Identifying Neuroemergencies' provides practical information on how to best manage and triage patients in the first hour of admission in the emergency department. Physicians consider a neurologic emergency when the patient has clearly worsened and their neurologic signs have changed. Correct decisions are imperative: any type of neurocritical illness demands immediate treatment in the emergency department.
The history of neurology as seen through the lens of the filmmaker is fascinating and extraordinary. Neurocinema-The Sequel is a review of the history of neurology as seen in film, starting with the early days of cinema and concluding with contemporary films now available in theaters and on streaming sites. The major themes of this book encompass how neurology has been represented in the history of cinema and how neurologic topics emerged and then disappeared, with some staging a comeback in more recent films. 180 films are assessed and rated, and many of these are exemplary depictions of neurological disorders. The author examines whether film, from a neurologic perspective, can provide insight and even debate. Each of the films discussed in this book demands serious attention by those who see and manage neurologic patients and support their families. Neurocinema - The Sequel chronicles this archive of neurologic representation, drawing readers in a rich collection of cinematic wonders of permanent cultural and historical value.
Cinema, MD follows the intersection of medicine and film and how filmmakers wrote a history of medicine over time. The narrative follows several main story lines: How did the portrayal of physicians, nurses, and medical institutions change over the years? What interested filmmakers, and which topics had priority? What does film's obsession with experiments and monstrosities reveal about medical ethics and malpractice? How could the public's perception of the medical profession change when watching these films on diseases and treatments, including palliative care and medical ethics? Are screenwriters, actors, and film directors channeling a popular view of medicine? Cinema, MD analyzes not only changing practices, changing morals, and changing expectations but also medical stereotypes, medical activism, and violations of patients' integrity and autonomy. Examining over 400 films with medical themes over a century of cinema, this book establishes the cultural, medical, and historical importance of the art form. Film allows us to see our humanity, our frailty, and our dependence when illness strikes. Cinema, MD provides uniquely new and fascinating insight into both film criticism and the history of medicine and has a resonance to the medical world we live in today.
Fully updated and revised, the second edition of The Practice of Emergency and Critical Care Neurology puts a more modern approach on the practice of emergency neurological care. When most texts within the field focus on the theoretical aspects, this book concentrates on the management of neurologic conditions, recognition of deterioration of neurologic functions, neurosurgical procedures, and immediate interventions. This text also presents hard data to explain why we do what we do. Dr. Wijdicks condenses essential information into several sections comprising of the principles in recognizing critically ill neurologic patients in the emergency department, the evaluation of symptoms indicating critical emergency, general principles of managing critically ill patients, monitoring devices and diagnostic tests, complete management of specific disorders in the neurosciences intensive care unit, postoperative neurosurgical and neurointerventional complications, management of medical complications, and end of life care. Key Features of the New Edition include 1. Additional chapters on critical consults in surgical and medical ICUs, critical care management, and comprehensive monitoring and biomarkers to reflect new research; 2. Rich illustrations using color photos of patients and drawings of important basic concepts of mechanism of acute neurologic disease; 3. Fully updated and comprehensive reference list; 4. A pocket book of selected tables and figures covering all essential points for quick reference and as a survival guide for house staff. This is the go-to guide for every physician, staff neurologist, neurointensivist, resident, and fellow in training with managing acutely ill neurologic patients.
Caring for a loved one in a coma is a distressing time, full of many questions, and often, not as many answers. Guide to a Comatose Patient is a first-of-its-kind book that steps into the shoes of the neurologist, to show the perspective of the staff caring for their loved ones — what worries us, how we think and intervene, what we can and cannot predict, and what we know as a certainty. In our hospital ICUs, there are more than a dozen comatose patients at any given point of time. Causes of coma can range from drug-induced coma—in which medications are used to calm the patient and allow the ventilator to work properly—to coma due to intoxication and coma related to a brain injury. No matter the reason, it can be a distressing time for loved ones. Guide to a Comatose Patient is a helpful guide for any family member or loved one confronted with coma. Author Eelco F. M. Wijdicks, M.D., Ph.D., a leading neurologist and attending neurointensivist at Mayo Clinic, begins each chapter by sharing helpful anecdotes from a career spanning four decades, before diving into the answers to commonly asked questions, such as: · What are the causes of coma? · When will the patient wake up and recover? · When is no recovery expected? · When should we consider organ donation? · What are the rates of survival? While there are many books on families’ experiences with acute traumatic brain injury and coma, Dr. Wijdicks offers an unusually candid conversation that allows a peek inside the minds of the doctors caring for your loved one. Having had many experiences talking to families having to make difficult decisions at a very difficult time, Dr. Wijdicks’s message is hopeful while remaining grounded in reality—a reality in which facts must dictate actions. Guide to a Comatose Patient provides important information so that families better understand treatment options, but most importantly, the book offers an open dialogue and optimal transparency to help provide hope and healing through times of grief.
A major contribution to the literature in neurology from renowned neurointensivist Eelco F.M. Wijdicks, MD, PhD, Famous First Papers for the Neurointensivist presents and critically assesses numerous papers that have made a profound impact on the diagnosis and treatment of neurologically acute conditions. In general, there has been little historical work in acute neurologic conditions, precisely because neurology is not perceived through this perspective. Famous First Papers for the Neurointensivist addresses this problem by a scholarly treatment of early descriptions of clinical signs, syndromes and presenting the development of treatment of these acute disorders. Using a uniform and easy-to-read format, the title offers a clear reproduction of each paper’s title page, a short historical note, and a brief discussion and its implications, and a final comment to provide perspective. Landmark clinical trials that apply to acute neurology are included, and the book also briefly discusses the birth of intensive care units. Ground-breaking and indispensable for all physicians and researchers interested in neurocritical care, Famous First Papers for the Neurointensivist is a unique, original reference, providing not only a single source for discovering the most important papers in the field but also a critical analysis of the impact of each paper on the development of neurocritical care. "Dr Wijdicks has been integral to the growth and development of neurocritical care as a specialty. He has cultivated it firsthand, serving as a contemporary of Raymond Adams, C. Miller Fisher, and Allan Ropper, all pioneers in acute neurological care. He established the neurocritical care program at the Mayo Clinic in the early 1990s and has served as the editor in chief of the journal Neurocritical Care, which was first published in 2004 after the foundation of the Neurocritical Care Society. His unique vantage point allows him to bring us a book that few others could produce, Famous First Papers for the Neurointensivist. This book is an original in the field and should be on the reading list of anyone who cares for critically ill neurologic and neurosurgical patients... Reading this book from cover to cover is highly recommended. The writing is clear and concise, and the transitions are smooth. Each essay is self-contained and allows the reader to set his or her own pace. Once completed,the book serves as a great reference book because each essay stands on its own. The photographs of the manuscripts' title pages and key tables and figures are of high quality, and a translation is provided if the original work was not in English... Dr Wijdicks has sifted through the library stacks and has emerged with a book that puts the specialty of neurocritical care into historical perspective. In order to know where you are going, you must first know where you have been. This holds especially true for neurocritical care because the specialty continues to grow and flourish." -- JAMA NEUROL/VOL 70 (NO. 4), APR 2013 WWW. JAMANEURO.COM
Part of the "What Do I Do Now?" series, Neurocritical Care provides insight into interventions in acute neurologic disorders. Using a case-based approach, this volume emphasizes how to handle comparatively common clinical problems emergently.
Handling Difficult Situations offers a reasonable approach to difficult decisions that arise in clinical problems. The book addresses how to recognize treatable coma, how to judge the severity of traumatic brain and spine injury, and discusses how to recognize neurosurgical emergencies.
The Comatose Patient, Second Edition, is a critical historical overview of the concepts of consciousness and unconsciousness, covering all aspects of coma within 100 detailed case vignettes. This comprehensive text includes principles of neurologic examination of comatose patients as well as instruction of the FOUR Score coma scale, and also discusses landmark legal cases and ethical problems. As the Chair of Division of Critical Care Neurology at Mayo Clinic, Dr. Wijdicks uses his extensive knowledge to discuss a new practical multistep approach to the diagnosis of the comatose patient. Additionally, this edition includes extensive coverage of the interpretation of neuroimaging and its role in daily practice and decision making, as well as management in the emergency room and ICU. Dr. Wijdicks details long-term supportive care and an appropriate approach to communication with family members about end-of-life decision making. In addition, video clips on neurologic examination and neurologic manifestations seen in comatose patients can be found here: http://oxfordmedicine.com/comatosepatient2e. All video recordings from the first edition have been reformatted and remastered for optimal use, and several more video clips of patients have also been included.
This unique text takes a comprehensive approach to the care of patients with neurologic catastrophes immediately after their entry into the emergency department. Wijdicks discusses clinical evaluations, triage, and emergency procedures in detail, and covers many other topics. For this thoroughly updated second edition, he has added eight new chapters, seven of which appear in an entirely new first section on the evaluation of presenting symptoms indicating urgency. The conversational titles of these chapters echo common requests for urgent consultation (e.g. "short of breath," "can't walk or stand," "confused and febrile"). A special feature of this section is the use of algorithms and decision trees in triage - to help the physician make a very fast and yet informed decision. The remaining two sections of the book cover the evaluation and management of evolving catastrophes in the neuraxis and catastrophic neurologic disorders due to specific causes. There is a final new chapter on forensic neurology. This practical handbook will continue to be an invaluable guide for neurologists, neurosurgeons, neuroradiologists, emergency physicians, and their residents and fellows. The third volume in the author's trilogy on critical care neurology, it combines the images of a neuroradiology text with the practical advice of an emergency neurology manual without compromising academic rigor.
Cinema, MD follows the intersection of medicine and film and how filmmakers wrote a history of medicine over time, analyzing not only changing practices, changing morals, and changing expectations but also medical stereotypes, medical activism, and violations of patients' integrity and autonomy. Examining over 400 films with medical themes over a century of cinema, this book establishes the cultural, medical, and historical importance of the artform.
The Practice of Emergency and Critical Care Neurology is the classic and comprehensive reference for physicians caring for patients with critical neurologic disorders, at risk of deterioation and in need of immediate attention. This third edition is richly illustrated and contains new chapters on the basics of neuroimaging, pharmacology issues in the intensive care setting, intoxications, critical care ultrasound, and more.
This book is the first of 4 books on the core principles of acute neurology. This book is a primer -and a great deal more-on how to clinically recognize acute brain injury and to treat its consequences. Acute brain injury -often changes the dynamics of cerebral blood flow, cerebrospinal fluid mechanics and eventually intracranial pressure. And furthermore, acute brain and spine injury impacts on heart function, blood pressure control, breathing regulation and even gastric and bladder function. It is necessary to not only understand these fundamentals but also how certain measures could influence or correct these manifestations. Major concepts are illustrated to facilitate understanding. Each chapter concludes with a section that explains its relevance to clinical practice.The book truly combines basic neuroscience with practical know- how in an easy to read prose useful for both the novice and expert.
Patients in the neurointensive care unit pose many clinical challenges for the attending physician. Even experienced clinicians occasionally arrive at the point where diagnostic, work-up, treatment, or prognostic thinking becomes stymied. In daily practice, neurocritical care pertains to managing deteriorating patients, treatment of complications but also end-of-life care assisting families with difficult decisions. Part of the "What Do I Do Now?" series, Neurocritical Care provides insight into interventions in acute neurologic disorders. Using a case-based approach, this volume emphasizes how to handle comparatively common clinical problems emergently. New to this edition are cases on monitoring and prognostication. All cases have been carefully revised, and new information, references, and practical tables have been added. Neurocritical Care is both an engaging collection of thought-provoking cases and a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?
Neurocritical Care Pharmacotherapy: A Clinican's Guide is a practical, succinct but comprehensive pharmacy handbook provides up-to-date clinical guidance on the effective selection, prescription, and usage of neurocritical care drugs for patients with acute neurologic illnesses. The treatment of the critically ill neurologic patient is often difficult, specialized, and includes drugs infrequently used in other intensive care units such as antiepileptic drugs, osmotic agents or acute immunotherapy such as intravenous immunoglobulin and plasma exchange. This text discusses choosing the right combination of drugs; how to correctly prescribe and administer the drugs; how to monitor drug efficacy and side effects; how neurocritical care drugs interact with other medications; and comprehensive coverage of current treatment options. Key Feature of this Manual Include · A brief discussion of the basic pharmacology of each neurocritical drug, with an emphasis on how to select and use these drugs in multiple clinical contexts. · 150 drugs accompanied by a diagram for quick comprehension and drug administration guides. · Unique blending of expertise of neurointensivist with a critical care pharmacist to provide a vital resource for both specialities · References for further reading that are oriented toward utility in clinical practice.
The Comatose Patient, Second Edition, is a critical historical overview of the concepts of consciousness and unconsciousness, covering all aspects of coma within 100 detailed case vignettes. This comprehensive text includes principles of neurologic examination of comatose patients as well as instruction of the FOUR Score coma scale, and also discusses landmark legal cases and ethical problems. As the Chair of Division of Critical Care Neurology at Mayo Clinic, Dr. Wijdicks uses his extensive knowledge to discuss a new practical multistep approach to the diagnosis of the comatose patient. Additionally, this edition includes extensive coverage of the interpretation of neuroimaging and its role in daily practice and decision making, as well as management in the emergency room and ICU. Dr. Wijdicks details long-term supportive care and an appropriate approach to communication with family members about end-of-life decision making. In addition, video clips on neurologic examination and neurologic manifestations seen in comatose patients can be found here: http://oxfordmedicine.com/comatosepatient2e. All video recordings from the first edition have been reformatted and remastered for optimal use, and several more video clips of patients have also been included.
A major contribution to the literature in neurology from renowned neurointensivist Eelco F.M. Wijdicks, MD, PhD, Famous First Papers for the Neurointensivist presents and critically assesses numerous papers that have made a profound impact on the diagnosis and treatment of neurologically acute conditions. In general, there has been little historical work in acute neurologic conditions, precisely because neurology is not perceived through this perspective. Famous First Papers for the Neurointensivist addresses this problem by a scholarly treatment of early descriptions of clinical signs, syndromes and presenting the development of treatment of these acute disorders. Using a uniform and easy-to-read format, the title offers a clear reproduction of each paper’s title page, a short historical note, and a brief discussion and its implications, and a final comment to provide perspective. Landmark clinical trials that apply to acute neurology are included, and the book also briefly discusses the birth of intensive care units. Ground-breaking and indispensable for all physicians and researchers interested in neurocritical care, Famous First Papers for the Neurointensivist is a unique, original reference, providing not only a single source for discovering the most important papers in the field but also a critical analysis of the impact of each paper on the development of neurocritical care. "Dr Wijdicks has been integral to the growth and development of neurocritical care as a specialty. He has cultivated it firsthand, serving as a contemporary of Raymond Adams, C. Miller Fisher, and Allan Ropper, all pioneers in acute neurological care. He established the neurocritical care program at the Mayo Clinic in the early 1990s and has served as the editor in chief of the journal Neurocritical Care, which was first published in 2004 after the foundation of the Neurocritical Care Society. His unique vantage point allows him to bring us a book that few others could produce, Famous First Papers for the Neurointensivist. This book is an original in the field and should be on the reading list of anyone who cares for critically ill neurologic and neurosurgical patients... Reading this book from cover to cover is highly recommended. The writing is clear and concise, and the transitions are smooth. Each essay is self-contained and allows the reader to set his or her own pace. Once completed,the book serves as a great reference book because each essay stands on its own. The photographs of the manuscripts' title pages and key tables and figures are of high quality, and a translation is provided if the original work was not in English... Dr Wijdicks has sifted through the library stacks and has emerged with a book that puts the specialty of neurocritical care into historical perspective. In order to know where you are going, you must first know where you have been. This holds especially true for neurocritical care because the specialty continues to grow and flourish." -- JAMA NEUROL/VOL 70 (NO. 4), APR 2013 WWW. JAMANEURO.COM
When one is confronted with an acute major neurologic problem, this book of moderate size may not be always immediately available ( or has been "borrowed" by someone). This pocket size booklet compiles a selection of tables and figures mainly chosen to facilitate emergency care of critically ill neurologic patients. This small booklet should cover all the essential points and hopefully is also a "survival guide" for the house staff. It may even let them shine. It includes several blank pages for note taking and allows finding topics in a hurry. All of these features render this book an invaluable companion to The Practice of Emergency and Critical Care Neurology.
This indispensable title rethinks the neurologic examination in a format tailored, modified, and specialized for neurocritical illness. Generously illustrated, this book provides a detailed clinical assessment of the acutely ill neurologic patient. It explains why certain neurologic signs appear and provides fundamentals of localization. Certain situations demand certain structured examinations. Eventually, all information has to be integrated logically. Different examination techniques may be needed. Recognition of deterioration and increased vigilance with important mimickers and confounders are part of our professional fabric. Other necessary skills include predicting a clinical course and outcome, coordinating effective transfers of unstable patients, and communicating expected clinical changes. Neurologists traditionally have carefully considered the examination findings before acting and localized findings before ordering tests; these heuristics must remain. An indispensable title designed for all learners, Examining Neurocritical Patients preserves the beauty of a comprehensive clinical neurologic examination and serves as a high-yield master class for every health care professional tasked with clinical assessment of a neurocritically ill patient.
Simulation in Acute Neurology is a reference on the execution of a simulation-based educational program in the management of acute neurologic emergencies. Simulation in Acute Neurology has practical value because it contains detailed descriptions of our simulation scenarios. The foundation of this book is our experience with neurosimulation―and it has been a very good one Part I provides an overview of the principles of simulation in medicine and examines the many unique opportunities simulation provides as an educational tool. Barriers to simulating neurologic emergencies are also discussed. Simulation allows a physician-in-training to be observed directly as he or she evaluates and manages acute neurologic disease. Part II is the core of the book. Fifteen acute neurologic emergencies, including complex neuroethical quandaries, are presented in detail, step by step, decision by decision, error after error. Each chapter in this section starts with an explanation of the essence of the discussed neuroemergency (THE PROBLEM BEFORE US), followed by a description of the scenario itself (THE PRESENTING CLINICAL PROBLEM), how scenarios can be adjusted to different types of learners (ADAPTING THE SCENARIO), and ends with a discussion of topics for feedback, which are generally focused around errors and pitfalls (DEBRIEFING). To show the flow of scenarios, we created two additional main headings: (THE IDEAL LEARNER) and (THE NOT-SO IDEAL LEARNER).
The diagnosis of brain death should be based on a simple premise. If every possible confounder has been excluded and all possible treatments have been tried or considered, irreversible loss of brain function is clinically recognized as the absence of brainstem reflexes, verified apnea, loss of vascular tone, invariant heart rate, and, eventually, cardiac standstill. This condition cannot be reversed – not even partly – by medical or surgical intervention, and thus is final. Many countries in the world have introduced laws that acknowledge that a patient can be declared brain-dead by neurologic standards. The U.S. law differs substantially from all other brain death legislation in the world because the U.S. law does not spell out details of the neurologic examination. Evidence-based practice guidelines serve as a standard. In this chapter, I discuss the history of development of the criteria, the current clinical examination, and some of the ethical and legal issues that have emerged. Generally, the concept of brain death has been accepted by all major religions. But patients’ families may have different ideas and are mostly influenced by cultural attitudes, traditional customs, and personal beliefs. Suggestions are offered to support these families.
Part of the "What Do I Do Now?" series, Neurocritical Care provides insight into interventions in acute neurologic disorders. Using a case-based approach, this volume emphasizes how to handle comparatively common clinical problems emergently.
The history of neurology as seen through the lens of the filmmaker is fascinating and extraordinary. Neurocinema-The Sequel is a review of the history of neurology as seen in film, starting with the early days of cinema and concluding with contemporary films now available in theaters and on streaming sites. The major themes of this book encompass how neurology has been represented in the history of cinema and how neurologic topics emerged and then disappeared, with some staging a comeback in more recent films. 180 films are assessed and rated, and many of these are exemplary depictions of neurological disorders. The author examines whether film, from a neurologic perspective, can provide insight and even debate. Each of the films discussed in this book demands serious attention by those who see and manage neurologic patients and support their families. Neurocinema - The Sequel chronicles this archive of neurologic representation, drawing readers in a rich collection of cinematic wonders of permanent cultural and historical value.
The medical state of acutely hospitalized neurologic patients is often compromised. This title in Core Principles of Acute Neurology does focus on how certain neurologic conditions can inflict damage to other organ systems and what systemic complications most frequently jeopardize patients with primary neurological disorders. Providing Acute Care carefully summarizes the necessary orders and treatment plan and initial management of expected complications. Each system is discussed in a separate chapter and the crucial initial decisions are presented in an easy to read narrative. This book provides a ready to use template and basic knowledge in patients sick enough to require close attention, but who do not need to be in an intensive care unit.
This is a practical and accessible review of neurologic critical care in the intensive care unit is single-authored and thus cohesive. The emphasis is on management in day-to-day practice. For the thoroughly updated and expanded second edition, Wijdicks has added new algorithms on outcome prediction in the specific disorders, and five chapters on the organization of the intensive care unit, acute spinal disorders, management of common postoperative neurosurgical complications, and psychosocial issues, ethics, and withdrawal of life support. For quick reference in the ICU the most useful tables and figures have been extracted and reprinted in an accompanying pocket-sized booklet.
Simulation in Acute Neurology is a reference on the execution of a simulation-based educational program in the management of acute neurologic emergencies. Simulation in Acute Neurology has practical value because it contains detailed descriptions of our simulation scenarios. The foundation of this book is our experience with neurosimulation―and it has been a very good one Part I provides an overview of the principles of simulation in medicine and examines the many unique opportunities simulation provides as an educational tool. Barriers to simulating neurologic emergencies are also discussed. Simulation allows a physician-in-training to be observed directly as he or she evaluates and manages acute neurologic disease. Part II is the core of the book. Fifteen acute neurologic emergencies, including complex neuroethical quandaries, are presented in detail, step by step, decision by decision, error after error. Each chapter in this section starts with an explanation of the essence of the discussed neuroemergency (THE PROBLEM BEFORE US), followed by a description of the scenario itself (THE PRESENTING CLINICAL PROBLEM), how scenarios can be adjusted to different types of learners (ADAPTING THE SCENARIO), and ends with a discussion of topics for feedback, which are generally focused around errors and pitfalls (DEBRIEFING). To show the flow of scenarios, we created two additional main headings: (THE IDEAL LEARNER) and (THE NOT-SO IDEAL LEARNER).
Neurologic consultations are essential to patient outcomes, not only providing diagnostic, therapeutic, and prognostic advice but also directing care to the patient. Neurologic Complications of Critical Illness is the foremost guide for neurologists entering the intensive care unit (ICU). This fourth edition has been thoroughly updated, refreshed, and expanded in recognition of the vast number of changes in neurology and neurocritical care. In addition, every chapter provides a representative selection of the state-of-the art management and latest clinical innovations in critical care medicine. As with previous editions, the book offers practical advice on dealing with coma and outcome after cardiopulmonary resuscitation (CPR), failure to awaken after surgery, delirium, new onset seizures, generalized weakness, acute paraplegia, movement disorders and many other manifestations of a neurologic emergency such as complications after organ transplantation, neurologic complications of invasive procedures and devices, complications from cardiac surgery, traumatic brain, spine and peripheral nerve injury, and environmental injuries such as hypothermia and near drowning. Chapters include a wealth of helpful tables, precise algorithms, and a large, curated selection of neuroimaging. Each chapter has a section to reconcile theory and practice. This edition offers new chapters on the interpretation of focal findings and acute movement disorders in critical illness, cancer immunotherapy and ethical dilemmas. This clinical text with dedicated coverage of all major neurologic illnesses will be helpful to a very wide audience of health care providers and any intensivist and general neurologist managing complex medical disorders, surgeries, and co-morbidities.
The Practice of Emergency and Critical Care Neurology serves as the definitive authoritative reference on the care of the patient with a critical neurologic disorder at risk of deterioration and in need of immediate attention. This work is an expanded new edition of the book on the management of patients with critical neurologic disorders. This single-authored monograph is broad in scope and follows the patients from the very moment they enter the emergency department to their care in the neurosciences intensive care unit. This book condenses the essential information into several sections. These are: The General Principles of Recognition of Critically Ill Neurologic Patients in the Emergency Department, The Evaluation of Presenting Symptoms Indicating Urgency and Critical Emergency, General Principles of Management of Critically Ill Patients, Monitoring Devices and Diagnostic Tests, Complete Management of Specific Disorders in the Neurosciences Intensive Care Unit, Postoperative Neurosurgical and Neurointerventional Complications, Management of Medical Complications and End of Life Care. This accessibly written book differs from the conventional by specifically following the time course of clinical complexities as they emerge and change. It offers advice on how to diagnose and manage acute neuromuscular respiratory failure, acute worrisome headache, acute febrile confusion, acute diplopia, acute movement disorders, acute paraplegia, seizures and coma of uncertain cause in the emergency department. The major disorders requiring neurocritical care are covered in great detail and include traumatic brain injury aneurysmal subarachnoid hemorrhage, cerebral hemorrhage, hemispheric ischemic stroke, basilar artery occlusion, acute bacterial meningitis and encephalitis, myasthenic crisis and severe Guillan Barre syndrome. This book comes with a pocket book of selected tables and figures. This booklet covers all essential points for quick reference and has been considered a 'survival guide' for the house staff.
As a medium that aims to connect people through the communication and interpretation of experiences, cinema is uniquely positioned to showcase cultural misunderstandings around issues of mental health. Frames of Minds traces a history of psychiatry in film, concentrating on the major paradigm shifts in neuropsychiatry over the last century. Oftentimes, representations of psychiatry, mental illness, and psychotic breakdown are reduced to tropes and used by filmmakers as a tool for plot progression. Conversely, films can be used as an avenue to voice common concerns about the missteps of psychiatry, including overdiagnosis and mistreatment. Dr. Eelco Wijdicks provides fresh insights into the minds of filmmakers and how they creatively tackle this complex topic. How do filmmakers use psychiatry, and what do they want us to see? What is their frame of mind--psychoanalytically, biologically, sociologically, anthropologically? Were they influenced by their own prejudices about the origins of mental illness? How does this influence the direction of their films? Examining the history of film alongside developments in neuropsychiatry, Frames of Minds uncovers a cinematic language of psychiatry. By taking chances to portray mental illness, filmmakers aim to achieve a sense of reality, and provide catharsis for viewers through the act of dramatization. Ultimately, the history of psychiatry in film is a history of the public perception of medicine, and the ways psychiatry is understood by directors, writers, actors, and audiences.
The Practice of Emergency and Critical Care Neurology serves as the definitive authoritative reference on the care of the patient with a critical neurologic disorder at risk of deterioration and in need of immediate attention. This work is an expanded new edition of the book on the management of patients with critical neurologic disorders. This single-authored monograph is broad in scope and follows the patients from the very moment they enter the emergency department to their care in the neurosciences intensive care unit. This book condenses the essential information into several sections. These are: The General Principles of Recognition of Critically Ill Neurologic Patients in the Emergency Department, The Evaluation of Presenting Symptoms Indicating Urgency and Critical Emergency, General Principles of Management of Critically Ill Patients, Monitoring Devices and Diagnostic Tests, Complete Management of Specific Disorders in the Neurosciences Intensive Care Unit, Postoperative Neurosurgical and Neurointerventional Complications, Management of Medical Complications and End of Life Care. This accessibly written book differs from the conventional by specifically following the time course of clinical complexities as they emerge and change. It offers advice on how to diagnose and manage acute neuromuscular respiratory failure, acute worrisome headache, acute febrile confusion, acute diplopia, acute movement disorders, acute paraplegia, seizures and coma of uncertain cause in the emergency department. The major disorders requiring neurocritical care are covered in great detail and include traumatic brain injury aneurysmal subarachnoid hemorrhage, cerebral hemorrhage, hemispheric ischemic stroke, basilar artery occlusion, acute bacterial meningitis and encephalitis, myasthenic crisis and severe Guillan Barre syndrome. This book comes with a pocket book of selected tables and figures. This booklet covers all essential points for quick reference and has been considered a 'survival guide' for the house staff.
Neurologic consultations are essential to patient outcomes, not only providing diagnostic, therapeutic, and prognostic advice but also directing care to the patient. Neurologic Complications of Critical Illness is the foremost guide for neurologists entering the intensive care unit (ICU). This fourth edition has been thoroughly updated, refreshed, and expanded in recognition of the vast number of changes in neurology and neurocritical care. In addition, every chapter provides a representative selection of the state-of-the art management and latest clinical innovations in critical care medicine. As with previous editions, the book offers practical advice on dealing with coma and outcome after cardiopulmonary resuscitation (CPR), failure to awaken after surgery, delirium, new onset seizures, generalized weakness, acute paraplegia, movement disorders and many other manifestations of a neurologic emergency such as complications after organ transplantation, neurologic complications of invasive procedures and devices, complications from cardiac surgery, traumatic brain, spine and peripheral nerve injury, and environmental injuries such as hypothermia and near drowning. Chapters include a wealth of helpful tables, precise algorithms, and a large, curated selection of neuroimaging. Each chapter has a section to reconcile theory and practice. This edition offers new chapters on the interpretation of focal findings and acute movement disorders in critical illness, cancer immunotherapy and ethical dilemmas. This clinical text with dedicated coverage of all major neurologic illnesses will be helpful to a very wide audience of health care providers and any intensivist and general neurologist managing complex medical disorders, surgeries, and co-morbidities.
Handling Difficult Situations offers a reasonable approach to difficult decisions that arise in clinical problems. The book addresses how to recognize treatable coma, how to judge the severity of traumatic brain and spine injury, and discusses how to recognize neurosurgical emergencies.
Prognostication of acute neurologic disease is a major task for neurohospitalists and neurointensivists. The family conference raises the delicate matter of how to decide that outcome is indefinitely poor and how to define disability. This monograph is the first book on how to communicate prognosis in acute neurologic conditions. Communicating Prognosis includes useful data on prognosis in all major neurologic conditions and provides practical advice on how to effectively lead such a conference and how to resolve potential conflicts. This book provides straightforward common sense on- the- spot advice and touches on all aspects of support of devastated families.
Core Principles of Acute Neurology is a series of short volumes that handles major topics not found in sufficient detail elsewhere and provides useful context. Identifying Neuroemergencies provides practical information on how to best manage and triage patients in the first hour of admission in the Emergency Department. Physicians consider a neurologic emergency when the patient has clearly worsened and their neurologic signs have changed. Correct decisions are imperative: any type of neurocritical illness demands immediate treatment in the emergency department. Neurologist can assist further with the successful triage of the neurologic emergency and this volume in the Core Principles of Acute Neurology will serve as a handy, concise, reference to both the neurologist and the emergency physician.
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