This book is devoted to COVID-19 associated coagulopathy, one of the main determinants of mortality. The volume, intended as a guide, will lead the reader in a pathway starting from pathophysiology and passing through laboratory data, clinical aspects, imaging, and therapeutic options. Written in the middle of the second wave, the book is the first addressing the topic and summarizing the results of studies and articles meanwhile published, thus representing a unique tool for clinicians fighting the disease. The Coagulation Labyrinth of Covid-19 is intended for clinicians working with acute and sub-acute ARDS cases: intensivists, anesthesiologists, cardiologists, hematologists, who will find in it an essential guide to manage the COVID-19 pandemic.

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

* Major update to a popular resource: 75% new material includes seven new chapters. * Significant revisions include important new interventions, additional clinical populations, and data on the neurobiological basis for creative interventions. * Features practice-oriented, case-based chapters with numerous illustrations. * Malchiodi is the well-known, bestselling author of several works, including Understanding Children's Drawings (9781572303720). * Used by a range of professionals treating traumatized children, not just play and creative arts therapy specialists.

This inspiring text offers a collection of case studies from expert clinical social workers who work closely with survivors of LGBTQ-related sexual trauma. The book covers a wide range of topics, such as gender and sexual minority asylum seekers, the embodiment of queer identity, the role of religion, regionality in the LGBTQ experience, and effective use of gay affirmative therapy. Each chapter is framed by key questions that encourage students and mental health practitioners to "think through" the specific needs and challenges of LGBTQ individuals who have experienced sexual trauma. Additional resources include an example of effective supervision and an example of a case conceptualization. Drawing on the importance of narrative social work and the record of experience it provides, The Social Work and LGBTQ Sexual Trauma Casebook is an essential text for students and clinical social workers working with LGBTQ survivors of sexual trauma.

The number of natural and man-made disasters has risen dramatically over the last decade. Natural disasters, industrial accidents and terrorist attacks represent major incidents, often involving multiple casualties. In such cases, health professionals face multiple challenges because the type of medical care required differs from what is taught and provided in their everyday hospital duties. The aim of this book is to inform and prepare healthcare professionals for the challenges posed by major incidents, so that they can act effectively in medical teams sent on humanitarian missions or into conflict zones. It offers a holistic and horizontal approach covering all stages of the disaster management cycle.The book is divided into 5 sections: section 1: prehospital emergency services; section ii: hospital response; section iii: management of incidents; section iv: after the disaster; and section v: evaluation, ethical issues, education and research. Healthcare providers will find essential information on the special medical considerations in both prehospital and hospital disaster settings, medical management of disaster response, recovery, mitigation and preparedness. The book offers an interdisciplinary and interprofessional approach, and was written by prominent researchers and experienced practitioners.

This book assesses the most appropriate forms of aerosol therapy for critically ill patients. Aerosol therapy is applied for the treatment of several pulmonary diseases in addition to some promising applications intended for systemic absorption. Nowadays, aerosol delivery to clinically stable patients in the outpatient settings is done easily with a lot of focus on patient counseling and enhancement of lung deposition. A lot of guidelines are available for several diseases and it could offer adequate guidance to the therapists concerning escalation or de-escalation of therapy to enhance treatment efficiency and safety. However, in critically ill patients aerosol delivery is mostly done by the choice of the respiratory therapist only according to his knowledge. The book describes the type of patients requiring aerosol therapy, different aerosol generators available for the treatment of critically ill patients, mechanisms of aerosol lung deposition, and factors affecting aerosol deposition. It also discusses the special needs of neonates and infants, transitioning aerosol from hospital to home, and the methods of aerosol delivery to different patient e.g. nasal delivery patients, ventilated patients, etc. Moreover, it reviews methods of detecting such aerosol delivery to the lung. At the end, it discusses the suggested monitoring plans and weaning protocols to ensure high efficacy and safety of the ventilatory support in such patients. Given its scope, the book can serve as guidelines or specific recommendations to maximize clinical benefits of medicated aerosols in critically ill patients and it represents a valuable resource for intensivists, pulmonologists and healthcare professionals working at ICUs.

This is the second edition of the book originally published under the title Medical Emergencies Caused by Aquatic Animals: A Zoological and Clinical Guide. Including updated chapters, new content and additional references, it discusses follow-up with patients, describes diseases that are not emergencies and explains procedures that can take place at health stations and outpatient centers, focusing on clinical and biological aspects relevant to researchers and practitioners alike. The chapter on Invertebrate Aquatic Animals presents facts and advances that were left out of the first edition. In addition, it includes improved images. The subtopic on Cnidaria presents recent data on outbreaks and new species identification in unprecedented areas, with a timely discussion on first aid treatment. The chapter on Injuries by Vertebrate Aquatic Animals has been improved, based on continued work with bathers and fishermen. Featuring numerous images and representative clinical cases, it explores the most significant injuries caused by fish around the globe. The chapter on Ingestion of Aquatic Venomous Animals: Toxinology, Clinical Aspects, and Treatment discusses outbreaks of intoxication diseases from eating fish and seafood, drawing on reliable records of serial cases of Haff's syndrome, scombroidism and ciguatera. Further, it examines the indiscriminate consumption of aquatic animals, which the author argues present the same (or even greater) risks of poisoning and infections as terrestrial animals. Lastly, since there is a general lack of awareness of the risk of infections in aquatic environments, the chapter on Bacterial and Fungal Infections in Aquatic Environments describes the symptoms and treatments and highlights preventive measures.

This book logically and systematically reviews the major movement disorder emergencies. It instructs the reader on how to recognize and manage these problems. This updated new edition of Movement Disorder Emergencies consists of five comprehensive sections. It begins with chapters that relay the various practical approaches one can administer when treating a patient with a movement disorder emergency. Section two then delves into specific hyperacute movement disorder emergencies such as acute parkinsonism, serotonin syndrome, and malignant catatonia. Following this, section three examines various acute movement disorder emergencies, including tic emergencies and Sydenham's chorea. Sections four and five explore issues that can occur during treatment, such as pitfalls in diagnosis and risks in the clinic. Written by prominent neurologists from around the world, Movement Disorder Emergencies, 3rd edition is a practical reference that achieves excellence in diagnosis and management of movement disorder emergencies.

This book will enable practicing physicians and trainees to learn, in a clinically relevant and intellectually stimulating way, guidelines for appropriate ordering of imaging exams. The new edition provides more than 460 clinical case scenarios, organized into subspecialty modules (breast, cardiac, thoracic, gastrointestinal, urologic, women's, pediatric, vascular, musculoskeletal, and neurologic imaging). Each scenario is presented as a quiz in which the reader is invited to select the best option from various imaging modalities. All choices are given ratings of appropriateness and is consistent with the American College of Radiology (ACR) Appropriateness Criteria. Furthermore, a brief solution to each case is included. Finally, over 500 radiologic images are included each associated with a clinical case to illustrate the diagnostic capabilities of the imaging exam. This second edition incorporates new content and revisions to remain consistent with the updated ACR Appropriateness Criteria since the original publication in 2012. It will be an ideal tool both for self-study and for quantitative evaluation of students' knowledge.

This book provides a comprehensive analysis of the contemporary management of all aspects of traumatic brain injury (TBI), combining the findings of several recent randomised controlled trials investigating the role of hypothermia, erythropoietin, intracranial pressure monitoring and decompressive craniectomy in the management of TBI. The book is divided into four sections: the first section covers the epidemiology of TBI, the changing global patterns of presentation, and the basic pathophysiology and classification, while the second discusses contemporary management of TBI, from pre-hospital care, emergency assessment, and medical and surgical management to rehabilitation and social reintegration. The third section then examines the evidence gained from recent clinical trials that have investigated the efficacy of management strategies involving intracranial pressure monitoring, multimodal monitoring, hypothermia, erythropoietin, thromboembolic prophylaxis and decompressive craniectomy. Lastly, the fourth section explores the ethical issues, both at the societal level and on an individual basis. Written by a broad range of experts, this book provides a valuable reference resource for neurosurgeons, intensivists, clinicians with ethical experience and pure bioethicists in their daily work.

This book is part of a six-volume series on Disaster Risk Reduction and Resilience. The series aims to fill in gaps in theory and practice in the Sendai Framework, and provides additional resources, methodologies and communication strategies to enhance the plan for action and targets proposed by the Sendai Framework. The series will appeal to a broad range of researchers, academics, students, policy makers and practitioners in engineering, environmental science and geography, geoscience, emergency management, finance, community adaptation, atmospheric science and information technology. This volume discusses how to measure and build disaster resilience at society's capacity, drawing upon individual, institutional and collective resources to cope with and adapt to the demands and challenges of natural disaster occurrences. The book will serve as a guide, outlining the key indicators of disaster resilience in urban and rural settings, and the resources and strategies needed to build resilient communities in accordance with the targets of the Sendai Framework. Readers will learn about multi-risk reduction approaches using computational methods, data mining techniques, and System Thinking at various scales, as well as institutional and infrastructure resilience strategies based on several case studies.

This book offers a comprehensive overview of the basic physiology of the cardiac and pulmonary systems, tools for cardiopulmonary monitoring, and related issues in the management of specific conditions. The volume is divided into three main parts. The first part examines the functional basis of normal and abnormal physiology, organized into cardiac and pulmonary units and followed by a "combined" interactive component. The next section discusses cardiopulmonary monitoring tools and variables and is also divided into cardiac (e.g, echocardiography, heart rate, cardiac output), pulmonary (e.g, lung volume, pleural pressure, electrical impedance tomography), and combined tools such as radiology/MRI and tissue perfusion tests. The third section concerns the management and application of specific clinical problems such as pulmonary hypertension, cardiac shunts, cardiogenic shock, and ECMO with an emphasis on the physiological basics. Cardiopulmonary Monitoring: Basic Physiology, Tools, and Bedside Management for the Critically Ill is an essential resource for physicians, residents, fellows, medical students, and researchers in cardiology, critical care, emergency medicine, anesthesiology, and radiology.

This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further. This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.

The global population is aging rapidly, and as a result emergency abdominal surgery for acute abdomen in the elderly has become a global issue. Demographic changes in the population have also altered the profile of emergency abdominal surgery, with typical causes of acute abdomen in the elderly including acute cholecystitis, incarcerated hernia, bowel obstruction and appendicitis. In these patients, recovery from surgery is often complicated, leading to longer hospital stays compared with younger patients. Laparoscopy in the emergency setting is well established and offers a number of advantages over open surgical approaches, such as reduced postoperative pain, length of hospital stay and complication rates. While laparoscopic surgery for acute diverticulitis has become more widespread, in other conditions, like small bowel obstruction and perforated peptic ulcer, laparotomy is still used in about 70% of cases. Further, despite the urgent need for knowledge regarding surgical treatment of acute abdomen in the elderly, there is still a lack of evidence in this relevant clinical field.This book analyzes the management strategies and critically evaluates the outcomes of laparoscopic emergency surgery for acute abdomen in the elderly according to the principles of evidence-based medicine. Discussing each topic clearly, and promoting the use of emergency laparoscopy in elderly patients, the book is intended for young general surgeons and surgeons in training with at least a basic knowledge of surgery for acute abdomen. It is also useful as a quick reference tool during on-call shifts.

This is the only revision guide you will need to pass the FRCEM Intermediate examination. A new edition of the popular and successful Revision Notes for the MCEM Part B, this guide is mapped directly to the new FRCEM Intermediate syllabus. The book is tailored to match all areas on which you may be tested, allowing candidates to revise accurately and efficiently for this challenging exam. To ensure effective revision, information is presented in concise notes and bullet points with visually memorable tools, such as tables and diagrams. Each chapter contains high-quality example SAQs so candidates can practice their exam technique, and 'key points' and 'exam tips' boxes to highlight the most important information. Drawing on the authors' experience and expertise, Revision Notes for the FRCEM Intermediate SAQ paper is a trustworthy revision guide for this difficult and clinically focused examination, as well as a useful reference guide for practicing emergency medical doctors.

This textbook comprehensively covers mechanical ventilation in neonates and children integrating the latest knowledge and understanding of developmental biology, age-related and disease-specific physiologic differences in the practice of mechanical ventilation. The physiology associated with ventilation and lung mechanics are described. Guidance is provided on how to carry out a range of clinical assessments appropriately, including those for ventilation, mechanics and breathing control. Available pathophysiology-based management strategies for a range of situations including respiratory failure and ventilatory failure are also provided. Mechanical Ventilation in Neonates and Children: A Pathophysiology Based Management Approach broadly covers a range of topics associated with mechanical ventilation in children and neonates. It is a valuable resource for specific seminars or courses that concentrate on respiratory failure in children and for those preparing for board certification examinations for neonatal/perinatal medicine and pediatric critical care medicine.

This book discusses multiple aspects of radiological and nuclear terrorism. Do you know what to do if there is a radiological or nuclear emergency in your city? These accidents are not common, but they have happened - and even though we have not seen an attack using these weapons, governments around the world are making plans for how to prevent them - and for how to respond if necessary. Whether you are an emergency responder, a medical caregiver, a public health official - even a member of the public wanting to know how to keep yourself and your loved ones safe - there is a need to understand how these weapons work, how radiation affects our health, how to stop an attack from taking place, how to respond appropriately in the event of an emergency, and much more. Unfortunately, the knowledge that is needed to accomplish all of this is lacking at all levels of society and government. In this book, Dr. Andrew Karam, an internationally respected expert in radiation safety and multiple aspects of radiological and nuclear emergencies, discusses how these weapons work and what they can do, how they can affect our health, how to keep yourself safe, and how to react appropriately whether you are a police officer investigating a suspect radiological weapon, a firefighter responding to a radiological or nuclear attack, a nurse or physician caring for potentially contaminated patients, or a governmental official trying to keep the public safe. To do this, he draws upon his extensive experience in the military, the several years he worked directly with emergency responders, his service on a number of advisory committees, and multiple trips overseas in the aftermath of the Fukushima accident and on behalf of the International Atomic Energy Agency, Interpol, and the Health Physics Society.

The often complex problems of the trauma patient present many challenges to front line emergency staff. Multiple injuries involving many systems of the body require careful and timely prioritisation and intervention in the emergency department. Trauma Care provides emergency nurses with a practical guide to the systematic assessment and management of trauma patients, equipping them with the clinical knowledge and practical skills necessary to initially assess and care for the trauma patient in the emergency department trauma environment.
Trauma Care explores the concept of trauma assessment, focusing on patient priorities and interprofessional trauma team working. Individual chapters look at the essential assessment and management issues for each system of the body and specific age related complications. Emphasis is placed on key patient priorities, with acknowledgement to the common pitfalls in initial trauma care. This text will be essential for all emergency nurses, and those working in the emergency department.

This book gathers the proceedings of the 17th International Conference on Intracranial Pressure and Neuromonitoring, held in Leuven, Belgium in September 2019. It provides an overview of the current understanding, underlying research and future perspectives concerning pathophysiology, biophysics, monitoring and management in traumatic and non-traumatic acute brain injury, hydrocephalus and spinal cord injury, including cerebrovascular autoregulation impairment in neurological as well as non-neurological diseases. The peer-reviewed contributions were prepared by specialists in neurosurgery, neurointensive care and neuroanesthesiology, as well as prominent experts from the fields of physiology, clinical and biomedical engineering, mathematics and informatics. The book continues the time-honored tradition of publishing key presentations from the ICP Conferences in order to facilitate their dissemination within the clinical and research community.

Filling a gap in the literature, this is the first book to comprehensively present fracture sonography as a diagnostic tool that can complement and in some cases even replace conventional radiological imaging. Guiding readers step by step through a patient examination, it is an invaluable guide to implementing this technique in clinical practice. It also presents algorithms, tips, tricks and pitfalls shared by experienced authors, making it a useful reference resource for all those practicing in the field. This book is of interest to a wide readership, including orthopedic, pediatric and trauma surgeons, emergency physicians, pediatric radiologists and general practitioners.

The book covers various scenarios when errors, biases and systemic barriers prevail in emergency medicine, discusses their impact, and then offers solutions to mitigate their undesired outcomes. The process of clinical reasoning in emergency medicine is a complex exercise in cognition, judgment and problem-solving that is prone to mistakes. The book presents various cases written by a team of emergency specialists and trainees in an engaging format that is helpful for the practicing and teaching emergency doctor and trainees. The book discusses 60 different types of biases and errors with clinical cases, and knowledge of strategies to mitigate them-a concept known as 'cognitive debiasing' that has the potential to reduce diagnostic error, and therefore, morbidity and mortality. It aims to help the readers during assessment of patients in the emergency department. Each chapter includes 4 cases illustrating the bias, error or barrier discussed, followed by a potential solution. This book helps in polishing the thinking and behavior of the readers so to potentially enhance their clinical competence in emergency department.

Victoria Webster was born with cerebral palsy - and that meant, for many of those involved in her education, that she should limit her horizons. But Victoria had her eyes, and her heart, set on a high peak of achievement - to be a doctor. And, despite everything she tackled taking her longer than most of her peers, despite assurances that her patients would object, despite suggestions that she give up - she persevered and became not only a Casualty Consultant but the first Casualty Consultant in Sweden. Surrounded by loving family from her birth onwards, Victoria's story is also her mother, Diana's story, and together they tell of the mountains scaled and conquered. This is wonderful, heart-warming and encouraging read. "This is easily the most moving book I have read." Katherine Whitehorn, journalist and columnist

The acclaimed author of AMERICAN DIRT reveals the devastating effects of a shocking tragedy in this landmark true crime book: the first ever to look intimately at the experiences of both the victims and their families. A RIP IN HEAVEN is Jeanine Cummins' story of a night in April, 1991, when her two cousins Julie and Robin Kerry, and her brother, Tom, were assaulted on the Old Chain of Rocks Bridge, which spans the Mississippi River just outside of St. Louis. When, after a harrowing ordeal, Tom managed to escape the attackers and flag down help, he thought the nightmare would soon be over. He couldn't have been more wrong. Tom, his sister Jeanine, and their entire family were just at the beginning of a horrific odyssey through the aftermath of a violent crime, a world of shocking betrayal, endless heartbreak, and utter disillusionment. It was a trial by fire from which no family member would emerge unscathed.

This book is a unique compilation of essays about the genocidal persecution fuelling the Nazi regime in World War II. Written by world-renowned experts in the field, it confronts a vitally important and exceedingly difficult topic with sensitivity, courage, and wisdom, furthering our understanding of the Holocaust/Shoah psychoanalytically, historically, and through the arts. Authors from four continents offer their perspectives, clinical experiences, findings, and personal narratives on such subjects as resilience, remembrance, giving testimony, aging, and mourning. There is an emphasis on the intergenerational transmission of trauma of both the victims and the perpetrators, with chapters looking at the question of "evil", comparative studies, prevention, and the misuse of the Holocaust. Those chapters relating to therapy address the specific issues of the survivors, including the second and third generation, through psychoanalysis as well as other modalities, whilst the section on creativity and the arts looks at film, theater, poetry, opera, and writing. The aftermath of the Holocaust demanded that psychoanalysis re-examine the importance of psychic trauma; those who first studied this darkest chapter in human history successfully challenged the long-held assumption that psychical reality was essentially the only reality to be considered. As a result, contemporary thought about trauma, dissociation, self psychology, and relational psychology were greatly influenced by these pioneers, whose ideas have evolved since then. This long-awaited text is the definitive update and elaboration of their original contributions.

This book is an invaluable resource for the diagnosis and management of neurological illnesses in the emergency setting. It emphasizes the quality of prognosis to be contingent on the prompt management of these illnesses. Emergency Neurology, Second Edition follows the exemplary format of the previous edition, with comprehensive chapters on every neurological emergency, including stroke, headache, back pain, dizziness, vertigo, syncope, visual loss, diplopia, facial nerve palsy, weakness, altered mental status, coma, meningitis and encephalitis, seizures, and spinal cord disorders. Chapters emphasize the clinical presentation, diagnostic studies and management, and include high-quality images and tables that are invaluable for rapid diagnosis and therapy. Building off its predecessor's success, Emergency Neurology, Second Edition is an excellent reference for neurologists, emergency room physicians, internists, neurology residents, emergency medicine residents, and internal medicine residents.