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A disaster may occur through natural or man-made events. It can be the result of war, terrorist events, or through so-called acts of god such as floods, tsunamis, earthquakes, and droughts. The international anesthetist may be called upon to serve in these areas in surgical teams as part of a medical response, or may simply be passing through. Whilst the “disaster zone” will be inherently more dangerous than your operating theatre at home there are things you can do to mitigate the risk.
The above famous critique of intravenous anesthesia occurred following the bombing of Pearl Harbor, where anesthesia folklore tells us more Americans died from the use of thiopentone than from the Japanese attack. However, in the same journal that published Halford’s statement there appeared a case study of the use of thiopentone in a shocked patient with a gunshot wound to her chest and upper abdomen.
MR is a powerful modality. At its most advanced, it can be used not just to image anatomy and pathology, but to investigate organ function, to probe in vivo chemistry, and even to visualise the brain thinking. However, clinicians, technologists and scientists struggle with the study of the subject. The result is sometimes an obscurity of understanding, or a dilution of scientific truth, resulting in misconceptions. This is why MRI from Picture to Proton has achieved its reputation for practical clarity. MR is introduced as a tool, with coverage starting from the images, equipment and scanning protocols and traced back towards the underlying physics theory. With new content on quantitative MRI, MR safety, multi-band excitation, Dixon imaging, MR elastography and advanced pulse sequences, and with additional supportive materials available on the book's website, this new edition is completely revised and updated to reflect the best use of modern MR technology.