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Books > Medicine > Other branches of medicine > Accident & emergency medicine
"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.
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.
This book uses film/video-based therapy to help build resilience in facing personal, communal, national, and global trauma triggers. Offering a rich and diverse range of perspectives on trauma, this volume advocates positive social change using therapeutic techniques in filmmaking as well as film/video-based therapy, in conjunction with expressive art therapies such as drama, dance, music, painting, drawing, and more. Chapter authors address issues in one's home, community, country, and the world using integrative medicine and advocacy using film/video-based therapy and digital storytelling. The book highlights psychological trauma and how one can cope with the overwhelming triggers in today's world. It represents an articulate and comprehensive analysis of the ways in which traumatic human experience impacts, and is modified by, film and video media. Representing a rich and diverse range of perspectives on trauma through the lens of a camera, the authors document important examples of moments in which artistic expression becomes human resilience. Demonstrating how the language of film can facilitate watching, processing, and discussing images of trauma in therapy, in the home, in the community, and in the world, this volume will be of interest to educators and mental health practitioners with an interest in advancing psychotherapy and counseling techniques.
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.
As the new UN IPCC climate report issued on August 9 states, humanity is in the midst of a civilization-changing event. The book will offer hope, inspiration, and a positive path forward to billions of people in North America, the EU, and worldwide who already are, or are certain in the near future, to experience severe mental health and psycho-social-spiritual problems due to being directly impacted by climate change-related disasters, emergencies, and toxic stresses. It will also offer hope, inspiration, and a positive path forward to the millions who are experiencing intersectional traumas, vicarious (or secondary) trauma, and eco-grief (or eco-anxiety) resulting from seeing climate impacts from afar or worrying about what the future holds for their children and them. The book will challenge the thinking and approaches that dominate the mental health, disaster management, and human services fields today by describing why individually-focused clinical treatment, disaster mental health, and direct service programs--which are crisis and illness, not wellness and resilience focused--are woefully incapable of preventing or healing climate change-generated individual and collective traumas. It will also describe a proven empowering and hopeful alternative: a public health and prevention science approach to organizing community-based, culturally-tailored, population-level wellness and resilience building initiatives for relentless adversities in every community and region of North America and worldwide. The book will offer a practical how-to guide that civic, community, and government leaders can use to organize, fund, facilitate, evaluate, and continually improve community-based mental wellness and resilience initiatives that prevent and heal individual and collective traumas and help people find meaning, purpose, and realistic hope even as the global climate emergency worsens.
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.
Explores role of memory in establishing identity, a key psychoanalytic concept * Draws on literature and history as well as psychoanalysis to illustrate this thesis * Covers key theory and clinical application
"An engrossing human drama . . . The Shift is one nurse's story, but it contains elements of every nurse's experience."--The Wall Street Journal Practicing nurse and New York Times columnist Theresa Brown invites us to experience not just a day in the life of a nurse but all the life that happens in just one day on a busy teaching hospital's cancer ward. In the span of twelve hours, lives can be lost, life-altering treatment decisions made, and dreams fulfilled or irrevocably stolen. Unfolding in real time--under the watchful eyes of this dedicated professional and insightful chronicler of events--The Shift gives an unprecedented view into the individual struggles as well as the larger truths about medicine in this country. By shift's end, we have witnessed something profound about hope and humanity.
THE NEW YORK TIMES BESTSELLER 'Insightful, thought-provoking and profound. I can't recommend highly enough' Sunny Singh 'A revolutionary work of beauty, brilliance, compassion and ultimately, hope' Robin DiAngelo The consequences of racism can be found in our bodies - in skin and sinew, in bone and blood. In this ground-breaking, inspiring work, therapist Resmaa Menakem examines the damage, the physical consequences of discrimination, from the perspective of body-centred psychology. He argues that until we learn to heal and overcome the generational anguish of white supremacy, we will all continue to bear its scars. My Grandmother's Hands is an extraordinary call to action for all of us to recognize that racism affects not only the mind, but also the body, and introduces an alternative view of what we can do to grow beyond our racial divides.
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 edited volume recognizes that resilience, and the most effective means of harnessing it, differ across individuals, contexts and time. Presenting chapters written by a range of scholars and clinicians, the book highlights effective evidence-based approaches to nurturing resilience, before, during and after a traumatic experience or event. By identifying distinct therapeutic tools which can be used effectively to meet the particular needs and limitations associated with different age groups, clients and types of experience, the volume addresses specific challenges and benefits of nurturing resilience and informs best practice as well as self-care. Approaches explored in the volume include the use of group activities to teach resilience to children, the role of sense-making for victims of sex trafficking, and the ways in which identity and spirituality can be used to help young and older adults in the face of pain and bereavement. Chapters also draw on the lived experiences of those who have engaged in a personal or guided journey towards finding new meaning and achieving posttraumatic growth following experiences of trauma. The rich variety of approaches offered here will be of interest to clinicians, counsellors, scholars and researchers involved in the practice and study of building resilience, as well as trauma studies, psychology and mental health more broadly. The personal and practice-based real-life stories in this volume will also resonate with individuals, family and community members facing adversity.
Offering innovative, psychoanalytic readings of Nathaniel Hawthorne's mature novels, this volume expertly applies Freudian theory to present new insights into the psychology of Hawthorne's characters and their fates. By critically examining scenes in which protagonists confront past traumas, Diamond underscores the transformative potential which Hawthorne attributes to confrontations with the unconscious. Psychoanalytic narrative technique is used to illuminate psychological crises of the protagonists in The Scarlet Letter, The House of the Seven Gables, The Blithedale Romance, and The Marble Faun, showing the transformations they undergo to be central to our understanding of the trajectory and resolution of Hawthorne's romances. The text will benefit researchers, academics, and educators with an interest in applied psychoanalysis, psychoanalytic technique, and Freud in particular. Since its conclusions challenge many currently held critical views, this volume is especially relevant to those interested in interdisciplinary literary studies, Hawthorne studies, 19th century literature and romanticism.
Primatology, Ethics and Trauma offers an analytical re-examination of the research conducted into the linguistic abilities of the Oklahoma chimpanzees, uncovering the historical reality of the research. It has been 50 years since the first language experiments on chimpanzees. Robert Ingersoll was one of the researchers from 1975 to 1983. He is well known for being one of the main carers and best friend of the chimpanzee, Nim Chimpsky, but there were other chimpanzees in the University of Oklahoma's Institute for Primate Studies, including Washoe, Moja, Kelly, Booee, and Onan, who were taught sign language in the quest to discover whether language is learned or innate in humans. Antonina Anna Scarna's expertise in language acquisition and neuroscience offers a vehicle for critical evaluation of those studies. Ingersoll and Scarna investigate how this research failed to address the emotional needs of the animals. Research into trauma has made scientific advances since those studies. It is time to consider the research from a different perspective, examining the neglect and cruelty that was inflicted on those animals in the name of psychological science. This book re-examines those cases, addressing directly the suffering and traumatic experiences endured by the captive chimpanzees, in particular the female chimpanzee, Washoe, and her resultant inability to be a competent mother. The book discusses the unethical nature of the studies in the context of recent research on trauma and offers a specific and direct psychological message, proposing to finally close the door on the language side of these chimpanzee studies. This book is a novel and groundbreaking account. It will be of interest to lay readers and academics alike. Those working as research, experimental, and clinical psychologists will find this book of interest, as will psychotherapists, linguists, anthropologists, historians of science and primatologists, as well as those involved in primate sanctuary and conservation.
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.
Israeli perspective on postmemory. Interdisciplinary focus. Also includes discussion of postcolonialism.
Writers at War addresses the most immediate representations of the First World War in the prose of Ford Madox Ford, May Sinclair, Siegfried Sassoon and Mary Borden; it interrogates the various ways in which these writers contended with conveying their war experience from the temporal and spatial proximity of the warzone and investigates the multifarious impact of the war on the (re)development of their aesthetics. It also interrogates to what extent these texts aligned with or challenged existing social, cultural, philosophical and aesthetic norms. While this book is concerned with literary technique, the rich existing scholarship on questions of gender, trauma and cultural studies on World War I literature serves as a foundation. This book does not oppose these perspectives but offers a complementary approach based on close critical reading. The distinctiveness of this study stems from its focus on the question of representation and form and on the specific role of the war in the four authors' literary careers. This is the first scholarly work concerned exclusively with theorising prose written from the immediacy of the war. This book is intended for academics, researchers, PhD candidates, postgraduates and anyone interested in war literature.
Writers at War addresses the most immediate representations of the First World War in the prose of Ford Madox Ford, May Sinclair, Siegfried Sassoon and Mary Borden; it interrogates the various ways in which these writers contended with conveying their war experience from the temporal and spatial proximity of the warzone and investigates the multifarious impact of the war on the (re)development of their aesthetics. It also interrogates to what extent these texts aligned with or challenged existing social, cultural, philosophical and aesthetic norms. While this book is concerned with literary technique, the rich existing scholarship on questions of gender, trauma and cultural studies on World War I literature serves as a foundation. This book does not oppose these perspectives but offers a complementary approach based on close critical reading. The distinctiveness of this study stems from its focus on the question of representation and form and on the specific role of the war in the four authors' literary careers. This is the first scholarly work concerned exclusively with theorising prose written from the immediacy of the war. This book is intended for academics, researchers, PhD candidates, postgraduates and anyone interested in war literature.
The first COVID-19 case in the US was reported on January 20, 2020. As the first cases were being reported in the US, Washington State became a reliable source not just for hospital bed demand based on incidence and community spread but also for modeling the impact of skilled nursing facilities and assisted living facilities on hospital bed demand. Various hospital bed demand modeling efforts began in earnest across the United States in university settings, private consulting and health systems. Nationally, the University of Washington Institute of Health Metrics and Evaluation seemed to gain a footing and was adopted as a source for many states for its ability to predict the epidemiological curve by state, including the peak. This book therefore addresses a compelling need for documenting what has been learned by the academic and professional healthcare communities in healthcare analytics and disaster preparedness to this point in the pandemic. What is clear, at least from the US perspective, is that the healthcare system was unprepared and uncoordinated from an analytics perspective. Learning from this experience will only better prepare all healthcare systems and leaders for future crisis. Both prospectively, from a modeling perspective and retrospectively from a root cause analysis perspective, analytics provide clarity and help explain causation and data relationships. A more structured approach to teaching healthcare analytics to students, using the pandemic and the rich dataset that has been developed, provides a ready-made case study from which to learn and inform disaster planning and preparedness. The pandemic has strained the healthcare and public health systems. Researchers and practitioners must learn from this crisis to better prepare our processes for future pandemics, at minimum. Finally, government officials and policy makers can use this data to decide how best to assist the healthcare and public health systems in crisis.
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.
Transforming Emotional Pain presents an accessible self-help approach to mental health based on Emotion-Focused Therapy (EFT). Based on the principles of EFT, and developed by clinicians and researchers, this client-focused workbook is designed to supplement psychotherapy and can also serve as a self-help book. It will help readers learn how to regulate feelings that are unpleasant and transform painful feelings, so that they can fulfil their needs and feel more connected and empowered in their lives. Providing a step-by-step sequential guide to exploring, embracing, and transforming emotions, the various chapters guide the reader to help overcome emotional avoidance, with sections on: transforming the emotional self-interrupter; transforming the inner self-worrier; transforming the self-critic; and healing from emotional injury. This workbook can be used by trained therapists, mental health professionals, psychology professionals, and trainees as supplementary to their therapeutic interventions with clients. It can also be used by general readers with an interest in self-help literature and resources or anyone wanting to explore, embrace, and transform their emotions.
Trauma has been recognized in recent years as one of the most important health care issues still to be fully addressed. A new awareness of deficiencies in the clinical management of injured patients has led to an urgent reappraisal of procedures and training in many hospitals. Parallel to this, there has been a revolution in the field of radiology and diagnostic imaging. Imaging in Trauma provides guidance on the safe and effective application of imaging techniques to patients who have been injured - recommending appropriate techniques wherever they are known to be effective and highlighting cases where their use would be inappropriate. The use of basic conventional radiology is most comprehensively covered, recognising that some of the newer modalities, such as magnetic resonance imaging, will not be generally available for some years. . It is important to consider not only the production of good images, but also how to help clinicians to order them appropriately and to interpret them. A full report from a trained radiologist may not be immediately available to junior medical staff trying to manage the patient in the A&E department. Therefore, advice about viewing images systematically is offered, together with hints on the pitfalls which might be faced. This advice is patient- centred rather than image centred - an emphasis which makes the text different from others. Each chapter offers a summary of the key points it contains. The book will be of assistance to all medical and nursing staff working in the speciality of Accident and Emergency Medicine and also to those working in specialities which offer definitive care to injured patients. The contents of the book may also assist those wishing to study for higher examinations in Accident and Emergency, Surgery and Radiology, especially where the interpretation of images forms part of the examination.
With chapters from a diverse range of European authors, the book considers social trauma as it relates to stories and history, group identity, the consulting room, migration and post-traumatic conditions. These topics are explored via a range of frames, including individual therapy, group analysis, social dream matrix, large groups, study cases, narrative recollections and cinematographic expression. The book also considers the implications of new technology in causing and treating social trauma.
The volume: * the cross-cultural perspective on trauma theory. * connects Western Trauma Theory and South Asian Literature * will be of interest to scholars and researchers of literature, history, politics and South Asian studies
The volume: * the cross-cultural perspective on trauma theory. * connects Western Trauma Theory and South Asian Literature * will be of interest to scholars and researchers of literature, history, politics and South Asian studies |
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