Careful monitoring of at-risk patients, early intervention, and timely escalation to the critical care unit from a general ward has been shown to improve patient clinical outcomes. The first text of its kind in this important area, Rapid Response Events in the Critically Ill: A Case-Based Approach to Inpatient Medical Emergencies is designed to help you recognize the fundamental signs of deterioration in patients on medical wards and ensure that transfer is made to the ICU before the development of adverse clinical outcomes. Using a highly effective teaching approach preferred by both residents and fellows, this innovative text links theory to practice with a brief review of clinical cases sourced from various academic centers.
Presents 62 real-world clinical cases that demonstrate the principles of diagnosis and therapy, helping you develop a thorough understanding of how to diagnose and treat each condition.
Provides practical clinical insights into the best methods to improve patient safety and quality of care through the rapid identification and clinical intervention of hospitalized patients suffering acute deterioration.
Emphasizes how to identify and manage problems in a way that integrates theory and clinical experience.
Cases contain an algorithmic flow chart for rapid decision-making reference, clinical pearls on diagnosis and management, and a consistent format for quick and easy access to key information.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Title page - p. IFC1 6. Copyright - p. IFC1 7. Dedication - p. iv 8. Preface - p. v 9. Acknowledgements - p. vii 10. Contributors - p. ix 11. Contents - p. ix 12. List of Tables - p. ix 13. Part 1: Cases With Cardiovascular Pathologies - p. ix 14. Chapter 1: Chest Pain in a Patient With Coronary Artery Disease – I - p. ix 15. Chapter 2: Chest Pain in a Patient With Coronary Artery Disease – II - p. 9 16. Chapter 3: Chest Pain in a Patient With Hypertensive Emergency - p. 16 17. Chapter 4: Tachycardia in a Patient with Atrial Fibrillation - p. 23 18. Chapter 5: Tachycardia in a Patient With Ischemic Cardiomyopathy - p. 30 19. Chapter 6: Tachycardia in a Patient With Alcohol Withdrawal - p. 35 20. Chapter 7: Tachycardia in a Patient with Severe Pain - p. 42 21. Chapter 8: Tachycardia and Hypotension in a Patient on Anticoagulation - p. 47 22. Chapter 9: Bradycardia in a Patient With Atrial Fibrillation - p. 54 23. Chapter 10: Bradycardia in a Patient With Myocardial Infarction - p. 60 24. Chapter 11: Bradycardia in a Patient With Heart Failure - p. 66 25. Chapter 12: Hypotension in a Patient With Heart Failure - p. 73 26. Chapter 13: Hypotension in a Patient With Myocardial Infarction - p. 78 27. Chapter 14: Cardiac Arrest in a Patient With Pulseless Electrical Activity - p. 86 28. Chapter 15: Cardiac Arrest in a Patient With Ventricular Fibrillation - p. 91 29. Chapter 16: Cardiac Arrest in a Patient With Torsades de Pointes - p. 96 30. Part 2: Cases With Respiratory Pathologies - p. 101 31. Chapter 17: Tachypnea in a Patient With Severe Anemia - p. 101 32. Chapter 18: Tachypnea in a Patient With Asthma - p. 111 33. Chapter 19: Tachypnea in a Patient After Hip Repair Surgery - p. 116 34. Chapter 20: Hypoxia in a Patient After Repair of Femoral Fracture - p. 123 35. Chapter 21: Hypoxia in a Patient With No Cardiac or Pulmonary History - p. 129 36. Chapter 22: Acute Hypoxia in a Patient With Stroke - p. 135 37. Chapter 23: Hypoxia in a Patient With Chronic Obstructive Pulmonary Disease (COPD) - p. 140 38. Chapter 24: Hypoxia in a Patient With COVID-19 - p. 146 39. Chapter 25: Hypoxia in a Patient With Hypertensive Emergency - p. 150 40. Chapter 26: Hypoxia in a Patient With Bullous Emphysema - p. 156 41. Chapter 27: Hypoxia in a Patient With Myasthenia Gravis - p. 164 42. Chapter 28: Hypoxia in a Patient With Sickle Cell Disease - p. 169 43. Chapter 29: Hypoxia in a Patient With Massive Pleural Effusion - p. 174 44. Chapter 30: Hypoxia in a Morbidly Obese Patient - p. 181 45. Chapter 31: Hypoxia in a Patient With Hemoptysis - p. 187 46. Chapter 32: Facial Swelling in a Patient After Bronchoscopy - p. 192 47. Chapter 33: Facial Swelling in a Patient With Penicillin Allergy - p. 197 48. Part 3: Cases With Neurological Pathologies - p. 202 49. Chapter 34: Altered Mental Status of Unknown Cause - p. 202 50. Chapter 35: Altered Mental Status From Medication Adverse Effect - p. 212 51. Chapter 36: Altered Mental Status in a Patient With CNS Lymphoma - p. 217 52. Chapter 37: Altered Mental Status in a Patient With Sepsis - p. 224 53. Chapter 38: Altered Mental Status in a Patient With Substance Use Disorder - p. 230 54. Chapter 39: Altered Mental Status in a Patient Transferred From ICU - p. 235 55. Chapter 40: Acute Vision Loss in a Patient With Eye Pain - p. 241 56. Chapter 41: Acute Vision Loss in a Patient With Atrial Fibrillation - p. 247 57. Chapter 42: Acute Onset Facial Droop - p. 253 58. Chapter 43: Loss of Consciousness in a Patient With Viral Gastroenteritis - p. 258 59. Chapter 44: Loss of Consciousness in a Patient With Seizure Disorder - p. 264 60. Chapter 45: Seizures in a Patient With Medication Non-Compliance - p. 269 61. Chapter 46: Seizures in a Patient With Hyponatremia - p. 274 62. Chapter 47: Seizures in a Patient With New Hemodialysis - p. 278 63. Chapter 48: Severe Headache in a Patient With Migraines - p. 282 64. Chapter 49: Severe Headache in a Patient After Lumbar Puncture - p. 287 65. Chapter 50: Hyperthermia in a Patient on Polypharmacy - p. 292 66. Part 4: Cases With Gastrointestinal Pathologies - p. 298 67. Chapter 51: Hematemesis in a Patient With Alcohol Use Disorder - p. 298 68. Chapter 52: Hematochezia in a Patient With Diverticulosis - p. 304 69. Chapter 53: Acute Abdominal Pain in a Patient on High Dose Steroids - p. 308 70. Chapter 54: Acute Abdominal Pain in a Patient With Atrial Fibrillation - p. 312 71. Chapter 55: Foreign Body Ingestion - p. 316 72. Part 5: Cases With Endocrinological Pathologies - p. 320 73. Chapter 56: Hypotension in a Patient With Adrenal Insufficiency - p. 320 74. Chapter 57: Altered Mental Status in a Patient With Insulin-Dependent Diabetes - p. 327 75. Chapter 58: Hypotension in a Patient With Progressive Neurological Decline - p. 332 76. Chapter 59: Tachycardia in a Patient on Amiodarone - p. 338 77. Chapter 60: Muscle Spasms in a Patient With a History of Thyroidectomy - p. 343 78. Part 6: Cases With Musculoskeletal Pathologies - p. 348 79. Chapter 61: Acute Foot Discoloration in a Patient With Peripheral Vascular Disease - p. 348 80. Chapter 62: Acute Leg Pain in a Patient With Cellulitis - p. 355 81. Index - p. 360 82. Confidence is ClinicalKey - p. 360
Careful monitoring of at-risk patients, early intervention, and timely escalation to the critical care unit from a general ward has been shown to improve patient clinical outcomes. The first text of its kind in this important area, Rapid Response Events in the Critically Ill: A Case-Based Approach to Inpatient Medical Emergencies is designed to help you recognize the fundamental signs of deterioration in patients on medical wards and ensure that transfer is made to the ICU before the development of adverse clinical outcomes. Using a highly effective teaching approach preferred by both residents and fellows, this innovative text links theory to practice with a brief review of clinical cases sourced from various academic centers.
Presents 62 real-world clinical cases that demonstrate the principles of diagnosis and therapy, helping you develop a thorough understanding of how to diagnose and treat each condition.
Provides practical clinical insights into the best methods to improve patient safety and quality of care through the rapid identification and clinical intervention of hospitalized patients suffering acute deterioration.
Emphasizes how to identify and manage problems in a way that integrates theory and clinical experience.
Cases contain an algorithmic flow chart for rapid decision-making reference, clinical pearls on diagnosis and management, and a consistent format for quick and easy access to key information.
1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Title page - p. IFC1 6. Copyright - p. IFC1 7. Dedication - p. iv 8. Preface - p. v 9. Acknowledgements - p. vii 10. Contributors - p. ix 11. Contents - p. ix 12. List of Tables - p. ix 13. Part 1: Cases With Cardiovascular Pathologies - p. ix 14. Chapter 1: Chest Pain in a Patient With Coronary Artery Disease – I - p. ix 15. Chapter 2: Chest Pain in a Patient With Coronary Artery Disease – II - p. 9 16. Chapter 3: Chest Pain in a Patient With Hypertensive Emergency - p. 16 17. Chapter 4: Tachycardia in a Patient with Atrial Fibrillation - p. 23 18. Chapter 5: Tachycardia in a Patient With Ischemic Cardiomyopathy - p. 30 19. Chapter 6: Tachycardia in a Patient With Alcohol Withdrawal - p. 35 20. Chapter 7: Tachycardia in a Patient with Severe Pain - p. 42 21. Chapter 8: Tachycardia and Hypotension in a Patient on Anticoagulation - p. 47 22. Chapter 9: Bradycardia in a Patient With Atrial Fibrillation - p. 54 23. Chapter 10: Bradycardia in a Patient With Myocardial Infarction - p. 60 24. Chapter 11: Bradycardia in a Patient With Heart Failure - p. 66 25. Chapter 12: Hypotension in a Patient With Heart Failure - p. 73 26. Chapter 13: Hypotension in a Patient With Myocardial Infarction - p. 78 27. Chapter 14: Cardiac Arrest in a Patient With Pulseless Electrical Activity - p. 86 28. Chapter 15: Cardiac Arrest in a Patient With Ventricular Fibrillation - p. 91 29. Chapter 16: Cardiac Arrest in a Patient With Torsades de Pointes - p. 96 30. Part 2: Cases With Respiratory Pathologies - p. 101 31. Chapter 17: Tachypnea in a Patient With Severe Anemia - p. 101 32. Chapter 18: Tachypnea in a Patient With Asthma - p. 111 33. Chapter 19: Tachypnea in a Patient After Hip Repair Surgery - p. 116 34. Chapter 20: Hypoxia in a Patient After Repair of Femoral Fracture - p. 123 35. Chapter 21: Hypoxia in a Patient With No Cardiac or Pulmonary History - p. 129 36. Chapter 22: Acute Hypoxia in a Patient With Stroke - p. 135 37. Chapter 23: Hypoxia in a Patient With Chronic Obstructive Pulmonary Disease (COPD) - p. 140 38. Chapter 24: Hypoxia in a Patient With COVID-19 - p. 146 39. Chapter 25: Hypoxia in a Patient With Hypertensive Emergency - p. 150 40. Chapter 26: Hypoxia in a Patient With Bullous Emphysema - p. 156 41. Chapter 27: Hypoxia in a Patient With Myasthenia Gravis - p. 164 42. Chapter 28: Hypoxia in a Patient With Sickle Cell Disease - p. 169 43. Chapter 29: Hypoxia in a Patient With Massive Pleural Effusion - p. 174 44. Chapter 30: Hypoxia in a Morbidly Obese Patient - p. 181 45. Chapter 31: Hypoxia in a Patient With Hemoptysis - p. 187 46. Chapter 32: Facial Swelling in a Patient After Bronchoscopy - p. 192 47. Chapter 33: Facial Swelling in a Patient With Penicillin Allergy - p. 197 48. Part 3: Cases With Neurological Pathologies - p. 202 49. Chapter 34: Altered Mental Status of Unknown Cause - p. 202 50. Chapter 35: Altered Mental Status From Medication Adverse Effect - p. 212 51. Chapter 36: Altered Mental Status in a Patient With CNS Lymphoma - p. 217 52. Chapter 37: Altered Mental Status in a Patient With Sepsis - p. 224 53. Chapter 38: Altered Mental Status in a Patient With Substance Use Disorder - p. 230 54. Chapter 39: Altered Mental Status in a Patient Transferred From ICU - p. 235 55. Chapter 40: Acute Vision Loss in a Patient With Eye Pain - p. 241 56. Chapter 41: Acute Vision Loss in a Patient With Atrial Fibrillation - p. 247 57. Chapter 42: Acute Onset Facial Droop - p. 253 58. Chapter 43: Loss of Consciousness in a Patient With Viral Gastroenteritis - p. 258 59. Chapter 44: Loss of Consciousness in a Patient With Seizure Disorder - p. 264 60. Chapter 45: Seizures in a Patient With Medication Non-Compliance - p. 269 61. Chapter 46: Seizures in a Patient With Hyponatremia - p. 274 62. Chapter 47: Seizures in a Patient With New Hemodialysis - p. 278 63. Chapter 48: Severe Headache in a Patient With Migraines - p. 282 64. Chapter 49: Severe Headache in a Patient After Lumbar Puncture - p. 287 65. Chapter 50: Hyperthermia in a Patient on Polypharmacy - p. 292 66. Part 4: Cases With Gastrointestinal Pathologies - p. 298 67. Chapter 51: Hematemesis in a Patient With Alcohol Use Disorder - p. 298 68. Chapter 52: Hematochezia in a Patient With Diverticulosis - p. 304 69. Chapter 53: Acute Abdominal Pain in a Patient on High Dose Steroids - p. 308 70. Chapter 54: Acute Abdominal Pain in a Patient With Atrial Fibrillation - p. 312 71. Chapter 55: Foreign Body Ingestion - p. 316 72. Part 5: Cases With Endocrinological Pathologies - p. 320 73. Chapter 56: Hypotension in a Patient With Adrenal Insufficiency - p. 320 74. Chapter 57: Altered Mental Status in a Patient With Insulin-Dependent Diabetes - p. 327 75. Chapter 58: Hypotension in a Patient With Progressive Neurological Decline - p. 332 76. Chapter 59: Tachycardia in a Patient on Amiodarone - p. 338 77. Chapter 60: Muscle Spasms in a Patient With a History of Thyroidectomy - p. 343 78. Part 6: Cases With Musculoskeletal Pathologies - p. 348 79. Chapter 61: Acute Foot Discoloration in a Patient With Peripheral Vascular Disease - p. 348 80. Chapter 62: Acute Leg Pain in a Patient With Cellulitis - p. 355 81. Index - p. 360 82. Confidence is ClinicalKey - p. 360
