When a patient is brought into a trauma center in extremis, or becomes that way during a hospital stay, the intervention mantra is airway, breathing and circulation-the ABC's. We provide the nonspecialist physician, and those in the participating and supporting professions, a quick overview of the meaning of the testing terms in this environment. Many tests, added singly or in small groups over time as clinical and measurement technology evolved, but whose rationale may have become less clear, are defined and explained. Our format is simple-a brief overview of the physiologic environment and then the encyclopedic dictionary of the terminology. We include common terms as well as some of the confusing uses of terms besides lesser known facts influencing their clinical use on the basis of the analytical, medical, and managerial experience of the authors. Keep it in your lab coat pocket-you'll find it useful in understanding and teaching!
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Robert F. Moran, PhD, FCCM, FAIC, FACB, FIUPAC, is associate professor at Wentworth Institute of Technology (Boston, MA), and president of both AccuTest Inc., a provider of External Quality Assessment products and services, and mvi Sciences, a consulting and educational services organization. A fellow of the College of Critical Care Medicine, the International Union of Pure and Applied Chemistry, and the Academy of Clinical Biochemistry, he also holds several specialization certificates, including point-of-care specialist. He has published numerous papers, monographs, book chapters and opinion articles on subjects including lipoprotein assessment, federal regulation, international standardization, blood gas quality performance, and hemoglobin analysis.
Timothy N. Liesching, MD, FCCP, is a leader in the field of pulmonary and critical care medicine and is currently the chairman of the Division of Pulmonary and Critical Care Medicine at Lahey Hospital & Medical Center, Burlington, Massachusetts, where he has practiced for the past 12 years. He is also associate professor at Tufts University School of Medicine. He has been awarded many times over for his contributions as a teacher and has published numerous original research articles.
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