Critical Care In The Emergency Department An Issue Of Emergency Medicine Clinics Of North America

This issue of Emergency Medicine Clinics, guest edited by Drs.John Greenwood and Tsuyoshi Mitarai in collaboration with Consulting Editor Dr. Amal Mattu, is dedicated to Critical Care in the Emergency Department. Topics include:Cutting edge acute ischemic CVA management;The current status of TTM post-cardiac arrest and early post-cardiac arrest optimization;Beyond MAP and lactate: Perfusion endpoints for managing the shocked patient;Resuscitative Ultrasound ; TEE;Mechanical ventilation for hypoxemic respiratory failure;Mechanical ventilation strategies for the patient with severe obstructive lung disease;Acute Renal Failure and electrolyte management in the critically ill;Advances in emergent airway management in paediatrics;Non-ischemic causes of cardiogenic shock;Critically ill patients with End-Stage Liver Disease;Intracranial Hemorrhage and intracranial hypertension;Sedation ; Analgesia in the Critically Ill;Extubating in the ED; and Geriatric Critical Care.

Drs. Evie Marcolini and Haney Mallemat have assembled an expert panel of authors focusing on: Sepsis, Shock, Assessment and Treatment of the Trauma Patient in Shock, Coagulopathy and Hemorrhage, Vasopressors and Inotropes, Assessing Volume Status, Neurotrauma, Mechanical Circulatory Support, End of life, and more!

​This book functions as a comprehensive manual for emergency care providers who are treating critically ill COVID-19 patients. Beginning with an overview of the COVID-19 infection and an examination of the patients who received critical care from hospital emergency departments around the country, this book provides clinicians with a guide to best-practices in everything from personal protection while deploying critical care to COVID-19 patients to evaluation and diagnosis of the illness. Subsequent chapters break down care of various comorbidities seen in COVID-19 patients and the care offered to patients suffering from the illness in a multitude of ways. Closing chapters examine how emergency departments can best prepare for potential surges in COVID-19 patients as the illness continues to develop, providing important information on how to best protect hospital employees and best care for future patients in a constantly shifting landscape. Due to the rapid onset of the illness and strong-hold the pandemic had on the lives and careers of healthcare professionals, Critical Care of COVID-19 in the Emergency Department fills a critical gap in the literature available on this topic.

This issue of Emergency Medicine Clinics, guest edited by Joshua Joseph and Benjamin White, focuses on Emergency Department Operations and Administration. Topics include: Emergency Department Operations Overview; Queuing Theory and Modeling ED Resource Utilization; Factors Affecting ED Crowding; Staffing and Provider Productivity in the ED; Patient Assignment Models in the ED; ED Layout and Organization; Lean Processes in the ED; ED Observation and Alternatives to Admission; Quality Assurance in the ED; Information Management in the ED; Best Practices in Communication and Patient Safety; Optimizing Patient Experience in the ED; Management of the Academic ED; and Strategies for Provider Well-being in the ED.

This issue of Emergency Medicine Clinics, guest edited by Mike Winters and Susan R. Wilcox, focuses on Emergency Department Resuscitation. This issue is one of four selected each year by series Consulting Editor, Dr. Amal Mattu. Topics include: Mindset of the Resuscitationist; Updates in Cardiac Arrest Resuscitation; Post-Arrest Interventions That Save Lives; Current Concepts and Controversies in Fluid Resuscitation; Emergency Transfusions; Updates in Sepsis Resuscitation; Pediatric Cardiac Arrest Resuscitation; The Crashing Toxicology Patient; The Crashing Obese Patient; Massive GI Hemorrhage; Updates in Traumatic Cardiac Arrest; Resuscitating the Crashing Pregnant Patient; Pearls & Pitfalls in the Crashing Geriatric Patient; Current Controversies in Caring for the Critically Ill PE Patient; and ECMO in the ED.

Drs. John C. Perkins and Michael E. Winters have assembled an expert team of authors on the topic of Sepsis in the Emergency Department. Article topics include: Defining and Diagnosing Sepsis; Appropriate Antibiotic Therapy; Severe Sepsis Resuscitation in Resource Limited Settings; Source Control in Severe Sepsis; Considerations in Special Populations with Severe Sepsis; Pediatric Severe Sepsis Resuscitation; The New Usual Care; Prehospital Sepsis Care; Endpoints of Sepsis Resuscitation; Pitfalls in the Diagnosis, Treatment, and Disposition of Severe Sepsis; Biomarkers in Sepsis; Vasopressors and Inotropes in Sepsis; and Sepsis Quality Measures and Performance Improvement.

This comprehensive book provides practical guidance on the care of the critical patient in the emergency department. It focuses on the ED physician or provider working in a community hospital where, absent the consulting specialists found in a large academic center, the provider must evaluate and stabilize critically ill and injured patients alone. Structured in an easily accessible format, chapters present fundamental information in tables, bullet points, and flow diagrams. Emergency medicine scenarios covered across 38 chapters include acute respiratory failure, spinal cord Injuries, seizures and status epilepticus, care of the newborn, and end-of-life care. Written by experts in the field, Emergency Department Critical Care is an essential resource for practicing emergency physicians and trainees, internists and family physicians, advance practice nurses, and physician’s assistants who provide care in emergency departments and urgent care centers.

Concise yet uptodate review of the most commonly encountered topics reated to the critical care, taruama and emergency arena. All facets of medical profession may benefit, including doctors, nurses, pharmacists, respiratory therapist, physical, occupational, speech/lahnguage therapist. Emergency medical techs will also find it very useful in the field.

In this issue of Emergency Medicine Clinics, guest editors Drs. Kimberly A. Boswell and Christopher Hicks bring their considerable expertise to Trauma Emergencies. Top experts in the field cover key topics such as management of the complex airway in the trauma setting; neck trauma; trauma in the aging population; pediatric trauma; trauma patients in shock; minor procedures in trauma; and more. Contains 15 relevant, practice-oriented topics including neurotrauma update; the Big Five: heroic procedures in the trauma bay; new approaches to pain management in trauma; new uses for ultrasound in trauma; intimate partner violence and human trafficking; and more. Provides in-depth clinical reviews on trauma emergencies, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

The first comprehensive text on critical care emergency medicine "...goes a long way toward establishing emergency physicians as credible intensivists....The book is unique as it blends the perspective of a true intensivist with that of emergency medicine. The book is the fi rst of its kind, and I predict it will become known as the standard reference for those emergency physicians, as well as others, who wish to understand the overlap between emergency medicine and critical care."--Thomas M. Scalea, MD, FACS, FCCM, R. Adams Cowley Shock Trauma Center and University of Maryland School of Medicine (from the foreword) Critical Care Emergency Medicine is destined to become the standard reference for all clinicians who wish to understand the overlap between emergency medicine and critical care. Written by experienced emergency physicians and intensivists, the book is unique in incorporating both perspectives into the practice of emergency medicine and critical care. Critical Care Emergency Medicine teaches emergency physicians everything they must know and do to better care for critically ill patients in an emergency department or to provide care in an ICU. Enhanced by numerous algorithms that speed decision making and full-color illustrations demonstrating anatomy and technique, this book is an essential practice tool. Critical Care Emergency Medicine delivers expert guidance on managing: Airway and Ventilatory Support Pulmonary Disorders Cardiovascular Disorders Gastrointestinal and Renal Disorders Neurologic and Neurosurgical Disorders Hematologic and Endocrine Disorders Infectious Diseases Toxicologic Disorders You will also find important information on the use of ultrasound, fluid management, nutritional support, pediatric considerations, patient transportation, and end-of-life issues.