SECTION 1: Sepsis Diagnosis and Management 1. Precision Medicine in Septic Shock 2. Optimal Blood Pressure Target in Patients with Septic Shock 3. The Surviving Sepsis Campaign Guidelines in 2022: What is New and what has Changed? 4. Individualizing Hemodynamics in Septic Shock 5. Adjunctive Therapies in Sepsis: Current Status 6. Refractory Septic Shock: What are the Options 7. Steroids in Sepsis and Clinical Outcomes 8. Candida auris: Detection, Prevention, and Management 9. Empirical Antifungal Treatment: Is It Justified? 10. Role of Steroids in Severe Community acquired Pneumonia 11. Procalcitonin: Can It Differentiate Bacterial versus Fungal Infection SECTION 2: Antimicrobial Therapy in ICU 12. Optimizing Antimicrobial Dosing in the Intensive Care Unit 13. Antibiotic within 1 hour: Should this be Applied to all Patients with Sepsis? 14. Dark Side of Antibiotics 15. Optimal Duration of Antibiotic Therapy 16. Cefiderocol: Is this the Answer to Multidrug-resistant Gram-negative Infection? SECTION 3: Respiratory Critical Care 17. Management of Pneumonia in Intensive Care 18. Reverse Triggering during Controlled Ventilation: A Frequent Dysynchrony with Various Consequences 19. Use of Multiplex Polymerase Chain Reaction in Pneumonia 20. Management of Complicated Pleural Effusion 21. Hepatic Hydrothorax 22. Submassive Pulmonary Embolism 23. Role of Magnesium in Respiratory Failure 24. ARDS in Children: How is it Different? 25. Safe Tracheal Intubation in Intensive Care Unit 26. Lateral Positioning: Does it Work? 27. Dyspnea in Patients on Invasive Ventilation: Clinical Impact 28. Complications of Noninvasive Ventilation Failure SECTION 4: Mechanical Ventilation 29. Setting Optimum PEEP 30. Open Lung or Keep Lung Closed: Which Strategy to Choose? 31. Driving Pressure or Mechanical Power: Which One to Monitor? 32. Measuring Respiratory Drive and Muscle Effort 33. Oxygenation Targets in Mechanically Ventilated Critically-ill Patients 34. Ventilatory Ratio: A New Monitoring Tool 35. Helmet NIV: Is it a Game Changer? 36. Electrical Impedance Tomography: Current Application 37. Automatic Tube Compensation: Does it have a Role? 38. High-frequency Oscillatory Ventilation in Pediatric Acute Respiratory Distress Syndrome 39. Noninvasive Ventilation in Pediatrics: Current Status SECTION 5: Cardiovascular Critical Care 40. Crystalloid Resuscitation: Finding the Balance 41. Artificial Intelligence Tools to Optimize Hemodynamics in the ICU 42. Aggressive or Restrictive Fluid Resuscitation 43. Predicting Hypotension: Is It Useful? 44. Vasopressors: How Early? 45. Myocardial Injury after Noncardiac Surgery 46. Use of Vasopressin during Cardiac Arrest SECTION 6: Echocardiography and Ultrasound 47. Advances in Intensive Care Unit Echocardiography 48. Transesophageal Echocardiography: Is It Preferable in the Intensive Care Unit? 49. ECHO Features of Pulmonary Hypertension and Increased Left Atrial Pressures 50. Role of Echocardiography in Shock State 51. Use of Echocardiography in Assessing Fluid Responsiveness 52. Venous Excess Ultrasound Score (VExUS) SECTION 7: Nephrology, Fluids, Acid-Base Balance and Electrolytes Balance 53. Fluid Management in Acute Kidney Injury 54. Sepsis-associated Acute Kidney Injury: Common but Poorly Understood 55. Delayed versus Very Delayed Renal Replacement Therapy 56. Plasma Exchange in Intensive Care Unit: Current Status 57. Acute Kidney Injury Care Bundle 58. Biomarker-driven Therapy in AKI 59. How to Approach Dyselectrolytemias in a Patient on CRRT? SECTION 8: Neurocritical Care 60. Prognostication in

The Annual Update compiles reviews of the most recent developments in experimental and clinical intensive care and emergency medicine research and practice in one comprehensive reference book. The chapters are written by well recognized experts in these fields. The book is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.

CONTENTS: 1. U.S. ARMY MEDEVAC CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES - CY20 Version Published January 2020, 278 pages 2. TCCC Guidelines for Medical Personnel - 1 August 2019, 24 pages 3. Joint Trauma System Clinical Practice Guideline Special Edition v2.0 - Management of COVID-19 in Austere Operational Environments (Prehospital & Prolonged Field Care) - 28 May 2020, 40 pages 4. DoD C-19 PRACTICE MANAGEMENT GUIDE - Clinical Management of COVID-19, 124 pages 5. COVID-19 Considerations in the Deployed Setting (Presentation) - 27 May 2020, 35 pages INTRODUCTION The STANDARD MEDICAL OPERATING GUIDELINES (SMOG) continues to go through significant improvements with each release as a result of the collaboration of Emergency Medicine professionals, experienced Flight Medics, Aeromedical Physician Assistants, Critical Care Nurses, and Flight Surgeons. There has been close coordination in the development of these guidelines by the Joint Trauma System, and the Defense Committees on Trauma. Our shared goal is to ensure the highest quality en route care possible and to standardize care across all evacuation and emergency medical pre-hospital units. It is our vision that all of these enhancements and improvements will advance en route care across the services and the Department of Defense. Unit medical trainers and medical directors should evaluate Critical Care Flight Paramedics (CCFP) ability to follow and execute the medical instructions herein. These medical guidelines are intended to guide CCFPs and prehospital professionals in the response and management of emergencies and the care and treatment of patients in both garrison and combat theater environments. Unit medical providers are not expected to employ these guidelines blindly. Unit medical providers are expected to manipulate and adjust these guidelines to their unit’s mission and medical air crew training / experience. Medical directors or designated supervising physicians should endorse these guidelines as a baseline, appropriately adjust components as needed, and responsibly manage individual unit medical missions within the scope of practice of their Critical Care Flight Paramedics, Enroute Critical Care Nurses, and advanced practice aeromedical providers. The medication section of this manual is provided for information purposes only. CCFPs may administer medications only as listed in the guidelines unless their medical director (supervising physician) orders a deviation. Other medications may be added, so long as the unit supervising physician and/or medical director approves them. This manual also serves as a reference for physicians providing medical direction and clinical oversight to the CCFP. Treatment direction, which is more appropriate to the patient’s condition than the guideline, should be provided by the physician as long as the CCFP scope of practice is not exceeded. Any medical guideline that is out of date or has been found to cause further harm will be updated or deleted immediately. The Medical Evacuation Concepts and Capabilities Division (MECCD) serves as the managing editor of the SMOG and are responsible for content updates, managing the formal review process, and identifying review committee members for the annual review. The Standard Medical Operating Guidelines are intended to provide medical procedural guidance and is in compliment to other Department of Defense and Department of the Army policies, regulatory and doctrinal guidance. Nothing herein overrides or supersedes laws, rules, regulation or policies of the United States, DoD or DA.

Using innovative interpretations of recent big budget films, Coronavirus Capitalism Goes to the Cinema interrogates the social, political and economic landscape during and prior to the COVID-19 crisis and provides lessons for advancing progressive politics in a post-pandemic age. By exploring numerous films including Avengers: Endgame, Once Upon a Time... In Hollywood, 1917, and Parasite, this short book provides a deep understanding about neoliberal society in a time of crisis. Facilitated by the ideas of Emma Goldman, Naomi Klein, Karl Marx, Noam Chomsky and many more, these movies are reinterpreted to point out our political blind spots, combat our non-COVID contagions and inoculate us into ideological herd immunity. From explorations of the supervillain-like decision-making of our political leaders to the inequalities in infection outcomes that sparked further Black Lives Matter protests, this book discusses the central social challenges we face today through the sights and sounds of some of the most beloved films of the very recent past. This entertaining and accessible book will reward readers who are interested in contemporary politics in the context of COVID-19, as well as cinephiles and movie-goers who want fresh interpretations of instant classics to help explain the world around them. More than just informative and amusing, this book is a call to action to those activists who want social change in the face of coronavirus capitalism.

Master the essential medical-surgical nursing content you'll need for success on the Next Generation NCLEX® Exam (NGN) and safe clinical practice! Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 10th Edition uses a conceptual approach to provide adult health knowledge and help you develop the clinical nursing judgment skills that today's medical-surgical nurses need to deliver safe, effective care. "Iggy" emphasizes three emerging trends in nursing — interprofessional collaborative care, concept-based learning, and clinical judgment and systems thinking — trends that will ground you in how to think like a nurse and how to apply your knowledge in the classroom, simulation laboratory, and clinical settings. A perennial bestseller, "Iggy" also features NCLEX Exam-style Challenge and Mastery questions to prepare you for success on the NGN! - Consistent use of interprofessional terminology promotes interprofessional collaboration through the use of a common healthcare language, instead of using isolated nursing-specific diagnostic language. - UNIQUE! Enhanced conceptual approach to learning integrates nursing concepts and exemplars, providing a foundation in professional nursing concepts and health and illness concepts, and showing their application in each chapter. - Unparalleled emphasis on clinical reasoning and clinical judgment helps you develop these vital skills when applying concepts to clinical situations. - Emphasis on QSEN and patient safety focuses on safety and evidence-based practice with Nursing Safety Priority boxes, including Drug Alert, Critical Rescue, and Action Alert boxes. - Direct, easy-to-read writing style features concise sentences and straightforward vocabulary. - Emphasis on health promotion and community-based care reflects the reality that most adult health care takes place in environments outside of high-acuity (hospital) settings.

The latest edition in the popular Yearbook of Anesthesiology series, Volume 11 is an up-to-date guide to the latest advances in anaesthesiology practice. Comprising 25 chapters covering all three specialties associated with anaesthesiology – regional and general anaesthesia, pain, and intensive care - this book presents the most recent information in the field, in a concise and highly illustrated format. The book covers the complete field from techniques and post-surgical recovery, to pharmacology, non-technical skills and medicolegal issues. This new volume features chapters on new technologies to secure the airway, tubeless anaesthesia for laryngeal surgery, delirium in critical care, anaesthetic implications in robotic pelvic surgery, advances in cardiopulmonary resuscitation, opioid free anaesthesia, and many more topics. A complete chapter is dedicated to anaesthesia during the Covid pandemic. Written in an easy-to-read format, this yearbook is invaluable reading for trainees preparing for examinations and interviews, as well as for practising anaesthesiologists in keeping up to date with the latest advances in the field. The previous volume (9789390595013) published in 2021.

**American Journal of Nursing (AJN) Book of the Year Awards, 2nd Place in Critical Care- Emergency Nursing, 2023** **Selected for Doody's Core Titles® 2024 in Critical Care** Focus on the most important concepts in progressive and critical care nursing with Priorities in Critical Care Nursing, 9th Edition. Ideal for students, practicing nurses undergoing in-service training for progressive and critical care, and progressive or critical care nurses reviewing for PCCN® or CCRN® certification, this trusted, evidence-based textbook uses the latest, most authoritative research to help you identify patient priorities in order to safely and expertly manage patient care. Succinct coverage of all core progressive and critical care nursing topics includes medications, patient safety, patient education, problem identification, and interprofessional collaborative management. You will learn how to integrate the technology of progressive and critical care with the physiological needs and psychosocial concerns of patients and families to provide the highest-quality care. - Need-to-know content reflects the realities of today's progressive and critical care environments. - UNIQUE! Balanced coverage of technology and psychosocial concerns includes an emphasis on patient care priorities to help you learn to provide the highest-quality nursing care. - Consistent format features a Clinical Assessment and Diagnostic Procedures chapter followed by one or more Disorders and Therapeutic Management chapters for each content area. - Strong quality and safety focus throughout includes Evidence-Based Practice boxes that highlight evidence specific to the discussion; Patient-Centered Care boxes that provide recommendations to address patient uniqueness; Quality Improvement boxes describing quality initiatives and implications for practice; Teamwork and Collaboration boxes that provide guidelines for effective handoffs, assessments, and communication between nurses and other hospital staff; Safety boxes that highlight important guidelines and tips to ensure patient safety in critical care settings; and Informatics boxes that provide additional online resources. - Patient Care Management Plans at the end of the book provide a complete care plan for every priority patient problem, including outcome criteria, nursing interventions, and rationales. - Priority Patient and Family Education Plan boxes list priority topics to be taught to the patient and family prior to discharge.