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Books > Medicine > Other branches of medicine > Accident & emergency medicine
The fields of Global Health and Global Emergency Response have attracted increased interest and study. There has been tremendous growth in the educational opportunities around humanitarian emergencies; however, educational resources have not yet followed the same growth. This book corrects this trend, offering a comprehensive single resource dedicated to health in humanitarian emergencies. Providing an introduction to the public health principles of response to humanitarian emergencies, the text also emphasizes the need to coordinate the public health and emergency clinical response within the architecture of the greater response effort. With contributing authors among some of the world's leading health experts and policy influencers in the field, the content is based on best practices, peer reviewed evidence, and expert consensus. The text acts as a resource for clinical and public health practitioners, graduate-level students, and individuals working in response to humanitarian emergencies for government agencies, international agencies, and NGOs.
Why write a book on the tourniquet? The tourniquet is used routinely in op- ating theatres throughout the world, but as far as I know there is no single book that surveys the considerable literature that has accumulated. If used sensibly, the tourniquet is a safe instrument. Most of the few complications seen with its use are preventable. However, when something untoward happens, the tour- quet suddenly becomes an interesting subject, particularly if there is the likelihood of medicolegal consequences. This book summarises the scientific background of the tourniquet and describes a safe physiological approach to preventing complications. Examples of medicolegal problems are included. Considerable progress had been made since Lister first excised a tuberculous wrist joint in a bloodless field. Many researchers have studied the effects of ischaemia and pressure on nerves and muscles. Tourniquets have entered the age of computers and are now much more sophisticated. Despite this, there is still much dogma surrounding the tourniquet in operating theatres and in textbooks. This book is aimed at orthopaedic surgeons, anaesthetists and op- ating-theatre staff. I hope that this short text will stimulate a more widespread interest in the tour- quet and improve safe practice.
The 2nd edition of this book describes the recent techniques, strategies, and drugs that have been demonstrated by multicenter randomized trials to influence survival in critically ill, defined as those who have acute failure of at least one organ, due to either a pathological condition or a medical intervention, and require intensive care treatment. Each chapter focuses on a specific procedure, device, or drug. The scope is accordingly wide, with coverage of topics as diverse as noninvasive mechanical ventilation, protective ventilation, prone positioning, intravenous salbutamol in ARDS, high-frequency oscillatory ventilation, mild hypothermia after cardiac arrest, daily interruption of sedatives, tranexamic acid, diaspirin cross-linked hemoglobin, albumin, growth hormone, glutamine supplementation, tight glucose control, supranormal oxygen delivery, and hydroxyethyl starch in sepsis. The topics selection was performed with the help of hundreds of specialists from dozens of countries; they expressed via web if they agreed or not with these topics and if they used them in their daily clinical practice. The clear text is supported by "how to do" sections and "key point" boxes that provide easily accessible practical information. Written by acknowledged international experts, Reducing Mortality in Critically Ill Patients is of interest for a wide variety of specialists, including intensivists, emergency doctors, and anesthesiologists.
Test-taking strategies and steps to succeed as an EMT No two EMT exam experiences are exactly alike, as questions are tailored to the test-taker and range in topics from handling medical emergencies and patient assessment, to medical ethics, ambulance operations, and pediatrics. EMT Exam For Dummies takes the intimidation out of the test, offering everything you need to prepare for and pass the exam. Along with the book, there is also an online companion website that features two additional practice tests, and over 200 flashcards to ensure that you do your best on test day. Career opportunities are abundant for certified EMTs, and this straightforward guide increases your chances of scoring higher on the computer-adaptive and practical portions of the exam so you can get out in the field and dispense lifesaving medical care. In the book, you'll find an overview of the EMT Exam, including test organization and how the exam is scored, content review with practice questions, a sneak peek at the practical exam, and one full-length practice test with detailed answer explanations. * Includes sample test questions and detailed answers throughout, as well as a sneak peek into the practical test * Gives you two bonus practice exams via the companion online test bank, with tests available in timed and untimed formats, and more than 200 flashcards that cover all the test topics * Offers clear test-taking advice for passing the crucial, practical part of the exam * Covers the psychomotor component of the EMT Exam EMT Exam For Dummies has everything you need to succeed as an EMT and continue your training, and with an easy-to-read style and focus on the most important details, you'll be ready to pass the exam in no time!
"Reassuring, validating and deeply inspiring" - Suzy Reading, bestselling author of The Self-Care Revolution FREE YOURSELF FROM PAIN, UNDERSTAND YOUR TRAUMA AND FIND INNER PEACE IN THIS LIFE-CHANGING GUIDE, FROM THE AUTHOR OF THE IMPOSTER CURE So many of us experience trauma throughout our lives. Left unaddressed, it can have a long-term impact on our physical, mental and emotional health, restricting our personal growth and leaving us feeling empty and unwell. In this book, Dr Jessamy Hibberd unriddles the effects of trauma. Using a combination of psychology, neuroscience and her own experiences as a chartered psychologist treating people with trauma, Dr Hibberd unpacks a tough subject and opens up the space for self-healing. This book centres on the concept of 'post-traumatic growth', a term used to describe the remarkable way that painful experiences can lead to a valuable reassessment of life and a renewed discovery of meaning. Through her revolutionary, seven-step programme, readers will learn how to process past events and move forward with a deeper level of self-awareness, a greater sense of purpose, and a renewed self-acceptance. Grounded in research and brought to life with real stories, How to Overcome Trauma and Find Yourself Again will give you the tools to move beyond the hurt and lead a more fulfilling, joyful life. PRAISE FOR THE IMPOSTER CURE: 'You've definitely heard of it, you've almost certainly felt it and it's actively stopping you from being your best self. In a new book on imposter syndrome Dr Jessamy Hibberd provides a definitive guide to understanding and tackling the psychological mind trap. - The Sunday Times
Part of the "What Do I Do Now?: Emergency Medicine" series, Pediatric Emergency Radiology uses a case-based approach to cover common and important topics in radiology imaging for pediatric emergency care. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. Areas of controversy are clearly delineated with a discussion regarding evidence-based options and a balanced view of treatment and disposition decisions. The book addresses a wide range of topics including neonatal respiratory distress, foreign body ingestion, Bronchiolitis, and related radiology issues faced by emergency medicine providers and pediatricians. Pediatric Emergency Radiology is an engaging collection of thought-provoking cases which clinicians can utilize for effective imaging of pediatric patients. The volume is also a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"
A Counselor's Introduction to Neuroscience is a guidebook to neurobiology that is customized for counselors' unique goals and requirements. Drawing on years of experience, not only in the lab, but in the counselor's chair, the authors unravel the complexities of neuroscience and present an easily understood volume that is an essential companion for any counselor who wishes to expand his or her understanding of the human brain, how it works, and how it creates our identities.
A Counselor's Introduction to Neuroscience is a guidebook to neurobiology that is customized for counselors' unique goals and requirements. Drawing on years of experience, not only in the lab, but in the counselor's chair, the authors unravel the complexities of neuroscience and present an easily understood volume that is an essential companion for any counselor who wishes to expand his or her understanding of the human brain, how it works, and how it creates our identities.
Using a multidisciplinary, team-oriented approach, this unique title expertly covers all the latest approaches to the assessment, diagnosis, and treatment of patients with critical cardiac illness. Led by Dr David L. Brown, a stellar team of authoritative writers guides you through cardiac pathophysiology, disease states presenting in the CICU, and state-of-the-art advanced diagnosis and therapeutic techniques. A visually appealing format, new chapters, and thorough updates ensure that you stay on the cutting edge of this rapidly advancing field. Discusses recent changes in cardiac intensive care, including new care paradigms, new mechanical support modalities, and new therapies and interventions. Contains 11 new chapters: Palliative Care, Temporary Pacemaker Insertion, Pericardiocentesis, Distributive Shock, Electrical Storm, Cardiopulmonary Cerebral Resuscitation after Cardiac Arrest, Temporary Mechanical Circulatory Support Devices, Cardiorenal Syndrome, Fulminant Myocarditis, Stress-Induced Cardiomyopathy, Diagnosis and Treatment of Unstable Supraventricular Tachycardia. Online access features heart sounds and murmurs to accompany the chapter on history and physical examination, videos of clinical images and key procedures, frequently updated information on late-breaking clinical trials, reviews of new research publications, and more. Concisely yet thoroughly covers acute and severe heart failure, chronic pulmonary hypertension, life-threatening dysrhythmias, aortic dissection, and other cardiac conditions as they relate to intensive care. Explains drug therapy for key cardiac drugs, such as inotropes, vasodilators, anti-arrhythmics, diuretics, anticoagulants, and anti-platelets, and discusses important drug interactions. Ideal for all healthcare professionals involved in cardiac intensive care, including intensivists, cardiologists, cardiac surgeons, residents, fellows, cardiac nurses, respiratory therapists, physical therapists, and nutritionists. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices and contains an up to date collection of all relevant ACC/AHA and ESC guidelines.
Designed specifically for the revised Final FRCA examination, this book contains four mock exams, combining the new single best answer format with the traditional true/false format MCQs. A further fifth chapter contains only single best answer questions allowing candidates extra practice on this new and more difficult format. Uniquely the book includes answers with explanations and cross-references to key textbooks, allowing the candidate to read around on more difficult areas. The editor team balances extensive exam experience with recent exam success. Each question has also been expertly reviewed to ensure the highest quality and relevance to the Final FRCA. This is a must buy when preparing for this key exam.
Behind heart disease and cancer, medical error is now listed as one of the leading causes of death. Of the many medical errors that may lead to injury and death, diagnostic failure is regarded as the most significant. Generally, the majority of diagnostic failures are attributed to the clinicians directly involved with the patient, and to a lesser extent, the system in which they work. In turn, the majority of errors made by clinicians are due to decision making failures manifested by various departures from rationality. Of all the medical environments in which patients are seen and diagnosed, the emergency department is the most challenging. It has been described as a "wicked" environment where illness and disease may range from minor ailments and complaints to severe, life-threatening disorders. The Cognitive Autopsy is a novel strategy towards understanding medical error and diagnostic failure in 42 clinical cases with which the author was directly involved or became aware of at the time. Essentially, it describes a cognitive approach towards root cause analysis of medical adverse events or near misses. Whereas root cause analysis typically focuses on the observable and measurable aspects of adverse events, the cognitive autopsy attempts to identify covert cognitive processes that may have contributed to outcomes. In this clinical setting, no cognitive process is directly observable but must be inferred from the behavior of the individual clinician. The book illustrates unequivocally that chief among these cognitive processes are cognitive biases and other flaws in decision making, rather than knowledge deficits.
Now in an extensively revised third edition with 65% new material, this is the authoritative reference on posttraumatic stress disorder (PTSD). Contributors examine the breadth of current knowledge on the mechanisms by which stressful events can alter psychological processes, brain function, and individual behavior. Risk and protective factors across development and in specific populations are explored. Reviewing the state of the science of assessment and treatment, the volume covers early intervention and evidence-based individual, couple/family, and group therapies. Conceptual and diagnostic issues are addressed and key questions for the next generation of researchers are identified. New to This Edition *Thoroughly revised to reflect the accelerating pace of scientific and clinical progress; includes a range of new authors. *Chapters on new topics: treatment of PTSD with comorbid disorders, and postmortem brain banking. *New chapters on previously covered topics, including DSM-5 and ICD-11 diagnostic criteria, the psychoneurobiology of resilience, and challenges in implementing clinical best practices. *New or updated discussions of such timely issues as treatment of refugees, telemental health, and technology-based interventions.
Advocating a pragmatic and multidisciplinary approach to the management of patients with brain injuries, Traumatic Brain Injury provides a detailed description of care along the whole-patient pathway. Delivering an evidence-based update on the optimal care of both adult and paediatric patients who have sustained injuries ranging from mild to severe, information from on-going multi-centre studies in neurotrauma is included. The basic scientific principles of neuropathology, head injury research and scoring systems are presented before detailed sections on emergency department care, patient transfer, intensive care and longer-term care. Rehabilitation is reviewed in detail with chapters discussing the aims and roles of physiotherapy, occupational therapy and neuropsychology amongst others. Discussing medico-legal issues in detail, the effect of injury on the individual and their family are also examined. Emphasising a holistic approach to caring for patients with brain injuries, this is an essential guide for all involved.
Drs. Stephen Bohan and Josh Kosowsky have assembled a panel of expert authors for this edition on Cardivascular Emergencies. Topics include: Ischemia, Heart Failure, Congenital Heart Disease, Supreventricular Dysrhythmias, Atrial Fibrillation, Uncommon Dysrhythmias, Electrophysiology, Pericardial Disease, and Cardiac Arrest.
This issue of Emergency Medicine Clinics, guest edited by Drs. Robert Anderson, Phil Magidson and Danya Khoujah, focuses on Emergencies in the Older Adult. This is one of four issues each year selected by the series consulting editor, Dr. Amal Mattu. Articles in this issue include, but are not limited to: Trends in Geriatric Emergency Medicine, Pharmacologic Considerations in Older Adults, Geriatric Trauma, Resuscitation of Older Adults, Acute Brain Failure, Chronic Brain Failure, Cardiopulmonary Emergencies, ACS in Older Adults, Abdominal Emergencies, Genitourinary Emergencies, Infections in Older Adults and Elder Abuse.
With a focus on anatomy and sonoantomy, this beautifully illustrated updated edition captures the latest advances in the rapidly growing field of ultrasound-guided pain medicine and MSK procedures. This atlas is divided into seven sections that provide an overview and focus on interventional approaches and advancements. Authored by international experts, each clinical chapter features a maximal number of instructive illustrations and sonograms and provides a description of sonoanatomy, instructions on performing the procedure and how to confirm appropriate needle placement. This book will help encourage and stimulate physicians to master approaches in interventional MSK and pain management.
Academic interest in hysteria has burgeoned in recent decades. The topic has been probed by feminist theorists, cultural studies specialists, literary scholars, anthropologists, sociologists, psychologists, medical and art historians, as well as novelists. The hysteric is construed as a powerless, voiceless subject, marginalised by the forces of the patriarchy that have been the root cause of their distress, dissembling, and disablement. In Performing Nerves, Anna Furse interweaves her artistic and academic practice, drawing on her own performance texts to explore four different versions of debilitating hysteric suffering. Each text is extensively annotated, revealing the dramaturgical logic and, in turn, the historical, medical, and cultural contexts behind their protagonists' illnesses, which are argued as environmentally caused in each case. This unique, reflective insight into a playwright and director's craft offers not only an account of how mental suffering can manifest in different contexts and times, from the 19th century to today, but also a breadth of access to the ideas that can motivate creative research. This book is an invaluable resource for scholars of theatre studies, performance studies, dramaturgy, 20th-century history, gender studies, and medical humanities.
One in three people will develop some kind of cancer in their
lifetime. The overall cancer incidence has increased by 25% since
1975. Anaesthetic involvement in hospital interactions has been
estimated at around 75%, and so anaesthetists are likely to have
major input into the care of the cancer patient. This input may
start with the preoperative assessment, but often extends to the
intensive care unit and the management of both acute and chronic
disease, or procedural related pain.
The Oxford Desk Reference: Major Trauma is the missing link between
basic trauma management and advanced specialist care. Advanced
Trauma Life Support courses have revolutionised trauma care in the
last 3 decades, but there is little advice for the key decision
makers in trauma care once the primary and secondary surveys are
complete. This volume is a practical and evidence-based desk
reference, giving a comprehensive walk-through from the initial
phases of injury, through key decision-making in the resuscitation
room, to surgical principles and rehabilitation. Including chapters
on damage control, ballistic and blast injuries, and bariatric
trauma, this text covers all the main areas of trauma care
necessary for the trauma specialist in the 21st Century.
This issue of Critical Care Clinics, Guest Edited by Paul Wischmeyer, MD features topics such as: Nutrition Guidelines In Critical Care: Consistency or Confusion?; Evolutionary Role of Nutrition and Metabolic Support in Critical Illness; Pre-operative Surgical Nutrition Programs; Fish Oil in Critical Illness: Mechanisms and Clinical Application; Glutamine in Critical Illness: The Time Has Come, The Time Is Now?; Immunosupression and Infection After Major Surgery: A Nutritional Deficiency?; Enteral Nutrition in Critical Care: Why Do We Starve Our Patients?
The elderly represent the fastest growing segment of the population in developed countries, reflected in the patient population presenting to EDs and hospitals. These patients more often than not have greater co-morbidities, more complicated workups and utilize more laboratory and radiologic services. This text is designed to teach emergency physicians how best to care for this specific demographic of patients. It addresses physiologic changes, high-risk conditions, and atypical presentations associated with elderly patients in the ED that result in frequent misdiagnosis or delays in diagnosis. It instructs the readers how best to care for elderly patients in order to minimize morbidity and mortality, addressing some of the difficult psychosocial issues that confront health care providers that care for elderly patients, such as psychiatric disease and end-of-life care. The utility of this text is not limited to emergency physicians, but it should be useful to all health care providers involved in the treatment of elderly patients with acute medical or surgical conditions.
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 comprehensively addresses the use of pulmonary function measurement for the evaluation, screening and timing of noninvasive mechanical ventilation (NIMV) from hospital to home care. To do so, it describes three clinical stages of NIMV support: before NIV, to detect early markers and determine whether NIV is appropriate; during NIV, to evaluate NIV response; and in long-term NIV support. Additionally, it assesses a range of complementary health care organizations (pulmonary function labs, pneumology wards, semi-intensive care units and home mechanical ventilation programs), techniques (chest physiotherapy/airway secretions, etc.) and applications. In closing, the book offers practical recommendations on how noninvasive ventilation and lung function measurement can improve outcomes and quality of life, making it a valuable resource for all specialists, e.g. intensivists and pneumologists, as well as anesthesiologists and therapists.
This concise, accessible book covers anesthesia for hepatico-pancreatic-biliary (HPB) surgery and transplantation, based on randomized clinical trials, meta-analyses, case series, reports, and hands-on experience. The anatomy, physiology, pathophysiology and clinical consequences are discussed, and the close ties between HPB resection and transplant anesthesia are explored. The content reflects current real-world practice, as liver and pancreatic transplant surgeries have substantially improved in terms of blood-loss reduction, fast tracking and reduced risk. The book also addresses anesthetic aspects in connection with the recently introduced and rapidly expanding practice of laparoscopic surgery; with enhanced recovery; and with pancreatic surgery. Anesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation is intended for aspiring HPB and transplant anesthetists, anesthesia trainees, and consultants with experience in HPB anesthesia who want to see whether or not they're up to date on the current standards. |
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