This comprehensive book provides practical guidance on the care of the critical patient in the emergency department. It focuses on the ED physician or provider working in a community hospital where, absent the consulting specialists found in a large academic center, the provider must evaluate and stabilize critically ill and injured patients alone. Structured in an easily accessible format, chapters present fundamental information in tables, bullet points, and flow diagrams. Emergency medicine scenarios covered across 38 chapters include acute respiratory failure, spinal cord Injuries, seizures and status epilepticus, care of the newborn, and end-of-life care. Written by experts in the field, Emergency Department Critical Care is an essential resource for practicing emergency physicians and trainees, internists and family physicians, advance practice nurses, and physician’s assistants who provide care in emergency departments and urgent care centers.

Patients with acute critical illness are often cared for initially in the ED, and the beginning actions can help alter outcomes hours, day and months later. This handbook targets selected common or high risk critical condition or therapies needed to optimize ED care, using the newest research and experiences from respected authors.

​This book functions as a comprehensive manual for emergency care providers who are treating critically ill COVID-19 patients. Beginning with an overview of the COVID-19 infection and an examination of the patients who received critical care from hospital emergency departments around the country, this book provides clinicians with a guide to best-practices in everything from personal protection while deploying critical care to COVID-19 patients to evaluation and diagnosis of the illness. Subsequent chapters break down care of various comorbidities seen in COVID-19 patients and the care offered to patients suffering from the illness in a multitude of ways. Closing chapters examine how emergency departments can best prepare for potential surges in COVID-19 patients as the illness continues to develop, providing important information on how to best protect hospital employees and best care for future patients in a constantly shifting landscape. Due to the rapid onset of the illness and strong-hold the pandemic had on the lives and careers of healthcare professionals, Critical Care of COVID-19 in the Emergency Department fills a critical gap in the literature available on this topic.

This issue of Emergency Medicine Clinics, guest edited by Drs.John Greenwood and Tsuyoshi Mitarai in collaboration with Consulting Editor Dr. Amal Mattu, is dedicated to Critical Care in the Emergency Department. Topics include:Cutting edge acute ischemic CVA management;The current status of TTM post-cardiac arrest and early post-cardiac arrest optimization;Beyond MAP and lactate: Perfusion endpoints for managing the shocked patient;Resuscitative Ultrasound ; TEE;Mechanical ventilation for hypoxemic respiratory failure;Mechanical ventilation strategies for the patient with severe obstructive lung disease;Acute Renal Failure and electrolyte management in the critically ill;Advances in emergent airway management in paediatrics;Non-ischemic causes of cardiogenic shock;Critically ill patients with End-Stage Liver Disease;Intracranial Hemorrhage and intracranial hypertension;Sedation ; Analgesia in the Critically Ill;Extubating in the ED; and Geriatric Critical Care.

In this issue of Critical Care Clinics, guest editors Drs. David N. Hager, Kyle Gunnerson, and Stephen Macdonald bring their considerable expertise to the topic of Critical Illness Outside the ICU. Top experts cover key topics such as flight transport of the critically ill; models of critical care in the emergency department; in-hospital triage; rapid response teams; early warning systems; ICU without walls; and more. - Contains 14 relevant, practice-oriented topics the role of intermediate care; PACU care; critical care in rural settings; critical care in austere settings; tele-ICU support; alternate care pathways for the patient with multimorbidity; and more. - Provides in-depth clinical reviews on critical illness outside the ICU, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

With the increased emphasis on reducing medical errors in an emergency setting, this book will focus on patient safety within the emergency department, where preventable medical errors often occur. The book will provide both an overview of patient safety within health care—the 'culture of safety,' importance of teamwork, organizational change—and specific guidelines on issues such as medication safety, procedural complications, and clinician fatigue, to ensure quality care in the ED. Special sections discuss ED design, medication safety, and awareness of the 'culture of safety.'

This book addresses the ethical problems that physicians have to face every day while caring for critically ill patients. Advances in medical technology, ageing societies worldwide, and their increased demands on health care systems have, on the one hand, led to better care and remarkable longevity in many parts of the world. On the other hand, however, improved treatments in many medical fields, amongst others in emergency and critical care, have resulted in more patients surviving with reduced quality of life. This entails tradeoffs for many patients, their families, and the teams caring for them. At the same time, health care expenditures have risen dramatically and have to be balanced against costs for other public goods. Finally, the humane aspects of care have often failed to keep pace with the remarkable technological strides made in recent years. In this book, experts in their respective fields describe compelling ethical challenges resulting from these discrepancies and discuss potential solutions. The book is primarily intended for clinicians who care for two of the most vulnerable patient subpopulations – those being treated in ambulances or emergency rooms, and those being treated at intensive care units – due in part to the fact that they may be temporarily or permanently incapacitated. Core medical skills, such as diagnosis and predicting outcomes, as well as implementing treatment, remain challenging. However, without adequate communication and collaboration both within the inter-professional treatment teams and between the teams and the patients/their families, delivering excellent care is difficult at best. Therefore, the so-called “soft skills” are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill.

Emergency care is improving throughout the world and thousands of lives are being saved each year. However, there are still too many patients who die before help reaches them in the form of advanced rescue and definitive emergency care techniques. In an effort to improve emergency care throughout the world, the International Committee of Emergency and Disaster Medicine meets bi annually. This meeting takes place in Mainz, Germany in September in order to discuss issues, exchange information, and establish re commendations designed to improve emergency care. The group is in~ dependent of political, national, racial, religious, or commercial influences and, in this sense, similar to the Club of Rome which attempts advances in sociology, biology and natural sciences. There fore, the organization could be called the "Club of Mainz" for the field of emergency and disaster medicine. The following book contains the proceedings of the International Symposiom on "Mobile Intensive Care Units and Advanced Emergency Care Units" at Mainz from September 24-27, 1973, and the discussions evoked by the first activities of the "Club of Mainz" and the inter nationally acknowledged "Recommendations". At this time we also announce the next meeting and International Symposium on Disaster Medicine, open to the public, organized by the "Club of Mainz" (October 1 - 2, 1977).

In this issue of Critical Care Clinics, guest editor Dr. Hannah Wunsch brings her considerable expertise to the topic of History of Critical Care Medicine. The term "Critical Care Medicine was first introduced in the 1950s at the University of Southern California—making 2023 the 70th anniversary of this subspecialty. This issue provides a fascinating look at important aspects of the history of the field, which originated with the concept that immediately life-endangered patients, the critically ill and injured, may have substantially better chances of survival if provided with professionally advanced minute-to-minute objective measurements.Contains 10 practice-oriented topics including early pediatric ICU care; mechanical ventilation: negative to positive and back again; airway management over the last 100 years; critical care nursing from the 1950s to the 2020s; from strict bedrest to early mobilization: a history of physiotherapy in the ICU; visiting hours and the changing place of family in the ICU; and more.