This book is an important new resource for clinicians caring for ventilator dependent children, who often have complex health care needs, are supported by advanced technology and are at high-risk of serious complications. Despite the complicated health care needs of children who rely on chronic respiratory support, there are few guidelines and little evidence available to guide the clinicians who care for these patients. This book covers the many aspects involved in the care of these complex children, with input from experts in the fields of pediatric pulmonology, intensive care, ethics, respiratory therapy, and nursing. In depth chapters provide an introduction to the use of chronic invasive and non-invasive ventilation in children and describe and review what is known about methods of delivering ventilator support, care of the chronically ventilated patient in the community , use of chronic ventilator support in patients with disorders commonly leading to respiratory failure and outcomes for patients and their caregivers. This book is intended to be useful not only for pediatric pulmonologists, but also for intensivists, cardiologists, physical medicine/rehabilitation specialists, nurses, respiratory therapists and the primary care physicians involved in the complexities of managing care for this unique group of special needs children.

The award-winning guide to medical training for wilderness rescue and self-care Wilderness First Responder is a comprehensive text for the recognition, treatment, and prevention of backcountry emergencies, written by wilderness expert Buck Tilton with more than a dozen medical professionals. Thoroughly updated and revised, this teaching manual for the National Outdoor Leadership School's Wilderness First Responder course represents more than a century and a half of combined experience in wilderness medicine, rescue, and education. It is essential reading for wilderness educators, trip leaders, guides, search and rescue groups, and anyone who works or plays far from definitive medical care. This invaluable resource includes expert step-by-step instructions, clear illustrations, and "Signs and Symptoms" sidebars designed to help you provide immediate care in the wilderness-whenever you are more than an hour away from an ambulance or a medical facility. It shows how to conduct a patient assessment, improvise when ideal materials are not handy, and decide whether or not to evacuate the injured. Learn how to assess and treat: Airway obstructions Cardiac arrest External and internal bleeding Shock Spine injuries Head injuries Chest injuries Abdominal injuries Fractures and dislocations Athletic injuries Soft-tissue injuries Cold- or heat-induced injuries Altitude sickness Insect bites and stings Diabetic emergencies Poisoning emergencies Allergic reactions and anaphylaxis

Management of the airway is an important and challenging aspect of many clinicians' work and is a source of complications and litigation. The new edition of this popular book remains a clear, practical and highly-illustrated guide to all necessary aspects of airway management. The book has been updated throughout, to cover all changes to best practice and clinical management and provides extensive coverage of the key skills and knowledge required to manage airways in a wide variety of patients and clinical settings. The best of the previous editions has been preserved, whilst new chapters on videolaryngoscopy, awake tracheal intubation, lung separation, airway ultrasonography, airway management in an epidemic and many more have been added. This is an essential text for anyone who manages the airway including trainees and specialists in anaesthesia, emergency medicine, intensive care medicine, prehospital medicine as well as nurses and other healthcare professionals.

Incorporating Diversity and Inclusion into Trauma-Informed Social Work incorporates discussions of leadership, racism and oppression into a new understanding of how trauma and traumatic experience play out in leadership and organizational cultures. Chapters unpack ideas about the intersections of self, trauma and leadership, bridging the personal and professional, and illustrating the relationship between employees and leaders. Discussion questions and reflections at the end of each chapter offer the opportunity for the reader to understand their own vulnerabilities in relation to the subject matter. This book reconceptualizes cultural competency, trauma and leadership in the context of the 2020 COVID-19 pandemic and views theories and practices through a lens of diversity and inclusivity. Incorporating Diversity and Inclusion into Trauma-Informed Social Work is an expansive guide for students in social work, one that explores and explains how trauma and difference manifest in how we communicate, lead and work with each other.

This issue of Emergency Medicine Clinics, guest edited by Drs. Robert Anderson, Phil Magidson and Danya Khoujah, focuses on Emergencies in the Older Adult. This is one of four issues each year selected by the series consulting editor, Dr. Amal Mattu. Articles in this issue include, but are not limited to: Trends in Geriatric Emergency Medicine, Pharmacologic Considerations in Older Adults, Geriatric Trauma, Resuscitation of Older Adults, Acute Brain Failure, Chronic Brain Failure, Cardiopulmonary Emergencies, ACS in Older Adults, Abdominal Emergencies, Genitourinary Emergencies, Infections in Older Adults and Elder Abuse.

This issue of Emergency Medicine Clinics, guest edited by Mike Winters and Susan R. Wilcox, focuses on Emergency Department Resuscitation. This issue is one of four selected each year by series Consulting Editor, Dr. Amal Mattu. Topics include: Mindset of the Resuscitationist; Updates in Cardiac Arrest Resuscitation; Post-Arrest Interventions That Save Lives; Current Concepts and Controversies in Fluid Resuscitation; Emergency Transfusions; Updates in Sepsis Resuscitation; Pediatric Cardiac Arrest Resuscitation; The Crashing Toxicology Patient; The Crashing Obese Patient; Massive GI Hemorrhage; Updates in Traumatic Cardiac Arrest; Resuscitating the Crashing Pregnant Patient; Pearls & Pitfalls in the Crashing Geriatric Patient; Current Controversies in Caring for the Critically Ill PE Patient; and ECMO in the ED.

This workbook is a foundational and unique resource for clinicians preparing to work with clients affected by trauma. Chapters integrate a holistic understanding of the unique client within trauma-specific case conceptualization, promote trainees' identification of personal values and past experiences that could impact their ability to provide safe and ethical services, and offer ways to reduce the risk of occupational hazards such as vicarious traumatization. The trauma treatment process is presented within the tri-phasic framework, which is applicable across settings, disciplines, and various theoretical orientations. Each chapter also provides experiential activities that link the chapter content with clinician reflection and application of knowledge and skills, which instructors and supervisors can easily utilize for evaluation and gatekeeping regarding a student's mastery of the content. An ideal resource for graduate-level faculty and supervisors, this book offers a versatile application for mental-health related fields including counseling, psychology, social work, school counseling, substance abuse, and marriage and family therapy. Designed for students and professional clinicians, this groundbreaking text fills an important education and training gap by providing a comprehensive and enlightening presentation of trauma work while also emphasizing the clinician's growth in self-awareness and professional development.

This workbook is a foundational and unique resource for clinicians preparing to work with clients affected by trauma. Chapters integrate a holistic understanding of the unique client within trauma-specific case conceptualization, promote trainees' identification of personal values and past experiences that could impact their ability to provide safe and ethical services, and offer ways to reduce the risk of occupational hazards such as vicarious traumatization. The trauma treatment process is presented within the tri-phasic framework, which is applicable across settings, disciplines, and various theoretical orientations. Each chapter also provides experiential activities that link the chapter content with clinician reflection and application of knowledge and skills, which instructors and supervisors can easily utilize for evaluation and gatekeeping regarding a student's mastery of the content. An ideal resource for graduate-level faculty and supervisors, this book offers a versatile application for mental-health related fields including counseling, psychology, social work, school counseling, substance abuse, and marriage and family therapy. Designed for students and professional clinicians, this groundbreaking text fills an important education and training gap by providing a comprehensive and enlightening presentation of trauma work while also emphasizing the clinician's growth in self-awareness and professional development.

Holocaust Narratives: Trauma, Memory and Identity Across Generations analyzes individual multi-generational frameworks of Holocaust trauma to answer one essential question: How do these narratives change to not only transmit the trauma of the Holocaust - and in the process add meaning to what is inherently an event that annihilates meaning - but also construct the trauma as a connector to a past that needs to be continued in the present? Meaningless or not, unspeakable or not, unknowable or not, the trauma, in all its impossibilities and intractabilities, spawns literary and scholarly engagement on a large scale. Narrative is the key connector that structures trauma for both individual and collective.

Providing the most current information on injuries to the head and neck sustained by young athletes, this practical text presents a thorough review of the complex and emerging issues for youths and adolescents involved in contact/collision sports. While concussions are among the most common injuries, fractures of the skull and facial bones and structural brain injuries can be serious and are discussed in chapters of their own, as are stingers and other cervical spine and cord issues and disease. Injuries to the eyes, ears and jaw are likewise examined. Prevention is a major theme throughout the book, as seen in chapters on protective head- and neckwear, transportation of injured players, and sideline response and return-to-play. Head and Neck Injuries in Young Athletes will be an excellent resource not only for orthopedists and sports medicine specialists treating growing athletes, but also specialists and team physicians who are on the scene at sporting events where these injuries may occur.

Bringing together clinical expertise with the latest findings from social, affective, and cognitive neuroscience, this accessible guide outlines how basic concepts of neuroscience and family therapy can be highly relevant to all mental health treatment. This expanded second edition includes content on a range of areas including effects of racism, poverty, violence, and childhood abuse on the brain; substance abuse; and advances in the treatment of depression, bipolar disorder, and anxiety. Grounded in five key tenets of neuroscience, the approaches highlighted in this book focus on the safety of secure bonds for children, adolescents, couples, and families, as well as how an understanding of neuroscience can be utilized by professionals during trauma therapy. The stages of brain development provide a map for practitioners that illustrates dozens of practical, daily interventions. Chapters discuss neuroscience in light of a range of contemporary dilemmas for client engagement, accompanied throughout by fresh case examples, worksheets, clinical guidelines, and step-by-step interventions. Written in a jargon-free style, The Transparent Brain in Couple and Family Therapy, second edition is an essential resource for mental health professionals using neuroscientific principles to bring relief to clients from diverse backgrounds.

This book has been organized and sponsored by the Asia Pacific Association of Critical Care Medicine (APACCM) to assist dissemination of the available evidence in the field. The book has been exclusively written by 85 authors, who practice in the Asia Pacific regions intensive care environment, thus provides a contemporary overview of the practice intensive care medicine in our region. In addition to the sections on general assessment and organ support in critically ill, over the half of the book is dedicated to organ dysfunction and specific critical illness syndromes (including the infectious diseases) that are prevalent in areas of the region.

An important review on trauma and emergency care for the general dentist! Topics will include medical and oro-facial evaluation, epidemiology of trauma to oro-facial structures, minor traumatic injuries to the primary and permanent dentition, major trauma to the oral and maxillofacial structures, developing and maintaining a "dental trauma kit," management of trauma to supporting dental structures, psychological aspects of dental injuries, preventive strategies for traumatic injuries, medico-legal issues in traumatic injuries, and more!

Integrating critical and feminist psychology, psychiatry, and psychoanalysis, this text offers a distinct perspective of posttraumatic stress disorder (PTSD) as a clinical and social phenomenon. The book draws upon interviews carried out in field settings to examine the true individual and social costs of being diagnosed with PTSD. The author examines how social contexts and social movements shape diagnostic thinking about mental trauma and how the PTSD diagnosis emerged as a symptom of a crisis in psychiatry over demands to recognize the social and political origins of mental suffering. Chapters explore case examples from a range of settings, such as military and veterans' affairs clinics, war zones and refugee camps, psychosomatic medicine, the criminal justice system, and more. Providing a new way of thinking about PTSD and an alternative to both critics and defenders of the diagnosis, this text will be useful for scholars and practitioners in psychiatry, psychology, psychoanalysis, public health policy as well as, sociology, social work, gender studies, and the law.

Trauma in the Creative and Embodied Therapies is a cross-professional book looking at current approaches to working therapeutically and socially with trauma in a creative and embodied way. The book pays attention to different kinds of trauma - environmental, sociopolitical, early relational, abuse in its many forms, and the trauma of illness - with contributions from international experts, drawn from the fields of the arts therapies, the embodied psychotherapies, as well as nature-based therapy and Playback Theatre. The book is divided into three sections: the first section takes into consideration the wider sociopolitical perspective of trauma and the power of community engagement. In the second section, there are numerous clinical approaches to working with trauma, whether with individuals or groups, highlighting the importance of creative and embodied approaches. In the third section, the focus shifts from client work to the impact of trauma on the practitioner, team, and supervisor, and the importance of creative self-care and reflection in managing this challenging field. This book will be useful for all those working in the field of trauma, whether as clinicians, artists, or social workers.

This textbook encompasses the essential topics on the subject that all clinicians need to know for the effective management of their patients. It has four sections each for ventilation, fluids and electrolytes, blood gases, and miscellaneous. Each section starts with applied physiology and then covers routine as well as advance topics related to ventilation, fluids, and electrolytes in critically ill adult patients. The miscellaneous section covers enteral and parenteral nutrition, immunonutrition, blood product transfusion, and care of potential organ donor in the intensive care unit (ICU). There are also chapters on common problems such as the approach to the patient with hypoxemia, hypercapnia, hypovolemia, electrolyte abnormalities, and acid-base disturbances. Covers all essential aspects, from applied physiology to advanced care, related to ventilation, fluids, and electrolytes in critically ill adult patients. Based on common problems like the approach to the patient with hypoxemia, hypercapnia, hypovolemia, electrolyte abnormalities, and acid-base disturbances. Chapters start with a case scenario, followed by structured description of the problem, and in the end discussion about the index case. Figures, tables, and flowcharts have been used throughout the chapters. At the end of each chapter, a few salient points are given to emphasis on the important area of the particular topic. Useful for trainees as well as consultants of various clinical specialties who manage critically ill adult patients, including critical care medicine, emergency medicine, pulmonary medicine, and anesthesiology.

This publication focuses on the medical management of individuals involved in radiation emergencies, especially those who have been exposed to high doses of ionizing radiation. Its primary objective is to provide practical information, to be used for treatment decisions by medical personnel during a radiation emergency. It also addresses general and specific measures for the medical management of individuals who have been internally contaminated with radionuclides. This publication is complementary to other publications developed by the IAEA in the medical area of radiation emergencies.

Integrating critical and feminist psychology, psychiatry, and psychoanalysis, this text offers a distinct perspective of posttraumatic stress disorder (PTSD) as a clinical and social phenomenon. The book draws upon interviews carried out in field settings to examine the true individual and social costs of being diagnosed with PTSD. The author examines how social contexts and social movements shape diagnostic thinking about mental trauma and how the PTSD diagnosis emerged as a symptom of a crisis in psychiatry over demands to recognize the social and political origins of mental suffering. Chapters explore case examples from a range of settings, such as military and veterans' affairs clinics, war zones and refugee camps, psychosomatic medicine, the criminal justice system, and more. Providing a new way of thinking about PTSD and an alternative to both critics and defenders of the diagnosis, this text will be useful for scholars and practitioners in psychiatry, psychology, psychoanalysis, public health policy as well as, sociology, social work, gender studies, and the law.

Intensive care is a rapidly changing area of medicine, and after four years from the 2nd edition the volume editors and authors have deemed necessary to update it. In the recent years, in fact, five new randomised controlled trials and five new meta-analyses demonstrate that selective decontamination of the digestive tract SDD] is an antimicrobial prophylaxis to prevent severe infections of not only lower airways but also of blood. Additionally, SDD has been shown to reduce inflammation including multiple organ failure and mortality. An intriguing observation is the evidence that SDD using parenteral and enteral antimicrobials reduces rather than increases antimicrobial resistance. Moreover, a new chapter on microcirculation had been added.

The volume will be an invaluable tool for all those requiring in depth knowledge in the ever expanding field of infection control.

This issue of Critical Care Clinics, guest edited by Drs. Geno Merli, Bharat Awsare, and Michael Baram, focuses on Pulmonary Embolism in the ICU. This is one of four issues each year selected by the series consulting editor, Dr. John Kellum. Articles in this issue include, but are not limited to: Making the Diagnosis of Pulmonary Embolism: Stable Versus Unstable; Risk Stratification; Overview of Management of Sub-massive and Massive Pulmonary Embolism; Standard Therapy: Systemic Thrombolytics; IR Therapy: IVC Filter and Catheter-based Therapies; Surgical Therapy: Embolectomy; Supportive Therapy: Management of Acute RV Failure; Supportive Therapy: ECMO/RVAD; Special Considerations; Therapy in Sub-populations; and Post-ICU Follow-up.

Psychological resilience has emerged as a highly significant area of research and practice in recent years, finding applications with a broad range of different groups in many settings. Contemporary discourse is not limited to ways of effective coping with adversity but also introduces mechanisms that can lead to enhanced capacity after dealing with difficult circumstances and recognises the importance of enriching the field with varied perspectives. The Routledge International Handbook of Psychosocial Resilience is a comprehensive compendium of writings of international contributors that takes stock of the state-of-the-art in resilience theory, research and practice. The Routledge International Handbook of Psychosocial Resilience covers the many different trajectories that resilience research has taken in four parts. Part One delineates the 'Conceptual Arena' by providing an overview of the current state of theory and research, exploring biological, psychological, and socio-ecological perspectives and discussing various theoretical models of personal and social resilience. The 'Psychosocial Correlates' of resilience are discussed further in Part Two, from personal and personality correlates, socio-environmental factors and the contextual and cultural conditions conducive to resilient behaviour. In Part Three, 'Applied Evidences' are introduced in order to build upon the theoretical foundations in the form of several case studies drawn from varied contexts. Examples of resilient behaviour range from post-disaster scenarios to special operation groups, orphaned children, and violent extremism. Finally, Part Four, 'Proposed Implications and Resilience Building', sums up the issues involved in discussing post-traumatic growth, wellbeing and positive adaptation in the varied contexts of personal, familial, organizational and societal resilience. The volume provides a comprehensive overview of resilience theory, practice and research across disciplines and cultures, from varied perspectives and different populations. It will be a key reference for psychiatrists, psychologists, psychotherapists and psychiatric social workers in practice and in training as well as researchers and students of psychology, sociology, human development, family studies and disaster management.

Integrates complex theoretical frameworks, ranging from those of Freud to Seligman, Horowitz to Selye, to paint a powerful explanatory picture of the interaction among trauma, person, and post-traumatic environment.

This issue of Emergency Medicine Clinics, guest edited by Drs. Lauren Nentwich and Jonathan Olshaker, focuses on Risk Management in Emergency Medicine. This is one of four issues each year selected by the series consulting editor, Dr. Amal Mattu. Articles in this issue include, but are not limited to: Surviving a Medical Malpractice Lawsuit, Communication and Documentation, Physician Well-Being, Emergency Department Operations I: EMS and Patient Arrival, Emergency Department Operations II: Patient Flow, Confidentiality & Capacity, Supervision of Resident Physicians & Advanced Practice Providers, Evaluation of the Psychiatric Patient, Physical and chemical restraints, High-Risk Pediatric Emergencies, The High-Risk Airway, High-Risk Chief Complaints I: Chest pain, High-Risk Chief Complaints II: Abdomen Pain and Extremity Injuries, High-Risk Chief Complaints III: Neurologic Emergencies, and Mitigating Clinical Risk through Simulation.

Disaster Mental Health Community Planning is a step-by-step guide to developing mental health disaster plans, assisting communities to act on long-term resilience and recovery. As disasters continue to increase in severity and number, with 16% of survivors identified as potential PTSD victims if they don't promptly receive care, this book is a critical read. Chapters outline how to prepare, develop, and implement a trauma-informed collaborative process that prioritizes lasting emotional wellbeing along with survivors' short-term needs. The manual demonstrates how to form this partnership through effective communication, assess those individuals at greatest risk of distress, and deliver trauma-specific treatment. Readers will appreciate the book's practical, user-friendly approach, including case studies, checklists, and follow-up questions to better define goals. Cutting-edge treatment interventions are included along with basic information on trauma's impact on the brain and the types and effects of human-caused and natural disasters to help readers make sound planning decisions. Accessible to mental-health providers, community leaders, organizations, and individuals alike, Disaster Mental Health Community Planning is a Road Map for anyone interested in delivering a trauma-informed mental health supplement to their community's medical disaster preparedness and response plan.

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