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Total Intravenous Anaesthesia (TIVA) does not have to be complicated. This fully updated second edition translates TIVA into an engaging, and practical guide for anaesthesia practitioners at all levels. Written in clear, straightforward language and enriched with insights from international experts, the book covers everything from core principles to advanced techniques, including pharmacokinetic models, dosage calculations, and emergency applications. Featuring practical advice for treating a wide range of patients - from routine elective cases to paediatric, geriatric, obese, and pregnant individuals - making it an essential resource for safe, confident anaesthetic care. Including real-world examples, diagrams, and step-by-step evidence-based guidance on TIVA techniques, drug pharmacology, and protocols, the authors bring fresh perspectives and updated knowledge to reflect the latest research and innovations. Whether you're starting out or refining your skills, this handbook delivers the clarity, confidence, and practical guidance needed to master TIVA in everyday clinical settings – an essential companion.
This book makes a bold but crucial claim: storytelling is not an embellishment to medical knowledge-it is the engine that drives it. Evidence becomes meaningful only when it is framed and interpreted within existing stories. Focusing on reproductive health, Beyond the Bedside explores diverse understandings of medical evidence in relation to some of today's most contested topics, including embryo selection in IVF, puberty blockers for transgender youth and abortion care. Across these cases, the authors reveal how identical evidence can lead to starkly different syntheses, guidelines, and public positions, depending on the narratives into which it is woven. Introducing the concept of deep knowledge translation, the book offers a new way of analysing how evidence moves across research, clinical practice, policy, law, and public debate. It shows why medical controversies persist and how understanding narrative dynamics can transform the way we produce and use knowledge. Available as Open Access on Cambridge Core.
This exceptional guide to pancreatic pathology and cytopathology, incorporates extensive illustrations, videos, and infographics for easy understanding and diagnosis. The content is presented in an easy-to-digest, bulleted format, complemented by richly annotated videos that provide a visual learning experience. This practical guide addresses key diagnostic challenges, uniquely integrating cytopathology and histopathology. Four major topics are covered including inflammatory diseases of the pancreas, solid pancreatic neoplasms, cystic pancreatic neoplasms, and primary biliary lesions. This is an indispensable resource for pathologists, gastroenterologists, pancreatic surgeons, and researchers, offering a comprehensive and visual approach to a complex medical field.
Protests are becoming more frequent and unpredictable, often creating complex challenges for emergency healthcare providers. Road closures, surging crowds, and sudden outbreaks of violence can strain resources and compromise safety. When demonstrations escalate, injuries from chemical irritants, kinetic impact projectiles, tasers, dog bites, and stampedes demand rapid and informed responses. This concise guide equips healthcare professionals with practical strategies for delivering timely, high-quality care in pre-hospital and hospital settings during civil unrest. Using lessons learnt from real world events this guide teaches readers to recognize common protest-related injury patterns, implement effective treatment plans, and maintain personal safety amid volatile conditions. Beyond immediate care, this book also addresses post-protest considerations, including trauma-informed approaches and psychological first aid for both patients and healthcare providers alike. Whether on the frontlines or in the emergency department this resource will prepare readers to navigate turbulent events with confidence, compassion, and care.
This groundbreaking book delves into the origins and evolution of caring for the neurocritically ill. From the early pioneers like Galen and Charcot to the modern advancements in understanding acute brain injury, this narrative weaves together historical insights and clinical observations. Explore the unique challenges and breakthroughs that shaped acute neurology into the specialized field it is today. Through a meticulous exploration of primary sources and historical findings, this book sheds light on the trajectory of thought and the continuity of development in acute neurosciences. Aimed at neurointensivists, neurosurgeons, and clinicians across various specialties, Fixed and Dilated offers a fresh perspective on the past while connecting it to the present and future of neurocritical care. Uncover the untold stories that have shaped our understanding of acute neurological conditions.
Throughout the world, in liberal states, it is common to use prenatal selection techniques and procedures which can prevent the birth of a disabled child. A common assumption is that this practice is driven by individual choice, and that the state itself is neutral. If instead the state was not neutral, this would raise fears of eugenics. The purpose of this book is to test this common assumption. While there is extensive literature on the ethics of selecting against disability, this book proposes a different starting point based on an analysis of the state's position. Through an examination of liberal theory, and a review of concrete examples of state practice, it sheds new light on our society's commitment to the equality of disabled people and the equality of women.
The COVID-19 pandemic disproportionately harmed members of already disadvantaged and vulnerable communities. Focusing on five communities in the US with comparative data from other countries – children, older adults, women, people of color, and those who are incarcerated – The Unequal Pandemic explains why. The book points to the inadequacies of the public policies adopted to respond to the pandemic, evaluating their effectiveness and compliance with ethical norms and human rights obligations. By assessing the failures of the responses to the COVID-19 pandemic, the book outlines needed policy changes to rectify current disparities and respond more effectively in future health emergencies.
Brain maldevelopment or injury in utero can cause life-long disability. Focussing on improvements in imaging methods, therapeutics, and perinatal care that can help to identify, prevent, or treat brain problems in the fetus and newborn, this new edition brings the reader fully up to date with recent advances in clinical management and outcome assessment. Updated material includes protective strategies for pre-term and term infants, ways of promoting of brain development in the neonatal intensive care unit, resuscitation, and immediate care after resuscitation (golden hour care), and parental perspectives, particularly strategies for communicating with families. An outstanding international team of highly experienced neonatologists and maternal-fetal medicine clinicians have produced a practical and authoritative clinical text offering clear management advice to all clinicians involved in the treatment of the fetus and newborn.
Offering a concise yet comprehensive overview, this textbook explains the fundamental concepts and frameworks that underpin the field of public health. Chapters define key terms and cover topics such as measuring health, technology, equity, leadership, health systems and reform. Real-world health issues, including COVID-19, obesity, HIV/AIDS and climate change, are used to make abstract ideas more easily digestible. Designed for students and professionals interested in public health, it includes learning objectives, illustrative examples, summaries of key takeaways, and comprehension and discussion questions to aid navigation and learning. An instructor manual and test bank are available as supplementary resources.
An updated second edition of the popular 'red book' revision aid, developed specifically for those preparing for the Final FFICM structured oral examination. Written and edited by three consultant intensivists and designed in the style of the viva, it provides model answers which feature summaries of the relevant evidence to guide trainees in their preparation for the exam. The 98 topics and questions specifically tackle clinical aspects of the exam and each chapter is structured to facilitate productive revision. Core concepts are expanded to ensure detailed explanations, and enhanced by figures and tables to promote visual learning. Now featuring seven new chapters, this text is an invaluable revision aid to those studying for the Final FFICM and, more widely, trainees revising for the Final FRCA, as it covers popular and commonly occurring ICM topics featuring in the anaesthetic fellowship exams.
As a psychiatrist, you may be the only medically qualified person available to manage the physical healthcare of a patient in a mental health setting. Do you know how to: Recognise sepsis? Diagnose headache disorders? Manage Type 1 Diabetes? Written by leading experts in medicine, surgery, pharmacy, physiotherapy, primary care, disease prevention and the law, this book contains a wealth of information specifically for psychiatrists about physical healthcare. With full-colour illustrations, there is information about the management of acute illness, infectious diseases, cardiac, respiratory and neurological emergencies, and long-term conditions e.g., endocrine, renal and gastrointestinal disorders. Whether you are an experienced psychiatrist or a trainee or GP, you will find practical guidance about making the 'first response', delivery of routine physical healthcare and referral to colleagues. This book is essential reading to help update your knowledge, help you to make the right decisions, and avoid traps for the unwary.
An essential, accessible introduction to Dialectical Behaviour Therapy (DBT) for reducing self-harm, suicidal behaviours, and other major problems associated with emotional dysregulation. It breaks the treatment down into user-friendly steps for novice clinicians while refreshing knowledge for more experienced practitioners. Covering all modes of DBT, chapters also span case formulation, recent research, the DBT suicide crisis protocol, case studies, running standalone DBT skills training, and implementing a DBT programme. Authored by accredited DBT therapists and supervisors who are all senior members of the British Isles DBT National Training Team which has seeded 650+ DBT teams in the UK and across Europe since 1997, this practical textbook is packed with rich, everyday clinical examples and useful ideas for practice. Part of the Cambridge Guides to the Psychological Therapies series, offering all the latest scientifically rigorous, and practical information on a range of key, evidence-based psychological interventions for clinicians.
Why do health inequalities persist even in systems promising universal coverage? A key reason is the hidden challenge of long-term treatment adherence. When patients struggle to stay on track, existing inequalities deepen. But is strict adherence always the best route to wellbeing? Life brings competing priorities, and treatment should not eclipse everything else-yet structural injustices often leave disadvantaged patients with few options. This book explores the lived reality of chronic illness, revealing how healthcare can support patients in balancing treatment with everyday demands. It emphasises person-centered care, highlighting the fragility of illness and the need for socially aware support beyond clinical routines. At its core is a bold ethical framework for chronic care, urging shared responsibility to address cumulative disadvantage. Thought-provoking and timely, this book challenges assumptions and offers a vision for care that is humane, equitable, and ethically grounded.
This comprehensive guide presents a data science approach to healthcare quality measurement and provider profiling for policymakers, regulators, hospital quality leaders, clinicians, and researchers. Two volumes encompass basic and advanced statistical techniques and diverse practical applications. Volume 1 begins with a historical review followed by core concepts including measure types and attributes (bias, validity, reliability, power, sample size); data sources; target conditions and procedures; patient and provider observation periods; attribution level; risk modeling; social risk factors; outlier classification; data presentation; public reporting; and graphical approaches. Volume 2 introduces causal inference for provider profiling, focusing on hierarchical regression models. These models appropriately partition systematic and random variation in observations, accounting for within-provider clustering. Item Response Theory models are introduced for linking multiple categorical quality metrics to underlying quality constructs. Computational strategies are discussed, followed by various approaches to inference. Finally, methods to assess and compare model fit are presented.
This comprehensive guide presents a data science approach to healthcare quality measurement and provider profiling for policymakers, regulators, hospital quality leaders, clinicians, and researchers. Two volumes encompass basic and advanced statistical techniques and diverse practical applications. Volume 1 begins with a historical review followed by core concepts including measure types and attributes (bias, validity, reliability, power, sample size); data sources; target conditions and procedures; patient and provider observation periods; attribution level; risk modeling; social risk factors; outlier classification; data presentation; public reporting; and graphical approaches. Volume 2 introduces causal inference for provider profiling, focusing on hierarchical regression models. These models appropriately partition systematic and random variation in observations, accounting for within-provider clustering. Item Response Theory models are introduced for linking multiple categorical quality metrics to underlying quality constructs. Computational strategies are discussed, followed by various approaches to inference. Finally, methods to assess and compare model fit are presented.
There is a growing need for academic enquiry acknowledging the challenges surrounding successful prescribing for mental health. This book focuses on the act and skills of psychiatric prescribing and its psychosocial context, bringing together differing views on prescribing, assessing the challenges, and identifying useful principles and guidelines together. Covering a multitude of topics including interpreting and handling uncertainty in the clinical evidence, accounting for phases of illness and natural course, collaborating with allied professionals, addressing the meaning of medications, minimising structural barriers to medications; accounting for interactive effects of dietary factors, supplements and alternative remedies, and shared decision-making approaches. Case vignettes and accompanying analysis frame the issues relevant for psychiatric prescribers and offering an approach that strikes a balance between the biological, psychological and social elements of prescribing. For psychiatrists, clinical psychologists and all those involved with the care of patients with mental health conditions.
Conquer the postgraduate exam with this expertly designed question bank from a consultant-mentor with twnety-five years of global ICU leadership experience. Featuring over 1,000 evidence-based MCQs mapped to the official curriculum, the book is structured into organ-system chapters that progress from Foundation to Challenge level. Each question includes detailed explanations referencing landmark trials, COVID-era guidelines, and essential literature to accelerate high-yield learning. Realistic case vignettes, pacing strategies, and alerts for common pitfalls are all included alongside relevant background information and references for further reading. Featuring three full mock papers with corresponding answer sheets which simulate authentic testing conditions, supporting both long-term preparation and last-minute review. Covering the entire syllabus, this compact resource delivers clinical insight and exam agility for confident performance. Perfect for trainee intensivists and anaesthetists worldwide preparing for examinations in intensive care medicine.
Unearthing primary sources from a large transatlantic archive, this first book-length study of asylum periodicals in the nineteenth century traces the origins and early spread of periodical publishing in mental institutions in Britain, the United States, and the rest of the world. It connects the rise of asylum periodicals with developments in publishing, literary culture, and the treatment of madness, illuminating the social and print networks that supported their spread. Examining the complicated relationships involved in asylum publishing, Mila Daskalova highlights the role of print in self-expression, community building and identity formation. It shows that patients employed these publications to navigate their institutional reality and to interact with each other and the world. Rather than powerless recipients of care or abuse, periodical contributors participated actively in their treatment and cultural and social life within and beyond the institutions. This title is also available as open access on Cambridge Core.