This workbook addresses the vital questions helpers, responders, and organizations have about self-care and its relationship to resilience and sustained effectiveness in the midst of daily exposure to trauma victims and or situations. Packed with activities, worksheets, and interactive learning tools, the text provides neuro-based and trauma-sensitive recommendations for improving the ways clinicians care for themselves. Each 'session' helps clinicians identify their personal self-care needs and arrive at an effective self-care plan that promotes resilience in the face of daily exposure to trauma-inducing situations and reduces the effects of compassion fatigue and burnout. Reducing Compassion Fatigue, Secondary Traumatic Stress, and Burnout is an essential workbook for any helper or organization looking to enhance compassionate care.

Effective drug administration is a crucial skill for any practitioner working in the critical care unit. This book, in providing a concise account of the fundamental principles of pharmacology and pharmacokinetics, equips the critical care physician for such a task. In addition to the principles of pharmacology and pharmacokinetics, this volume alerts the reader to factors that affect drug action such as disease, pregnancy and age, and advises on how to adjust drug dosages accordingly. The specialist therapeutics covered comprise drugs targeting the gastro-intestinal tract, sedation, non-opioid analgesia and opiates. A quick and easy reference, this volume will prove a valuable asset for both trainees and fully qualified practitioners in critical care.

* Applies psychoanalytic thinking to the relatively new diagnosis of Complex PTSD * Draws on the work of the highly respected Tavistock Trauma Service * Offers cutting edge theory and clinical guidelines on working with complicated traumas

The care of the critically ill or injured child begins with timely, prompt, and aggressive res- citation and stabilization. Ideally, stabilization should occur before the onset of organ failure in order to achieve the best possible outcomes. In the following pages, an international panel of experts provides an in-depth discussion of the early recognition, resuscitation, and stabilization of the critically ill or injured child. Once again, we would like to dedicate this textbook to our families and to the physicians and nurses who provide steadfast care every day in pediatric intensive care units across the globe. Derek S. Wheeler Hector R. Wong Thomas P. Shanley V Preface to Pediatric Critical Care Medicine: Basic Science and Clinical Evidence The ? eld of critical care medicine is growing at a tremendous pace, and tremendous advances in the understanding of critical illness have been realized in the last decade. My family has directly bene? ted from some of the technological and scienti? c advances made in the care of critically ill children. My son Ryan was born during my third year of medical school. By some peculiar happenstance, I was nearing completion of a 4-week rotation in the newborn intensive care unit (NICU). The head of the pediatrics clerkship was kind enough to let me have a few days off around the time of the delivery-my wife, Cathy, was 2 weeks past her due date and had been scheduled for elective induction.

The ? eld of critical care medicine is in the midst of a dramatic change. Technological and s- enti? c advances during the last decade have resulted in a fundamental change in the way we view disease processes, such as sepsis, shock, acute lung injury, and traumatic brain injury. Pediatric intensivists have been both witness to and active participants in bringing about these changes. As the understanding of the pathogenesis of these diseases reaches the cellular and molecular levels, the gap between critical care medicine and molecular biology will disappear. It is imperative that all physicians caring for critically ill children in this new era have a th- ough understanding of the applicability of molecular biology to the care of these patients at the bedside in order to keep up with the rapidly evolving ? eld of critical care medicine. To the same extent, the practice of critical care medicine is in the midst of fundamental change. In keeping with the Institute of Medicine's report "Crossing the Quality Chasm," the care of critically ill and injured children needs to be safe, evidence-based, equitable, ef? cient, timely, and fami- centered [1,2]. In the following pages, these changes in our specialty are discussed in greater scope and detail, offering the reader fresh insight into not only where we came from, but also where we are going as a specialty.

Promoting Resilience offers a fresh perspective that views resilience through a sociological lens, emphasizing the significance of loss issues and highlighting a range of practice implications across a wide range of fields. Drawing on the expertise of a wide range of contributors, the book provides a solid foundation for developing a fuller and more holistic picture of the many challenges associated with promoting resilience. Chapters present a range of sociological perspectives that cast light on trauma and vulnerability. Combining theoretical richness with practical insights, chapter authors bring a sociological lens to enrich understanding of loss and adversity. This volume offers a bedrock of understanding for students, clinicians, and researchers who want to extend and deepen their knowledge of the sociological aspects of overcoming life challenges.

Brain injury is a worldwide leading cause of mortality and morbidity and requires early and appropriate management to minimize these adverse sequelae. Despite such needs, access to specialist centers is limited, forcing both immediate and secondary care of these patients onto generalist staff. These responsibilities are made more problematical by differences in patient management between and even within specialist centers, due in part to an insuffcient evidence-base for many interventions directed at brain injury. This book is borne out of the above observations and is targeted at em- gency and acute medicine, anesthetic and general intensive care staff caring for brain injury of diverse etiology, or surgical teams responsible for the inpatient care of minor to moderate head trauma. Although explaining the various facets of specialist care, the book is not intended to compete with texts directed at neurosciences staff, but aims to advise on optimal care in general hospitals, including criteria for transfer, by a combination of narrative on pathophysiology, principles of care, templates for documentation, and highly specifc algorithms for particular problems. It is intended that the content and structure can form the basis of guidelines and protocols that refect the needs of individual units and that can be constantly refned. Our ultimate goal is to promote informed, consistent, auditable, multidisciplinary care for this cohort of patients and we hope that this text contributes to that process.

Over three decades ago, PHTLS: Prehospital Trauma Life Support transformed the assessment and management of trauma patients in the field. Throughout the years and across the globe, the PHTLS course has improved the quality of trauma patient care and has saved lives. The ninth edition of this trusted and reliable resource continues the PHTLS mission to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care through global education. This legendary program was 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). Its medical content is continuously revised and updated to reflect current, evidence-based knowledge and practice. PHTLS promotes critical thinking as the foundation for providing quality care. It is based on the belief 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. PHTLS: Prehospital Trauma Life Support, Ninth Edition 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 any delays in initiating transport to an appropriate destination. Dynamic Technology Solutions World-class content joins instructionally sound design with a user-friendly online interface to give instructors and students a truly interactive and engaging learning experience with: * eBook of the PHTLS Course Manual that reinforces key concepts presented in the PHTLS course

Addressing the region of the upper extremity, this practical reference features contributions from 17 specialists and supplies state-of-the-art descriptions of diverse fractures, treatment approaches and surgical options. It also includes a chapter on nonunions of the upper extremity.

The terrorist act with sarin gas in the Tokyo underground and the case with the spread of anthrax spores through the U.S. postal system stimulated the development of orga- zation of fight against terrorism on a national and global level. The goal of this wo- shop was assessment of scientific concepts and practical means for management of chemical and biological agents casualties in the area of terrorist attacks with emphasis on improving the problems and situation in Eastern European Countries. In this book are included the results of both theoretical and practical research of chemical and biological terrorism presented during the workshop. Different trends of research to fight against terrorism on both local and governmental level including some Eastern European countries are discussed. The scientific articles are grouped into those areas: - New approaches in counteraction to chemical and biological terrorism - Medical treatment and decontamination of casualties from chemical and biological agents - Diagnosis of exposure to chemical and biological agents - Development of protection against injuries from chemical and biological agents In these articles the following are emphasized: - Some aspects of national and global defense against chemical and biological terrorism - National action plans and global agreements on combating terrorism - The characteristics of the major specific injuries connected with chemical and biological terrorism - Threats of terroristic attacks - Epidemiological and clinical peculiarities, ways of diagnosing, medical tre- ment and preventive health care measures These problems are analyzed from an interdisciplinary perspective.

Fundamentals of Frontline Surgery is an easy to read text, written by world class faculty, that provides clinicians with succinct and didactic information about what to do in high intensity, resource limited situations.With global conflicts and humanitarian emergencies on the rise, there has been a dramatic uptake in the number of volunteers for both military and humanitarian operations. This manual aids best practice and fast decision making in the field.

Mastering Emergency Medicine is a concise, revision-focused textbook that covers everything that candidates need to know in order to pass the College of Emergency Medicine's (CEM) membership examination (MCEM) to enter training, and to the pass fellowship examination (FCEM) to complete the Certificate of Specialist Training. With over 100 OSCE scenarios designed to stimulate everyday emergency department clinical encounters, Mastering Emergency Medicine covers all the key areas of the CEM syllabus, including: clinical examinations and practical skills, communication skills, teaching and management. This book takes a practical approach to the subject - core facts are presented and common scenarios are explored using an OSCE style, as used in the Part C MCEM and the FCEM examinations - which makes it an invaluable blueprint for management of cases. Closely linked to the current CEM syllabus, each chapter comprises three parts: Core topics that supplement revision for Part A and B. Clinical scenarios, including data and relevant practical skills that can be used to prepare for Parts B and C. Mock 'Scoring Scenarios' that give specific guidance on how to perform in OSCEs. Mastering Emergency Medicine is a highly detailed revision guide for the OSCE examinations and an essential study guide for all those who are preparing for the MCEM or FCEM examinations. It will also be useful to those who are wishing to pursue a career in Acute Medicine.

More than 20 years ago it was recognized by Stoutenbeek and colleagues that patients in the intensive care unit suffered from infections developed whilst being treated. Moreover, the majority of these infections appeared to originate from bacteria that were acquired in the intensive care leading to pathologic colonisation and overgrowth in the gut, subsequently leading to organ site infections. Selective decontamination of the digestive tract (SDD) is an antibiotic strategy which aims to prevent secondary infections in critically ill patients. This book provides both the scientific rationale and the practical approach to nurses, physicians, pharmacists and microbiologists to design a SDD treatment strategy tailored to each individual patient and the local hospital situation.

The forensic nurse has a powerful role in medical-legal investigations. Going beyond the nurse's traditional role, forensic nurses are often at the forefront of evidence collection and preservation. They can maintain an evidentiary chain of custody, testify as an expert witness in a court of law, care for victims, assist victims' families, and work with the community and law enforcement by providing educational programs. Forensic Nursing: A Concise Manual presents practical information directed at the range of activities that forensic nurses perform, offering guidelines for examining and correlating medical, psychological, ethical, and legal data specific to victims. The First Forensic Nursing Text to Offer a Full Range of Instructor's Materials The book begins with an introduction to the fields of forensic nursing and forensic science. It discusses crime scene and death investigation, evidence collection, autopsies, legal issues, and ethics. It examines the nursing process as an organizational tool for identifying both the medical needs of the victim and the legal aspects of crime scene investigation. The authors pinpoint the role of the forensic nurse in an array of incident scenarios, including nursing home death, excited delirium syndrome, blunt and sharp force injuries, gunshot wounds, asphyxia, child abuse, sexual assault, and intimate partner violence. They also explore human trafficking and the forensic nurse's role in mass disasters. Lastly, the book provides emergency room recommendations, discusses profiling and forensic anthropology, and offers guidance on working with grieving family members. Using a succinct outline format, the text is complemented by illustrative flowcharts and references in each chapter for further study. With contributions by notable forensic specialists, this volume shows the potential of this exciting new field and demonstrates how forensic nurses can make a difference in their communities and their profession.

Noninvasive Positive Pressure Ventilation offers practical, evidence-based advice from experienced authors on the selection of appropriate patients, equipment and techniques used in the initiation of noninvasive positive pressure ventilation (NPPV). It discusses how to anticipate and resolve possible problem scenarios, and how to implement and monitor NPPV programs both in hospitals and in the patient''s home.

Defined as ventilatory assistance given without the need for an invasive airway, NPPV is often preferred over invasive mechanical ventilation because it is more convenient to use, more comfortable for the patient, and avoids complications of invasive mechanical ventilation including upper airway trauma, nosocomial pneumonias, sinusitis and sepsis. However, recipients of NPPV must be carefully selected and considerable skill and experience are necessary for successful implementation. This book aims to provide readers with knowledge that will contribute to that success.

Noninvasive Positive Pressure Ventilation will inform pulmonary internists and pediatricians, pulmonary physiatrists and physicians, nurses and respiratory therapists who are involved in the management of patients with respiratory failure, critical care physicians and nurses, and trainees and students who have an interest in mechanical ventilation.

As a result of arms control efforts over the past 50 years, nuclear material is subject to strict national controls and tough international treaties. But there are still almost no controls, other than a voluntary International Atomic Energy Agency code of conduct, on the sorts of radiological sources used to make radiological dirty bombs. Radiological sources are used all over the world for a wide range of peaceful purposes, including smoke detectors, medical devices, meteorology, mining and thermoelectric generators. There are at least eight million identified radiological sources worldwide. Their small size, portability and high value make them vulnerable to misuse and theft: the IAEA reported 272 cases of illicit trafficking in sealed radioactive sources between 1993 and 2002.

The IAEA estimates that 110 countries worldwide still fail to impose adequate controls. The time is ripe for an international convention and treaty on the safety and security of radiological sources.

This book covers expert discussions designed to enhance cooperation and assistance between NATO and Partner countries in support of International Atomic Energy Agency (IAEA) efforts to secure radioactive sources against the threat of terrorism and also to support the security agenda at the International Radiation Protection Association Congress in Buenos Aires in 2008.

In the Handbook of Injury and Violence Prevention, over fifty experts present the current landscape of intervention methods - from risk reduction to rethinking social norms - as they address some of the most prevalent forms of accidental and violent injury.

- Overview chapters examine the social and economic scope of unintentional and violent injury today

- Extensive literature review of specific intervention programs to prevent violence and injury

- Special chapters on childhood injuries, alcohol-related accidents, and disasters

- "Interventions in the Field" section offers solid guidelines for implementing and improving existing programs

- Critical analysis of issues involved in delivering programs to wider audiences

- Helpful appendices list relevant agencies and professional resources

This dual focus on intervention and application makes the Handbook a bedrock text for professionals involved in delivering or managing prevention programs. Its what-works-now approach gives it particular utility in the graduate classroom, and researchers will benefit from the critical attention paid to knowledge gaps in the field. It is a major resource for any reader committed to reducing the number of incidents just waiting to happen.

Developed to improve patient safety during labor and delivery, the OB F.A.S.T. (Obstetrical Feasible Approach to Safety Training) simulation program is a proven, award-winning resource is designed for all members of the interdisciplinary obstetrics team to use together. Written by Dr. Giancarlo Mari, who developed the program and currently trains providers around the U.S. and the world, this volume helps teams strengthen their common knowledge of obstetric emergencies. This knowledge is then applied to rehearse emergencies together and prepare team members to provide a safe labor and delivery experience for every mother and child. Features easy-to-follow images and diagrams to reinforce team knowledge of common obstetric emergencies, from cardiac arrest and anesthesia considerations to intrapartum fetal monitoring and amniotic fluid embolism. Offers suggestions for how to run a simulation drill, as well as key points for debriefing and documentation. Includes essential background information to facilitate quick reference and skills checklists to evaluate team performance. Designed for every member of the obstetric team - from those who are new to the field to practitioners with years of experience.

Verbrennungen kommen haufig vor, meist als Folge eines Unfalls. Manche Wunden heilen spontan, andere mussen in einem Brandverletzten-Zentrum versorgt werden. Dieses Kompendium bietet einen schnellen Uberblick uber den aktuellen Wissensstand zur Diagnose und Therapie von Verbrennungen. Erstversorgung, Flachen- und Tiefenbestimmung, chirurgische Versorgung, Haut und Hautersatz sind nur eine kleine Auswahl der behandelten Themen. Das Buch richtet sich an alle Berufsgruppen, die Verbrennungen behandeln, ob als Notarzt, Chirurg oder Pflegekraft.

This volume provides an evidence base for clinical practice specific to traumatic brain injury (TBI) sustained during childhood, using a biological-psychosocial conceptual framework. Unlike previous books that have focused on a particular aspect of pediatric TBI, such as assessment or intervention, this book covers a broad scope of topics that offers the reader a comprehensive outlook on the characteristics and repercussions of pediatric TBI, from the time of the accident and throughout the lifespan.

The book takes a clinical perspective incorporating current and past research and evidence regarding advances that have occurred in areas such as outcomes, predictors, medical technology, and rehabilitation post-TBI. The topics are illustrated with past and current research, as well as a range of clinical case studies.

The volume is invaluable to established and new clinicians and researchers, graduate students and postdoctoral fellows who work in the field of pediatric TBI field, including psychologists, neuropsychologists, physical therapists, occupational therapists, speech therapists, nurses, social workers, psychiatrists, neurosurgeons, neurologists, geneticists, educators, pediatricians, rehabilitationists, and representatives from the legal profession.

Improving standards of care is a real challenge in Intensive Care Medicine. Bettering clinical performance, patient safety, risk management and audit represents the cornerstone for raising the quality of care in ICU patients. Communication is the platform from where to start to reach a consensus in an extremely crowded area, a unique multidisciplinary and multiprofessional environment in which quality of care and, ultimately, patient survival need to be ameliorated.

Hace mas de tres decadas, PHTLS: Soporte Vital de Trauma Prehospitalario transformo la evaluacion y manejo del trauma en el campo. A lo largo de los anos y alrededor del mundo, el curso de PHTLS ha mejorado la calidad de la atencion al paciente de trauma y ha salvado vidas. La novena edicion de este confiable y fidedigno recurso continua con la mision de PHTLS de promover la excelencia en el manejo de pacientes con trauma por parte de los proveedores involucrados en proporcionar la atencion prehospitalaria mediante la educacion global. Este legendario programa fue desarrollado por primera vez por la Asociacion Nacional de Tecnicos en Emergencias Medicas (National Association of Emergency Medical Technicians, NAEMT), a principios de la decada de los ochenta del siglo pasado con la cooperacion del Comite para el Trauma del Colegio Americano de Cirujanos (American College of Surgeons Committee on Trauma, ACS-COT). Su contenido medico se revisa y actualiza en forma continua para reflejar lo ultimo y mas actualizado del conocimiento y la practica con base en la evidencia. El PHTLS promueve el pensamiento critico como fundamento para proporcionar una atencion de calidad. Basandose en la creencia de que los profesionales de los servicios de emergencias medicas toman las mejores decisiones en beneficio de sus pacientes cuando se les proporciona una base solida de conocimiento y principios clave para estimular sus habilidades de pensamiento critico. Un enfoque claro para evaluar al paciente de trauma En el campo, los segundos cuentan. PHTLS: Soporte Vital de Trauma Prehospitalario, novena edicion ensena y refuerza los principios para evaluar con rapidez al paciente con trauma usando un enfoque ordenado, tratando de inmediato los problemas que ponen en riesgo la vida conforme se van identificando y minimizando cualquier retraso para iniciar transporte a un destino adecuado. Soluciones de tecnologia dinamica El contenido de clase mundial se une al diseno instructivo con una interfaz en linea facil de usar para proporcionar a los instructores y estudiantes una medio de realmente interactivo con una atractiva experiencia de aprendizaje con: * E-book del Manual del curso PHTLS que refuerza los conceptos clave presentados en el curso del PHTLS.

International terrorism remains a significant threat to the peace of the world. Weapons using various materials and delivery systems have been directed against cities and infrastructure, and other materials are postulated to be usable within the near future. Some of these materials are unusual or exotic, while some are modifications of materials used daily for other purposes: biological, chemical, radiological, nuclear and explosive. These materials pose a safety challenge for first responders, slowing the response and potentially killing scarce trained personnel. This book provides information about how leading agencies across the NATO membership are preparing to confront and respond to terrorists deploying Weapons of Mass Destruction (WMD), Weapons of Mass Killing (WMK) and Weapons of Mass Disruption (WMDi). Based on contributions by experts from NATO member states, Israel and the Russian Federation, this book offers information on fourth generation warfare as a new challenge to first responders. It also provides a variety of insights into methods for preparing for and responding to WMD-, WMK-, and WMDi-events, using new technologies and strategies. Furthermore, the book offers solution for restoring the community to functioning after such a major terror attack. Topics include preparing, planning, operations, equipment, training and unique applications of existing technologies for countering terrorist attacks against cities and their infrastructure.

PTSD is more usually considered as an adult disorder: this volume concentrates on children and adolescents. The introductory chapters are followed by a chapter on assessment and several chapters on treatment. The issues of clinical management in some of the important ecological contexts such as family and school, and aetiological contexts such as refugee status and child abuse, are discussed in further detail. Then a variety of treatment approaches are clearly described. The book is aimed at teachers, practitioners and researchers in child psychiatry, clinical child psychology, educational psychology, social work, paediatrics, and occupational therapy.