Ventilator-associated pneumonia (VAP) continues to be one of the greatest challenges to critical care practitioners and one of the greatest threats to the survival of our patients. The choice of this topic for an issue of the PERSPECTIVES IN CRITICAL CARE INFECTIOUS DISEASES Series is therefore quite appropriate. Despite its importance, many areas of the management of ventilator-associated pneumonia remain controversial. We therefore are pleased to include contributions from experts and investigators offering different perspectives on some of these controversial areas.

The aim of this book is to help the reader achieve the correct diagnosis in the emergency setting, which continues to remain a challenge, given the variety of potential clinical presentations. Diagnostic failure is the largest reason for delays in provision of appropriate treatment, which can be life-saving, and the largest source of clinical complaints and untoward incidents leading to poor clinical outcomes and to litigation. In this book, the readers will find diagnostic checklists, organised according to potential emergency presentations and classified under body systems, including atypical presentations, lists of differential diagnoses and guidance to pattern recognition. Apart from providing an aide-memoire for a range of presentations, it is hoped that the book will allow for better quality and informed referrals, especially between health care providers. This book is aimed as a rapid reference guide for all levels of medical staff working in emergency and acute care settings in the English-speaking world, but may also benefit nursing professionals and medical students.

Children Recovering from Complex Trauma: From Wound to Scar draws on the latest knowledge and research on complex trauma in children, as well as the authors' expertise, in order to outline a trauma-sensitive approach to these children and their parents. The first part of the book describes the emotional and relational dynamics underlying these children's behaviour. The second part of the book offers a glimpse behind the scenes of the authors' psychotherapy practice, elaborating the processes of change and growth that can enable developmental recovery 'from wound to scar' in children who have experienced complex trauma. As such, the book aims to 'demystify' what psychotherapy with a traumatised child may look like, as well as offer insights and tools which can support carers in their daily interactions with these children. This book will be of great use to the adoptive parents and foster carers of children who have experienced complex trauma, and the care professionals (e.g., teachers, foster care workers) who work with them.

'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.

Many clinicians struggle with how best to work with children who have undergone trauma and violence. This book offers an innovative and radical approach they can use to engage and treat not only children, but also their families and networks, though play and conversation.

In this issue of Critical Care Clinics, guest editors Drs. Lori Shutter and Deepa Malaiyandi bring their considerable expertise to the topic of Neurocritical Care, a rapidly growing specialty of complex care. Top experts in the field provide up-to-date articles on important clinical trials and evidence-based care of the critically ill patient with neurological injury. Contains 16 practice-oriented topics including current management of acute ischemic stroke; status epilepticus: a neurological emergency; neurotrauma and ICP management; neuropharmacology in the ICU; artificial intelligence and big data science in neurocritical care; and more. Provides in-depth clinical reviews on neurocritical care, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

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

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.

Intensive Care Medicine has been continuously growing and expanding, culturally, technically and geographically. Monitoring and instrumentation are continuously improving and more and more hospitals are getting Intensive Care facilities. The costs have proportionally increased over the years, so that ICUs represent today a major cost for health structures. Since the available resources are limited, a real need is emerging to set the limits and indications of Intensive Care. It is understood that the problem not only involves medical considerations, but also ethical and economical aspects of the utmost importance. For the first time in Europe, this book edited by Reis Miranda and his colleagues tackles systematically the many structural aspects of the European Intensive Care. The organisation and financing of health care in the Old Continent is deeply different from the American one, and the results and consequent proposals obtained in the USA cannot simply be transferred to this side of the Atlantic Ocean. Weare extremely pleased to welcome this first European attempt to discuss the Intensive Care problem. It lays no claims to giving definite replies in a continuously developing field, but it will surely become the basis for future discussions and proposals. I am particularly happy that this work has mainly developed within the European Society of Intensive Care, whose final target is to ensure a common standard of therapy in our old Europe, beyond national differences. We warmly congratulate the authors, and I am sure that their work will find wide diffusion and consent.

Make confident, evidence-based decisions in everyday critical care practice with Critical Care Medicine: An Algorithmic Approach. This first-of-its-kind decision making tool provides concise, practical guidance on key aspects of critical care in the form of easy-to-follow diagnostic and treatment algorithms, diagrams, and tables. The unique format saves you time as it guides you through best practices and reliable data to improve patient outcomes in the ICU. Chapters cover a particular organ system and are organized by disorder for easy reference. Each chapter includes a brief overview of the disorder, diagnostic algorithms, treatment algorithms, potential complications and strategies for overcoming them, and supporting references. Helpful mnemonics and advice from critical care experts are provided throughout. Key topics include ventilatory failure: ARDS, pulmonary embolism, asthma and COPD; ABG analysis; pleural effusion; acute respiratory failure; cardiac critical care; acute kidney injury, water and electrolyte management, acid-base disorders; infectious disease; COVID-19; critical care issues related to other medical specialties; and much more. 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.

A seasoned writer and teacher of memoir explores both the difficulties inherent in writing about personal trauma and the techniques for doing so in a compelling way. Since 2013, David Chrisinger has taught military veterans, their families, and other trauma survivors how to make sense of and recount their stories of loss and transformation. The lessons he imparts can be used by anyone who has ever experienced trauma, particularly people with a deep need to share that experience in a way that leads to connection and understanding. In Stories Are What Save Us, Chrisinger shows-through writing exercises, memoir excerpts, and lessons he's learned from his students-the most efficient ways to uncover and effectively communicate what you've learned while fighting your life's battles, whatever they may be. Chrisinger explores both the difficulties inherent in writing about personal trauma and the techniques for doing so in a compelling way. Weaving together his journey as a writer, editor, and teacher, he reveals his own deeply personal story of family trauma and abuse and explains how his life has informed his writing. Part craft guide, part memoir, and part teacher's handbook, Stories Are What Save Us presents readers with a wide range of craft tools and storytelling structures that Chrisinger and his students have used to process conflict in their own lives, creating beautiful stories of growth and transformation. Throughout, this profoundly moving, laser-focused book exemplifies the very lessons it strives to teach. A foreword by former soldier and memoirist Brian Turner, author of My Life as a Foreign Country, and an afterword by military wife and memoirist Angela Ricketts, author of No Man's War: Irreverent Confessions of an Infantry Wife, bookend the volume.

This guidebook is part of The Trauma Recovery Toolkit and needs to be purchased alongside the flashcards for full and effective use. Both can be purchased together as a set: 978-0-367-54690-8 This guidebook is 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.

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.

In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

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."

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.

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 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."

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.

In this issue of Cardiology Clinics, guest editors Drs. Timothy D. Henry and Santiago Garcia bring their considerable expertise to the topic of COVID-19. Top experts in the field cover key topics such as prothrombotic effects of COVID-19; impact of the COVID-19 pandemic on acute myocardial infarction care; impact of the COVID-19 pandemic on cardiac arrest and emergency care; vaccine-related cardiovascular effects; and more. Contains 11 relevant, practice-oriented topics including cardiovascular manifestations of COVID-19; use and prognostic implications of cardiac biomarkers (Troponin); COVID-19: Insights from cardiac pathology; ACS in COVID-19; STEMI in COVID-19; and more. Provides in-depth clinical reviews on COVID-19, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

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.

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.

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).

In this issue of Infectious Disease Clinics of North America, guest editors Drs. Rachel Bender Ignacio and Rajesh T. Gandhi bring their considerable expertise to the topic of COVID-19 Infection. The evolving virology, wide range of symptoms, long-term health issues, mortality rate, effect on hospitals, and high transmission rate have made COVID-19 one of the worst health crises in recent times. In this issue, top experts in the field address key issues such as diagnostic testing, COVID-19 in pediatrics, post-acute sequelae, infection control, and much more, aiming to arm clinicians with the information they need to combat this deadly infection. Contains 15 relevant, practice-oriented topics including COVID-19 and global pandemic response, SARS CoV-2 transmission and prevention, COVID-19 Vaccines, COVID-19 treatment, equity and racial/ethnic disparities, and more. Provides in-depth clinical reviews on COVID-19, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.