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In the current era, it has become increasingly difficult to gauge the meaning of expertise in a clinical field. This is perhaps more true in the subspecialty of neurological intensive care than it is in other areas of neurology and neurosurgery. The intensivist is an activist, making decisions that integrate a tremendous amount of information and implementing solutions to a variety of problems that cross neurology, surgery, and general medicine. Therefore, this book project, which prepares readers for a number of certifications beyond neurological intensive care, is very welcome. By framing the learning experience through questions and answers that are genuine or closely simulate real practice, the reader is brought along in a way that is meaningful and practical.
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In keeping with the breadth of practice in this field, the material covered here is extraordinarily comprehensive, but does not sacrifice depth. The knowledge base of each of the authors is on display and is clearly colored by true life experience in the ICU. Moreover, the answers to the questions posed for each case are logical and complete. When there is ambiguity, as there must be in critical care, this is acknowledged, and the best course of action is outlined. I hope that readers, whether they are studying for the boards or trying to enhance their practice, will enjoy this book as much as I did.
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Allan H. Ropper, MD
Executive Vice Chair,
Department of Neurology,
Brigham and Women’s Hospital,
Boston, Massachusetts