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.

'A kind, tough, brave, important little story ... it will be a godsend to so many people, grown, growing and very young' - Joanna Lumley OBE I want to talk about the things that are happening to you... to us. As a little girl, Libby Moore was sexually abused by someone she should have been able to trust. Sadly, her experience is not uncommon. Many vulnerable children find themselves trapped in similarly devastating situations. Abuse leaves indelible marks; Libby lives with severe low self-esteem that has affected her relationships, career and choices into adulthood. She wishes that she could have supported and comforted her younger self, and explained that even when darkness seems all around light still exists. After... is Libby's way of reaching out and reconnecting with her younger self - and to all other survivors of child abuse. Essential and heart-breaking, with powerful and expressive illustrations by acclaimed cartoonist Tony Husband, this is a compelling and universal personal story. It will comfort and inspire anyone who has suffered childhood violence and abuse, and act as a trusted, therapeutic resource. Full of sensitivity and understanding, it takes a clear-sighted look at how trauma can affect and shape us and explains how through self-compassion we can learn to embrace life and begin to live again.

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.

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.

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.

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

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 provides a comprehensive and practical guide to orthostatic hypotension (OH) for doctors and nurses involved in the care of older adults, together with a state-of-the-art update on OH, covering its epidemiology, pathophysiology, assessment, diagnosis, causes, prevention, management, and relevance for geriatric practice. In addition, it addresses mechanisms of orthostatic tolerance and other orthostasis related conditions, as well as drugs, comorbidities and geriatric syndromes related to OH. The homeostatic ability to maintain blood pressure while standing requires an adequate blood volume and the integrity of the nervous system, heart, blood vessels and muscle pump. However, in older adults, some age-related factors can contribute to the development of OH. For example, decreased baroreflex sensitivity, -1-adrenergic vasoconstrictor response to sympathetic stimuli, parasympathetic activity, renal salt and water conservation, increased vascular stiffness and decreased ventricular diastolic filling, as well as concentrated capacities of the kidney may be associated with changes in postural blood pressure. It has also been shown that OH is associated with falls, cardiac events, heart failure, stroke, reduced quality of life, and increased risk of overall mortality in these patients. "Orthostatic Hypotension in Older Adults" will be of considerable interest to all professionals working in the fields of geriatrics, geriatric psychiatry, neurology, internal medicine, cardiology, and emergency medicine, or working with older people in hospitals or in their community.

Who are you, when you come from two places? Ennatu Domingo was adopted from Ethiopia at the age of seven and transplanted to Barcelona where she learned to flourish. But she never forgot her nomadic childhood in the mountains and meadows of Gondar, near the northern border with Eritrea. Having witnessed the hardships of Ethiopian rural women at an early age, she was inspired to study the patriarchal structures that underpinned her individual experiences, both in Europe and in contemporary Ethiopia. She has lived in Kenya, Belgium and the UK, and has travelled across five continents, but keeps returning to the country of her childhood, to re-construct a lost identity guided by the echo of her first language Amharic and the weight of a rich cultural heritage. Torn between forgetting and remembering, Ennatu explores the dilemma of international adoptees and migrant children and their quest for belonging in a book destined to be a classic of its genre.

Those affected by complex PTSD commonly feel as though there is something fundamentally wrong with them - that somewhere inside there is a part of them that needs to be fixed. Though untrue, such beliefs can feel extremely real and frightening. Difficult as it may be, facing one's PTSD from unresolved childhood trauma is a brave, courageous act - and with the right guidance, healing from PTSD is possible. Clinical psychologist Dr Arielle Schwartz has spent years helping those with C-PTSD find their way to wholeness. She also knows the territory of the healing firsthand, having walked it herself. This book provides a map to the complicated, and often overwhelming, terrain of C-PTSD with Dr. Schwartz's knowledgeable guidance helping you find your way. In The Complex PTSD Workbook, you'll learn all about C-PTSD and gain valuable insight into the types of symptoms associated with unresolved childhood trauma, while applying a strength-based perspective to integrate positive beliefs and behaviours. Examples and exercises through which you'll discover your own instances of trauma through relating to PTSD experiences other than your own, such as the following: * Information about common PTSD misdiagnoses such as bipolar disorder, ADHD, anxiety disorders, major depressive disorder, and substance abuse, among others. * Explorations of common methods of PTSD therapy including somatic therapy, EMDR, CBT, DBT, and mind-body perspectives. * Chapter takeaways that encourage thoughtful consideration and writing to explore how you feel as you review the material presented in relation to your PTSD symptoms. The Complex PTSD Workbook aims to empower you with a thorough understanding of the psychology and physiology of C-PTSD so you can make informed choices about the path to healing that is right for you and discover a life of wellness, free of C-PTSD, that used to seem just out of reach.

These flashcards are part of The Trauma Recovery Toolkit and need to be purchased alongside the guidebook for full and effective use. Both can be purchased together as a set: 978-0-367-54690-8 These flashcards are part of The Trauma Recovery Toolkit, a guidebook and flashcard set that has been created to empower individuals living with the effects of trauma and the mental health professionals that support them. Inspired by the latest research surrounding mindfulness, self-compassion, neuroscience and trauma recovery, the resource explores the effect of trauma on the brain and body and offers strategies which may be helpful in combatting the symptoms. The flashcard format enables trauma survivors to creatively respond to visual aids and prompts in a way that is comfortable for them, providing mental health professionals with a more creative and person-centred approach to directing clients towards their own healing journey. This resource comprises: * 38 colourful flashcards that can be used as standalone visual aids or as a platform for creative responses * A guidebook delving into the individual cards, their meaning and symbolism, and the research behind them * Additional resources to support the client's development of their own personalised cards. Weaving together psychoeducation, creativity, symbolism, and the latest neuroscientific research, this essential toolkit offers all professionals working in mental health services a creative way to engage clients with therapy, empowering them to develop habits and ways of being that can support their recovery. Intended for use in educational settings and/or therapy contexts under the supervision of an adult. This is not a toy.

Medical emergencies due to disorders of the endocrine system represent a unique category of clinical care. Hypotension, fever, palpitations, confusion, and electrolyte abnormalities are all signs of disparate endocrine emergencies that require immediate diagnoses and treatment. Recognition of endocrine emergencies will frequently lead to rapid improvement and stabilization of the patient. Now in a revised and expanded second edition including the latest clinical guidelines and protocols, Endocrine Emergencies serves as a handy single reference for any endocrinologist, internist, hospitalist, and emergency medicine physician to rapidly identify and initiate treatment. Topics covered include acute adrenal insufficiency, diabetic ketoacidosis, thyroid storm, hyponatremia, and myxedema coma, among many others. Each chapter opens with a precis that provides, in a single page, a presentation of symptoms, workup, and therapy. This serves as a rapid, "off the shelf" cue to immediately begin a differential diagnoses and therapy plan. The remainder of each chapter is an in-depth review of the pathophysiology, diagnoses, and management of the disease process. Book chapters are written by experts in the field and reflect the consensus and standard of care for specific endocrine emergencies. Updated with the latest clinical evidence and treatment options, Endocrine Emergencies remains a valuable resource for practitioners in endocrinology and internal medicine, as well as emergency room physicians, hospital support staff, fellows and residents.

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.

This new and updated edition is a practical guide to intensive care for the non-specialist, providing the core knowledge and principles of intensive care patient management. From general principles through to critical care outreach and end of life care, it covers best practice management in the intensive care unit. It includes the key organ system support as well as monitoring, sepsis, brain-stem death, and nutrition in intensive care. There is also full coverage of organ donation. This invaluable resource is highly illustrated in colour throughout with new images, references to key evidence, and further reading and resources in each chapter. It is ideal for junior doctors, medical students and specialist nurses working in an acute hospital setting and the ICU and neonatal ICU, and for anyone involved in the management and care of intensive care patients. Endorsed by the Intensive Care Society (UK) and the Scottish Intensive Care Society.

This book describes in detail the effects and ongoing impacts of trauma on the body and mind and provides the 'missing piece' in the treatment of these stubborn conditions that every practitioner confronts. Heart Shock refers to the systemic impact that emotional and/or physical trauma has on one's physiology and psychology, interfering with one's ability to heal, and also directly attributable to a host of progressive pathology. Synthesizing the teachings of Jeffrey Yuen and the Shen-Hammer lineage and focusing heavily on psychology, Ross Rosen addresses how to identify, diagnose, and treat Heart Shock from multiple perspectives, providing a multi-faceted approach to treatment, including all the acupuncture channel systems, herbal medicine and the use of essential oils. The approach presented can also be expanded to treat any condition or disease process.

Through a Trauma Lens aims to understand and highlight successful examples of health, mental health, substance abuse treatment, and other service delivery systems that have implemented an integrated trauma-informed service model. This innovative volume draws on the author's first-hand experience working alongside a number of local and state organizations as well as a nationwide survey of notable trauma-informed models. Structured around illustrative case studies, chapters that correspond to stage of adoption, and strategies for cultivating staff support, this valuable new resource include examples and strategies to be applied in any treatment or service setting.

History Flows through Us introduces a new dialogue between leading historians and psychoanalysts and provides essential insights into the nature of historical trauma. The contributors - German historians, historians of the Holocaust and psychoanalysts of different disciplinary backgrounds - address the synergy between history and psychoanalysis in an engaging and accessible manner. Together they develop a response to German history and the Holocaust that is future-oriented and timely in the presence of today's ethnic hatreds. In the process, they help us to appreciate the emotional and political legacy of history's collective crimes. This book illustrates how history and the psyche shape one another and the degree to which history flows through all of us as human beings. Its innovative cross-disciplinary approach draws on the work of the historian and psychoanalyst Thomas Kohut. The volume includes an extended dialogue with Kohut in which he reflects on the study of German history and the Holocaust at the intersection of history and psychoanalysis. This book demonstrates that the fields of history and psychoanalysis are each concerned with the role of empathy and with the study of memory and narrative. History Flows through Us will appeal to general readers, students and professionals in cultural history, Holocaust and trauma studies, sociology, psychoanalysis, psychotherapy and psychology.

Dismal spending on government health services is often considered a necessary consequence of a low per-capita GDP, but are poor patients in poor countries really fated to be denied the fruits of modern medicine? In many countries, officials speak of proper health care as a luxury, and convincing politicians to ensure citizens have access to quality health services is a constant struggle. Yet, in many of the poorest nations, health care has long received a tiny share of public spending. Colonial and postcolonial governments alike have used political, rhetorical, and even martial campaigns to rebuff demands by patients and health professionals for improved medical provision, even when more funds were available. No More to Spend challenges the inevitability of inadequate social services in twentieth-century Africa, focusing on the political history of Malawi. Using the stories of doctors, patients, and political leaders, Luke Messac demonstrates how both colonial and postcolonial administrations in this nation used claims of scarcity to justify the poor state of health care. During periods of burgeoning global discourse on welfare and social protection, forestalling improvements in health care required varied forms of rationalization and denial. Calls for better medical care compelled governments, like that of Malawi, to either increase public health spending or offer reasons for their inaction. Because medical care is still sparse in many regions in Africa, the recurring tactics for prolonged neglect have important implications for global health today.

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.

Long recognized as the gold standard emergency airway management textbook, The Walls Manual of Emergency Airway Management, Sixth Edition, remains the most trusted reference on this challenging topic. This practical reference, edited by Drs. Calvin A. Brown III, John C. Sakles, Nathan W. Mick, Jarrod M. Mosier, and Darren A. Braude, is the foundation text for these nationally recognized programs: The Difficult Airway Course: Emergency (TM), The Difficult Airway Course: Critical Care (TM), The Difficult Airway Course: EMS (TM), and The Difficult Airway Course: Residency Edition (TM). Its hands-on approach provides the concrete guidance you need to effectively respond wherever adult or pediatric airway emergencies may occur, including in and out of hospital settings, emergency departments, and urgent care centers. Includes new chapters on Physiologically Difficult Airway; Human Factors in Emergency Airway Management; Intubating the Highly Infectious Patient (including COVID-19 considerations); and the Massively Soiled Airway Emphasizes practicality with step-by-step instructions, mnemonics, easy-to-follow algorithms, and rich illustrations Esteemed contributors from previous editions, Dr. Jarrod M. Mosier and Dr. Darren A. Braude, bring their extensive expertise in critical care and prehospital airway management, respectively, as new editors of this edition Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Written in a straightforward, readable, and highly informative style, Navigating the ICU: A Guide for Patients and Families is a compact, affordable guide to today's intensive care unit. This unique, patient-focused handbook is designed to help patients and their families navigate the complexities of the ICU-from the role of each member of staff, to common procedures, medications, and laboratory tests, to what to expect after the hospital stay. Author and ICU nurse Alex Gottsch concisely explains the ICU experience and provides accessible answers to common questions asked by patients and families. Provides a single, accessible resource for patients and families in the high-stress setting of the ICU, where life-changing decisions often need to be made rapidly in an unfamiliar and intimidating environment Improves communication between patients, families, and health care providers by educating families about how the ICU works, what questions to ask, and how to advocate for themselves and family members Guides you through the ins and outs of the ICU experience with an intuitive, easy-to-use table of contents Answers questions you may not have known you had, such as "What is the most important part of the day for me to be present?" and "What Medical Care Would I Want If I Could Not Choose?" Addresses a wide range of post-ICU possibilities including Post-Intensive Care Syndrome (PICS), what to expect from skilled nursing facilities and long-term acute care facilities, and end-of-life issues Includes a Foreword by Patricia M. Davidson, Dean of The Johns Hopkins School of Nursing Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.