This book is designed to provide a comprehensive and state-of-the-art resource for clinicians who care for patients with sepsis and research scientist alike, . Patients with severe sepsis requiring ICU admission have very high rates of ICU and overall hospital mortality, with estimates ranging from 18 to 50%. Risk factors for death from sepsis include underlying illness, increased age, and multi-system organ failure. This is compounded by the significant variation in the management of early severe sepsis. Care of these patients and clinical conditions can be quite complex, and materials are collected from the most current, evidence-based resources. Book sections have been structured to review the overall definitions and epidemiology of sepsis as well as current insights into the pathophysiology of sepsis. This review summarizes the evidence for the international consensus guidelines for the identification and management of sepsis. The latter part of this book reviews emerging concepts and approaches in the diagnosis and management of sepsis that may significantly reduce mortality in the future. Sepsis: Pathophysiology, Definitions and the Challenge of Bedside Management represents a collaboration between authors drawn from a variety of disciplines and contributions from basic scientists and highly recognized clinical opinion leaders with expertise in clinical trials.

Contains personal accounts as well as psychoanalytic and literary analysis. Davoine is the leading figure in psychoanalytic/literary studies. Draws direct comparison between trauma in human history (e.g. WW1 and plague) and the COVID-19 pandemic.

Contains personal accounts as well as psychoanalytic and literary analysis. Davoine is the leading figure in psychoanalytic/literary studies. Draws direct comparison between trauma in human history (e.g. WW1 and plague) and the COVID-19 pandemic.

In the civilian tactical environment, seconds count. TECC: Tactical Emergency Casualty Care, Second Edition trains EMS practitioners of all levels how to safely respond to and care for patients in a civilian tactical environment, including active shootings. This program is designed to decrease preventable deaths in the field. Developed by the National Association of Emergency Medical Technicians (NAEMT) and endorsed by the American College of Surgeons, TECC, Second Edition reflects current, medical knowledge and practice, and promotes critical-thinking as the foundation for providing quality care. The content in the updated TECC course meets the current Tactical Emergency Medical Services (TEMS) Competency Domains and is consistent with the Committee on Tactical Emergency Casualty Care (Co-TECC) guidelines. The second edition of the TECC course features: -The new course manual, which reinforces and clarifies key concepts from the course; features an engaging, interactive design; and is written so you feel like you are participating in a conversation, versus listening to a lecture. -Lessons covering each component of the MARCH assessment, immediate action drills for tourniquet application, pediatric casualty care discussions, and all-new patient simulations, including a final mass-casualty, active shooter event simulation. -The Emergency Medical Services (EMS) nomenclature of Hot, Warm, and Cold Zones has been integrated with tactical nomenclature of Direct Threat, Indirect Threat, and Evacuation Phases. Students who successfully complete the TECC course will earn 16 hours of CAPCE-approved credit.

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.

Includes relational and Jungian approaches as well as trauma and dissociation theory, ritual abuse and mind control literature. Focuses on four key clinical case studies.

1. There have been very few research projects on victims of terrorism, so this book helps reset this balance. 2. Furthermore, this book engages with the philosophical and psychological literature on resilience and trauma, giving it a wider market.

This book provides recommendations for evaluation and therapy in the area of acute pediatric neurology; these are presented didactically with frequent use of illustrations and algorithms. Chapters in the first part of the book discuss presenting symptoms of acute neurological conditions. The second part of the book covers major areas of acute pediatric neurology and each of these chapters has three key elements: description of presenting symptoms; recommended assessments; and recommended interventions. Acute Pediatric Neurology provides an accessible, clinically focused guide to assist physicians in the emergency ward or intensive care unit in decisions on diagnosis and therapeutic interventions in all major acute pediatric neurological diseases.

Sur le terrain, les secondes comptent. PHTLS: Soins de reanimation prehospitaliers enseigne et renforce les principes d'evaluation rapide d'un patient en etat de traumatisme en utilisant une approche ordonnee, en traitant immediatement les problemes potentiellement mortels au fur et a mesure qu'ils sont identifies, et en reduisant tout retard de transport vers la destination appropriee. Developpe par la National Association of Emergency Medical Technicians (NAEMT ou Association nationale des techniciens medicaux d'urgence) en cooperation avec le American College of Surgeons Committee (ASC-COT ou College americain du Comite des chirurgiens), PHTLS, Neuvieme edition reprend les connaissances et la pratique actuelles etayees par des donnees, et encourage la pensee critique en tant que fondement de la fourniture de soins de qualite. Evaluer rapidement un patient en etat de traumatisme pour identifier les soins vitaux est au coeur de la neuvieme edition de PHTLS. Il faut 2 minutes ou moins a un patient pour se vider de son sang. Aucune autre intervention des prestataires de soins prehospitaliers n'est plus importante que l'arret de l'hemorragie chez les patients en etat de traumatisme. Pour refleter cela, PHTLS, Neuvieme edition utilise le moyen mnemonique d'evaluation du patient XABCDE pour placer une hemorragie au premier plan de chaque contact avec un patient. L'importance de la methode XABCDE (en francais hemorragie, voies aeriennes, respiration, circulation, handicap et exposition/environnement) est renforcee dans chaque chapitre clinique. PHTLS, Neuvieme edition presente : Les informations actuelles sur la reanimation liquidienne et l'immobilisation de la colonne vertebrale provenant de la recherche factuelle et de prestataires de soins prehospitaliers experimentes qui appliquent les principes et les pratiques de PHTLS sur le terrain Les dernieres techniques de gestion des patients, y compris la mise en place d'un garrot, les sites de decompression par aiguille, l'utilisation de liants pelviens, la reanimation pediatrique liquidienne et la gestion pediatrique des voies respiratoires L'accent est mis sur les blessures evitables, de la distraction au volant aux chutes chez les personnes agees, en passant par la violence conjugale L'accent est egalement mis sur les menaces et les interventions tactiques des civils, des vehicules utilises comme armes de destruction massive a un nouvel organigramme de la methodologie d'evaluation a distance Composants dynamiques du programme Le manuel principal de PHTLS, Neuvieme edition est la ressource definitive en matiere de traumatologie. Il presente en detail les preuves medicales sous-tendant les principes et pratiques recommandes dans le cours PHTLS. La prochaine etape de l'evolution du programme PHTLS sera un nouveau manuel de cours PHTLS qui accompagnera le manuel principal. Il renforce et clarifie les concepts cles du cours, a une presentation agreable et interactive et est redige de facon a ce que vous ayez l'impression de participer a une conversation, plutot qu'a un cours magistral.

An Introduction to Psychotherapeutic Playback Theater is a comprehensive book presenting Psychotherapeutic Playback Theater as a unique form of group psychotherapy. This pioneering book is the first of its kind, examining this new approach, the theory behind it, and the numerous considerations and diverse possibilities involved in using the technique to promote a significant reflective process among participants. Informed by years of Psychotherapeutic Playback Theater practice and research, the authors detail a collective-creative method that allows for the creation of a therapeutic experience centered on feelings of belonging, acceptance, visibility and liberation. It is presented to the reader as a path toward their development and growth as a conductor working in this newly evolving field of group therapy. The book will be of great interest to dramatherapy students, trainees and professionals, and group therapists who wish to reflect upon their practice through the mirror of Psychotherapeutic Playback Theater as well as facilitators and actors working with Playback Theater or other improvised genres.

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

Captures a snapshot of current international arts therapies practice, from Australasia, South East Asia, United Kingdom and the US. Demonstrates the benefits of arts therapies for clients who have experienced trauma, as well as those with acquired neurological conditions, atypical neurological development, anxiety and depression. Links to neurological research, particularly with trauma, acquired neurological disorders, and non-typical neurological development. An essential resource for practicing arts therapists, as well as students and educators in postgraduate arts therapy courses.

Captures a snapshot of current international arts therapies practice, from Australasia, South East Asia, United Kingdom and the US. Demonstrates the benefits of arts therapies for clients who have experienced trauma, as well as those with acquired neurological conditions, atypical neurological development, anxiety and depression. Links to neurological research, particularly with trauma, acquired neurological disorders, and non-typical neurological development. An essential resource for practicing arts therapists, as well as students and educators in postgraduate arts therapy courses.

Uniquely intimate depiction of psychoanalytic work and experiences during the COVID 19 pandemic. Two authors share personal experiences, including working through the pandemic with clients who have their mental health impacted and also contracting the virus from frontline work.

Over three decades ago, PHTLS: Prehospital Trauma Life Support transformed the assessment and management of trauma patients in the field, improving the quality of trauma patient care and saving lives around the world. The tenth edition of this trusted, comprehensive resource continues the PHTLS mission to promote excellence in trauma patient management by all prehospital care practitioners through global education. First developed by the National Association of Emergency Medical Technicians (NAEMT) in the early 1980s in cooperation with the American College of Surgeons Committee on Trauma (ACS-COT), this proven program includes updated medical content to reflect current, evidence-based knowledge and practice. PHTLS promotes critical thinking as the foundation for providing quality care, knowing that EMS practitioners make the best decisions on behalf of their patients when given a solid foundation of knowledge and key principles to fuel their critical-thinking skills. A Clear Approach to Assessing a Trauma Patient In the field, seconds count. The tenth edition of PHTLS: Prehospital Trauma Life Support teaches and reinforces the principles of rapidly assessing a trauma patient using an orderly approach, immediately treating life-threatening problems as they are identified, and minimizing delays in initiating transport to an appropriate destination. PHTLS, Tenth Edition features: - The updated ACS National Guidelines for the Field Triage of Injured Patients - An advanced discussion on the challenges of prolonged scene time - Consideration of when to shift efforts from search and rescue to recovery in the setting of a drowning victim - The United Kingdom Fire and Rescue Guidelines for search and rescue - New content on blast injuries - Clarification on the role of pelvic binders - Presentation of the emerging role of prehospital blood transfusion in hemorrhagic shock in reducing 30-day mortality - Current content addressing special considerations, including weapons of mass destruction and environmental trauma

* Provides detailed guidance on how to implement trauma-responsive educational practices for use with justice-impacted persons in a classroom setting * Meets the growing need for trauma-informed teaching skills that results from expanded offerings of post-secondary courses to correctional populations * Offers lessons gleaned from decades of experience by a master educator who has taught a spectrum of learners with high trauma burdens

Perspectives on a Young Woman's Suicide is a unique and updated analysis of a diary left behind by "Katie," a young woman who took her own life. By drawing on clinicians, researchers, survivors of suicide loss, and those closest to Katie, this book delves into common beliefs about why people die by suicide and into the internal worlds of those who do, as well as ethical and moral questions surrounding those deaths. Several contributors discuss Katie's suicide from the perspective of recent theories of suicide, including Joiner's interpersonal theory and Klonsky's three-step theory. Two contributors who have lost a child to suicide look at Katie's diary from their perspective, one of whom discusses whether it is truly possible to prevent suicide. Finally, Katie's sister reveals her reactions to this project and her ex-boyfriend shares his account of her death. This book is a vital addition to the library of any researcher, academic, or professional interested in suicide and suicide prevention.

This text presents a basic guide of the principles and applications of ultrasound in the critical care setting. The text also addresses the basic and clinical uses of ultrasound, including clinical cases at the end of each of the 7 sections of the clinical subdivisions. The final chapters focus on the issues of training, certification, credentialing and billing. These discussions make the text unique, as literature regarding monetary and training issues for ultrasound in the ICU is sparse. Each chapter is written by experts in the field, and supplemented with illustrations and links to videos of actual ultrasound examinations in patients. Ultrasonography in the ICU: Practical Applications will be of great utility to critical care specialists in the disciplines of surgery, medicine, anesthesiology and emergency medicine. In addition this book can be used as a teaching tool for critical care fellows and residents interested in further training in ultrasound for the critically ill patient.

In response to persistent donor organ shortages, organs from marginal donors, such as expanded criteria donors (ECD) and donation after cardiac death (DCD) donors, are now accepted and have been successfully transplanted, reducing the waiting times for transplantation. Especially in Japan, transplantation of DCD kidneys has a relatively long history because of the difficulty or lack of national consensus in accepting brain death, which has made it possible to accumulate considerable clinical experience. Thus, the current organ shortage has stimulated interest in the use of marginal donors for transplantation. On the other hand, however, it is known that these organs have a high rate of delayed graft function and a more complicated postoperative course. These drawbacks have created the greatest clinical challenge in transplantation to date because of the current shortage and limitations of donors using ECD and DCD.

This book, prepared by distinguished authorities in their fields, is intended for clinicians and researchers. It highlights the use of marginal donors as a comparatively novel source of transplantation organs and provides a thorough overview of marginal donors from their historical origins to recent clinical applications, including the state-of-the-art science of organ/donor management, procurement, and preservation. Also provided is valuable information on ABO-incompatible donors which extend the availability of donor sources. Each chapter offers an individual analysis of the optimal requirements for the safe management and preservation of organs, including the heart, lung, liver, kidney, pancreas, and pancreatic islets.

The female doctors in the Parkview Hospital emergency department decide that they will no longer allow gang members who assault healthcare workers in their community to escape justice. The neighborhood of Parkview is being terrorized by the Plagues, a gang of violent criminals and drug dealers, and the local police department is taking pay-offs to ignore their activity. After one of the ED doctors, Elita Romanov, is kidnapped and raped, she and her best friend, Dr. Kate Taylor, resolve to take definitive action against the Plagues, whatever the consequences. They systematically recruit co-wokers, friends and family members who are willing to break the law in order to restore the rule of law in Parkview. THE FIRST TO SAY NO is Kate's journey to achieve peace with her past and to eliminate those who threaten her future and the future of her neighborhood. Set in contemporary America, this novel illustrates many of the failings of today's healthcare system as Kate and Elita's startling solution unfolds in Parkview.

First book to look at indigenous resilience worldwide. Includes 26 newly-written chapters authored by indigenous researchers, indigenous community members, and practitioners who work in creative ways to cultivate resilience. Takes a strengths-based rather than a deficit-based approach to indigenous resilience and wellness.

The Trauma Care Manual 3e is the definitive evidence-based manual of best trauma practice. Now in its third edition, this valuable book continues to provide clear practical guidelines for the management of victims of major trauma. New coverage includes chapters on abdominal and urological trauma, aswell as trauma in the obese patient. Also included is coverage of pre-hospital management; trauma centres, sytems & teams; modern trauma resuscitation; trauma physiology & metabolism; damage control surgery. Written by members of Trauma Care, this book offers a nationally accepted set of standards for good practice.

For more than 30 years, the highly regarded Secrets Series (R) has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Prehospital Emergency Medicine Care Secrets is an all-new addition to this popular series, offering practical, up-to-date coverage of the full range of essential topics in this dynamic field. This new resource features the Secrets' popular question-and-answer format that also includes lists, tables, pearls, memory aids, and an easy-to-read style - making inquiry, reference, and review quick, easy, and enjoyable. The proven Secrets Series (R) format gives you the most return for your time - succinct, easy to read, engaging, and highly effective. Covers the full range of essential topics including disaster and multiple casualty incidents, psychiatric emergencies, and prehospital skills and procedures for in-training or practicing professionals. Fully revised and updated, including protocols and guidelines that are continuously evolving and that increasingly dictate best practices. Includes chapters on public health and EMS, infectious disease emergencies/sepsis, telemedicine and emerging telecommunications, transport of the highly infectious patient, mass casualty evacuation and patient movement, biological and chemical terrorism, community disaster preparedness, and airway management, oxygenation, and ventilation. Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams. Bulleted lists, mnemonics, practical tips from global leaders in the field - all providing a concise overview of important board-relevant content. Portable size makes it easy to carry with you for quick reference or review anywhere, anytime. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

AEROMEDICAL EVACUATION: MANAGEMENT OF ACUTE AND STABILIZIED PATIENTS is the definitive treatment on the medical evacuation and management of injured patients in both peacetime and wartime. Edited by eminent experts in the field, this text brings together medical specialists from across all four branches of the armed services. The post-Cold War paradigm shift necessitates the rapid-fire response of aeromedical evacuation services to treat and transport patients injured in regional conflicts, in mass emergencies and natural disasters, in the face of terrorist attack, and in the event of biological or chemical warfare. The book discusses the history of aeromedical evacuation, triage and staging of the injured patient, evacuation from site of injury to medical facility, air-frame capabilities, medical capabilities in-flight, response to in-flight emergencies, and mass emergency evacuation. Specific medical conditions are addressed in detail in the second half of the book, including general surgical casualties such as abdominal wounds and soft tissue injuries, vascular injuries, maxillofacial injuries, head and spinal cord injuries, ophthalmolic casualties, orthopaedic casualties, burns, pediatric casualties, obstetric-gynecologic casualties, and more. Over 80 illustrations provide a useful review of transport equipment and both medical and surgical treatment. Algorithms outline patient triage and management from the field or site to the medical facility. This text is a must-have reference for all armed forced physicians and flight surgeons, for general and trauma surgeons, internists, intensive care specialists, orthopaedic surgeons, and public health officers.