Bazan danielle j (37 risultati)

PAP. Condizione: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condizione: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condizione: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condizione: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condizione: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condizione: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condizione: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condizione: New. New Book. Shipped from UK. Established seller since 2000.

PAP. Condizione: New. New Book. Shipped from UK. Established seller since 2000.

Paperback. Condizione: new. Paperback. The patient arrives at three in the morning. No history. No witness. An empty blister pack and a heart rate you cannot explain. What do you do in the next fifteen minutes? Can you separate an anticholinergic delirium from a sympathomimetic one before the laboratory calls back? Do you know which poisonings dialysis can actually reach and which ones it cannot touch no matter how sick the patient is? When the urine drug screen says amfetamines and the patient says otherwise, which one do you believe? This is a bedside reference for clinicians managing poisoned and overdosed patients in the emergency department and intensive care unit. It is built around a single organising idea: identify the failure mode before you identify the agent. What this handbook gives youA five-second bedside discrimination. Dry skin with a silent abdomen separates anticholinergic from sympathomimetic toxicity and only one of those patients can still lose heat. Six core toxidromes, separable with no laboratory input at all.The four numbers that decide everything. Volume of distribution, protein binding, molecular weight and endogenous clearance determine whether any intervention you possess can reach the drug. Sixteen agents plotted against the removable zone.Honest limits on the tests you order. Which immunoassay windows produce false positives, which classes they miss entirely, and why a negative opiate screen in a patient with pinpoint pupils is a limitation of the assay rather than a refutation of the diagnosis.What to withhold, and why. Gastric lavage, ipecac, flumazenil in mixed ingestion, phenytoin for a toxic seizure, amiodarone in channel blockade, nitrite kits in fire victims each contraindication with the mechanism behind it.Antidote dosing that is escalated, not looked up. Atropine titrated to drying secretions with no ceiling. Naloxone infusions calculated from the cumulative effective dose. Digoxin antibody fragments by two formulae that give four-fold different answers.45 worked clinical scenarios carrying the arithmetic through to a number bicarbonate volumes, insulin units, ethanol blockade rates, gap calculations, pyridoxine in grams.60 original diagrams: the cardiac action potential mapped to its four toxicological targets, cholinesterase ageing, paraquat redox cycling, the two gaps plotted over time.105 practice questions with boxed reasoning, not just answers.Why it is organised this wayToxicology is a field where confident bedside teaching frequently outruns the data. This book distinguishes three things that are routinely conflated: an adequately powered negative finding, an underpowered one, and the genuine absence of evidence. Where trials conflict hyperbaric oxygen in carbon monoxide poisoning, oximes in organophosphate poisoning the disagreement is described rather than smoothed over. Every drug dose appears as a range with an instruction to verify against your local formulary.Written forEmergency physicians, intensivists, anaesthetists, clinical pharmacists, advanced practice providers, critical care nurses and senior trainees. Resuscitation, ventilation and acid-base interpretation are assumed; toxicology is taught from first principles.Fifteen chapters across five parts foundations of the poisoned patient, core interventions, organ-directed toxicity, major agent classes, and special populations with disposition.This is an independent work. It supplements, and does not replace, your primary toxicology text, your national poisons centre or the guideline in force where you practise.Add the Critical Care Toxicology Handbook to your unit's shelf, and have the reasoning ready before the next undifferentiated Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.…

Taschenbuch. Condizione: Neu. Neuware - Your patient's blood pressure is normal. Is that reassuring or is it the last thing about them that will be The ECG shows no ST elevation. Does that mean the artery is open The decision rule came back negative. Does that rule even apply to this patient You gave tranexamic acid four hours after the injury. Did you help Emergency medicine rarely asks you for a diagnosis. It asks you for a decision, and it asks before the diagnosis is available. This handbook is built around that gap. Organised by presentation rather than by diagnosis because a patient arrives short of breath, not carrying a label it follows fifteen high-stakes encounters from the door to a defensible disposition. WHAT YOU GET- 15 chapters across 5 parts: the structure of the emergency decision; resuscitation; time-critical medical presentations; infection, poisoning and metabolic crisis; trauma, special populations and disposition- 45 worked clinical scenarios with the arithmetic shown in full shock index, alteplase dosing, cerebral perfusion pressure, sodium correction ceilings, ventilator settings, post-test probability- Over 45 original diagrams drawn for this book: annotated ECG patterns, the compensation curve, cerebral arterial territories, cricothyroid anatomy, lung ultrasound profiles, the paracetamol nomogram, pelvic binder placement- More than 60 reference tables, every drug dose given as a range with a local-formulary verification instruction- 105 practice questions with reasoned, boxed answers- Four appendices, including a consolidated drug reference and a quick-reference guide to validated decision rulesWHY THIS ONE- Every decision rule is printed with its inclusion criteria and its documented failure mode because a rule applied outside the population that produced it is not evidence- Effect sizes are stated, not implied. An adequately powered negative trial is distinguished from an underpowered one, and both from an absence of evidence- Where a widely taught practice rests on weaker foundations than its ubiquity suggests, the book says so- Recommendations are stratified by resource level wherever the answer genuinely differs between a fully equipped department and one without a CT scanner or a blood bank- Written throughout in the second person: your patient, your assessment, your decisionWHO IT IS FOR- Emergency physicians. Acute care nurse practitioners and physician associates. Senior emergency medicine trainees. Internal medicine, family medicine and generalist physicians covering an emergency rota. Experienced emergency nurses and critical care outreach practitioners. If the decision to admit or discharge is yours to make and to defend, this book was written for you.>Scroll up and click Add to Cart to keep the reasoning with you on your next shift.…

Taschenbuch. Condizione: Neu. Neuware.

Taschenbuch. Condizione: Neu. Neuware - Your antibody screen was negative. Your crossmatch was compatible. Your check cells were valid. And nine days later, your patient is jaundiced with a haemoglobin below where it started. Nobody made a serologic error. So what went wrong - and why doesn't your textbook explain it Ask yourself: Do you know why a negative cord DAT excludes Rh HDFN - but tells you nothing in ABO Can you calculate a RhIG dose from a Kleihauer-Betke result and explain why you add an extra vial after rounding Do you know which crossmatch method is the only one that can detect an antibody to a low-incidence antigen When a patient on daratumumab produces a pan-reactive panel, do you know why adsorption will not remove it - and why the answer forces you to issue K-negative units >Understand the mechanism, and you can solve the case you have never seen before.What you get- Part I - Foundations: immunology, genetics, and the physical chemistry that governs every reaction you will ever read- Part II - The Blood Groups: ABO, Rh, Kell, Kidd, Duffy, MNS, Lewis - organised by behaviour, not by history- Part III - Serology: panel interpretation, the Rule of Three with its statistical derivation, adsorption, elution, and the complex antibody problem- Part IV - Practice: pretransfusion testing, donors and components, component therapy, and massive haemorrhage- Part V - Adverse Events & Quality: transfusion reactions, HDFN and the neonate, and the quality systems that make it all work>The next complex antibody, the next unexplained haemoglobin decrement, the next patient who does not fit the table - you will meet them on a night shift, alone, with somebody waiting. This book is written so that when you do, you can reason your way to the answer. Add Modern Blood Banking & Transfusion Practices Handbook to your cart today - and never be caught out by the case that isn't in the table.…

Taschenbuch. Condizione: Neu. Neuware.

Taschenbuch. Condizione: Neu. Neuware - Why does a flexor tendon look perfectly intact on the film and the wound when it has been cut clean through Why does a nasogastric tube that gurgled correctly over the epigastrium end up feeding into a lung Why does a needle decompression that produced no hiss tell you absolutely nothing about whether the patient has a tension pneumothorax The answer to all three is the same. The failure was never in the hands. It was in a default nobody had revisited.>What you get: - Every chapter in the same order. Indication and the alternative you rejected ? anatomy ? equipment ? technique, landmark and ultrasound-guided ? objective confirmation ? complications with their rates ? the rescue when it fails. Under pressure, the information is always in the same place.- 60 original anatomical diagrams, algorithms, and annotated schematics needle trajectories, probe positions with the corresponding screen image, waveform patterns, and failure-mode illustrations drawn to teach the relationship, not decorate the page.- 15 chapters spanning airway, vascular access, haemodynamic monitoring, resuscitation, thoracic, abdominal, genitourinary, wound, musculoskeletal, and regional technique 45 worked clinical scenarios with the full reasoning chain, and 105 practice questions with explained answers.- Complication rates presented with their denominators, settings, and dates because a pneumothorax rate from elective ward access says nothing about the same procedure during chest compressions.- The evidence stated as it actually is. Where trials are adequately powered negatives, you are told so. Where a threshold is consensus rather than trial-derived, it is labelled. Where a familiar test has been discredited, it is named.Solve the problems that actually cost patients: - The examination performed with the joint in the wrong position- The catheter too short for the chest wall in front of it- The trace nobody flush-tested before four vasopressor escalations- The cell count threshold applied to classify a patient it was never designed to classify- The cannot-oxygenate decision every person in the room had reached and nobody had spoken aloudWritten for emergency physicians, intensivists, acute care advanced practice providers, residents and fellows, critical care nurses, and paramedics who perform or assist with these procedures. Open it before your shift to rehearse the procedure you have not performed in eight months. Open it at the bedside for the sequence you need in the next ninety seconds. Open it afterwards to structure the debrief. Scroll up and add it to your cart then go and check what is actually in your department's drawer.…

Taschenbuch. Condizione: Neu. Neuware - Ever finished a scan and second-guessed whether that gallbladder wall really met criteria for cholecystitis Ever had to explain under pressure, in real time why a Doppler angle over 60° makes your velocity reading unreliable If you've ever closed out an exam wishing you had one place that gave you the protocol, the threshold, and the reasoning behind it, this handbook was built for you. Most sonography references fall into one of two traps: overly academic textbooks that explain physics but leave you guessing at the bedside, or quick-reference guides so condensed they skip the clinical reasoning entirely. This handbook closes that gap. Every chapter follows the same disciplined structure protocol, pathology, worked calculation, and board-style practice question so you're not just memorizing numbers, you're learning to reason through them the way you'll actually need to on shift. What you'll walk away with: - A complete technical foundation - physics, instrumentation, and image optimization explained the way you'll actually use it, not just theory for theory's sake- Full-body protocol mastery - hepatobiliary, renal, pancreatic, GI, thyroid, breast, scrotal, and musculoskeletal sonography, each with required views and diagnostic criteria spelled out- The structured scoring systems that drive real decisions - TI-RADS, BI-RADS, O-RADS, and Bosniak, applied feature-by-feature so you can defend every category you assign- Vascular Doppler fluency - from DVT compression technique to carotid stenosis grading to TIPS surveillance, with the exact velocity thresholds and ratios worked out step-by-step- A complete obstetric and gynecologic reference - first-trimester dating and SRU failure criteria through third-trimester Doppler and biophysical profile scoring- Emergency, pediatric, and board-exam readiness - FAST protocol, Graf hip technique, neonatal cranial ultrasound, and multi-system integrated cases that mirror how findings actually present- 150 practice questions and 60 fully worked clinical scenarios - every answer shows the calculation and the reasoning, not just the result- A complete back-matter reference kit - consolidated threshold tables, abbreviations, protocol quick-reference, and glossary you'll return to long after you finish reading>You already know the gap between a technically adequate study and a clinically decisive one. Close it. Get your copy of the Diagnostic Sonography Handbook today.…

Taschenbuch. Condizione: Neu. Neuware - Can you recognize septic shock before the blood pressure falls Do you know why calcium protects the heart in hyperkalemia but doesn't lower the potassium When a patient is crashing at 3 a.m., will you reach for the right algorithm or hesitate In critical care and emergency medicine, hesitation costs lives. The problem isn't a lack of information it's that the information you need is scattered across a dozen textbooks, buried in dense guidelines, and impossible to find in the seconds that matter. You're expected to master everything from airway management to end-of-life conversations, yet no single resource walks you through it the way you actually practice: fast, physiology-first, and at the bedside.>This is a complete, 15-chapter bedside reference built the way clinicians think moving from recognition to resuscitation to definitive care, in plain second-person language, with the mechanism that makes each decision make sense. No fluff. No filler. Just verified clinical content you can act on. Inside, you'll master: - The failing patient, fast - triage, oxygen delivery, airway management and RSI, and the four shock states, so you recognize and stabilize before the crisis becomes an arrest- Sepsis and organ support - the Hour-1 bundle, mechanical ventilation and weaning, and ECMO, explained from first principles- Every organ-system emergency cardiac arrest and ACLS, stroke and raised ICP, trauma and massive transfusion, toxicology and antidotes, DKA and electrolyte crises, and severe infection- The procedures that save lives central lines, chest drains, lumbar puncture, and point-of-care ultrasound, with the safety rules that prevent catastrophe- The human side that textbooks skip crisis leadership, goals-of-care conversations, and end-of-life care that protect your patients and youWhy this handbook earns its place in your coat pocket: - Diagrams, ECG traces, algorithms, and tables on every topic see the concept, don't just read it- Worked clinical scenarios that walk you through the full reasoning chain, presentation to management- Practice questions with explained answers to lock in what you've learned- Drug doses as reference ranges with clear safety caveats built for real prescribing- Landmark trials reported honestly actual results, not manufactured consensus>Stop scrambling between resources when seconds count. Get the one handbook that puts the whole of intensive care and emergency medicine in your hands and be ready before the next patient crashes. Scroll up and click 'Add to Cart' to keep it at your bedside today.…

Taschenbuch. Condizione: Neu. Neuware.

Taschenbuch. Condizione: Neu. Neuware.

Condizione: New. Print on Demand.

Condizione: New. Print on Demand.

Condizione: New. Print on Demand.

Condizione: New. Print on Demand.

Condizione: New. Print on Demand.

Paperback. Condizione: new. Paperback. Your antibody screen was negative. Your crossmatch was compatible. Your check cells were valid. And nine days later, your patient is jaundiced with a haemoglobin below where it started. Nobody made a serologic error. So what went wrong - and why doesn't your textbook explain it? Ask yourself: Do you know why a negative cord DAT excludes Rh HDFN - but tells you nothing in ABO?Can you calculate a RhIG dose from a Kleihauer-Betke result and explain why you add an extra vial after rounding?Do you know which crossmatch method is the only one that can detect an antibody to a low-incidence antigen?When a patient on daratumumab produces a pan-reactive panel, do you know why adsorption will not remove it - and why the answer forces you to issue K-negative units?Your sickle patient's haemoglobin is falling after transfusion. Do you reach for more blood - or do you stop? Understand the mechanism, and you can solve the case you have never seen before.What you getPart I - Foundations: immunology, genetics, and the physical chemistry that governs every reaction you will ever readPart II - The Blood Groups: ABO, Rh, Kell, Kidd, Duffy, MNS, Lewis - organised by behaviour, not by historyPart III - Serology: panel interpretation, the Rule of Three with its statistical derivation, adsorption, elution, and the complex antibody problemPart IV - Practice: pretransfusion testing, donors and components, component therapy, and massive haemorrhagePart V - Adverse Events & Quality: transfusion reactions, HDFN and the neonate, and the quality systems that make it all workStop looking things up. Start understanding them. The next complex antibody, the next unexplained haemoglobin decrement, the next patient who does not fit the table - you will meet them on a night shift, alone, with somebody waiting. This book is written so that when you do, you can reason your way to the answer. Add Modern Blood Banking & Transfusion Practices Handbook to your cart today - and never be caught out by the case that isn't in the table. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.…

Paperback. Condizione: new. Paperback. How many full-time equivalents does it actually take to staff one post around the clock? If you answered 4.2, your budget is short by the whole of next year's annual leave. Your falls rate dropped 42% after the intervention. What if the improvement started five months before you did anything and the run chart could have told you in ninety seconds? A vendor demonstrates a prediction model with excellent accuracy. At your base rate, how many false alerts will your nurses carry for every real case they catch? You were promoted because you were good at the bedside. Nothing in your clinical preparation rehearsed defending a variance you did not create, counselling a colleague who was your peer on Friday, or explaining why the unit is short. You are expected to learn it in public, on a live unit, while the census climbs. This handbook was written for that gap. What it gives you: Arithmetic you can defend. 37 formulas worked end to end NHPPD, FTE build, replacement factor, three-way variance, turnover cost, control limits, expected value, predictive value. Variables defined, units carried, one worked example each.45 worked scenarios that finish at a number, not a principle: converting an imposed budget target back into the hours it actually funds; pricing a separation from your own payroll instead of a vendor survey; deciding a midnight flex when the arithmetic and the ratio standard disagree.Evidence stated honestly. Effect sizes with confidence intervals, designs named, and the limitation given before someone else finds it. Where a body of evidence is weak leadership-style instruments, recognition programmes, resilience training the book says so and explains why.The legal and regulatory exposure nobody briefed you on: delegation and scope, documentation and late entries, retaliation risk, representation at investigatory interviews, impaired practice.105 practice questions with boxed answers that give the reasoning, not the letter suitable for certification preparation and for settling an argument at the desk.What you will be able to doRebuild your own personnel budget line by line and identify exactly where an imposed reduction landsConvert a ratio standard into a defensible NHPPD figure, with every assumption statedDecompose a variance before explaining it, so corrective action lands on the part you controlShow turnover as capacity lost rather than a percentage executives can wave throughRead a control chart, a benchmark, and a vendor claim critically enough to say what each can and cannot supportDelegate, assign, and document in a way that survives reviewRun a conduct conversation, a disciplinary process, and a disclosure without creating exposureInside: 15 chapters across 5 parts - 56 reference tables - 35 purpose-built diagrams and charts - appendices consolidating every formula, named study, abbreviation, and template.Written for registered nurses moving into charge and manager roles, nurse managers and directors, graduate students in nursing administration, and clinical educators.A note on what this is. This is an independent work. It supplements and does not replace your primary textbooks, your board of nursing's rules, or your employer's policy. Every jurisdictional figure is a starting point for verification, and the book says so on every page it matters. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.…

Paperback. Condizione: new. Paperback. Your patient's blood pressure is normal. Is that reassuring or is it the last thing about them that will be? The ECG shows no ST elevation. Does that mean the artery is open? The decision rule came back negative. Does that rule even apply to this patient? You gave tranexamic acid four hours after the injury. Did you help? Emergency medicine rarely asks you for a diagnosis. It asks you for a decision, and it asks before the diagnosis is available. This handbook is built around that gap. Organised by presentation rather than by diagnosis because a patient arrives short of breath, not carrying a label it follows fifteen high-stakes encounters from the door to a defensible disposition. WHAT YOU GET15 chapters across 5 parts: the structure of the emergency decision; resuscitation; time-critical medical presentations; infection, poisoning and metabolic crisis; trauma, special populations and disposition45 worked clinical scenarios with the arithmetic shown in full shock index, alteplase dosing, cerebral perfusion pressure, sodium correction ceilings, ventilator settings, post-test probabilityOver 45 original diagrams drawn for this book: annotated ECG patterns, the compensation curve, cerebral arterial territories, cricothyroid anatomy, lung ultrasound profiles, the paracetamol nomogram, pelvic binder placementMore than 60 reference tables, every drug dose given as a range with a local-formulary verification instruction105 practice questions with reasoned, boxed answersFour appendices, including a consolidated drug reference and a quick-reference guide to validated decision rulesWHY THIS ONEEvery decision rule is printed with its inclusion criteria and its documented failure mode because a rule applied outside the population that produced it is not evidenceEffect sizes are stated, not implied. An adequately powered negative trial is distinguished from an underpowered one, and both from an absence of evidenceWhere a widely taught practice rests on weaker foundations than its ubiquity suggests, the book says soRecommendations are stratified by resource level wherever the answer genuinely differs between a fully equipped department and one without a CT scanner or a blood bankWritten throughout in the second person: your patient, your assessment, your decisionWHO IT IS FOREmergency physicians. Acute care nurse practitioners and physician associates. Senior emergency medicine trainees. Internal medicine, family medicine and generalist physicians covering an emergency rota. Experienced emergency nurses and critical care outreach practitioners. If the decision to admit or discharge is yours to make and to defend, this book was written for you.An independent work, designed to sit alongside your national formulary, your resuscitation council guidelines and your departmental protocols not to replace them. Scroll up and click Add to Cart to keep the reasoning with you on your next shift. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.…

Condizione: New. Print on Demand.

Condizione: New. Print on Demand.

Paperback. Condizione: new. Paperback. Why does a newborn need a larger dose per kilogram than an adult - and a longer gap between doses? Why is the most dangerous moment of a drug interaction often two weeks after the interacting drug is stopped? Why doesn't a raised INR in cirrhosis mean your patient is auto-anticoagulated? And why does under-dosing an anticoagulant buy no safety at all? If those questions gave you pause, you already know the problem. Prescribing errors are rarely errors of pharmacological knowledge. They happen because a step was skipped, a threshold was misremembered, or a number was read from the wrong equation. The Handbook Of Pharmacotherapeutics for Advanced Practice is built to close that gap. This is a reasoning handbook, not a drug list. Every chapter works from mechanism to bedside decision, so you can adapt when your patient falls outside the rule. Part I - Principles that govern everything elseStructure every prescription around four questions that prevent most avoidable harmMaster ADME, receptor pharmacology, and the therapeutic index from first principlesScreen interactions by mechanism site instead of memorising pairsRecognise severe cutaneous reactions, apply the R-ratio, and deprescribe systematicallyUse pharmacogenomic reports correctly - including what the panel didn't testPart II - The patient in front of youAdjust confidently in renal and hepatic impairment, dialysis, and continuous renal replacementDose children by developmental stage, and stop tenfold errors before they reach the patientApply time-to-benefit reasoning so frail patients aren't harmed by preventive drugs they'll never benefit fromPrescribe in pregnancy and lactation without the fear-driven discontinuation that causes most harmPart III - Disease-state prescribingRotate opioids safely and distinguish tolerance from opioid-induced hyperalgesiaApply anticoagulant dose-reduction criteria exactly - the error that runs in both directionsPrescribe antimicrobials by pharmacodynamic target, and steward every courseNavigate respiratory, neuropsychiatric, and gastrointestinal therapy without the common trapsInside this edition15 chapters across 400+ pages50 annotated figures and nearly 70 clinical tables45 worked scenarios with full calculations shown in units105 practice questions with explained answersFive quick-reference appendices, a pharmacological glossary, and a full indexWritten for nurse practitioners, physician assistants, doctorally prepared advanced practice nurses, clinical pharmacists with prescriptive authority, and senior residents consolidating pharmacotherapeutics before independent practice.What makes it different: dose ranges instead of fixed numbers, guidelines named with their year so you can check currency, and honest labelling of where evidence is strong, thin, or contested. Where a trial was underpowered, it says so. You're entitled to know the difference your patients bear the consequences of it. This is an independent work written to supplement, not replace, your formulary, product labelling, and specialty guidelines. Scroll up and click Add to Cart to put clearer prescribing reasoning on your desk - and in your pocket on the ward. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability.…