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Förebygg och hantera kriser inom anestesiologi

Anestesiologi är en bred specialitet: kollegor som är anställda vid samma klinik kan huvudsakligen vara involverade i allt från ambulanssjukvård till intensivvård, och extrakorporal livsuppehållande behandling till smärtmedicin.

Denna text är avsedd att ge narkosläkare och annan narkospersonal en överblick över de icke-tekniska färdigheter och kunskaper som vi alla i allmänhet förväntas kunna aktivera med mycket kort varsel. Den passar som uppfräschning för specialister, som förberedelse inför teamträning samt som handbok till vardags.

Innehållsförteckning

1 Inledning: Säkerhet vid anestesi, icke-tekniska färdigheter och teamutbildning inom kontinuerlig medicinsk fortbildning (CME)

2 Principer for att förebygga och hantera kriser under anestesi

3 Ett Strukturerat arbetssätt för att förbättra beslutsfattandet och undvika fel

4 Bedömning och hantering av luftvägar

5 Transport inom och mellan sjukhus

6 Den hjärtsjuka patienten inför icke-kardiell kirurgi

7 Circulationssvikt under anestesi

8 Intraoperativ arytmi 

9 Hjärtstopp under anestesi 

10 Peroperativ hypertoni

11 Onormal kapnografi, hypoxi och Ventilationssvårigheter 

12 Massiv blödning

13 Malign hypertermi

14 Anafylaxi i samband med anestesi

15 LAST: systemtoxiska effekter av lokalanestetika

16 Akut förgiftning

17 Obstetriska kriser och anestesi

18 Elektrolytrubbningar

VINNARE AV HUGO AWARD & NEBULA AWARD


En av tidernas 100 mest inflytelserika romaner enligt BBC


Melange är det mest eftertraktade ämnet i universum: en drog som kan förlänga människors liv och berika det med ett multidimensionellt medvetande, det sista en förutsättning för navigering under interstellära rymdresor. Melange finns bara på den karga ökenplaneten Arrakis.

När kejsaren tar ifrån adelsfamiljen Harkonnen vasallskapet för att i stället ge planeten i förläning till familjen Atreides slår Harkonnen tillbaka och mördar fursten Leto Atreides. Sonen Paul flyr ut i öknen med sin mor lady Jessica och de räddas från att törsta ihjäl av Arrakis ursprungsfolk. Paul måste vinna arrakisfolkets tillit innan han kan leda upproret mot familjen Harkonnen.

Berättelsen om kampen om herraväldet över Arrakis är en storslagen och oavbrutet fängslande historia om makthunger, religion, svek, teknologisk övertro och begränsade naturtillgångar. I svensk översättning av Gabriel Setterborg.


FRANK HERBERT [1920-1986] var en amerikansk science fiction-författare som publicerade sina första noveller på 1950-talet. Dune, som utkom 1965, betraktas allmänt som en av de främsta romanerna någonsin i genren. Den belönades med både The Hugo Award och The Nebula Award. Vintern2020 har den nya, stort påkostade filmatiseringen av Dune premiär, i regi av Denis Villeneuve (Prisoners, Sicario).


»Kraftfull, övertygande, genialisk.« Robert A. Heinlein


»Lika fängslande i sin handling som i sina filosofiska vyer. Ett häpnadsväckande science fiction-fenomen.« Washington Post


»Dune är unik. Jag kan inte komma på något annat att jämföra den med än Sagan om ringen.« Arthur C. Clarke

Emma Stone (LA LA LAND) stars in Disney's CRUELLA, an all-new live-action feature film about the rebellious early days of one of cinema's most notorious – and notoriously fashionable – villains, the legendary Cruella de Vil. Set during the 1970s punk rock revolution in London, the story follows a clever and creative young grifter named Estella, who is determined to become a successful designer. After Estella befriends a pair of young thieves who appreciate her appetite for mischief, the three build a life for themselves on the London streets. Before long, Estella's flair for fashion catches the eye of the Baroness von Hellman, a devastatingly chic and terrifyingly haute fashion legend, played by Emma Thompson (HOWARDS END, SENSE AND SENSIBILITY). But their relationship sets in motion a course of events and revelations that will cause Estella to embrace her wicked side and become the raucous, fashionable and revenge-bent "Cruella." CRUELLA is directed by Craig Gillespie (I, TONYA) from a screenplay by Dana Fox and Tony McNamara, story by Aline Brosh McKenna and Kelly Marcel & Steve Zissis. It was produced by Andrew Gunn (FREAKY FRIDAY), Marc Platt (MARY POPPINS RETURNS) and Kristin Burr (CHRISTOPHER ROBIN), with Emma Stone, Michelle Wright, Jared LeBoff and Glenn Close serving as executive producers. Spectacular costume designer Jenny Beavan (MAD MAX: FURY ROAD, A ROOM WITH A VIEW) creates the dazzling and imaginative costumes, which take on a life of their own. WARNING: Some flashing lights scenes in this film may affect photosensitive viewers.
"The oldest and strongest emotion of mankind is fear, and the oldest and strongest kind of fear is fear of the unknown." ~ H.P. Lovecraft


This collection includes 160 of H.P. Lovecraft's works. The collection is grouped by Early Writings, Fiction, Collaborative Works, Poetry and Essays. The groups are organized in chronological order by the date that each work was written. 


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Early Writings:
The Little Glass Bottle (1897)
The Secret Cave (1898)
The Mystery Of The Graveyard (1898)
The Mysterious Ship (1902)
The Beast in the Cave (1905)
The Alchemist (1908)


Fiction:
The Tomb (1917)
Dagon (1917)
A Reminiscence of Dr. Samuel Johnson (1917)
Sweet Ermengarde (1917)
Polaris (1918)
Beyond the Wall of Sleep (1919)
Memory (1919)
Old Bugs (1919)
The Transition of Juan Romero (1919)
The White Ship (1919)
The Doom That Came to Sarnath (1919)
The Statement of Randolph Carter (1919)
The Terrible Old Man (1920)
The Tree (1920)
The Cats of Ulthar (1920)
The Temple (1920)
Facts Concerning the Late Arthur Jermyn and His Family (1920)
The Street (1920)
Celephaas (1920)
From Beyond (1920)
Nyarlathotep (1920)
The Picture in the House (1920)
Ex Oblivione (1921)
The Nameless City (1921)
The Quest of Iranon (1921)
The Moon-Bog (1921)
The Outsider (1921)
The Other Gods (1921)
The Music of Erich Zann (1921)
Herbert West--Reanimator (1922)
Hypnos (1922)
What the Moon Brings (1922)
Azathoth (1922)
The Hound (1922)
The Lurking Fear (1922)
The Rats in the Walls (1923)
The Unnamable (1923)
The Festival (1923)
The Shunned House (1924)
The Horror at Red Hook (1925)
He (1925)
In the Vault (1925)
The Descendant (1926)
Cool Air (1926)
The Call of Cthulhu (1926)
Pickman's Model (1926)
The Silver Key (1926)
The Strange High House in the Mist (1926)
The Dream-Quest of Unknown Kadath (1927)
The Case of Charles Dexter Ward (1927)
The Colour Out of Space (1927)
The Very Old Folk (1927)
The Thing in the Moonlight (1927)
A History Of The Necronomicon (1927)
Ibid (1928)
The Dunwich Horror (1928)
The Whisperer in Darkness (1930)
At the Mountains of Madness (1931)
Discarded Draft of The Shadow Over Innsmouth (1931)
The Shadow Over Innsmouth (1931)
The Dreams in the Witch House (1932)
The Thing on the Doorstep (1933)
The Evil Clergyman (1933)
The Book (1933)
The Shadow Out of Time (1934-1935)
The Haunter of the Dark (1935)


Collaborative Works:
The Green Meadow (1918)
Poetry and the Gods (1920)
The Crawling Chaos (1920)
The Horror At Martin's Beach (1922)
Under the Pyramids (1924)
Two Black Bottles (1926)
The Last Test (1927)
The Curse Of Yig (1928)
The Electric Executioner (1929)
The Mound (1929)
Medusa's Coil (1930)
The Trap (1931)
The Man Of Stone (1932)
The Horror In The Museum (1932)
Through the Gates of the Silver Key (1932)
Winged Death (1933)
Out of the Aeons (1933)
The Horror In The Burying-Ground (1933)
The Hoard Of The Wizard-Beast (1933)
The Slaying of the Monster (1933)
The Tree On the Hill (1934)
The Battle That Ended the Century (1934)
Till A' the Seas... (1935)
Collapsing Cosmoses (1935)
The Challenge From Beyond (1935)
The Disinterment (1935)
The Diary Of Alonzo Typer (1935)
In the Walls of Eryx (1936)
The Night Ocean (1936)


Poetry:
Poemata Minora, Volume II (1902)
On Receiving a Picture of Swans (1915)
March (1915)
Unda; or, The Bride of the Sea (1915)
An American to Mother England (1916)
Lines on Gen. Robert Edward Lee (1916)
The Rose of England (1916)
The Poe-et's Nightmare (1916)
The Teuton's Battle-Song
Fact and Fancy (1917)
Pacifist War Song—1917 (1917)
A Garden (1917)
The Peace Advocate (1917)
Ode for July Fourth, 1917 (1917)
Nemesis (1917)
Astrophobos (1917)
Sunset (1917)
Laeta; a Lament (1918)
Psychopompos: A Tale in Rhyme (1917-1918)
The Conscript (1918)
Despair (1919)
Revelation (1919)
The House (1919)
The City (1919)
To Edward John Moreton Drax Plunkett, Eighteenth Baron Dunsany (1919)
The Nightmare Lake (1919)
On Reading Lord Dunsany's
Book of Wonder (1920)
Christmas (1920)
Sir Thomas Tryout (1921)
Waste Paper (1922)
Providence (1924)
The Cats (1925)
Festival (1925)
Hallowe'en in a Suburb (1925)
The Wood (1929)
The Outpost (1929)
The Ancient Track (1929)
The Messenger (1929)
Fungi from Yuggoth (1929-1930)
Little Sam Perkins (1934)
Dead Passion's Flame (1935)
Arcadia (1935)
In a Sequester'd Providence Churchyard Where Once Poe Walk'd (1936)
To Clark Ashton Smith, Esq., upon His Phantastick Tales, Verses, Pictures, and Sculptures (1936)
Life's Mystery (No date)
Nathicana (No date)
Christmas Greetings (No date)

Essays:
Metrical Regularity (1915)
The Allowable Rhyme (1915)
At the Root (1918)
The Despised Pastoral (1918)
The Literature of Rome (1918)
Americanism (1919)
Literary Composition (1920)
Winifred Virginia Jackson: A "Different" Poetess (1921)
Supernatural Horror In Literature (1925-1927)
Cats And Dogs (1926)
Notes On Writing Weird Fiction (1933)

Audiobook Links: Links to download 60 free, full-length audiobooks for H.P. Lovecraft's works can be found at the end of the book.

The transition from President Donald J. Trump to President Joseph R. Biden Jr. stands as one of the most dangerous periods in American history.

But as # 1 internationally bestselling author Bob Woodward and acclaimed reporter Robert Costa reveal for the first time, it was far more than just a domestic political crisis.

Woodward and Costa interviewed more than 200 people at the center of the turmoil, resulting in more than 6,000 pages of transcripts—and a spellbinding and definitive portrait of a nation on the brink.

This classic study of Washington takes readers deep inside the Trump White House, the Biden White House, the 2020 campaign, and the Pentagon and Congress, with vivid, eyewitness accounts of what really happened.

Peril is supplemented throughout with never-before-seen material from secret orders, transcripts of confidential calls, diaries, emails, meeting notes and other personal and government records, making for an unparalleled history.

It is also the first inside look at Biden’s presidency as he faces the challenges of a lifetime: the continuing deadly pandemic and millions of Americans facing soul-crushing economic pain, all the while navigating a bitter and disabling partisan divide, a world rife with threats, and the hovering, dark shadow of the former president.

“We have much to do in this winter of peril,” Biden declared at his inauguration, an event marked by a nerve-wracking security alert and the threat of domestic terrorism.

Peril is the extraordinary story of the end of one presidency and the beginning of another, and represents the culmination of Bob Woodward’s news-making trilogy on the Trump presidency, along with Fear and Rage. And it is the beginning of a collaboration with fellow Washington Post reporter Robert Costa that will remind readers of Woodward’s coverage, with Carl Bernstein, of President Richard M. Nixon’s final days.
THE SECOND NOVEL IN THE RECORD-BREAKING, MILLION-COPY BESTSELLING THURSDAY MURDER CLUB SERIES BY RICHARD OSMAN

**OUT NOW!**

----------

'A thing of joy' KATE ATKINSON

'I absolutely loved it. He's not only done it again, but he's done it even better' PHILLIPA PERRY

'The tonic we all need' SHARI LAPENA

----------

It's the following Thursday.

Elizabeth has received a letter from an old colleague, a man with whom she has a long history. He's made a big mistake, and he needs her help. His story involves stolen diamonds, a violent mobster, and a very real threat to his life.

As bodies start piling up, Elizabeth enlists Joyce, Ibrahim and Ron in the hunt for a ruthless murderer. And if they find the diamonds too? Well, wouldn't that be a bonus?

But this time they are up against an enemy who wouldn't bat an eyelid at knocking off four septuagenarians. Can the Thursday Murder Club find the killer (and the diamonds) before the killer finds them?

----------

WHAT PEOPLE ARE SAYING ABOUT THE MAN WHO DIED TWICE

'This slick sequel will leave you buzzing' THE TIMES

'If you liked The Thursday Murder Club, you're in for a treat, as this sequel is even better' GOOD HOUSEKEEPING

'He's back and he's better than ever!' JEFFERY DEAVER

'This is the most perfect Sunday afternoon read' RED

'Full of humour and heart, Osman delivers another must-read. I loved it' HARLAN COBEN

'Superbly entertaining' GUARDIAN

'It's like reading ice cream... a pure pleasure.' LINWOOD BARCLAY

WHAT PEOPLE ARE SAYING ABOUT THE THURSDAY MURDER CLUB:


'A warm, wise and witty warning never to underestimate the elderly' VAL MCDERMID

'So smart and funny. Deplorably good' IAN RANKIN

'Smart, compassionate, warm, moving and so VERY funny' MARIAN KEYES

'Thrilling, moving, laugh-out-loud funny' MARK BILLINGHAM

'Pure escapism' GUARDIAN

'Funny, clever and achingly British' ADAM KAY

'As gripping as it is funny' EVENING STANDARD
Fans of Thea Harrison and Nalini Singh won’t want to miss this exciting, funny, and sexy novel in the mega-popular series.

“Shelly Laurenston’s shifter books are full of oddball characters, strong females with attitude and dialogue that can have you laughing out loud.” —The Philadelphia Inquirer

It’s instinct that drives Finn Malone to rescue a bunch of hard battling honey badgers. The Siberian tiger shifter just can’t bear to see his fellow shifters harmed. But no way can Finn have a houseful of honey badgers when he also has two brothers with no patience. Things just go from bad to worse when the badgers rudely ejected from his home turn out to be the only ones who can help him solve a family tragedy. He’s just not sure he can even get back into the badgers’ good graces. Since badgers lack graces of any kind . . .
 
Mads knows her teammates aren’t about to forgive the cats that were so rude to them, but moody Finn isn’t so bad. And he’s cute! The badger part of her understands Finn’s burning need to avenge his father’s death—after all, vengeance is her favorite pastime. So Mads sets about helping Finn settle his family’s score, which has its perks, since she gets to avoid her own family drama. Besides, fighting side by side with Finn is her kind of fun—especially when she can get in a hot and heavy snuggle with her very own growling, eye-rolling, and utterly irresistible kitty-cat . . .

“Filled with high-octane action, some serious snark, and a plethora of humor.. the resulting madcap adventures are sure to please series fans.”
Publishers Weekly


 
Orwell believed that true prose should be “like a windowpane” and he, himself, strove to write clearly and precisely. His early works, not only those of a journalistic nature, are primarily autobiographical. He outlined what he considered the essence of prose in his essay “Shooting an Elephant” and further developed the ideas in his essay “Politics and the English Language”. In this work, Orwell argues that political dishonesty and inaccurate, slovenly language are inextricably linked. The Spanish civil war significantly influenced Orwell’s life. In 1936, Orwell arrived in Spain as a journalist. However, always true to his beliefs, upon his arrival in Barcelona he immediately joined a guerrilla group of Marxist workers (POUM). He fought on the Aragon and Teruel fronts and received a grave wound. The impressions wrought by his time in Spain did not fade throughout Orwell’s life. In his final pre-war novel, Coming Up for Air, he denounced the modern erosion of traditional values. Orwell criticized both English socialism and Stalinism. Orwell understood his duty as a writer to be the promotion of an ideal, liberal, socialism while defending against the totalitarian tendencies that threatened the times. His goals are clearly observed in the 1945 novel Animal Farm. This satire of the Russian Revolution and the crushed hopes that resulted is told as an allegory featuring farm animals who take over the management of the farm from the farmer for their betterment. Orwell published his final book, 1984, in 1949. It features a future dystopia in which Orwell intricately portrays a totalitarian society saturated with anger and fear.

THE NOVELS

BURMESE DAYS

A CLERGYMAN’S DAUGHTER

KEEP THE ASPIDISTRA FLYING

COMING UP FOR AIR

ANIMAL FARM

NINETEEN EIGHTY-FOUR

THE MEMOIRS

DOWN AND OUT IN PARIS AND LONDON

THE ROAD TO WIGAN PIER

HOMAGE TO CATALONIA

THE POETRY OF GEORGE ORWELL

THE NON-FICTION

BOOK REVIEWS

AUTOBIOGRAPHICAL NOTE

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