This best-selling volume in The Secrets Series® is back in an exciting, fully updated 4th Edition! You'll find all of the features you rely on the Secrets for-such as a question-and-answer format  bulleted lists  mnemonics  "Key Points" boxes  and tips from the authors.

• Equips you with the evidence-based guidance you need to provide optima care for the critically ill.
• Expedites reference and review with a question-and-answer format, bulleted lists, mnemonics, and practical tips from the authors.
• Features a two-color page layout, "Key Points" boxes, and lists of useful web sites to enhance your reference power.
• Presents a chapter containing "Top Secrets", providing you with an overview of essential material for last-minute study or self-assessment

I. BASIC LIFE SUPPORT
General Approach to the Critically Ill Patient
Cardiopulmonary Resuscitation
Pulse Oximetry and Capnography
Invasive Hemodynamic Monitoring
Interpretation of Arterial Blood Gases
Fluid Therapy
Nutrition in Critically Ill Patients
Noninvasive Ventilation
Mechanical Ventilation
Discontinuation of Mechanical Ventilation

II. PROCEDURES
Tracheal Intubation and Airway Management
Tracheotomy and Upper Airway Obstruction
Chest Tubes
Bronchoscopy
Pacemakers and Defibrillators
Circulatory Assist Devices

III. PULMONARY MEDICINE
Acute Pneumonia
Asthma
Chronic Obstructive Pulmonary Disease
Cor Pulmonale
Acute Respiratory Failure
Acute Respiratory Distress Syndrome
Aspiration
Hemoptysis
Venous Thromboembolism and Fat Embolism

IV. CARDIOLOGY
Chest Pain
Acute Myocardial Infarction and Pressors
Dysrhythmias and Tachyarrhythmias
Aortic Dissection
Valvular Heart Disease
Pericardial Disease (Pericarditis and Pericardial Tamponade)

V. INFECTIOUS DISEASE
Sepsis, Severe Sepsis Syndrome, and Septic Shock
Endocarditis
Meningitis
Disseminated Fungal Infections
Multidrug-Resistant Bacteria
Catheter-related Infections and Associated Bacteremia
Bioterrorism
Skin and Soft Tissue Infections

VI. RENAL DISEASE
Hypertension
Acute Renal Failure
Renal Replacement Therapy and Rhabdomyolysis
Hypokalemia and Hyperkalemia
Hyponatremia and Hypernatremia

VII. GASTROENTEROLOGY
Upper & Lower Gastrointestinal Bleeding in the Critically Ill Patient
Acute Pancreatitis
Hepatitis and Cirrhosis
Peritonitis and Lavage

VIII. ENDOCRINOLOGY
Diabetic Ketoacidosis
Hyperglycemic Hyperosmolar Syndrome
Adrenal Insufficiency in the Intensive Care Unit
Thyroid Disease in the Intensive Care Unit

IX. HEMATOLOGY/ONCOLOGY
Blood Products and Coagulation
Thrombocytopenia and Platelets
Disseminated Intravascular Coagulation
Sickle Cell Disease
Oncologic Emergencies (including Hypercalcemia)

X. RHEUMATOLOGY
Rheumatologic Diseases in the ICU

XI. NEUROLOGY
Coma
Brain Death
Status Epilepticus
Stroke and Cerebral Aneurysms
Landry-Guillain-Barré Syndrome
Myasthenia Gravis
Alcohol Withdrawal
Head Trauma

XII. SURGERY AND TRAUMA
Burns
The Acute Abdomen
Pneumothorax
Flail Chest and Pulmonary Contusion
Myocardial Contusion

XIII. PERIOPERATIVE CARE
Liver and Heart Transplantation

XIV. SEDATION and PAIN MANAGEMENT
Use of Paralytic Agents in the Intensive Care Unit
Pain Management in the Intensive Care Unit
Sedation, Analgesia, and Delirium

XV. EMERGENCY MEDICINE
Tetanus
Anaphylaxis
Hypothermia
Heat Stroke

XVI. TOXICOLOGY
General Approach to Poisonings
Aspirin Intoxication
Acetaminophen Overdose

XVII. OBSTETRICS
Care of the Critically Ill Pregnant Patient

XVIII. PSYCHIATRY
Delirium
Anxiety and Agitation in the ICU
Neuroleptic Malignant Syndrome

XIX. ETHICS
Ethics
Withdrawal of Treatment

XX. ADMINISTRATION
ICU Administration
Quality Assurance in the ICU
Scoring Systems for Comparison of Disease Severity in ICU Patients
Evidence-based Critical Care

By Polly E. Parsons, MD, Professor Department of Medicine; Director, Pulmonary and Critical Care Medicine Unit, University of Vermont College of Medicine, Fletcher Allen Health Care, Burlington, VT; and Jeanine P. Wiener-Kronish, MD, Professor of Anesthesia and Medicine, Vice-Chairman, Department of Anesthesia and Perioperative Care, Investigator, Cardiovascular Research Institute, University of California, San Francisco, San Francisco, CA