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Elsevier Spotlight

The approach to resuscitating a trauma patient in shock is due for a major re-think.  For decades, providers have subscribed to the erroneous notion that large amounts of crystalloid are required to replace intravascular volume for the trauma patient in shock.  Not only is this not accurate, but it is also, in many cases, counterproductive, worsening both early and late trauma coagulopathy. The February 2018 issue of Emergency Medicine Clinics highlights the practical ways in which trauma care has evolved, and how the role of emergency care providers must evolve with it. In their , “The Evolving Science of Trauma Resuscitation,” Harris et al provide a more rational framework for managing massive hemorrhage, shifting the focus from “normalizing” problematic vital signs to adequate tissue perfusion and hemostasis. MORE

News & Articles

Simulation in Acute Neurology is the very first book on simulating acute and potentially life threatening neurologic diseases in a simulation center. This book emerges from our newly established program training residents and fellows of all stripes who generally have little experience in managing these quickly overwhelming disorders. The book is based on the major premise that it matters less if the neurology part is played well or appears real on a manikin. MORE

Elsevier Spotlight

The approach to resuscitating a trauma patient in shock is due for a major re-think.  For decades, providers have subscribed to the erroneous notion that large amounts of crystalloid are required to replace intravascular volume for the trauma patient in shock.  Not only is this not accurate, but it is also, in many cases, counterproductive, worsening both early and late trauma coagulopathy. The February 2018 issue of Emergency Medicine Clinics highlights the practical ways in which trauma care has evolved, and how the role of emergency care providers must evolve with it. In their , “The Evolving Science of Trauma Resuscitation,” Harris et al provide a more rational framework for managing massive hemorrhage, shifting the focus from “normalizing” problematic vital signs to adequate tissue perfusion and hemostasis. MORE

Reviews

This book is fairly unique in this field in that it provides a comprehensive picture of both basic immunology and the immune system in human health and disease. Most basic immunology books are very detailed in the basic immunology that they cover, but are very thin on clinical content. The rapid pace of discovery in immunology, along with the recent development of interventions that target or use the immune response in clinical medicine, makes this update necessary.   MORE

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