The development of urgent care centres within emergency departments and the proliferation of minor injury units and walk in centres in recent years has led to a parallel rise in Emergency Practitioners (EPs) whose professional backgrounds range between nursing, physiotherapy and paramedical sciences with nurses being the predominant group. These hybrid groups of clinicians combine nursing and medical knowledge to deliver timely effective care to patients presenting with a wide range of injuries and illness. This handbook is an ideal companion and aide memoire for daily practice, and an essential tool for EPs - enabling them to assess, diagnose, treat and discharge or refer the patient effectively. Written by emergency nurse practitioners who understand the thought processes and complexities of clinical decision making, this guide offers straightforward practical advice, particularly for those in isolated nurse led units or those working in a pressurised environment of the emergency department. General Practitioners and foundation year 2 doctors also increasingly work in emergency/urgent care settings and will find this guide invaluable for current, easy to access information.

Unique study of narcissism based on the author's professional expertise and family dynamics. Includes assessment of narcissistic leadership. Includes first-person accounts. Considers malignant narcissism as a sub class of psychopathy.

The Geometric Induction of Bone Formation describes new biomimetic biomaterials that offer mechanistic osteogenic surfaces for the autonomous and spontaneous induction of bone formation without the addition of osteogenic soluble molecular signals of the transforming growth factor- supergene family. The chapters frame our understanding of regenerative medicine in primate species, including humans. The goal is to unravel the fundamental biological mechanisms of bone formation unique to non-human and human primates. The broad target audience dovetails with several disciplines both in the academic and private biotech sectors primarily involved in molecular biology, tissue biology, tissue engineering, biomaterial science, and reconstructive, orthopedic, plastic, and dental surgery. Key Features Includes outstanding images of undecalcified whole mounted sections Summarizes non-human primate research - ideal for clinical translation Reviews methods for creating devices capable of making bone autonomously, i.e. an intrinsically osteo-inductive bioreactor and/or biomaterial Describes the spontaneous induction of bone formation including a whole spectrum of tissue biology, from basic molecular biology to clear-cut morphology and pre-clinical application in non-human primate species Intended for audiences in both academic research and the biotech industry

This book provides a comprehensive overview of deaths and injuries from residential fires as well as the most up to date information on evidence-based approaches to reduce this problem. The volume serves as a guide for professionals working in the field of fire prevention and as a textbook for instruction in universities and fire service schools. The authors' interdisciplinary approach, where public health methodology is combined with fire protection engineering, medicine, and policy science, is quite distinctive outside of the technical literature devoted to larger scale fire events. Traditional textbooks on fire protection tend to describe the problem as purely technical, whereas in essence it is a problem of human vulnerability. In this book, readers will find lucid and rigorous descriptions of various risk groups and effective preventive measures that are effective, both in general and with respect to the different risk groups. They will also find work processes to facilitate risk reduction. Summarizing state-of-the-art knowledge and giving guidance for the future, both in terms of preventive efforts and ongoing research, Residential Fire Safety: An Interdisciplinary Approach, is ideal for students, educators, and practitioners of residential fire protection.

Foregrounding diverse lived experiences and non-dominant forms of knowledge, this edited volume showcases ways in which narrating and sharing stories of pain and suffering can be engaged as critical pedagogy to challenge oppression and inequity in educational contexts. The volume illustrates the need to consider both the act of narrating and the experience of bearing witness to narration to harness the full transformative potentials of counternarratives in disrupting oppressive practices. Chapters are divided into three parts - "Telling and Reliving Trauma as Pedagogy," "Pedagogies of Overcoming Silence," and "Forgetting as Pedagogy" - illustrating a range of relational pedagogical and methodological approaches, including journaling, poetry, and arts-based narrative inquiry. The authors make the argument that the language of pain and suffering is universal, hence its potential as critical pedagogy for transformative and therapeutic teaching and learning. Readers are encouraged to reflect on their own lived experiences to constructively engage with their pain, suffering, and trauma. Focusing on trauma-informed non-hegemonic storytelling and transformative pedagogies, this volume will be of interest to students, faculty, scholars, and community members with an interest in advancing anti-oppressive and social justice education.

The only book dedicated to the College of Emergency Medicine's Membership examination, this book contains numerous questions and answers, together with data sets and clinical examples to help prepare candidates taking part B of this and other higher examinations in emergency medicine.All trainees wishing to pursue a career in Emergency Medicine have to have to pass the College of Emergency Medicine's own membership examination (MCEM) to enter training and pass the Fellowship examination (FCEM) to complete their Certificate of Specialist Training (CST). This book is a study guide which can be used in conjunction with standard emergency medicine texts. It follows the MCEM syllabus exactly and each chapter has three key parts: core facts which supplements revision for parts A and B, clinical scenarios, including data, which can be used to prepare for part B, and sample answers for questions. This book prepares candidates for examination success in part B, the data interpretation part of the MCEM examination. The authors are doctors all dedicated to the acute or emergency setting and who have collated extensive material to help in candidates' preparation for the MCEM examination. They have run a successful revision course for candidates taking the examination.

Leading medical experts from the military and other branches of government comprehensively review the possible infectious disease and chemical agents that can be used in terrorist attack and the proper diagnostic and therapeutic methods for dealing with them. The book also discusses treating blast injuries, the effects of nuclear and radiological weapons, and the psychological effects of terrorist events. Comprehensive and up-to-date, Physician's Guide to Terrorist Attack provides physicians, health care workers, and emergency personnel with a practical handbook for confidently and effectively diagnosing and managing the victims of terrorist attack.

Key Features * Focuses on examination of hand and upper limb case. * Serves as an illustrated reference of clinical examination for trainees, graduates, post-graduates, and fellows. * Use of high-quality operative videos to demonstrate the clinical examination of various diseases of the Hand and upper limb.

This volume is a complete manual of operative techniques for battling a severe liver injury. It provides an easy pre-operative and intra-operative reference with clear illustrations, line drawings as well as actual intra-operative color pictures, supplemented by online video segments. The early sections of the book deal with the fundamentals of surgical anatomy and critical maneuvers in the resuscitation of the patient in extremis. The various technical maneuvers for manual control of hemorrhage, debridement-resection as well as formal lobectomy of the liver, the identification of biliary tract injuries and other miscellaneous techniques, such as balloon tamponade of missile tracts, are discussed in complete detail. The book also sketches the role of liver transplantation surgeons in the acute trauma setting. The final chapters focus on the urgent problem of teaching operative techniques to young trauma surgeons in an era of dwindling surgical experience. Written by authors who are world- renowned experts in trauma management, often termed "master-surgeons," Operative Techniques for Severe Liver Injury is required preparation for all surgeons who are likely to face a massive crush injury of the liver.

Disaster Mental Health Community Planning is a step-by-step guide to developing mental health disaster plans, assisting communities to act on long-term resilience and recovery. As disasters continue to increase in severity and number, with 16% of survivors identified as potential PTSD victims if they don't promptly receive care, this book is a critical read. Chapters outline how to prepare, develop, and implement a trauma-informed collaborative process that prioritizes lasting emotional wellbeing along with survivors' short-term needs. The manual demonstrates how to form this partnership through effective communication, assess those individuals at greatest risk of distress, and deliver trauma-specific treatment. Readers will appreciate the book's practical, user-friendly approach, including case studies, checklists, and follow-up questions to better define goals. Cutting-edge treatment interventions are included along with basic information on trauma's impact on the brain and the types and effects of human-caused and natural disasters to help readers make sound planning decisions. Accessible to mental-health providers, community leaders, organizations, and individuals alike, Disaster Mental Health Community Planning is a Road Map for anyone interested in delivering a trauma-informed mental health supplement to their community's medical disaster preparedness and response plan.

Addressing all aspects of brain death and thoroughly detailing how a potential organ donor should be maintained to ensure maximum use of the organs and cells, The Brain-Dead Organ Donor: Pathophysiology and Management is a landmark addition to the literature. This first-of-its-kind, multidisciplinary volume will be of interest to a large section of the medical community. The first section of the book reviews the historical, medical, legal, and ethical aspects of brain death. That is followed by two chapters on the pathophysiology of brain death as investigated in small and large animal models. This includes a review of the many hormonal changes, including the neuroendocrine- adrenergic 'storm', that takes place during and following the induction of brain death, and how they impact metabolism. The next section of the book reviews various effects of brain death, namely its impact on thyroid function, the inflammatory response that develops, and those relating to innate immunity. The chapters relating to assessment and management of potential organ donors will be of interest to a very large group of transplant surgeons and physicians as well as critical care and neurocritical care physicians and nurses. Neurologists, endocrinologists, neurosurgeons, and pathologists will also be interested, especially in the more basic science sections on various aspects of brain-death and hormonal therapy. Organ procurement organizations and transplant coordinators worldwide will also be interested in this title. Other chapters will be of interest to medical historians, medico-legal experts, and ethicists.

Pandemics, global climate chaos, worldwide migration crises? These phenomena are provoking traumatic experiences in unprecedented ways and numbers. This book is targeted for clinicians, scientists, cultural theorists, and other scholars and students of trauma studies interested in cultivating interdisciplinary understandings of trauma and posttraumatic conditions, especially resistance, resilience, and posttraumatic growth. Following clinicians' invitation for trauma survivors to wear a philosopher's hat, to engage in creative activities, and to employ cognitive exercises to combat psychic constriction, I introduce the concept of a Literary Arts Praxis. The Praxis is built on clinical research and literature seeped in existential, phenomenological, and aesthetic themes. I argue that an educational training in a Praxis might help trauma survivors to get at trauma, as they engage in imaginative escapades, while forging alliances with characters; interpretative exercises, such as triggering emotions through phenomenological experiences; and creative writing endeavors, that include turning testimonies into imaginative stories.

- A model that can be used in mixed gender groups. - Offers a more cost-effective treatment than individual or dyadic counselling - Provides both practical and issue-led guidance

- A model that can be used in mixed gender groups. - Offers a more cost-effective treatment than individual or dyadic counselling - Provides both practical and issue-led guidance

The fully updated fifth edition of this highly successful textbook provides an integrated symptom- and issue-based approach to internal medicine with easily accessible, high-yield clinical information. For each topic, carefully organized sections on different diagnoses, investigations, and treatments are designed to facilitate patient care and examination preparation. Numerous clinical pearls and comparison tables are provided to help enhance learning, and international units (US and metric) are used to facilitate application in everyday clinical practice. In addition to the central tenets of internal medicine, the book covers many highly important, rarely discussed topics in medicine, including: palliative care, obstetrical medicine, transfusion reactions, needle stick injuries, interpretation of gram stain, depression and code status discussion. This fifth edition additionally includes new coverage of the coronavirus-19 and cancer survivorship while being fully updated throughout. Authors present this information in a streamlined fashion, preserving the book's pocket-sized, quick reference format. Approach to Internal Medicine continues to serve as an essential reference primarily for medical students, residents, and fellows -- with practicing physicians, nurses, and advanced practice providers also finding the text of value as a point of care reference.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The world's leading resource for to diagnosing and treating any injury-quickly, safely, and effectively Unparalleled in its breadth and depth of expertly crafted content, Trauma takes you through the full range of injuries you are likely to encounter. With a full-color atlas of anatomic drawings and surgical approaches, this trusted classic provides thorough coverage of kinematics and the mechanisms of trauma injury, the epidemiology of trauma, injury prevention, the basics of trauma systems, triage, and transport, and more. It then reviews generalized approaches to the trauma patient, from pre-hospital care and managing shock, to emergency department thoracotomy and the management of infections; delivers a clear, organ-by-organ survey of treatment protocols; and shows how to handle specific challenges in trauma including alcohol and drug abuse, and combat-related wounds in addition to post-traumatic complications such as multiple organ failure. *500 photos and illustrations *Color atlas *Numerous X-rays, CT scans, and algorithms *High-yield section on specific approaches to the trauma patient *A-to-Z overview of management of specific traumatic injuries *Detailed discussion of the management of complications

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.

Personalising Trauma Treatment is about helping trauma victims back to their old selves and focuses on altering the perception of the centrality of the trauma. In this book, clients are taught to rediscover their sense of self by reframing the trauma. Within this new framework the focus is on the client's mental time travel from the trauma to today and reimagining their future. The therapeutic targets are the thoughts and images (cognitions) that interfere with day-to-day functioning. It does not assume that arrested information processing lies at the heart of the development of PTSD, with a consequent need for the client to re-live the trauma. For those clients who were abused in childhood, their experiences are viewed through a particular central window, but other 'windows' may make for more appropriate engagement with their personal world and a reimagining of their view of themselves. Treatment delivery options from telephone consultation, group work and videoconferencing are discussed. With illustrative examples, the author highlights the pathway to recovery for a wide range of clients with the comorbidity often found in real-world settings. The book will be essential reading for therapists and other mental health professionals working with trauma survivors.

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.

1. A guide to managing paediatric surgical patients in a remote and rural setting 2. Includes guidance on differences in presentation and problems relating to the Tropical environment 3. A key resource in understanding paediatric surgical patients needs when being managed remotely

Designed for candidates preparing for the MCEM Part A exam, Get Through MCEM Part A: MCQs provides invaluable revision for this new exam, success in which is obligatory for entry into higher specialist training in Emergency Medicine. Over 400 practice questions are presented reflecting the format and content used in the actual exam. Useful revision tips and practical advice on the format of the exam, plus techniques for answering questions are provided to develop candidates' exam skills and build up confidence in readiness for the exam day. Three complete mock exams provide the ultimate last minute revision tool. All the answers are supported with detailed explanations to allow the candidate to assess and supplement their own level of knowledge, and target areas of weakness.
Get Through MCEM Part A: MCQs is comprehensive and authoritative: all authors are practising emergency physicians. Featuring questions that specifically address all areas of the College of Emergency Medicine's curriculum, this is the essential revision book for all candidates preparing for the Part A exam. It also provides valuable revision for trainees
sitting the FCEM exam and for medical students revising for clinical exams.

The Tourniquet Manual - principles and practice provides a comprehensive and detailed account of the safe use of the tourniquet by using a physiological approach which ensures good practice. Starting from a historical background the reader learns the detailed effects of ischaemia on the vulnerable tissues, especially muscle and nerve. The effects of releasing the tourniquet on the systemic circulation and the complicated biochemistry of the ischaemia-reperfusion response are explained. Complications and good practice are discussed. There is a chapter on the latest technological advances in tourniquets. This book provides a coherent account of the subject and is an invaluable source of references. It will help avoid medicolegal problems and promote good practice by surgeons, anaesthetists and operation theatre technicians alike and should be in every theatre office.