This volume contains the proceedings of the International Symposium on Growth Factors and Wound Healing: Basic Science and Potential Clinical Applications, held in Boston from September 28-October 1, 1995. The objective of this symposium is to provide basic and clinical investigators state-of-the-art information on the biology of wound healing and tissue repair. Written and edited by eminent experts in the field, the papers herein cover the general concepts of wound healing; the role of nutrients in wound healing responses; endogenous growth factors and wound healing; clinical applications of growth hormone and IGF-1 therapy; and clinical applications of peptide growth factors.

A popular, practical and easy-to-use guide, Oxford Desk Reference: Critical Care second edition distils evidence, therapeutics, and a growing knowledge base in to one single resource. Using their expertise, the Editors have devised an invaluable clinical guide reflecting best practice and training pathways ensuring all key information is covered. Each topic is laid out in a concise entry allowing rapid access to information. The second edition includes new chapters on tissue perfusion monitoring, paediatric and maternal critical care as well as expanded coverage of cardiovascular monitoring, myocardial infarction and respiratory therapy techniques. New self-assessment questions support FFICM and EDIC (European Diploma of Intensive Care) revision as well as CME reflection. Covering the entire discipline in an easy-to-read format, this is the definitive clinical reference for critical care, ideal for trainees, consultants, advanced care practitioners, and nurses. It is a definitive everyday reference for on the Intensive Care Units, High Dependency Units, acute medical or surgical wards, Accident and Emergency departments, and operating theatres.

The OSCEs have become a part of most examinations in Critical Care Medicine. This book will be of great help to the examinees. The contents have been divided into two sections one is Questions and the second is Answers. It contains chapters on Respiratory Medicine, Neurology, Nephrology, Microbiology and Infection Control, Hemodynamics, Drugs, Biochemistry, Miscellaneous, and Case Scenarios. Contains nearly 330 questions with model answers. Questions range from the old tests, new techniques and devices, and results of laboratory and other investigations. Also covers questions on all organ systems and different ways these systems may be affected by the disease. The answers are structured from examination point-of-view. These will help the examinees in developing the skills to face the objective structured clinical examinations (OSCEs) in their examination.

Synthesizing insights from psychiatry, social psychology, and anthropology, this important work sets out a framework for therapy that is as culturally informed as it is productive. An international panel of 23 therapists offers contextual knowledge on PTSD, coping skills, and other sequelae experienced by the survivors of traumatic events. Case studies from Egypt to Chechnya demonstrate various therapeutic approaches. Authors explore the balance of inter- and intrapersonal factors in reactions to trauma and dispel misconceptions that hinder progress in treatment.

Trauma and Recovery is the foundational text on understanding trauma survivors. By placing individual experience in a political frame, psychiatrist Judith L. Herman argues that psychological trauma is inseparable from its social and political context. Drawing on her own research on incest, as well as a vast literature on combat veterans and victims of political terror, she shows surprising parallels between private horrors like child abuse and public horrors like war. This edition includes a new epilogue by the author assessing what has-and hasn't-changed in understanding and treating trauma over the last three decades. Hailed by the New York Times as "one of the most important psychiatry works to be published since Freud," Trauma and Recovery is essential reading for anyone seeking to understand how we heal.

This fascinating book explores how traumatic experience interacts with unconscious phantasy based in folklore, the supernatural and the occult. Drawing upon trauma research, case study vignettes, and psychoanalytic theory, it explains how therapists can use literature, the arts, and philosophy to work with clients who feel cursed and manifest self-sabotaging states. The book examines the challenges that can arise when working with this client population and illustrates how to work through them while navigating potent transferences and projective identifications. It's an important read for students, psychotherapists, and counselors in the mental health field.

Intensive Care Medicine compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.

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

This text has been prepared with a view to be simple, practical, concise and easy-to-read for pediatricians, pediatric intensive care unit (PICU) and neonatal intensive care unit (NICU) residents and fellows using conventional mechanical ventilation for commonly seen conditions such as respiratory distress syndrome (RDS), meconium aspiration syndrome (MAS), persistent pulmonary hypertension (PPHN), pneumonia, acute respiratory distress syndrome (ARDS), asthma, and various cardiovascular and neurological conditions. This book is intended to be a practical resource for pediatric residents, pediatricians, and physicians involved in the care of neonatal and pediatric intensive care patients needing mechanical ventilation. Ventilation technique specifically applicable to neonate or an older child has been indicated wherever necessary Easy-to-read flow diagrams (algorithms) have been used for management of respiratory distress, rapid sequence intubation (RSI), basic mechanical ventilation, and weaning. Noninvasive ventilation modalities such as continuous positive airway pressure (CPAP), biphasic positive airway pressure (BIPAP), and high flow nasal oxygen have also been included. Newer modes such as high frequency ventilation and common ventilator graphics interpretation have also been included for the reader aspiring to learn the newer and advanced modes of ventilation. A chapter on extracorporeal membrane oxygenation has been added to make the reader familiar with technology beyond mechanical ventilation to support patients with refractory hypoxemia. A chapter on how to choose a ventilator has also been included as a guide to new units providing care to neonates and children. This book would be helpful to the user in management of common conditions requiring CPAP, invasive and non-invasive mechanical ventilation in neonates and older children.

This second edition of Ambulance Care Essentials offers a complete guide to the skills, knowledge and understanding required to work as a support worker or similar within the ambulance service. Covering fundamental elements of the role, the book combines theoretical aspects of communication, legal and ethical issues and safeguarding with more practical areas such as manual handling, medical emergencies and a range of clinical skills. It includes in-depth chapters on the primary areas of patient assessment as well as covering different patient populations across the lifecourse. Key features include: *Clearly illustrated, step-by-step instructions for range of practical skills and procedures including how to handle different types of trauma and cardiac arrest *Detailed anatomical diagrams to provide the reader with the necessary context to carry out the practical elements of their job more effectively *Evidence-based throughout and up-to-date with the latest guidance, policy and research *Specific chapters on each area of patient assessment and how to manage this effectively *Chapters dedicated to various patient populations such as obstetrics, paediatrics and older people *In-depth chapter on supporting senior clinicians and how best to assist the paramedic as a support worker This second edition has been brought up to-date with the latest national guidance. The book is appropriate for a Level 3 diploma course or similar that qualifies you to work as a support worker and covers learning objectives from a range of courses offered by ambulance services. It is an essential resource for anyone wanting to prepare themselves for a role within the ambulance service as well as those hoping to become a more effective member of an emergency ambulance crew.

Key Clinical Topics in Critical Care offers an indispensable and practical guide for exam revision and clinical practice. Written and edited by specialists with a wealth of clinical experience, this book provides rapid access to core topics in critical care. Each topic is written in a concise and easy-to-digest format, making this book the essential resource for exam revision and quick reference at the point of care. * Over 100 topics presented in alpha order, from acute coronary syndrome to weaning from ventilation * Succinct coverage of clinical features, diagnosis, treatment and complications * Effective exam revision for FRCA, FFICM and EDIC candidates * Includes clinical photos and diagrams to improve understanding of key concepts * Contributions from experienced specialists to ensure authoritative, accurate content

The Adult Attachment Project Picture System (AAP) has served as a prominent assessment tool for adults and adolescents internationally for over 20 years. This book introduces the AAP and illustrates the powerful potential for implementing the AAP in clinical practice for assessment, client conceptualization, treatment planning, analysis, and as a therapeutic guide. Chapters discuss the full scope of incomplete pathological mourning for attachment trauma, including for the first time in the field Failure to Mourn and Preoccupation with Personal Suffering. Seasoned clinical researchers and psychotherapists provide a snapshot of their clients' unique attachment characteristics and defensive exclusion strategies as assessed by the AAP, and discuss how to use this information in treatment, as well as how to present the AAP results to their clients. This book introduces readers to how the AAP can be used with adolescents, adults, and couples, and in custody evaluation and foster care.

TASER (R) Conducted Electrical Weapons are rapidly replacing the club for law-enforcement control of violent subjects within many countries around the globe. A TASER CEW is a hand-held device that delivers a 400-volt pulse with a duration tuned to control the skeletal muscles without affecting the heart at a distance of up to 6.5 meters over tiny wires. If necessary, it begins with an arcing voltage of 50,000 V to penetrate thick clothing; the 50,000 V is never delivered to the body itself. Due to the widespread usage of these devices and the widespread misconceptions surrounding their operation, this book will have significant utility. This volume is written for cardiologists, emergency physicians, pathologists, law enforcement management, corrections personnel, and attorneys.

Decipher the complex interplay of neurology, psychology, trauma, and memory!In the midst of the controversies over how repressed, false, and recovered memories should be interpreted, Trauma and Cognitive Science presents reliable original research instead of rhetoric. This landmark volume examines the way different traumas influence memory, information processing, and suggestibility. The research provides testable theories on why people forget some kinds of childhood abuse and other traumas. It bridges the cognitive science and clinical approaches to traumatic stress studies.Written by the foremost researchers in the field, including Bessel van der Kolk and Jennifer Freyd, these scientific evaluations of the way traumatic memories are processed offer powerful new perspectives on the interplay of biology and psychology. Trauma and Cognitive Science discusses a range of traumas, including combat, child abuse, and sexual assault across the lifespan. Fascinating perceptual experiments shed light on the cognitive uses of dissociation, the encoding and recall of memory, and the effects of early trauma on subsequent information processing. Trauma and Cognitive Science offers solid information on the most challenging questions in this field: How is memory encoded, stored, and retrieved? How is it forgotten? How does trauma influence these processes? What kinds of memories can be created by suggestion? What physical changes take place in the brain under traumatic stress? How is consciousness disturbed during and after trauma? What are the ethical, clinical, and societal implications of traumatic stress studies? How can people suffering from traumatic memories be healed? Trauma and Cognitive Science also offers an astonishing array of true case studies, including the story of an adult woman who was raped, went to court, and saw her rapist convicted--and then forgot the whole traumatic episode. The independently corroborated accounts of recovered memories and the carefully designed research studies on multiple modes and levels of memory may offer the key to understanding how we remember and why we forget. The results of these controlled scientific studies have wide-ranging implications for abuse survivors, combat veterans, rape victims, and people who have survived traumatic events from earthquakes to car accidents. Written in clear, accessible prose, Trauma and Cognitive Science belongs on the bookshelf of all mental health professionals, researchers in the areas of traumatic stress and child abuse, attorneys, judges, and survivors of abuse and trauma.

Brought up-to-date with the latest guidance, research and policy, this second edition of Ambulance Care Practice is an essential guide for paramedic students, trainee associate ambulance practitioners, those studying towards a certificate in first response emergency care and other ambulance clinicians. It provides a complete overview of the key skills, knowledge and understanding required to work at ambulance associate practitioner level or similar within the ambulance service, covering theoretical aspects and practical application, as well as a range of different clinical procedures and patient populations. Key features include: *Clearly illustrated, step-by-step instructions for range of essential clinical skills and procedures including how to handle different types of trauma and cardiac arrest *Detailed anatomical diagrams to provide the reader with the necessary context to carry out the practical elements of their job *Evidence-based throughout and up-to-date with the latest guidance, policy and research *Specific chapters on each area of patient assessment and specific patient populations and how to manage these effectively *Chapters relevant to associate practitioner level including drug administration, mental health and end of life care as well as an in-depth chapter on assisting the paramedic. In line with the National Education Network for Ambulance Services standards The book covers learning objectives from a range of courses offered by ambulance services. It is an essential resource for anyone wanting to prepare themselves for a role within the ambulance service as well as those hoping to become a more effective member of an emergency ambulance crew.

While medical specialists in disaster mitigation, preparedness, and response are needed worldwide, the initial phase of disaster response is almost entirely dependent upon local resources-making it essential that all healthcare personnel have a working knowledge of the field and stand ready to integrate into the response system. Ciottone's Disaster Medicine, 3rd Edition, is the most comprehensive reference available to help accomplish these goals in every community. It thoroughly covers isolated domestic events as well as global disasters and humanitarian crises. Dr. Gregory Ciottone and more than 200 worldwide authorities share their knowledge and expertise on the preparation, assessment, and management of both natural and man-made disasters, including lessons learned by the responders to contemporary disasters such as the COVID-19 pandemic, Australian and western U.S. wildfires, European heatwaves, the Beirut explosion, recent hurricanes and typhoons, and the global refugee crisis. Part 1 offers an A-to-Z resource for every aspect of disaster medicine and management, while Part 2 features an exhaustive compilation of every conceivable disaster event, organized to facilitate quick reference in a real-time setting. Covers basic concepts such as identification of risks, organizational preparedness, equipment planning, disaster education and training, and more advanced concepts such as disaster risk reduction, health in complex emergencies, building local disaster resiliency, psychological impact of disasters on children, and more. Contains new decision trees throughout that help guide you through the decision-making process in difficult situations. Uses an easy-to-follow, templated approach to historical perspectives, overviews of current practice including pre-incident and post-incident actions, medical treatment of casualties, and potential pitfalls. Includes updated sections on man-made disasters, including mass casualties, active shooter situations, integrated response to terrorist attacks, and chemical/biological/radiological/nuclear/high-yield explosives disasters. Discusses the latest technologies, such as the use of mobile disaster applications, drone response systems, and virtual reality simulation training. Features thoroughly updated information on crisis leadership, practical applications of disaster epidemiology, disaster and climate change, and the integration of non-government agencies (NGOs) in disaster response-a critical topic for those responding to humanitarian needs overseas. Includes new chapters on Pandemic Preparedness and Response, Disaster Medicine in a Changing Climate, Disaster Response in Asia, Building Local Capacity and Disaster Resiliency, Civilian-Military Coordination in Disaster Response, Medical Simulation in Disaster Preparedness, Disaster Nursing, Crisis Meta-Leadership, Palliative Care in Disasters, Counter-Terrorism Medicine, SARS CoV (COVID-19 and SARS), and Disasters in Space Travel. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

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

'A striking memoir...A must-read for anyone healing from complex trauma' Jeanette McCurdy, bestselling author of I'm Glad My Mom Died Every cell in my body is filled with the code of generations of trauma, of death, of birth, of migration, of history that I cannot understand. . . . I want to have words for what my bones know. By the age of thirty, Stephanie Foo was successful on paper: she had her dream job as an award-winning radio producer at This American Life and a loving boyfriend. But behind her office door, she was having panic attacks and sobbing at her desk every morning. After years of questioning what was wrong with herself, she was diagnosed with complex PTSD - a condition that occurs when trauma happens continuously, over the course of years. Both of Foo's parents abandoned her when she was a teenager, after years of physical and verbal abuse and neglect. She thought she'd moved on, but her new diagnosis illuminated the way her past continued to threaten her health, relationships, and career. She found limited resources to help her, so Foo set out to heal herself, and to map her experiences onto the scarce literature about C-PTSD. In this deeply personal and thoroughly researched account, Foo interviews scientists and psychologists and tries a variety of innovative therapies. She returns to her hometown in California to investigate the effects of immigrant trauma on the community, and she uncovers family secrets in the country of her birth, Malaysia, to learn how trauma can be inherited through generations. Ultimately, she discovers that you don't move on from trauma - but you can learn to move with it. Powerful, enlightening and hopeful, What My Bones Know is a brave narrative that reckons with the hold of the past over the present, the mind over the body - and examines one woman's ability to reclaim agency from her trauma.