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

This book provides clinical tips on management of catastrophic emergencies that are regularly faced by critical care and acute care cardiologists in resource-limited settings. Based on the current guidelines, it explores the evaluation of the patient, followed by its treatment methodology. It highlights the beneficial effects of the use of cardiac drugs during an emergency. There is also a special section on preoperative evaluation and postoperative management of cardiac patients of different subsets. Medicolegal/documentation points have also been discussed where relevant. It is useful as a ready reference for physicians, anaesthetists and cardiologists. Key features: • Reinforces certain teachings and recalls certain overlooked clinical points to address emergency situations in a busy, resource limited setting. • Explains lucidly what the acute cardiac care / Anesthesia registrar or cardiology fellows ought to do in the Intensive care and Post operative wards. • Emphasizes the importance of wit, clinical acumen and observation.

Rewriting the American Soul focuses on the political implications of psychoanalytic and neurocognitive approaches to trauma in literature, their impact on cultural representations of collective trauma in the United States, and their subversive appropriation in pre- and post-9/11 fiction. Anna Thiemann connects cutting edge trauma theory with the historical context from which it emerged and shows that contemporary novels encourage us to reflect critically on the cultural meanings and political uses of trauma. In doing so, it contributes to a new generation of trauma scholarship that challenges the dominant paradigm in literary and cultural studies. Moreover, the book intervenes in current debates about the relationship between literature and neuroscience insisting that the so-called neuronovel scrutinizes scientific developments and their political ramifications rather than adopting and translating them into aesthetic practices.

Rapid Response Teams (RRTs) are a recent innovation in hospitals that makes critical care teams available to a nurse within seconds. When these teams function properly, studies have shown that they can reduce a hospital's mortality rate by almost forty percent. Yet, in spite of the possible benefits, doctors and nurses at hospitals that have committed to adopt RRTs can be reluctant to do so. Making Rapid Response Real discusses a study that identifies several reasons why people in organizations resist this kind of change, and offers recommendations for how leaders can fuel successful adoption of an innovative practice. Applying ideas from sociology and psychology to a management context, Jason D. Park offers research-driven insights for managers in a variety of implementation situations.

AMLS: Advanced Medical Life Support (Soporte vital medico avanzado) es el mejor curso para profesionales prehospitalarios sobre evaluacion medica avanzada y el tratamiento de afecciones medicas frecuentes. AMLS, que se ensena en todo el mundo desde 1999, fue el primer programa de educacion de servicios medicos de urgencia (EMS) en abordar por complete como manejar mejor a los pacientes en crisis medicas. Creado por la Asociacion Nacional de Tecnicos en Medicina de Emergencia (National Association of Emergency Medical Technicians, NAEMT) y con el respaldo de la Asociacion Nacional de Medicos de EMS (National Association of EMS Physicians, NAEMSP), AMLS hace hincapie en el uso de la Via de evaluacion del soporte vital medico avanzado. Este instrumento de evaluacion esencial les brinda a los profesionales prehospitalarios las herramientas necesarias para diagnosticar rapidamente a los pacientes medicos e iniciar una gestion eficaz en el terreno. AMLS es el unico libro de texto aprobado para usarse en el curso de Soporte Vital Medico Avanzado de la NAEMT. Su contenido medico se revisa y actualiza continuamente para reflejar los conocimientos y las practicas actuales basados en pruebas. La filosofia del AMLS se centra en el uso del pensamiento critico para evaluar a los pacientes y formular planes de manejo. Un enfoque claro para evaluar a los pacientes medicos En el terreno, cada segundo cuenta. La Via de evaluacion de AMLS proporciona un enfoque sistematico para la evaluacion de pacientes medicos que permite a los profesionales prehospitalarios diagnosticarlos con precision urgente. Soluciones de tecnologia dinamica El contenido de primera categoria une un diseno instructivo solido con una interfaz facil de usar para ofrecer a los instructores y a los estudiantes una experiencia de aprendizaje verdaderamente interactiva y atractiva: El libro electronico del Manual del Curso de AMLS refuerza los conceptos clave presentados en el curso El Conjunto de herramientas para instructores en linea de AMLS contiene clases interactivas basadas en casos

Critical Care Neurology, Part I: Neurocritical Care focuses on the care specialists and general neurologists that consult in the ICU and their work with patients in acute, life-threatening situations who are dealing with neurologic or neurosurgical crises emanating from either a preexisting neurologic syndrome or from a new neurologic complication appearing as a result of another medical or surgical critical illness. These two separate clinical situations form the pillars of neurocritical care, hence these practices are addressed via two separate, but closely related, HCN volumes. Chapters in both focus on pathophysiology and management, and are tailored for both general neurologists and active neurocritical specialists, with a specific focus on management over diagnostics. Part I addresses the principles of neurocritical care and the management of various neurologic diseases. Part II addresses the interplay between neurologic complications and the surgical, medical, cardiac, and trauma of critical illnesses that most typically present in the ICU.

With an abundance of case studies from Jackson Memorial Hospital, this reference provides expert guidance on the evaluation and treatment of lower extremity orthopedic injuries. Analyzing the function and interrelationships of the muscular and skeletal systems of the lower extremities, this source discloses key principles in trauma management, decision-making, soft tissue repair, tissue engineering, wound healing, and burn reconstruction.

The importance of accurately diagnosing nosocomial infections and providing appropriate therapies, including antimicrobial therapy effective against the identified agents of infection, have been shown to be important determinants of patient outcome. Critical care practitioners are in a unique position to deal with infectious diseases, as they are often the initial providers of care to seriously ill patients with infections. Additionally, they have a responsibility to insure that nosocomial infections are prevented and that antimicrobial resistance is minimised by employing antibiotic agents prudently. It is our hope that this textbook will provide clinicians practising in the intensive care unit with a reference to help guide their care of infected patients. To that end we have brought together a group of international authors to address important topics related to infectious diseases for the critical care practitioner. Critical Care Infectious Diseases should become an advanced standard reference work in the field of infectious diseases and intensive care medicine. The content is original and the first of its kind in this area. It is a reference work for those physicians who care daily for critically ill patients suffering from infectious complications. Residents and other specialists interested in focused problems will benefit from the wide spectrum of information provided in this book. Infectious control practitioners and nurses will also benefit from this collection by recognised experts who work with specific aspects of infectious disease problems in the critically ill patient. Critical Care Infectious Diseases includes seven sections addressing the following topics: specificmicrobiologic and pharmacologic considerations, epidemiology/infection control in the ICU, anti-infective therapy in the critically ill patient, severe respiratory infections, intra-abdominal infections, severe skin/soft tissue infections, catheter-related infections, and other infectious syndromes frequently seen in the intensive care unit.

This is an interactive self-help workbook and psychological road map to enable survivors of coercive, cultic and spiritual abuse to find healing, recovery and growth. This book provides a comprehensive guide to recovery, based on a tested model of post-cult counselling, and years of research and clinical experience. It is designed to help survivors of diverse abusive settings, including religious and spiritual, political, gangs, business, therapy and wellness, and one-on-one relationships. The reader follows a beautifully illustrated journey through four Phases of recovery and growth, one Milestone at a time, to make sense of what has happened to them, learn how to walk free from psychological control, and find resources for healing. The author includes stories from her own experience, detailing her path towards recovery and how she learned to come to terms with and overcome what happened to her. Written in accessible language, this workbook serves as both a self-help book for survivors and former members, and a guide for therapists working with them.

Integrating trauma studies with historical research and social psychology, Landscapes of Trauma examines a range of battlefields from across history, including Waterloo, the Battle of Sedan, the Battle of the Ebro and the Battle of Normandy, to bring to light what these battlefields say about our collective and individual psyches. Hunt explores how war shapes the nature of trauma, not only by its innate horror but also by the historical and societal contexts it is fought in, from the cultural and social conventions of the period to the topography of the settings. This book provides a deep analysis of how war is experienced and remembered in different eras and by different generations. Moving beyond the clinical concept of post-traumatic stress disorder, Hunt discusses how trauma can be understood socially and historically, as well as through the lens of individual suffering. This book also investigates the psychological foundations of memorialisation, remembrance and commemoration that shape the legacy of the battles discussed. Using interviews with veterans, their letters, journals and diaries, as well as literary and historical sources, Hunt locates the battlefield as a place where humans explore the parameters of human behaviour, thought and emotion. This book is in important resource for students and scholars interested in the psychology of trauma and war, as well as military history.

Principles of Airway Management, 4th Edition, reviews the essential aspects of airway management: anatomy, equipment, intubation, fiberoptic endoscopy, surgical approaches, intubating LMA (lightwand), pediatric airway, CPR, and mechanical ventilation. The book features well-balanced discussions of the complexities and difficult issues associated with airway management; excellent organization that ensures the material can be learned and applied to various situations; the latest equipment and techniques; summary boxes which highlight the most important points of each chapter; and more than 400 illustrations (many in color, for the first time), tables, and boxes.

In A Re-Visioning of Love: Dark Feminine Rising, Ana Mozol parts the illusory veils of persona as she explores the reality of feminine experiences relating to love, trauma and sexuality in contemporary Western society. Mozol takes us on a personal journey through the three levels of experience, delving into the underworld and the trauma of rape, the middle world and the illusions of romantic love, and the upper world and the masculine spiritual ideals that fracture the feminine soul. In this multidisciplinary examination of the feminine, Mozol seeks to understand violence against women intrapsychically, interpersonally and within the field of depth psychology. The book begins with Mozol's own experiences with violence and her exploration of the demon lover complex and the stages of breaking this complex after trauma. Combining personal testimony, theoretical reflections, historical analysis, and 20 years of clinical experience, Mozol uses a heuristic approach to explore personal stories, clinical material, dreams and depth analysis as they connect to the female individuation process. We follow Mozol's journey through the middle world and the illusions of romantic love, into the upper world and the complexity of Oscar Wilde's feminine character Salome who represents the rising dark feminine energy that must be reckoned with for the possibility of love to exist. Accessible yet powerful, Mozol uses her personal story to place the oppression of women within the Jungian context of individuation. A Re-Visioning of Love: Dark Feminine Rising will be key reading for academics and students of Jungian and post-Jungian studies, psychotherapy, trauma studies, gender studies, women's studies and criminology. It will also be an indispensable resource for Jungian psychotherapists and analytical psychologists in practice and in training. A Re-Visioning of Love, however, is more than a psychological exploration; it is a memoir of the personal and archetypal feminine and as such will appeal to anyone interested in the story of many women today.

Still Here: Memoirs of Trauma, Illness and Loss explores the history, ethics, and cross-cultural range of memoirs focusing on illness, death, loss, displacement, and other experiences of trauma. From Walt Whitman's Civil War diaries to kitchen table survivor-to-survivor storytelling following Hurricane Katrina, from social media posts from a refugee detention centre, to poetry by exiles fleeing war zones, the collection investigates trauma memoir writing as healing, as documentation of suffering and disability, and as political activism. Editors Bunty Avieson, Fiona Giles and Sue Joseph have brought together this scholarly collection as a sequel to their earlier Mediating Memory (Routledge 2018), providing a closer look at the specific concerns of trauma memoir, including conflict and intergenerational trauma; the therapeutic potential and risks of trauma life writing; its ethical challenges; and trauma memoir giving voice to minority experiences.

Posttraumatic Joy presents the major themes and ideas of Nietzsche’s corpus from a continental and psychoanalytic perspective with a particular bent toward how they might illuminate ways of coping with and living beyond trauma and suffering. Through a series of transcribed and edited lectures—originally delivered as a part of the "Nietzsche for Clinicians" workshop run through the Center for Psychological Humanities and Ethics at Boston College—this work traces the genesis of such fundamental psychoanalytic concepts as repression, the death drive, and the Oedipus complex to the works of one of philosophy’s most audacious and original thinkers. Reading Nietzsche not as a philosopher in the traditional sense, but as a proto-psychoanalyst, a precursor to Freud and Lacan, this work explores his understanding of the origins of morality, the value of sublimation, the movement from mourning to melancholia—or, in Nietzsche’s terms, from trauma to tragedy—and the possibility of a life lived in affirmation and self-overcoming. This interdisciplinary book will be of interest to scholars and practitioners whose work intersects with continental philosophy and theoretical and philosophical psychology. This includes any psychotherapist, social worker, psychoanalyst, or pastoral counselor with an interest in understanding the deeply psychological philosophy of one of history’s greatest thinkers.

One cause of the behavioral, emotional and mental torment in a person's life is the psychological trauma that results from the actions and words of parents and others. This volume, "Grendel and His Mother: Healing the Traumas of Childhood Through Dreams, Imagery and Hypnosis" by Nicholas E. Brink examines the effect of such trauma on a child's development and how the resulting torment eventually brings this child as an adult to psychotherapy. This trauma may be as subtle as a parental sigh of disappointment or as direct as physical or sexual abuse. Six clients are then led on a journeying through the unconscious mind using dream work, hypnosis and imagery in the course of therapy to uncover and heal these traumas to free the client of torment.

Posttraumatic Stress and Substance Use Disorders summarizes the state of the field from a biopsychosocial perspective, addressing key domains of interest to clinicians, students, instructors, and researchers. This book is a valuable resource and reference guide for multidisciplinary practitioners and scientists interested in the evidence-based assessment and treatment of posttraumatic stress and substance use disorders. Chapters written by leaders in the field cover the latest research on assessment, diagnosis, evidence-based treatments, future directions, and much more.

Nonsuicidal Self-Injury moves beyond the basics to tackle the clinical and conceptual complexity of NSSI, with an emphasis on recent advances in both science and practice. Directed towards clinicians, researchers, and others wishing to advance their understanding of NSSI, this volume reviews and synthesizes recent empirical findings that clarify NSSI as a theoretical and clinical condition, as well as the latest efforts to assess, treat, and prevent NSSI. With expertly written chapters by leaders in the field, this is an essential guide to a disorder about which much is still to be known.

Nonsuicidal Self-Injury moves beyond the basics to tackle the clinical and conceptual complexity of NSSI, with an emphasis on recent advances in both science and practice. Directed towards clinicians, researchers, and others wishing to advance their understanding of NSSI, this volume reviews and synthesizes recent empirical findings that clarify NSSI as a theoretical and clinical condition, as well as the latest efforts to assess, treat, and prevent NSSI. With expertly written chapters by leaders in the field, this is an essential guide to a disorder about which much is still to be known.

Posttraumatic Stress and Substance Use Disorders summarizes the state of the field from a biopsychosocial perspective, addressing key domains of interest to clinicians, students, instructors, and researchers. This book is a valuable resource and reference guide for multidisciplinary practitioners and scientists interested in the evidence-based assessment and treatment of posttraumatic stress and substance use disorders. Chapters written by leaders in the field cover the latest research on assessment, diagnosis, evidence-based treatments, future directions, and much more.

Misogyny, Projective Identification, and Mentalization looks at how the psychoanalytic concepts of projective identification and mentalization may explain the construction of society and how they have enabled misogyny to be expressed in social, political, and institutional settings. Karyne E. Messina explores how misogyny has affected the perception and treatment of women through analysis of a range of examples of individual women and groups. The first part explores projective identification as a mechanism for the suppression of women, looking at the origins of the concept in psychoanalysis and its expansion. The author examines the story of Clara Thompson as an example, arguing that her virtual disappearance from the history of psychiatry and psychoanalysis itself is a telling example of this process at work. The second part of the book uses four examples of individuals, including the recent election loss by Hillary Clinton in 2016, to show that projective identification can (particularly in political and cultural settings) overtake and motivate groups as well as individuals, and lead to violence, atrocity, humiliation, and dismissal of and against women. Part three then features case studies of four groups of women from the 20th century, including victims of the 1994 Rwandan genocide, showing how projective identification against groups has occurred. With specific reference to the erasure of women's contributions in society, both individually and collectively, and the trauma that arises from the many effects of regarding women as a group as "less" or "other", this is a book which sets a new agenda for understanding how misogyny is expressed socially. Misogyny, Projective Identification, and Mentalization will be of interest to psychoanalysts and psychoanalytic psychotherapists as well as scholars of politics, gender, and cultural studies.

Misogyny, Projective Identification, and Mentalization looks at how the psychoanalytic concepts of projective identification and mentalization may explain the construction of society and how they have enabled misogyny to be expressed in social, political, and institutional settings. Karyne E. Messina explores how misogyny has affected the perception and treatment of women through analysis of a range of examples of individual women and groups. The first part explores projective identification as a mechanism for the suppression of women, looking at the origins of the concept in psychoanalysis and its expansion. The author examines the story of Clara Thompson as an example, arguing that her virtual disappearance from the history of psychiatry and psychoanalysis itself is a telling example of this process at work. The second part of the book uses four examples of individuals, including the recent election loss by Hillary Clinton in 2016, to show that projective identification can (particularly in political and cultural settings) overtake and motivate groups as well as individuals, and lead to violence, atrocity, humiliation, and dismissal of and against women. Part three then features case studies of four groups of women from the 20th century, including victims of the 1994 Rwandan genocide, showing how projective identification against groups has occurred. With specific reference to the erasure of women's contributions in society, both individually and collectively, and the trauma that arises from the many effects of regarding women as a group as "less" or "other", this is a book which sets a new agenda for understanding how misogyny is expressed socially. Misogyny, Projective Identification, and Mentalization will be of interest to psychoanalysts and psychoanalytic psychotherapists as well as scholars of politics, gender, and cultural studies.

Rediscovering Pierre Janet explores the legacy left by the pioneering French psychologist, philosopher and psychotherapist (1859-1947), from the relationship of between Janet and Freud, to the influence of his dissociation theory on contemporary psychotraumatology. Divided into three parts, the first section places Janetian psychological analysis and psychoanalysis in context with the foundational tenets of psychoanalysis, from Freud to relational theory, before the book explores Janet's work on trauma and dissociation and its influence on contemporary thinking. Part three presents several contemporary psychotherapy approaches directly influenced by Janetian theory, including the treatment of posttraumatic stress disorder and dissociative identity disorder. Rediscovering Pierre Janet draws together eminent scholars from a variety of backgrounds, each of whom has developed Janetian constructs according to his or her own theoretical and clinical models. It provides an integrative approach that offers contemporary perspectives on Janet's work, and will be of significant interest to practicing psychoanalysts, psychiatrists and psychotherapists, especially those treating trauma-related dissociative disorders, as well as researchers with an interest in psychological trauma.

Developmental Couple Therapy for Complex Trauma provides therapists with comprehensive and practical guidance for integrating DCTCT into their work with traumatized couples. The book includes an evidence-based framework which emphasizes the importance of containing conflict and helps clients to build emotional regulation and mentalizing skills. The framework is an invaluable asset to all clinicians working with couples dealing with the ravaging impacts of complex trauma, who may not be able to benefit from traditional forms of couple therapy due to challenges in regulating emotions, mentalizing and other aspects of the complex trauma response that limit capacity to engage in relationships and couple therapy. The chapters guide you through the four key stages of DCTCT: Psychoeducation, Building Capacity, Dyadic Processing, and Consolidation. Each stage has accompanying activities and narratives in which to engage traumatized couples and includes a variety of case transcripts to illustrate the approach. Throughout the manual the author provides the reader with: insights from real-world scenarios based on her extensive clinical experience; worksheets that can be used as part of the therapeutic process; systematic analyses of the therapeutic process from the therapist's point of view; comprehensive recommendations for further reading so that you can develop your expertise in any area of DCTCT. Never losing sight of the fact that the therapist plays an essential role as a coach and mentor for those undertaking couple therapy, this manual is a valuable tool for any clinician working to engage traumatized couples and equip them with the skills they need to develop and maintain a strong and vibrant couple relationship.

Developmental Couple Therapy for Complex Trauma provides therapists with comprehensive and practical guidance for integrating DCTCT into their work with traumatized couples. The book includes an evidence-based framework which emphasizes the importance of containing conflict and helps clients to build emotional regulation and mentalizing skills. The framework is an invaluable asset to all clinicians working with couples dealing with the ravaging impacts of complex trauma, who may not be able to benefit from traditional forms of couple therapy due to challenges in regulating emotions, mentalizing and other aspects of the complex trauma response that limit capacity to engage in relationships and couple therapy. The chapters guide you through the four key stages of DCTCT: Psychoeducation, Building Capacity, Dyadic Processing, and Consolidation. Each stage has accompanying activities and narratives in which to engage traumatized couples and includes a variety of case transcripts to illustrate the approach. Throughout the manual the author provides the reader with: insights from real-world scenarios based on her extensive clinical experience; worksheets that can be used as part of the therapeutic process; systematic analyses of the therapeutic process from the therapist's point of view; comprehensive recommendations for further reading so that you can develop your expertise in any area of DCTCT. Never losing sight of the fact that the therapist plays an essential role as a coach and mentor for those undertaking couple therapy, this manual is a valuable tool for any clinician working to engage traumatized couples and equip them with the skills they need to develop and maintain a strong and vibrant couple relationship.

Disaster Mental Health Case Studies is a riveting collection of case studies by master clinicians that reveal how disaster mental health interventions must be tailored to meet the needs of survivors. Each unique case study is structured to give the reader an introduction to the community affected pre-disaster; a glimpse into the thought processes of the disaster mental health responders pre- and post-disaster; and a reflective selection of lessons learned as a result of the experiences. The 17 case studies offer the reader: Guidance on how to develop an empathic approach to disaster mental health response; Exposure to a diverse sample of disaster contexts, including naturally-occurring disasters, human-caused disasters, and disasters which occurred in an international setting; An understanding of the strategic approaches needed for disaster mental health service response, as well as an appreciation of the need for self-care when responding; A grounded and accessible writing style, bookended by chapters from the editors which thematically link and analyze the case studies. Offering a rare and compelling view into the challenges, tragedies, pain, frustrations, and grief at the heart of disaster mental health work, this must-have collection is tailored to appeal to students of mental health and counseling, psychology, and social work; and working mental health professionals who would like to learn directly from experienced responders.