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.

Lightning Injuries: Electrical, Medical, and Legal Aspects presents a thorough examination of injuries inflicted by lightning strikes. The expertise of acknowledged world authorities from three continents have been brought together to create this truly remarkable volume. Lightning Injuries: Electrical, Medical, and Legal Aspects begins with a short historical review featuring a discussion of the physics of lightning phenomena and the aspects of electrical circuit theory. This review provides the background for following chapters, which address topics such as the epidemiology of lightning injury, the pathogenesis of the features of lightning injury, the clinical aspects of managing patients with lightning injury, and lightning injury mediated by communications systems (including telephones). The book also describes the problem of finding protection against lightning strikes and the issues that arise in legal liability as a result of lightning strikes. The book is written for a diverse audience and includes material that makes it appropriate for all professionals in medical, legal, and technical fields. Never before has such a comprehensive collation of related facets of lightning injury been published within a single volume.

The pathophysiology of sepsis can be regarded as a series of steps, beginning with the invasion of normally sterile tissue by microbes and the elaboration of various pro-inflammatory mediators. The final common pathway is often the development of the multiple organ dysfunction syndrome (MODS). Whereas a great deal has been learned during the past quarter century about the inflammatory processes associated with sepsis (and other related conditions, such as ischemia/reperfusion injury), our understanding is far less developed with respect to the pathophysiological events that lead to organ dysfunction under these conditions. Nevertheless, efforts by both clinical and laboratory scientists are leading to new knowledge in this area. The chapters in this volume provide a state-of-the-art overview of many aspects of the pathophysiology of organ dysfunction in critical illness.

This book provides clinical tips on management of catastrophic emergencies that are regularly faced by critical care and acute care cardiologists in resource-limited settings. Based on the current guidelines, it explores the evaluation of the patient, followed by its treatment methodology. It highlights the beneficial effects of the use of cardiac drugs during an emergency. There is also a special section on preoperative evaluation and postoperative management of cardiac patients of different subsets. Medicolegal/documentation points have also been discussed where relevant. It is useful as a ready reference for physicians, anaesthetists and cardiologists. Key features: • Reinforces certain teachings and recalls certain overlooked clinical points to address emergency situations in a busy, resource limited setting. • Explains lucidly what the acute cardiac care / Anesthesia registrar or cardiology fellows ought to do in the Intensive care and Post operative wards. • Emphasizes the importance of wit, clinical acumen and observation.

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.

This issue of Critical Care Clinics, guest edited by Drs. Hernando Gomez Danies and Joseph Carcillo, focuses on Coagulation/Endothelial Dysfunction. 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: Cell-cell communication breakdown and endothelial dysfunction; Role of the Tie2/Angiopoetin pathway in endothelial dysfunction; The Glycocalyx; Platelet activation and endothelial dysfunction; Role of antithrombin III and tissue factor pathway; Red blood cell dysfunction; Microvascular hemodynamics, autoregulation and mechanotransduction control of blood flow distribution; Nitric oxide and endothelial dysfunction; Microvascular dysfunction; Hemolytic Uremic Syndrome and atypical HUS; Thrombotic thrombocytopenic purpura, Heparin induced thrombocytopenia and Disseminated intravascular coagulation in the critically ill; Thrombocytopenia associated multiple organ failure (TAMOF); Meningococcemia; Immune consequences of endothelial dysfunction during sepsis; Therapeutic targets in thrombotic microangiopathies with a focus on endothelial disorders; and Coagulation disorders in HLH/Macrophage activation syndrome.

Recovering Boarding School Trauma Narratives: Christopher Robin Milne as a Psychological Companion on the Journey to Healing is a unique, emotive and theorised narrative of a young girl's experience of boarding school in Australia. Christine Jack traces its impact on the emerging identity of the child, including sexual development and emotional capacity, the transmission of trauma into adulthood and the long process of recovery. Interweaving her story with the experiences of Christopher Robin Milne, she presents her memoir as an exemplar of how narrative writing can be employed in remembering and recovering from traumatic experiences. Unique and powerfully written, Jack takes the reader on a journey into her childhood in Australian boarding school convents in the 1950s and 1960s. Comparing her experience with Christopher Robin Milne's, she interrogates his memoirs, illustrating that boarding school trauma knows no boundaries of time and place. She investigates their emerging individuality before being sent to live an institutional life and traces their feelings of longing and loneliness as well as the impact of the abuse each endured there. As an educational historian, Jack writes in a ground-breaking way from the perspective of an insider and outsider, revealing how trauma remains in the unconscious, wielding power over the life of the adult, until the traumatic memories are recovered, emotions released and associated dysfunctional behaviour changed, restoring well-being. Engaging the lenses of history, life-span and Jungian psychology, feminist and trauma theory and boarding school trauma research, this book positions narrative writing as a way of reducing the power of trauma over the lives of survivors. Personal and accessible, this book will be essential reading for psychologists and educational historians, as well as students and academics of psychology, sociology, trauma studies, ex-boarders and those interested in the life of Christopher Robin Milne.

*Offers a practical guide to treating one of the most complex and challenging clinical events *Equips the entire team of those responding to a maternal cardiac arrest event with the proper evidence-based approaches and techniques to implement *Presents a thorough review, detailed algorithms, and a consolidated discussion of the practical aspects of implementation

Rapid Response Teams (RRTs) are a recent innovation in hospitals that makes critical care teams available to a nurse within seconds. When these teams function properly, studies have shown that they can reduce a hospital's mortality rate by almost forty percent. Yet, in spite of the possible benefits, doctors and nurses at hospitals that have committed to adopt RRTs can be reluctant to do so. Making Rapid Response Real discusses a study that identifies several reasons why people in organizations resist this kind of change, and offers recommendations for how leaders can fuel successful adoption of an innovative practice. Applying ideas from sociology and psychology to a management context, Jason D. Park offers research-driven insights for managers in a variety of implementation situations.

Rewriting the American Soul focuses on the political implications of psychoanalytic and neurocognitive approaches to trauma in literature, their impact on cultural representations of collective trauma in the United States, and their subversive appropriation in pre- and post-9/11 fiction. Anna Thiemann connects cutting edge trauma theory with the historical context from which it emerged and shows that contemporary novels encourage us to reflect critically on the cultural meanings and political uses of trauma. In doing so, it contributes to a new generation of trauma scholarship that challenges the dominant paradigm in literary and cultural studies. Moreover, the book intervenes in current debates about the relationship between literature and neuroscience insisting that the so-called neuronovel scrutinizes scientific developments and their political ramifications rather than adopting and translating them into aesthetic practices.

With an abundance of case studies from Jackson Memorial Hospital, this reference provides expert guidance on the evaluation and treatment of lower extremity orthopedic injuries. Analyzing the function and interrelationships of the muscular and skeletal systems of the lower extremities, this source discloses key principles in trauma management, decision-making, soft tissue repair, tissue engineering, wound healing, and burn reconstruction.

This is an interactive self-help workbook and psychological road map to enable survivors of coercive, cultic and spiritual abuse to find healing, recovery and growth. This book provides a comprehensive guide to recovery, based on a tested model of post-cult counselling, and years of research and clinical experience. It is designed to help survivors of diverse abusive settings, including religious and spiritual, political, gangs, business, therapy and wellness, and one-on-one relationships. The reader follows a beautifully illustrated journey through four Phases of recovery and growth, one Milestone at a time, to make sense of what has happened to them, learn how to walk free from psychological control, and find resources for healing. The author includes stories from her own experience, detailing her path towards recovery and how she learned to come to terms with and overcome what happened to her. Written in accessible language, this workbook serves as both a self-help book for survivors and former members, and a guide for therapists working with them.

The importance of accurately diagnosing nosocomial infections and providing appropriate therapies, including antimicrobial therapy effective against the identified agents of infection, have been shown to be important determinants of patient outcome. Critical care practitioners are in a unique position to deal with infectious diseases, as they are often the initial providers of care to seriously ill patients with infections. Additionally, they have a responsibility to insure that nosocomial infections are prevented and that antimicrobial resistance is minimised by employing antibiotic agents prudently. It is our hope that this textbook will provide clinicians practising in the intensive care unit with a reference to help guide their care of infected patients. To that end we have brought together a group of international authors to address important topics related to infectious diseases for the critical care practitioner. Critical Care Infectious Diseases should become an advanced standard reference work in the field of infectious diseases and intensive care medicine. The content is original and the first of its kind in this area. It is a reference work for those physicians who care daily for critically ill patients suffering from infectious complications. Residents and other specialists interested in focused problems will benefit from the wide spectrum of information provided in this book. Infectious control practitioners and nurses will also benefit from this collection by recognised experts who work with specific aspects of infectious disease problems in the critically ill patient. Critical Care Infectious Diseases includes seven sections addressing the following topics: specificmicrobiologic and pharmacologic considerations, epidemiology/infection control in the ICU, anti-infective therapy in the critically ill patient, severe respiratory infections, intra-abdominal infections, severe skin/soft tissue infections, catheter-related infections, and other infectious syndromes frequently seen in the intensive care unit.

Through case presentations and a question and answer format," Clinical Decisions in Nephrology, Hypertension and Renal Transplantation" provides a state of the art, updated reference for the optimal management of patients with diseases of the kidneys, and hypertension. This volume starts with the assessment of the patient, focusing on history and physical examination. Subsequently, cases depicting various clinical syndromes and/or diseases are presented, with questions centering on the appropriate diagnostic and treatment strategy. This sets the stage for a Socratic approach to learning between the attending physician and the house staff or medical student.

This is the only book featuring problem-oriented true to life clinical cases in this format to cover nephrology, hypertension and kidney transplantation. Written by renowned actively practicing clinicians, this unique reference is both comprehensive and concise and will be of great value to hospitalists and internists, as well as students, and interns/residents rotating in nephrology and internal medicine.Clinical practitioners, in the fields of critical care and hypertension specialists would also find this of value."

Integrating trauma studies with historical research and social psychology, Landscapes of Trauma examines a range of battlefields from across history, including Waterloo, the Battle of Sedan, the Battle of the Ebro and the Battle of Normandy, to bring to light what these battlefields say about our collective and individual psyches. Hunt explores how war shapes the nature of trauma, not only by its innate horror but also by the historical and societal contexts it is fought in, from the cultural and social conventions of the period to the topography of the settings. This book provides a deep analysis of how war is experienced and remembered in different eras and by different generations. Moving beyond the clinical concept of post-traumatic stress disorder, Hunt discusses how trauma can be understood socially and historically, as well as through the lens of individual suffering. This book also investigates the psychological foundations of memorialisation, remembrance and commemoration that shape the legacy of the battles discussed. Using interviews with veterans, their letters, journals and diaries, as well as literary and historical sources, Hunt locates the battlefield as a place where humans explore the parameters of human behaviour, thought and emotion. This book is in important resource for students and scholars interested in the psychology of trauma and war, as well as military history.

Principles of Airway Management, 4th Edition, reviews the essential aspects of airway management: anatomy, equipment, intubation, fiberoptic endoscopy, surgical approaches, intubating LMA (lightwand), pediatric airway, CPR, and mechanical ventilation. The book features well-balanced discussions of the complexities and difficult issues associated with airway management; excellent organization that ensures the material can be learned and applied to various situations; the latest equipment and techniques; summary boxes which highlight the most important points of each chapter; and more than 400 illustrations (many in color, for the first time), tables, and boxes.

Focuses on the development of the emergency medical specialty from the post World War II period to the early 1990s. In addition to chronicling the times and events of the genesis of emergency medicine, the book incorporates the oral history of the field from more than forty five interviews with the founders of emergency medicine. Represents the first comprehensive history of emergency medicine as a specialty. Provides first-hand oral histories from more than 45 of the key figures who witnessed and helped to shape the developments chronicled in the book. Offers keen insights into how the sociopolitical changes of the 1950s through 1970s influenced public health, health care delivery, and emergency medicine. Includes many unique photographs of important leaders in emergency medicine.

With concise, full-color coverage of this rapidly enlarging field, Critical Care Handbook of the Massachusetts General Hospital, Seventh Edition, is your go-to guide for practical, complete, and current information on medical and surgical critical care. Edited by Drs. Edward A. Bittner, Lorenzo Berra, Peter J. Fagenholz, Jean Kwo, Jarone Lee, and Abraham Sonny, this user-friendly handbook is designed for rapid reference, providing reliable, hospital-tested protocols that reflect today's most advanced critical care practices. An at-a-glance outline format and portable size make it an essential manual for medical students, residents with rotations in ICUs, and physicians and nurses who work in critical care.  Reflects a multidisciplinary approach throughout, in a convenient size for on-the-go reference  Contains well-written, comprehensive coverage of general principles, specific considerations such as ARDS, and health care services such as ICU handoffs and transitions  Uses an efficient outline format with bolded key words and concepts  Includes new chapters on critical care management of COVID-19, heart failure, and pulmonary hypertension  Written by MGH attendings, fellows in critical care, nurses, and residents in anesthesia, critical care, and pain medicine, with input from surgery, pulmonary care, pediatrics, neurology, and pharmacy    Enrich Your eBook Reading Experience  Read directly on your preferred device(s), such as computer, tablet, or smartphone.  Easily convert to audiobook, powering your content with natural language text-to-speech. 

In A Re-Visioning of Love: Dark Feminine Rising, Ana Mozol parts the illusory veils of persona as she explores the reality of feminine experiences relating to love, trauma and sexuality in contemporary Western society. Mozol takes us on a personal journey through the three levels of experience, delving into the underworld and the trauma of rape, the middle world and the illusions of romantic love, and the upper world and the masculine spiritual ideals that fracture the feminine soul. In this multidisciplinary examination of the feminine, Mozol seeks to understand violence against women intrapsychically, interpersonally and within the field of depth psychology. The book begins with Mozol's own experiences with violence and her exploration of the demon lover complex and the stages of breaking this complex after trauma. Combining personal testimony, theoretical reflections, historical analysis, and 20 years of clinical experience, Mozol uses a heuristic approach to explore personal stories, clinical material, dreams and depth analysis as they connect to the female individuation process. We follow Mozol's journey through the middle world and the illusions of romantic love, into the upper world and the complexity of Oscar Wilde's feminine character Salome who represents the rising dark feminine energy that must be reckoned with for the possibility of love to exist. Accessible yet powerful, Mozol uses her personal story to place the oppression of women within the Jungian context of individuation. A Re-Visioning of Love: Dark Feminine Rising will be key reading for academics and students of Jungian and post-Jungian studies, psychotherapy, trauma studies, gender studies, women's studies and criminology. It will also be an indispensable resource for Jungian psychotherapists and analytical psychologists in practice and in training. A Re-Visioning of Love, however, is more than a psychological exploration; it is a memoir of the personal and archetypal feminine and as such will appeal to anyone interested in the story of many women today.

Mountain Emergency Medicine has seen exponential development due to the ever increasing number of people who hike or trek as well as practice extreme sports. Emergency physicians and nurses need to be equipped with the necessary training to be able to manage "on the field" accidents and sicknesses as well as their own physical security. Theoretical knowledge is generally of high level but practical expertise is dangerously lacking in many operators. Furthermore, treatment modalities on the field have not been completely codified and are not supported by internationally-accepted guidelines. This book is the first to offer a complete and thorough approach to this field of Emergency Medicine based on the latest research findings.

Posttraumatic Stress and Substance Use Disorders summarizes the state of the field from a biopsychosocial perspective, addressing key domains of interest to clinicians, students, instructors, and researchers. This book is a valuable resource and reference guide for multidisciplinary practitioners and scientists interested in the evidence-based assessment and treatment of posttraumatic stress and substance use disorders. Chapters written by leaders in the field cover the latest research on assessment, diagnosis, evidence-based treatments, future directions, and much more.

Nonsuicidal Self-Injury moves beyond the basics to tackle the clinical and conceptual complexity of NSSI, with an emphasis on recent advances in both science and practice. Directed towards clinicians, researchers, and others wishing to advance their understanding of NSSI, this volume reviews and synthesizes recent empirical findings that clarify NSSI as a theoretical and clinical condition, as well as the latest efforts to assess, treat, and prevent NSSI. With expertly written chapters by leaders in the field, this is an essential guide to a disorder about which much is still to be known.

Nonsuicidal Self-Injury moves beyond the basics to tackle the clinical and conceptual complexity of NSSI, with an emphasis on recent advances in both science and practice. Directed towards clinicians, researchers, and others wishing to advance their understanding of NSSI, this volume reviews and synthesizes recent empirical findings that clarify NSSI as a theoretical and clinical condition, as well as the latest efforts to assess, treat, and prevent NSSI. With expertly written chapters by leaders in the field, this is an essential guide to a disorder about which much is still to be known.

Still Here: Memoirs of Trauma, Illness and Loss explores the history, ethics, and cross-cultural range of memoirs focusing on illness, death, loss, displacement, and other experiences of trauma. From Walt Whitman's Civil War diaries to kitchen table survivor-to-survivor storytelling following Hurricane Katrina, from social media posts from a refugee detention centre, to poetry by exiles fleeing war zones, the collection investigates trauma memoir writing as healing, as documentation of suffering and disability, and as political activism. Editors Bunty Avieson, Fiona Giles and Sue Joseph have brought together this scholarly collection as a sequel to their earlier Mediating Memory (Routledge 2018), providing a closer look at the specific concerns of trauma memoir, including conflict and intergenerational trauma; the therapeutic potential and risks of trauma life writing; its ethical challenges; and trauma memoir giving voice to minority experiences.

This is the illustrated official field manual used by US Army doctors and soldiers in the field. It offers profession, proven advice on dealing with infections, head injuries, fractures, burns, and more. For active-duty soldiers, first-responders, and anyone who might find themselves in a survival situation, it is a remarkable resource. Military surgeons must assume a leadership role in combat casualty care in circumstances that are far less than ideal. This handbook provides much of the information needed to tackle these issues and features state-of-the-art principles and practices of forward trauma surgery as used by military physicians in far flung locations around the globe. Subjects include: Hemorrhage Control Shock and Resuscitation Vascular Access Anesthesia Face and Neck Injuries Thoracic Injuries Wounds and Injuries of the Spinal Column and Cord Amputations Radiological Injuries Biological Warfare Agents Chemical Injuries And much more! Featuring nearly 200 illustrations demonstrating proper techniques, Emergency War Surgery is the most trusted and up-to-date manual offered by the Department of Defense for military medical personnel in the field.