This second edition of Ambulance Care Essentials offers a complete guide to the skills, knowledge and understanding required to work as a support worker or similar within the ambulance service. Covering fundamental elements of the role, the book combines theoretical aspects of communication, legal and ethical issues and safeguarding with more practical areas such as manual handling, medical emergencies and a range of clinical skills. It includes in-depth chapters on the primary areas of patient assessment as well as covering different patient populations across the lifecourse. Key features include: *Clearly illustrated, step-by-step instructions for range of practical skills and procedures including how to handle different types of trauma and cardiac arrest *Detailed anatomical diagrams to provide the reader with the necessary context to carry out the practical elements of their job more effectively *Evidence-based throughout and up-to-date with the latest guidance, policy and research *Specific chapters on each area of patient assessment and how to manage this effectively *Chapters dedicated to various patient populations such as obstetrics, paediatrics and older people *In-depth chapter on supporting senior clinicians and how best to assist the paramedic as a support worker This second edition has been brought up to-date with the latest national guidance. The book is appropriate for a Level 3 diploma course or similar that qualifies you to work as a support worker and covers learning objectives from a range of courses offered by ambulance services. It is an essential resource for anyone wanting to prepare themselves for a role within the ambulance service as well as those hoping to become a more effective member of an emergency ambulance crew.

Long-term oxygen therapy (LTOT) usually represents the final step in the management of severe chronic respiratory diseases: a large proportion of patients suffering from these conditions is involved and the corresponding impact for the Health Institutions and the Society is dramatically increasing. Although LTOT is well known and widely used since long ago in most modern countries, it still represents a challenging topic due to the huge amount of variables which can affect both its efficacy and effectiveness. Unfortunately, patients, doctors, care-givers, together with health institutions and political decision makers frequently have different visions on LTOT, thus highly contributing to obtain uneven results and changing outcomes. The focus of this volume is on new insights and novel perspectives of LTOT. Starting from consolidated experiences, it's aim is also to emphasize the strategic value of developing technologies and innovative organizational models uniquely to find out even more opportunities and advantages for the management of chronic respiratory patients needing long-term oxygen treatment.

Family doctors, pediatricians and other professionals who deal with children are regularly consulted because of febrile children. During the past few years remarkable advances on this subject of fever have been made. Among others, this book covers: - Different types of fever with possible complications, - Hyperthermia and their management, - Management of fever with guidelines on antipyretics and their side effects, - Complimentary medicine and fever, - Differential diagnosis of fever, with problem-setting and solving as a case presentation. This reader-friendly reference on the disorders of body temperature in children covers the entire spectrum of subjects related to fever. It gives an overview of the best treatment options in order to achieve the best results.

The ACMT National Case Conference (NCC) is a monthly discussion of novel or interesting cases in medical toxicology. Participation is through online webinar, and the conferences are recorded to allow for review at any time. The cases in this book are taken from recordings of NCC with edits and revisions by contributors and editors to demonstrate educational points. The majority of the case information is from the original recording and represents actual patient presentations. However, some of the details have been changed and fictional information added to enhance the educational value. This volume covers a broad range of toxicological topics, and specialty guidance is offered at the end of every case to aid non-toxicologists. The dilemmas are applicable to both academic and clinical medicine. A list of relevant questions is also provided for each case. Subjects include common toxicological problems, rare presentations of common problems, common problems with controversial treatments or difficult diagnoses, and rare problems. Case Studies in Medical Toxicology from the American College of Medical Toxicology is a detailed reference text on specific toxicological issues and also serves as a practical review for those taking board exams. As a result, this volume is an important and necessary resource for medical students, residents, and fellows, as well as primary-care physicians, intensivists, and toxicologistsCase Studies in Medical Toxicology from the American College of Medical Toxicology is a detailed reference text on specific toxicological issues and also serves as a practical review for those taking board exams. As a result, this volume is an important and necessary resource for medical students, residents, and fellows, as well as primary-care physicians, intensivists, and toxicologists. All proceeds from this book will be donated to the Medical Toxicology Foundation.

This book surveys new algorithmic approaches and applications to natural and man-made disasters such as oil spills, hurricanes, earthquakes and wildfires. Based on the "Third International Conference on Dynamics of Disasters" held in Kalamata, Greece, July 2017, this Work includes contributions in evacuation logistics, disaster communications between first responders, disaster relief, and a case study on humanitarian logistics. Multi-disciplinary theories, tools, techniques and methodologies are linked with disasters from mitigation and preparedness to response and recovery. The interdisciplinary approach to problems in economics, optimization, government, management, business, humanities, engineering, medicine, mathematics, computer science, behavioral studies, emergency services, and environmental studies will engage readers from a wide variety of fields and backgrounds.

A comprehensive, state-of-the-art contribution to a field that is rapidly developing, "The Behavioral Consequences of Stroke" provides a broad overview of the cognitive and neurobehavioral effects of stroke. As attention to paralysis and the more obvious physical disabilities stroke patients incur expands, greater attention is being paid today to the cognitive and neurobehavioral complications that impact stroke morbidity and even functional neurological recovery in patients. Written by an international panel of experts and edited by a neurosurgeon and by a cognitive neuroscientist, this unique title addresses the full range of issues relevant to the field, including epidemiology, general treatment, sensorimotor control after stroke, post-stroke aphasia, memory loss after stroke, post-stroke depression, the role of imaging after a stroke, and an update on some stroke clinical trials, to name just some of the areas covered.

Illuminative and an influential addition to the literature, "The Behavioral Consequences of Stroke" will serve as an invaluable resource for neurologsits, neurosurgeons, physiatrists and other physicians, as well as physical, speech and occupational therapists, nurses, psychologists, and other professionals. "

Like a treasure chest, this resource overflows with valuable resources - information, ideas and techniques to inspire and support those working with children who have experienced relational and developmental trauma. Drawing on a range of therapeutic models including systemic, psychodynamic, trauma, sensory, neurobiological, neurocognitive, attachment, cognitive behavioural, and creative ideas, Dr Karen Treisman explains how we understand trauma and its impact on children, teens and their families. She details how it can be seen in symptoms such as nightmares, sleeping difficulties, emotional dysregulation, rage, and outbursts. Theory and strategies are accompanied by a treasure trove of practical, creative, and ready-to-use resources including over 100 illustrated worksheets and handouts, top tips, recommended sample questions, and photographed examples.

The terrorist use of diseases as bioweapons has been one of the major security concerns in recent years, particularly after the anthrax letter attacks in the USA in 2001. This uncertain threat of intentional outbreaks of diseases exists side by side with the constantly changing very real threat from diseases, epidemics and pandemics as recently illustrated by the H1N1 influenza pandemic, SARS, and H5N1 bird influenza events. This publication contains case studies on the public health planning for (un)usual disease outbreaks for 11 large and small countries with a focus on South Eastern Europe. In many countries, military entities traditionally play an important role in emergency response to disease outbreaks. In smaller countries, very little exists, however, in terms of specific biopreparedness efforts (in both the military and civilian area), which is at least partly due to a relatively low bioterrorism threat perception, and serious resource constraints. The uncertainty associated with the bioterrorism threat makes public health preparedness planning for such events politically and financially very difficult. The similarity of responding to bioterrorism events and natural disease outbreaks from a public health point of view suggests the merit of looking at biopreparedness as a part of overall health emergency planning, not as a separate effort.

This book addresses earthquakes, with a special focus on the Ghorka earthquake, which struck parts of central Nepal in April 2015. Drawing on this disastrous event, it closely examines various aspects of earthquakes in contributions prepared by international experts. The topics covered include: the geological and geophysical background of seismicity; a detailed inventory of the damage done by the earthquake; effective damage prevention through earthquake-safe buildings and settlements; restoration options for world-heritage buildings; strategies for providing technical and medical relief and, lastly, questions associated with public life and economy in a high-risk seismic zone. Combining perspectives from various fields, the book presents the state of the art in all earthquake-related fields and outlines future approaches to risk identification, damage prevention, and disaster management in all parts of society, administration, and politics in Nepal. Beyond the specific disaster in Nepal, the findings presented here will have broader implications for how societies can best deal with disasters.

Synthesizing insights from psychiatry, social psychology, and anthropology, this important work sets out a framework for therapy that is as culturally informed as it is productive. An international panel of 23 therapists offers contextual knowledge on PTSD, coping skills, and other sequelae experienced by the survivors of traumatic events. Case studies from Egypt to Chechnya demonstrate various therapeutic approaches. Authors explore the balance of inter- and intrapersonal factors in reactions to trauma and dispel misconceptions that hinder progress in treatment.

The OSCEs have become a part of most examinations in Critical Care Medicine. This book will be of great help to the examinees. The contents have been divided into two sections one is Questions and the second is Answers. It contains chapters on Respiratory Medicine, Neurology, Nephrology, Microbiology and Infection Control, Hemodynamics, Drugs, Biochemistry, Miscellaneous, and Case Scenarios. Contains nearly 330 questions with model answers. Questions range from the old tests, new techniques and devices, and results of laboratory and other investigations. Also covers questions on all organ systems and different ways these systems may be affected by the disease. The answers are structured from examination point-of-view. These will help the examinees in developing the skills to face the objective structured clinical examinations (OSCEs) in their examination.

This comprehensive account of the deadliest Ebola outbreak in history examines its devastating effects on West Africa's most vulnerable populations: pregnant women and children. Noted experts across disciplines assess health care systems' responses to the epidemic in Liberia, Guinea, and Sierra Leone, emphasizing key areas such as pregnancy, prenatal services, childbirth, neonatal care, and survivor health among pregnant and non-pregnant women. The 30 chapters hone in on gender-based social issues exacerbated during the outbreak, from violence against women and girls to barriers to female education. At the same time, chapters pinpoint numerous areas for service delivery and policy improvements for more coordinated, effective, and humane actions during future pandemics. A sampling of the topics: Ebola virus disease: perinatal transmission and epidemiology Comprehensive clinical care for children with Ebola virus disease Maternal and reproductive rights: Ebola and the law in Liberia Ebola-related complications for maternal, newborn, and child health service delivery and utilization in Guinea The Ebola epidemic halted female genital cutting in Sierra Leone-temporarily Maternity care for Ebola at Medecins Sans Frontieres centers Stigmatization of pregnant women with and without Ebola Exclusion of women and infants from Ebola treatment trials Role of midwives during the Ebola epidemic Pregnant in the Time of Ebola is a powerful resource for public health specialists, anthropologists, social scientists, physicians, epidemiologists, nurses, midwives, and governmental and non-governmental agency staff studying the effects of the epidemic on women and children as a result of the most widespread Ebola outbreak to date.

This contributed volume examines the intersection of trauma and disaster behavioral health from a lifespan perspective, filling a critical gap in the literature on disaster mental health research. In the chapters, the contributors evaluate behavioral data of adults exposed to various environmental events in both the United States (i.e., the 2017 Hurricanes Irma in Florida and Harvey in Houston) and abroad (i.e., missile fire in the 2014 Israel-Gaza conflict). Contributors also suggest future directions, practices, and policies for trauma and disaster response. The three parts of the book provide an overview of disaster behavioral health across the lifespan, propose practical applications of research theories to psychosocial problems resulting from disasters and trauma, and evaluate disaster and trauma interventions from a macro-level perspective. Topics explored among the chapters include: Integrating Trauma-Informed Principles into Disaster Behavioral Health Targeting Older Adults Cultural Competence and Disaster Mental Health When Disasters Strike: Navigating the Challenges of "Sudden Science" Frameworks of Recovery: Health Caught at the Intersection of Housing, Education, and Employment Opportunities After Hurricane Katrina Substance Use Issues and Behavioral Health After a Disaster Psychosocial Recovery After Natural Disaster: International Advocacy, Policy, and Recommendations The Intersection of Trauma and Disaster Behavioral Health is a vital resource for researchers whose expertise covers the domains of trauma, health and wellness, and natural and technological disasters. The book also is a useful supplement to graduate courses in psychology, sociology, social work, disaster science, human ecology, and public health.

This completely revised fourth edition of Principles of Pediatric and Neonatal Emergencies - a flagship publication of Indian Pediatrics - is now in colour. With its focus on the management of acute illnesses in emergency settings, especially in low- and middle-income settings, the book will be highly relevant to the needs of pediatricians working in developing countries. Most chapters have been completely rewritten, incorporating latest consensus guidelines of management by various academic bodies and incorporating flowcharts and key points. The emphasis continues to be on initial management of common and important emergencies affecting children. Detailed discussions on etiology and pathophysiology have been avoided. This textbook shall be extremely valuable for pediatricians, physicians, resident doctors and other trainees, and will be an essential part of shelf in all pediatric emergency units. Incorporates latest evidence-based diagnostic and therapeutic recommendations related to pediatric and neonatal emergencies. Comprehensively covers acute illnesses in children, with emphasis on their initial management. New chapters on oxygen therapy, anaphylaxis, blood component therapy, asthma, chronic respiratory disorders, cardiac arrhythmias, traumatic brain injuries, oncological emergencies, dermatological, gynecological and psychiatric emergencies, burns, corrosive poisonings, urological, orthopedic, and ocular emergencies and approach to sexually abused child. Special arrangement in 8 sections - starting with Organization of Pediatric Emergency Department, and progressing to initial Stabilization of a Sick Child, followed by Systemic Emergencies, Environmental, and Toxicological Threats, Neonatal Emergencies, Surgical and Subspecialty Emergencies, and Procedures. Contribution from over 170 authors with vast experience in emergencies and intensive care. Annexures on drug doses for emergency drugs, with emphasis on antiarrhythmic drugs. A must for every postgraduate student and practicing pediatriciains and an essential component in the shelf of all pediatric emergenct units.

Decision making regarding fluid volume loading, fluid restriction, or administration of vasoactive drugs may vary among physicians, depending solely upon their clinical experience in the absence of evidence-based measurement. The initial distribution volume of glucose (IDVG) is believed to be clinically relevant as a marker of cardiovascular and fluid management in critically ill patients without a significant modification of glucose metabolism. This book covers all aspects of IDVG measurement, including the basic concept, its relationship with other fluid volumes, and the clinical application of this technique in the intensive care unit based on both the authors studies and their clinical experience with more than 4000 IDVG determinations. When the concept of IDVG is properly understood and its measurement is then performed routinely, daily fluid and cardiovascular management in critically ill patients can be improved based on evidence-based measurement."

Presents complex material and practical applications about the neuroscience of resiliency and trauma with innovation, clarity, simplicity, and accessibility to the reader. Presents easy-to-use applications based on cutting edge neuroscience to mobilize individuals and communities from a resiliency-focused and trauma-informed perspective, simply, creatively and with innovation. Demonstrates how the simple, clear and innovative methods based on cutting edge neuroscience and somatic approaches have been integrated into projects around the world from Dalai Lama's vision of creating a curriculum for children to civil rights leaders wanting to change systemic racism. This book gives readers tools and ideas to not only help themselves but also to transform their communities.

Despite numerous recent studies and exciting discoveries in the field, only limited treatment is available today for the victims of acute neurological injuries. Animal Models of Acute Neurological Injuries provides a standardized methodology manual designed to eliminate the inconsistent preparations and variability that currently jeopardizes advances in the field. Contributed by top experts and many original developers of the models, each chapter contains a step-by-step, proven procedure and visual aids covering the most commonly used animal models of neurological injury in order to highlight the practical applications of animal models rather than the theoretical issues. This intensive volume presents its readily reproducible protocols with great clarity and consistency to best aid neuroscientists and neurobiologists in laboratory testing and experimentation. Comprehensive and cutting-edge, Animal Models of Acute Neurological Injuries is an ideal guide for scientists and researchers who wish to pursue this vital course of study with the proficiency and precision that the field requires.

This text has been prepared with a view to be simple, practical, concise and easy-to-read for pediatricians, pediatric intensive care unit (PICU) and neonatal intensive care unit (NICU) residents and fellows using conventional mechanical ventilation for commonly seen conditions such as respiratory distress syndrome (RDS), meconium aspiration syndrome (MAS), persistent pulmonary hypertension (PPHN), pneumonia, acute respiratory distress syndrome (ARDS), asthma, and various cardiovascular and neurological conditions. This book is intended to be a practical resource for pediatric residents, pediatricians, and physicians involved in the care of neonatal and pediatric intensive care patients needing mechanical ventilation. Ventilation technique specifically applicable to neonate or an older child has been indicated wherever necessary Easy-to-read flow diagrams (algorithms) have been used for management of respiratory distress, rapid sequence intubation (RSI), basic mechanical ventilation, and weaning. Noninvasive ventilation modalities such as continuous positive airway pressure (CPAP), biphasic positive airway pressure (BIPAP), and high flow nasal oxygen have also been included. Newer modes such as high frequency ventilation and common ventilator graphics interpretation have also been included for the reader aspiring to learn the newer and advanced modes of ventilation. A chapter on extracorporeal membrane oxygenation has been added to make the reader familiar with technology beyond mechanical ventilation to support patients with refractory hypoxemia. A chapter on how to choose a ventilator has also been included as a guide to new units providing care to neonates and children. This book would be helpful to the user in management of common conditions requiring CPAP, invasive and non-invasive mechanical ventilation in neonates and older children.

Substantialfundamental workhas been undertaken inthe different aspects of impact biomechanics over the past three decades. Much of this has been motivated and undertaken bythe automotive industry intheirefforts to improve transport safety. More recently, however, it has become app- ent that themultidisciplinary synergies which are realisedby interactions between engineers, scientists and clinical practitioners will ultimately lead to a greater understanding of the complex interacting phenomena withinthe human bodyafter it has sustained an impact. In turn, this greater depth of knowledge will provide more fundamentalinsights into the analysis, d- gnosis, treatment and prevention ofimpact injuries across a broader sp- trum of accident environments. Thescienti?c focus of this IUTAM symposium istoaddress those t- ics that are centrally important to the biomechanics ofimpact. These can be groupedinto those that are concerned with the different causes of - cidents (e. g. , transport, occupational and sports injuries), themechanics - volvedinaccident analysis (e. g. , accident investigation, computational m- elling techniques), the different types of resulting traumatic injuries (incl- ing musculoskeletal, organ, spinal and head injuries), methods of asse- ing the extent of injury (e. g. , injury assessment, injury criteria, constitutive laws for human tissue), and providing protection during an impact (e. g. , injury prevention, energy absorption materials, and safety devices).

Intensive Care Medicine compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.