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Title Clinical examination skills in the adult critically ill patient / Martin W. Dünser, Daniel Dankl, Sirak Petros, Mervyn Mer, editors
Published Cham, Switzerland : Springer, 2018
Online access available from:
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Description 1 online resource (xiii, 261 pages) : illustrations (some color)
Contents Intro; Foreword; Preface; Contents; Contributors; Part I: General Approach to the Critically III Patient; 1: Basic Principles; 2: The First Impression; References; 3: Checking Vital Functions; 3.1 A: Airway; 3.2 B: Breathing; 3.3 C: Circulation; 4: Recognizing Preterminal Signs; 4.1 Decrease in Respiratory Rate; 4.2 Bradypnoea; 4.3 Apneustic Breathing or Gasping; 4.4 Massive Centralization; 4.5 Decrease in Heart Rate; 4.6 Severe Bradycardia; 4.7 Loss of Consciousness Due to Respiratory or Cardiovascular Compromise
4.8 Parasympathetic Symptoms in Patients with Massive Sympathetic Stimulation4.9 Cushing Triad; 4.10 Unilateral or Bilateral Mydriasis; Reference; Part II: Examining Single Organ Systems; 5: The Airway and Lungs; 5.1 Inspection; 5.1.1 Body Position; 5.1.2 Chest Form, Chest Wall Expansion and Symmetry; 5.1.3 Skin Colour; 5.1.4 Respiratory Rate; 5.1.5 Respiratory Rhythm; 5.1.6 Breathing Pattern; 5.1.7 Work of Breathing; 5.1.8 Patient-Ventilator Dyssynchrony; 5.1.9 Tracheobronchial Secretions; 5.1.10 Miscellaneous; 5.2 Listening; 5.2.1 Without the Stethoscope
5.2.2 Auscultation: Listening with the Stethoscope5.2.2.1 Normal Breath Sounds; Bronchial Breath Sounds Auscultated over the Lung Peripheries; Diminished or Absent Breath Sounds; Crackles; Rhonchi; Wheeze; Pleural Friction Rub; 5.3 Palpation; 5.4 Percussion; 5.5 The Physical Examination in Relation to Intubation and Extubation; 5.5.1 Recognition of the Anatomically Difficult Airway: The LEMON Approach; 5.5.2 Clinical Indicators of Endotracheal Tube Position; 5.5.3 Assessing Preparedness for Extubation
5.5.4 Screening for (Post--extubation) Dysphagia5.6 Clinical Evaluation of the ECMO Circuit; Clinical Practices; References; 6: The Circulation; 6.1 Inspection; 6.1.1 Assessing the Adequacy of Systemic Perfusion; The Skin; The Kidneys; The Mental State; Skin Colour and General Appearance (See Part I Sect. 4.4); 6.1.2 Venous Filling; External Jugular Vein; Peripheral Veins; 6.1.3 Oedema; Cardiac Oedema; Oedema Associated with Capillary Leak; Oedema in the Chronic Critically Ill Patient; Renal Oedema Other Forms of Oedema6.1.4 Clinical Estimation of Haemoglobin Levels; 6.1.5 Miscellaneous Inspection Results; 6.2 Palpation; 6.2.1 Palpation of the Arterial Pulse Wave; 6.2.2 Estimating Arterial Blood Pressure by Palpating the Arterial Pulse Wave; 6.2.3 Precordial Palpation; 6.3 Heart Auscultation; 6.3.1 Heart Sounds; 6.3.2 Murmurs and Adventitious Heart Sounds (Box 6); 6.4 Interpreting Chest Pain or Discomfort; 6.4.1 Chest Pain Associated with Acute Myocardial Ischaemia/Infarction; 6.4.2 Chest Pain Associated with Non-ischaemic Causes; 6.5 Evaluating Extremity Perfusion
Summary This well-illustrated book provides detailed guidance on all aspects of physical examination in patients requiring emergency or intensive care. After an introductory section covering basic principles and the recognition of pre-terminal signs, the approach to examination of individual organ systems is clearly explained. Examination schemes are then presented for particular conditions or settings, including respiratory distress, shock, neurological disease, trauma, suspected infection, and cardiac arrest. The skill of physical examination has become the forgotten art of medicine in both undergraduate and postgraduate studies. Furthermore, most books on the topic have so far focused on examination practices applicable to non-critically ill patients. In emergency and intensive care medicine, however, a different approach and sometimes also different examination techniques are required due to the life-threatening disease process. In summarizing knowledge and providing guidance on physical examination in this specific subgroup of patients, this book will meet the needs of all physicians and allied health care professionals involved in the care of critically ill patients
Notes Includes index
Online resource; title from PDF title page (SpringerLink, viewed August 16, 2018)
Subject Critical care medicine.
Emergency medicine -- Diagnosis.
Form Electronic book
Author Dankl, Daniel, editor
Dünser, Martin W., editor
Mer, Mervyn, editor
Petros, Sirak, editor
ISBN 3319773658 (electronic bk.)
9783319773650 (electronic bk.)