About Emergency Pediatric Care, Fourth Edition Each year in the United States, approximately 1.6 million pediatric patients are transported by ambulance to an emergency department, and millions more are cared for around the globe. Because pediatric prehospital patient care is considered low-frequency, high-acuity care, it is vital for practitioners to refresh and update their clinical knowledge, practice psychomotor skills, and apply critical thinking to potential patient presentations to ensure these skills are ready to be applied when a pediatric call is received. Emergency Pediatric Care, Fourth Edition is the next step in the evolution of this critical continuing education course. The EPC Course uses a specialized version of the Pediatric Education for Prehospital Professionals, Fourth Edition as the reference text, bundled with a course manual. This course manual is an engaging resource that can continue to be consulted after the course to assist practitioners in providing the best care for their young patients. A Family-Centered Approach to Pediatric Care NAEMT's EPC program serves pediatric patients through the global education of prehospital care practitioners of all levels. The EPC program promotes excellence in pediatric patient management by all practitioners involved in the delivery of prehospital care. The main goal of the EPC course is not just to assure that EMS practitioners can take better care of ill and injured children. It also recognizes that almost every pediatric call revolves around the needs of not only the child, but also the child's caregivers. This course manual includes comprehensive coverage of these topics and more: * Pediatric development and assessment * Pediatric respiratory emergencies * Pediatric trauma care * Shock and circulation * Common pediatric medical emergencies * Cardiac events * Common toxicological emergencies * Maltreatment * Obstetric and newborn care * Children with special healthcare needs * Behavioral health

The first book of its kind to explore this timely topic in depth, Otologic and Lateral Skull Base Trauma addresses the many facets of temporal bone trauma, including its epidemiology, diagnosis, and medical and surgical management, and contemporary research. Ideal for both trainees and more advanced general practitioners and specialists, this text is a valuable resource for otolaryngologists and pediatric otolaryngologists, otologists and neurotologists, and audiologists, as well as neurosurgeons, neurologists, physical medicine and rehabilitation providers, and occupational and physical therapists. Covers the epidemiology, basic pathophysiology, diagnostic evaluation, and treatment of temporal bone trauma, including complex injuries of the lateral skull base.  Contains multiple chapters co-written by leading speciality experts: imaging of the temporal bone and brain following head injury (co-written by leading neuroradiologists); facial nerve injury management (co-written by leading facial nerve specialists); vascular injury management (co-written by leading neurosurgeons); soft tissue repair of auricular trauma (co-written by leading facial plastic surgeons); acoustic overexposure and blast injury management (co-written by leading experts in noise-induced hearing loss); rehabilitation following head trauma (co-written by leading physical medicine and rehabilitation providers, occupational therapists, and physical therapists) and more.  Includes detailed coverage of labyrinthine concussion diagnosis and management, medical and surgical management of temporal bone fractures, conductive and sensorineural hearing loss and rehabilitation after head injury, balance disturbance after head injury, and much more.  Discusses animal models of head injury and current research, with a focus on the auditory system.  Consolidates today's available information on this timely topic into a single, convenient resource. 

Brought up-to-date with the latest guidance, research and policy, this second edition of Ambulance Care Practice is an essential guide for paramedic students, trainee associate ambulance practitioners, those studying towards a certificate in first response emergency care and other ambulance clinicians. It provides a complete overview of the key skills, knowledge and understanding required to work at ambulance associate practitioner level or similar within the ambulance service, covering theoretical aspects and practical application, as well as a range of different clinical procedures and patient populations. Key features include: *Clearly illustrated, step-by-step instructions for range of essential clinical skills and procedures including how to handle different types of trauma and cardiac arrest *Detailed anatomical diagrams to provide the reader with the necessary context to carry out the practical elements of their job *Evidence-based throughout and up-to-date with the latest guidance, policy and research *Specific chapters on each area of patient assessment and specific patient populations and how to manage these effectively *Chapters relevant to associate practitioner level including drug administration, mental health and end of life care as well as an in-depth chapter on assisting the paramedic. In line with the National Education Network for Ambulance Services standards The book covers learning objectives from a range of courses offered by ambulance services. It is an essential resource for anyone wanting to prepare themselves for a role within the ambulance service as well as those hoping to become a more effective member of an emergency ambulance crew.

This book looks at the trauma suffered by those in relationships with narcissists, covering topics such as surviving a cult, dysfunctional families, political dysfunction, and imbalances of power in places of work and education. This new volume by author and psychoanalyst Daniel Shaw revisits themes from his first book, Traumatic Narcissism: Relational Systems of Subjugation. Shaw offers further reflections on the character and behavior of the traumatizing narcissist, the impact such persons have on those they abuse and exploit and the specific ways in which they instill shame and fear in those they seek to control. In addition, this volume explores, with detailed clinical material, many of the challenges mental health professionals face in finding effective ways of helping those who have suffered narcissistic abuse. From within a trauma informed, relational psychoanalytic perspective, Shaw explores themes of attachment to internalized perpetrators, self-alienation, internalized aggression, and loss of faith in the value and meaning of being alive. This book will be especially illuminating and rewarding for mental health professionals engaged in helping patients heal and recover from complex relational trauma, and equally valuable to those individuals who have struggled with the tenacious, often crippling shame and fear that can be the result of relational trauma.

This book covers several areas, such as immunology, infectious diseases, physiology, general nursing, and medicine as well as measurement accuracy and the history of our understanding of fever. This book employs an interdisciplinary approach to exploring our concept of body temperature and specifically fever. The present volume revolves around thermometry, taking the reader on a journey from the past to the present. Yet while the emphasis is on the clinical importance of obtaining accurate, quantitative measurements of body temperature, the reader is also introduced to the most recent clinical work on the subject. This book represents a truly cross-disciplinary collaboration, using evidence-based practice to integrate physiological and immunological knowledge. The authors' intention with this volume is to help readers gain better insight into the importance of using knowledge from different disciplines to develop an appreciation of the different aspects of body temperature. In addition, the reader will come to understand the concept of fever in a broader perspective than is traditionally adopted.

Extracorporeal membrane oxygenation (ECMO) is developing rapidly, and is now part of the toolkit for the management of all patients with severe respiratory or cardiac failure. Clinicians of all disciplines are in need of a simple manual, easy and fun to read, that will take them through the management of these patients, explaining the principles of safe and successful practice. Part of the Core Critical Care series, this book is an easy-to-read guide for the aspiring ECMO clinician. Doctors, nurses, physiotherapists, dieticians, pharmacists and all other key members of the team will learn the basics required to better understand the technology and care of the patient. The experienced clinician will enjoy reading through the chapters, which present structured thoughts and knowledge acquired through clinical experience.

This book discusses multiple aspects of radiological and nuclear terrorism. Do you know what to do if there is a radiological or nuclear emergency in your city? These accidents are not common, but they have happened - and even though we have not seen an attack using these weapons, governments around the world are making plans for how to prevent them - and for how to respond if necessary. Whether you are an emergency responder, a medical caregiver, a public health official - even a member of the public wanting to know how to keep yourself and your loved ones safe - there is a need to understand how these weapons work, how radiation affects our health, how to stop an attack from taking place, how to respond appropriately in the event of an emergency, and much more. Unfortunately, the knowledge that is needed to accomplish all of this is lacking at all levels of society and government. In this book, Dr. Andrew Karam, an internationally respected expert in radiation safety and multiple aspects of radiological and nuclear emergencies, discusses how these weapons work and what they can do, how they can affect our health, how to keep yourself safe, and how to react appropriately whether you are a police officer investigating a suspect radiological weapon, a firefighter responding to a radiological or nuclear attack, a nurse or physician caring for potentially contaminated patients, or a governmental official trying to keep the public safe. To do this, he draws upon his extensive experience in the military, the several years he worked directly with emergency responders, his service on a number of advisory committees, and multiple trips overseas in the aftermath of the Fukushima accident and on behalf of the International Atomic Energy Agency, Interpol, and the Health Physics Society.

For courses in Prehospital Emergency Care Prehospital Emergency Care, Tenth Edition, meets the National EMS Education Standards and is the most complete resource for EMT-B training. This best-selling, student-friendly book contains clear, step-by-step explanations with comprehensive, stimulating, and challenging material that prepares users for real on-the-job situations. Featuring case studies, state-of-the-art scans, algorithms, protocols, and the inclusion of areas above and beyond the DOT protocols, the tenth edition effectively prepares students for success. The assessment and emergency care sections provide the most up-to-date strategies for providing competent care; and the enrichment sections further enhance students' ability to assess and manage ill and injured patients in prehospital environments. The text's table of contents is organized to follow the National EMS Educational Standards.

Rich in clinical examples, this book offers a fresh perspective on the roles of shame and guilt in psychological distress and presents a step-by-step framework for treatment. Martha Sweezy explains how the principles of Internal Family Systems (IFS) therapy are ideally suited to helping trauma survivors and other clients who struggle with debilitating shame to understand and heal psychic parts wounded in childhood. Annotated case illustrations show and explain IFS techniques in action. Other useful features include boxed therapeutic exercises, decision trees, and pointers to help therapists avoid or overcome common pitfalls.

This book is one of the first to comprehensively summarise the latest thinking and research in the rapidly evolving field of quality management in intensive care. Quality indicators and outcome measures are discussed with a practical focus on patient-centred, evidence-based implementation for safer and more effective clinical practice. Chapters on topics such as teambuilding, patient satisfaction, mortality and morbidity, and electronic management systems are organised into three sections, covering quality management at the scale of the individual patient, the intensive care unit, and the national and international level. Written by a team of over forty international experts in the specialty, with editors who have been heavily involved for many years with the European Society of Intensive Care Medicine, the book reflects commonly accepted goals and guidelines for best practice, and will be valuable for practitioners worldwide. The ideal one-stop resource for intensive care physicians as well as ICU and hospital managers.

The Comatose Patient is a single authored entirely new work written by a practicing critical care neurologist. It includes a critical historical overview of the concepts of consciousness and unconsciousness, principles of neurologic examination of the comatose patients including instruction of a new coma scale, the 'FOUR Score', a new practical multistep approach to the diagnosis of the comatose patient, extensive coverage of interpretation of neuroimaging and its role in daily practice and decision making, management in the emergency room and ICU and long-term supportive care and approach to communication with family members and end-of-life decision. It also discusses landmark legal cases and ethical problems and a chapter on the public perception of coma. The book is lavishly illustrated with 200 illustrations throughout the book.
Unprecedented, this book includes 75 comprehensive case vignettes covering the entire spectrum of causes leading to coma. In each case a specific cause is presented. Every example is fully discussed and explained with an emphasis on the mechanism of coma in that particular case and followed by a section on management and expected outcome.
This monograph additionally includes a 45-minute DVD with 5 narrated chapters and an easy to use navigation menu. Included are 40 patient examples showing the instructions of the FOUR score Coma Scale, common neurological findings in coma, breathing patterns in coma, different types of prolonged comatose states including a persistent vegetative state and a minimally conscious state. Using 3D animation, the DVD includes a comprehensive description of the determination of Brain Death and how to safely do the apneatest. There is an emphasis on pitfalls and common concerns. The DVD can also be used for neurology and neurosurgery residency programs, medical and nursing school curricula and physical therapy programs.

In this issue of Critical Care Clinics, guest editors Drs. Lauren R. Sorce and Joy D. Howell bring their considerable expertise to the topic of Pediatric Critical Care. Top experts in the field cover key topics such as point-of-care ultrasound for pediatric critical care providers; transfusion strategies in the 21st century; global pediatric critical care; workforce diversity; and more. Contains 13 relevant, practice-oriented topics including pediatric redeployment: unique challenges created by COVID-19; ECMO then and now; PCCM in 21st century and beyond; pediatric critical care outcomes; cardiac output monitoring; and more. Provides in-depth clinical reviews on pediatric critical 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.

"Heart Failure: From Research to Clinical Practice" contains chapters that describe the current views on the biological mechanisms, clinical assessment, diagnosis and evidence-based treatments of the condition. Topics in this volume range from basic research at cell and molecular level to patient care in everyday clinical practice and provide essential background information and analyses of recent advances for a deeper understanding of the issues involved. With contributions from international experts in their specified fields and are suitable for both beginners and more advanced readers. This volume includes not only the essential information for clinical practice but also the latest information from the contemporary guidelines and the recommendations from leading societies. It also covers ongoing research and puts forward new hypotheses that can be tested in future research. This comprehensive volume will provide a valuable resource for both research students and expert clinicians.

Chaplain G.A. Studdert Kennedy has been described as the most popular British chaplain of the First World War. Widely known as "Woodbine Willie" for the cigarettes he distributed to the troops, his wartime poetry and prose communicated the challenges, hardships and hopes of the soldiers he served. As a chaplain, he was subject to the same hardships as his soldiers. This book analyses his experiences through the contemporary understanding of psychological, moral and spiritual impact of war on its survivors and suggests that the chaplain suffered from Combat Stress, Moral Injury, and Spiritual Injury. Through the analysis of his wartime and postwar publications, the author illustrates the continuing impact of war on the life of a veteran of the Great War.

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.

This book highlights cutting-edge research into emergency early warning management and decision-making for severe accidents. Using toxic gas leakages as examples, it puts forward new design methods for emergency early warning systems, as well as a systematic description of emergency early warning information communication mechanisms and characteristics of regional evacuation, based on a wide range of theories, including safety engineering, information engineering, communication, behaviorology and others. The book applies a range of methods, such as case analysis, questionnaire interviews, and multi-objective optimization modeling. Drawing on this basis, it subsequently proposes a multi-objective optimization modeling and algorithm for emergency path selection, together with an evacuation risk assessment method. Divided into six chapters prepared by an international team of researchers, the book addresses the design of early warning systems, communication and dissemination mechanisms of early warning information, characteristics of regional evacuation, multi-objective optimization of emergency paths, and evacuation risk assessment. The book offers an essential reference guide for engineering technicians and researchers in a wide range of fields, including emergency management, safety science and engineering, disaster relief engineering, and transportation optimization, as well as graduate students in related majors at colleges and universities.

This book provides a comprehensive overview of the medical and operational management of blast and explosive incidents affecting civilian populations. It incorporates global lessons learned from first responders, emergency medicine providers, surgeons, intensivists, and military specialists with deep experience in handling blast injuries from point of injury through rehabilitation. The book begins with background and introductory information on blast physics, explosion types, frequency, and perspectives from the military. This is followed by a section on prehospital management focusing on medical and trauma responses, triage, psychological consequences, and operational considerations. It then examines the roles of the emergency department and ICU with chapters on planning and training, surge capacity, resilience, management of common injury types, contamination, and ventilator strategies. The next section covers surgical treatment of a variety of blast injuries such as thoracoabdominal, extremity and vascular, and orthopedic injuries. The book then discusses medical treatment of various injury patterns including lung, abdominal, extremity, and traumatic brain injury. The final section of the book covers post-hospital considerations such as rehabilitation, mental health, and community resilience. Throughout, case studies of recent incidents provide real-life examples of operational and medical management. Operational and Medical Management of Explosive and Blast Incidents is an essential resource for physicians and related professionals, residents, nurses, and medical students in emergency medicine, traumatic surgery, intensive care medicine, and public health as well as civilian and military EMS providers.

This brand new title provides a highly illustrated and unambiguous introduction to most common presentations encountered in GP surgeries, in minor injury units and emergency departments. It provides the basic information required to identify and manage these conditions, as well as highlighting the pitfalls and the key diagnoses not to be missed. Minor Injury and Minor Illness at a Glance: * Presents the perfect combination of text and image; double page spreads enable quick access to information for readers in a pressurised environment * Covers a wide range of minor injuries and illnesses in one illustrated, full colour volume * Identifies key diagnoses not to be missed with red flags * Contains Short Answer Questions (SAQs) to help test learning and recognition * Includes a companion website featuring Short Answer Questions (SAQs) and flashcards, available at www.ataglanceseries.com/minorinjury Minor Injury and Minor Illness at a Glance is the perfect preparation guide or aide memoire for placements in acute or primary care, ideal for medical students, junior doctors, GP trainees and nurse practitioners.

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.

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.

*Authoritative work on helping adults heal, edited by a renowned expert. *Research is growing for the use of expressive arts to access and regulate powerful emotions and support recovery. *Practical features include case examples and suggestions for tailoring therapies to individual needs. *Covers a broad range of approaches--art, music, movement, writing, play, and more.

If you see patients in an urgent care center, minor injury unit or other acute care setting, this new clinically-focused guide will help you avoid high-risk pitfalls and achieve optimal outcomes. This must-have resource covers a wide range of emergencies that may be encountered in an urgent care setting, focusing on those that can occur with the most commonly-encountered complaints and conditions, including: Genitourinary complaints Common infections Orthopedic injuries Wounds Back pain Dermatologic complaints The book also includes chapters on common pitfalls during the HEENT examination, effective patient communications, urgent care pharmacology pitfalls, special issues in the care of pediatric and geriatric patients, and more. Each chapter is authored by an experienced acute care clinician and includes clinical pearls that you can apply directly to the care of your own patients. The urgent care center can be a challenging and fast-paced environment, and pitfalls, especially those encountered during emergencies, can have serious consequences for patients immediate well-being, their recovery time, and possibly their long-term prognosis. More than ever, you need a resource you can trust that has been tailored specifically to the needs of providers in the low-acuity setting.

Pocket-sized and easy to use, Pocket Emergency Medicine, Fifth Edition, provides accurate, actionable, and up-to-date information essential to caring for patients in life-threatening situations. Edited by Drs. Richard D. Zane and Joshua M. Kosowsky, this handy, loose-leaf resource is designed to be used at the bedside by clinicians on the front lines of emergency care. A volume in the popular Pocket Notebook series, it organizes chapters by presenting condition and supports the thought processes needed to hone everyday diagnostic decision making. Offers easily accessible information on the entire field of emergency medicine-from history and physical exam to differential diagnosis testing to therapeutics to disposition-all in one easy-to-navigate notebook Follows the popular Pocket Notebook format, featuring bulleted lists, tables, diagrams, and algorithms that make essential facts easy to find and retain Features fully updated content throughout, including the latest research and best practices, as well as a new subsection on COVID-19 Covers all major organ systems, plus emergencies related to the environment, pediatrics, the psychiatric patient, toxicology, airway management, trauma, and more Contains useful quick-reference appendices on abbreviations, PALS, ICU medications, equations, and more Written by emergency medicine residents from the University of Colorado and Harvard Medical School, and edited by senior faculty

This book will prepare social workers, psychologists, and counselors for psychosocial work with individuals and groups who are experiencing distress and trauma resulting from historical and current sociopolitical oppression and violence. Sociopolitical oppression is a sustained, systematic catastrophe, which results from social targeting and discrimination such as racism, sexism and misogyny, homophobia, and anti-immigrant fervor. The consequences are profound and debilitating. In some ways, they are similar to reactions to a single event disaster (e.g., hurricane, earthquake, terrorist attack) but even more insidious because the social targeting and harassment have been ongoing and will continue. As a guide for direct clinical practice, this book offers new models for understanding the nature and consequences of sociopolitical disasters as well as guiding a range of interventions – clinical, psychoeducational, advocacy, and social justice – for use on a micro, mezzo, and macro level. Drawing on indigenous and BIPOC knowledge and scholarship and using case studies from around the world, it criticizes while also adapting and integrating knowledge and theory from the fields of disaster mental health, psychosocial capacity building, trauma therapy, psychodynamic theory, cognitive behavioral theories, and theories of resilience and positive psychology, linking them to an understanding of historical and social oppression, social justice, and intergroup conflict and reconciliation. The book offers critiques of dominant Western, Eurocentric visions of personhood and models of intervention and questions assumptions about the roles of "client" and "worker," proposing more egalitarian, collaborative relationships and extensive use of training of trainers. It will prepare graduate students and practitioners across the helping professions for work that promotes the collective and individual strength and efficacy of affected people, while also responding directly to vulnerability, stress, and trauma.