This is a quick-reference resource covering the most common acute orthopedic injuries. Including bulleted text and easy-to-follow algorithms, protocols, and images, this "pocket consultant" provides the most up-to-date information when you need it most. Organized anatomically for fast reference, each chapter is broken down into the most common and most serious injuries with tips on how to evaluate and treat adult and pediatric patients. Each injury pattern discussed includes a brief description covering what to ask, what to bring, what to request, what to test, what to look for, and how to further evaluate. The contributing authors are senior orthopedic surgery residents at a major Level-1 Trauma Center who have experience managing a high volume of orthopedic injuries and who have trained many young residents. Covering all aspects of acute care, The Orthopedic Consult Survival Guide is an indispensable tool for medical students, residents, fellows, attendings , and affiliated providers in orthopedic surgery, emergency medicine, and surgery caring for orthopedic patients in emergency rooms, urgent care centers, and primary practice settings.

The definitive new guide on healing trauma and taming our triggers, by Harvard-trained-Psychiatrist and pioneer of mind-body medicine, Doctor James Gordon. Trauma comes to all of us, through grief or from a painful experience; even if our symptoms do not reach that of Post-Traumatic Stress Disorder, the consequences can be devastating. The good news is that there are self-care tools to help us face the storm, heal our traumas and become healthier and more whole than ever before because of them. In Transforming Trauma, Doctor Gordon equips readers with the first evidence-based program to reverse the effects of trauma on our bodies and minds that he has used to support thousands of people across the world who have suffered - from Syrian refugees and 9/11 survivors to everyday people with emotional or physical illness. Doctor Gordon believes that any challenge can be overcome once you have the right techniques - he will show us how to recognise our triggers step-by-step - those words, actions, perceptions that in some way resemble a past trauma - and let them become our teachers, so we can finally realise that that is then and this is now and in turn, open the door for freedom from our past and a fresh route for hope, purpose and love. 'This is the book on trauma treatment I've been waiting for' - Dr Andrew Weil, New York Times bestselling author + Professor of Medicine 'This book could give you back your life in unimaginable ways, it will inspire you to say 'yes' to the seemingly inconceivable and impossible' - Jon Kabat-Zinn

In Paramedics On and Off the Streets, Michael K. Corman embarks on an institutional ethnography of the complex, mundane, intricate, and exhilarating work of paramedics in Calgary, Alberta. Corman's comprehensive research includes more than 200 hours of participant observation ride-alongs with paramedics over a period of eleven months, more than one hundred first hand interviews with paramedics, and thirty-six interviews with other emergency medical personnel including administrators, call-takers and dispatchers, nurses, and doctors. At the heart of this ethnography are questions about the role of paramedics in urban environments, the role of information and communication technologies in contemporary health care governance, and the organization and accountability of pre-hospital medical services. Paramedics On and Off the Streets is the first institutional ethnography to explore the role and increasing importance of paramedics in our healthcare system. It takes readers on a journey into the everyday lives of EMS personnel and provides an in-depth sociological analysis of the work of pre-hospital health care professionals in the twenty-first century.

Cognitive Behavioral Therapy for Preventing Suicide Attempts consolidates the accumulated knowledge and efforts of leading suicide researchers, and describes how a common, cognitive behavioral model of suicide has resulted in 50% or greater reductions in suicide attempts across clinical settings. Simple and straightforward descriptions of these techniques are provided, along with clear explanations of the interventions' rationale and scientific support. Critically, specific adaptations of these interventions designed to meet the demands and needs of diverse settings and populations are explained. The result is a practical, clinician-friendly, how-to guide that demonstrates how to effectively reduce the risk for suicide attempts in any setting.

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.

Recovering Boarding School Trauma Narratives: Christopher Robin Milne as a Psychological Companion on the Journey to Healing is a unique, emotive and theorised narrative of a young girl's experience of boarding school in Australia. Christine Jack traces its impact on the emerging identity of the child, including sexual development and emotional capacity, the transmission of trauma into adulthood and the long process of recovery. Interweaving her story with the experiences of Christopher Robin Milne, she presents her memoir as an exemplar of how narrative writing can be employed in remembering and recovering from traumatic experiences. Unique and powerfully written, Jack takes the reader on a journey into her childhood in Australian boarding school convents in the 1950s and 1960s. Comparing her experience with Christopher Robin Milne's, she interrogates his memoirs, illustrating that boarding school trauma knows no boundaries of time and place. She investigates their emerging individuality before being sent to live an institutional life and traces their feelings of longing and loneliness as well as the impact of the abuse each endured there. As an educational historian, Jack writes in a ground-breaking way from the perspective of an insider and outsider, revealing how trauma remains in the unconscious, wielding power over the life of the adult, until the traumatic memories are recovered, emotions released and associated dysfunctional behaviour changed, restoring well-being. Engaging the lenses of history, life-span and Jungian psychology, feminist and trauma theory and boarding school trauma research, this book positions narrative writing as a way of reducing the power of trauma over the lives of survivors. Personal and accessible, this book will be essential reading for psychologists and educational historians, as well as students and academics of psychology, sociology, trauma studies, ex-boarders and those interested in the life of Christopher Robin Milne.

Clinical SAQs for the Final FRCEM offers a tailored solution to any person wishing to succeed in the clinical SAQ exam. Featuring over 200 Short Answer Questions mapped to the Royal College of Emergency Medicine curriculum, this comprehensive guide ensures high quality preparation. Designed specifically to reflect the examination format, each question presents clinical cases with diagnostic test results and, where relevant, imaging. Detailed model answers act as both a high yield revision guide and as a template for answering similar questions on exam day. 50 questions are illustration based including radiology, ultrasound, and ECGs allowing candidates to practice typical questions in this clinical exam. Further reading directs candidates to guidelines and articles for additional preparation. Written by a team including successful candidates and a senior consultant, Clinical SAQs for the Final FRCEM holds the key to passing the exam.

This is the first book developed specifically for the Final FFICM structured oral examination. It is written by two senior trainees who have recently passed the exam and is edited by a consultant intensivist with a special interest in education. The book is designed in the style of the SOE, and provides model answers which include summaries of the relevant evidence to guide trainees in their preparation for the exam. The 91 topics and questions therein are drawn from previous exam sittings, and are expanded further to ensure each topic is covered in detail. This text is a valuable revision aid to those studying for the Final FFICM, and will also prove useful to trainees revising for the Final FRCA, as it covers popular ICM topics that often come up in the anaesthetic fellowship exams.

If I'm So Strong, Why Do I Feel So Weak teaches rescue workers and others who have chosen self-sacrificing work how to help themselves while still helping others. There are so many who choose a self-sacrificing field of work, such as those who work in Emergency Medical Services, who feel self-doubt when it comes to taking care of themselves. They spend so much time saving the rest of the world that it no longer feels good for them. Eleanor Miller lived that life. And after years of searching, she understands why the popular remedies just don't cut it. She offers guidance to readers on how to say no without feeling guilty, how to find their own voice, strength, and confidence and so much more on their path to recognizing their own importance.

This extension to the popular "ECGs for the Emergency Physician Volume 1 "continues to provide the emergency health care provider with outstanding practical and emergency medicine-relevant teaching of a life-saving skill: emergency electrocardiography interpretation.

This volume can be used individually or paired with Volume 1 to present one of the most comprehensive and educational ECG collections ever assembled for emergency physicians and other acute health care providers.

Older patients carry some of the highest risks of suffering an adverse event or death following anesthesia and surgery. They are inherently vulnerable, presenting with numerous comorbidities and reduced physiological reserve, requiring 'gero-centric' perioperative care for everything from routine eye surgery to major cardiac surgeries. Dementia, frailty, and the need for palliative care and pain management for the orthopedic patient are important areas requiring special consideration in this group. This book provides a general overview of these topics for those healthcare providers who may not have extensive knowledge of this patient population, while at the same time offering practical tips for the more experienced clinician. Chapters cover the spectrum of perioperative care including preoperative management of comorbid conditions, intraoperative anesthetic management, postoperative pain control, and a primer on advanced directive discussions. This book is appropriate not only for anesthesiologists but for any perioperative physician caring for the older patient.

SHORTLISTED FOR THE ORWELL PRIZE FOR POLITICAL WRITING Long before the pandemic, care work has been underpaid and its values disregarded. In this remarkable and compassionate book, Madeleine Bunting speaks to those on the front line of the care crisis, struggling to hold together a crumbling infrastructure. A combination of extraordinary first-hand accounts of caring with a history of care and its language, Labours of Love is an impassioned call for change at a time when we need it most.

This new edition focuses on bias in health care and provides a variety of case examples related to the timely topics of unconscious bias and microaggressions encountered by patients, students, attending and resident physicians, nurses, staff, and advanced practice providers in various healthcare settings. The proliferation of literature on unconscious bias and microaggressions has raised public awareness around these concerns. This case compendium discusses strategies and addresses professional responses to bias in health care and extends beyond the individual patient and healthcare provider into the communities where biased assumptions and attitudes exist. Recognizing that ethnic minorities, the elderly, the poor, and persons with Medicaid coverage utilize the emergency department at higher rates than the general population, this compendium also builds upon the case studies from the first edition to cover a broader array of underserved minority groups. Diversity and Inclusion in Quality Patient Care: Your Story/Our Story - A Case-Based Compendium, 2nd Edition is an essential resource for attending and resident physicians, nurses, staff, advanced practice providers, and students in emergency medicine, primary care, and public health.

Clinical research in critical care has exploded in the past several years and we now have a much better understanding of how to care for intensive care unit (ICU) patients in areas such as management of sepsis, fluid resuscitation, mechanical ventilation, antibiotic administration, and sedation and analgesia. However, despite improved clinical care, many critically ill patients continue to experience complications of critical illness - some complications are iatrogenic and preventable, while others are simply a component of the natural history of critical illness. These complications lead to increased mortality, morbidity, cost, and long-term chronic conditions. Non-Pulmonary Complications of Critical Care: A Clinical Guide is a valuable resource for trainees and clinicians who aim to better understand and improve the quality of critical care medicine. Armed with information about potential non-pulmonary complications of ICU care and strategies to minimize or prevent those complications, the critical care clinician will be able to help ICU patients potentially avoid much of the morbidity associated with critical illness.This book is organized by organ system such that it can be easily used as a bedside reference. Complications caused by pharmaceuticals are dispersed throughout every chapter and the concluding chapters provide a special emphasis on meticulous supportive care of the critically ill patient to allow the best chance for recovery.

Covering both natural and man-made scenarios including war and terrorism, the Textbook of Disaster Psychiatry is a vital international reference for medical professionals, community leaders and disaster responders a decade after its initial publication. Spanning a decade of advances in disaster psychiatry, this new and updated second edition brings together the views of current international experts to offer a cutting-edge comprehensive review of the psychological, biological and social responses to disaster, in order to help prepare, react and aid effective recovery. Topics range from the epidemiology of disaster response, disaster ecology, the neurobiology of disaster exposure, to socio-cultural issues, early intervention and consultation-liaison care for injured victims. The role of non-governmental organizations, workplace policies and the implications for public health planning at both an individual and community level are also addressed.

This issue of Critical Care Clinics, edited by Dr. Kianoush Kashani in collaboration with Consulting Editor Dr. John Kellum, is focused on Intensive Care Unit Telemedicine. Topics in this issue include: ICU telemedicine program administration: from start to full implementation; ICU telemedicine multidisciplinary care teams; ICU telemedicine technology; Impact of ICU telemedicine on outcomes; Quality assurance of ICU telemedicine; ICU telemedicine cost-effectiveness and financial analyses; ICU telemedicine care models; ICU telemedicine in the era of big data, artificial intelligence, and computer clinical decision support systems; ICU Telemedicine: Innovations and Limitations; ICU telemedicine: provider-patient satisfaction; and ICU telemedicine services beyond medical management: Tele-pharmacy, tele-procedure, tele-dialysis, tele-stroke: evidence, benefits, risks, and legal ramifications.

This book is designed to present an overview of common geriatrics ethical issues that arise during patient care and research activities. Each chapter includes a case example and practical learning pearls that are useful in day-to-day patient care. Coverage includes a brief overview of geriatric epidemiology, highlighting the high rates of dementia, use of surrogate decisions makers at the end-of-life, relocation from home to long-term care facilities, and low health literacy in the geriatrics population. Sections are devoted to issues around capacity, surrogate decision making, end-of-life care, hemodialysis in the elderly, and futility as well as challenges presented by independence questions, such as dementia care, driving, feeding, and intimacy in nursing homes. The text also addresses questions around recognizing, reporting, and treating elder abuse and self-neglect, ethics related to research and technology in the geriatric population, and the use of e-mail, Facebook, and open notes. Written by experts in the field, Ethical Considerations and Challenges in Geriatrics is a valuable tool for trainees at a variety of levels including medical students, residents, and fellows. In addition, it provides practical guidance and a useful reference for practicing geriatricians, primary care physicians, geriatric nurses, social workers, nursing home workers, hospice care employees, and all medical health professionals working with the elderly.

Children and infants comprise up to 20% of emergency department visits, and emergency physicians must be knowledgeable in choosing the most appropriate imaging modality to arrive at an accurate diagnosis and provide optimal patient care. Written specifically for the non-specialist and those with limited pediatric training, Pediatric Imaging for the Emergency Provider provides expert guidance in this challenging area. Abundant high-quality imaging examples cover the full range of pediatric disorders you're likely to see, including trauma, musculoskeletal, pulmonary, ENT, cardiac, genitourinary, gastroenterology, neurological, and neonatal patients. Presents more than 80 common and important rare cases, supported with 450+ images across relevant modalities including ultrasound, radiography, CT, and MRI. Identifies key radiographic findings for various pediatric conditions including congenital heart lesions, surgical entities, infectious disease processes, and traumatic injuries. Accompanies images with clear, concise text that makes it easy to grasp the most clinically significant points of each case. Provides expert guidance on best practices in important areas of pediatric imaging such as sedation, ionizing radiation exposure reduction, and imaging modality selection. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Sur le terrain, les secondes comptent. PHTLS: Soins de reanimation prehospitaliers enseigne et renforce les principes d'evaluation rapide d'un patient en etat de traumatisme en utilisant une approche ordonnee, en traitant immediatement les problemes potentiellement mortels au fur et a mesure qu'ils sont identifies, et en reduisant tout retard de transport vers la destination appropriee. Developpe par la National Association of Emergency Medical Technicians (NAEMT ou Association nationale des techniciens medicaux d'urgence) en cooperation avec le American College of Surgeons Committee (ASC-COT ou College americain du Comite des chirurgiens), PHTLS, Neuvieme edition reprend les connaissances et la pratique actuelles etayees par des donnees, et encourage la pensee critique en tant que fondement de la fourniture de soins de qualite. Evaluer rapidement un patient en etat de traumatisme pour identifier les soins vitaux est au coeur de la neuvieme edition de PHTLS. Il faut 2 minutes ou moins a un patient pour se vider de son sang. Aucune autre intervention des prestataires de soins prehospitaliers n'est plus importante que l'arret de l'hemorragie chez les patients en etat de traumatisme. Pour refleter cela, PHTLS, Neuvieme edition utilise le moyen mnemonique d'evaluation du patient XABCDE pour placer une hemorragie au premier plan de chaque contact avec un patient. L'importance de la methode XABCDE (en francais hemorragie, voies aeriennes, respiration, circulation, handicap et exposition/environnement) est renforcee dans chaque chapitre clinique. PHTLS, Neuvieme edition presente : Les informations actuelles sur la reanimation liquidienne et l'immobilisation de la colonne vertebrale provenant de la recherche factuelle et de prestataires de soins prehospitaliers experimentes qui appliquent les principes et les pratiques de PHTLS sur le terrain Les dernieres techniques de gestion des patients, y compris la mise en place d'un garrot, les sites de decompression par aiguille, l'utilisation de liants pelviens, la reanimation pediatrique liquidienne et la gestion pediatrique des voies respiratoires L'accent est mis sur les blessures evitables, de la distraction au volant aux chutes chez les personnes agees, en passant par la violence conjugale L'accent est egalement mis sur les menaces et les interventions tactiques des civils, des vehicules utilises comme armes de destruction massive a un nouvel organigramme de la methodologie d'evaluation a distance Composants dynamiques du programme Le manuel principal de PHTLS, Neuvieme edition est la ressource definitive en matiere de traumatologie. Il presente en detail les preuves medicales sous-tendant les principes et pratiques recommandes dans le cours PHTLS. La prochaine etape de l'evolution du programme PHTLS sera un nouveau manuel de cours PHTLS qui accompagnera le manuel principal. Il renforce et clarifie les concepts cles du cours, a une presentation agreable et interactive et est redige de facon a ce que vous ayez l'impression de participer a une conversation, plutot qu'a un cours magistral.

This volume provides fresh insights and management understanding of the changing role of the ambulance services against the backdrop of massive cuts in health budgets around the world and the changing context of pre-hospital care within the wider healthcare networks. The challenges of funding, training and cultural transformation are now felt globally. The need to learn and adapt from suitable models of ambulance service delivery have never been greater. The book offers critical insights into the theory and practice of strategic and operational management of ambulance services and the leadership needs for the service. One of the highlight of this volume is to bring together scholarship using experts- academics, practitioners and professionals in the field, to each of the chosen topics. The chapters are based in the practical experiences of the authors and are written in a way that is accessible and suitable for a range of audiences. We are confident that this book will cater to a wider audience to inform policy and practice, both in the UK and internationally. Paresh Wankhade is Professor of Leadership and Management at Edge Hill University, UK Kevin Mackway-Jones is the Medical Director at North West Ambulance Service NHS Trust, UK Endorsements "This unique and valuable publication, charts the history and development of the ambulance service in England over the last hundred years or so. The role of this key emergency service has always been important, and arguably never more so than today. The contributing authors have not only provided the reader with great insights into where the service has come from and the leadership challenges it has, and continues to face; it also gives examples of how the future could look as our journey of transformation continues." Peter Bradley CBE, MBA (and author of Taking Healthcare to the Patient 2005), Chief Executive Officer. St John National Headquarters, New Zealand "With a year on year increase in demand for emergency ambulances and over 9 million calls annually, the UK Ambulance Service must change from its emergency care and transport focus model. With the increase in professionalism of paramedics and an uplift in assessment and clinical skills the modern paramedic is increasingly able to treat at home, direct patients with alternative care pathways and avoid transportation to overburdened Emergency Departments. Whilst there is some historical and cultural resistance to change there is a need for further development in clinical skills and a new perspective for the future Ambulance Service. This book brings together practitioners, managers, academics and provides a broad understanding of the major management issues in the UK Ambulance Service. It includes the history of the Ambulance Service, quality and risk management issues, commissioning, leadership, intra-operability and shape of the future ambulance service. The content will be of interest to students, practitioners and academics". Sir Keith Porter, Professor of Clinical Traumatology, University Hospitals Birmingham NHS Foundation Trust, United Kingdom

Recurrent pregnancy loss (RPL) includes recurrent first- and second-trimester abortions and recurrent preterm delivery, second- or third-trimester intrauterine fetal death, intrapartum stillbirth, and early neonatal death. This book includes protocols for case scenarios of early and late pregnancy loss as well as instances of poor obstetric history. Key Features Explores the management of different clinical presentations of RPL Includes preeclampsia, intrahepatic cholestasis of pregnancy, and hypertension-related disorders in pregnancy Includes clinical protocols with flowcharts Features tip boxes with learning points for easy reference

Obstetric emergencies are unplanned and often unanticipated. Management requires a clear understanding of the life-saving and damage-limiting treatments that can be implemented.

Until the past decade, clinicians and researchers assumed that the medical evaluation and treatment of both women and men were the same. This archaic and dangerous notion persisted in spite of the clear anatomic and physiologic differences between the genders. Today, we fully understand that this paradigm is false. In all specialties of medicine, practitioners and researchers are beginning to consider the influence of sex and gender and how it should inform the care of their patients. This book focuses on the issue of sex and gender in the evaluation and treatment of patients specifically in the delivery of acute medical care. It serves as a guide both to clinicians interested in the impact of sex and gender on their practice and to researchers interested in the current state of the art in the field and critical future research directions.

The primary goals of this brief are to invoke alertness and solidarity among the public in earthquake prone areas of India, and to empower the community to prepare themselves to face and manage the aftermath of an earthquake. The work presented here sheds new light on the action plans to be taken by the common public and public agencies, before, during and after earthquakes to safeguard lives of people and minimize loss of assets. This carefully presented book articulates various factors related to earthquake preparedness, and develops guidelines and useful tips for communicating them to relevant stakeholders. The book has been divided into three parts: (i) the first providing background which explains earthquakes in general and seismicity of India (ii) the second explores earthquake preparedness intended for individuals, families and various stakeholders, and (iii) the final section which describes various strategies for communities to prepare themselves for a future earthquake.

This issue of Emergency Medicine Clinics, Guest Edited by Dr. Laura Bontempo and Dr. Jan Shoenberger, is devoted to Ear, Nose, and Throat Emergencies. Topics in this issue include: Infections of the Ear; Sinusitis; Infections of the Oropharynx; Infections of the Neck; Peripheral Vertigo; Epistaxis; Soft Tissue Disorders of the Mouth; Dental Emergencies; Foreign Bodies; Tracheostomy Emergencies; Traumatic Injuries of the Ear, Nose, and Throat; and Facial Fractures.