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.

Includes detailed clinical material. A new study of trauma and its treatment with psychoanalysis and psychotherapy. Author has spoken widely in Asia, including in South Korea, Japan and Taiwan.

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.

Social Aspects of Memory presents a compelling study of how ordinary people remember war. Whilst the book focuses on the cities of Sarajevo and East Sarajevo during the 1992-1995 war in Bosnia-Herzegovina, Jeftic also presents narratives from other war-torn cities and countries around the world. This book adopts a unique approach, by looking at how perpetrators and victims (as well as new generations who may not remember the war directly) manage in the aftermath of war. Jeftic explores how our memories of war and violence are formed, and how we can learn to reconcile those memories, individually and as a collective. Drawing on the author's own extensive empirical research, the book explores the connections between memories for significant war events, transgenerational transmission of memories, bias for in-group wrongdoings and readiness for reconciliation between two groups. Giving a voice to underrepresented narratives and prioritising the importance of expression as a necessary catalyst for reconciliation, this book is essential reading for those interested in collective and transgenerational memory and memory studies, especially in relation to the aftermath of the 1992-1995 war in Bosnia-Herzegovina.

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.

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.

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.

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.

Israeli perspective on postmemory. Interdisciplinary focus. Also includes discussion of postcolonialism.

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.

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.

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

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

This book is a comprehensive summary of the recommendations for best practice, and current evidence, for physical activity and rehabilitation of functional deficits in individuals with end-stage diseases. While advances in technology have afforded us the opportunity to live longer lives, it has also demanded an expansion of focus of medical interventions towards palliative care to enhance the quality of life. Exercise and healthcare professionals must strive to broaden their perspectives to provide for the unique needs of these individuals, and to successfully engage with them, to achieve the most positive outcomes throughout the entire continuum of care. Healthcare providers play a critical role in advocating for care to allow individuals to remain physically active for as long as possible, even in the face of declining health. Finally, due to the increasing and progressively emergent healthcare utilization required by these individuals, a significant cost burden is experienced by healthcare systems, patients, families, and payers. There is evidence of substantial protective effects of physical activity, prevention, safety, and rehabilitative procedures to reduce hospital readmissions, reduce length of stay, and assist in avoiding unwarranted or unnecessary diagnostic tests or procedures. Physical activity has been proven to have a substantial impact and protective effects on virtually all medical conditions. During curative management, but especially during transitional phases to palliative care, other strategies need enhanced consideration to complement the existing plan of care and help to improve patient's quality of life. Ideally, physical medicine would be at the forefront of allowing individuals to live their best life until the very end. Physical Activity and Rehabilitation in Life-threatening Illness is key reading for academics and policy makers in physical activity, international exercise, wellness and rehabilitation, and related disciplines, as well as research-focused clinicians in settings where patients with advanced illness are frequently encountered.

Key Features: * Covers all aspects of acute trauma, including orthopedics, vascular surgery, plastic surgery, neurosurgery, burns, radiology, etc. * Elaborates on damage control resuscitation and management of initial and life-threatening injuries, useful for professionals dealing with trauma patients in the emergency area. * Guides in initial fluid therapy and pain control along with initial patient resuscitation.

In this issue of Emergency Medicine Clinics, guest editors Drs. Kimberly A. Boswell and Christopher Hicks bring their considerable expertise to Trauma Emergencies. Top experts in the field cover key topics such as management of the complex airway in the trauma setting; neck trauma; trauma in the aging population; pediatric trauma; trauma patients in shock; minor procedures in trauma; and more. Contains 15 relevant, practice-oriented topics including neurotrauma update; the Big Five: heroic procedures in the trauma bay; new approaches to pain management in trauma; new uses for ultrasound in trauma; intimate partner violence and human trafficking; and more. Provides in-depth clinical reviews on trauma emergencies, 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.

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.

The concept of moral injury emerged in the past decade as a way to understand how traumatic levels of moral emotions generate moral anguish experienced by some military service members. Interdisciplinary research on moral injury has included clinical psychologists (Litz et al., 2009; Drescher et al., 2011), theologians (Brock & Lettini, 2012; Graham, 2017), ethicists (Kinghorn, 2012), and philosophers (Sherman, 2015). This project articulates a new key concept-moral orienting systems- a dynamic matrix of meaningful values, beliefs, behaviors, and relationships learned and changed over time and through formative experiences and relationships such as family of origin, religious and other significant communities, mentors, and teachers. Military recruit training reengineers pre-existing moral orienting systems and indoctrinates a military moral orienting system designed to support functioning within the military context and the demands of the high-stress environment of combat, including immediate responses to perceived threat. This military moral orienting system includes new values and beliefs, new behaviors, and new meaningful relationships. Recognizing the profound impact of military recruit training, this project challenges dominant notions of post-deployment reentry and reintegration, and formulates a new paradigm for first, understanding the generative circumstances of ongoing moral stress that include moral emotions like guilt, shame, disgust, and contempt, and, second, for responding to such human suffering through compassionate care and comprehensive restorative support. This project calls for more effective participation of religious communities in the reentry and reintegration process and for a military-wide post-deployment reentry program comparable to the encompassing physio-psycho-spiritual-social transformative intensity experienced in recruit-training boot camp.

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.

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.

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

This book provides insights into the care of cancer patients in the intensive care unit in a comprehensive manner. It provides an evidence-based approach to practitioners and postgraduate students to understand about the critical care needs of the patients suffering from malignancies. It helps the readers to develop critical thinking and encourage discussion towards improving the overall care of the patients and their families as their optimal management requires expertise in oncology, critical care, and palliative medicine and there is a dearth of books explaining about the special requirements and critical care needs of cancer patients. Each chapter is prepared by an expert in the field and contains well-prepared illustrations, flowcharts and relevant images. Chapters include latest evidence-based information which is useful for the readers. The book is useful for residents, fellows and trainees in the field of onco-anaesthesia, onco-critical care, onco-surgery, critical care and anaesthesia; practitioners and consultants in anaesthesia and onco-anaesthesia as well as intensivist, critical care experts and postgraduates in nursing.

Spreading to every corner of the Earth, the COVID-19 virus has had an unparalleled impact on all aspects of our lives. This book explores in detail how the COVID-19 pandemic has affected clinical practice, education, and research in medical physics, and how colleagues on the frontline dealt with this unpredictable and unprecedented pandemic. It tackles key questions such as: How did medical physicists first respond to the situation? What innovative strategies were taken and how effective were they? How are medical physicists preparing for the future? There will be a focus on the different experiences of regional medical physicists and the responses and outlooks in clinical practice, education, and research in the affected continents, Asia-Pacific, the Middle East, Europe, Africa and North and Latin America. With over 91 contributors from 39 countries, this unique resource contains key perspectives from teams from each territory to ensure a global range of accounts. The collective opinion and wisdom from the major medical physics journal editors-in-chief are also explored, alongside how the pandemic has affected the quantity and quality of publications. Voices of early-career researchers and students of medical physics will be included, with narratives of their experiences coping with life during the pandemic. Lastly, communicating leadership in times of adversity is highlighted. This book will be a historic account of the impact of the COVID-19 virus on the field of medical physics. It will be an ideal reference for medical physicists, medical physics trainees and students, hospital administrators, regulators, and healthcare professionals allied with medical physics. Key features: The first book to cover the impact of COVID-19 on the field of medical physics Edited by two experts in the field, with chapter contributions from subject area specialists around the world Broad, global coverage, ranging from the impact on teaching, research, and publishing, with unique perspectives from journal editors and students and trainees