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Acute and Critical Care Medicine at a Glance, 2nd Edition

Acute and Critical Care Medicine at a Glance, 2nd Edition

Richard M. Leach

ISBN: 978-1-405-16139-8

Jul 2009, Wiley-Blackwell

144 pages


The at a Glance series is popular among medical students and junior doctors for its concise and simple approach and excellent illustrations.

Each bite-sized chapter is covered in a double-page spread with colour summary diagrams on the left page and explanatory text on the right. Covering a wide range of topics, books in the at a Glance series are ideal as introductory subject texts or for revision purposes, and are useful throughout medical school and beyond.

Everything you need to know about Acute and Critical Care a Glance!

Following the familiar, easy-to-use at a Glance format, and now in full-colour, Acute and Critical Care Medicine at a Glance is an accessible introduction and revision text for medical students. Fully revised and updated to reflect changes to the content and assessment methods used by medical schools, this at a Glance provides a user-friendly overview of Acute and Critical Care Medicine to encapsulate all that the student needs to know.

This new edition of Acute and Critical Care Medicine at a Glance:

  • Provides a brief and straightforward, yet rapid, introduction to care of the critically ill that can be easily assimilated prior to starting a new job or clinical attachment
  • Encompasses the clinical, diagnostic and therapeutic skills required to manage acutely ill patients in a variety of settings
  • Includes assessment of the acutely unwell patient, monitoring, emergency resuscitation, oxygenation, circulatory support, methods of ventilation and management of a wide variety of medical and surgical emergencies
  • Includes new chapters on fluid management, oxygenation, non-invasive ventilation, recognition of the seriously ill patient and hospital-acquired infections

This book is an invaluable resource for all undergraduates in medicine, as well as clinical medical students, junior doctors, nurses caring for acutely-ill patients and paramedics.

Pre-publication reviews:

"The material forms an excellent basis for junior doctors in critical care and anaesthesia to get a good grounding in the subject, without appearing too scary."
Senior House Officer

"The system-based approach...provides excellent reference material when studying a particular subject, allowing the reader to easily delve into the book when necessary, without having to read from cover-to-cover. It is an excellent revision aid.... Much time has gone into eliminating superfluous data so maximal essential information can be conveyed quickly."
UCL student

Preface 6

Acknowledgements 7

Units, symbols and abbreviations 8

Part 1 General.

1 Recognizing the unwell patient 12

2 Admission and ongoing management of the acutely unwell patient 14

3 Monitoring in acute and critical care medicine 16

4 Oxygen transport 18

5 Cardiopulmonary resuscitation 20

6 Shock 22

7 Circulatory assessment 24

8 Fluid management 26

9 Fluid choice: specific situations 28

10 Inotropes and vasopressors 29

11 Failure of oxygenation and respiratory failure 30

12 Oxygenation and oxygen therapy 32

13 Airways obstruction and management 34

14 Non-invasive ventilation 36

15 Endotracheal intubation 38

16 Mechanical ventilation 40

17 Respiratory management, weaning and tracheostomy 42

18 Arterial blood gases and acid–base balance 44

19 Analgesia, sedation and paralysis 46

20 Enteral and parenteral nutrition 48

21 Hypothermia and hyperthermia 50

22 SIRS, sepsis, severe sepsis and septic shock 52

23 Hospital-acquired (nosocomial) infections 54

24 End of life issues 56

Part 2 Medical.


25 Acute coronary syndromes I: clinical pathophysiology 58

26 Acute coronary syndromes II: investigations and management 60

27 Arrhythmias 62

28 Heart failure and pulmonary oedema 64

29 Cardiac emergencies 66

30 Deep venous thrombosis and pulmonary embolism 68


31 Community-acquired pneumonia 70

32 Hospital-acquired (nosocomial) pneumonia 72

33 Asthma 74

34 Chronic obstructive pulmonary disease 76

35 Acute respiratory distress syndrome 78

36 Pneumothorax and air leaks 80

37 Respiratory emergencies 82

Renal and metabolic.

38 Acute kidney injury: pathophysiology and clinical aspects 84

39 Acute kidney injury: management and renal replacement therapy 86

40 Diabetic emergencies 88

41 Endocrine emergencies 90


42 Gastrointestinal haemorrhage 92

43 Acute liver failure 94

44 Acute pancreatitis 96


45 Acute confusional state, coma and status epilepticus 98

46 Neurological emergencies: cerebrovascular accidents 100

47 Neurological emergencies: infective 101

48 Neuromuscular conditions 102

Other systems.

49 Coagulation disorders and transfusion 104

50 Drug overdose and poisoning 106

51 The immune compromised patient 108

Part 3 Surgical.

52 Trauma 110

53 Head injury 112

54 Chest trauma 114

55 Acute abdominal emergencies 116

56 Obstetric emergencies 118

57 Burns, toxic inhalation and electrical injuries 120

Part 4 Self-assessment.

Case studies and questions 122

Case studies answers 125


Appendix I: Classifi cation of antiarrhythmic drugs 132

Appendix II: Acute injury network staging system 2008 for acute kidney injury 132

Appendix III: Rockall risk-scoring system for GI bleeds 133

Appendix IV: Child–Pugh grading 133

Appendix V: Typical criteria for liver transplantation 133

Index 135

Previously Critical Care Medicine at a Glance, this new edition now adds acute medicine – a discipline that has developed rapidly in recent years

Provides a simple and straightforward, yet rapid, introduction to the care of the critically ill

Acute medicine is now a fundamental part of the foundation programme, and includes basic science to support medical and surgical context

Provides a vital guide to the treatment and management of patients after the acute phase of care

Ideal for medical students, junior doctors and nurses as they are increasingly required to acquire skills in managing critically ill patients