‘…provides an excellent introduction to the management of acute illness for all clinical staff, and a solid foundation for those who choose to make ICM a fulfilling life-long career.

From the Foreword by Julian Bion, Professor of Intensive Care Medicine, University of Birmingham

Ideal for any medic or health professional embarking upon an intensive care rotation or specialism, this simple bedside handbook provides handy, pragmatic guidance to the day-to-day fundamentals of working in an intensive care unit, often a daunting prospect for the junior doctor, nurse and allied health professional encountering this challenging environment for the first time.

Thoroughly updated, the second edition addresses recent and future developments in a variety of areas and is now organised into easy-to-read sections with clearly outlined learning goals. New topics added include sepsis, ARDS, refractory hypoxia, the role of allied health professionals, post ICU syndrome and follow up, and consent and capacity including new DOLS guidance. The book is authored by world-renowned contributors and edited by established consultants in the field of intensive care medicine.



part 1|1 pages


chapter 1|4 pages

Your first day and what to expect

ByJames Turner, Joyce Yeung

chapter 2|6 pages

The daily review of a patient

ByShondipon K. Laha

chapter 3|8 pages


ByMark Pugh, Robert Fallon

chapter 4|6 pages

Capacity and consent

ByAngela Day, Michael Elliot

chapter 5|6 pages

FOAMed and social media as an aid to education in intensive care

ByJonathan Downham

chapter 6|6 pages

Research in intensive care

ByCatriona Frankling, Gavin Perkins

chapter 7|8 pages

Stress and burnout in intensive care medicine: Looking after yourself

ByOlusegun Olusanya, Adrian Wong

part 2|1 pages

Staffing on the Intensive Care Unit

chapter 8|2 pages

The intensive care nurse

ByGavin Denton

chapter 9|4 pages

Speech and language therapists

ByAsfa Bashir, Nicola Pargeter, Lucy Wood

chapter 10|4 pages

The critical care physiotherapist

BySarah Bunting

chapter 11|4 pages

Advanced critical care practitioners (ACCP)

ByGavin Denton

chapter 12|4 pages

The critical care pharmacist

ByAdeyemi Oyedele

part 3|1 pages

Initial Assessment

chapter 13|6 pages

Assessing ICU referrals on the ward

ByCatriona Frankling, Joyce Yeung

chapter 14|10 pages

Assessment and management of major trauma patients

ByIan Tyrell-Marsh, Edward Denison-Davies

chapter 15|10 pages

Management of the head-injured patient

ByKunal Lund, Thomas Owen

chapter 16|10 pages

Initial management of the patient with burns

ByKaren Meacher, Nitin Arora

part 4|1 pages


chapter 17|10 pages

Analgesia, sedation and muscle relaxation

ByHozefa Ebrahim

chapter 18|8 pages

Drugs that work on the heart

ByRachel Howarth, Andrew Haughton

chapter 19|8 pages

Nutrition and fluids in intensive care

ByBen Slater

part 5|1 pages

Equipment and Investigations

chapter 20|10 pages

Face masks, continuous positive airway pressure (CPAP) and airways

ByAnna Herbert, Shondipon K. Laha

chapter 21|6 pages

The ventilator

ByIrfan Chaudry

chapter 22|8 pages

Monitoring the critical care patient

ByRochelle Velho, Robert O'Brien

chapter 23|12 pages

Ultrasound in intensive care

ByAdrian Wong, Olusegun Olusanya

chapter 24|8 pages

Renal replacement therapy in intensive care

ByAoife Abbey, Nitin Arora

chapter 25|10 pages

Interpreting arterial blood gases (ABGs)

ByNafeesa Akhtar, Julian Hull

part 6|1 pages

Airway and Respiratory Emergencies

chapter 26|4 pages

Maintaining an airway

ByVijay Venkatesh, Nitin Arora

chapter 27|12 pages

Rapid sequence induction

BySudhindra Kulkarni, Shondipon K. Laha

chapter 28|12 pages

Endotracheal tube and tracheostomy problems

ByBrendan McGrath

chapter 29|6 pages

‘Fighting the ventilator’

ByMohammed Hatab, Peter Frank

chapter 30|6 pages


ByGareth P. Jones, Amanda Shaw

part 7|1 pages

Other Emergencies

chapter 31|8 pages

Cardiac arrhythmias

ByKatherine Turner, Peter Bunting, Mike Dickinson

chapter 32|10 pages

ICU delirium and the agitated patient

ByNicholas R. Plummer, Shondipon K. Laha

chapter 33|8 pages

Status epilepticus

ByBryony Patrick, Andrew Gosling

chapter 34|10 pages

The critically ill or injured child in a non-paediatric hospital

ByEldilla Rizal, Nitin Arora

chapter 35|10 pages

Management of hyperglycaemic emergencies

ByBen Wooldridge, Paul Johnston

chapter 36|8 pages


ByNagendra Pinnampeni, Arumugam Jagadeeswaran

part 8|1 pages


chapter 37|8 pages


ByJoseph Herold, Shondipon K. Laha

chapter 38|8 pages

Acute severe asthma

ByCarl Groves, Govindan Raghuraman

chapter 39|8 pages

The COPD patient in intensive care

ByDaniel Park

chapter 40|8 pages

Acute respiratory distress syndrome

ByRichard Benson, Craig Spencer

chapter 41|10 pages


ByDaniel Shuttleworth, Ron Daniels

chapter 42|8 pages

Acute renal failure in intensive care (Acute kidney injury)

ByNitin Arora, Shondipon K. Laha

chapter 43|10 pages

Management of severe acute pancreatitis

ByLaura Dyal, Fang Gao

chapter 44|10 pages

Hepatic failure

ByFayaz Baba, Mark Pugh

chapter 45|12 pages

Non-traumatic brain injuries

ByRichard Yardley, Shashikumar Chandrashekaraiah

chapter 46|6 pages

Ongoing management of the patient with burns

ByKaren Meacher, Thomas Owen

chapter 47|10 pages

Ageing and frailty

ByVanisha Patel, Joyce Yeung

chapter 48|10 pages

Transfer of the critically ill patient

ByEmma Foster, Neil Crooks

chapter 49|16 pages

The critically ill obstetric patient

ByJennifer Hares, Naresh Sandur

chapter 50|8 pages

The bariatric patient in intensive care

ByHelga Fichter

chapter 51|6 pages

Post-ICU syndrome

ByJonathan Paige, Anna Dennis

chapter 52|8 pages

End of life care in ICU

BySarah Milton-White, Lucie Linhartova

chapter 53|8 pages

Brain stem death and organ donation

ByHuw Twamley