Bøger udgivet af TFM Publishing Ltd

This book will help you take a badly wounded patient to the operating room, organize yourself and your team, do battle with some vicious injuries and come out with the best possible result. It is a practical guide to operative trauma surgery for residents and registrars, for general surgeons with an interest in trauma, and for isolated surgeons operating on wounded patients in military, rural or humanitarian settings. A surgical atlas may show you what to do with your hands but not how to think, plan and improvise. Here you will find practical advice on how to use your head as well as your hands when operating on a massively bleeding trauma patient. The first part of this book presents some general principles of trauma surgery. The second part is about trauma surgery as a contact sport. Here we show you how to deal with specific injuries to the abdomen, chest, neck and peripheral vessels. The single most important lesson we hope you will derive from this book is to always keep it simple because, in trauma surgery, the simple stuff works.

Moshe Schein has previously compiled two books of surgical aphorisms and quotations - the first book Aphorisms & Quotations for the Surgeon, with its 1500 quotations, and the slimmer A Companion to Aphorisms & Quotations for the Surgeon. Here is the last in the trilogy of this international bestselling series.

This book provides a sound introduction to surgical instrumentation, including their recognition, use and care. It provides useful information that is essential for operating department practitioners, nurses, scrub practitioners, surgeons under training, surgical technologists, junior doctors and medical students. Descriptions of how and where the instruments are used will also aid in the knowledge required for their application, providing an understanding of instruments for specific procedures. The book is relevant to surgical practice around the world. It also aligns with the core curriculum of the Association of Surgical Technologists in the United States. This book provides the fundamental knowledge required for students and qualified staff working within the perioperative environment, to ensure the safe and efficient use of surgical instrumentation and ultimately the care of the surgical patient as a result.Steve Moutrey has a vast experience within the operating theatre environment spanning more than 40 years, starting his career in the Royal Navy (26 years), and then moving into the NHS. He is now a Senior Lecturer within the School of Health Sciences and Social Work at the University of Portsmouth and teaches on perioperative courses and allied areas.Excerpts from some reviews:"e;I am impressed by Steve Moutrey's writing style, which is clear, direct, and succinct... [His] experience as a practitioner and educator is evident in his writing. As a former surgical technology educator and author of similar texts, I can attest to the difficulty of presenting entry-level surgical instrumentation. Mr. Moutrey offers a simplified discussion enhanced with relevant illustrations that will reduce any confusion..."e; Jon Paul Price, BSOE MBAHealthcare Education Advisor/ConsultantFormer CEO, Accreditation Review Committee for Surgical Technology/Surgical Assisting, USAFormer CEO, National Board for Surgical Technology and Surgical Assisting, USA"e;This text is a clearly written guide to the concept of surgical instrumentation, aimed at both pre- and post- registration students within the perioperative environment... The wealth of illustrations support the text and should prepare the reader for the practicalities of instrument identification and handling. ... I would highly recommend [the book] for all perioperative students who wish to gain a comprehensive introduction to surgical instrumentation."e; Roger King, BA Cert. Ed Pg Cert (Res) RODPSenior Lecturer/ODP Course LeaderUniversity of West London, UK"e;This book is aimed primarily at the scrub practitioner... It will also prove to be a useful text for other professions... including nurses, medical students, surgeons in training and others requiring fundamental knowledge of surgical instrumentation. It describes in pictures and words the basic surgical instrumentation that will be found in all operating theatres..., allowing easy and instant recognition of a large number of instruments... This book will be a most welcome and helpful tool..."e;Steve Barker, MB BS BSc MS FRCSConsultant Vascular and General SurgeonRoyal South Hants Hospital, Southampton, UK"e;The book covers various types of surgical instruments in current use and the various specialties these instruments are designed for... Steve Moutrey has drawn upon his vast knowledge and experience both in field hospitals with the military and also from his time within the static theatre environment in the NHS and private sector. It will prove to be a valuable teaching and learning tool to all who read it."e;Terry Pugh, FAETC IOSH RODPTheatre Clinical ManagerQueen Alexandra Hospital, Portsmouth, UK

This is the story of Britain's most challenging special stage rally for a generation. The initial idea was to run a 'proper rally' and that has certainly been achieved through the dedication and determination of Colin Heppenstall, his family and a fantastic team of volunteers.Across 20 years, the Roger Albert Clark Rally has run 15 times. It is an event that has no rival as it recreates a golden era of rallying in the UK when Roger Clark was at his peak, and the original RAC Rally was a multi-day test for every competitor.Since it first ran in 2004, the Roger Albert Clark Rally has grown in stature and following and now has huge competitor interest, big crowds and a vast online following. It is a rally like no other in terms of atmosphere, challenge and sense of achievement for those who get to the finish.This book, with over 500 photographs, many of which have never been seen before, tells the story of each rally and looks at some of the people involved -- both competitors and organisers.The 2023 event was the biggest and toughest yet, covering 350 special stage miles in the forests of England, Scotland, and Wales.For anyone who has been involved in this rally, this book will bring back fabulous memories as well as serving as the definitive record of the first 20 years.

Winner of a HIGHLY COMMENDED AWARD in the Surgical specialties category of the 2011 BMA Medical Book Competition. Key Questions in Cardiac Surgery will systematically cover all the main topics involved in the current practice of a cardiac surgeon. It will incorporate current guidelines for practice (such as from the American Heart Association and European Society of Cardiology) and up-to-date information based on current literature. The data and body of knowledge presented in this book are strictly evidence-based which makes it ideal as a revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. Its concise, yet complete coverage of the important topics, make it the ideal guide to answer the key questions in cardiac surgery that are asked within the confines of an examination. Cardiologists, cardiothoracic intensive care unit specialists, nursing staff, physiotherapists and other professions allied to medicine, both surgical and cardiological, will also find the book useful in terms of the indications and surgical management of these patients, as they are integral to the cardiac surgical process.

Medical interviews have changed a lot with time; in the last two decades, multiple mini interviews (MMIs) have revolutionized the assessment strategies for entrance to medical schools. MMIs usually consist of 6-10 stations of independent assessments done in a timed circuit so that the same examiner evaluates a specific skill for a station among the candidates. Many of these stations assess a candidate's soft skills, including critical thinking, problem solving, team working, leadership and professional attitudes in addition to their knowledge, skills and motivation towards choosing medicine as a career.MMIs are not just a test of a candidate's knowledge or skills, but their ability to use it appropriately at the right time. Aristotle said, 'we are what we repeatedly do. Excellence, then, is not an act, but a habit'. Candidates wishing to succeed in medical MMI interviews need repetitive practice in the various stations. These stations usually include assessments on communication skills, medical ethics, recent medical facts, role play with an empathetic approach, data interpretation and calculations, scenario-based situations, personal character, motivation and judgment. This book will provide an excellent variety of opportunities to practice these stations and guide the candidate with a framework of answers.This book can be used for various medical university entrance exams, including those in the United Kingdom via the Universities and Colleges Admissions Service (UCAS), the United States via the American Medical College Application Service (AMCA), Canada via the respective Medical School Applications Service, Australia via the specific state Tertiary Admissions Centre and many other countries via their specific admission pathways.Dr. Thanthullu Vasu has previously published four medical books alongside many chapters and articles in leading international journals. He has founded, organized and directed many teaching courses that have received excellent feedback. He regularly organizes national MMI courses for candidates applying to medical schools; these courses are in high demand and have consistently produced a successful outcome. Many of the contributors in the book are team members from the RISE Foundation Leicestershire, a charity based in Leicestershire (https: //risefoundationuk.com/). All the contributors have extensive experience as examiners in many interviews and courses. The royalties from the sale of this book will be donated to the RISE Foundation Leicestershire. Thank you for buying this book, as the money will go towards helping various causes supported by this charity. We wish you much success in your interviews and your future medical career.

Urology is a specialty that notoriously receives little attention in medical school, yet it makes up a sizeable portion of the workload in emergency departments and also in primary care. Urological emergencies can often be managed simply but require the appropriate knowledge and skills. Emergency urology is often covered very superficially alongside general surgery or in excessive detail within voluminous urology textbooks. This book is different: it will consist of concise, well-structured chapters, with an accessible and easily digestible style. The content will be clinically-based and will include a number of clinical photographs and radiological investigations. This book will appeal to all doctors, including those rotating through surgical and emergency medicine specialties, and those clinicians approaching professional examinations worldwide. Medical students on urology or emergency medicine placements, who are studying for their exams will also find it invaluable. In addition, primary care doctors, specialty nurses in urology and nurses in the emergency department may also appreciate the clinically relevant content of the book. The authors are all dedicated to education and teaching, and have published extensively. In addition, they run a successful emergency urology course in Cambridge, popular with clinicians and senior students alike.

Behind a thin veneer of respectability, life in a small English village is not all it may seem. Through the eyes of Chumleigh the cat, the rural goings on are recorded in this funny and poignant diary, with an element of adult humor.From a cat's perspective, Chumleigh tells all about life in his house and the antics of his neighbors. From domestic disharmony to a cannabis farm in next door's garden shed, he sees it all and shares it all in his diary.This is a cat who enjoys the finer elements of feline existence like tuna, sleeping in the warm and cat treats. But life doesn't always pan out the way he would like.Supported by a rich cast of locals, as odd and individualistic as still found in many small villages, Chumleigh charts a year in his life. Traumatic visits to the vet, turf wars with the local ginger tom and a desire to eliminate a neighbor's yappy dog are all set down with great humor and insight.If you've ever lived in a village or owned a cat, this will make you laugh. If you've never lived in a village and never owned a cat, this will be a wonderful insight into what you have been missing.The Secret Diary of Chumleigh the Cat is a year in the life of a cat who never ceases to be amazed at just what goes on around him!

SBAs, EMQs & SAQs in the SPECIALTIES provides a broad range and style of questions, not only for medical students preparing for their final exams, but also for clinicians preparing for their postgraduate exams.

In an interesting survey amongst doctors, fibromyalgia was considered the least prestigious disease. Although this survey was done in a Scandinavian country and was done more than 13 years ago, the grim situation is still the same today all over the world. Patients suffering with fibromyalgia feel that they are not believed and they are not listened to. Despite knowledge being gathered on this disease for a few centuries, and having definite diagnostic criteria and management pathways, the healthcare system still fails many patients who are left without a diagnosis or treatment plan. Fibromyalgia is a disease that causes widespread pain in many areas of the body and has significant accompanying symptoms like fatigue, waking unrefreshed and cognitive symptoms. Fibromyalgia affects patients as a whole including their cognitive performance, physical skills, psychological status, ability to work and social life. It can present as a part of the spectrum of functional pain syndromes, often accompanied by other systemic conditions such as irritable bowel syndrome, headaches and chronic fatigue. It is estimated that 1 in 20 can suffer with this debilitating condition. This textbook will cover the condition in great detail and is written in an easy-to-understand style. Doctors, nurses, medical students, physiotherapists, occupational therapists, psychologists, and other healthcare professionals will find this book informative. Patients who suffer from fibromyalgia will also find it useful to understand their medical condition; the book will help to direct them to specific treatment strategies, explaining the benefit and risk in detail. As this is a common chronic pain presentation, it will be of immense use to candidates preparing for examinations conducted by the Royal College of Anaesthetists, UK (FRCA), Faculty of Pain Medicine, UK (FFPMRCA), American Board of Anesthesiology (AB), College of Anaesthesiologists of Ireland (FCAI), European Society of Anaesthesiology and Intensive Care (EDAIC), Australian and New Zealand College of Anaesthetists (FANZA), World Institute of Pain (FIPP/CIPS), Canadian Board exams, National Board of Examinations of India (Dip NB) and other competitive exams across the globe.

Over ten percent of people infected with the COVID virus will suffer with long COVID syndrome. Up until now, more than one million people have been affected with this syndrome in the United Kingdom alone, and the incidence worldwide is estimated to be more than 35 million people, although this may be the tip of the iceberg. The World Health Organization has highlighted a need for the "three Rs" -- Recognition, Research and Rehabilitation. Long COVID syndrome can be frustrating and disabling, even many months or years after the infection; sufferers complain of fatigue, pain, post-exertional malaise, cognitive dysfunction and many other systemic symptoms. It can be challenging for healthcare professionals to recognise the disease and for patients who are suffering from the condition it can have a wide and far-reaching impact on their lives and day-to-day activities. Being a relatively new condition, many healthcare professionals, now more than ever, need to have the requisite knowledge to recognise and manage this severely debilitating disease. This book will be useful to all frontline healthcare professionals to help diagnose, manage and direct patients to the available resources. General practitioners, physiotherapists, pain therapists, nurses, surgeons, physicians, junior doctors, psychologists, medical students and other clinicians will be able to update their knowledge on long COVID syndrome with this easy to read book. Patients will also find the book useful to understand the basis of the disease and how they can seek help.This comprehensive treatise covers a wide variety of topics on long COVID syndrome including the aetiopathogenesis, recognition, systemic involvement, investigations, guidelines on management, available resources, systemic management and pain/fatigue management. This book will be handy for candidates preparing for various examinations conducted by the Royal College of General Practitioners, UK (MRCGP), Royal College of Anaesthetists, UK (FRCA), Faculty of Pain Medicine, UK (FFPMRCA), College of Anaesthesiologists of Ireland (FCAI), European Society of Anaesthesiology and Intensive Care (EDAIC), Australian and New Zealand College of Anaesthetists (FANZCA), World Institute of Pain (FIPP/CIPS), National Board of Examinations of India (Dip NB), and the American and Canadian board examinations, as well as other examinations conducted by medical boards across the globe.

Surgery remains a challenge for young learners. Perhaps the most difficult of all surgeries are those done on the liver, biliary tree and pancreas. These organs are difficult to expose, difficult to operate and the patients are often difficult to recover. There are significant consequences for any missteps on what is a narrow pathway to a successful outcome. The skills needed to master surgery on these organs are hard to acquire. The volume of information presented to students is enormous and complex to parse. HPB textbooks contain a large amount of information from various authors but are often poorly coordinated. Surgical manuals contain significant anatomic details and descriptions but have difficulty transferring key concepts. Experienced surgeons are often oblivious to their skills and communicate poorly to their students regarding the things they do or understand that make them wise. This book tries to capture this wisdom. The topics in this book are most applicable to hepatobiliary and pancreatic surgeons but really extend to all general surgeons. Anyone who operates in the abdomen must have a basic understanding of these dominant organs; general surgery trainees and staff are an additional focus of this book. The skills needed for a modern surgeon to succeed are much broader than the scalpel tip. Section I, "HPB Surgical Craft", imparts important lessons on the laws of human interactions and cognitive aspects of surgery. Sections on the anatomy and operations on the liver, pancreas and bile ducts are presented. The expanded gallbladder section and pancreatitis chapters are of particular importance to general surgery residents. This book has been written in a readable and entertaining style, with many fun historical and contemporary quotes dotted throughout. The Wise Scalpel is an attempt to impart knowledge and understanding to students and practicing surgeons at all levels. The book focuses on tips, traps and underlying truths about the diseases of these organs and their surgical treatment. While this book will not supplant the struggle needed to move from novice to expert surgeon, hopefully it will quicken the process and help avoid some of the dangers and frustrations along the way.Dr. Francis R. Sutherland is a Professor of Surgery at the University of Calgary. He has been a HPB and general surgeon for 30 years. He has broad experience training residents and fellows. He is a co-founder of the HPB Surgery Program for Southern Alberta and a co-founder of the Canadian HPB Association. Dr. Chad G. Ball is a Clinical Professor of Surgery at the University of Calgary. He has been an active HPB and trauma surgeon since 2005. He is the current Editor-in-Chief of the Canadian Journal of Surgery and Evidence-Based Reviews in Surgery Program.

Are you a medical student about to graduate from medical school, an intern or junior resident muscling through the early years of your formative residency training? If so, this book was written for you. The transition from medical school to residency training is a challenging and transformative experience; life as a resident physician is drastically different to what most experience during their clinical rotations in medical school. You will undoubtedly approach the transition with a combination of emotions including enthusiasm and eagerness but also trepidation and apprehension. This survival guide will serve to temper these emotions and transform them into a sense of confidence as you progress. The book's focused, honest, and straightforward approach addresses the unique challenges encountered in residency training and discusses a number of strategies to facilitate tactful navigation of these challenging waters. This easily digestible volume concisely outlines a combination of principles that will help you become a highly motivated, adaptable, and successful trainee. The book spurs self-reflection that can be applied to develop the strength, perseverance, and endurance to succeed when the going gets tough. Each chapter contains valuable insight that trainees can draw from regardless of specialty. By utilizing and employing the tools discussed, opportunities presented throughout the course of your residency training and beyond can be translated into successes that you will continually be able to build upon, hone, and polish throughout your career as a respected and well-rounded physician and professional.

Evgeniy Perelygin - a surgeon who is known to his friends as Perya - has managed to capture the funny, the amusing, and the ridiculous aspects of what surgeons do and think. Yes, surgeons take their profession very seriously and their patients even more so. But, what is true in any aspect of human life is also true for surgery - there is always something to laugh about, or even ridicule. And this includes, above all, surgeons themselves! In each of these cartoons lurks the kernel of a basic surgical truth. This truth has been blown up, distorted, and exaggerated, but remains at the heart of the picture. Each picture has a legend describing the situation, which is followed by an aphorism, quote, or comment.This book is essentially for surgical eyes - they are all cutting edge, and will have the reader in stitches. Readers may also wish to use the images to enliven PowerPoint lectures! The Editor, Moshe Schein, is a surgeon, and author of many publications, some of which have contributed cartoons and comments to this book."e;So stop taking yourself so seriously, do not be afraid to laugh or make others laugh. If anyone does not appreciate your humor, he/she can kiss your ass! A life without a sense of humor has no sense at all."e; Moshe

Following on from the success of the international bestseller Key Questions in Cardiac Surgery, the long awaited Key Questions in Thoracic Surgery will be the next book in the Key Questions series to be released. Key Questions in Thoracic Surgery will systematically cover all the main topics involved in the current practice of a thoracic surgeon. It will incorporate current guidelines for practice (such as from the American College of Chest Physicians, British Thoracic Society and European Respiratory Society) and up-to-date information based on current literature. Each chapter will be structured to include etiology, pathophysiology, clinical features, indications for surgery, peri-operative management, surgical options and postoperative care. Possible complications will be discussed and the results of current practice presented. Importantly, there will be a section on basic sciences related to the practising thoracic surgeon and a further section on thoracic investigations with many images illustrating the variety of pathologies. Each chapter will also contain important references for further reading and greater depth of knowledge. The data and body of knowledge presented in this book is strictly evidence-based and is relevant to all thoracic surgical trainees, at any stage of their training programme. It will provide residents, fellows and specialist registrars the necessary information to carry out their daily duties. Respiratory physicians and thoracic intensive care unit specialists will also find the book useful in terms of the indications and surgical management of these patients, as they are integral to the thoracic surgical process. Another important group is the nursing staff, physiotherapists and other professions allied to medicine working with patients with adult thoracic disease either pre-operatively or postoperatively, as it will help to give a detailed understanding of the principles surrounding thoracic surgical disease. Most importantly, the book is ideal as a revision aid for residents/registrars undertaking their Cardiothoracic Surgery Board examinations around the world. Although these examinations vary in format in different countries, this book is applicable to all cardiothoracic surgical trainees. Its concise, yet complete coverage of the important topics, make it the ideal guide to answer the key questions in thoracic surgery that are asked within the confines of an examination.

Critical Care MCQs is the perfect companion for anyone sitting exams in intensive care, as a training resource or just wanting to improve their knowledge in this constantly developing area of medical practice.Written by critical care doctors with experience of UK and European examination formats, this book leads the reader through 450 true/false questions with referenced explanations, covering core syllabus topics and key influential papers to date. A detailed list of further resources and recommendations relevant to critical care revision is also provided to enable readers to further their knowledge and understanding.It is hoped that this book will prove invaluable for preparation and success in upcoming intensive care exams for both candidates and trainers. This book would be useful for not only candidates sitting the UK Final Fellowship of Intensive Care Medicine (FFICM) and European Diploma of Intensive Care (EDIC) exams, but also the Indian Diploma in Critical Care Medicine (IDCCM), the Diploma of the Irish Board of Intensive Care Medicine (DIBICM), the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (CICM), American Board and any other country-related intensive care exams.

This textbook aims to examine some of the most controversial areas of neurological surgery by applying the current evidence to illuminate our understanding of the pathophysiology of each disease and the outcomes from surgical and non-surgical treatments. The Evidence for Neurosurgery is a textbook that will challenge current dogmas in many instances, provide an organized framework for understanding where current evidence can be applied clinically, and illustrate where gaps in the evidence exist and how these deficiencies may be filled in the future. In the first chapter, "e;Clinical Evidence"e;, the reader will gain an understanding of the levels of clinical evidence and will learn what types of study designs are appropriate and in which situations. The textbook is then divided into six sections: Spine, Vascular, Tumor, Pediatrics, Functional, and Trauma.

The clinical management of patients with epilepsy and the associated medical literature are rapidly evolving. Evidence-based Management of Epilepsy differs from other epilepsy textbooks by focusing specifically on topics where the available evidence is sufficiently well developed to be synthesized into straightforward summaries of proven therapies. When evidence is missing or there is doubt, controversy or ambiguity, the distinguished authors offer treatment recommendations based on practice guidelines or consensus statements that span the gaps in evidence while pointing to those areas where further research is needed. The initial chapters cover critically important aspects of antiepileptic drugs (AEDs) and surgical treatment such as when to start and stop AEDs, how to monitor their effectiveness, special considerations in women who become pregnant, and when to consider surgery to alleviate seizures. The following chapters cover the therapy of seizures when they develop after traumatic brain injury or stroke, and the treatment of concomitant depression and anxiety in patients with epilepsy. The final chapters discuss emerging topics in epilepsy: the treatment of the postictal state, technologies to predict and detect seizures, strategies for closing the treatment gap and sudden unexpected death in epilepsy. The contributors are renowned experts in their fields who successfully and succinctly present state-of-the-art reviews based on the medical evidence designed to help the clinician be as best informed as possible in the care of patients with epilepsy.

The clinical management of patients with diabetes is rapidly evolving. Evidence-based Management of Diabetes provides a succinct summary of a range of topics, including areas where there is already well developed evidence for a particular treatment, but also those areas where the evidence is perhaps doubtful or there is some associated controversy or ambiguity. Where possible throughout the book treatment recommendations are given based on the available evidence and practice guidelines. The book also highlights the gaps in evidence where further research is needed. In the practice of diabetes care, there are many issues influencing practitoners currently. This book addresses many of the most pertinent issues concerning delivery of diabetes care. The authors are internationally renowned experts in the field of diabetes care who successfully and succinctly present state-of-the-art reviews based on the medical evidence designed to help the clinician be as best informed as possible in the care of patients with diabetes.

Winner of a HIGHLY COMMENDED AWARD in the Neurology category of the 2012 BMA Medical Book Competition. More than five million people die from stroke each year. Stroke is also the leading cause of adult disability, affecting over 20 million people worldwide, with two-thirds of stroke victims left permanently disabled. We now know that speed of intervention is critical and patient outcomes are determined by a very narrow therapeutic window, during which physicians need to be able to make their choice of treatment rapidly, based on the best evidence available. The purpose of this book is to review that evidence, for both medical and surgical therapies as well as preventative strategies, drawing on the expertise of leading international authorities to distinguish the issues for which there is a consensus on best practice from those for which the evidence remains inconclusive. For example, for patients with acute ischemic stroke the first choice is intravenous thrombolytic therapy, but does a treatment window of 0-3 hours deliver outcomes significantly better than one of 3-4.5 hours? Arterial hypertension is the single most important modifiable risk factor for ischemic stroke, but what are the effects of blood pressure reduction among acute stroke patients? How effective is blood pressure lowering in primary intracerebral hemorrhage? What are the arguments in favour of continuation versus temporary discontinuation of antihypertensive therapy immediately after acute ischemic stroke? Endovascular procedures (carotid angioplasty/stenting) are increasingly important but what do the data tell us about their safety? Or durability? How do they compare with carotid endarterectomy? The management of unruptured intracranial aneurysms is rife with controversies; clip, coil, wait and watch? The authors examine the evidence for and against. Other sections examine the impact of various risk factors, and special populations. A section on stroke after cardiovascular surgeries reviews the incidence and management of stroke following a whole range of procedures. Another examines special risks during pregnancy. Lastly, the book reviews our understanding of childhood stroke and presents current best practice recommendations for this most challenging group of patients.