This book is primarily for pediatric and adult emergency room physicians, primary care providers, hospitalists, and nurses. It will also be useful for critical care specialists, cardiologists and trainees at all levels. Cardiac Emergencies in Children describes the pathophysiology of a diverse group of congenital and acquired heart conditions and presents a therapeutic rationale for treating children presenting with these conditions under life-threatening conditions. The book discusses the effects of surgery on hemodynamics and how to manage these effects. Also described are the daily challenges faced by physicians, including identifying a child with heart disease, interpreting chest radiographs, ECGs, and laboratory findings, and beginning appropriate therapies.

This book explores the impact of trauma and dissociation on physical health throughout the lifespan. Important chronic conditions, such as cardiovascular disease and chronic pain, are examined. In addition, trauma in childbearing women is considering, specifically examining the short- and long-term effects of the birth experience itself. Dissociation's effect on long-term health is also described, and how it might manifest in patients in health care settings. This book was based on a special issue of Journal of Trauma & Dissociation.

First Published in 2017. Routledge is an imprint of Taylor and Francis, an Informa company.

First Published in 2017. Routledge is an imprint of Taylor and Francis, an Informa company.

The collection asks how faculty, courses, and programmes have responded and adapted to changes in students' needs and abilities, to economic constraints, to new course management systems, and to Web 2.0 technologies such as social networking, virtual worlds, and mobile communication devices. Addressing these questions it includes contributing voices from a wide variety of post-secondary, from urban and rural institutions and from technological and career colleges.

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

A collection of 200 high quality ECGs (Electrocardiogram's) that cover the entire spectrum of emergency electrocardiography. The first half of the book represents an intermediate level of difficulty and is ideal for residents in training and for the emergency medicine board review. The second half contains more advanced ECGs and will challenge even the most seasoned emergency medicine practitioner. When taken in its entirety, the book contains one of the best collections of ECGs ever assembled, targeted at advancing the ECG interpretation skills of emergency physicians and other acute health care providers.

Assessment of Trauma in Youths: Understanding issues of age, complexity, and associated variables is a collection of articles by well-known specialists in the field of childhood trauma. The articles describe developmental issues in addition to others that are important to the assessment of trauma-exposed youth, to the ongoing refinement of trauma-related diagnoses for children, and to understanding PTSD and more complicated reactions to trauma for young people. The book explores trauma in very young to middle childhood aged children, trauma in adolescents, childhood complicated trauma, and childhood complicated grief. It considers PTSD and Reactive Attachment Disorder as well as discussing disorders that are under continued study such as Developmental Trauma Disorder, Prolonged Grief Disorder, and Traumatic Grief. In the second half of the book, chapters look at the associated features of childhood traumatic response such as genetics and personality, cortisol, poly-victimization, and guilt and shame. Variables such as cortisol reactivity and guilt/shame may influence or follow traumas in children. This book was originally published as a special issue of the Journal of Child and Adolescent Trauma.

Promoting Resilience offers a fresh perspective that views resilience through a sociological lens, emphasizing the significance of loss issues and highlighting a range of practice implications across a wide range of fields. Drawing on the expertise of a wide range of contributors, the book provides a solid foundation for developing a fuller and more holistic picture of the many challenges associated with promoting resilience. Chapters present a range of sociological perspectives that cast light on trauma and vulnerability. Combining theoretical richness with practical insights, chapter authors bring a sociological lens to enrich understanding of loss and adversity. This volume offers a bedrock of understanding for students, clinicians, and researchers who want to extend and deepen their knowledge of the sociological aspects of overcoming life challenges.

This book presents a systematic approach to the potential pulmonary complications of various systemic non-pulmonary pediatric disorders. Chapters focus on the pulmonary complications associated with: the major organ systems, types of disorders, metabolic conditions, and various modalities. Although specific diseases will be discussed, the main focus will be on describing the associated organ mechanisms and how they can negatively affect the respiratory system. Each chapter will also discuss methods of prevention, the diagnostic test(s) that may be necessary to diagnose or monitor these complications, and, if applicable, the recommended therapeutic modalities. Pulmonary Complications of Non-Pulmonary Pediatric Disorders provides pulmonologists, pediatricians, and other clinicians with a detailed, reliable explanation of seemingly unrelated signs and symptoms so they can form a more thorough differential diagnosis and prescribe the appropriate diagnostic tests and treatment.

Overcome shame and stigma; and bring a newly felt sense of safety, awareness, and life to your body. If you've experienced rape, sexual abuse, molestation, or sexual trauma, you may feel as if you've lost your sense of self. You may have difficulty setting boundaries or building satisfying sexual relationships. Sometimes, you may even feel like your body isn't your own. You aren't alone. The scars of sexual trauma exist not only in the mind, but also in the body. And in order to heal, build resilience, and discover a sense of hope, you must address both. Drawing on the powerful mind-body techniques of somatic therapy, The Healing Sexual Trauma Workbook is a step-by-step guide to overcoming the psychological effects of sexual trauma, and increasing positive body awareness and vitality. You'll find tools to help you create an internal sense of safety and become more embodied and present. You'll also discover ways to establish boundaries; move beyond intense feelings like shame, fear, and guilt; and deal effectively with triggers. Finally, you'll learn how to cultivate self-compassion and the confidence needed to live your best life. What happened to you isn't your fault, and it doesn't define you. With the right tools, you can live a full and satisfying life beyond sexual trauma. This workbook will help guide you, every step of the way.

Building on comprehensive research conducted in US schools, this accessible volume offers an effective model of school leadership to develop and implement school-wide, trauma-responsive approaches to student discipline. Recognizing that challenging student behaviours are often rooted in early experiences of trauma, the volume builds on a model from the Substance Abuse and Mental Health Services Administration (SAMHSA) to walk readers through the processes of realizing, recognizing, responding to, and resisting the impacts of trauma in school contexts. Research and interviews model an educational reform process and explain how a range of differentiated interventions including Positive Behaviour Interventions and Supports (PBIS), social-emotional learning (SEL), restorative justice, and family engagement can be used to boost student resilience and pro-social behaviour. Practical steps are supported by current theory, resources, and stories of implementation from superintendents, principals, and teachers. This text will benefit school leaders, teachers, and counsellors with an interest in restorative student discipline, emotional and behavioural difficulties in young people, and PreK-12 education more broadly. Those interested in school psychology, trauma studies, and trauma counselling with children and adolescents will also benefit from the volume.

This book explores the impacts of HIV/AIDS and neoliberal globalization on the occupational health of public sector hospital nurses in KwaZulu-Natal, South Africa. The story of South African public sector nurses provides multiple perspectives on the HIV/AIDS epidemic-for a workforce that played a role in the struggle against apartheid, women who deal with the burden of HIV/AIDS care at work and in the community, and a constituency of the new South African democracy that is working on the frontlines of the HIV/AIDS epidemic. Through case studies of three provincial hospitals in KwaZulu-Natal, set against a historical backdrop, this book tells the story of the HIV/AIDS epidemic in the post-apartheid period.

The goal of this book is to fully explore what the author refers to as 'the near epidemic levels of suicide and homicide-suicide' among law enforcement officers, and ultimately to offer recommendations and best practices with which to better address the problem. The book begins by discussing suicide in some depth, for one has to know suicide, unequivocally, to understand a suicidal or homicidal-suicidal officer. Suicide and homicide-suicide are complex, multi-determined events - the result of an interplay of individual, relational, social, cultural and environmental factors. The complexity of causation necessitates a parallel complexity of knowledge. There are at least two avenues to understanding: the nomothetic (general) approach, which deals with generalizations using empirical, statistical and demographic methods or techniques; and the idiographic (specific) approach, which typically involves the intense study of individuals. This book explores both. Attempting to be mindful of the needs of the office on the street, the mental health provider, the administrator, the forensic specialist, and the survivors of these needless tragedies, the belief is that by amalgamating the concerns of a diverse audience, we can meet the challenge of identifying at-risk individuals and situations, and saving lives.

The field of emergency mental health care is evolving rapidly. In addition to continued widespread use of the traditional consultation model, in which psychiatrists provide on-call assistance to emergency department physicians, specialized psychiatric emergency services (PESs) are available in many cities, and newer models of integrated community psychiatric emergency care are being developed and implemented. With the spread of AIDS, the aging of the population, and the popularity of recreational substances of abuse, the scope and complexity of the field have increased as well. Emergency Psychiatry provides a snapshot of the current state of the art of this fast-paced discipline.

Readers of this volume will find - Survey of the major service models used in emergency psychiatry: the consultation model, the specialized PES model, and newer community models (crisis hospitalization, mobile teams, crisis residences)- Principles of triage of patients presenting to an emergency department with psychiatric problems, including a discussion of instruments used to assess psychosocial and cognitive functioning- Guidelines for assessing risk of suicide or violence- Standards for behavioral management of agitation and aggression aimed at reestablishing inner and outer controls for the patient in the least coercive manner- Discussion of legal and regulatory issues affecting emergency room practice- Guidance on application of psychotherapeutic technique to interviewing patients in crises so as to communicate concern, elicit cooperation and essential information about the patient's state, and foster an alliance that facilitates appropriate treatment

Psychiatric emergencies can occur at any time and in any setting; for this reason, every mental health clinician should be familiar with the principles of crisis management and the cutting-edge issues surrounding the provision of emergency psychiatric care. Intended for psychiatrists, psychiatric and emergency medicine residents, and all mental health practitioners, this book offers an accessible guide to current practice and thought in this exciting field.

A seasoned writer and teacher of memoir explores both the difficulties inherent in writing about personal trauma and the techniques for doing so in a compelling way. Since 2013, David Chrisinger has taught military veterans, their families, and other trauma survivors how to make sense of and recount their stories of loss and transformation. The lessons he imparts can be used by anyone who has ever experienced trauma, particularly people with a deep need to share that experience in a way that leads to connection and understanding. In Stories Are What Save Us, Chrisinger shows-through writing exercises, memoir excerpts, and lessons he's learned from his students-the most efficient ways to uncover and effectively communicate what you've learned while fighting your life's battles, whatever they may be. Chrisinger explores both the difficulties inherent in writing about personal trauma and the techniques for doing so in a compelling way. Weaving together his journey as a writer, editor, and teacher, he reveals his own deeply personal story of family trauma and abuse and explains how his life has informed his writing. Part craft guide, part memoir, and part teacher's handbook, Stories Are What Save Us presents readers with a wide range of craft tools and storytelling structures that Chrisinger and his students have used to process conflict in their own lives, creating beautiful stories of growth and transformation. Throughout, this profoundly moving, laser-focused book exemplifies the very lessons it strives to teach. A foreword by former soldier and memoirist Brian Turner, author of My Life as a Foreign Country, and an afterword by military wife and memoirist Angela Ricketts, author of No Man's War: Irreverent Confessions of an Infantry Wife, bookend the volume.

This book examines Texas regulations dating as far back as the Texas Black Codes of 1866 to contemporary Texas Child Care Licensing regulations. It presents case studies that test contemporary African American perceptions of various styles of regulatory writing.

Wrestling with the Angel addresses the human struggle to cope with death, dying, grief, and bereavement. The book includes essays, a one-act play, a short story, and poetry, including shape poems, rhyming, structured verse, and free verse. In the one-act play, an angel of death comes for a man who has lived an unexamined life and wants to explain why he is not prepared to leave. The short story offers a humorous look at a man who resists aging by continuing to view himself as the young man he once was. The diverse genres allow for different ways of exploring these issues, but all are intended to engage the reader's emotions as well as intellect. The writings incorporate reflections and quotations addressing common human issues related to our mortality and explore reactions to the loss of a loved one--whether expected, such as the death of an aging parent or someone with a terminal illness, or unexpected, such as accidental death. The final chapters examine how aging causes us to assess our lives and why preparing ourselves for death can enhance the quality of our life. This is a book with many more questions than answers, but the reader is invited to share in the process of finding answers. It is a book that requires the reader to be comfortable with ambiguity, because the reality it describes is often ambiguous--a reality that presents us with many choices but few certainties. Intended Audience: Scholars, hospice workers, funeral home directors, hospital chaplains, ministers, and others who work with bereavement issues; classes in death education and classes for mental health professionals in death and grief; general readers who have suffered the loss of a loved one.

In the past 10 years spirituality and spiritual care have been much debated in professional healthcare literature, highlighting the need for a recognised definition of spiritual care to enable appropriate assessment of, and response to, spiritual issues. This accessible and highly relevant book surveys the numerous statements, guidelines and standards highlighted by these discussions, and equips healthcare professionals with the knowledge, skills and competence to provide the essence of spiritual care within their professional practice. Practical and evidence-based, this manual proves that delivery of good, professional spiritual care can build on intuitive human skills, and can be taught, learned, assessed and quantified. It gives readers the opportunity to move on from uncertainties about their role in the delivery of spiritual care by allowing them to asses and improve their understanding, skills and clinical practice in this area of care. Spiritual Care for Healthcare Professionals clearly grounds spiritual care in clinical practice. It is highly recommended for supporting academic study and encouraging healthcare practitioners to reflect on their practice and develop skills in spiritual assessment and care. Aimed at all healthcare professionals, it can be used by individual practitioners for continuing professional development as well as by academic staff developing educational programmes.

This book describes working conditions in informal sector shoemaking in Indonesia and the Philippines, their national and international policy implications. It provides information on glues, an organic solvent, found in footwear chemicals and women garment homeworkers in Bulacan.

This manual is aimed at all healthcare practitioners, from novice to expert, who care for the critically ill patient, recognising that different disciplines contribute to the provision of effective care and that essential knowledge and skills are shared by all practitioners. It provides evidence-based guidelines on core critical care procedures and includes a comprehensive competency framework and specific competencies to enable practitioners to assess their abilities and expertise. Each chapter provides a comprehensive overview, beginning with basic principles and progressing to more complex ideas, to support practitioners to develop their knowledge, skills and competencies in critical care.

Trauma-Attachment Tangle offers informative and inspiring clinical stories of children who have complex trauma and attachment issues from experiences such as adoption, hospitalization, or death of a parent. Some of these children display puzzling or extreme symptoms like prolonged tantrums, self-hatred, attacking their parents or being fearful of common things like lights, solid foods or clothing. Dr. Lovett presents strategies for unraveling the traumatic origins of children's symptoms and gives a variety of tools for treating complex trauma and for promoting attunement and attachment.

Paul Weinberg spent 30 years in the Emergency Room (or ER) as a medical doctor and has seen everything, Described as "a strange career" by the author, entry into the field is unrestricted and open to all who are brave (or foolish) enough to start into the stream without the knowledge of the tsunami ahead. The strangeness of the practice is apparent from the very first visit to a busy urban ER. The swarm of commotion and great vividness of the scene can be dizzying. The relentlessness of the torrent and its strange day and night rhythms can enthral and repel like no other practice or job. In turns shocking, sad and funny, this book contains remarkable tales, inside stories and the experiences of a doctor's career in ER. Emergency medicine in America is a critical asset to its healthcare system. The ER doctor is located at the interface of the public and the first point of healthcare. If a doctor is needed outside of office hours, nights, or holidays, if the patient is uninsured or has inadequate insurance, or is of such a social state that they might be unpleasant to be around, no one is turned away at the ER. In short, the life of the ER doc is one where no situation is off limits.

A woman lays unconscious on the floor surrounded by charcoaled symbols, burning candles, a bowl of viscous red liquid, and an array of dried herbs. Was this a healing ritual gone wrong or just straightforward foul play? Increasingly, first responders must deal with foreign practices and cultures that are often disturbing in their unfamiliarity. Understanding cultural variations and nuances can make the difference between much-needed emergency treatment and the aggravation of an already sensitive situation.
The first book of its kind, Magico-Religious Groups and Ritualistic Activities: A Guide for First Responders provides a cultural bridge for emergency personnel when interacting with various magico-religious cultures. More than just a litany of artifacts, rituals, and symbols, this valuable book draws from cultural anthropology and religious studies to unearth hidden meanings and place the information in a context relevant for the first responder. It offers crucial keys for improving communication, assessment, and treatment in culturally sensitive situations.
Beginning with an introduction to the importance of trans-cultural communication, the book devotes subsequent chapters to the common and contrasting elements of several magico-religious groups. It considers the practices of Neo-Paganism, Santeria, Bantu religion (Palo Mayombe), Voodoo, and Curanderismo. The book separates fact from fantasy regarding sacred spaces and dates, ceremonies, group structure, sacred objects, cultural taboos, and beliefs about sickness and healing. It also includes a detailed review of the common herbs used in healing and ritual, as well as a glossary of cultural terms and an index ofsymbols.
Promoting functional cultural competency, this book gives public service agencies and emergency responders the tools to properly assess situations, open lines of communication, protect cultural diversity and beliefs and, above all, provide effective emergency treatment.