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Operative trauma surgery is a key element of surgical training world-wide, but many surgical trainees have only limited exposure to it throughout their training. The aim of this book is to provide a detailed technical guide for trauma surgery by two experienced surgical educators who are experts in the field. The original concept behind this text (compared to other operative surgery texts) is a special emphasis on intra-operative judgement, decision-making, and thought processes, as well as technical 'tips and tricks'. The book will be generously illustrated with black-and-white line drawings, but will NOT be a surgical atlas, because there will not be a step-by-step sequence of illustrations for each procedure. The illustrations will be incorporated into the text rather than appearing on separate pages. As such, the book will be an 'operative surgery' book, along the lines of such British classics as Peter Jones' 'Emergency Abdominal Surgery', Hugh Dudley's editions of 'Hamilton Bailey's Emergency Surgery' and Keen's 'Operative Surgery and Management'.

Intensive care medicine is a dynamic and evolving specialty, requiring its practitioners to be part physician, physiologist and anaesthetist. This requires a firm foundation of knowledge and an ability to apply this to the clinical situation. This book contains 270 multiple choice questions allowing self-assessment of the breadth of knowledge required of the modern intensivist. The book is divided into three papers each consisting of 60 multiple true false (MTF) and 30 single best answer (SBA) questions covering areas including resuscitation, diagnosis, disease management, organ support, and ethical and legal aspects of practice. The MTF questions test factual knowledge and understanding of the evidence base underpinning intensive care medicine, while the SBA questions test the ability of the candidate to prioritise, compete options and make the best decision for the patient. Each question is peer reviewed and accompanied by concise and detailed explanatory notes with references to guide further reading. All the authors are practising intensive care physicians with first-hand experience of professional examinations in the specialty. This book will appeal to intensive care physicians approaching professional examinations worldwide, including the European Diploma, American Board and Faculty of Intensive Care Medicine examinations. In addition, it will appeal to intensive care nurses and allied healthcare professionals wishing to update their knowledge as part of continuing professional development, and to physicians sitting professional examinations in related specialties requiring knowledge of intensive care medicine such as general medicine, general surgery and anaesthesia. This book will complement the existing international best-selling title "Multiple Choice Questions in Intensive Care Medicine" (9781903378 649), also written by Dr Steve Benington.

The structured oral examination (SOE) and viva are age-old integral components of examination pathways in the specialty training of intensive care medicine (ICM). The viva can present a complex interaction between the examiner and delegate, which can often be challenging even hostile! Organisation and structure are integral to success. This core text is tailored to provide a systematic structure covering a broad set of core topics that could legitimately be presented in an ICM exam. The style and discipline have been repeated throughout the answers to provide essential rehearsal as preparation for any viva-based exam. The book is presented as 7 sets of 6 viva examination cycles. This allows for timed practice sessions in the final few weeks leading up to the SOE and viva. The topics covered are pertinent for the British Fellowship of the Faculty of Intensive Care Medicine (FFICM), the European Diploma of Intensive Care Medicine (EDIC) exam, the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (FCICM), the Indian Diploma in Critical Care Medicine (IDCCM), the American Board exams and any other viva-based intensive care medicine exams. This book is a critical companion in the final few weeks of preparation for ICM viva exams.

The objective structured clinical examination (OSCE) has become widely employed in intensive care medicine (ICM) exams such as the UK Final Fellowship of Intensive Care Medicine (FFICM), the European Diploma of Intensive Care (EDIC) exam, or the Australia and New Zealand Fellowship of the College of Intensive Care Medicine (CICM). This book is not only an essential tool for the rehearsal of OSCEs in preparation for these exams, but also for American and Indian exams, and any other exams within the field of intensive care medicine. The OSCE is a style of examination that requires the candidate to present specific information in a short space of time matched to a prescriptive mark scheme. This book allows candidates preparing for an ICM OSCE to format their knowledge for this type of examination whilst practising and rehearsing against time. The 60 OSCE stations provide a broad array of topics from past exams ranging across the training ICM curriculums. The mark schemes are presented in a short, punctuated form allowing the candidate access to important points, ideal at the sharp end of an exam campaign. The 5 sets of OSCE exams are designed to run as a set of 12. Each set will have an array of clinical scenarios requiring swift assessment, diagnosis, recommendations for investigations and management, whilst also exploring aspects of pathophysiology. There are a number of data‐interpretation tools that are incorporated into clinical scenarios as well as standalone stations for electrocardiogram and radiology analysis. This book is an important preparatory tool crucial to the armamentarium of any candidate preparing for an ICM exam.

Exam Essentials: SBAs for Pre-Hospital Emergency Medicine' is a single best answer (SBA) exam preparation book for those sitting exams for pre-hospital emergency medicine and all associated areas. It is structured around the curriculum for the Fellowship in Immediate Medical Care (FIMC) providing a crucial resource for those sitting this tenacious exam. It would also be an exceptional resource for those attempting the Diploma in Immediate Medical Care (DIMC).With questions covering a variety of topics, including working in emergency medical systems, providing pre-hospital emergency care, equipment, rescue and extrication, transfer, major incidents, and team resource management, professionals sitting the Diploma in Retrieval and Transfer Medicine (DRTM) and the Diploma in Major Incident Management (Dip MIM), will also find the book useful. Other examples of relevant exams include the Membership of the Royal College of Emergency Medicine (MRCEM), Fellowship of the Royal College of Emergency Medicine (FRCEM), European Board Examination in Emergency Medicine (EBEEM) (European Society for Emergency Medicine), US Board of Certification in Emergency Medicine (BCEM), Diploma of Pre-hospital and Retrieval Medicine (Australasian College for Emergency Medicine, Australia), but this list is not exhaustive. Candidates sitting for postgraduate examinations in emergency medicine, pre-hospital emergency medicine, and retrieval and transfer medicine across the globe will find this an immeasurably helpful resource for exam technique and an invaluable guide to boost their knowledge and understanding.This book is designed to give the reader as much practice at single best answer (SBA) questions as possible. These questions can be notoriously tricky to navigate, and it is through practice that builds competence in exam technique. Each question is provided with the correct answer, corresponding rationale and further resources.

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. This book includes over 130 single best answer questions (SBAs), 270 extended matching questions (EMQs) and 78 short answer questions (SAQs), giving the reader a wide variety of topics to test their exam knowledge and technique. It is an invaluable educational resource for exam preparation and to help you succeed. Key features: Over 470 questions on specialty subjects. Compiled by a team of junior doctors with recent final exam and postgraduate specialty exam experience. Overseen by experienced doctors to ensure relevance and accuracy. The broad medical curriculum is covered in a succinct and consistent style. Pharmacology and pathology are integrated throughout the text. Clear and concise answers are provided. Easy accessible information to facilitate revision on the move. Enables the reader to assess their knowledge and help identify gaps in their knowledge to target revision. The following main specialties are covered: Dermatology; Oncology; Ophthalmology; Obstetrics & Gynaecology; Paediatrics; Psychiatry. Watch out for our other titles in the MedQ4exams series: Medicine. Surgery. Practice papers.

Most 'How to write/publish' books are aimed at the scientific community and medical professionals as a whole. To date none has ever been dedicated to surgeons alone. This book is aimed specifically at surgeons who wish to have their work, observations, novel ideas to be published, but do not know the route leading to successful publication in the various leading and reputable journals. Each chapter (21 in total) will attempt to guide the budding writer, using simple and brief language and taking examples from daily life.

“This is a must read for anyone engaged in the care of complex wounds: concise, full of common sense, and devoid of BS.” -- Ari Leppäniemi, Helsinki, FinlandThe growing number of complex chronic wounds afflicting our aging, sicker, and fatter population has brought about the emergence of the so-called ‘wound care industry’, which, in turn, has become a lucrative business — conducted in thousands of ‘wound care clinics’ mushrooming all around us. A wide range of specialties and qualifications have jumped on the bandwagon to become wound care experts, offering different ‘styles’ of wound care. The dressing, drug, and device industry has joined right in and has flooded the market with immensely costly products, many of which are based on flimsy or fabricated evidence.Undoubtedly, ‘modern’ wound care worldwide is chaotic — compared with most other disciplines and specialties, it could be described as the ‘Wild Wild West’ of patient care.This short monograph attempts to insert common sense into the chaos, emphasizing established truth and pointing out gimmicks, all based on the author’s personal experience. As in the previous books in the series "Schein’s Common Sense" (now in multiple editions and translations), the narrative is ‘no-nonsense’ and not always politically correct.The book is aimed at physicians of all specialties, allied providers, and nurses — anyone who wishes to engage in wound care or is already involved but needs some guidance.

The complete guide to getting started in motor racing, from going to a racing school to buying a car and learning race-craft. This book Is full of useful information and practical advice, written by experts and ideal for anyone considering making a start in one of the world's most exciting sports. More importantly, this book also shows how you can get into motor racing on a very limited budget.

For nearly 25 years, the Catchpole cartoon was a hugely popular feature in Autosport magazine. Every week, Catchpole and his friends passed comment on events in motor sport through the skill and humour of artist Barry Foley. Now, Catchpole is back, with the publication of this collection of nearly 400 cartoons as printed in Autosport between 1970 and 1994. This is a unique title, capturing the humour and wisdom of the sport and re-visiting a host of characters including Demon Tweak (the ever-scruffy mechanic), the glamorous Booby Galore, accident-prone Mad Log Malone and veteran German racer Von Turnips.

The primary aim of this book is to provide clear and concise explanations about all aspects of the medico-legal process for surgeons, other doctors and lawyers. A wide range of topics is covered including: how the medico-legal arena is changing; the legal principles involved; how to avoid medico-legal problems; resolving complaints out of court; the surgeon as defendant; the surgeon as expert; the GMC and the Coroner.

Several studies have looked at populations of volunteers, women from the electoral roll and women attending general practices, and have reported the ultrasound appearance of polycystic ovaries in as many as one in three to one in five. If groups of women with irregular periods are looked at, up to 90% will have polycystic ovaries at ultrasound. Similarly, when women with increased facial and body hair are screened, about 90% will have polycystic ovaries, as will three out of four women with acne. It has also been suggested by some studies that women with recurrent miscarriage or early pregnancy loss after in-vitro fertilisation have an increased incidence of polycystic ovaries. However, not all studies support this hypothesis, and additional research is needed to evaluate this further. This book looks at the historical background of this condition; the structure and function of the female genital organs; symptoms and signs; diagnostic techniques; the inheritance of polycystic ovary syndrome; long-term effects; lifestyle factors; polycystic ovaries and the skin; ovulation induction; surgical treatment to induce ovulation; in-vitro fertilisation; pregnancy outcomes.

Any breast operation is a significant event. This book provides information to help to lessen the fear and gives practical advice for patients returning to a normal life.

Following the success of its last symposium and book entitled 'The Evidence for Vascular Surgery', the Joint Vascular Research Group (JVRG) brings you this book. The book describes recent developments and best practice in vascular surgery, with an emphasis on multi-disciplinary care pathways. It is based upon a symposium held in Sheffield in June 2002 that aimed to improve the provision and equality of care for patients with peripheral arterial and venous disease. Many members of the JVRG have contributed to this book, including vascular surgeons, anaesthetists, radiologists, nurses and vascular technologists. The book consists of five sections covering the main areas of management of patients with peripheral vascular disease: Outpatients and medical management; Vascular imaging and endovascular intervention; Vascular surgery; Anaesthesia and theatres; Organisational aspects of care.

This book provides details of all the currently available information concerning the causes, prevention and treatment of prostate cancer, and aims to explain all aspects of the disease in terms that can be easily understood. It deals with the roles of complementary medicine and diet and other aspects for which there is growing evidence, but which many clinicians are reluctant to discuss with their patients.

This book brings a medley of over 1500 aphorisms, quotations, and rules -- by surgeons and non-surgeons -- about surgery, surgeons and anything which may be relevant to the practice of surgery. It should gratify all potential tastes as the book includes ancient as well as contemporary entries, formal and colloquial, pronounced by surgical giants or anonymous -- only guide by the prerequisite that the entry appeals to the surgical soul. Readers will probably use the book to decorate their lectures or manuscripts with relevant 'smart' or 'entertaining' entries.

To the abdominal surgeon a first successful Whipple procedure is what a first combat mission is to the fighter pilot: a symbol of competence -- the fruits of prolonged training. Not many surgeons managed to incorporate their names into a commonly used eponym; Allen Whipple did and so became immortalised as a household name to surgeons world-wide. Yet, little has been known and written about Whipple, the great American surgeon -- the person and his other interests. This is what this book is about: an edited version of Whipple's previously unpublished memories, which until now -- for more than forty years -- has collected dust. In these pages the retired Whipple describes the journey of his life from the very beginning in Persia, where he was born, to the very end in New Jersey where he died. He provides snap shots of himself, his family and friends, his colleagues, and the changing times in which he lived. The editors have abbreviated the original manuscript by a third and have added footnotes and illustrations. An introduction and 'end page' adds perspective to the memoirs. It has been said "God put the pancreas in the back because he did not want surgeons messing with it". Allen Whipple had the courage to mess with the pancreas and to show us how to mess with it successfully. But what kind of man was he and how did he arrive at his achievements? Find out in this book.

The launch of clinical governance in the late 1990s was accompanied by a measure of excitement although, at that stage, it was impossible to determine whether this was really to be the start of a quality-driven revolution in healthcare. Since its inception, much has been done to turn the concepts behind clinical governance into practical reality. Have these efforts been successful? Many would argue that the jury is still out. The authors have approached the topic from the diverse backgrounds offered by urological surgery, general practice and public health medicine. The result is a commentary on the evolution of clinical governance that has the firm anchors of practicality and realism. The book looks at clinical governance from the perspective of the practising clinician and explains what clinical governance has to offer them. Doctors, nurses, therapists and managers should all find something of interest and practical value within these pages.

The internet and the equipment through which it is delivered has revolutionised the way business offers its services and consumers access information. The constantly evolving technology will continue to become mobile both in terms of the apparatus used to get online, such as mobile phones, and also the wireless capability which will become widespread. Commercial use of the technology presents huge legal issues and has led to the introduction of significant new laws to govern online trade. However, the approach taken by the EU in regulating the internet differs markedly from that of the United States. Given the degree of trade between the two continents and in particular between the USA and the UK, it is vital that businesses on both sides of the Atlantic understand the diverse legal regimes, whether they operate in European or North American markets. This book provides an overview of the English law treatment of the internet, which is heavily influenced by the EU, and contrasts it where appropriate to American legal governance. The book examines issues including online contractual formation, privacy law across geographical borders, electronic signatures, online marketing and consumer sales over the internet. The book is essential reading for businesses in both lands.

Approximately 45 chapters written by leading international authorities. Each chapter analyses the available literature to produce an authoritative statement about the management of urological disorders. The book includes a concise summary of the best available scientific evidence providing up-to-date information.

What is the evidence? Evidence-based medicine, or EBM which slips off the tongue more readily, seeks to offer proof that what we offer patients whenever we treat them, do a diagnostic test, or recommend anything from an operation to change in life style, is known to be effective. Fifty to 100 years ago, health care was delivered patchily, much less of it was effective, and was based on an image of a kindly doctor treating the sick, who were glad of whatever help could be offered. Now, medicine is effective and whether you look at it as major government expense or big business in private health care insurance, there is no sense in spending money on ineffective treatments, while we do not have enough to spend on what is of proven worth. Individual doctors cannot read everything and cannot possibly synthesise what they do read, so that they are aware of what is proven to be effective and what probably is not. The "The Evidence for ..." series seeks to fill that need. Into "The Evidence for Cardiothoracic Surgery" we have commissioned systematic reviews of the common operations and some innovative treatments, to present the facts to busy doctors. Where is there and where is there not evidence?

A multi-disciplinary team approach within this new book which evaluates the current state-of-play with regard to blood conservation, including a fresh look at the evidence. Contents will cover the Supply and Demand issues; why/how changes have occurred; a historical overview; transfusion transmitted diseases; changing demographics and the projected impact on blood supplies; considerations for transfusion practice; surgical peri-operative techniques; medical management; risk management issues; the role of the Hospital Transfusion Team; educational issues; National Reports/Edicts; clinical networks in blood transfusion.

This book is a topical review of venous disease providing an up-to-date view of management and current issues. It is aimed at professionals involved in the management of patients with venous disease, whether they be a vascular specialist, nurse or technologist, physicians with an interest in venous disease, as well as primary care doctors and nurses who wish to complement their knowledge of the area. Acknowledged experts, active in the field, have covered topics ranging from the history, epidemiology, signs and symptoms, investigation and treatment of venous disease to issues of quality of life, complications and litigation, and setting up a clinical service. The treatment of deep vein thrombosis is discussed together with the controversial area of DVT and travel. Newer techniques of vein ablation, subfascial endoscopic perforator surgery (SEPS) and foam sclerotherapy are also covered. This book should find a place on the bookshelf as an exciting review of contemporary themes and complements traditional textbooks.

This book provides a classic supporting text for teachers and learners in the surgical field. The European Working Time Directive is just one of many factors that will radically change the way doctors work in the future. The aim of this book is to enable all those who teach young surgeons in the clinical setting to think about and prepare for a new and fresh approach to learning. The particular significance of this publication is that it makes a proper distinction between education and training, identifies the reasons why the postgraduate development of doctors as surgeons must involve education rather than merely training, and recognises that the education of surgeons must take place in the clinical setting. The book provides support in five areas: 1. It will enable surgical educators to develop on from the current and traditional teaching/learning relationship. 2. It takes as its basis the importance of professional values. 3. It provides for the first time a thorough educational framework, which will need to be utilised by the learner and educator to establish the educational focus of each trainee placement. 4. For the first time, it supports teachers and learners in developing the processes of reflective practice on a formal basis in surgical education. 5. It takes a new look at the assessment of the trainee in the light of new requirements and the needs of the new approaches to surgical education.

This remarkable book is long overdue. It provides the insights essential for the lay reader to take personal control of their long-term health, and physical and emotional well-being. It empowers and educates the non-doctor like no book before it. The complexities and limitations of both modern medicine and alternative therapies, are explained in a way that is entertaining and easy to understand. More importantly however, the book provides access to state-of-the-art advice, not only for effective diet and weight control, but also for side-stepping Syndrome X and the other common serious illnesses, that confront all of us in the new millennium. Using a patient-centred and evidence-based approach, it reflects the dramatic changes in the way medical care will be delivered in the future i.e. as an equal and mutually respectful partnership between well-informed patient and hopefully, well-informed doctor. Although written to provide the perfect medical advice manual for the lay public, the book is an excellent source of current medical knowledge, relating to the common diseases, and provokes and challenges in such a way, that it is likely to be widely read by the profession at large.

The proposed self-help book is different from all previous IBS books, for it approaches IBS from a new and exciting viewpoint -- that of coping with IBS using concepts and skills based on the individual's own psychological profile. The rationale is that there is uncertainty about the diagnosis and causes of IBS, and there are no treatments which are lastingly effective -- therefore, people with IBS must learn to cope with IBS as best they can. Psychological and social factors are known to influence the course of an illness, and the way people cope with that illness, even when illnesses have demonstrable physiological/biochemical causes. This book discusses the psychosocial factors which are involved in IBS, as a two-way relationship. It discusses the complex way in which mind/brain and body interact, in producing a different IBS experience' for each person who suffers with it. The book shows how a greater knowledge of IBS can lead to a reduction in feelings of being stigmatised and depressed, to a feeling of greater well-being. It shows how sufferers can reduce the impact symptoms have on their day-to-day lives. Complex psychological constructs are explained simply and with the aid of examples and real-life vignettes taken from case studies.

The endovascular specialist has arrived. Times are changing and it is vital for all those interested in endovascular intervention to train in and embrace these new technologies. The chapters in this book have all been written by carefully selected internationally renowned endovascular specialists. Each author is at the cutting edge of the endovascular revolution and they are the architects of change in the treatment of vascular disease. The topics have been chosen to reflect the multidisciplinary nature of modern endovascular practice. None are specialty-based and will appeal to surgeons, radiologists, cardiologists and all practitioners involved in the endovascular management of vascular disease. The management of aortic, thoracic, carotid, mesenteric and venous disease is changing. This book is designed to update you on these developments and to encourage you to participate in this exciting phase in the treatment of patients with vascular disease. Enjoy the read.

In this era of evidence-based medicine, clinicians treat common conditions according to guidelines and protocols derived from the results of randomised clinical trials. This book will help vascular specialists when they have to treat a patient with an unusual condition where they may have no experience and there is little published scientific information. The Joint Vascular Research Group has collected rare vascular conditions in a register for over a decade, and this book reviews the experience, together with the best information from the surgical literature. The authors give a practical guide on the diagnosis and management of rare vascular disorders. This book should be read by everyone who manages patients with vascular disease.

This book is a topical review of issues the editors consider to be 'hot topics' and will be of interest to qualified consultant colorectal surgeons and those performing general surgery with an interest in colorectal surgery. In addition, the topics picked are likely to be ones that candidates taking the Intercollegiate Examination in General Surgery will be quizzed upon. It is not intended to be a textbook covering all aspects of colorectal surgery. Rather, it is meant to be an up-to-date view of current and probable near future advances. Frontiers in neoplasia, inflammatory bowel disease, anal disorders and management are covered by acknowledged experts, known to be active in the field. The implications of deep pelvic dissection and pouch surgery in males and females are sensitively explored. Each chapter contains three main sections entitled 'What is the problem/issue?', 'Where are we now?' and 'Where are we going?'. Referencing for the first two is key and current; the last section is speculative with the occasional reference. This volume should find a place on the coloproctologist's bookshelf as an exciting review of contemporary themes, complementing traditional textbooks.