'A striking memoir...A must-read for anyone healing from complex trauma' Jeanette McCurdy, bestselling author of I'm Glad My Mom Died Every cell in my body is filled with the code of generations of trauma, of death, of birth, of migration, of history that I cannot understand. . . . I want to have words for what my bones know. By the age of thirty, Stephanie Foo was successful on paper: she had her dream job as an award-winning radio producer at This American Life and a loving boyfriend. But behind her office door, she was having panic attacks and sobbing at her desk every morning. After years of questioning what was wrong with herself, she was diagnosed with complex PTSD - a condition that occurs when trauma happens continuously, over the course of years. Both of Foo's parents abandoned her when she was a teenager, after years of physical and verbal abuse and neglect. She thought she'd moved on, but her new diagnosis illuminated the way her past continued to threaten her health, relationships, and career. She found limited resources to help her, so Foo set out to heal herself, and to map her experiences onto the scarce literature about C-PTSD. In this deeply personal and thoroughly researched account, Foo interviews scientists and psychologists and tries a variety of innovative therapies. She returns to her hometown in California to investigate the effects of immigrant trauma on the community, and she uncovers family secrets in the country of her birth, Malaysia, to learn how trauma can be inherited through generations. Ultimately, she discovers that you don't move on from trauma - but you can learn to move with it. Powerful, enlightening and hopeful, What My Bones Know is a brave narrative that reckons with the hold of the past over the present, the mind over the body - and examines one woman's ability to reclaim agency from her trauma.

Decipher the complex interplay of neurology, psychology, trauma, and memory!In the midst of the controversies over how repressed, false, and recovered memories should be interpreted, Trauma and Cognitive Science presents reliable original research instead of rhetoric. This landmark volume examines the way different traumas influence memory, information processing, and suggestibility. The research provides testable theories on why people forget some kinds of childhood abuse and other traumas. It bridges the cognitive science and clinical approaches to traumatic stress studies.Written by the foremost researchers in the field, including Bessel van der Kolk and Jennifer Freyd, these scientific evaluations of the way traumatic memories are processed offer powerful new perspectives on the interplay of biology and psychology. Trauma and Cognitive Science discusses a range of traumas, including combat, child abuse, and sexual assault across the lifespan. Fascinating perceptual experiments shed light on the cognitive uses of dissociation, the encoding and recall of memory, and the effects of early trauma on subsequent information processing. Trauma and Cognitive Science offers solid information on the most challenging questions in this field: How is memory encoded, stored, and retrieved? How is it forgotten? How does trauma influence these processes? What kinds of memories can be created by suggestion? What physical changes take place in the brain under traumatic stress? How is consciousness disturbed during and after trauma? What are the ethical, clinical, and societal implications of traumatic stress studies? How can people suffering from traumatic memories be healed? Trauma and Cognitive Science also offers an astonishing array of true case studies, including the story of an adult woman who was raped, went to court, and saw her rapist convicted--and then forgot the whole traumatic episode. The independently corroborated accounts of recovered memories and the carefully designed research studies on multiple modes and levels of memory may offer the key to understanding how we remember and why we forget. The results of these controlled scientific studies have wide-ranging implications for abuse survivors, combat veterans, rape victims, and people who have survived traumatic events from earthquakes to car accidents. Written in clear, accessible prose, Trauma and Cognitive Science belongs on the bookshelf of all mental health professionals, researchers in the areas of traumatic stress and child abuse, attorneys, judges, and survivors of abuse and trauma.

This book has been organized and sponsored by the Asia Pacific Association of Critical Care Medicine (APACCM) to assist dissemination of the available evidence in the field. The book has been exclusively written by 85 authors, who practice in the Asia Pacific regions intensive care environment, thus provides a contemporary overview of the practice intensive care medicine in our region. In addition to the sections on general assessment and organ support in critically ill, over the half of the book is dedicated to organ dysfunction and specific critical illness syndromes (including the infectious diseases) that are prevalent in areas of the region.

Management of Musculoskeletal Injuries in the Trauma Patient summarizes the most current concepts and clinical practices for the management of the patient with musculoskeletal traumatic injuries. The text covers optimal time frames for stabilization of orthopedic injuries and strategies to mitigate systemic injury while minimizing damage due to pelvic, spine and long bone trauma. The volume covers the gamut of traumatic axial and extremity injuries, including cervico-lumbar-thoracic spine injuries, spinal cord injuries, long bone fractures with special emphasis on the femoral shaft, pelvic and acetabular injuries, open fractures, mangled extremities, upper extremity injuries, combination and severe soft tissues injuries and periarticular fractures. These are discussed in the context of isolated injury and combined with orthopedic injuries of the brain, abdomen, chest and other musculoskeletal injuries. Written by internationally recognized experts, Management of Musculoskeletal Injuries in the Trauma Patient is a valuable resource for orthopedic surgeons.

Using sample administrative and clinical protocols that any hospital can use, this book gives a detailed account of how to set up and run an observation unit and reviews all medical conditions in which observation medicine may be beneficial. In addition to clinical topics such as improving patient outcomes and avoiding readmissions, it also includes practical topics such as design, staffing, and daily operations; fiscal aspects, such as coding, billing, and reimbursement; regulatory concerns, such as aligning case management and utilization review with observation; nursing considerations; and more. The future of observation medicine, and how it can help solve the healthcare crisis from costs to access, is also discussed. Although based on US practices, this book is also applicable to an international audience, and contains instructions for implementing observation in any setting or locale and in any type of hospital or other appropriate facility.

While medical specialists in disaster mitigation, preparedness, and response are needed worldwide, the initial phase of disaster response is almost entirely dependent upon local resources-making it essential that all healthcare personnel have a working knowledge of the field and stand ready to integrate into the response system. Ciottone's Disaster Medicine, 3rd Edition, is the most comprehensive reference available to help accomplish these goals in every community. It thoroughly covers isolated domestic events as well as global disasters and humanitarian crises. Dr. Gregory Ciottone and more than 200 worldwide authorities share their knowledge and expertise on the preparation, assessment, and management of both natural and man-made disasters, including lessons learned by the responders to contemporary disasters such as the COVID-19 pandemic, Australian and western U.S. wildfires, European heatwaves, the Beirut explosion, recent hurricanes and typhoons, and the global refugee crisis. Part 1 offers an A-to-Z resource for every aspect of disaster medicine and management, while Part 2 features an exhaustive compilation of every conceivable disaster event, organized to facilitate quick reference in a real-time setting. Covers basic concepts such as identification of risks, organizational preparedness, equipment planning, disaster education and training, and more advanced concepts such as disaster risk reduction, health in complex emergencies, building local disaster resiliency, psychological impact of disasters on children, and more. Contains new decision trees throughout that help guide you through the decision-making process in difficult situations. Uses an easy-to-follow, templated approach to historical perspectives, overviews of current practice including pre-incident and post-incident actions, medical treatment of casualties, and potential pitfalls. Includes updated sections on man-made disasters, including mass casualties, active shooter situations, integrated response to terrorist attacks, and chemical/biological/radiological/nuclear/high-yield explosives disasters. Discusses the latest technologies, such as the use of mobile disaster applications, drone response systems, and virtual reality simulation training. Features thoroughly updated information on crisis leadership, practical applications of disaster epidemiology, disaster and climate change, and the integration of non-government agencies (NGOs) in disaster response-a critical topic for those responding to humanitarian needs overseas. Includes new chapters on Pandemic Preparedness and Response, Disaster Medicine in a Changing Climate, Disaster Response in Asia, Building Local Capacity and Disaster Resiliency, Civilian-Military Coordination in Disaster Response, Medical Simulation in Disaster Preparedness, Disaster Nursing, Crisis Meta-Leadership, Palliative Care in Disasters, Counter-Terrorism Medicine, SARS CoV (COVID-19 and SARS), and Disasters in Space Travel. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

Paul Weinberg spent 30 years in the Emergency Room (or ER) as a medical doctor and has seen everything, Described as "a strange career" by the author, entry into the field is unrestricted and open to all who are brave (or foolish) enough to start into the stream without the knowledge of the tsunami ahead. The strangeness of the practice is apparent from the very first visit to a busy urban ER. The swarm of commotion and great vividness of the scene can be dizzying. The relentlessness of the torrent and its strange day and night rhythms can enthral and repel like no other practice or job. In turns shocking, sad and funny, this book contains remarkable tales, inside stories and the experiences of a doctor's career in ER. Emergency medicine in America is a critical asset to its healthcare system. The ER doctor is located at the interface of the public and the first point of healthcare. If a doctor is needed outside of office hours, nights, or holidays, if the patient is uninsured or has inadequate insurance, or is of such a social state that they might be unpleasant to be around, no one is turned away at the ER. In short, the life of the ER doc is one where no situation is off limits.

A groundbreaking book that will broaden and expand your thinking, whether you are a trauma survivor, a clinician, someone who loves a survivor, or someone seeking to understand abuse. The relationship between trauma and mental health is becoming better recognised, but survivors and professionals alike remain confused about how best to understand and treat it. In Reclaim, through a series of case studies and expert analysis, Dr Ahona Guha explores complex traumas, how survivors can recover and heal, and the nature of those who abuse. She shines a light on the 'difficult' trauma victims that society often ignores, and tackles vital questions such as, 'Why are psychological abuse and coercive control so difficult to spot?', 'What kinds of behaviours should we see as red flags?', and 'Why do some people harm others, and how do we protect ourselves from them?' As a clinical and forensic psychologist, Dr Guha has had extensive experience in working with those who perpetrate harm - including stalkers, sex offenders, violent offenders, and those who threaten, bully and harass - and she has a deep understanding of the psychological and social factors that cause people to abuse others. In turn, her clinical work in the trauma treatment field has led her to recognise the enormous impacts of complex trauma, and the failures of systems when working with those who have been victimised. By emphasising compassion above all, Dr Guha calls for us to become better informed about perpetrators and the needs of victims, so we might reclaim a safer, healthier society for everyone.

Drowning-the third leading cause of accidental death in the U.S.-can be prevented with proper education and intervention. The Science of Drowning: Perspectives on Intervention and Prevention offers a significant departure from how drowning is traditionally treated by combining discussions about medical, prevention, and intervention issues, including the latest statistics; prevention and intervention techniques; and water safety strategies. This book provides valuable information on the risks of drowning and how to avoid them for those employed in aquatic environments, risk managers, lawyers, public safety officers, and healthcare professionals.

As the number of people aged 65 years and above rises, physicians are increasingly confronted by elderly patients with impaired renal function, altered drug metabolism and multiple comorbidities. This book examines in detail the nature of renal injury in the elderly and its optimal management. A wide range of key topics are covered, including end-stage renal disease, diabetic nephropathy, acute kidney injury, drug metabolism and renal toxicity, dialysis and its complications and the use of renal transplantation. In addition, the assessment of glomerular filtration rate in the elderly and the role of novel renal biomarkers are carefully examined. Quality of life issues, the significance of other age-related medical problems and end of life care are also discussed. This book will be of value not only to nephrologists but also to general practitioners, medical students, intensivists, cardiologists, pharmacologists and those working in related specialties. "

Therapeutic hypothermia has emerged as a very important treatment option for patients with cardiac arrest as it provides significant protection from developing neurologic injury once the patient has been successfully resuscitated. Studies have demonstrated over 15% absolute risk reduction in death and neurologic injury using this therapy. Although hospitals and medical centers have become familiar with this important intervention it still remains greatly under utilized due to an experience and lack of resources to safely and effectively deploy such a program. The objective of this book is to educate and familiarize both providers and institutions as to how to develop and deploy and provide therapeutic hypothermia to their patients. The current knowledge for this is provided by speakers and national experts and also by literature review. There are several courses being provided on this as well throughout the US. These are good venues for people to come and see and get hands on experience, but there still needs to be a concrete book with references on how to go about getting this program started.

This book presents pulmonary outcomes of prematurity, from their emergence in infancy through to their consequences in adulthood. With an increasing number of preterm births and more infants surviving, there is now a larger population of adults with lung disease originating in infancy requiring specialized care. Looking at the whole group of preterm infants, not just those with bronchopulmonary dysplasia, this text covers a wide spectrum of pulmonary outcomes, including: pulmonary hypertension, wheezing, and alterations in sleep. The chapter authors focus on critically appraising what is and is not known about each outcome and suggest key questions that still need to be answered. Respiratory Outcomes in Preterm Infants: Sequelae from Infancy through Adulthood is an ideal reference for the multidisciplinary group that cares for these preterm infants and the adults they become, including: neonatologists, pediatric pulmonologists, pediatricians, adult pulmonologists, primary care physicians, nurses, and fellows.

This issue of Emergency Medicine Clinics, guest edited by Drs. Gentry Wilkerson, Sal J. Suau, focuses on Allergy, Inflammatory, and Autoimmune Disorders in Emergency Medicine. This issue is one of four selected each year by series Consulting Editor, Dr. Amal Mattu. Topics include: Allergy/Anaphylaxis, Anaphylaxis: Treatment in the ED, Drug Allergies, Food Allergies, Allergic acute coronary syndrome - Kounis Syndrome; Hereditary and Acquired Angioedema, Immunotherapy, Sarcoidosis, Spondyloarthritides and Autoimmune Connective Tissue Diseases.

This vital new resource demonstrates the tools and techniques necessary to safely and successfully carry out a trench rescue operation. Chapters include assessment, hazard control, support operations, emergency care, disentanglement, removal and transfer, as well as a glossary of key terms.

Treating Trauma in Transgender People is the only treatment guide available focused on treating the symptoms of trauma in transgender people. People will buy this book because it has complicated content about difficult topics, but is written in an approachable and nonjudgmental style with illustrative case vignettes. A reader should choose Treating Trauma in Transgender People over similar books because it is clear and concise, and offers data-driven rationale for treatment recommendations.

Despite wide recognition as a serious public health problem, anaphylaxis and hypersensitivity reactions remain under-recognized and under-diagnosed. This book fills the gaps in our understanding of the identification of triggers, recognition of clinical presentations, understanding of the natural history of these reactions, and selection of treatment strategies including those focused on cellular and molecular targets. The book provides a detailed examination of disease etiology, pathogenesis, and pathophysiology and their correlation to clinical practice. Forefront knowledge of the mediators and mechanisms of anaphylaxis is covered with an emphasis on how new discoveries shape our current and emerging therapies.

This volume is published with a triple aim: to take a look back over the advances during the ten years of the Mediterranean Burns Club and mark its anniversary; to follow up and strengthen the successful twin ning of burns as a clinical, individual illness problem and fires as a societal, disaster management problem; and to look ahead at the per spectives of burn care and fire prevention in the fast-approaching new century. The occasion also marks the tenth annual presentation of the prestigious G. Whitaker International Burns Prize, to which the Mediterranean Burns Club acts as the scientific fulcrum. The award is now established as the most distinguished recognition in burns science worldwide, and it is gratifying that the contributions of many of the renowned recipients will be found in this book. This is a sequel to The Management of Mass Burn Casualties and Fire Disasters, which contained the Proceedings of the First International Conference on Burns and Fire Disasters. The book and the conference have fully justified the authors' initial concept that burn specialists, con stantly combatting burn disease and promoting rehabilitation of the victims, especially in mass casualty situations, had for too long remained separate from that other essential sector, the fire-fighting authorities and fire prevention systems, whose aim is also the protection of the individual and the promotion of safety. This long overdue synergism has now become reality, and the present volume strengthens this desirable trend.

Over three decades ago, PHTLS: Prehospital Trauma Life Support transformed the assessment and management of trauma patients in the field, improving the quality of trauma patient care and saving lives around the world. The tenth edition of this trusted, comprehensive resource continues the PHTLS mission to promote excellence in trauma patient management by all prehospital care practitioners through global education. First developed by the National Association of Emergency Medical Technicians (NAEMT) in the early 1980s in cooperation with the American College of Surgeons Committee on Trauma (ACS-COT), this proven program includes updated medical content to reflect current, evidence-based knowledge and practice. PHTLS promotes critical thinking as the foundation for providing quality care, knowing that EMS practitioners make the best decisions on behalf of their patients when given a solid foundation of knowledge and key principles to fuel their critical-thinking skills. A Clear Approach to Assessing a Trauma Patient In the field, seconds count. The tenth edition of PHTLS: Prehospital Trauma Life Support teaches and reinforces the principles of rapidly assessing a trauma patient using an orderly approach, immediately treating life-threatening problems as they are identified, and minimizing delays in initiating transport to an appropriate destination. PHTLS, Tenth Edition features: - The updated ACS National Guidelines for the Field Triage of Injured Patients - An advanced discussion on the challenges of prolonged scene time - Consideration of when to shift efforts from search and rescue to recovery in the setting of a drowning victim - The United Kingdom Fire and Rescue Guidelines for search and rescue - New content on blast injuries - Clarification on the role of pelvic binders - Presentation of the emerging role of prehospital blood transfusion in hemorrhagic shock in reducing 30-day mortality - Current content addressing special considerations, including weapons of mass destruction and environmental trauma

This volume explores how the scarce resources of intensive care units should be distributed. Three hypothetical patients, each with a different chance of survival, desire intensive care. A multinational panel of experienced critical care physicians offers assessments of the patients' conditions and outlines approaches to treatment. These approaches are then examined by academic medical experts and a medical ethicist, as well as from a legal perspective. The result is a well-rounded and introspective look at care for critically ill patients at or near the end of life.

For nearly 40 years, Medicine for the Outdoors: The Essential Guide to First Aid and Medical Emergencies has been the take-along manual of choice for anyone venturing into the mountains, forest, desert, or on water. This essential guide provides highly illustrated, easy-to-follow guidance on immediate stabilization and treatment of persons with virtually any possible medical problem-designed for on-the-spot use when higher-level medical care is not accessible. Written by experts in outdoor medicine, this updated edition helps you manage any situation until medical personnel can take over. Covers key information on a wide range of disorders related to specific environments, including natural disasters, high-altitude problems, water-related incidents, heat- and cold-related illnesses, and wildland fires. Provides easy-to-understand recommendations for dealing with animal attacks, venomous wildlife, wild plant and mushroom poisoning, minor and major medical problems, infectious diseases, water disinfection, and severe bleeding. Discusses key topics, including antibiotics, medicines, opioid overdose treatment, wound closure techniques, severe bleeding, spinal assessment and immobilization, tourniquets, the use of a Gamow bag for severe altitude illness, splinting, dental emergencies, disaster preparedness, global conflict guidelines, canine medicine, today's infectious disease threats, and much more. Includes up-to-date guidelines, even more helpful illustrations and diagrams, and a new chapter: Patient Assessment: A Structured Approach to Emergencies in the Outdoors. Includes advanced topics valuable to physicians and expedition medical staff at all levels of training and experience. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Psychosis and the Traumatised Self explores what it is like to experience psychosis for individuals with histories of childhood physical and sexual abuse. The book additionally explores how meaning expressed in psychosis might originate from the effects of abuse, but also long-term life difficulties, motivations, memories, social history, and struggles to narrate and understand. One chapter focuses on refugees who suffered trauma as adults and later became psychotic. Another chapter examines how trauma leads to the destruction of certainty and trust, thereby opening a pathway to persecutory ideas. Drawing on a developmental model of trauma, it is proposed that dissociated parts of the self that developed during childhood contribute to psychosis in adults when undergoing difficulties and stress. Presented with case illustrations, the book will be useful for those who work in the area of psychosis and abuse to understand the experiences of individuals, and how we might develop appropriate therapy and care.

t Heinz Red! and Gunther Sch!ag Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, Vienna, Austria The word "sepsis" derives from the Greek meaning decay or rottenness. Tradition ally this term has been used to describe the process of infection accompanied by the host's systemic inflammatory response. Based on that understanding, previous clin ical studies have been designed to include only patients with positive blood cultures [1, 2]. However, the frequent occurrence of a septic response without the demon stration of microorganisms in the circulation has led to a new definition and under standing of sepsis, mainly as the systemic response of the host to an often unde tectable microbiological or non-microbiological process [3]. The general consensus is that cytokines are central to the inflammatory response, particularly in sepsis. It is now known that not only Gram-negative but also Gram positive, viral, and fungal infections initiate the complex cascades of cytokine release. Probably the most important aspect of bacterial action is the release of toxic bacterial products. In particular endotoxin from Gram-negative bacteria (see chap ter by Schade) and super antigens (see chapter by Neumann and Holzmann), as well as pore-forming toxins [4] from Gram-positive bacteria, induce cytokine formation. The importance of this cytokine release is evident from both diagnostic and thera peutic (mostly experimental) studies, and the action of cytokines may be the key to our understanding of the pathophysiology of the sepsis syndrome.

Infectious Complications in Transplant Patients has been uniquely designed and formatted to address issues and trends pertaining to pathogens deemed important in critically ill transplant patients. The chapters have been carefully selected so as to direct the focus of the book towards current approaches to controversial, emerging or topical problems in these patients. Each chapter has been authored by a North American and a European specialist. This format serves to impart an added dimension reflective of the diversity of opinions and practices pertaining to unresolved or controversial issues. The authors are recognized experts in their respective fields.