The Beginner’s Guide to Intensive Care : a Handbook for Junior Doctors and Allied Professionals 2018



provides an excellent introduction to the management of acute illness for all clinical staff, and a solid foundation for those who choose to make ICM a fulfilling life-long career.' From the Foreword by Julian Bion, Professor of Intensive Care Medicine, University of Birmingham Foundation year doctors are frequently rotated to Intensive Care Units (ICUs) and, like many of those new to intensive care, find that the standard texts on this challenging clinical environment are too comprehensive to provide an introduction or day-to-day reference. This simple bedside handbook fills that gap, providing a pragmatic guide to the basics of ICU, patient management and emergencies, as well as topical areas like organ donation, using social media for learning, and management of the acutely ill patient. New to this edition, the book contains chapters on Sepsis, ARDS, Refractory Hypoxia, post-ICU syndrome, Point of Care Ultrasound, and Stress/Burnout; often from world-renowned contributors. It also addresses consent and capacity, including the new DOLS guidance. The second edition is newly divided into 7 sections: Basics; The Multidisciplinary Team; Initial Assessment: The First Hour; Drugs; Equipment and Investigations; Airway and Respiratory Emergencies; Other Emergencies and Management.?Each section is broken into short, easy-to-read topics, which have clearly outlined learning goals, summaries and emphasise the continuities between intensive care medicine and other forms of care. Foundation, Acute Common Stem and Anaesthesia junior doctors facing their initial attachment in Intensive Care will find this essential reading. Now even more accessible for non-career ICU doctors, it will also be an invaluable guide for ACCPs, outreach nurses, medical students, pharmacists, physiotherapists and allied health professionals.? "--Provided by publisher.  Read more... 

Table of contents : Cover
Half Title
Title Page
Copyright Page
Contents
Foreword
Acknowledgements
Editors
Contributors
Introduction
Part 1: Basics
Chapter 1: Your first day and what to expect
The 'usual' day
Who to ask for help
ICU terminology
Chapter 2: The daily review of a patient
Primary diagnosis
Background and progress
Issues over the last 24 hours
Respiratory system
Cardiovascular system
Renal system
Gastrointestinal system
Haematology
Neurological system
Microbiology
Lines
General
Summary of issues
Treatment plan
Chapter 3: Communication
Why is communication so important? Who will I be communicating with?On the intensive care unit
In the hospital
Outside the hospital
How can I communicate effectively within the multi-disciplinary team?
Always
Never
How can I communicate effectively with patients and relatives?
Always
Never
How do I break bad news?
Spikes model
Always
Never
Conclusion
Further reading
Chapter 4: Capacity and consent
Consent
Capacity
Lack of capacity
Deprivation of liberty safeguards
Restraint
Mental Health Act 1983
Children
Answer to clinical scenario
Further reading Chapter 5: FOAMed and social media as an aid to education in intensive careFree open access medical education (FOAMed)
Twitter
Podcasts
Blogs/websites
Not all that glitters is gold
Further reading
Chapter 6: Research in intensive care
Why is research important?
Common types of research in ICU
Translational science
Early phase clinical studies
Observational studies
Randomised controlled trials (RCTs)
Practical aspects of research in ICU
Who carries out the research?
Consent
Ethical aspects of research in ICU
How to get involved in research in ICU
Further reading Chapter 7: Stress and burnout in intensive care medicine: Looking after yourselfWhat is 'burnout'?
How common is burnout?
Who gets burnout?
Individual factors
Organisational/work-related factors
What are the signs of burnout?
What are the effects of burnout?
How is burnout diagnosed?
Are there any treatments for burnout?
I am feeling burnt out. what should I do?
Can burnout be prevented?
What about our case? An idealised outcome
Further reading
Part 2: Staffing on the Intensive Care Unit: The multidisciplinary team
Chapter 8: The intensive care nurse What training do critical care nurses have?Chapter 9: Speech and language therapists
Communication difficulties
Swallowing difficulties
Further reading
Chapter 10: The critical care physiotherapist
Respiratory treatment
Rehabilitation
What we need from you
Further reading
Chapter 11: Advanced critical care practitioners (ACCP)
Background
Recognition by the Faculty of Intensive Care Medicine
What are the typical backgrounds of ACCPs?
Current roles of the critical care practitioners within critical care services
Additional advantages of ACCPs
Further reading