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.

The discipline of disaster medicine is the study and collaborative application of various health sciences towards the prevention of, preparation for, response to and recovery from health problems arising from a disaster.

Because disasters can strike anywhere in the world and can have devastating effects on the community, it is vitally important that the different agencies, government departments and medical disciplines work together to draw up adequate mitigation plans. It is also crucial that each agency is aware of its responsibilities and understands the chain of command in a disaster situation.

In a clear and concise manner Disaster Medicine covers all the critical aspects necessary to deal with any type of man-made or natural disaster.

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!

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.

Dans l'environnement tactique civil, les secondes comptent. TECC: Tactical Emergency Casualty Care, deuxieme edition enseigne aux prestataires de soins pre-hospitaliers comment repondre et soigner les patients lors d'une urgence tactique civile, y compris les tirs actifs. Ce programme attrayant est concu pour preparer les prestataires de services medicaux d'urgence (SMU) a repondre aux patients dans un environnement tactique. Developpe par la Association nationale des techniciens medicaux d'urgence (NAEMT) et approuve par le College Americain des Chirurgiens, TECC, deuxieme edition, aborde les domaines actuels des services medicaux d'urgence tactiques (TEMS) et est conforme aux directives actuelles du Comite sur les TECC. La NAEMT est un partenaire educatif reconnu du Comite du TECC.

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.

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.

Over three decades ago, PHTLS: Prehospital Trauma Life Support transformed the assessment and management of trauma patients in the field, improving the quality of trauma patient care and saving lives around the world. The tenth edition of this trusted, comprehensive resource continues the PHTLS mission to promote excellence in trauma patient management by all prehospital care practitioners through global education. First developed by the National Association of Emergency Medical Technicians (NAEMT) in the early 1980s in cooperation with the American College of Surgeons Committee on Trauma (ACS-COT), this proven program includes updated medical content to reflect current, evidence-based knowledge and practice. PHTLS promotes critical thinking as the foundation for providing quality care, knowing that EMS practitioners make the best decisions on behalf of their patients when given a solid foundation of knowledge and key principles to fuel their critical-thinking skills. A Clear Approach to Assessing a Trauma Patient In the field, seconds count. The tenth edition of PHTLS: Prehospital Trauma Life Support teaches and reinforces the principles of rapidly assessing a trauma patient using an orderly approach, immediately treating life-threatening problems as they are identified, and minimizing delays in initiating transport to an appropriate destination. PHTLS, Tenth Edition features: - The updated ACS National Guidelines for the Field Triage of Injured Patients - An advanced discussion on the challenges of prolonged scene time - Consideration of when to shift efforts from search and rescue to recovery in the setting of a drowning victim - The United Kingdom Fire and Rescue Guidelines for search and rescue - New content on blast injuries - Clarification on the role of pelvic binders - Presentation of the emerging role of prehospital blood transfusion in hemorrhagic shock in reducing 30-day mortality - Current content addressing special considerations, including weapons of mass destruction and environmental trauma

Nell'ambiente tattico civile, i secondi contano. TECC: Tactical Emergency Casualty Care, seconda edizione, insegna agli operatori pre-ospedalieri come rispondere e curare i pazienti durante un'emergenza tattica civile, comprese le sparatorie attive. Questo programma coinvolgente e stato progettato per preparare gli operatori dei servizi medici di emergenza (EMS) a rispondere ai pazienti che si trovano in un ambiente tattico. Sviluppato dall'Associazione Nazionale dei Tecnici Sanitari di Emergenza (NAEMT) e approvato dal Collegio dei Chirurgi Americani, "TECC, seconda edizione" affronta gli attuali domini dei Servizi Medici Tattici di Emergenza (TEMS) ed e conforme alle attuali linee guida del Comitato per l'Assistenza Tattica di Emergenza alle Vittime. La NAEMT e un partner formativo riconosciuto dal Comitato per l'Assistenza Tattica di Emergenza alle Vittime.

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 issue of Critical Care Clinics, guest edited by Drs. Michael Matthay and Kathleen Dori Lui, focuses on Acute Respiratory Distress Syndrome. This is one of four issues each year selected by the series consulting editor, Dr. John Kellum. Articles in this issue include, but are not limited to: Epidemiology, Environmental Factors, Clinical Diagnosis, Physiology of ARDS, including COVID-19, Pathogenesis Based on Clinical Studies, Genetics of ARDS, Ventilator Management and Rescue Therapy with ECMO, Acute Kidney Injury and ARDS, Pharmacologic Therapies and ARDS and Long Term Outcomes from ARDS. Provides in-depth, clinical reviews on ARDS, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

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.