South Africa has one of the highest rates of extreme violence cases in the world, which has created a critical need for counsellors to be trained specifically in this area. In Trauma counselling: Principles and practice in South Africa today, a team of academics and practitioners have compiled a hands-on, yet theoretically grounded and evidence-based South African textbook on counselling victims of trauma.

The first part of this publication focuses on the range of potentially traumatic events that commonly occur in South Africa. It clearly describes themes related to traumatic events and traumatic stress and introduces the basic principles of trauma counselling. This section also focuses on how traumatic stress may manifest in different client groups. The second part aims to familiarise students with a range of strategies suitable for trauma counselling, such as brief interventions, cognitive behaviour therapy, the narrative approach, strength-based interventions and integrated or alternative approaches.

The final chapter is a personal one, in which the authors reflect on the lessons they have learnt from their own practice and the techniques they have developed to protect themselves from vicarious trauma.

Drs. John C. Perkins and Michael E. Winters have assembled an expert team of authors on the topic of Sepsis in the Emergency Department. Article topics include: Defining and Diagnosing Sepsis; Appropriate Antibiotic Therapy; Severe Sepsis Resuscitation in Resource Limited Settings; Source Control in Severe Sepsis; Considerations in Special Populations with Severe Sepsis; Pediatric Severe Sepsis Resuscitation; The New Usual Care; Prehospital Sepsis Care; Endpoints of Sepsis Resuscitation; Pitfalls in the Diagnosis, Treatment, and Disposition of Severe Sepsis; Biomarkers in Sepsis; Vasopressors and Inotropes in Sepsis; and Sepsis Quality Measures and Performance Improvement.

This issue of Emergency Medicine Clinics, edited by Drs. Robert Vissers and Michael Gibbs, focuses on Pulmonary Emergencies. Articles include: Approach to the Adult Patient with Acute Dyspnea,Approach to the Pediatric Patient with Acute Dyspnea,Advances in Pulmonary Imaging,Respiratory Monitoring,Management of Acute Asthma and COPD,Diagnosis and Treatment of Acute Pulmonary Embolus,Pulmonary Manifestations Of Systemic Diseases,Pleural Disease,Management of Hemoptysis, and more!

Drs. Richard Carlson and Corey Scurlock have put together a cutting edge list of topics regarding the use of Telemedicine in the Intensive Care Unit. Topics include: Tele-Neurocritical Care, Outcomes related to Telemedicine in the ICU,Telemedicine in the ICU: Its role in Emergencies and Disaster Management,Increasing Quality through Telemedicine in the ICU,The Role of Telemedicine in Pediatric Critical Care,Telemedicine and the Septic Patient,Taking Care of the Cardiac Critical Care Patient with Telemedicine,Barriers to ICU telemedicine,and Design and Function of Tele-ICU.

This issue provideds a comprehensive update to Sleep Medicine in the Intensive Care Unit, with editors Vipin Malik and Teofilo Lee-Chiong assembling a line-up of key topics such as:Sleep Neurobiology and Critical Care Illness,Obesity Hypoventilation Syndrome and Respiratory Failure,Obstructive Sleep Apnea,Non-Invasive Ventilation in Critically Ill Patients,Restless Leg Syndrome,Sleep and Endocrine System,Congestive Heart Failure and Central Sleep Apnea,Circadian Dysrhythmias,Neuromuscular Disorders and Sleep in Critically Ill Patients, Perioperative Issues and Sleep Disordered Breathing, Seizures, and more!

This issue of Emergency Medicine Clinics, edited by Drs. Stephen Borron and Ziad Kazzi focuses on emergencies arising from contact with Hazardous Materials. Article topics include: Selected classes and examples of dangerous industrial chemicals, weapons of mass destruction, and their syndromic identification; Hospital preparedness for chemical and radiological disasters; Personnel protection and decontamination of adults and children; Resources for toxicological information and assistance; Asphyxiants; Corrosives and irritants; Organophosphates and carbamates; Intentional and unintentional food, drug, and water contamination, and more!

The Neonatal Resuscitation Program (R) (NRP (R)) course conveys an evidence-based approach to care of the newborn at birth and facilitates effective team-based care for healthcare professionals who care for newborns at the time of delivery. NRP utilizes a blended learning approach, which includes online testing and hands-on case-based simulation/debriefing that focus on critical leadership, communication, and team-work skills. The NRP, 8th Edition, introduces a new educational methodology to better meet the needs of health care professionals who manage the newly born baby. New in the 8th edition: Key Points at the beginning of each lesson. Quick response (QR) codes that enable the reader to view short videos about the topic on their mobile device. Lesson Review Questions grouped together at the end of each lesson. Quality Improvement Opportunities and Frequently Asked Questions in each lesson. New sections in Lesson 10 (Special Considerations) about resuscitation of the newborn with a myelomeningocele or an abdominal wall defect. Three Supplemental Lessons (Improving Resuscitation Team Performance, Resuscitation Outside the Delivery Room, and Bringing Quality Improvement to Your Resuscitation Team) that all NRP users to enhance their resuscitation knowledge and performance.

Drs. Stephen Bohan and Josh Kosowsky have assembled a panel of expert authors for this edition on Cardivascular Emergencies. Topics include: Ischemia, Heart Failure, Congenital Heart Disease, Supreventricular Dysrhythmias, Atrial Fibrillation, Uncommon Dysrhythmias, Electrophysiology, Pericardial Disease, and Cardiac Arrest.

Wound repair is an important and growing sector of the medical industry with increasingly sophisticated biomaterials and strategies being developed to treat wounds. Advanced wound repair therapies provides readers with up-to-date information on current and emerging biomaterials and advanced therapies concerned with healing surgical and chronic wounds.
Part one provides an introduction to chronic wounds, with chapters covering dysfunctional wound healing, scarring and scarless wound healing and monitoring of wounds. Part two covers biomaterial therapies for chronic wounds, including chapters on functional requirements of wound repair biomaterials, polymeric materials for wound dressings and interfacial phenomena in wound healing. In part three, molecular therapies for chronic wounds are discussed, with chapters on topics such as drug delivery, molecular and gene therapies and antimicrobial dressings. Part four focuses on biologically-derived and cell-based therapies for chronic wounds, including engineered tissues, biologically-derived scaffolds and stem cell therapies for wound repair. Finally, part five covers physical stimulation therapies for chronic wounds, including electrical stimulation, negative pressure therapy and mechanical debriding devices.
With its distinguished editor and international team of contributors, Advanced wound repair therapies is an essential reference for researchers and materials scientists in the wound repair industry, as well as clinicians and those with an academic research interest in the subject.
Provides readers with up-to-date information on current and emerging biomaterials and advanced therapies concerned with healing surgical and chronic woundsChapters include the role of micro-organisms and biofilms in dysfunctional wound healing, tissue-biomaterial interaction and electrical stimulation for wound healingCovers biologically-derived and cell-based therapies for chronic wounds, including engineered tissues, biologically-derived scaffolds and stem cell therapies for wound repair

This issue of Critical Care Clinics, Guest Edited by Paul Wischmeyer, MD features topics such as: Nutrition Guidelines In Critical Care: Consistency or Confusion?; Evolutionary Role of Nutrition and Metabolic Support in Critical Illness; Pre-operative Surgical Nutrition Programs; Fish Oil in Critical Illness: Mechanisms and Clinical Application; Glutamine in Critical Illness: The Time Has Come, The Time Is Now?; Immunosupression and Infection After Major Surgery: A Nutritional Deficiency?; Enteral Nutrition in Critical Care: Why Do We Starve Our Patients?

This issue covers the full gamut of infectious disease issues encountered in the ICU, including the approach to the febrile patient, management of septic shock, severe community-acquired pneumonia, management of ventilator-associated pneumonia, approach to the immunocompromised host, bloodstream infection, severe soft tissue infections, management of intra-abdominal sepsis, meningitis and brain abscess, treatment of fungal infections, acute infective endocarditis, new antimicrobial agents, antimicrobial stewardship, infection control, and C. difficile infection.

This brand-new book offers virtual hands-on experience to over 65 emergency procedures, allowing readers to rehearse them over again in their mind-then perform them on demand correctly. Colour drawings of each procedure that illuminate relevant anatomical structures and their relationship to each new step paired with full-colour photographs provide a realistic clinical view of the identical anatomy. Plus, each step is accompanied by concise text, allowing the illustrations and photographs to guide clinicians effortlessly through the procedure. Presents step-by-step, side-by-side full-color illustrated guidance. Uses a standard chapter organization for quick reference. Offers a brief description of each procedure. Features bulleted lists of clinical indications, oft-overlooked contraindications, and potential complications. Displays the essential equipment needed to perform the procedure. And more.

Titles in the Pocket Tutor series give practical guidance on subjects that medical students and foundation doctors need help with on the go, at a highly affordable price that puts them within reach of those rotating through modular courses or working on attachment. Topics reflect information needs stemming from today's integrated undergraduate & foundation courses: * Common investigations (ECG, imaging, etc) * Clinical skills (surface anatomy, patient examination, etc.) * Clinical specialties that students perceive as too small to merit a textbook (psychiatry, renal medicine) Key Points * Highly affordable price and convenient pocket size format - fits in back pocket * Logical, sequential content: the first principles of emergency imaging, then a guide to understanding a normal image and the building blocks of an abnormal image, before describing specific clinical disorders * Clinical disorders are illustrated by high quality radiographs, ultrasounds, CTs and MRIs, with brief accompanying text that clearly identifies the defining feature of the image * Focuses on the conditions that medical students and foundation doctors are most likely to see and be tested on

Surviving critical illness is not always the happy ending we imagine for patients. Many ICU survivors suffer from a range of long-lasting physical and psychological issues such end stage renal disease, congestive heart failure, cognitive impairment, neuromuscular weakness, and depression or anxiety, which affect their overall quality of life and ability to lead productive lives. This lingering burden or 'legacy' of critical illness is now recognized as a major public health issue, with major efforts underway to understand how it can be prevented, mitigated, or treated. The Textbook of Post-ICU Medicine: The Legacy of Critical Care discusses the science of the recovery process and the innovative treatment regimens which are helping ICU survivors regain function as they heal following trauma or disease. Describing the major clinical syndromes affecting ICU survivors, the book delineates established or postulated biological mechanisms of the post-acute recovery process, and discusses strategies for treatment and rehabilitation to promote recovery in the ICU and in the long term. The chapters are written by an interdisciplinary panel of leading clinicians and researchers working in the field. The book serves as a unique reference for general practitioners, internists and nurses caring for long term ICU survivors as well as specialists in intensive care medicine, neurology, psychiatry, and rehabilitation medicine.

"Emotional Aftermath of the Persian Gulf War" explores the impact of war from a unique perspective& mdash;it addresses not only the effect of trauma on soldiers in combat but also the toll war takes on families and communities as a whole. In this book, experts from the Department of Defense (including Dick Cheney, former Secretary of Defense, who provides the preface), the Veterans Administration, the National Institute of Mental Health, Israel Defense Forces, and academia provide an integrated look at the psychiatric and psychological effects of war and the treatment of war-related stress and psychiatric disorders.

The authors focus on the experience of servicemembers and of their families in response to deployment, separation, and loss, and reintegration after the war. They discuss the treatment of combat casualties, those with and without psychiatric illness, who were rapidly returned home still in the acute stage of their injuries. The authors emphasize providing the best support, both medically and psychologically, for military personnel and their families for the essential mental health and effectiveness of the fighting force and the improved quality of life of individual people. The special needs of families and of reserve and guard members are considered, and models of community outreach programs for coping with the stressors of war are discussed.

Unique in terms of the role that technology played& mdash;including live TV coverage, Patriot missiles, and & ldquo;smart& rdquo; bombs& mdash;the Gulf War was a part of the day-to-day lives of the fighting forces and their families, communities, and nations.

This is a practical guide to the management of mild head injury, or concussion. It is now generally accepted that post-concussion syndrome has an organic basis and this has resulted in the emergence of clinics, staffed by interdisciplinary teams, dedicated to addressing the problem. After a short account of the history of thinking on mild head injury and its epidemiology, a section on pathology provides the background to the clinical picture. The coverage then moves on to look at the acute stage and management in the emergency department, followed by a description of the clinical features of the persisting symptoms. There are clear descriptions of the measurements, investigations and examinations to be completed. The authors then move on to look at the neurological, cognitive-behavioural and psychiatric aspects of management and treatment. Specific cases are discussed, including the special considerations when dealing with children, the elderly, executives and sportspeople. At the end of the book there are copies of information sheets and booklets for patients. Philip Wrightson and Dorothy Gronwall are pioneers in this field. They were the first to define test procedures to measure the changes following concussion, and to establish a clinic for those with persisting problems.

Tactical Emergency Casualty Care: Im zivilen taktischen Umfeld zahlen Sekunden. TECC: Tactical Emergency Casualty Care, Zweite Auflage trainiert Helfer aller Ebenen, wie man sicher auf Patienten in einer zivilen taktischen Umgebung reagiert und sie versorgt, einschliesslich Amok-Lagen. Dieses Programm wurde entwickelt, um vermeidbare Todesfalle am Einsatzort zu verringern. Die von der National Association of Emergency Medical Technicians (NAEMT) entwickelte und vom American College of Surgeons unterstutzte, TECC: 2. Auflage spiegelt aktuelles medizinisches Wissen und Praxis wieder und foerdert kritisches Denken als Grundlage fur die Bereitstellung hochwertiger Versorgung. Der Inhalt des aktualisierten TECC-Kurses entspricht den aktuellen Tactical Emergency Medical Services (TEMS) Competency Domains und entspricht den Richtlinien des Committee on Tactical Emergency Casualty Care (Co-TECC). Die zweite Auflage des TECC-Kurses beinhaltet: * Das neue Kurshandbuch, das die wichtigsten Konzepte des Kurses verdeutlicht und vertieft; verfugt uber ein ansprechendes, interaktives Design; und ist so geschrieben, dass Sie sich wie in einem Gesprach fuhlen, anstatt einem Vortrag zuzuhoeren. * Lektionen, die die einzelnen Komponenten des MARCH-Algorithmus abdecken, Sofortmassnahmen fur Tourniquet-Anwendungen, Diskussionen uber die Behandlung von Kindern und brandneue Patientensimulationen, einschliesslich einer abschliessenden Simulation von MANV und Amok-Lagen. * Die Nomenklatur der Sicherheitsbehoerden von heisser, warmer und kalter Zone wurde mit der taktischen Nomenklatur "Direct Threat", Indirect Threat und Evacuation integriert.

Trauma and Recovery is the foundational text on understanding trauma survivors. By placing individual experience in a political frame, psychiatrist Judith L. Herman argues that psychological trauma is inseparable from its social and political context. Drawing on her own research on incest, as well as a vast literature on combat veterans and victims of political terror, she shows surprising parallels between private horrors like child abuse and public horrors like war. This edition includes a new epilogue by the author assessing what has-and hasn't-changed in understanding and treating trauma over the last three decades. Hailed by the New York Times as "one of the most important psychiatry works to be published since Freud," Trauma and Recovery is essential reading for anyone seeking to understand how we heal.

In the last few decades, our increased knowledge of the mechanisms involved in wound repair has stimulated the development of many new dressings and wound management techniques. If these are to be used in the most appropriate and cost-effective manner, practitioners must have a good understanding of the properties and key functions of the products concerned. This book has been produced to offer specific guidance in this important area, containing chapters on silver dressings, honey products, medical maggots and negative pressure therapy in addition to more conventional products including hydrocolloids, foam, films and fibrous dressings made from alginate or CMC. Each chapter contains an account of the historical development, structure and method of use of the individual treatments, and all of this information is supplemented by the results an extensive review of the clinical literature for each product group. A final chapter offers some simple observations on the principles of dressing selection by making reference to a variety of different wound types. This section also illustrates how the use of an incorrect treatment may cause significant problems to the patient and their carers. The book contains 720 pages and 125 illustrations, many in full colour, making it perhaps the most comprehensive source of reference of its type currently available.

This book is a practical revision guide for postgraduates preparing for the OSCE element of the FRCEM Final examinations. Divided into nine sections, each chapter covers a different element of the exam, beginning with history taking and communication skills, then discussing various systems of the body. Each station opens with a summary of relevant clinical information, followed by a practice OSCE scenario and examiner mark sheet. This third edition has been fully updated in line with the FRCEM Final syllabus and features many new scenarios, providing candidates with the ideal revision tool to help them achieve success in the examination. Key points Practical revision guide for candidates preparing for the OSCE element of the FRCEM Final examinations Covers various elements of the exam including history taking and communication skills, and various systems of the body Each station provides a summary of relevant clinical information, a practice scenario and examiner mark sheet Fully revised, third edition updated in line with the FRCEM Final syllabus and with many new scenarios

Auf dem Feld zahlen die Sekunden. PHTLS: Prehospital Trauma Life Support, neunte Edition lehrt und bekraftigt die Prinzipien der raschen Beurteilung eines Traumapatienten unter Anwendung eines systematischen Vorgehens, der sofortigen Behandlung lebensbedrohlicher Probleme, sobald diese erkannt werden, und der Minimierung von Verzoegerungen bei der Einleitung des Transports zu einem geeigneten Zielkrankenhaus. Entwickelt von der NAEMT (National Association of Emergency Medical Technicians) in Zusammenarbeit mit dem American College of Surgeons Committee on Trauma (ACS-COT) spiegelt die neunte Edition von PHTS aktuelle, evidenzbasierte Erkenntnisse und Praktiken wider und foerdert kritisches Denken als Grundlage fur eine qualitativ hochwertige Versorgung. Dynamische Programmkomponenten Das PHTLS-Hauptlehrbuch, neunte Edition, ist die massgebliche Ressource fur die Traumabehandlung, die die medizinische Evidenz hinter den empfohlenen Prinzipien und Praktiken des PHTLS-Kurses detailliert beschreibt. Als nachster Schritt in der Entwicklung des PHTLS-Programms wird das Hauptlehrbuch von diesem neuen PHTLS-Kurshandbuch begleitet, das die Schlusselkonzepte des Kurses bekraftigt und verdeutlicht, ein ansprechendes, interaktives Design aufweist und so geschrieben ist, dass Sie das Gefuhl haben, an einem Gesprach teilzunehmen, anstatt einem Vortrag zuzuhoeren. Das Kurshandbuch enthalt die folgenden Hauptmerkmale: Progressive Fallstudien - UEberwachen Sie einen Patienten von Alarmierung uber die Untersuchung bis hin zum Management und Transport und legen Sie fest, wie Sie einen ahnlichen Fall vor Ort behandeln wurden. Fragen, die zum kritischen Denken einladen - Wenden Sie das im Kapitel vorgestellte Wissen an und starken Sie Ihre Fahigkeiten im Umgang mit Patienten. Weitere Informationen - Erweitern Sie Ihr Verstandnis von Vitalkonzepten und erforschen Sie die Erkenntnisse, die hinter den besten Praktiken zur Behandlung von Traumapatienten stehen. Lernfragen - Bereiten Sie sich auf den Erfolg beim Nachtest des Kurses vor, indem Sie die Hauptkonzepte des Kapitels durch praxisbezogene Fragen untermauern.