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Books > Medicine > Other branches of medicine > Accident & emergency medicine
In this issue of Infectious Disease Clinics of North America, guest editors Drs. Rachel Bender Ignacio and Rajesh T. Gandhi bring their considerable expertise to the topic of COVID-19 Infection. The evolving virology, wide range of symptoms, long-term health issues, mortality rate, effect on hospitals, and high transmission rate have made COVID-19 one of the worst health crises in recent times. In this issue, top experts in the field address key issues such as diagnostic testing, COVID-19 in pediatrics, post-acute sequelae, infection control, and much more, aiming to arm clinicians with the information they need to combat this deadly infection. Contains 15 relevant, practice-oriented topics including COVID-19 and global pandemic response, SARS CoV-2 transmission and prevention, COVID-19 Vaccines, COVID-19 treatment, equity and racial/ethnic disparities, and more. Provides in-depth clinical reviews on COVID-19, offering 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 clinically significant, topic-based reviews.
Mild traumatic brain injury can happen to anyone, anytime; in cars, sports, or workplace accidents, falls, or through physical assault, including domestic violence and shaken-baby syndrome. The National Center for Injury Prevention and Control estimates that 1.4 million Americans sustain a traumatic brain injury (TBI) each year, and that at least 5.3 million Americans currently have long-term or lifelong need for help to perform activities of daily living as a result of a TBI. "Brainlash" provides the tools and facts to make the recovery process more intelligible-- and to support the wide range of people affected by MTBI. For patients, family members, physicians and other health care providers, attorneys, health insurance companies, employers and others, it covers options and services, health and vocational issues, medicolegal topics, psychological and emotional implications, and more
Offering a comprehensive review of the field from basic scientific concepts to assessment and treatment strategies, this reference provides an excellent understanding of the epidemiology, diagnosis, and prevention of acute and chronic wounds-analyzing the latest research from some of the most experienced clinicians and scientists in the field, as well as promising therapies for wound evaluation and care.
Emotion-focused therapy is a research-informed psychological therapy that to date has mainly been studied in the context of depression, trauma and couple distress. The evidence suggests that this therapy has a lasting and transformative effect. Ladislav Timulak presents EFT as a particular therapeutic approach that addresses psychological human suffering, offering a view that puts more emphasis on attending to the distress, rather than avoiding or suppressing it. Focusing on the latest developments in EFT, Transforming Emotional Pain in Psychotherapy presents a theory of human suffering and a model of therapy that addresses that suffering. The model of suffering assumes that the experienced emotional pain is a response to an injury that prevents or violates the fulfilment of the basic human needs of being loved, safe, and acknowledged. This book focuses on a particular way of transforming emotional pain in psychotherapy through: helping the client to tolerate the pain; assisting the client to identify the core of the difficult emotional experiences; identifying the needs connected to the core pain which are unmet or being violated, and responding (with compassion and protective anger) to the underlying needs of the client that transforms the original pain. Transforming Emotional Pain in Psychotherapy provides an account of how emotional pain can be conceptualised and how it can be addressed in therapy. It provides practical tips for therapists working with emotional pain and shows how it can then be made more bearable and transformed allowing the client to be more sensitive to the pain of others, and to seek support when needed. This book will be essential reading for clinical and counselling psychologists, psychotherapists and counsellors in practice and training, as well as for fully qualified professionals undergoing further training in EFT.
Interpreting the fluid requirements of a patient and working out what to do next can seem like a daunting task for the non-specialist, yet it is a skill that any doctor, nurse or paramedic needs to be fully appraised of and comfortable with. Making Sense of Fluids and Electrolytes has been written specifically with this in mind, and will help the student and more experienced practitioner working across a variety of healthcare settings to understand why fluid imbalance in a patient may occur, to assess quickly a patient's fluid needs through a thorough clinical assessment and to develop an effective management plan. Reflecting the latest guidelines, this practical, easy-to-read and easy-to remember guide will be an invaluable tool to aid speedy and appropriate management in emergency situations, on the ward and in the clinic.
Nunn's Applied Respiratory Physiology, Ninth Edition, is your concise, one-stop guide to all aspects of respiratory physiology in health, disease, and in the many physiologically challenging situations and environments into which humans take themselves - coverage is from basic science to clinical applications. Trusted for over 50 years, this most comprehensive single volume on respiratory physiology will prove invaluable to those in training or preparing for examinations in anaesthesia, intensive care, respiratory medicine or thoracic surgery - as well as an essential quick reference for physiologists and the range of practitioners requiring ready access to current knowledge in this field. Now fully revised and updated, this ninth edition includes a larger page format for improved clarity, as well as full access to the complete, downloadable eBook version. This incorporates BONUS chapters, handy topic summaries, interactive self-assessment material and a NEW series of expert lectures on key topics. The result is a more flexible, engaging and complete resource than ever before. Enhancements to this edition include: A new dedicated chapter on obesity - covering the effects of this global challenge on the physiology of the respiratory system in health and disease, in both adults and children Expanded coverage of the adverse effects of hyperoxia - including the physiology of the now popular technique of high-flow nasal therapy A revised section on air pollution - reflecting the growing importance and understanding of the impact of pollution on the lungs and other body systems, along with the latest worldwide guidelines Detailed coverage of artificial ventilation during general anaesthesia - covering post-operative respiratory complications and the physiological basis of current best-practice for optimizing ventilation Print comes with enhanced eBook - includes access to the complete, fully searchable text, PLUS: bonus chapters handy chapter summaries interactive self-assessment material a NEW series of 25 expert lectures focusing on the most essential topics in respiratory physiology
The day-to-day responsibility for wound management is a role usually undertaken by nurses. It includes assessing the wound, selecting an appropriate treatment, and evaluating the patients' progress. In order to do this effectively the nurse needs to understand the healing process, recognize the factors which may delay wound healing, understand how wound healing can be optimized, know how to recognize complications if they arise and know how to treat them. This text, specifically written for community nurses, including practice nurses, provides a picture of wound healing for both acute and chronic wounds that may be encountered in a community setting. An overview of the function of the skin and phases of wound healing are examined prior to looking at the relationship between wound healing and the patients' health and lifestyle. The reference is written in a question-and-answer format, and includes relevant case studies.
While critical care pharmacology and technology have become widely available, paediatricians and primary care physicians must frequently deal with critically ill children in understaffed hospitals. Those who represent the first line of care know that the first hours of treatment to a critically ill child have a significant impact on the outcome. This introductory overview of paediatric critical care is written for medical students, paediatric residents, and residents from other disciplines who rotate through paediatric ICU. In addition to covering PICU topics, this tome reviews the initial management and stabilization of critically ill children. Management of life-threatening situations to critically ill children that are also reviewed in this book include respiratory failure, cardiovascular collagse, status epilepticus, status asthmaticus, upper airway obstructions, toxic ingestions, and sepsis. This easy-to-read manual outlines basic concepts of paediatric ICU and makes for easy reading in a night on call. while also satisfying the requirements for a quick reference text that can help the unsuspecting health care worker in an emergency, its engaging presentation motivates readiness for critical care.
"Psychological Trauma" reviews the theory of traumatic exposure as a major factor in psychological disorders like PTSD. It also addresses the differing outcomes of such exposure as well as exciting treatment options for patients. Some highlights from this volume of the 1998 Review of Psychiatry series include: - Complete coverage of the neurological damage from exposure to trauma.- A thoughtful discussion of the reasons some rape survivors suffer from chronic PTSD.- An established connection between PTSD and anxiety disorders and depression.- New uses of pharmacotherapy for patients suffering from PTSD. The understanding of the connection between trauma and PTSD, is a continuing challenge for physicians. While many patients suffer from the disorder, it is still not commonly understood. "Psychological Trauma" provides psychiatrists and psychologists accessible and reliable information on the topic.
Disaster Mental Health Case Studies is a riveting collection of case studies by master clinicians that reveal how disaster mental health interventions must be tailored to meet the needs of survivors. Each unique case study is structured to give the reader an introduction to the community affected pre-disaster; a glimpse into the thought processes of the disaster mental health responders pre- and post-disaster; and a reflective selection of lessons learned as a result of the experiences. The 17 case studies offer the reader: Guidance on how to develop an empathic approach to disaster mental health response; Exposure to a diverse sample of disaster contexts, including naturally-occurring disasters, human-caused disasters, and disasters which occurred in an international setting; An understanding of the strategic approaches needed for disaster mental health service response, as well as an appreciation of the need for self-care when responding; A grounded and accessible writing style, bookended by chapters from the editors which thematically link and analyze the case studies. Offering a rare and compelling view into the challenges, tragedies, pain, frustrations, and grief at the heart of disaster mental health work, this must-have collection is tailored to appeal to students of mental health and counseling, psychology, and social work; and working mental health professionals who would like to learn directly from experienced responders.
The Annual Update compiles reviews of the most recent developments in experimental and clinical intensive care and emergency medicine research and practice in one comprehensive book. The chapters are written by well recognized experts in these fields. The book is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.
Therapists and counsellors, in training and practice, will welcome this concise and practical introduction to the TIR approach for helping clients with PTSD and other human traumas. The book is application-based, providing a step-by-step guide from initial assessment to the last counselling session, illustrated with many examples from actual sessions. TIR is a person-centred, structured approach which can
This and over 60 other easily memorised phrases are the starting
points for Resuscitation Rules. Their accompanying short texts
provide a core of authoritative information that can be mentally
retained and acted upon in emergency situations. This pocket sized guide contains succinct rules on the
fundamentals of resuscitation, together with helpful line
illustrations, for use in the most commonly encountered
situations. Contents include: In line with the current European Resuscitation Council guidelines, the rules are an invaluable support for doctors, nurses and ambulance staff who are called upon to provide resuscitation both in-hospital and pre-hospital.
Post-traumatic stress disorder (PTSD) has received considerable attention over the last few years, yet there is still ongoing debate concerning its causes and possible treatment. Students, practitioners and researchers in health psychology, clinical psychology, social work, psychiatry, and counselling will appreciate this interesting synthesis of concepts and knowledge in post-traumatic stress studies. Offering an innovative contribution to the field, the authors show that post-traumatic stress reactions are not caused by the traumatic event alone, but that psychosocial factors play a vital part for individual outcomes. An understanding of the role of these psychosocial factors in the development of PTSD will enable clinicians to improve therapeutic intervention. This book provides that understanding by drawing on existing theories to present an integrative model of psychosocial adaptation to trauma. This model can then be applied to understanding and treating reactions to a broad range of stressful events. Case studies throughout the book help illustrate the theoretical issues as well as the treatment aspects.
This book presents the principles of hand trauma and plastic reconstructive surgery in a clear and concise manner. Its aim is to instruct the reader on how to identify the priorities of treatment and, using the principles of therapy, select the appropriate treatment modalities. Part one presents the principles of burns and plastic surgery, followed by an explanation of the roles of the multidisciplinary team. Part two explores the role of the physiotherapist and includes the principles of hand therapy, assessment and treatment modalities. Treatment rationales are referenced with the available evidence and aspects that lack evidence are highlighted, with the intention of stimulating further investigation. In order to clarify and reaffirm essential parts of the text, key point boxes are provided regularly throughout the book.
Americans have long been asked to support the troops and care for veterans' psychological wounds. Who, though, does this injunction serve? As acclaimed scholar Nadia Abu El-Haj argues here, in the American public's imagination, the traumatized soldier stands in for destructive wars abroad, with decisive ramifications in the post-9/11 era. Across the political spectrum the language of soldier trauma is used to discuss American warfare, producing a narrative in which traumatized soldiers are the only acknowledged casualties of war, while those killed by American firepower are largely sidelined and forgotten. In this wide-ranging and fascinating study of the meshing of medicine, science, and politics, Abu El-Haj explores the concept of post-traumatic stress disorder and the history of its medical diagnosis. While antiwar Vietnam War veterans sought to address their psychological pain even as they maintained full awareness of their guilt and responsibility for perpetrating atrocities on the killing fields of Vietnam, by the 1980s, a peculiar convergence of feminist activism against sexual violence and Reagan's right-wing "war on crime" transformed the idea of PTSD into a condition of victimhood. In so doing, the meaning of Vietnam veterans' trauma would also shift, moving away from a political space of reckoning with guilt and complicity to one that cast them as blameless victims of a hostile public upon their return home. This is how, in the post-9/11 era of the Wars on Terror, the injunction to "support our troops," came to both sustain US militarism and also shields American civilians from the reality of wars fought ostensibly in their name. In this compelling and crucial account, Nadia Abu El-Haj challenges us to think anew about the devastations of the post-9/11 era.
A comprehensive guide to the Final FRCEM examination, OSCE Revision for the Final FRCEM covers over 100 topics in emergency medicine. It is mapped to the curriculum for the Royal College of Emergency Medicine, and is structured by the domains in the syllabus. Ideal for helping you practice in pairs or groups, each topic starts with a clinical situation for the candidate, instructions for an actor or revision buddy, and a mark sheet so you can score yourself effectively against the FRCEM criteria. Each question contains a pie chart to demonstrate how the marks will be assigned so you know where to focus your efforts. Topics include learning points so you can learn about the nuances of the stations and improve your answer next time. References to guidelines or evidence-based rules are included to further your study. Written by a team of authors who have successfully passed their FRCEM examination, OSCE Revision for the Final FRCEM will give you all the essential tips, insights, and guidance you need for thorough exam preparation.
This practical resource has easily accessed emergency management plans to deal with critical conditions in obstetric care, in which maternal health or life is threatened. Decision algorithms and summary boxes are featured throughout for ease of reading.
For more than 30 years, the highly regarded Secrets Series (R) has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Emergency Medicine Secrets, 7th Edition, offers practical, up-to-date coverage of the full range of essential topics in this dynamic field. This highly regarded resource features the Secrets' popular question-and-answer format that also includes lists, tables, pearls, memory aids, and an easy-to-read style - making inquiry, reference, and review quick, easy, and enjoyable. The proven Secrets Series (R) format gives you the most return for your time - succinct, easy to read, engaging, and highly effective. Fully revised and updated throughout, including protocols and guidelines that are continuously evolving and that increasingly dictate best practices. New chapter on Professionalism and Social Media Applications. Expanded coverage of cost-effective emergency medicine, as well as weapons of mass destruction including chemical, biologic, and radiologic weapons; explosives; and tactical medicine. Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams. Bulleted lists, mnemonics, practical tips from leaders in the field - all providing a concise overview of important board-relevant content. Multiple-choice questions online provide opportunities for further self-assessment. Portable size makes it easy to carry with you for quick reference or review anywhere, anytime. 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.
Identity, Attachment and Resilience provides a timely foray into the new field of psychology and genealogy, exploring the relationship between family history and identity. The field encompasses family narratives and researches family history to increase our understanding of cultural and personal identity, as well as our sense of self. It draws on emotional geography and history to provide rich yet personalised contexts for family experience. In this book, Antonia Bifulco researches three generations of her own Czechowski family, beginning in Poland in the late nineteenth century and moving on to post-WWII England. She focuses on key family members and places to describe individual experience against the socio-political backdrop of both World Wars. Utilising letters, journals and handwritten biographies of family members, the book undertakes an analysis of impacts on identity (sense of self ), attachment (family ties) and resilience (coping under adversity), drawing out timely wider themes of immigration and European identity. Representing a novel approach for psychologists, linking family narrative to social context and intergenerational impacts, Identity, Attachment and Resilience describes Eastern European upheaval over the twentieth century to explain why Polish communities have settled in England. With particular relevance for Polish families seeking to understand their cultural heritage and identity, this unique account will be of great interest to any reader interested in family narratives, immigration and identity. It will appeal to students and researchers of psychology, history and social sciences.
This issue of Surgical Clinics of North America focuses on Pediatric Surgery, and is edited by Drs. Todd Ponsky and Aaron Garrison. Articles will include: Solid Organ Injury in Pediatric Surgery; Non-accidental Trauma in Pediatric Surgery; Head and C-spine Evaluation for the Pediatric Surgeon; Abdominal Trauma Evaluation for the Pediatric Surgeon; The Role of Laparoscopy in Pediatric Trauma; The Pediatric Airway and Esophageal Foreign Bodies; Pediatric Appendicitis; Intussusception and Lower GI Bleeding; Pediatric Vascular Access; Pediatric Incarcerated Hernias; Malrotation and Midgut Volvulus in Pediatric Surgery; Pediatric Testicular Torsion; Soft Tissue Abscess and Complex Wound Closure in Pediatric Surgery; Pediatric Ovarian Torsion; Timing of Anesthesia for Pediatric Surgery; and more!
1 Historische Entwicklung der Tracheotomie.- 1.1 Verbreitung der Tracheotomie im 19. Jahrhundert.- 1.2 Indikation und Technik der Tracheotomie um 1900.- 1.3 Technik der operativen Tracheotomie heute.- 1.4 Entwicklung der perkutanen Tracheo[s]tomie.- Literatur.- 2 Topographische Anatomie der vorderen Halsregion.- 2.1 Grenzen und Form des Halses.- 2.2 Subkutane Strukturen.- 2.3 Faszien und Bindegewebsraume.- 2.4 Halseingeweide.- 2.5 Gefasse im mittleren Halsdreieck.- 2.6 Operativer Zugang zur Trachea.- 3 Indikation und Zeitpunkt der Tracheotomie in der Intensivmedizin.- 3.1 Vor- und Nachteile der prolongierten translaryngealen Intubation.- 3.1.1 Laryngotracheale Intubationsschaden.- 3.1.2 Nosokomiale Infektionen.- 3.1.3 Atemphysiologie.- 3.1.4 Akzidentelle Extubation.- 3.2 Indikationen zur Tracheotomie.- 3.2.1 Laryngotracheale Schaden.- 3.2.2 Nosokomiale Infektionen.- 3.2.3 Atemphysiologie.- 3.2.4 Logistische, oekonomische und pflegerische Aspekte.- 3.3 Zeitpunkt der Tracheotomie.- 3.3.1 Gibt es pradiktive Faktoren fur die Notwendigkeit einer Tracheotomie?.- 3.4 Zusammenfassung.- Literatur.- 4 Perkutane Tracheotomie - Techniken und Komplikationen.- 4.1 Allgemeine Vorbemerkungen.- 4.1.1 Beatmungsverfahren und Monitoring wahrend der perkutanen Tracheotomie.- 4.1.2 Vorbereitung des Patienten und benoetigte Materialien.- 4.1.3 Personelle Voraussetzungen.- 4.1.4 Anatomische Landmarken.- 4.2 Allgemeine Komplikationen wahrend perkutaner Tracheotomie.- 4.3 Gegenwartige Techniken der perkutanen Tracheotomie und ihre speziellen Komplikationen.- 4.3.1 Perkutane Dilatationstracheotomie (PDT).- 4.3.2 Guide Wire Dilating Forceps (GWDF).- 4.3.3 Translaryngeale Tracheotomie (TLT).- 4.3.4 Ciaglia Blue Rhino (CBR).- 4.4 Besonderheiten des Trachealkanulenwechsels nach perkutaner Tracheotomie.- 4.5 Spatkomplikationen der Tracheotomie.- Literatur.- 5 Respiratorische Insuffizienz, Gerinnungsstoerungen und andere typische Probleme in der Intensivmedizin - Tracheotomie bei wem und wie?.- 5.1 Respiratorische Insuffizienz.- 5.1.1 Konventionell-offene Tracheotomie.- 5.1.2 Perkutane Techniken.- 5.2 Gerinnung.- 5.3 Schwierige anatomische Verhaltnisse.- Literatur.- 6 Die Tracheotomie aus Sicht der Hals-Nasen-Ohrenheilkunde.- 6.1 Tracheotomie in der Kopf-Hals-Chirurgie.- 6.2 Tracheotomie in der Intensivmedizin.- 6.3 Technik.- 6.4 Kontraindikationen der trachealen Punktionstechniken.- 6.5 Koniotomie.- 6.6 Stomaverschluss.- 6.7 Komplikationen der Tracheotomie.- 6.8 Postoperative Komplikationen.- Literatur.- 7 Die Tracheotomie in der pneumologisch-internistischen Intensivmedizin.- 7.1 Neue Techniken.- 7.2 Indikationen zur Tracheotomie.- 7.2.1 Schutz der Atemwege vor Komplikationen der Langzeitintubation?.- 7.2.2 Tracheotomie nach translaryngealer Intubation?.- 7.2.3 Zeitpunkt der Tracheotomie.- 7.2.4 Logistik der Tracheotomie.- 7.3 Tracheotomie und nicht-invasive Beatmung.- 7.4 Management von Trachealstenosen nach Tracheotomie oder translaryngealer Langzeitintubation.- 7.5 Zusammenfassung.- Literatur.- 8 Die Tracheostomie heute - aus der Sicht der Chirurgie.- 8.1 Moderne Methoden.- 8.2 Indikationen und Kontraindikationen.- 8.3 Aktueller Stand und Ausblick.- Literatur.- 9 Stellenwert der Tracheotomie aus der Sicht der Kinderheilkunde.- Literatur.- 10 Die Tracheotomie in der Kiefer- und Gesichtschirurgie.- 10.1 Tumorchirurgie.- 10.2 Kongenitale Anomalien.- 10.3 Gesichtstraumatologie.- 10.4 Dentogene Entzundungen.- 10.5 Operative Aspekte.- 10.6 Aspekte der stationaren Nachsorge.- 10.7 Schlussbemerkung.- Literatur.- 11 Nottracheotomie, Notkoniotomie und Notfalle bei Tracheostomatragern.- 11.1 Tracheotomie bei respiratorischen Notfallen.- 11.2 Die notfallmassige Koniotomie.- 11.2.1 Nu-Trake Krikotomie Set.- 11.2.2 Melker Notfall-Krikothyrotomie-Katheterset.- 11.3 Der Trachealkanulentrager als Notfallpatient.- Literatur.
The adult critical care setting requires complex clinical decisions to be made that have a dramatic impact on the lives of patients and their families. This textbook offers evidence-based case histories around shared decision making, providing practical advice to clinicians who are trying to navigate routine clinical scenarios in adult critical care. Early chapters explore the definition of the shared decision making process and practical steps that aid its implementation. The greater part of the book focuses on how shared decision making can be practiced in specific situations that are common in adult critical care, highlighting the relevant knowledge base necessary to manage each situation. Do-not-resuscitate and do-not-intubate orders, ECMO, and resolving conflicts regarding potentially inappropriate treatment are among the topics covered. An essential resource for healthcare professionals working in critical care and those looking for a framework for the use of shared decision making in this setting. |
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