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In Clinical Cases in Critical Care, the authors explore core clinical topics and basic sciences in a practical and realistic way, and include comprehensive discussions focusing on critically unwell patients with a variety of presentations and underlying disorders, including COVID-19, hypotension, stroke and drug overdose.
Each case begins with a clinical vignette which generates a series of questions the reader must address. Cases are expanded to discuss differential diagnoses, investigations and management issues. Further questions direct the reader to explore relevant clinical and scientific knowledge - similar to the structure of many professional oral examinations. The final section of the book consists of exam style questions in a multiple choice and single best answer style.
Perfect for medical practitioners working in critical care settings, Clinical Cases in Critical Care provides a thorough and accessible reference for trainee physicians with an interest in critical and emergency care, as well as allied health professionals in the field. This engaging textbook will be an essential companion for anyone getting to grips with the foundation of specialist knowledge required by professionals working in intensive care medicine.
Alice Myers is a Consultant in Intensive Care Medicine and Anaesthesia at Surrey and Sussex Healthcare NHS Trust and co-author of a BMJ Book Awards prize winning casebook in paediatric medicine.
Theophilus Samuels is a Consultant in Intensive Care Medicine and Anaesthesia at Surrey and Sussex Healthcare NHS Trust with level 2 transthoracic echocardiography accreditation from the British Society of Echocardiography.
Foreword and How to Use This Book ix
Author Information x
Acknowledgements xi
List of Abbreviations xiii
Part I Introduction 1
Section 1 A Brief Introduction to Critical Care 3
Section 2 Intubation of the Critically Unwell Patient 13
Part II The Cases 23
Case 1 The Patient with Rising Vasopressor Requirements 25
Case 2 The Patient with Respiratory Distress I 37
Case 3 The Patient with Respiratory Distress II 48
Case 4 The Patient with Abdominal Pain and Vomiting 60
Case 5 The Patient Involved in a Road Traffic Collision 71
Case 6 The Patient with a Raised Temperature 82
Case 7 The Patient with Haematemesis 94
Case 8 The Patient Who Is Difficult to Ventilate 104
Case 9 The Patient with Chest Pain 118
Case 10 The Out-of-Hospital Cardiac Arrest Patient 130
Case 11 The Patient with Hyponatraemia 139
Case 12 The Patient in Status Epilepticus 155
Case 13 The Patient Who is Hypotensive 165
Case 14 The Patient Who Deteriorates Post Intubation 177
Case 15 The Patient with Reduced Consciousness 187
Case 16 The Patient Who had A Stroke 201
Case 17 The Patient with Chest Pain and a Rash 213
Case 18 The Young Patient Who Collapses 225
Case 19 The Patient Who has Taken an Overdose 238
Case 20 The Unwell Obstetric Patient 254
Case 21 The Patient in Cardiac ICU 265
Case 22 The Patient Who was in A House Fire 280
Case 23 The Patient with Low Platelets 293
Case 24 The Patient with COVID-19 306
Part III Test Yourself 319
Multiple Choice Questions 321
Single Best Answer Questions 327
Answers 333
Index 349
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