Not since the great military suicide epidemic of the American Civil War have we seen so many of our heroes, our soldiers and veterans, die by suicide. Why? War is violence. There is intent to cause death, or serious injury, or threat to the physical and psychological integrity of others. War stress is unforgiving. Suicide is an all too frequent response. Today, one member of the military dies by suicide every day. This is a new epidemic. This book addresses some tough questions: What do we know about suicides in the military? Are rates high? Or low? Is military suicide the same or different in the United States and Canada? Is military culture relevant? Do we know the causes, patterns, and associations? Is suicide among the armed forces similar to or different from suicide among civilians? Can it be altruistic? Through individual case studies and general/population approaches, we attempt to understand the cost of military service. It is especially through the personal stories of the great Civil War hero General Emory Upton, Admiral of the Navy Mike Boorda, and Hospital Corpsman Chris Purcell that we find answers. We learn there is a relative lack of understanding about military suicides, mainly due to the very complexity of suicide. The nature of suicide is not monolithic--it is multi-determined. Military service, we find, is a risk factor for suicide and suicidal behavior. Military veterans are twice as likely as civilians to die by suicide. Posttraumatic stress disorder (PTSD) and traumatic brain Injury (TBI) are especially noted to be huge risk factors, but so are other physical and psychological injuries. Sadly, the aftershocks of war include not only suicides but also incarceration, motor vehicle accidents, homicides, homicide(s)-suicides, and many more faces of violence. And there are many more, uncounted, wounded and dead. The families of traumatized soldiers and veterans, too, are indirect victims of their traumatic experience and, for some, their suicides; there is secondary traumatization. Yet, as this book shows, we must not forget that despite the unbearable pain of war, soldiers, veterans, and their military families, including children, are typically resilient. They can survive! Without question, our vulnerable heroes and veterans are at risk for suicide. But there is secrecy surrounding this, which may well be the biggest barrier. The government, the Department of Defense, the military, veterans groups, survivors, health providers, and other stakeholders need to develop and support more research, more programs, and more care for suicidal and disabled armed services personnel, veterans, and survivors. This war stress needs to stop.

Not since the great military suicide epidemic of the American Civil War have we seen so many of our heroes, our soldiers and veterans, die by suicide. Why? War is violence. There is intent to cause death, or serious injury, or threat to the physical and psychological integrity of others. War stress is unforgiving. Suicide is an all too frequent response. Today, one member of the military dies by suicide every day. This is a new epidemic. This book addresses some tough questions: What do we know about suicides in the military? Are rates high? Or low? Is military suicide the same or different in the United States and Canada? Is military culture relevant? Do we know the causes, patterns, and associations? Is suicide among the armed forces similar to or different from suicide among civilians? Can it be altruistic? Through individual case studies and general/population approaches, we attempt to understand the cost of military service. It is especially through the personal stories of the great Civil War hero General Emory Upton, Admiral of the Navy Mike Boorda, and Hospital Corpsman Chris Purcell that we find answers. We learn there is a relative lack of understanding about military suicides, mainly due to the very complexity of suicide. The nature of suicide is not monolithic--it is multi-determined. Military service, we find, is a risk factor for suicide and suicidal behavior. Military veterans are twice as likely as civilians to die by suicide. Posttraumatic stress disorder (PTSD) and traumatic brain Injury (TBI) are especially noted to be huge risk factors, but so are other physical and psychological injuries. Sadly, the aftershocks of war include not only suicides but also incarceration, motor vehicle accidents, homicides, homicide(s)-suicides, and many more faces of violence. And there are many more, uncounted, wounded and dead. The families of traumatized soldiers and veterans, too, are indirect victims of their traumatic experience and, for some, their suicides; there is secondary traumatization. Yet, as this book shows, we must not forget that despite the unbearable pain of war, soldiers, veterans, and their military families, including children, are typically resilient. They can survive! Without question, our vulnerable heroes and veterans are at risk for suicide. But there is secrecy surrounding this, which may well be the biggest barrier. The government, the Department of Defense, the military, veterans groups, survivors, health providers, and other stakeholders need to develop and support more research, more programs, and more care for suicidal and disabled armed services personnel, veterans, and survivors. This war stress needs to stop.

This book was written to be a comfort and guide for bereaved parents whose adult child has died; to show by sharing our experiences that we are not alone in our responses to our child's death; that we are not weak, defective in character or otherwise inadequate because of the way we grieve; to spell out ways in which some of us have increased our understanding of our condition, found solace, dispelled guilt and anger, overcome depression, come to terms with survivors, and memorialized our deceased children. Questionnaires were sent to more than sixty bereaved parents of adult children who died and many anonymous examples from these questionnaires are used throughout the book.

This new book from leading neurosurgeon and author Gary Kraus is an account of traumatic brain injury (TBI) from the time a brain-injured patient arrives in the emergency department through to the wide range of clinical outcomes of such an injury. Written with the voice of experience, the author examines causation of TBI, the patient’s stay in the neuro-intensive care unit and the many neurological assessments and tests that inform the outcomes that the patient and their families will encounter. A wide range of medical professionals will benefit from Dr Kraus’s acute insights into TBI including Neurosurgical residents, Neurosurgeons with a sub-specialist interest in Neuro-Trauma, Neurologists managing patients with post traumatic brain injury, Neuro-Intensivists, Neuro-Psychologists, Researchers/scientists involved in Clinical trial in traumatic brain injury, and those with a specialist interest in Neuro-rehabilitation.

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.

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.

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.

Move past trauma, balance your emotions, and reconnect with your body's innate wisdom in The Body Awareness Workbook for Trauma. There is a piercing epidemic of trauma in the world today. Every few days there are reports of another tragedy, of more lives lost to gun violence, loved ones and family homes lost to floods, hurricanes, or fires. Women have come to speak openly about the trauma of sexual assault, and we are finally talking openly about the trauma inflicted on people of colour, on transgender people, and immigrants. But now that this trauma is out in the open, how do we heal? For years, we've understood the connection between trauma and mental health issues, such as depression and anxiety. But somatic psychology has recently shown that our bodies hold on to trauma, and trauma can manifest in physical symptoms, such as pain, hormone imbalance, sexual dysfunction, and addiction. In addition, we now know that developmental trauma-trauma that emerges when basic childhood needs are not met-can result in profound emotional stress and lead to serious diseases. Building on this knowledge, this cutting-edge guide offers simple skills for connecting and calming your body, balancing your emotions, and rewiring old patterns of reactivity for better self-regulation. The mind-body approach in this book is designed to guide you away from post-traumatic stress disorder (PTSD) and trauma and toward posttraumatic growth. Using these exercises, you'll learn how to reconnect and relate to your body-and yourself as a whole-in a new and healthy way. If you're ready to move past your trauma and rediscover your body's innate capacity for healing, growth, vitality, and joy, this unique guide will help light the way.

Resuscitation is a two-stage process comprising the achievement/maintenance of spontaneous circulation and post- resuscitation management. The approach is complex and multifaceted and entails the integration of new physiological insights, pharmacological options, and technological advances. The purpose of this volume, written by top experts in the field, is to promote, share, and disseminate new advances in resuscitation and post- resuscitation care. The issues addressed are wide ranging and of great topical interest or controversy. They include priorities of intervention, quality of resuscitation, use of mechanical supports, new defibrillation strategies, prevention of organ damage, strategies in cases of sudden cardiac death, new pharmacological treatments, and post-resuscitation care, including temperature management and prediction and improvement of outcome after cardiac arrest. Particular attention is devoted to up-to-date evidence from the most recent experimental and clinical trials on resuscitation science and to gold standard evidence-based resuscitation and post-resuscitation treatments and interventions. In addition, organizational models and integrated care systems for trauma are considered, and critical care education and the process of guideline development are reviewed.

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.

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.

Offering complete, up-to-date coverage of everything from basic science through current clinical practice, Hall Anesthesia: A Comprehensive Review, 6th Edition, provides 1,000 review questions that help you improve your mastery of anesthesiology. You'll reinforce your current knowledge, identify areas that require more study, and improve your long-term retention of the material - all while preparing for certification and re-certification examinations as well as clinical practice. Provides 1,000 completely updated review questions (more than 100 are brand-new) with explanations in the answers. Every question has been reviewed by at least one additional author and vetted by Mayo residents to ensure a consistent level of difficulty. Familiarizes you with the current ABA exam content and format, with challenging board review questions and answers covering the latest discoveries and techniques in physics, biochemistry, and anesthesia equipment; the newest drugs and drug categories; and the most recent information on all anesthesia subspecialties. Allows you to test interactively online with a scoreboard and notes field. Offers discussions after each question, along with corresponding page references to major anesthesia texts so it's easy to find more information on any subject. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

Adversity is a part of life and many of us have experienced trauma that has left us feeling distressed, scared or alone. This book draws on Bridie and Sue's background in Clinical Psychology to help you identify what trauma is, the effect it can have on your physical and mental health, and how you can cope. Containing many ideas and strategies to support you with the impact of trauma, including giving yourself a butterfly hug to calm yourself down or sending an email to someone who lives far away to feel more connected, this is a guide that you can dip in and out of, and return to at different stages in your life after trauma. Co-written with two young people who were brave enough to share their own stories, you will find that you are not alone, that nothing stays the same, and that there's always hope.

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.

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.

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.

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 highly practical aid to management of major incidents is the refined and improved new edition of Prehospital Emergency Management Master.

Concentrating on the essential elements in treatment and transport of the wounded in a major incident this new system provides easily assimilable information on: symbols and terminology; first actions; METHANE report; command; safety; communications; triage; treament; transport the system is produced on waterproof pages, and includes 12 separate action cards for use by auxiliary helpers, and a log for recording the facts. The complete package comes in a handy sized ring binder, allowing users to add their own local notes. The use of colour and easily recognisable icons makes this a valuable aid even in the most difficult conditions.

This eighth edition of Dr Reichel's formative text remains the go-to guide for practicing physicians and allied health staff confronted with the unique problems of an increasing elderly population. Fully updated and revised, it provides a practical guide for all health specialists, emphasizing the clinical management of the elderly patient with simple to complex problems. Featuring four new chapters and the incorporation of geriatric emergency medicine into chapters. The book begins with a general approach to the management of older adults, followed by a review of common geriatric syndromes, and proceeding to an organ-based review of care. The final section addresses principles of care, including care in special situations, psychosocial aspects of our aging society, and organization of care. Particular emphasis is placed on cost-effective, patient-centered care, including a discussion of the Choosing Wisely campaign. A must-read for all practitioners seeking practical and relevant information in a comprehensive format.

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.

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.