tailieunhanh - The challenges of the itensivist: Part 2

(BQ) Continued part 1, part 2 of the document The challenges of the itensivist has contents: The aging intensivist and younger colleagues, the ageing intensivist and functional incapacity, future of critical care medicine, health care in the year 2050 and beyond,. and other contents. Invite you to refer. | Chapter 9 Race and the ICU Errington C. Thompson I m standing in line at a relatively crowded local restaurant. My stethoscope is around my neck because like my wedding ring it seems I never take it off. I also have my ID badge from the hospital clipped on to my blue blazer. A short middleaged man yells from across the restaurant Mr. Thompson Almost nobody calls me Mr. Thompson. Friends will call me Errington and others will call me Dr. Thompson. I reply Yes The man walks over to me as he says Did you go to State I grew up in Dallas and went to college at Emory University in Atlanta. A real curious look came across this man s face. He was initially sure that I was someone he used to know now he isn t so sure. Mistaken identity is not unusual. It happens. It happens more often when a person of one race is trying to identify a person of another race 1 . When I wore a white medical jacket in the hospital it was relatively common for someone to say Hi Dr. So-and-So. Dr. So-and-So is a black physician and I am also a black physician. It isn t that we look the same. We do not. I am relatively tall at 6 2 and Dr. So-and-So is short and stocky. For the most part I would like to think that these people are trying to be friendly but don t take the time to really focus on facial features. In 2002 the Institute of Medicine released Unequal Treatment 2 . This was a critical indictment of the medical community with regard to race and ethnic disparities. There were several critical findings Finding 1-1 Racial and ethnic disparities in healthcare exist and because they are associated with worse outcomes in many cases are unacceptable. Finding 2-1 Racial and ethnic disparities in healthcare occur in the context of broader historic and contemporary social and economic inequality and evidence of persistent racial and ethnic discrimination in many sectors of American life. . Thompson MD Department of Surgery Marshall University 1600 Medical Center Dr Suite 2500 Huntington WV 25705

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• The itensivists challenge
• Health care
• The aging intensivist
• Younger colleagues
• Functional incapacity
• Critical care medicine
• The ageing intensivist
• Global medical politics
• Business management
• Pediatric critical care medicine
• Care of the critically ill or injured child
• The practice of pediatric critical care medicine
• The science of pediatric critical care medicine
• Palliative care in the PICU
• Controversies and considerations
• Evidence based critical care
• Admission discharge criteria
• Fluid responsiveness
• Agitation and delirium
• Fundamental critical care support
• Special considerations
• Critical care
• Metabolic disturbances
• Antimicrobial therapy selection
• Critical care medicine the essentials
• Respiratory monitoring
• Airway intubation
• Hemodynamic monitoring
• The failing circulation
• Venous thromboembolism
• Obstructive disease
• Ventilatory failure
• Thermal disorders
• Hepatic failure
• The gastrointestinal system
• The endocrine system
• The renal system
• Critical illness
• Critical illness and injury
• The hematologic system
• Oncologic disorders
• The immune system
• Harrisons pulmonary
• Common critical illnesses and syndromes
• Disorders complicating critical illnesses
• Their management
• Laboratory values of clinical importance
• Toxic ingestions
• Heat illness and hypothermia
• Pediatric drowning
• Pandemic influenza
• Peri operative care
• Anesthesia in the critically ill child
• Pharmacology of inhalational
• Intravenous anesthetic agents
• Sedation and analgesia
• Pediatric lung transplantation
• Cardiac surgery
• The solid organ transplant patient
• General Post operative management
• 100 Cases in emergency medicine
• Emergency medicine
• Head on motor vehicle collision
• A productive cough
• Intensive care medicine
• Cardiovascular disorders
• Endocrinologic disorders
• Environmental disorders
• Gastrointestinal disorders
• Cardiac physiology
• Shock and shock syndromes
• Shock syndromes
• Defense mechanisms of the pulmonary tree
• Physiology and pathophysiology
• Endocrine disorders
• Disorders of host defense
• Hematologic and oncologic disorders
• Cardiac diseases
• Respiratory disorders
• Neurologic disorders
• Central nervous systems
• Applied respiratory physiology
• The upper respiratory tract
• Mechanical ventilation
• Status asthmaticus
• The cardiovascular system
• The central nervous system
• Movement disorders in the ICU
• Status epilepticus
• Toxic metabolic encephalopathy
• Year book of critical care medicine 2013
• Year book
• Hemodynamics and monitoring
• Infectious disease
• Postoperative management
• Cardiovascular surgery
• Septic shock
• Non traumatic
• Trauma and overdose
• Pharmacology sedation analgesia
• Sedation analgesia
• Diagnosis of respiratory disorders
• Diseases of the respiratory system
• Cough and hemoptysis
• Disorders of Ventilation
• Extracorporeal cardiopulmonary membrane oxygenation
• The failed airway
• Critical care emergency medicine
• Mechanical ventilatio
• Acute respiratory failure
• Management after cardiac surgery
• Pericardial diseases
• Gastrointestinal bleeding
• Electrolyte disorders
• BMC Anesthesiology
• Global anesthesia
• Anesthesia and Critical Care Medicine
• Physician anesthesia
• Scholarly outputs
• Multisystem failure
• General concepts
• Postsurgical bleeding
• Nonoperative management