Decision making regarding fluid volume loading, fluid restriction, or administration of vasoactive drugs may vary among physicians, depending solely upon their clinical experience in the absence of evidence-based measurement. The initial distribution volume of glucose (IDVG) is believed to be clinically relevant as a marker of cardiovascular and fluid management in critically ill patients without a significant modification of glucose metabolism. This book covers all aspects of IDVG measurement, including the basic concept, its relationship with other fluid volumes, and the clinical application of this technique in the intensive care unit based on both the authors studies and their clinical experience with more than 4000 IDVG determinations. When the concept of IDVG is properly understood and its measurement is then performed routinely, daily fluid and cardiovascular management in critically ill patients can be improved based on evidence-based measurement."

This comprehensive account of the deadliest Ebola outbreak in history examines its devastating effects on West Africa's most vulnerable populations: pregnant women and children. Noted experts across disciplines assess health care systems' responses to the epidemic in Liberia, Guinea, and Sierra Leone, emphasizing key areas such as pregnancy, prenatal services, childbirth, neonatal care, and survivor health among pregnant and non-pregnant women. The 30 chapters hone in on gender-based social issues exacerbated during the outbreak, from violence against women and girls to barriers to female education. At the same time, chapters pinpoint numerous areas for service delivery and policy improvements for more coordinated, effective, and humane actions during future pandemics. A sampling of the topics: Ebola virus disease: perinatal transmission and epidemiology Comprehensive clinical care for children with Ebola virus disease Maternal and reproductive rights: Ebola and the law in Liberia Ebola-related complications for maternal, newborn, and child health service delivery and utilization in Guinea The Ebola epidemic halted female genital cutting in Sierra Leone-temporarily Maternity care for Ebola at Medecins Sans Frontieres centers Stigmatization of pregnant women with and without Ebola Exclusion of women and infants from Ebola treatment trials Role of midwives during the Ebola epidemic Pregnant in the Time of Ebola is a powerful resource for public health specialists, anthropologists, social scientists, physicians, epidemiologists, nurses, midwives, and governmental and non-governmental agency staff studying the effects of the epidemic on women and children as a result of the most widespread Ebola outbreak to date.

"Hospital Preparation for Bioterror" provides an extremely timely guide to improving the readiness of hospitals or healthcare organizations to manage mass casualties as a result of bioterrorism, biological warfare, and natural disasters. Contributions from leading law enforcement agencies, hospital administrators, clinical engineers, surgeons and terror-prevention professionals provide the most comprehensive, well-rounded source for this valuable information. Chapters on logistics and protecting the infrastructure help personnel distinguish the specific risks and vulnerabilities of each unique institution and assists in identifying specific solutions for disaster and bioterrorism preparedness.
-Principles and techniques discussed are applicable to all disasters, both large and small, not just bioterrorism
-Technical aspects such as hospital power and telecommunications are covered, in addition to patient care, response to mass casualties, large-scale drills, and surge capacity.
-Organized along functional lines, patient flow, medical specialty, and infrastructure
-A complimentary website with supplementary materials, check-lists, and references enhances the text and provides additional resources for preparedness.

This completely revised fourth edition of Principles of Pediatric and Neonatal Emergencies - a flagship publication of Indian Pediatrics - is now in colour. With its focus on the management of acute illnesses in emergency settings, especially in low- and middle-income settings, the book will be highly relevant to the needs of pediatricians working in developing countries. Most chapters have been completely rewritten, incorporating latest consensus guidelines of management by various academic bodies and incorporating flowcharts and key points. The emphasis continues to be on initial management of common and important emergencies affecting children. Detailed discussions on etiology and pathophysiology have been avoided. This textbook shall be extremely valuable for pediatricians, physicians, resident doctors and other trainees, and will be an essential part of shelf in all pediatric emergency units. Incorporates latest evidence-based diagnostic and therapeutic recommendations related to pediatric and neonatal emergencies. Comprehensively covers acute illnesses in children, with emphasis on their initial management. New chapters on oxygen therapy, anaphylaxis, blood component therapy, asthma, chronic respiratory disorders, cardiac arrhythmias, traumatic brain injuries, oncological emergencies, dermatological, gynecological and psychiatric emergencies, burns, corrosive poisonings, urological, orthopedic, and ocular emergencies and approach to sexually abused child. Special arrangement in 8 sections - starting with Organization of Pediatric Emergency Department, and progressing to initial Stabilization of a Sick Child, followed by Systemic Emergencies, Environmental, and Toxicological Threats, Neonatal Emergencies, Surgical and Subspecialty Emergencies, and Procedures. Contribution from over 170 authors with vast experience in emergencies and intensive care. Annexures on drug doses for emergency drugs, with emphasis on antiarrhythmic drugs. A must for every postgraduate student and practicing pediatriciains and an essential component in the shelf of all pediatric emergenct units.

Despite numerous recent studies and exciting discoveries in the field, only limited treatment is available today for the victims of acute neurological injuries. Animal Models of Acute Neurological Injuries provides a standardized methodology manual designed to eliminate the inconsistent preparations and variability that currently jeopardizes advances in the field. Contributed by top experts and many original developers of the models, each chapter contains a step-by-step, proven procedure and visual aids covering the most commonly used animal models of neurological injury in order to highlight the practical applications of animal models rather than the theoretical issues. This intensive volume presents its readily reproducible protocols with great clarity and consistency to best aid neuroscientists and neurobiologists in laboratory testing and experimentation. Comprehensive and cutting-edge, Animal Models of Acute Neurological Injuries is an ideal guide for scientists and researchers who wish to pursue this vital course of study with the proficiency and precision that the field requires.

This fascinating book explores how traumatic experience interacts with unconscious phantasy based in folklore, the supernatural and the occult. Drawing upon trauma research, case study vignettes, and psychoanalytic theory, it explains how therapists can use literature, the arts, and philosophy to work with clients who feel cursed and manifest self-sabotaging states. The book examines the challenges that can arise when working with this client population and illustrates how to work through them while navigating potent transferences and projective identifications. It's an important read for students, psychotherapists, and counselors in the mental health field.

Current and concise, the updated and revised 2nd Edition of this pocket-sized reference reflects the substantial changes shaping the evaluation and treatment of many emergency conditions today. Its unique "signs and symptoms" approach offers the quickest possible way to diagnose critical conditions in an emergency situation. Organized around presenting symptoms, it can be used in real time to answer patient care questions. Diagnoses are listed in order of their severity in each chapter, with the symptoms, signs, suggested workup, and patient disposition given for each diagnosis. Uses a symptom-based approach for quick diagnosis. Features an outline format for real-time reference. Focuses on the 200 conditions most frequently encountered in the emergency room. Presents a useful tool for evaluating the likelihood that a specific symptom - or symptoms - denotes a particular disease, and allows the reader to initiate an appropriate treatment. Includes new chapters on emergency situations involving biological, chemical, and radiation terrorism * chapters devoted to the challenges presented by patients with AIDS and those with organ transplants * two chapters on environmental emergencies * one chapter examining heat illness, hypothermia, and submersion injury * and a chapter on envenomations. Features expanded "Treatment Considerations" sections.

This contributed volume examines the intersection of trauma and disaster behavioral health from a lifespan perspective, filling a critical gap in the literature on disaster mental health research. In the chapters, the contributors evaluate behavioral data of adults exposed to various environmental events in both the United States (i.e., the 2017 Hurricanes Irma in Florida and Harvey in Houston) and abroad (i.e., missile fire in the 2014 Israel-Gaza conflict). Contributors also suggest future directions, practices, and policies for trauma and disaster response. The three parts of the book provide an overview of disaster behavioral health across the lifespan, propose practical applications of research theories to psychosocial problems resulting from disasters and trauma, and evaluate disaster and trauma interventions from a macro-level perspective. Topics explored among the chapters include: Integrating Trauma-Informed Principles into Disaster Behavioral Health Targeting Older Adults Cultural Competence and Disaster Mental Health When Disasters Strike: Navigating the Challenges of "Sudden Science" Frameworks of Recovery: Health Caught at the Intersection of Housing, Education, and Employment Opportunities After Hurricane Katrina Substance Use Issues and Behavioral Health After a Disaster Psychosocial Recovery After Natural Disaster: International Advocacy, Policy, and Recommendations The Intersection of Trauma and Disaster Behavioral Health is a vital resource for researchers whose expertise covers the domains of trauma, health and wellness, and natural and technological disasters. The book also is a useful supplement to graduate courses in psychology, sociology, social work, disaster science, human ecology, and public health.

This text has been prepared with a view to be simple, practical, concise and easy-to-read for pediatricians, pediatric intensive care unit (PICU) and neonatal intensive care unit (NICU) residents and fellows using conventional mechanical ventilation for commonly seen conditions such as respiratory distress syndrome (RDS), meconium aspiration syndrome (MAS), persistent pulmonary hypertension (PPHN), pneumonia, acute respiratory distress syndrome (ARDS), asthma, and various cardiovascular and neurological conditions. This book is intended to be a practical resource for pediatric residents, pediatricians, and physicians involved in the care of neonatal and pediatric intensive care patients needing mechanical ventilation. Ventilation technique specifically applicable to neonate or an older child has been indicated wherever necessary Easy-to-read flow diagrams (algorithms) have been used for management of respiratory distress, rapid sequence intubation (RSI), basic mechanical ventilation, and weaning. Noninvasive ventilation modalities such as continuous positive airway pressure (CPAP), biphasic positive airway pressure (BIPAP), and high flow nasal oxygen have also been included. Newer modes such as high frequency ventilation and common ventilator graphics interpretation have also been included for the reader aspiring to learn the newer and advanced modes of ventilation. A chapter on extracorporeal membrane oxygenation has been added to make the reader familiar with technology beyond mechanical ventilation to support patients with refractory hypoxemia. A chapter on how to choose a ventilator has also been included as a guide to new units providing care to neonates and children. This book would be helpful to the user in management of common conditions requiring CPAP, invasive and non-invasive mechanical ventilation in neonates and older children.

Substantialfundamental workhas been undertaken inthe different aspects of impact biomechanics over the past three decades. Much of this has been motivated and undertaken bythe automotive industry intheirefforts to improve transport safety. More recently, however, it has become app- ent that themultidisciplinary synergies which are realisedby interactions between engineers, scientists and clinical practitioners will ultimately lead to a greater understanding of the complex interacting phenomena withinthe human bodyafter it has sustained an impact. In turn, this greater depth of knowledge will provide more fundamentalinsights into the analysis, d- gnosis, treatment and prevention ofimpact injuries across a broader sp- trum of accident environments. Thescienti?c focus of this IUTAM symposium istoaddress those t- ics that are centrally important to the biomechanics ofimpact. These can be groupedinto those that are concerned with the different causes of - cidents (e. g. , transport, occupational and sports injuries), themechanics - volvedinaccident analysis (e. g. , accident investigation, computational m- elling techniques), the different types of resulting traumatic injuries (incl- ing musculoskeletal, organ, spinal and head injuries), methods of asse- ing the extent of injury (e. g. , injury assessment, injury criteria, constitutive laws for human tissue), and providing protection during an impact (e. g. , injury prevention, energy absorption materials, and safety devices).

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Intensive Care Medicine compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.

Although its roots date back to the early decades of the 20th century, critical care medicine did not emerge as a specialty in medicine until the 1970 s. Over the last 30 years or so, the field of critical care medicine has grown tremendously and there is now a solid body of scientific information that forms the foundation for the practice of critical care medicine. But, now as physicians and hospitals around the world focus to an ever greater extend on providing high quality care, the practice of critical care medicine will continue to grow in visibility and importance among clinicians and the general public as well.

This book seeks to identify the trends in critical care medicine that will form the basis for practice over the next ten years. Predicting the future is always risky. Nevertheless, the ideas articulated in this book are likely to serve as a road map for intensivists, hospital administrators and governmental leaders interested in healthcare, as they seek to improve the quality and efficiency of hospital-based services."

This book has been written by established Orthopedic Surgeons who have become dedicated specialists within their particular subspecialty. They have contributed by writing highly detailed chapters that educate the reader with the basic science, accepted fundamentals and most recent trends within the full range oftrauma management in orthopedics. It is intended that this well illustrated and highly informative text book to provide orthopedic surgeons in training with comprehensive and relevant core knowledge on all aspects oftrauma management orthopedics, and will become an essential guide for surgeons in training, providing step by step approaches to performing initial diagnosis, surgical procedures and post operative management. "

Trauma and Recovery is the foundational text on understanding trauma survivors. By placing individual experience in a political frame, psychiatrist Judith L. Herman argues that psychological trauma is inseparable from its social and political context. Drawing on her own research on incest, as well as a vast literature on combat veterans and victims of political terror, she shows surprising parallels between private horrors like child abuse and public horrors like war. This edition includes a new epilogue by the author assessing what has-and hasn't-changed in understanding and treating trauma over the last three decades. Hailed by the New York Times as "one of the most important psychiatry works to be published since Freud," Trauma and Recovery is essential reading for anyone seeking to understand how we heal.

TASER (R) Conducted Electrical Weapons are rapidly replacing the club for law-enforcement control of violent subjects within many countries around the globe. A TASER CEW is a hand-held device that delivers a 400-volt pulse with a duration tuned to control the skeletal muscles without affecting the heart at a distance of up to 6.5 meters over tiny wires. If necessary, it begins with an arcing voltage of 50,000 V to penetrate thick clothing; the 50,000 V is never delivered to the body itself. Due to the widespread usage of these devices and the widespread misconceptions surrounding their operation, this book will have significant utility. This volume is written for cardiologists, emergency physicians, pathologists, law enforcement management, corrections personnel, and attorneys.

This textbook encompasses the essential topics on the subject that all clinicians need to know for the effective management of their patients. It has four sections each for ventilation, fluids and electrolytes, blood gases, and miscellaneous. Each section starts with applied physiology and then covers routine as well as advance topics related to ventilation, fluids, and electrolytes in critically ill adult patients. The miscellaneous section covers enteral and parenteral nutrition, immunonutrition, blood product transfusion, and care of potential organ donor in the intensive care unit (ICU). There are also chapters on common problems such as the approach to the patient with hypoxemia, hypercapnia, hypovolemia, electrolyte abnormalities, and acid-base disturbances. Covers all essential aspects, from applied physiology to advanced care, related to ventilation, fluids, and electrolytes in critically ill adult patients. Based on common problems like the approach to the patient with hypoxemia, hypercapnia, hypovolemia, electrolyte abnormalities, and acid-base disturbances. Chapters start with a case scenario, followed by structured description of the problem, and in the end discussion about the index case. Figures, tables, and flowcharts have been used throughout the chapters. At the end of each chapter, a few salient points are given to emphasis on the important area of the particular topic. Useful for trainees as well as consultants of various clinical specialties who manage critically ill adult patients, including critical care medicine, emergency medicine, pulmonary medicine, and anesthesiology.

Emergency Orthopedics is a practical, up-to-date, and comprehensive manual on the diagnosis and treatment of emergency injuries and disorders of the locomotor system. Its problem-based structure, with each chapter addressing a particular symptom, is designed to allow the reader to rapidly locate hands-on advice relevant to a wide range of circumstances. For each symptom, facts and findings that will assist in diagnosis are highlighted. Possible diagnoses are suggested according to the ICD-10 code, and the proposed treatment recommendations consider both short- and long-term aspects. In addition, important issues such as osteoporosis, joint injection techniques, and burn injuries are considered in separate chapters. The text is supported by exceptionally instructive illustrations, e.g., of examination techniques and reduction maneuvers. The book is written with a wisdom reflecting the author's extensive practical experience in emergency rooms as well as in sports medicine, research, and education. It will be a treasure trove of information for all who work in the emergency room and also very useful for general practitioners, physiotherapists, and chiropractors.

As a result of arms control efforts over the past 50 years, nuclear material is subject to strict national controls and tough international treaties. But there are still almost no controls, other than a voluntary International Atomic Energy Agency code of conduct, on the sorts of radiological sources used to make radiological dirty bombs. Radiological sources are used all over the world for a wide range of peaceful purposes, including smoke detectors, medical devices, meteorology, mining and thermoelectric generators. There are at least eight million identified radiological sources worldwide. Their small size, portability and high value make them vulnerable to misuse and theft: the IAEA reported 272 cases of illicit trafficking in sealed radioactive sources between 1993 and 2002.

The IAEA estimates that 110 countries worldwide still fail to impose adequate controls. The time is ripe for an international convention and treaty on the safety and security of radiological sources.

This book covers expert discussions designed to enhance cooperation and assistance between NATO and Partner countries in support of International Atomic Energy Agency (IAEA) efforts to secure radioactive sources against the threat of terrorism and also to support the security agenda at the International Radiation Protection Association Congress in Buenos Aires in 2008.

This atlas is a comprehensive guide to critical care for intensivists. Divided into eight sections, the book begins with discussion on airway management. The following sections describe critical care for different sub specialties - respiratory system, cardiology, gastroenterology and neurology. The final sections cover trauma cases, microbiology and miscellaneous topics which provide an overview of rheumatology, nephrology, haematology, ultrasound and more. The book is highly illustrated with more than 1100 clinical photographs, diagrams, radiological images and tables. Key points Comprehensive guide to critical care for intensivists Covers key sub specialties Includes trauma cases Highly illustrated with more than 1100 photographs, diagrams and radiological images

International terrorism remains a significant threat to the peace of the world. Weapons using various materials and delivery systems have been directed against cities and infrastructure, and other materials are postulated to be usable within the near future. This book provides information about how leading agencies across the NATO membership are preparing to confront and respond to terrorists deploying Weapons of Mass Destruction (WMD), Weapons of Mass Killing (WMK) and Weapons of Mass Disruption (WMDi). Based on contributions by experts from NATO member states, Israel and the Russian Federation, the book offers information on fourth generation warfare as a new challenge to first responders. It also provides a variety of insights into methods for preparing for and responding to WMD-, WMK-, and WMDi-events, using new technologies and strategies. Furthermore, the book offers solution for restoring the community to functioning after such a major terror attack.