Project of a multidisciplinary range of clinicians. The interventions include group, individual and family modalities and the addition of creative arts combines verbal and nonverbal approaches. Provides a model for other clinicians and administrators and emphasizes the relational aspects of therapeutic practices, a team, and the importance of education and support in order to create an empowering and non-threatening environment.

Transgenerational Trauma and Therapy presents the transgenerational, psychological impacts of trauma, and the clinical work on it. The book's expansive insight explores the psychology of the massive, collective trauma, and provides new ways of understanding the serious after-effects of man-made suffering. In this book, Bako and Zana employ their original concept, "the transgenerational atmosphere", to fully comprehend many familiar phenomena in a new theoretical framework, exploring the psychological impact of trauma on the first generation, the mode of transmission, the effects on future generations, and therapeutic considerations. Crucially, Transgenerational Trauma and Therapy explores the psychological effects of collective, societal traumas on whole groups of individuals. Beginning with the direct, deep psychological effects of individual trauma, and then exploring the impact of collective trauma over generations , it deals particularly with the role of the social environment in the processing of trauma, as well as its hereditary transmission. Rich in clinical material and methodological suggestions, Transgenerational Trauma and Therapy will appeal to mental health professionals, including psychiatrists, psychologists, psychoanalysts, and social workers, in addition to professors in other academic disciplines, such as sociology, history, philosophy, and anthropology.

This book was conceived in response to the increasing recognition of the central role of communication in effective healthcare delivery, particularly in high-stress contexts. Over a three-year period, the research team investigated communication between patients and clinicians in five representative emergency departments (EDs). The book describes the communicative complexity and intensity of work in the ED and identifies the features of successful patient-clinician interactions. Drawing on authentic examples of communication within the ED, the book provides comprehensive communication strategies for healthcare professionals that can be readily integrated into everyday practice. 'Professor Diana Slade and her colleagues have written an innovative and practical book on communication and relationships in emergency departments and their effects on the patient experience. Rarely does one find a book that so seamlessly translates research findings into practical action strategies. The book is an invaluable resource for the training of physicians, nurses, hospital administrators and others in healthcare.' - Elizabeth A. Rider, MSW, MD, FAAP, Department of Pediatrics, Harvard Medical School 'My participation in the UTS Emergency Communication project provided extraordinary insights into the complexities and subtleties of communication encounters during a patient's emergency department journey. This project has made a lasting impact on my daily work, and I hope will improve emergency patient care into the future.' - Dr Nick Taylor, Emergency Medicine Specialist, The Canberra Hospital 'The captured clinical conversations between doctors, nurses and patients are fascinating... The discussion and conclusions provide a rare insight into an integral and critical component of Emergency Medicine practice. The team, led by Professor Slade, was truly unobtrusive, professional and personable.' - Dr Marian Lee, Emergency Physician, Director of Emergency Medicine Training

• Builds on the author’s own theoretical concept, ‘The Transgenerational Atmosphere’ from their first book. • Looks at the impact of collective trauma including pandemics, natural disasters, terrorism, war, and the potential long-term psychological effects. • Explores COVID-19 as an instance of Mass Trauma, and reflects on the crisis through a psychoanalytic lens, using clinical material from during the pandemic itself. • Offers a unique approach through the diarizing of the authors’ own clinical experiences and responses to the pandemic.

At the Sixth Wiggers Bernard Conference, a group of scientists from various disciplines discussed new findings relating to nitric oxide synthase inhibitor in shock, sepsis, and organ failure. Dedicated to the presentation and discussion of both positive and negative findings related to the use of NOS inhibitors, the meeting served as a forum for issues relating to specific and non-specific inhibitors, as well as the role of nitric oxide-oxygen radical interactions. Both experimental and clinical data were presented in the trauma and sepsis field.

An Existential Approach to Interpersonal Trauma provides a new existential framework for understanding the experiences of interpersonal trauma building on reflections from Marc Boaz's own personal history, clinical insight and research. The book suggests that psychology, psychotherapy and existentialism do not recognise the significance of the existential movements that occur in traumatic confrontations with reality. By considering what people find at the limits and boundaries of human experiencing, Boaz describes the ways in which they can disillusion and re-illusion themselves, and how this becomes incorporated into their modes of existing in the world and in relation to others. In incorporating the experience of trauma into the way people live - all the existential horror, terror and liberation contained within it - Boaz invites them to embrace an expansive ethic of (re)(dis)covery. This ethic recognises the ambiguity and spectrality of interpersonal trauma, and expands the horizons of our human relationships. The book provides an important basis for professionals wanting to work existentially with interpersonal trauma and for people wanting to deepen their understanding of the trauma they have experienced.

Contains personal accounts as well as psychoanalytic and literary analysis. Davoine is the leading figure in psychoanalytic/literary studies. Draws direct comparison between trauma in human history (e.g. WW1 and plague) and the COVID-19 pandemic.

This "comforting...thoughtful" (The Washington Post) guide to maintaining a high quality of life-from resilient old age to the first inklings of a serious illness to the final breath-by the New York Times bestselling author of Knocking on Heaven's Door is a "roadmap to the end that combines medical, practical, and spiritual guidance" (The Boston Globe). "A common sense path to define what a 'good' death looks like" (USA TODAY), The Art of Dying Well is about living as well as possible for as long as possible and adapting successfully to change. Packed with extraordinarily helpful insights and inspiring true stories, award-winning journalist Katy Butler shows how to thrive in later life (even when coping with a chronic medical condition), how to get the best from our health system, and how to make your own "good death" more likely. Butler explains how to successfully age in place, why to pick a younger doctor and how to have an honest conversation with them, when not to call 911, and how to make your death a sacred rite of passage rather than a medical event. This handbook of preparations-practical, communal, physical, and spiritual-will help you make the most of your remaining time, be it decades, years, or months. Based on Butler's experience caring for aging parents, and hundreds of interviews with people who have successfully navigated our fragmented health system and helped their loved ones have good deaths, The Art of Dying Well also draws on the expertise of national leaders in family medicine, palliative care, geriatrics, oncology, and hospice. This "empowering guide clearly outlines the steps necessary to prepare for a beautiful death without fear" (Shelf Awareness).

Over the past two decades it has been increasingly recognized that whole-body ultrasound is an invaluable tool in the critically ill. In addition to offering rapid whole-body assessment, it has the advantage of being a bedside approach that is available at all times and can be repeated at will. Accordingly, it permits the immediate institution of appropriate therapeutic management. Whole-Body Ultrasound in the Critically Ill is the sequel to the author s previous books on the subject, which were first published in French in 1992 and 2002 and in English in 2004. This new volume reflects the latest state of knowledge by including a variety of improvements, revised definitions, and updated algorithms. Findings in respect of individual organs are clearly presented, and a particular feature is the in-depth coverage of the lungs, traditionally regarded as an area unsuitable for ultrasound. Throughout, the emphasis is on the practical therapeutic impact of the technique. Its value in a variety of settings, including unexplained shock, management of hemodynamic instability, acute respiratory failure (the BLUE protocol), and the critically ill neonate, is carefully explained. Interventional ultrasound and less widely recognized applications, such as mesenteric infarction, pneumoperitoneum, and intracranial hypertension, are also described. Pitfalls of the technique receive due attention. Today, whole-body ultrasound touches upon every area of critical care. This book, from the chief pioneer in the field, shows that the technique enables critical care physicians to detect therapeutically relevant signs easily and quickly. It will serve as an invaluable guide to the practice of a form of visual medicine."

Whether switching on the TV, picking up a newspaper or simply logging on to the internet, one is constantly faced with images of natural disasters, conflict and human suffering. Humanity has experienced these problems throughout time and we have evolved methods and mechanisms for alleviating suffering, from trauma care following a traffic accident to international pacts and the Millennium Development Goals. In exploring such diverse cases of aid intervention, Disaster Medicine: A Case Based Approach provides interesting, easily accessible content and context for understanding disaster medicine and global health. In each case the reader will be put in the position of the decision maker and as in real life some of the cases will portray success and some will show failure. It is hoped the reader will consider the issues and problems for themselves and perhaps consider things they would choose to do differently. Written by a team of experts with extensive experience in the field and a progressive perspective Disaster Medicine: A Case Based Approach is a valuable text for students and professionals of disaster medicine.

The award-winning guide to medical training for wilderness rescue and self-care Wilderness First Responder is a comprehensive text for the recognition, treatment, and prevention of backcountry emergencies, written by wilderness expert Buck Tilton with more than a dozen medical professionals. Thoroughly updated and revised, this teaching manual for the National Outdoor Leadership School's Wilderness First Responder course represents more than a century and a half of combined experience in wilderness medicine, rescue, and education. It is essential reading for wilderness educators, trip leaders, guides, search and rescue groups, and anyone who works or plays far from definitive medical care. This invaluable resource includes expert step-by-step instructions, clear illustrations, and "Signs and Symptoms" sidebars designed to help you provide immediate care in the wilderness-whenever you are more than an hour away from an ambulance or a medical facility. It shows how to conduct a patient assessment, improvise when ideal materials are not handy, and decide whether or not to evacuate the injured. Learn how to assess and treat: Airway obstructions Cardiac arrest External and internal bleeding Shock Spine injuries Head injuries Chest injuries Abdominal injuries Fractures and dislocations Athletic injuries Soft-tissue injuries Cold- or heat-induced injuries Altitude sickness Insect bites and stings Diabetic emergencies Poisoning emergencies Allergic reactions and anaphylaxis

The International Brain Hypothermia Symposium 2004was the second time I have had the honor of opening such a gathering on brain hypothermia treatment. It was a great pleasure to greet the participants in the hope that their valuablecontributions would make the Tokyo meeting memorable. Brainhypothermia has long been seen as a promising method that may overcome current limitations on brain resuscitation in patients with severe brain damage. However, although excellentresults have been obtained in experimental animal models, for some reason brain hypothermia has not alwaysbeen successful clinically, and resolving this problem has been a major challenge facing physicians specializing in brain therapies. The ICUmanagement of recent research has uncovered newmechanisms ofbrain damage not seen in animal models, including brain thermo-pooling at temperatures above 40 C in severe brain damage, masking neuronal hypoxia even with normal cerebral blood flow. Stress-related hyper glycemia with brain hypothermia was expected to generate useful results in patients with external injuries, cerebral occlusive stroke, and cardiac arrest. In recent clinical studies of brain hypothermia treatment, many excellent results began being reported on the manage ment of severe brain injury, ischemic stroke, and post-resuscitation after cardiac arrest. However, in clinical brain hypothermia treatment many questions remained about appro priate treatment targets, leu management technique, prevention of complications, control of brain tissue temperature, management of hypothermia insult, and mechanisms underly ing the onset of vegetative states."

An Introduction to Psychotherapeutic Playback Theater is a comprehensive book presenting Psychotherapeutic Playback Theater as a unique form of group psychotherapy. This pioneering book is the first of its kind, examining this new approach, the theory behind it, and the numerous considerations and diverse possibilities involved in using the technique to promote a significant reflective process among participants. Informed by years of Psychotherapeutic Playback Theater practice and research, the authors detail a collective-creative method that allows for the creation of a therapeutic experience centered on feelings of belonging, acceptance, visibility and liberation. It is presented to the reader as a path toward their development and growth as a conductor working in this newly evolving field of group therapy. The book will be of great interest to dramatherapy students, trainees and professionals, and group therapists who wish to reflect upon their practice through the mirror of Psychotherapeutic Playback Theater as well as facilitators and actors working with Playback Theater or other improvised genres.

An Introduction to Psychotherapeutic Playback Theater is a comprehensive book presenting Psychotherapeutic Playback Theater as a unique form of group psychotherapy. This pioneering book is the first of its kind, examining this new approach, the theory behind it, and the numerous considerations and diverse possibilities involved in using the technique to promote a significant reflective process among participants. Informed by years of Psychotherapeutic Playback Theater practice and research, the authors detail a collective-creative method that allows for the creation of a therapeutic experience centered on feelings of belonging, acceptance, visibility and liberation. It is presented to the reader as a path toward their development and growth as a conductor working in this newly evolving field of group therapy. The book will be of great interest to dramatherapy students, trainees and professionals, and group therapists who wish to reflect upon their practice through the mirror of Psychotherapeutic Playback Theater as well as facilitators and actors working with Playback Theater or other improvised genres.

Better understand the men and women most affected by trauma in our society Convicted offenders quite often are found to have a history of trauma. Trauma and Dissociation in Convicted Offenders: Gender, Science, and Treatment Issues provides a comprehensive look at the connection between complex trauma and the likelihood of being a convicted offender. This unique text focuses on what factors increase the likelihood of being a convicted offender, and what treatment possibilities lay ahead for these individuals. Substance abuse, childhood sexual abuse, and other traumatic experiences and their links to incarcerated men and women are discussed in detail. Interventions and research within the corrections system are examined, with recommendations on how to better serve this population. Trauma and Dissociation in Convicted Offenders: Gender, Science, and Treatment Issues takes a reasoned stand on women and men in prison, understanding that while they are being punished for breaking the law, they also are survivors of trauma whose dysfunctions underscore the need for greater understanding and more research. This valuable source presents the most current research results while providing a clear view on important future directions of study and focus. Each chapter of this insightful resource is extensively referenced and many have tables to clearly present data. Topics in Trauma and Dissociation in Convicted Offenders: Gender, Science, and Treatment Issues include: the relationship between post-traumatic stress and lifetime substance abuse among incarcerated women research on women inmates with HIV sexual risk and hazardous drinking behavior study on the link between trauma and women domestic violence offenders dissociation and memory in sex abusers the 're-criminalization' of mental illness the effectiveness of group therapy for incarcerated women survivors of childhood sexual abuse (CSA) challenges, ethical issues, and benefits of conducting research with abuse survivors in a women's prison facility Trauma and Dissociation in Convicted Offenders: Gender, Science, and Treatment Issues is an essential resource for clinicians, educators, students, policymakers, and researchers.

This book analyses the private provision of rescue and emergency services, and focuses on the emergence of the world's largest rescue company, Falck. The author's structured academic perspective is informed through close co-operation with Falck, which operates in 44 countries and across 6 continents. The chapters examine aspects of reliability, culture, innovation, trust, governance and business development within rescue and emergency services, including differentiation, internationalisation and globalisation. Drawing on detailed case studies of Falck's global work in the USA, Columbia, India and Denmark, Private Action for Public Purpose is instructive for students and researchers of business and management, and will provide value for emergency responders, managers, policy-makers and organisations involved in emergency response and crisis management.

Produced by a world-renowned team of trauma specialists, this source reviews initial management considerations beginning in the pre-hospital phase, continues through the primary and secondary surveys of the hospital-based evaluation process, and proceeds to the perioperative management of trauma, burns, and associated conditions. This reference provides practical and expertly written chapters that specifically focus on problems unique to the trauma patient and delve into issues affecting future research and management perspectives.

The Body Remembers, Volume 2: Revolutionizing Trauma Treatment continues the discussion begun more than fifteen years ago with the publication of the best-selling and beloved The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment. This new book is grounded in the belief that the most important goal for any trauma treatment is to improve the quality of life of the client. Therefore, the first prerequisite is that the client be reliably stable and feel safe in his or her daily life as well as the therapy situation. To accomplish this, Babette Rothschild empowers both therapists and clients by expanding trauma treatment options. For clients who prefer not to review memories, or are unable to do so safely, new and expanded strategies and principles for trauma recovery are presented. And for those who wish to avail themselves of more typical trauma memory work, tools to make trauma memory resolution even safer are included. Being able to monitor and modulate a trauma client's dysregulated nervous system is one of the practitioner's best lines of defence against traumatic hyperarousal going amok-risking such consequences as dissociation and decompensation. Rothschild clarifies and simplifies autonomic nervous system (ANS) understanding and observation with her creation of an original full colour table that distinguishes six levels of arousal. Included in this table (and the discussion that accompanies it) is a new and essential distinction between trauma-induced hypoarousal and the low arousal that is caused by lethargy or depression. Combining an authoritative yet personal voice, Rothschild gives clinicians the space to recognise where they may have made mistakes-by sharing her own!-as well as a road map towards more effective practice in the future. This book is absolutely essential reading for anyone working with those who have experienced trauma. The full colour ANS table is also available from W.W. Norton as a laminated desk reference and a wall poster suitable for framing so this valuable therapeutic tool will always be at hand.

Terminal Ballistics: A Text and Atlas of Gunshot Wounds is a comprehensive guide that explains the science of forensic ballistics - focusing on the hardware, injury patterns, and forensic techniques associated with gunshot wounds. The text begins by describing the anatomy and design of basic firearms and the fundamental components of ammunition rounds, .22 rimfire, and propellants. The author presents a variety of gunshot injury patterns, and defines the concept of the pathological range of fire determination. He delineates patterns from injuries sustained by commonly fired rounds, including those acquired after discharge from handguns, high velocity centerfire rifles, shot guns, and black powder weapons. More obscure injuries from air pistols, nail guns, and homemade weapons are also detailed. Specific chapters identify the effects of intermediary targets, the mechanics of injuries sustained after a bullet passes through bone and the internal organs, and exit wounds. The author also observes situations that mimic gunshot injury, a frequently neglected area of gunshot injury interpretation. This extensive resource also depicts the technical aspects of forensic wound ballistic examinations, including protocol for managing the receipt of specimens from a gunshot wound surgical resection, gunshot residue sampling, and forensic radiology as applied to gunshot investigation. It outlines crime scene investigation, the autopsy and resulting report, forensic photography, and entomology. The final chapter highlights personal experiences from theatres of war and the investigations of atrocities where gunshot trauma is demonstrated.

Minor Head Trauma describes and explains techniques for diagnosing, evaluating, and rehabilitating patients with minor head injuries. This book emphasizes the importance of long-term treatment of patients beyond the initial moments of injury and treatment in the emergency room. Minor Head Trauma offers insight on: - a range of related issues from emergency room management to psychiatric evaluation and rehabilitation; - the role of electrophysiological testing in patients - including BEAM techniques; - the subtleties of neurophysiological diagnosis; - neurotoxicological evaluation and treatment; - diagnosis and treatment of temporomandibular joint disorders; - the nature and pathogenesis of visual sequelae of head injury; - the speech-language pathologist's role in treating minor head injuries; - the complexities of rehabilitation including problems faced when the patient resumes normal community, professional and familial activities. Minor Head Trauma is intended for physicians, psychologists, physical therapists, speech-language pathologists, nurses, attorneys, and others faced with the challenges of evaluating and treating patients who have sustained minor head trauma.

The definitive text on the state-of-the-art in pediatric trauma care, this reference offers detailed descriptions of procedures in system design, pediatric resuscitation, supportive care, diagnostic imaging, pain management, and transfusion therapy by experts with hands-on experience in the field. Providing evidence-based recommendations, as well as current articles on rehabilitation, long-term outcomes, and infection control, this guide is invaluable for all professionals focusing on the needs of children with life and limb threatening injuries.

Much research over the past 30 to 40 years has shown that the inflammatory response, while critical for host defense during microbial infection, may itself play a central role in the pathogenesis of sepsis. Although key mediators responsible for this injury have been identified, efforts clinically to augment our conventional antimicrobial and supportive therapies during sepsis with agents modulating the inflammatory response have been unsuccessful. As a result, the mortality associated with this lethal syndrome, especially when complicated by shock, has remained persistently high. Unfortunately, during this same period of time, the incidence of sepsis has accelerated as other fields of medicine have relied increasingly on therapies that predispose to infection. While frustrating, overall this experience in the field of sepsis has not been without value. Most importantly, it has helped define on several different levels the complexity of the septic patient. Recognizing and addressing this complexity as discussed by each of the contributors to Evolving Concepts in Sepsis and Septic Shock may now provide new inroads into the treatment of sepsis.

For more than a decade, there has been no resource to guide the practitioner, trainee or allied health professional in this important field of pediatrics. These disorders are addressed every day with children admitted to the neonatal intensive care unit, pediatric intensive care unit, inpatient units, day hospitals, surgical units (inpatient and ambulatory), emergency rooms or in the outpatient setting.

Fluid and Electrolytes in Pediatrics: A Comprehensive Handbook is a complete compendium of ready access information for pediatricians, family practitioners, residents, students and allied health professionals. The manual will be a "go to" source for tables or information on any aspect of fluid, electrolyte and acid-base metabolism for general pediatrics/ family practitioners/residents/medical students/nurses or the medical or surgical specialties.

In order to achieve the goal as the "THE" textbook in this discipline, each chapter of the book will be divided into the following areas: Definition and Pathophysiology, Symptoms, Diagnosis and Causes, Treatment and Representative Scenarios. Case presentations/problems (6-10) to illustrate the key points within the chapter. The scenarios will attempt to cover the most common problems that present in pediatrics.

This book will have unique information with extensive tables, lists, and algorithms that detail clinical features of the entire spectrum of water metabolism, disorders of electrolytes, and disturbances in acid-base homeostasis by age (infants/newborns, children and adolescents) that is not available in any other textbook.

Steeped in Lacanian theory, this book is the first of its kind to present a longitudinal approach to the study of hysteria. In these 21 seminars Dr Melman leads us from the first records of hysteria to Freud's major discovery of the principal concepts of trauma, incompatibility, repression and the unconscious. Peppered with invaluable clinical examples, the author guides readers through difficult concepts as he links hysteria to the birth of psychoanalysis itself, and demonstrates how the reader may become implicated in this discourse. Capturing Melman's indomitable spirit, Studies on Hysteria Revisited will be an important read for graduate students, clinicians, and those in psychoanalytic formation.

Israeli perspective on postmemory. Interdisciplinary focus. Also includes discussion of postcolonialism.