Established for over 40 years as the "bible" of the medical ward, The Washington Manual® of Medical Therapeutics is now in its Thirty-Third Edition and builds upon that proud tradition—with even more of the current information you need, delivered in a timesaving, quick-reference style. Its portability, comprehensiveness, and ease of access makes it a favorite on-call resource for housestaff and faculty around the world. In this edition, color has been added for better navigation, new decision support algorithms have been added, and an improved templated and bulleted format facilitates a quicker answer. With this edition you now have the capability to upload this content to your handheld device and receive updates to the information throughout the activation period. Plus, you have access to eight medical calculators that include: GFR - Cockcroft-Gault Method (Adult) Urea Reduction % (Hemodialysis) Transtubular Potassium Gradient Osmolal Gap Anion Gap Serum Osmolality Reticulocyte Index Body Mass Index (BMI) The Washington Manual® is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University. Available in North America Only

For the past 65 years, The Washington Manual® of Medical Therapeutics, now in its Thirty-Fourth Edition, has been one of the best-selling medical texts in the world. It builds upon that proud tradition--with even more of the current information you need, and delivered in a time-saving, quick-reference style. Its comprehensiveness and ease of access makes it a favorite on-call resource for housestaff and faculty around the world. Continuing the tradition of excellence, each chapter has been updated and reformatted for easier access to the information the reader needs. Inside this edition you’ll find... • New streamlined format that helps you keep pace with the latest advances in the field while removing redundancies and outdated information • New chapter on toxicology prepares you to respond effectively to any poisoning, overdose, or exposure emergency • Decision support algorithms for quick reference See why The Washington Manual® is the most vital on-call resource for house staff and faculty around the world!

Increasingly, electroconvulsive therapy (ECT) is recognized as a proven, effective, and even life-saving intervention in certain mood and thought disorders when other treatments have had little or no effect. Despite the proven efficacy and safety of this standard treatment in psychiatry, its availability is variable. Part of this disparity in access is related to misunderstanding by laypersons regarding the treatment and its potential adverse effects. Adequate education and training of psychiatrists and their support staff are essential to ensuring patients' access to this vital treatment tool. The authors of Clinical Manual of Electroconvulsive Therapy offer this expansive yet reader-friendly volume to help psychiatrists successfully incorporate ECT into their clinical practices. It is also a valuable resource for medical students and psychiatric residents, as well as experienced clinicians and researchers. The book updates the 1985 original and 1998 second edition of Electroconvulsive Therapy: A Programmed Text, and provides readers with a scheduled approach to understanding the fundamental concepts of ECT while offering practical guidance for establishing and maintaining an ECT program. Topics include the history of ECT, indications for use, patient referral and evaluation, the basics of ECT, clinical applications, anesthetics and other medications, seizure monitoring and management, ictal motor and cardiovascular response, adverse effects, and maintenance ECT. Included are detailed descriptions of recent advances including ultra-brief pulse ECT, oxygenation, muscle relaxation, and other modifications that have made this very effective treatment much safer and more acceptable to patients. Currently, it is estimated that more than 100,000 people receive ECT treatments each year in the U.S. Indications for use of ECT are for mood disorders such as major depressive disorder and mania, and thought disorders including schizophrenia and schizoaffective disorder. Indications for use in other psychiatric disorders and general medical disorders such as Parkinson's disease, which appears to respond especially well to ECT, are reviewed as well. This highly-readable manual is a must-have for the library of any clinician interested in or currently practicing ECT: Provides background information on the origins of psychiatric treatments preceding ECT, including efforts using hydrotherapy and insulin comas Includes an algorithm for the management of ECT seizure adequacy Discusses contraindications as well as the potential adverse effects of ECT, including cognitive changes and cardiovascular complications Provides specific information about ECT device manufacturers, reprintable patient information sheets, and a written informed consent form This clinical manual comprehensively explores and explains the available knowledge regarding ECT -- based on extensive research over the past 70 years -- in order to help potential ECT clinicians make informed choices about the development and management of their ECT program.