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Author: Christian Nickel Publisher: Springer ISBN: 331919318X Category : Medical Languages : en Pages : 398
Book Description
This book discusses all important aspects of emergency medicine in older people, identifying the particular care needs of this population, which all too often remain unmet. The up-to-date and in-depth coverage will assist emergency physicians in identifying patients at risk for adverse outcomes, in conducting appropriate assessment,and in providing timely and adequate care. Particular attention is paid to the commonpitfalls in emergency management andmeans of avoiding them. Between 1980 and 2013, the number of older patients in emergency departmentsworldwide doubled. Compared with younger patients, older people suffer from more comorbidities, a higher mortality rate, require more complex assessment and diagnostic testing, and tend to stay longer in the emergency department. This book, written by internationally recognized experts in emergency medicine and geriatrics, not only presents the state of the art in the care of this population but also underlines the increasing need for adequate training and development in the field.
Author: Christian Nickel Publisher: Springer ISBN: 331919318X Category : Medical Languages : en Pages : 398
Book Description
This book discusses all important aspects of emergency medicine in older people, identifying the particular care needs of this population, which all too often remain unmet. The up-to-date and in-depth coverage will assist emergency physicians in identifying patients at risk for adverse outcomes, in conducting appropriate assessment,and in providing timely and adequate care. Particular attention is paid to the commonpitfalls in emergency management andmeans of avoiding them. Between 1980 and 2013, the number of older patients in emergency departmentsworldwide doubled. Compared with younger patients, older people suffer from more comorbidities, a higher mortality rate, require more complex assessment and diagnostic testing, and tend to stay longer in the emergency department. This book, written by internationally recognized experts in emergency medicine and geriatrics, not only presents the state of the art in the care of this population but also underlines the increasing need for adequate training and development in the field.
Author: Kunal Gupta Publisher: Springer Nature ISBN: 3030296180 Category : Medical Languages : en Pages : 327
Book Description
This clinical handbook is a complete guide to the use of nitrous oxide when performing dental procedures in children. Nitrous oxide offers the easiest and safest form of pharmacological behavior management in this age group and can help greatly in reducing fear and anxiety toward dentists and dental treatment. Importantly, its use in children differs from that in adults, owing in part to the need for appropriate behavior management skills. In considering a range of clinical scenarios in which nitrous oxide is of value, this book will support clinicians in their daily practice. All aspects are covered, including rationale, basic science, mechanism of action, equipment, scavenging systems, technique, monitoring, safety, toxicity, documentation, and team building. Guidance is also provided on the use of nitrous oxide in special pediatric populations requiring oral health care. The book is supplemented by videos that will help readers to comprehend the text easily and to perform the technique efficiently and effectively.
Author: Neil L. Schechter Publisher: Lippincott Williams & Wilkins ISBN: 9780781726443 Category : Medical Languages : en Pages : 924
Book Description
This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.
Author: Samir K. Ballas Publisher: Lippincott Williams & Wilkins ISBN: 1496331834 Category : Medical Languages : en Pages : 1004
Book Description
Sickle Cell Pain is a panoramic, in-depth exploration of every scientific, human, and social dimension of this cruel disease. This comprehensive, definitive work is unique in that it is the only book devoted to sickle cell pain, as opposed to general aspects of the disease. The 752-page book links sickle cell pain to basic, clinical, and translational research, addressing various aspects of sickle pain from molecular biology to the psychosocial aspects of the disease. Supplemented with patient narratives, case studies, and visual art, Sickle Cell Pain’s scientific rigor extends through its discussion of analgesic pharmacology, including abuse-deterrent formulations. The book also addresses in great detail inequities in access to care, stereotyping and stigmatization of patients, the implications of rapidly evolving models of care, and recent legislation and litigation and their consequences.
Author: Peter Josef Ell Publisher: ISBN: Category : Nuclear medicine Languages : en Pages : 1100
Book Description
An internationally recognized team of editors and contributors present an authoritative, state-of-the-art reference on nuclear medicine and its clinical applications. They focus on helping the reader to solve the challenges encountered in day-to-day practice, including image interpretation, image optimization techniques, and pitfalls in image acquisition and interpretation. Over 4,400 illustrations, 803 in full color, comprise a comprehensive visual guide to interpretation. This new edition also incorporates three brand-new, full-color atlases-PET and PET/CT, SPECT and SPECT/CT, and a PET brain atlas-as well as many new full-color images (more than 800 in all) Completely revised and thoroughly updated throughout, the 3rd Edition encompasses of all of the latest advances in the diagnostic and therapeutic modalities available for cancer, heart disease, neurologic disorders, and trauma as well as other diseases, both common and rare.
Author: Publisher: ISBN: 9780717610433 Category : Anesthetics Languages : en Pages : 18
Book Description
This publication is aimed at workers in the health-care sector. It gives guidance on compliance with the Control of Substances Hazardous to Health (COSHH) Regulations 1994 when using anaesthetic gases. It explains occupational exposure limits (OELs) for these substances and describes how these help to protect people who work with anaesthetics. The Department of Health and the Health Services Advisory Committee were both consulted in the preparation of this publication.
Book Description
L'utilisation du mélange oxygène-protoxyde d'azote (MEOPA) dans le cadre de la prise en charge de la douleur liée aux soins en HAD chez l'adulte en France en 2014 : étude préliminaire pour sa mise en place à l'HAD du littoral Boulogne-Montreuil dans le Nord Pas-de-Calais Contexte : Dans le contexte des 3 Modes de prise en charge Principaux (MP) assurés par la structure: Soins Palliatifs, Soins de Nursing Lourd, et Pansements Complexes, le personnel soignant de l'HAD du Littoral (HADL) est en permanence confronté à la nécessité de pratiquer certains gestes de soins grandement pou,-voyeurs de douleurs induites auprès des patients. Le recours à l'inhalation du MEOPA, un gaz aux propriétés antalgiques anxiolytiques à l'origine d'une sédation consciente est une stratégie thérapeutique sûre et efficace rapidement, particulièrement adaptée pour ce type de douleurs, fréquentes en HAD dont l'utilisation n'est pas encore généralisée en HAD. D'ailleurs, elle n'est pas encore développée à l'HADL. Objectifs : Réaliser une étude préliminaire pour sa mise en place à l'HADL : étude du produit MEOPA, de ses conditions de délivrance et d'administration par les professionnels de santé concernés à l'HADL, particulièrement pour améliorer la prise en charge de la douleur liée aux soins. Etude du coût lié à l'utilisation du produit dans le cadre de sa mise en place éventuelle à l'HADL. Méthodes : 1/Pour le MEOPA (produit, approvisionnement, stockage, transport, délivrance) : Analyse des données de la littérature jusqu'en 2014 complétée par des enquêtes de terrain via des entretiens téléphoniques auprès des principaux fournisseurs. 2/ Étude des besoins de l'HADL via une enquête de terrain menée sur 3 semaines consécutives par l'IDE coordonnatrice avec le recueil du nombre de patients «éligibles» au MEOPA 3/ L'organisation de l'administration générale du MEOPA à l'HADL : enquête de terrain menée auprès des médecins généralistes (MG) libéraux du bassin de Fruges via un questionnaire standardisé, visant à estimer leur intérêt pour le MEOPA et celui porté à sa formation pour en maîtriser son utilisation.4/ Calcul du coût et de la valorisation en fonction des MP à l'HADL. Résultats : 1/ Le MEOPA est une technique antalgique sûre, rapidement efficace, avec peu d'effets secondaires -entièrement réversibles- particulièrement appropriée pour la prise en charge des douleurs induites. 2/ Il reste un médicament réservé à l'usage professionnel, avec principalement un risque de mésusage/abus/dépendance. Pour sécuriser son utilisation hors des réserves hospitalières (autorisée depuis 2009), l'ANSM a prévu un Plan national de Gestion des Risques (PGR) avec un suivi de pharmacovigilance et addictovigilance, imposant des conditions de délivrance et administration dans un cadre précis. 3/ Sa mise en place est faisable à l'HADL et permettra de valoriser la prise en charge de la douleur des patients. La dépense lié à son approvisionnement et à la formation du personnel a un coût supportable pour l'HADL. Il pourra être coté dans la tarification T2A HAD sous le MP07 «Douleur», en tant que Mode de prise en charge Accessoire (MA) et permettre une revalorisation financière de la séquence de soins versée par la CPAM. 4/ 87,5% des MG du bassin de Fruges (14/16) ayant répondu au questionnaire sont intéressés par la mise en place du produit à l'HADL et par une formation visant à en maîtriser son utilisation dans ce contexte. Conclusion : Le MEOPA est un médicament de choix pour le soulagement des douleurs liées aux soins, particulièrement fréquentes à l'HADL, en raison de ses 3 MP (soins palliatifs, nursing lourds, pansements complexes). Sa mise en place éventuelle à l'HADL nécessite que tous les soignants soient formés (MG-IDE). Un protocole de soins «l'utilisation du MEOPA» permettra de garantir les conditions de sécurité nécessaires pour son utilisation au domicile du patient.
Author: Christian Nickel
Author: Christian Nickel
Author: Kunal Gupta
Author: Neil L. Schechter
Author: Samir K. Ballas
Author: Peter Josef Ell
Author: 
Author: Michael J. Cousins
Author: Society for the Advancement of Anaesthesia in Dentistry (Great Britain)
Author: Lucie Hansberger
Author: Frédéric Philippart