The 3 AM Book cover
Emergency & critical care · digital book

The 3 AM Book

What to do, why, and the trap that kills — made simple for the doctor, nurse and clinical officer on call.

By Dr Moiz Adamji, Head of ICU and Head of Quality Assurance & Training, LRRH. 398 pages · 12 chapters · 126 topics · PDF for phone, tablet or laptop.

USD 10or TZS 20,000 with mobile money

Pay once and the receipt and download link go straight to your email.

Payment trouble? Call or WhatsApp 0651911911. Personal licence — please don't share the file.


Built for 3 AM.

Every topic opens the same way, so your tired brain always knows where to look.

  1. 3 AM · Do this now — the first actions, in order. Start here.
  2. The model — one picture in your head that makes the topic click.
  3. Mind map — the whole topic on one screen.
  4. Decision path, tables & doses — when you need detail.
  5. The 1% trick — a bedside test or rule most people never use.
  6. Traps — the mistakes that hurt patients.
  7. If you remember three things — the summary to keep.

Who it's for

Doctors, nurses and clinical officers who cover emergency, HDU and ICU — especially when you are the most senior person in the building and the patient is getting worse. Written for real wards, including resource-limited ones: tropical emergencies, poisoning and obstetric crises sit next to ECMO and ROTEM.

Adult doses unless stated. It supports, and never replaces, clinical judgement, local protocols and senior help.


What's inside

CHAPTER 01The 3 AM Start

The crashing patient, sudden hypoxia, the unresponsive patient, reading a lactate, calling for help

CHAPTER 02Shock & Resuscitation

The four shocks, fluids as a drug, pressors & inotropes, arrest, after ROSC, massive haemorrhage, ECMO

CHAPTER 03Airway & Breathing

Intubation checklist, RSI drugs, the failed airway, HFNO, NIV, ventilator modes, ARDS, ABG in 5 steps

CHAPTER 04The Heart

AF, SVT, VT storm, bradycardia & pacing, STEMI, heart failure, tamponade, PE, dissection, RV failure

CHAPTER 05The Brain

Sedation, delirium, status epilepticus, raised ICP, TBI, stroke, ICH, SAH, brain death

CHAPTER 06Kidney, Fluids & Electrolytes

AKI, dialysis, sodium, potassium, calcium, magnesium, acid–base, rhabdomyolysis

CHAPTER 07Gut & Liver

Upper GI bleed, liver failure, the sick cirrhotic, pancreatitis, feeding, refeeding

CHAPTER 08Hormones

DKA, HHS, adrenal crisis, thyroid storm, myxoedema, phaeo crisis, hypoglycaemia

CHAPTER 09Blood

Reversing anticoagulants, transfusion, DIC, TTP, HIT, tumour lysis, HLH, sickle cell, TEG/ROTEM

CHAPTER 10Infection & Sepsis

The first hour, antibiotics & source control, pneumonia, meningitis, necrotising fasciitis

CHAPTER 11Poisoning

The poisoned patient, paracetamol, aspirin, opioids, TCA, beta-blocker & CCB, toxic alcohols

CHAPTER 12Tropical & Resource-Limited ICU

Severe malaria, snakebite, organophosphates, tetanus, HIV, dengue, eclampsia & PPH, heat stroke


Questions

How do I get the book?

As soon as the payment is confirmed you see a Download button, and we email you a receipt with your personal download link. Keep the email — the link works again if you change phones.

My payment failed. What now?

Nothing was lost. Your order page explains what happened and lets you try again with mobile money or card.

Money left my account but the order says it failed.

On your order page press "I paid — send proof", add the transaction ID from your SMS or bank (and a screenshot if you have one). Dr Moiz checks it and releases your book, or call / WhatsApp 0651911911.

Can I pay cash?

Yes. Choose "Pay cash", then pay Dr Moiz in person (call 0651911911 to arrange). Once he confirms it, your receipt and download link are emailed to you.

Can I share it with my team?

Each copy is for one person. Ward or hospital copies: call 0651911911 for a group price.

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