of questions, not only for medical students preparing for their final exams, but also for clinicians preparing for their postgraduate exams.This book includes over 200 single best answer questions (SBAs), 400 extended matching questions (EMQs) and 100 short answer questions (SAQs), giving the reader a wide variety of topics to test their exam knowledge and technique. It is an invaluable educational resource for exam preparation and to help you succeed.Key features• Over 700 questions on the core medical subjects.• Compiled by a team of junior doctors with recent final exam and postgraduate specialty exam experience.• Overseen by experienced doctors to ensure relevance and accuracy.• The broad medical curriculum is covered in a succinct and consistent style.• Clear and concise answers are provided.• Easy accessible information to facilitate revision on the move.• Enables the reader to assess their knowledge and help identify gaps in their knowledge to target revision.• The following main specialties are covered:- Cardiology; - Respiratory medicine; - Gastroenterology; - Renal medicine;- Endocrinology; - Neurology; - Hematology; - Rheumatology; - Infectious diseases.Watch out for our other titles in the MedQ4exams series:- Surgery- The Specialties- Practice papers
Presents a topical review of venous disease providing a view of management and issues. This work covers topics ranging from the history, epidemiology, signs and symptoms, investigation and treatment of venous disease to issues of quality of life, complications and litigation, and setting up a clinical service.
This book provides a sound introduction to surgical instrumentation, including their recognition, use and care. It provides useful information that is essential for operating department practitioners, nurses, scrub practitioners, surgeons under training, surgical technologists, junior doctors and medical students. Descriptions of how and where the instruments are used will also aid in the knowledge required for their application, providing an understanding of instruments for specific procedures. The book is relevant to surgical practice around the world. It also aligns with the core curriculum of the Association of Surgical Technologists in the United States. This book provides the fundamental knowledge required for students and qualified staff working within the perioperative environment, to ensure the safe and efficient use of surgical instrumentation and ultimately the care of the surgical patient as a result.Steve Moutrey has a vast experience within the operating theatre environment spanning more than 40 years, starting his career in the Royal Navy (26 years), and then moving into the NHS. He is now a Senior Lecturer within the School of Health Sciences and Social Work at the University of Portsmouth and teaches on perioperative courses and allied areas.Excerpts from some reviews:"e;I am impressed by Steve Moutrey's writing style, which is clear, direct, and succinct... [His] experience as a practitioner and educator is evident in his writing. As a former surgical technology educator and author of similar texts, I can attest to the difficulty of presenting entry-level surgical instrumentation. Mr. Moutrey offers a simplified discussion enhanced with relevant illustrations that will reduce any confusion..."e; Jon Paul Price, BSOE MBAHealthcare Education Advisor/ConsultantFormer CEO, Accreditation Review Committee for Surgical Technology/Surgical Assisting, USAFormer CEO, National Board for Surgical Technology and Surgical Assisting, USA"e;This text is a clearly written guide to the concept of surgical instrumentation, aimed at both pre- and post- registration students within the perioperative environment... The wealth of illustrations support the text and should prepare the reader for the practicalities of instrument identification and handling. ... I would highly recommend [the book] for all perioperative students who wish to gain a comprehensive introduction to surgical instrumentation."e; Roger King, BA Cert. Ed Pg Cert (Res) RODPSenior Lecturer/ODP Course LeaderUniversity of West London, UK"e;This book is aimed primarily at the scrub practitioner... It will also prove to be a useful text for other professions... including nurses, medical students, surgeons in training and others requiring fundamental knowledge of surgical instrumentation. It describes in pictures and words the basic surgical instrumentation that will be found in all operating theatres..., allowing easy and instant recognition of a large number of instruments... This book will be a most welcome and helpful tool..."e;Steve Barker, MB BS BSc MS FRCSConsultant Vascular and General SurgeonRoyal South Hants Hospital, Southampton, UK"e;The book covers various types of surgical instruments in current use and the various specialties these instruments are designed for... Steve Moutrey has drawn upon his vast knowledge and experience both in field hospitals with the military and also from his time within the static theatre environment in the NHS and private sector. It will prove to be a valuable teaching and learning tool to all who read it."e;Terry Pugh, FAETC IOSH RODPTheatre Clinical ManagerQueen Alexandra Hospital, Portsmouth, UK
Urology is a specialty that notoriously receives little attention in medical school, yet it makes up a sizeable portion of the workload in emergency departments and also in primary care. Urological emergencies can often be managed simply but require the appropriate knowledge and skills. Emergency urology is often covered very superficially alongside general surgery or in excessive detail within voluminous urology textbooks. This book is different: it will consist of concise, well-structured chapters, with an accessible and easily digestible style. The content will be clinically-based and will include a number of clinical photographs and radiological investigations. This book will appeal to all doctors, including those rotating through surgical and emergency medicine specialties, and those clinicians approaching professional examinations worldwide. Medical students on urology or emergency medicine placements, who are studying for their exams will also find it invaluable. In addition, primary care doctors, specialty nurses in urology and nurses in the emergency department may also appreciate the clinically relevant content of the book. The authors are all dedicated to education and teaching, and have published extensively. In addition, they run a successful emergency urology course in Cambridge, popular with clinicians and senior students alike.
Critical Care MCQs is the perfect companion for anyone sitting exams in intensive care, as a training resource or just wanting to improve their knowledge in this constantly developing area of medical practice.Written by critical care doctors with experience of UK and European examination formats, this book leads the reader through 450 true/false questions with referenced explanations, covering core syllabus topics and key influential papers to date. A detailed list of further resources and recommendations relevant to critical care revision is also provided to enable readers to further their knowledge and understanding.It is hoped that this book will prove invaluable for preparation and success in upcoming intensive care exams for both candidates and trainers. This book would be useful for not only candidates sitting the UK Final Fellowship of Intensive Care Medicine (FFICM) and European Diploma of Intensive Care (EDIC) exams, but also the Indian Diploma in Critical Care Medicine (IDCCM), the Diploma of the Irish Board of Intensive Care Medicine (DIBICM), the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (CICM), American Board and any other country-related intensive care exams.
Intensive care medicine is a dynamic and evolving specialty, requiring its practitioners to be part physician, physiologist and anaesthetist. This requires a firm foundation of knowledge and an ability to apply this to the clinical situation. This book contains 270 multiple choice questions allowing self-assessment of the breadth of knowledge required of the modern intensivist. The book is divided into three papers each consisting of 60 multiple true false (MTF) and 30 single best answer (SBA) questions covering areas including resuscitation, diagnosis, disease management, organ support, and ethical and legal aspects of practice. The MTF questions test factual knowledge and understanding of the evidence base underpinning intensive care medicine, while the SBA questions test the ability of the candidate to prioritise, compete options and make the best decision for the patient. Each question is peer reviewed and accompanied by concise and detailed explanatory notes with references to guide further reading. All the authors are practising intensive care physicians with first-hand experience of professional examinations in the specialty. This book will appeal to intensive care physicians approaching professional examinations worldwide, including the European Diploma, American Board and Faculty of Intensive Care Medicine examinations. In addition, it will appeal to intensive care nurses and allied healthcare professionals wishing to update their knowledge as part of continuing professional development, and to physicians sitting professional examinations in related specialties requiring knowledge of intensive care medicine such as general medicine, general surgery and anaesthesia. This book will complement the existing international best-selling title "Multiple Choice Questions in Intensive Care Medicine" (9781903378 649), also written by Dr Steve Benington.
The enthusiastic feedback received from readers of the international bestseller Schein's Common Sense Emergency Abdominal Surgery (now in its 3rd edition, translated to seven languages; Springer Verlag; ISBN 9783540748205) inspired the editors to do a similar book dedicated to surgical complications: practical, non-formal, internationally relevant (in all types of practice and levels of hospitals) - and definitely not politically correct: what is considered taboo by others is not taboo for us; here we discuss everything!As in the editors' previous book, the use of references is restricted to the absolute minimum, and citing figures and percentages is avoided as much as possible. The chapters in this book are the opinion of experts - each contributor has a vast personal knowledge and clinical experience in the field he is writing about. This book will help all surgeons (and their patients), avoid the misery of complications, and will provide advice on the management of those that are unavoidable. Complications and death are an integral component of surgery. Surgeons have to look death in the eyes, try to prevent it and vanquish it - this is what this book is all about."e;Schein's books are always terrific reads, conveying pithy observations and practical advice and doing so with wit and scholarship. This latest is surely a must for every surgeon's bookshelf."e; Abraham Verghese MD, author of CUTTING FOR STONE
Following on from the success of the international bestseller Key Questions in Cardiac Surgery, the long awaited Key Questions in Thoracic Surgery will be the next book in the Key Questions series to be released. Key Questions in Thoracic Surgery will systematically cover all the main topics involved in the current practice of a thoracic surgeon. It will incorporate current guidelines for practice (such as from the American College of Chest Physicians, British Thoracic Society and European Respiratory Society) and up-to-date information based on current literature. Each chapter will be structured to include etiology, pathophysiology, clinical features, indications for surgery, peri-operative management, surgical options and postoperative care. Possible complications will be discussed and the results of current practice presented. Importantly, there will be a section on basic sciences related to the practising thoracic surgeon and a further section on thoracic investigations with many images illustrating the variety of pathologies. Each chapter will also contain important references for further reading and greater depth of knowledge. The data and body of knowledge presented in this book is strictly evidence-based and is relevant to all thoracic surgical trainees, at any stage of their training programme. It will provide residents, fellows and specialist registrars the necessary information to carry out their daily duties. Respiratory physicians and thoracic intensive care unit specialists will also find the book useful in terms of the indications and surgical management of these patients, as they are integral to the thoracic surgical process. Another important group is the nursing staff, physiotherapists and other professions allied to medicine working with patients with adult thoracic disease either pre-operatively or postoperatively, as it will help to give a detailed understanding of the principles surrounding thoracic surgical disease. Most importantly, the book is ideal as a revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. Its concise, yet complete coverage of the important topics, make it the ideal guide to answer the key questions in thoracic surgery that are asked within the confines of an examination.
This textbook aims to examine some of the most controversial areas of neurological surgery by applying the current evidence to illuminate our understanding of the pathophysiology of each disease and the outcomes from surgical and non-surgical treatments. The Evidence for Neurosurgery is a textbook that will challenge current dogmas in many instances, provide an organized framework for understanding where current evidence can be applied clinically, and illustrate where gaps in the evidence exist and how these deficiencies may be filled in the future. In the first chapter, "e;Clinical Evidence"e;, the reader will gain an understanding of the levels of clinical evidence and will learn what types of study designs are appropriate and in which situations. The textbook is then divided into six sections: Spine, Vascular, Tumor, Pediatrics, Functional, and Trauma.
The clinical management of patients with epilepsy and the associated medical literature are rapidly evolving. Evidence-based Management of Epilepsy differs from other epilepsy textbooks by focusing specifically on topics where the available evidence is sufficiently well developed to be synthesized into straightforward summaries of proven therapies. When evidence is missing or there is doubt, controversy or ambiguity, the distinguished authors offer treatment recommendations based on practice guidelines or consensus statements that span the gaps in evidence while pointing to those areas where further research is needed. The initial chapters cover critically important aspects of antiepileptic drugs (AEDs) and surgical treatment such as when to start and stop AEDs, how to monitor their effectiveness, special considerations in women who become pregnant, and when to consider surgery to alleviate seizures. The following chapters cover the therapy of seizures when they develop after traumatic brain injury or stroke, and the treatment of concomitant depression and anxiety in patients with epilepsy. The final chapters discuss emerging topics in epilepsy: the treatment of the postictal state, technologies to predict and detect seizures, strategies for closing the treatment gap and sudden unexpected death in epilepsy. The contributors are renowned experts in their fields who successfully and succinctly present state-of-the-art reviews based on the medical evidence designed to help the clinician be as best informed as possible in the care of patients with epilepsy.
Winner of a HIGHLY COMMENDED AWARD in the Neurology category of the 2012 BMA Medical Book Competition. More than five million people die from stroke each year. Stroke is also the leading cause of adult disability, affecting over 20 million people worldwide, with two-thirds of stroke victims left permanently disabled. We now know that speed of intervention is critical and patient outcomes are determined by a very narrow therapeutic window, during which physicians need to be able to make their choice of treatment rapidly, based on the best evidence available. The purpose of this book is to review that evidence, for both medical and surgical therapies as well as preventative strategies, drawing on the expertise of leading international authorities to distinguish the issues for which there is a consensus on best practice from those for which the evidence remains inconclusive. For example, for patients with acute ischemic stroke the first choice is intravenous thrombolytic therapy, but does a treatment window of 0-3 hours deliver outcomes significantly better than one of 3-4.5 hours? Arterial hypertension is the single most important modifiable risk factor for ischemic stroke, but what are the effects of blood pressure reduction among acute stroke patients? How effective is blood pressure lowering in primary intracerebral hemorrhage? What are the arguments in favour of continuation versus temporary discontinuation of antihypertensive therapy immediately after acute ischemic stroke? Endovascular procedures (carotid angioplasty/stenting) are increasingly important but what do the data tell us about their safety? Or durability? How do they compare with carotid endarterectomy? The management of unruptured intracranial aneurysms is rife with controversies; clip, coil, wait and watch? The authors examine the evidence for and against. Other sections examine the impact of various risk factors, and special populations. A section on stroke after cardiovascular surgeries reviews the incidence and management of stroke following a whole range of procedures. Another examines special risks during pregnancy. Lastly, the book reviews our understanding of childhood stroke and presents current best practice recommendations for this most challenging group of patients.
A pocket handbook on the practical and safe use of drugs in inflammatory bowel disease to achieve best patient outcome in day-to-day practice.
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