Description
What happens after the first hour
Emergency protocols cover the opening sixty minutes well and then stop, which leaves a gap the Academy sees repeatedly in members’ case discussions. The patient is stabilised, correctly, and then spends four days in a unit where a series of smaller decisions quietly determines whether the stabilisation holds.
These 496 pages are about that period.
Where it sits relative to the acute-care reading
Downstream of it. Members take the first-hour material for the resuscitation-room decisions and this volume for the admission that follows — monitoring intensity and when to step down, the timing of investigations that were deferred, secondary prevention started at the right moment rather than at discharge, and the complications that appear on day two rather than at presentation.
The eighteen chapters
Post-reperfusion care and the arrhythmias that follow it. The unstable patient who has been stabilised and destabilises again. Ventilation and haemodynamic support beyond initial resuscitation. Renal injury after contrast and after low output. Bleeding on antithrombotics, graded and managed rather than simply reversed. Infective complications. Delirium in the coronary care unit. Discharge planning and the follow-up interval that actually prevents readmission.
Academy placement
Acute care track, taken after the first-hour material. Members in general medicine covering coronary care overnight are directed to it regardless of track, since the day-two decisions are more often theirs than the cardiologist’s.
PDF, 496 pages, lifetime access from CardiologyBooks.com.
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