Acute Coronary Syndrome (ACS) is a growing global menace with patients increasing in developing countries where tobacco and food play a major role. Its treatment guidelines and research results have proliferated in academia, but practical applications lag behind that research. This book addresses this void. Guidelines for treatment of ACS present in-depth reading for practicing cardiologists, thus preventing clinical application. The book aims to appraise readers of real-world situations and suggestions to help them acquire up-to-date knowledge on ACS and its effective diagnosis, prognosis and management. Key Features Covers recent advances in ACS management and pharmacotherapy Discusses the guidelines for treatment of ACS for the professional cardiologist to apply to clinical practice Explores the topics with the help of case scenarios Follows a concise, yet comprehensive approach Features a chapter on 'When to Transfer,' which discusses how to spot unstable patients or those heading towards shock

Acute Coronary Syndrome (ACS) is a growing global menace with patients increasing in developing countries where tobacco and food play a major role. Its treatment guidelines and research results have proliferated in academia, but practical applications lag behind that research. This book addresses this void. Guidelines for treatment of ACS present in-depth reading for practicing cardiologists, thus preventing clinical application. The book aims to appraise readers of real-world situations and suggestions to help them acquire up-to-date knowledge on ACS and its effective diagnosis, prognosis and management. Key Features Covers recent advances in ACS management and pharmacotherapy Discusses the guidelines for treatment of ACS for the professional cardiologist to apply to clinical practice Explores the topics with the help of case scenarios Follows a concise, yet comprehensive approach Features a chapter on 'When to Transfer,' which discusses how to spot unstable patients or those heading towards shock

Infectious Diseases and Antimicrobial Stewardship in Critical Care Medicine 4E has been fully updated and revised. The clinical diagnostic approach to common infectious disease problems in the CCU is the underlying theme in the book. Emphasized throughout is the importance of formulating an accurate early presumptive clinical syndromic diagnosis which is the basis for selecting optimal initial antimicrobial therapy in the CCU. Without an accurate presumptive clinical diagnosis, effective therapy is unlikely at best. Based on the most probable clinical diagnosis, optimal antibiotic empiric therapy, based on antimicrobial stewardship principles, minimizes resistance and antibiotic complications in the CCU. This new edition features chapters that explain the tenets of differential diagnostic reasoning, differential diagnostic characteristics of fever patterns in the CCU. The proper interpretation of rapid diagnostic tests, in the appropriate clinical context, is included. The diagnostic importance of cardinal clinical findings, particularly when combined, in the appropriate clinical context is emphasized and remains the basis for clinical problem solving in the CCU. Uniquely, critical diagnostic physical findings in the CCU, including color atlas of diagnostic eye findings, are included as important diagnostic determinants in the CCU. Written by infectious disease clinicians for CCU consultants, Infectious Diseases and Antimicrobial Stewardship in Critical Care Medicine 4E remains a useful evidence based and experience tempered key clinical resource for infectious disease problems in the CCU. Key Features Essentials of the tenets of clinical diagnostic reasoning is explained as it relates to formulating a rapid and accurate clinical syndromic diagnosis in the CCU The diagnostic significance of fever patterns and their relationship to the pulse rate in the proper clinical context is explained in depth as related to the CCU setting Formulating an accurate early clinical syndromic diagnosis is presented as essential since it is the basis of effective empiric antibiotic therapy in the CCU How to combine key non-specific laboratory and imaging findings to increase diagnostic specificity and diagnostic probability in the CCU is presented Clinical perspective on the proper interpretation of the clinical significance of rapid diagnostic test results in the CCU is included A clinical approach to apparent "antibiotic failure" in the CCU is presented either due to actual antibiotic failure or seeming but unrelated non-antibiotic failure Section focuses on the practical aspects of antimicrobial stewardship particularly as related to optimizing dosing effectiveness while minimizing resistance and adverse effects in the CCU

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

In this seminal work on the clinical, archetypal and spiritual dimension of trauma, the author offers a compelling vision of the transformative potential of suffering and the dialectic of Dying and Becoming. Wirtz outlines a healing path from fragmentation to integration and illuminates the resilience of the human spirit in the face of severe trauma. Trauma and Beyond will be essential reading and a valuable resource for counsellors, therapists and Jungian analysts who are challenged in their practice with individual and collective traumata.

Published in 2000. Child abuse is endemic, it comes in many forms and its categories are not closed. This book looks at responses to aspects of child abuse in all five continents. The definitions are different, though not all that different, the legal emphases vary and so do management techniques. This book reveals the importance of culture and structure in the commitment to eradicate the problem.

Memory and Sexual Misconduct: Psychological Research for Criminal Justice investigates the veracity of memories of sexual misconduct and the factors that may influence accurate recall, and fundamentally assesses whether psychological science can help the criminal justice system in determining which accusations are likely to be accurate, and which are not. In recent years, the public has been inundated with announcements of sexual assault allegations, in particular against public figures like politicians, businessmen, movie moguls, and professional athletes. Many of these accusations concern events that occurred several years prior to their announcements and trials. Drawing upon a compilation of real-life sexual assault cases and psychological science on recall and sexual trauma, this book provides an analysis of memory reports of sexual misconduct, including inappropriate comments, behaviors, harassment, and assault. It compares these memories with other types of memory, such as flashbulb memories, co-witness conformity memory, and autobiographical memory. Memory and Sexual Misconduct helps readers interpret the role of emotion, the level of detail, and the possible distinction between someone remembering a past event and believing the past event occurred. By providing a thorough evaluation of the likelihood that misconduct memories are accurate and investigating factors that affect this accuracy, Memory and Sexual Misconduct is an invaluable text to both the criminal justice system and the general public, particularly as sexual misconduct allegations of past events continue to come to light.

This concise, portable manual provides practitioners and future practitioners with a basic guide to pediatric emergency ultrasound, enabling them to learn the fundamentals of bedside ultrasound and use these to refresh their skills prior to, or when, performing it on a patient.

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.

Systematic assessment of dissociation is essential for accurate diagnosis and effective treatment of trauma survivors. The SCID-D is an interactive, semi-structured interview for assessing dissociative symptoms and disorders in adults and adolescents based on Dr. Steinberg's innovative Five Component Model of Dissociation Assessment (amnesia, depersonalization, derealization, identity confusion, and identity alteration). Over 30 years of worldwide research and clinical use have confirmed the reliability and validity of the SCID-D interview, and its universality across cultures. The interview has demonstrated a powerful ability to distinguish people with dissociative symptoms and disorders from those with other conditions, and it is widely regarded as the gold standard in the field. This edition of the SCID-D includes all the psychometrically validated interview questions of previous editions, preserving its excellent psychometric properties. The SCID-D is a valuable resource for clinicians and researchers assessing individuals suffering from complex posttraumatic and dissociative disorders. In the hands of a nonjudgmental empathic interviewer, the SCID-D is more than just a diagnostic tool; it can also accelerate the therapeutic alliance, promote client insight, and provide a roadmap for healing. The SCID-D's evaluation method is independent of DSM or ICD nosology, though its results can be mapped into their diagnostic criteria. Administering and scoring the SCID-D interview requires familiarity with the Interviewer's Guide to the SCID-D. Sold as pack of 5.

This atlas is a comprehensive guide to critical care for intensivists. Divided into eight sections, the book begins with discussion on airway management. The following sections describe critical care for different sub specialties - respiratory system, cardiology, gastroenterology and neurology. The final sections cover trauma cases, microbiology and miscellaneous topics which provide an overview of rheumatology, nephrology, haematology, ultrasound and more. The book is highly illustrated with more than 1100 clinical photographs, diagrams, radiological images and tables. Key points Comprehensive guide to critical care for intensivists Covers key sub specialties Includes trauma cases Highly illustrated with more than 1100 photographs, diagrams and radiological images

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

Based on the most current evidence and best practices, Perioperative Medicine: Managing for Outcome, 2nd Edition, is an easy-to-follow, authoritative guide to achieving optimal outcomes in perioperative care. Written and edited by recognized authorities in anesthesiology and surgical critical care, this fully updated edition helps you think critically about complex, long-term issues surrounding the care of the surgical patient, providing decision trees that define strategies to enhance the medical outcome of care. Focuses on what anesthesiologists, surgeons, and intensivists need to know in order to improve outcomes through evidence- and outcome-based approaches. Provides practical guidance on potential risks to all major organ systems, the etiology of particular organ dysfunctions, preoperative and intraoperative risk factors, and perioperative protection strategies to minimize potential complications. Features a consistent chapter format - with even more color-coded algorithms, summary tables, and boxes - that enables you to quickly explore and determine the best management approaches. Includes six all-new chapters: Perioperative Fluid Management; Delirium and POCD; Role of Palliative Care/ICU; Value-Based Care: The UK Model; CFO Perspective on Value; Hospital to Home (Perioperative Transitions of Care) Discusses timely topics such as quality improvement, pay-for-performance, preexisting disease and comorbid conditions in anesthesiology, and the team-based model of care. Features two new editors, surgeon Clifford Ko, MD, and Perioperative Summit leader, Michael (Monty) Mythen, MD. 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.

"Voracious Children" explores food and the way it is used to seduce, to pleasure, and coerce not only the characters within children's literature but also its readers. There are a number of gripping questions concerning the quantity and quality of the food featured in children's fiction that immediately arise: why are feasting fantasies so prevalent, especially in the British classics? What exactly is their appeal to historical and contemporary readers? What do literary food events do to readers? Is food the sex of children's literature? The subject of children eating is compelling but, why is it that stories about children being eaten are not only horrifying but also so incredibly alluring? This book reveals that food in fiction does far, far more that just create verisimilitude or merely address greedy readers' desires. The author argues that the food trope in children's literature actually teaches children how to be human through the imperative to eat "good" food in a "proper" controlled manner.Examining timely topics such as childhood obesity and anorexia, the author demonstrates how children's literature routinely attempts to regulate childhood eating practices and only award subjectivity and agency to those characters who demonstrate "normal" appetites.
Examining a wide range of children's literature classics from "Little Red Riding Hood" to "The Lion, the Witch and the Wardrobe," this book is an outstanding and unique enquiry into the function of food in children's literature, and it will make a significant contribution to the fields of both children's literature and the growing interdisciplinary domain of food, culture and society.

Specifically focusing on the immediate management and diagnosis of patients in the intensive care unit, this reference contains expert reviews and practical care recommendations for patients with acute respiratory failure. Packed with detailed descriptions of treatment procedures and quality figures throughout each chapter, Practical Pulmonary and Critical Care Medicine will stand as a must-have armamentarium of protocols and guidelines for efficient and effective patient care.

This book aims to challenge and change unhelpful attitudes to those who suffer traumatic reactions, to show that they are not signs of weakness or a personality disorder and that there is understanding and help available for those who suffer. It draws on personal and professional experience. The author has worked as a counsellor, practising the psychological debriefing he describes in detail, dealing with many different kinds of traumatic events. He describes theories and methods used for understanding traumatic stress and outlines the history of treatments offered, up to the present. There are also descriptions of the coping strategies used by professionals in the Emergency and Social Services, which are also found in civilian organisations and in society in general.The author describes personal experience, counselling and psychological debriefing. (Prison Riots, armed robberies, traffic accidents, rape, aid agency personnel, bomb-disposal, military families held hostage, Army War Graves' Registration Team).The diagnostic criteria and symptoms of Post-Traumatic Stress and Post-Traumatic Stress Disorder are outlined in detail, with examples. Although Post-Traumatic Stress and Post-Traumatic-Stress-Disorder cannot be understood without reference to the military experience of war and combat, examples are given from both military and civilian experiences of trauma.Helpful resources are listed: organisations offering help & support to those who suffer and their families; and key books.

The Handbook of Women, Stress and Trauma focuses on the stresses and traumas that are unique to the lives of women. It is the first text to merge research from the fields of trauma and women's health and development. Using a lifespan developmental approach, the text begins by addressing specific issues women face in their lives, drawing upon theories of development and exploring how women's relationships with others buffer - or sometimes cause - stress and trauma. Combining aspects of female development with empirical data from the fields of women's health, family violence and stress and coping, this volume helps sensitive care providers to the specific needs of women exposed to traumatic events.

High quality critical care medicine is a crucial component of advanced health care. Completely revised and updated, Key Topics in Critical Care, Second Edition provides a broad knowledge base in the major areas of critical care, enabling readers to rapidly acquire an understanding of the principles and practice of this area of modern clinical medicine. Expanded to include the latest hot topics, the new edition puts an increased emphasis on recent reviews and contains added references to key landmark papers. Using the trademark Key Topics style, each topic has been written by an expert in the field and includes a succinct overview of the subject with references to current publications for further reading. The book provides a framework for candidates of postgraduate medical examinations such as FRCS, MRCP, and FRCA and a reference that can be consulted in emergency situations. New topics include: Critical illness polyneuromyopathy End of life care Inotropes and vasopressors Medical emergency team (outreach critical care) Status epilepticus Venous thromboembolism

This publication looks at restoring connections: between the public and private worlds; between individuals and communities; and between men and women. The author, a psychiatrist, makes the link between the "heroic" suffering of men in war and political struggle, and the degraded suffering of women through rape, incest and domestic violence. She identifies a fresh diagnostic category for those suffering from "hidden" traumas, and proposes a recovery programme which favours a process of reintegration.;With a new afterword, Judith Lewis Herman describes the controversy ignited by her work, the new research to emerge in this field of psychology and the far-reaching implications of this text on trauma situations worldwide.

This book is a guide to making and carrying out the psychological decision to kill oneself or, if one so decide, to continue living. It focuses on the decision to commit suicide than on the decision to continue living.

The Community Intervention Trial for smoking cessation (COMMIT) is sponsored by the National Cancer Institute and involves eleven pairs of communities in North America. COMMIT emphasizes a partnership between the eleven research institutions and their respective intervention communities in developing the structures needed to implement the intervention protocol. We summarize the epidemiological data and describe the prior community interventions that set the stage for COMMIT, and discuss how COMMIT may inform state-wide tobacco reduction demonstration programs. An overview of the articles that describe the COMMIT intervention and evaluation plan is presented.

Drawing on the experience of evaluating over 2000 emergency room patients, Rene Muller explores the important role of psychiatry in emergency room medicine. He discusses some of his most challenging cases, showing how psychiatry comes to the aid of medicine in managing the crises - real, imagined, and contrived - that are the everyday fare of clinicians who work in the ER. We are introduced to a world in which lies are exposed, manipulations revealed, diagnoses made, medications adjusted, and even very brief psychotherapy attempted. Muller begins with patient narratives rooted in the mental disorders most commonly encountered in the ER: Depression, panic disorder, drug dependence, bipolar depression, bipolar mania, schizophrenia, and Alzheimer's dementia. These stories pave the way for more puzzling ER cases, which Muller gathers into sections of "Veiled and Bizarre Stories" and "Stories with a Medical Component." He introduces us to the meanings of ER malingering and offers hard-won insights into managing "dumps" (when patients are dumped into the ER by families, police, doctors) and "stumbles" (when patients' bizarre behavior lands them in the ER). The stories patients tell - and the questions these stories raise - drive Muller's text. A young man has seriously overdosed, but with what? Why has a successfully medicated schizophrenic suddenly begun hearing voices again? And what are we to make of a patient who is willing to risk death attempting to "drown" his hiccups by drinking up to 12 liters of fluid a day? For these and equally fascinating questions, Muller is a sure-handed guide, working his way through one ER challenge after another with psychiatric acumen and a balanced appreciation of the medical, custodial, socioeconomic, and legal dimensions of ER work. An intriguing account of the competing agendas that enter into the handling of emergencies, Psych ER is also a compilation of evocative patient stories about the subjective experience of being ill.

Health Care Ethics examines the way ethical dilemmas are played out in everyday clinical practice and argues for an approach to ethical decision-making which focuses more on patient needs than competing professional interests.

While advances in medical science and technology have improved the ability to save and prolong lives, they have also given rise to fundamental questions about what constitutes life and personhood, especially in the context of what are termed 'persistent vegetative state' and 'brain death'. Drawing on the example of intensive care where such questions feature strongly in everyday practice, Kath M Melia examines how decisions are taken within the context of multiprofessional teamworking, including

- whether to admit a patient and commence treatment

- what the aim of treatment should be (i.e. palliation, care or cure)

- when to limit, withhold or withdraw treatment

- when to donate organs.

As an area in which different professional groups work closely together, the author argues that there are lessons to be learnt from intensive care which can be applied to ethical decision making in all areas of health care for the greater good of patients.

The book makes a significant contribution to the literature on ethics in health care and to the development of ethical decision making which prioritises the needs of patients. It is essential reading for ethicists, sociologists and health care professionals.

The "Need for Theory" speaks to the burgeoning need for critical thinking in social gerontology. The editors have brought together some of the foremost contributors to theoretical advances in the field. This volume incorporates state-of-the-art theorizing with a focus on selected topical areas facing gerontologists around the world. Using their keen insights into substantive issues, the contributors examine personal and structural changes affecting individuals over the life course. Extolling the need for theory is not enough; the contributors focus their insights on a panoply of substantive issues, linking the personal with the political and with the structural parameters that shape the process of aging, no matter where it occurs.