The 8th edition of Tintinalli’s Emergency Medicine provides the depth and breadth of coverage that reflects the complexity and expertise needed to practice emergency medicine successfully in today’s fast–paced environments. It is an important contemporary clinical emergency care resource for physicians, NPs, and PAs who practice emergency medicine and for emergency medicine and pediatric emergency medicine fellows. It remains the preferred study guide for in-training and board examinations and recertification.
NEW to this edition:
• Full-color design with more tables than ever to succinctly present key information
• Extensive updates to all sections, incorporating the latest guidelines, evidence-based protocols, and relevant research
• Expanded pediatric section, with complete clinical information for general and pediatric emergency physicians
• Expanded coverage of common emergency department procedures, with improved illustrations
• Online access to more than 30 videos, covering a wide range of procedural and diagnostic topics and focusing on the latest ultrasound-guided techniques
From the reviews of the seventh edition:
"Collectively, they have once again produced an excellent text that manages to cover the broad scope of emergency medicine while remaining an easily readable and practical resource....Last, for the inevitable comparison of this current edition of Tintinalli's Emergency Medicine with other available emergency medicine textbooks available: in my opinion, Tintinalli’s still comes out on top. It is more concise and easier to read than some, yet it covers the breadth of emergency medicine practice more comprehensively than others....Just as previous editions did, the seventh presents all of the most pertinent and up-to-date information in a well-organized format that is comprehensive yet easy to read. That and many of the attractive new features in this current edition will ensure its place on my bookshelf for years to come."—JAMA
There's a running joke among radiologists: finding a tumor in a mammogram is akin to finding a snowball in a blizzard. A bit of medical gallows humor, this simile illustrates the difficulties of finding signals (the snowball) against a background of noise (the blizzard). Doctors are faced with similar difficulties every day when sifting through piles of data from blood tests to X-rays to endless lists of patient symptoms.
Diagnoses are often just educated guesses, and prognoses less certain still. There is a significant amount of uncertainty in the daily practice of medicine, resulting in confusion and potentially deadly complications. Dr. Steven Hatch argues that instead of ignoring this uncertainty, we should embrace it. By digging deeply into a number of rancorous controversies, from breast cancer screening to blood pressure management, Hatch shows us how medicine can fail—sometimes spectacularly—when patients and doctors alike place too much faith in modern medical technology. The key to good health might lie in the ability to recognize the hype created by so many medical reports, sense when to push a physician for more testing, or resist a physician's enthusiasm when unnecessary tests or treatments are being offered.
Both humbling and empowering, Snowball in a Blizzard lays bare the inescapable murkiness that permeates the theory and practice of modern medicine. Essential reading for physicians and patients alike, this book shows how, by recognizing rather than denying that uncertainty, we can all make better health decisions.
Get expert advice from Dr. Steven McGee, an internationally respected authority in physical examination and assessment, pain management, and education in general internal medicine.
See exactly which studies document the significance of various findings thanks to thousands of up-to-date references.Apply the latest knowledge on hot topics such as the value of physical examination in taking care of the ICU patient, accurately diagnosing the etiology of systolic murmurs, diagnosing osteoarthritis and acute vertigo in the dizzy patient, diagnosing hemorrhagic stroke, and diagnosing pleural effusions.
Implement the most current evidence-based approaches for evaluating stance and gait, Schamroth’s sign (for clubbing), dementia, prediction of falls, hepatopulmonary syndrome, atrial fibrillation, relative bradycardia, tourniquet test (for dengue infections), acute stroke, and pleural effusion.
Assess the pretest probability of disease, given particular signs or symptoms, with new at-a-glance tables.
Make effective decisions thanks to updated content throughout, including new EBM boxes covering over 250 recent studies on physical diagnosis—ensuring that all diagnostic information (i.e., sensitivity, specificity, and likelihood ratios) is up to date.
In a clear and engaging style, How to Read a Paper demystifies evidence-based medicine and explains how to critically appraise published research and also put the findings into practice.
An ideal introduction to evidence-based medicine, How to Read a Paper explains what to look for in different types of papers and how best to evaluate the literature and then implement the findings in an evidence-based, patient-centred way. Helpful checklist summaries of the key points in each chapter provide a useful framework for applying the principles of evidence-based medicine in everyday practice.
This fifth edition has been fully updated with new examples and references to reflect recent developments and current practice. It also includes two new chapters on applying evidence-based medicine with patients and on the common criticisms of evidence-based medicine and responses.
How to Read a Paper is a standard text for medical and nursing schools as well as a friendly guide for everyone wanting to teach or learn the basics of evidence-based medicine.
Some of the topics covered in the book are the pyramidal and extrapyramidal pathways, principles of motor control; effects of lesions in the motor system; muscle spindles and motor control; signals from skin mechanoreceptors in the human hand; afferent c fiber signals and pain; and sympathetic activity in human peripheral nerves. The definition and description of baroreflex control of vasoconstrictor outflow to skeletal muscles are fully covered. An in-depth account of the activity of a motoneuron pool and the muscle activity spectrum is provided. The mechanism of long-latency stretch reflexes and critical exploration of the pyramidal syndrome are completely presented. A chapter is devoted to description of monosynaptic excitability curves after activation of myotatic arc. Another section focuses on the practical applications of pathophysiological analysis.
Much more than a text describing how to perform a history and physical examination, DeGowin's Diagnostic Examination is unmatched in its ability to help you logically assess symptoms and physical signs to facilitate development of reasonable, testable diagnostic hypotheses.
Part physical examination primer, part differential diagnosis guide, DeGowin's:Describes how to obtain a complete history and perform a thorough physical examination Links symptoms and signs with the pathophysiology of disease Presents a symptom, sign, anatomy, and physiology-based approach to differential diagnosis Facilitates efficient cost-effective diagnostic testing using focused differential diagnoses
Organized as a practical bedside guide to assist diagnosis, DeGowin's is valuable as a quick reference at the point-of-care or as a text to study the principles and practice of history taking and physical examination.
A Concise Guide to Clinical Trials provides a comprehensive yet easy-to-read overview of the design, conduct and analysis of trials. It requires no prior knowledge on the subject as the important concepts are introduced throughout. There are chapters that distinguish between the different types of trials, and an introduction to systematic reviews, health-related quality of life and health economic evaluation. The book also covers the ethical and legal requirements in setting up a clinical trial due to an increase in governance responsibilities and regulations.
This practical guidebook is ideal for busy clinicians and other health professionals who do not have enough time to attend courses or search through extensive textbooks. It will help anyone involved in undertaking clinical research, or those reading about trials. The book is aimed at:Those wishing to learn about clinical trials for the first time, or as a quick reference guide, for example as part of a taught course on clinical trials Health professionals who wish to conduct their own trials, or participate in other people’s studies People who work in pharmaceutical companies, grant funding organisations, or regulatory agencies
The multidisciplinary nature of this book and the inclusion of subject matter from the professional as well as research realm result in a level of comprehensiveness which is distinct in the field of mental health and aging
Each chapter contains a comprehensive bibliography, the compilation of which represents a definitive reference source in the field
The chapters review state-of-the-art research in the biological, behavioral, and social sciences and represent the cutting-edge of current practice in psychiatry, neurology, social work, nursing, psychology, and pharmacology, among other professions
The compilation of prevalence data is a much-needed addition to the current literature
The multidisciplinary nature of this book and the inclusion of both clinical and practical issues makes the book distinctively comprehensive
In the DSM-IV, personality disorders are classified into three main clusters. Cluster A: paranoid, schizoid and schizotypal personality disorders. These persons often appear odd or eccentric. Cluster B: antisocial and narcissistic personality disorders. These persons are often dramatic, impulsive and emotionally unstable. Cluster C: avoidant, dependent and obsessive-compulsive disorders. These persons are often anxious or phobic.
The book is divided into four sections. The first section details the role of neural structures and neurotransmitter signals in communication with the immune system. It documents the extensive neural connections with organs of the immune system; the dynamics of noradrenergic sympathetic innervation of spleen and thymus; and the evidence for immune signaling of the CNS. Part II elaborates the role of hormones in the modulation of immune functions; the basis for bidirectional communication between the neuroendocrine and immune systems; and the potential physiological implications of these neuroendocrine-immune system interactions. The third part addresses behavioral influences on immune response; the effects of conditioning, stress and social interactions in modulating immune responses; and the behavioral consequences of experimentally altered or genetically determined immunologic states. The final section presents the effects of psychosocial factors on immune responses and the potential impact of behavioral interventions in modulating immunity in healthy human subjects and in patients with AIDS.
Neuroscientists, endocrinologists, and immunologists will find the book interesting.
This book presents reviews of the underlying theory, physiology, and biochemistry of hemostasis and thrombosis, including the enzymology of blood coagulation and fibrinolysis.
This compilation is divided into three levels of specific purposes. First is to provide the most reliable and widely accepted laboratory assays of undisputed diagnostic clinical value, which provides newcomers in the field and experienced workers in the coagulation laboratory with a reference manual to everyday work in a clinically-oriented environment. Second is to review and sketch in outline the theoretical sections focusing on mechanisms. Finally, this text aims to include a systematic review of the most successful purification techniques for individual coagulation factors and moieties of the fibrinolytic enzyme system.
This publication is beneficial to medical students and clinicians concerned with human blood coagulation.
Provide the expectant mother with information and guidance regarding the pregnancy, childbirth and care of the newborn.
Offer a wide range of psychosocial support and identify the need of such support; attention should be paid to the life situation and well-being of the parents and the whole family, as well as factors contributing to or possibly decreasing the quality of life the changes in family relations and resources brought about by the baby. Identify any health risks to the foetus or mother so that any problems can be duly attended to, either at the antenatal clinic or by specialist intervention. Provide routine care of various illnesses and complaints. Identify situations which require specialist health care.
The book details the systemic aspects of diseases. The topics discussed include various eye conditions such as conjunctivitis, episcleritis, keratitis, keratoconjunctivitis sicca, and cataract. Endocrine, circulatory, rheumatological, neurological, pulmonary, and blood disorders are covered as well.
Physicians and students of medicine and pathology will find the book very useful.
Receiving a cancer diagnosis can be terrifying, and the first thing you probably want to know is: How am I going to survive this? Cancer care requires decisions from numerous professionals, delivering treatments that are potentially life-saving, but also potentially dangerous and life-threatening. The chances of cure and survival for any given patient depend on the expertise of the cancer team, and whether procedures are in place to ensure that cancer care is delivered properly. So, how can you make sure you choose the right treatment team and ensure the best chances of survival and long-term health after being diagnosed with cancer?
Taking Charge of Cancer is a different type of book for cancer patients—one that goes beyond the cancer information that is currently available, allowing you to truly take control of your cancer treatment. You’ll learn how to obtain and understand medical records, and why these records are critical to your care. You’ll also find the tools you’ll need to determine if the recommendations made by doctors are in keeping with accepted treatment guidelines. You’ll discover how doctors use evidence to decide which treatments are best, as well as how doctors can become biased in their recommendations. And, most importantly, you’ll be able to evaluate whether surgery, radiation, or chemotherapy make the most sense in your specific case—and whether or not these serious treatments are being delivered effectively and safely according to the highest standards.
Now that you’ve received a cancer diagnosis, it’s time to set a plan in motion for your recovery. This book will help you do just that—every step of the way.
The book first offers information on the nature of cancer and cancer spread, including degenerative changes, harmful effects, origin of tumors, direct and lymphatic spread, and non-vascular implantation spread. The text then takes a look at the general considerations and gastric cancer; geographical pathology of cancer in Africa; and geographical and occupational pathology of skin cancer.
The publication ponders on religious customs, traditional practices, and social habits and occupational tumors of the urinary passages. Topics include clinical features, sites of tumors, link with spontaneous bladder cancer, carcinoma of the base of the tongue and the tonsils, and cancer of the penis. The manuscript also examines the cancer of the lungs, latency and cocarcinogenesis, and hormones and mammary cancer.
The text is a dependable reference for readers interested in the study of cancer.
asking clinical questions
searching for answers
discriminating good from poor information and research
using the answers to make clinical decisions.
This attractive, colour workbook provides a clear explanation of EBP skills and concepts. Written by internationally respected authors, this expanded and updated edition has been developed from evidence-based practice workshops run by the Centre for Evidence-Based Medicine at the University of Queensland and Oxford, and contains information and exercises to help health professionals learn how to use EBP in their clinical practice.
Alfredo Morabia's lucid retelling sheds new light on the historical triumphs of epidemiological research and allows for contemporary readers, patients, and nontechnical audiences to make sense of the immense amount of health information disseminated by the media. By drawing from both historical and contemporary sources, Morabia provides the reader with the tools to differentiate health beliefs from health knowledge. The book covers important topics, including the H1N1 swine flu epidemic, breast cancer, the effects of aspirin, and the link between cigarettes and lung cancer. Enigmas of Health and Disease is a concise narrative helping patients and health providers develop a more informed relationship.
The text first provides a historical account of alcohol and drug treatment outcome research. Next, the selection considers the use of multiple measures of life health to assess alcohol treatment. Chapter 3 deals with the behavioral assessment and treatment evaluation of narcotic addiction, while Chapter 4 talks about the evaluation of behavioral and traditional treatment of alcoholics. The fifth chapter tackles the contingency contracting with drug abusers, and the sixth chapter covers the development of a prototype for the evaluation of alcohol treatment. The text also details the problems in alcohol treatment along with the improvement of confidence in treatment of substance abuse.
The book will be of great use to behavioral scientists, social workers, and mental health specialists.
Organized into 24 chapters, this book begins with an overview of the problem of neurological trauma. This text then presents the accident scene management protocol for acute spinal cord injury as a standard to other forms of trauma system pre-hospital care. Other chapters consider the appropriate drugs and dosages for the management of status epilepticus in the newborn and older children. This book discusses as well the findings on the neurological examination and provides a framework for an etiological classification that has direct therapeutic implications. The final chapter deals with the clinical aspects, diagnosis, and management of neuromuscular diseases.
This book is a valuable resource for clinicians and intensive care unit nurses.
This book is organized into 10 parts. The introductory part provides basic information on cells and tissues and outlines the methodology in cellular pathology techniques. This is followed by chapters that deal with various aspects of cellular pathology including tissues, cells and cell products of special interests, electron microscopy, and immunocytochemistry.
This book will be of interest to students of cellular pathology and those in the medical profession.
Organized into 15 chapters, this book begins with an overview of the aspects of the study of malignant disease and the experience needed by the radiotherapist to function fully as a clinical oncologist. This text then describes briefly the experiments and discoveries of Marie Curie and Wilhelm Konrad Roentgen. Other chapters consider the fundamental physical principles underlying the use of ionizing radiations. This book discusses as well the aspects of treatment using external beam therapy, the machines used, the method of planning treatment, as well as special features of the treatment. The final chapter deals with the effects of radiation on tumor, the normal cell, the tissue or organ, and on the whole body.
This book is a valuable resource for radiotherapists, epidemiologists, pathologists, clinical oncologists, nurses, and medical students.
This book is composed of 12 chapters, and begins with a description of the primary and negative features of the condition. The subsequent chapters are concerned with the methods of disposal of a psychopath under English law, the safeguards available both to the individual and to society within and without the Mental Health Act, and the extent to which this disposal mechanism was used. These topics are followed by discussions on the causation of psychopathic disorder; the electroencephalographic and psychological techniques for the disorder evaluation; and various methods of patient care. The last chapters consider the law and practice relating to psychopathic disorder and British facilities for the treatment of psychopaths.
This book is of value to psychologists and psychiatrists.
Organized into seven chapters, this volume begins with an overview of cognitive schemata and cognitive processing as significant theoretical concepts for cognitive–behavioral therapy. This text then provides an analysis of self-mastery and the role of self-schemata in processing therapeutic information. Other chapters provide clinical guidelines for helping clients in changing their self-view and behavior. This book discusses as well the increasing influential role of fundamental cognition and social cognition in cognitive–behavioral interventions. The final chapter deals with the applied developments in the treatment of performance anxiety.
This book is a valuable resource for research and applied psychologists. Researchers and clinicians struggling with the interplay of behavior, cognition, and emotion will also find this book useful.