Blood Loss And Shock

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Fluid Resuscitation

Author : Institute of Medicine,Committee on Fluid Resuscitation for Combat Casualties
Publisher : National Academies Press
Page : 207 pages
File Size : 51,6 Mb
Release : 1999-10-05
Category : Medical
ISBN : 9780309172790

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Fluid Resuscitation by Institute of Medicine,Committee on Fluid Resuscitation for Combat Casualties Pdf

Historically, 20% of all injured combatants die on the battlefield before they can be evacuated to a field hospital. Blood lossâ€"hemorrhageâ€"is the single major cause of death among those killed in action whose lives might otherwise be saved. Fluid resuscitation and the treatment of hypovolemia (the abnormally decreased volume of circulating fluid in the body) offer the greatest opportunity for reducing mortality and morbidity associated with battlefield casualties. In Fluid Resuscitation, a committee of experts assess current resuscitation fluids and protocols for the treatment of combat casualties and make recommendations for future research. Chapters focus on the pathophysiology of acute hemorrhagic shock, experience with and complications of fluid resuscitation, novel approaches to the treatment of shock, protocols of care at the site of injury, and future directions for research. The committee explicitly describes the similarities and differences between acute medical care during combat and civilian emergency trauma care. Fluid Resuscitation should help energize and focus research in both civilian and military emergency care and help save the lives of citizens and soldiers alike.

Trauma Induced Coagulopathy

Author : Hunter B. Moore,Matthew D. Neal,Ernest E. Moore
Publisher : Springer Nature
Page : 802 pages
File Size : 44,6 Mb
Release : 2020-10-12
Category : Medical
ISBN : 9783030536060

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Trauma Induced Coagulopathy by Hunter B. Moore,Matthew D. Neal,Ernest E. Moore Pdf

The first edition of this publication was aimed at defining the current concepts of trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It served as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader is provided with a full understanding of the tests that are used to study trauma induced coagulopathy. With the growing interest in understanding and managing coagulation in trauma, this second edition has been expanded to 46 chapters from its original 35 to incorporate the massive global efforts in understanding, diagnosing, and treating trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications is reviewed in detail. The text provides therapeutic strategies to treat specific coagulation abnormalities following severe injury, which goes beyond the first edition that largely was based on describing the mechanisms causing coagulation abnormalities. Trauma Induced Coagulopathy 2nd Edition is a valuable reference to clinicians that are faced with specific clinical challenges when managing coagulopathy.

Regulation of Tissue Oxygenation, Second Edition

Author : Roland N. Pittman
Publisher : Biota Publishing
Page : 117 pages
File Size : 49,9 Mb
Release : 2016-08-18
Category : Medical
ISBN : 9781615047215

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Regulation of Tissue Oxygenation, Second Edition by Roland N. Pittman Pdf

This presentation describes various aspects of the regulation of tissue oxygenation, including the roles of the circulatory system, respiratory system, and blood, the carrier of oxygen within these components of the cardiorespiratory system. The respiratory system takes oxygen from the atmosphere and transports it by diffusion from the air in the alveoli to the blood flowing through the pulmonary capillaries. The cardiovascular system then moves the oxygenated blood from the heart to the microcirculation of the various organs by convection, where oxygen is released from hemoglobin in the red blood cells and moves to the parenchymal cells of each tissue by diffusion. Oxygen that has diffused into cells is then utilized in the mitochondria to produce adenosine triphosphate (ATP), the energy currency of all cells. The mitochondria are able to produce ATP until the oxygen tension or PO2 on the cell surface falls to a critical level of about 4–5 mm Hg. Thus, in order to meet the energetic needs of cells, it is important to maintain a continuous supply of oxygen to the mitochondria at or above the critical PO2 . In order to accomplish this desired outcome, the cardiorespiratory system, including the blood, must be capable of regulation to ensure survival of all tissues under a wide range of circumstances. The purpose of this presentation is to provide basic information about the operation and regulation of the cardiovascular and respiratory systems, as well as the properties of the blood and parenchymal cells, so that a fundamental understanding of the regulation of tissue oxygenation is achieved.

Advanced Perioperative Crisis Management

Author : Matthew D. McEvoy,Cory M. Furse
Publisher : Oxford University Press
Page : 352 pages
File Size : 50,5 Mb
Release : 2017-07-25
Category : Medical
ISBN : 9780190226466

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Advanced Perioperative Crisis Management by Matthew D. McEvoy,Cory M. Furse Pdf

Advanced Perioperative Crisis Management is a high-yield, clinically-relevant resource for understanding the epidemiology, pathophysiology, assessment, and management of a wide variety of perioperative emergencies. Three introductory chapters review a critical thinking approach to the unstable or pulseless patient, crisis resource management principles to improve team performance and the importance of cognitive aids in adhering to guidelines during perioperative crises. The remaining sections cover six major areas of patient instability: cardiac, pulmonary, neurologic, metabolic/endocrine, and toxin-related disorders, and shock states, as well as specific emergencies for obstetrical and pediatric patients. Each chapter opens with a clinical case, followed by a discussion of the relevant evidence. Case-based learning discussion questions, which can be used for self-assessment or in the classroom, round out each chapter. Advanced Perioperative Crisis Management is an ideal resource for trainees, clinicians, and nurses who work in the perioperative arena, from the operating room to the postoperative surgical ward.

Clinical Fluid Therapy in the Perioperative Setting

Author : Robert G. Hahn
Publisher : Cambridge University Press
Page : 309 pages
File Size : 55,6 Mb
Release : 2016-05-26
Category : Medical
ISBN : 9781107119550

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Clinical Fluid Therapy in the Perioperative Setting by Robert G. Hahn Pdf

The world's most renowned researchers in fluid management explain what you should know when providing infusion fluids to surgical patients.

Oxford Textbook of Fundamentals of Surgery

Author : William E. G. Thomas,William Ernest Ghinn Thomas,Malcolm W. R. Reed,Michael G. Wyatt
Publisher : Oxford University Press
Page : 849 pages
File Size : 50,5 Mb
Release : 2016-07-28
Category : Medical
ISBN : 9780199665549

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Oxford Textbook of Fundamentals of Surgery by William E. G. Thomas,William Ernest Ghinn Thomas,Malcolm W. R. Reed,Michael G. Wyatt Pdf

A definitive, accessible, and reliable resource which provides a solid foundation of the knowledge and basic science needed to hone all of the core surgical skills used in surgical settings. Presented in a clear and accessible way it addresses the cross-specialty aspects of surgery applicable to all trainees.

Cardiovascular Physiology Concepts

Author : Richard E. Klabunde
Publisher : Lippincott Williams & Wilkins
Page : 689 pages
File Size : 45,6 Mb
Release : 2020-12-01
Category : Medical
ISBN : 9781975150099

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Cardiovascular Physiology Concepts by Richard E. Klabunde Pdf

Praised for its concise coverage, this highly accessible monograph lays a foundation for understanding the underlying concepts of normal cardiovascular function and offers a welcome alternative to a more mechanistically oriented approach or an encyclopedic physiology text. Clear explanations, ample illustrations and engaging clinical cases and problems provide the perfect guidance for self-directed learning and prepare you to excel in clinical practice.

BLOOD LOSS AND SHOCK

Author : Niels H Secher,J A Pawelczyk
Publisher : CRC Press
Page : 187 pages
File Size : 49,9 Mb
Release : 1994-02-17
Category : Medical
ISBN : 0340560215

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BLOOD LOSS AND SHOCK by Niels H Secher,J A Pawelczyk Pdf

A key factor in the treatment of the traumatized patients is the amount of blood lost since injury. This is relevant not simply from the point of view of transfusing blood but also in the body's response to the shock of blood loss. This book provides a framework for the understanding of the complex clinical effects of blood loss and outlines strategies for treatment in the trauma unit or intensive therapy unit. The international editorship and clinical research approach make this a unique, comprehensive and authoritative text which will be of use to everybody working in this field.

Damage Control Resuscitation

Author : Philip C. Spinella
Publisher : Springer
Page : 376 pages
File Size : 51,6 Mb
Release : 2019-08-12
Category : Medical
ISBN : 9783030208202

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Damage Control Resuscitation by Philip C. Spinella Pdf

This book provides a comprehensive overview of damage control resuscitation (DCR), an evidence-based approach to the resuscitation of patients with severe life-threatening hemorrhage (LTH). It focuses on both civilian and military applications as DCR is utilized in civilian trauma situations as well as combat casualty care settings. The book covers the history of fluid resuscitation for bleeding, epidemiology of severe traumatic injuries, prediction of life-threatening hemorrhage, pathophysiology and diagnosis of blood failure, and permissive hypotension. Chapters provide in-depth detail on hemostatic resuscitation principles, dried plasma, dried platelet surrogates, and recent developments in frozen red blood cells and oxygen carriers. The book also discusses how DCR principles can be used in a variety of situations such as when there are large numbers of patients with hemorrhagic lesions, non-trauma scenarios, and on distinct populations such as children. Finally, it concludes with a discussion of training and education methods for the implementation of DCR and remote DCR principles as well as learning healthcare system principles to facilitate the implementation of DCR and ultimately improve outcomes for patients with life-threatening hemorrhage. Damage Control Resuscitation: Identification and Treatment of Life-Threatening Hemorrhage is an essential resource for physicians and related professionals, residents, nurses and medical students in emergency medicine, anesthesia, surgery, and critical care, as well as civilian and military EMS providers.

Pathophysiology of Shock, Sepsis, and Organ Failure

Author : Günther Schlag,Heinz Redl
Publisher : Springer Science & Business Media
Page : 1180 pages
File Size : 50,8 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9783642767364

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Pathophysiology of Shock, Sepsis, and Organ Failure by Günther Schlag,Heinz Redl Pdf

In this book current knowledge of the pathophysiology of shock, sepsis and multi organ failure is presented. The rapid progress which has been made and the results achieved in intensive care medicine are based on sound basic research, which is duly reflected in these chapters. Multiorgan failure is the foremost cause of postoperative and posttraumatic death and many complex mechanisms are involved. Only with a good foundation of basic research can abnormalities in the physiological, biochemical, and morphological course of shock be recognized and the necessary conclusions for treatment drawn. Therapy must proceed from profound knowledge of the multi variant physiological events in order to influence shock, sepsis and organ failure. Although numerous possibilities for therapy have arisen from pharmaceutical research in recent years, they are beyond the scope of this book and are not discussed here. To gain a better understanding of the pathophysiological events it was necessary to examine and to describe different models that simulate and reproduce these events. Here we describe the causative agents (shock) and the consequences (sepsis, organ failure) in two main sections, divided on the basis of their pathophysiology.

Textbook of Small Animal Emergency Medicine

Author : Kenneth J. Drobatz,Kate Hopper,Elizabeth A. Rozanski,Deborah C. Silverstein
Publisher : John Wiley & Sons
Page : 1520 pages
File Size : 43,9 Mb
Release : 2018-10-11
Category : Medical
ISBN : 9781119028956

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Textbook of Small Animal Emergency Medicine by Kenneth J. Drobatz,Kate Hopper,Elizabeth A. Rozanski,Deborah C. Silverstein Pdf

Textbook of Small Animal Emergency Medicine offers an in-depth understanding of emergency disease processes and the underlying rationale for the diagnosis, treatment, monitoring, and prognosis for these conditions in small animals. A comprehensive reference on a major topic in veterinary medicine The only book in this discipline to cover the pathophysiology of disease in depth Edited by four respected experts in veterinary emergency medicine A core text for those studying for specialty examinations Includes access to a website with video clips, additional figures, and the figures from the book in PowerPoint Textbook of Small Animal Emergency Medicine offers an in-depth understanding of emergency disease processes and the underlying rationale for the diagnosis, treatment, monitoring, and prognosis for these conditions in small animals.

Encyclopedia of Molecular Mechanisms of Disease

Author : Florian Lang
Publisher : Springer Science & Business Media
Page : 2348 pages
File Size : 45,9 Mb
Release : 2009-03-19
Category : Science
ISBN : 9783540671367

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Encyclopedia of Molecular Mechanisms of Disease by Florian Lang Pdf

This comprehensive encyclopedia supplies the reader with concise information on the molecular pathophysiology of disease. Entries include defined diseases (such as Parkinson's disease) as well as pathophysiological entities (such as tremor). The 1,200 essays are brilliantly structured to allow rapid retrieval of the desired information. For more detailed reading, each entry is followed by up to five references. Individual entries are written by leading experts in the respective area of research to ensure state-of-the-art descriptions of the mechanisms involved. It is an invaluable companion for clinicians and scientists in all medical disciplines.

Fundamentals of Pediatric Surgery

Author : Peter Mattei
Publisher : Springer Science & Business Media
Page : 888 pages
File Size : 45,6 Mb
Release : 2011-02-15
Category : Medical
ISBN : 9781441966438

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Fundamentals of Pediatric Surgery by Peter Mattei Pdf

Clinically focused chapters take an evidence-based approach to the management of pediatric surgical patients for residents in training and general surgeons in practice Targets the practitioner who is well-versed in the basic tenets of patient care but who seeks to benefit from the expertise of a seasoned expert A practical guide in the everyday clinical care of pediatric surgical patients for the advanced reader

Emergency Medical Services

Author : Jane H. Brice,Theodore R. Delbridge,J. Brent Myers
Publisher : John Wiley & Sons
Page : 1184 pages
File Size : 44,7 Mb
Release : 2021-08-12
Category : Medical
ISBN : 9781119756262

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Emergency Medical Services by Jane H. Brice,Theodore R. Delbridge,J. Brent Myers Pdf

The two-volume Emergency Medical Services: Clinical Practice and Systems Oversight delivers a thorough foundation upon which to succeed as an EMS medical director and prepare for the NAEMSP National EMS Medical Directors Course and Practicum. Focusing on EMS in the 'real world', the book offers specific management tools that will be useful in the reader's own local EMS system and provides contextual understanding of how EMS functions within the broader emergency care system at a state, local, and national level. The two volumes offer the core knowledge trainees will need to successfully complete their training and begin their career as EMS physicians, regardless of the EMS systems in use in their areas. A companion website rounds out the book's offerings with audio and video clips of EMS best practice in action. Readers will also benefit from the inclusion of: A thorough introduction to the history of EMS An exploration of EMS airway management, including procedures and challenges, as well as how to manage ventilation, oxygenation, and breathing in patients, including cases of respiratory distress Practical discussions of medical problems, including the challenges posed by the undifferentiated patient, altered mental status, cardiac arrest and dysrhythmias, seizures, stroke, and allergic reactions An examination of EMS systems, structure, and leadership

An Introduction to Clinical Emergency Medicine

Author : S. V. Mahadevan,Gus M. Garmel
Publisher : Cambridge University Press
Page : 911 pages
File Size : 45,6 Mb
Release : 2012-04-10
Category : Medical
ISBN : 9780521747769

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An Introduction to Clinical Emergency Medicine by S. V. Mahadevan,Gus M. Garmel Pdf

Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.