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. iii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Dedication - p. iv 6. Preface - p. vii 7. Acknowledgements - p. ix 8. Contributors - p. xi 9. Part 1: Cases With Cardiovascular Pathologies - p. xii 10. Chapter 1. Chest Pain in a Patient With Coronary Artery Disease – I - p. 3 11. Chapter 2. Chest Pain in a Patient With Coronary Artery Disease – II - p. 10 12. Chapter 3. Chest Pain in a Patient With Hypertensive Emergency - p. 17 13. Chapter 4. Tachycardia in a Patient with Atrial Fibrillation - p. 24 14. Chapter 5. Tachycardia in a Patient With Ischemic Cardiomyopathy - p. 31 15. Chapter 6. Tachycardia in a Patient With Alcohol Withdrawal - p. 36 16. Chapter 7. Tachycardia in a Patient with Severe Pain - p. 43 17. Chapter 8. Tachycardia and Hypotension in a Patient on Anticoagulation - p. 48 18. Chapter 9. Bradycardia in a Patient With Atrial Fibrillation - p. 55 19. Chapter 10. Bradycardia in a Patient With Myocardial Infarction - p. 61 20. Chapter 11. Bradycardia in a Patient With Heart Failure - p. 67 21. Chapter 12. Hypotension in a Patient With Heart Failure - p. 74 22. Chapter 13. Hypotension in a Patient With Myocardial Infarction - p. 80 23. Chapter 14. Cardiac Arrest in a Patient With Pulseless Electrical Activity - p. 87 24. Chapter 15. Cardiac Arrest in a Patient With Ventricular Fibrillation - p. 92 25. Chapter 16. Cardiac Arrest in a Patient With Torsades de Pointes - p. 97 26. Part 2: Cases With Respiratory Pathologies - p. 101 27. Chapter 17. Tachypnea in a Patient With Severe Anemia - p. 105 28. Chapter 18. Tachypnea in a Patient With Asthma - p. 112 29. Chapter 19. Tachypnea in a Patient After Hip Repair Surgery - p. 118 30. Chapter 20. Hypoxia in a Patient After Repair of Femoral Fracture - p. 124 31. Chapter 21. Hypoxia in a Patient With No Cardiac or Pulmonary History - p. 130 32. Chapter 22. Acute Hypoxia in a Patient With Stroke - p. 136 33. Chapter 23. Hypoxia in a Patient With Chronic Obstructive Pulmonary Disease (COPD) - p. 141 34. Chapter 24. Hypoxia in a Patient With COVID-19 - p. 147 35. Chapter 25. Hypoxia in a Patient With Hypertensive Emergency - p. 151 36. Chapter 26. Hypoxia in a Patient With Bullous Emphysema - p. 157 37. Chapter 27. Hypoxia in a Patient With Myasthenia Gravis - p. 165 38. Chapter 28. Hypoxia in a Patient With Sickle Cell Disease - p. 170 39. Chapter 29. Hypoxia in a Patient With Massive Pleural Effusion - p. 175 40. Chapter 30. Hypoxia in a Morbidly Obese Patient - p. 182 41. Chapter 31. Hypoxia in a Patient With Hemoptysis - p. 188 42. Chapter 32. Facial Swelling in a Patient After Bronchoscopy - p. 193 43. Chapter 33. Facial Swelling in a Patient With Penicillin Allergy - p. 198 44. Part 3: Cases With Neurological Pathologies - p. 202 45. Chapter 34. Altered Mental Status of Unknown Cause - p. 207 46. Chapter 35. Altered Mental Status From Medication Adverse Effect - p. 213 47. Chapter 36. Altered Mental Status in a Patient With CNS Lymphoma - p. 218 48. Chapter 37. Altered Mental Status in a Patient With Sepsis - p. 225 49. Chapter 38. Altered Mental Status in a Patient With Substance Use Disorder - p. 231 50. Chapter 39. Altered Mental Status in a Patient Transferred From ICU - p. 236 51. Chapter 40. Acute Vision Loss in a Patient With Eye Pain - p. 242 52. Chapter 41. Acute Vision Loss in a Patient With Atrial Fibrillation - p. 248 53. Chapter 42. Acute Onset Facial Droop - p. 254 54. Chapter 43. Loss of Consciousness in a Patient With Viral Gastroenteritis - p. 259 55. Chapter 44. Loss of Consciousness in a Patient With Seizure Disorder - p. 265 56. Chapter 45. Seizures in a Patient With Medication Non-Compliance - p. 270 57. Chapter 46. Seizures in a Patient With Hyponatremia - p. 275 58. Chapter 47. Seizures in a Patient With New Hemodialysis - p. 279 59. Chapter 48. Severe Headache in a Patient With Migraines - p. 283 60. Chapter 49. Severe Headache in a Patient After Lumbar Puncture - p. 288 61. Chapter 50. Hyperthermia in a Patient on Polypharmacy - p. 293 62. Part 4: Cases With Gastrointestinal Pathologies - p. 298 63. Chapter 51. Hematemesis in a Patient With Alcohol Use Disorder - p. 301 64. Chapter 52. Hematochezia in a Patient With Diverticulosis - p. 305 65. Chapter 53. Acute Abdominal Pain in a Patient on High Dose Steroids - p. 309 66. Chapter 54. Acute Abdominal Pain in a Patient With Atrial Fibrillation - p. 313 67. Chapter 55. Foreign Body Ingestion - p. 317 68. Part 5: Cases With Endocrinological Pathologies - p. 320 69. Chapter 56. Hypotension in a Patient With Adrenal Insufficiency - p. 323 70. Chapter 57. Altered Mental Status in a Patient With Insulin-Dependent Diabetes - p. 328 71. Chapter 58. Hypotension in a Patient With Progressive Neurological Decline - p. 333 72. Chapter 59. Tachycardia in a Patient on Amiodarone - p. 339 73. Chapter 60. Muscle Spasms in a Patient With a History of Thyroidectomy - p. 344 74. Part 6: Cases With Musculoskeletal Pathologies - p. 348 75. Chapter 61. Acute Foot Discoloration in a Patient With Peripheral Vascular Disease - p. 351 76. Chapter 62. Acute Leg Pain in a Patient With Cellulitis - p. 356 77. Index - p. 361 78. Confidence is ClinicalKey - p. 378
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. iii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Dedication - p. iv 6. Preface - p. vii 7. Acknowledgements - p. ix 8. Contributors - p. xi 9. Part 1: Cases With Cardiovascular Pathologies - p. xii 10. Chapter 1. Chest Pain in a Patient With Coronary Artery Disease – I - p. 3 11. Chapter 2. Chest Pain in a Patient With Coronary Artery Disease – II - p. 10 12. Chapter 3. Chest Pain in a Patient With Hypertensive Emergency - p. 17 13. Chapter 4. Tachycardia in a Patient with Atrial Fibrillation - p. 24 14. Chapter 5. Tachycardia in a Patient With Ischemic Cardiomyopathy - p. 31 15. Chapter 6. Tachycardia in a Patient With Alcohol Withdrawal - p. 36 16. Chapter 7. Tachycardia in a Patient with Severe Pain - p. 43 17. Chapter 8. Tachycardia and Hypotension in a Patient on Anticoagulation - p. 48 18. Chapter 9. Bradycardia in a Patient With Atrial Fibrillation - p. 55 19. Chapter 10. Bradycardia in a Patient With Myocardial Infarction - p. 61 20. Chapter 11. Bradycardia in a Patient With Heart Failure - p. 67 21. Chapter 12. Hypotension in a Patient With Heart Failure - p. 74 22. Chapter 13. Hypotension in a Patient With Myocardial Infarction - p. 80 23. Chapter 14. Cardiac Arrest in a Patient With Pulseless Electrical Activity - p. 87 24. Chapter 15. Cardiac Arrest in a Patient With Ventricular Fibrillation - p. 92 25. Chapter 16. Cardiac Arrest in a Patient With Torsades de Pointes - p. 97 26. Part 2: Cases With Respiratory Pathologies - p. 101 27. Chapter 17. Tachypnea in a Patient With Severe Anemia - p. 105 28. Chapter 18. Tachypnea in a Patient With Asthma - p. 112 29. Chapter 19. Tachypnea in a Patient After Hip Repair Surgery - p. 118 30. Chapter 20. Hypoxia in a Patient After Repair of Femoral Fracture - p. 124 31. Chapter 21. Hypoxia in a Patient With No Cardiac or Pulmonary History - p. 130 32. Chapter 22. Acute Hypoxia in a Patient With Stroke - p. 136 33. Chapter 23. Hypoxia in a Patient With Chronic Obstructive Pulmonary Disease (COPD) - p. 141 34. Chapter 24. Hypoxia in a Patient With COVID-19 - p. 147 35. Chapter 25. Hypoxia in a Patient With Hypertensive Emergency - p. 151 36. Chapter 26. Hypoxia in a Patient With Bullous Emphysema - p. 157 37. Chapter 27. Hypoxia in a Patient With Myasthenia Gravis - p. 165 38. Chapter 28. Hypoxia in a Patient With Sickle Cell Disease - p. 170 39. Chapter 29. Hypoxia in a Patient With Massive Pleural Effusion - p. 175 40. Chapter 30. Hypoxia in a Morbidly Obese Patient - p. 182 41. Chapter 31. Hypoxia in a Patient With Hemoptysis - p. 188 42. Chapter 32. Facial Swelling in a Patient After Bronchoscopy - p. 193 43. Chapter 33. Facial Swelling in a Patient With Penicillin Allergy - p. 198 44. Part 3: Cases With Neurological Pathologies - p. 202 45. Chapter 34. Altered Mental Status of Unknown Cause - p. 207 46. Chapter 35. Altered Mental Status From Medication Adverse Effect - p. 213 47. Chapter 36. Altered Mental Status in a Patient With CNS Lymphoma - p. 218 48. Chapter 37. Altered Mental Status in a Patient With Sepsis - p. 225 49. Chapter 38. Altered Mental Status in a Patient With Substance Use Disorder - p. 231 50. Chapter 39. Altered Mental Status in a Patient Transferred From ICU - p. 236 51. Chapter 40. Acute Vision Loss in a Patient With Eye Pain - p. 242 52. Chapter 41. Acute Vision Loss in a Patient With Atrial Fibrillation - p. 248 53. Chapter 42. Acute Onset Facial Droop - p. 254 54. Chapter 43. Loss of Consciousness in a Patient With Viral Gastroenteritis - p. 259 55. Chapter 44. Loss of Consciousness in a Patient With Seizure Disorder - p. 265 56. Chapter 45. Seizures in a Patient With Medication Non-Compliance - p. 270 57. Chapter 46. Seizures in a Patient With Hyponatremia - p. 275 58. Chapter 47. Seizures in a Patient With New Hemodialysis - p. 279 59. Chapter 48. Severe Headache in a Patient With Migraines - p. 283 60. Chapter 49. Severe Headache in a Patient After Lumbar Puncture - p. 288 61. Chapter 50. Hyperthermia in a Patient on Polypharmacy - p. 293 62. Part 4: Cases With Gastrointestinal Pathologies - p. 298 63. Chapter 51. Hematemesis in a Patient With Alcohol Use Disorder - p. 301 64. Chapter 52. Hematochezia in a Patient With Diverticulosis - p. 305 65. Chapter 53. Acute Abdominal Pain in a Patient on High Dose Steroids - p. 309 66. Chapter 54. Acute Abdominal Pain in a Patient With Atrial Fibrillation - p. 313 67. Chapter 55. Foreign Body Ingestion - p. 317 68. Part 5: Cases With Endocrinological Pathologies - p. 320 69. Chapter 56. Hypotension in a Patient With Adrenal Insufficiency - p. 323 70. Chapter 57. Altered Mental Status in a Patient With Insulin-Dependent Diabetes - p. 328 71. Chapter 58. Hypotension in a Patient With Progressive Neurological Decline - p. 333 72. Chapter 59. Tachycardia in a Patient on Amiodarone - p. 339 73. Chapter 60. Muscle Spasms in a Patient With a History of Thyroidectomy - p. 344 74. Part 6: Cases With Musculoskeletal Pathologies - p. 348 75. Chapter 61. Acute Foot Discoloration in a Patient With Peripheral Vascular Disease - p. 351 76. Chapter 62. Acute Leg Pain in a Patient With Cellulitis - p. 356 77. Index - p. 361 78. Confidence is ClinicalKey - p. 378
