Outcome Measures in Orthopaedic Trauma is a combined new edition of the successful Outcome Measures in Orthopaedics and Outcome Measures in Trauma that were the first books devoted to the topic of outcome measures for orthopedic trauma surgeons and researchers. The ability to measure results is vital for effective medical practice, particularly in view of the increased emphasis on evidence-based medicine and the introduction of the NICE guidelines. Evaluation of the success of failure of treatment is not only of importance to the patient and practitioner, but also to the health administrator as health care costs increase. Orthopedic and orthopedic trauma are highly complex subjects that can prove difficult to quantify, but accurate measurement is required for setting standards of care and for assessing the severity of an injury. Outcome Measures in Orthopaedics and Orthopaedic Trauma helps the clinician fulfil his or her role in the outcome assessment by providing good references to sources of instruments and techniques used and assisting them in making an informed selection from the different scoring systems available. It will be of interest to orthopaedic and trauma surgeons as well as emergency personnel and lawyers, researchers and hospital administrators working in this area.

The Trauma Care Manual 3e is the definitive evidence-based manual of best trauma practice. Now in its third edition, this valuable book continues to provide clear practical guidelines for the management of victims of major trauma. New coverage includes chapters on abdominal and urological trauma, aswell as trauma in the obese patient. Also included is coverage of pre-hospital management; trauma centres, sytems & teams; modern trauma resuscitation; trauma physiology & metabolism; damage control surgery. Written by members of Trauma Care, this book offers a nationally accepted set of standards for good practice.

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

From student athletes to professional football players to military personnel, the experiences of diverse groups are driving clinical and research efforts toward better treatment of traumatic brain injury. And as more is understood about the complexities of the condition, especially in its milder forms, the greater the need for clinical expertise in assessment and intervention. The Handbook on the Neuropsychology of Traumatic Brain Injury collects and synthesizes the latest thinking on the condition in its variety of cognitive and behavioral presentations, matched by a variety of clinical responses. Acknowledging the continuum of injury and the multi-stage nature of recovery, expert contributors review salient research data and offer clinical guidelines for the neuropsychologist working with TBI patients, detailing key areas of impairment, brief and comprehensive assessment methods and proven rehabilitation strategies. Taken together, these chapters provide a framework for best serving a wide range of TBI patients (including children, elders, and patients in multidisciplinary settings) and model treatment that is evidence-based and relevant.A sample of the topics featured in the Handbook: * Bedside evaluations in TBI.* Outcome assessment in TBI.* Collaborating with family caregivers in the rehabilitation of persons with TBI.* Behavioral assessment of acute neurobehavioral syndromes to inform treatment.* Pediatric TBI: assessment, outcomes, intervention.* Special issues with mild TBI in veterans and active duty service members. Expanding professional knowledge on a topic that continues to grow in importance, the Handbook on the Neuropsychology of Traumatic Brain Injury is a premier resource, not only for neuropsychologists but also for other professionals in cognitive care, and trainees entering the field.

In this issue of Critical Care Clinics, guest editor Paul Bergl brings his considerable expertise to the topic of Diagnostic Excellence in the ICU. Provides in-depth, clinical reviews on the latest updates in Diagnostic Excellence in the ICU, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

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

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

- whether to admit a patient and commence treatment

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

- when to limit, withhold or withdraw treatment

- when to donate organs.

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

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

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

Examine the effects of childhood trauma on sexual orientation and behavior! This pioneering book examines the effects of childhood traumaincluding sexual abuseon sexual orientation and behavior. It will help you expand your sensitivity and expertise in a critically important way: by providing a nonjudgmental look at the profound effects of long-standing early abuse on the sexual identities, orientation, behaviors, and fantasies of the people who come to you for help. From the editors: In the modern era of trauma studies, clinicians and researchers have been treating and investigating the effects of traumaincluding the sexual abuse of childrenfor more than two decades. And yet, we know far more about sequelae such as post-traumatic and dissociative symptoms, disrupted attachment, addictions, eating disorders, and somatoform symptoms than we do about the effects of trauma on sexual behavior. With the exception of a relatively few articles in the scientific literature (many of which were written by the authors in this collection), little has been published about the sexual effects of sexual abuse and other childhood maltreatment. Why have we neglected this obvious and important area? Perhaps the reason can be simply attributed to our Victorian legacy of reluctance to openly discuss sexuality. Or, perhaps the reason may be related to some of the expressions of sexuality that are sometimes seen in persons with childhood trauma. At times, expressions such as sexual addiction, homosexuality, sadomasochistic behavior, and prostitution have been classified as deviant. This may have contributed to our reluctance to discuss them openly. Or, perhaps the reason is that we collectively wish to deny the effects of abuse on one of the core aspects of ourselvesto deny that early traumatic events forever change the sexual lives of persons in such an intimate and profound way. The contributors to this well-referenced book combine their insight and expertise to address sensitive areas, including: the concepts of femininity and masculinityand how these personality styles are direct and indirect outcomes of trauma and reflective of dissociation treatment approaches for lesbian, gay, bisexual, and transgendered trauma survivors the need to address sexuality in treatmentand to always keep in mind that there are many different healthy expressions of sexuality and gender the relationship of dissociation to sexual addiction/compulsivity in survivors of childhood sexual abuse sexual behavior problems in children who have been abused, including sexually reactive behaviors, extensive but mutual sexual behaviors, and children who molestessential reading for anyone who doesn't want to see abused children mislabeled as sexual offenders! hyposexuality and hypersexuality as a result of childhood trauma the relationship between trauma history, trauma-related symptoms, and sexual risk behaviors that can lead to infection by HIV or other STDs as well as unplanned pregnancy

The day-to-day responsibility for wound management is a role usually undertaken by nurses. It includes assessing the wound, selecting an appropriate treatment, and evaluating the patients' progress. In order to do this effectively the nurse needs to understand the healing process, recognize the factors which may delay wound healing, understand how wound healing can be optimized, know how to recognize complications if they arise and know how to treat them.

This text, specifically written for community nurses, including practice nurses, provides a picture of wound healing for both acute and chronic wounds that may be encountered in a community setting. An overview of the function of the skin and phases of wound healing are examined prior to looking at the relationship between wound healing and the patients' health and lifestyle.

The reference is written in a question-and-answer format, and includes relevant case studies.

Among the many challenges faced by therapists today is the treatment of trauma and abuse. Based upon a framework that integrates a wide range of therapeutic theories of PTSD and techniques including Ericksonian, solution-oriented and hypnotherapeutic approaches, Tools for Transforming Trauma provides clinicians with specific skills for treating traumatized individuals.
Detailed, how-to instructions for the implementation of over thirty "tools" throughout the different phases of treatment make this book an ideal resource for anyone working with trauma, abuse, and dissociative disorders.
In this unique integration of approaches, Dr. Schwarz provides the reader with the tools for transforming trauma in diverse areas such as affect dysregulation, ego strengthening, transforming negative memories, the false memory controversy, working with beliefs, cultivating a positive life, energy work, spirituality, and managing the therapeutic relationship during the process of healing.

Related link: Free Email Alerting

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

The aim of this booklet is to bridge the gap between rescue of a patient with an acute head injury and his or her treatment by a neurosurgeon. It provides a protocol for management of acute head injuries aimed at paramedics, all accident and emergency department staff, orthopaedic and general surgeons, casualty consultants, armed forces medics.

When we study trauma, we see how trauma stems from relationships, but recovery also depends on them. Grounded firmly in attachment and trauma theory, this book offers ways to aid clients in self-understanding and attending to their past traumas by using shared retellings in therapy to bring recovery and growth.

The multidisciplinary sub-specialty of Urgent Medical Care plays an increasingly important role in meeting the growing demands on the NHS. This is the first and only book in the UK specifically designed for clinicians preparing for urgent care postgraduate qualifications. Notes in Urgent Care brings together guidance, research and relevant clinical material in an easily accessible format. It addresses both management (operational and organisational) and clinical areas including emergency, time-critical conditions and symptom-related presentations. Written by Dr Martin McGrath, a General Practitioner, Honorary Professor, urgent care clinician and clinical director of one of the country's largest primary care networks, this book will be useful for all clinicians working in urgent, unscheduled, remote and rural environments. Suitable as a study aid for the Royal College of Surgeons of Edinburgh's Diploma in Urgent Medical Care Clinical information condensed into a concise, easily accessible and relevant format Urgent conditions broken down by specialty Useful tips for working in urgent medical care systems, using technology, risk management and human factors

This book will address collateral legal consideration that may affect emergency service organizations. Its primary focus is on the relationship between the emergency service employee and the organisation. With the deterioration of "At Will" employment doctrine by Congress and courts, emerging new technologies, and the dwindling number of "unionized shops", emergency service organizations face the potential of increased litigation under new and novel theories in areas which were not even fathomed by emergency service organizations twenty years ago.
Written by a lawyer for non-lawyers, the book is not consumed with the basic legalese that most books of this kind are. It seeks to inform the user of his or her rights under the law in a clear and comprehensive way. Legal Liabilities in EMS will cover topics such as workers compensation, negligence issues, employment discrimination, Family and Medical Leave Act, EMS and privacy in the workplace. To provide extra guidance the text also provides cases exemplifying the issue and an appendix of websites that can provide further information.

Drug-Facilitated Sexual Assault educates readers on the ways in which drugs are used as weapons in committing sexual assaults and how to successfully investigate these crimes. It looks at the history of these crimes over the years, and includes an in-depth discussion of the drugs and drug classes in use today. It describes the effects of these drugs on the victims, the process for reporting these crimes, details on the type of person who uses drugs to sexually assault an individual, and obstacles to investigating the suspect. The authors show the proper techniques in collecting and analyzing evidence; ways to overcome some of the unique difficulties encountered in these types of investigations; and how to work with other professionals to prosecute these cases successfully. The concluding appendixes are valuable samples of the necessary forms needed to complete these investigations. This book is ideal for anyone involved in investigating these crimes, including forensic scientists, law enforcement officers, lawyers, toxicologists, and medical professionals.

This and over 60 other easily memorised phrases are the starting points for Resuscitation Rules. Their accompanying short texts provide a core of authoritative information that can be mentally retained and acted upon in emergency situations.

This pocket sized guide contains succinct rules on the fundamentals of resuscitation, together with helpful line illustrations, for use in the most commonly encountered situations.

Contents include:
basic life support.
advanced cardiac life support.
medical emergencies.
paediatric resuscitation.

In line with the current European Resuscitation Council guidelines, the rules are an invaluable support for doctors, nurses and ambulance staff who are called upon to provide resuscitation both in-hospital and pre-hospital.

All junior doctors and in particular trainee cardiologists will at some point in their training be involved in managing acute coronary syndromes and other cardiac emergencies. This handbook sets out the recognized clinical steps to take and backs them up with an analysis of the evidence supporting these decisions. Evidence-Based Coronary Care willprovide junior doctors with the answers they seek when dealing with difficult clinical situations. Evidence-Based medicine is still very topical, and this book will adopt a similar style to James: Evidence-Based Obstetrics in setting out the clinical management plan on the verso page and the evidence supporting that plan on the recto page.Two page spread design showing management plan on verso page and supporting evidence on the recto page All forms of cardiac emergencies are coveredIncludes inpatient and outpatient scenarios Complete coverage of different drugs in use for MI and unstable anginaIncludes cost/benefits analyses Didactic approachBased on up-to-date literature survey

Psychoanalytic Studies on Dysphoria: The False Accord in the Divine Symphony depicts the profound dysphoria afflicting certain individuals, and includes the author's own personal experience of this as a German Jewish child during the Holocaust. Marion M. Oliner explores the impact of catastrophic events on the lives of individuals and their descendants from a broadly psychoanalytic perspective. The book focuses on the interplay between the experience and the unconscious meaning attributed to the trauma, and the ways in which patients may feel guilt, and blame themselves for the events and effects of their trauma. Drawing on the work of Freud and Winnicott, and with emphasis on the traumas suffered during the Second World War, Oliner offers new ways of understanding how resistant to treatment such traumas can be, and how the analyst can understand the experiences. The chapters span the evolution undergone in the nearly four decades of practice by the author. The book references a range of works including some taken from the German and French psychoanalytic literature, some never published in English. Taken together they aim at keeping the vitality of psychoanalysis without idealization, while discarding concepts whose essence is static, and therefore unhelpful. Psychoanalytic Studies on Dysphoria will appeal to psychoanalysts as well as other mental health professionals working with self-defeating behavior as a result of trauma.

Post-traumatic stress disorder (PTSD) has received considerable attention over the last few years, yet there is still ongoing debate concerning its causes and possible treatment. Students, practitioners and researchers in health psychology, clinical psychology, social work, psychiatry, and counselling will appreciate this interesting synthesis of concepts and knowledge in post-traumatic stress studies. Offering an innovative contribution to the field, the authors show that post-traumatic stress reactions are not caused by the traumatic event alone, but that psychosocial factors play a vital part for individual outcomes. An understanding of the role of these psychosocial factors in the development of PTSD will enable clinicians to improve therapeutic intervention. This book provides that understanding by drawing on existing theories to present an integrative model of psychosocial adaptation to trauma. This model can then be applied to understanding and treating reactions to a broad range of stressful events. Case studies throughout the book help illustrate the theoretical issues as well as the treatment aspects.

Rehabilitation for Traumatic Brain Injury helps the reader develop a deeper understanding of the pathology and effects of any significant traumatic insult to the brain. This understanding is essential for all of those contributing to the lengthy process of rehabilitation following traumatic brain injury. Physiotherapists have a key role to play in this process, which continues long after patients are discharged from acute care provision. Therapists may encounter traumatic brain injury survivors in neuro-rehabilitation units, non-specialist wards, outpatient departments or in the community. This book will provide all those involved in such service provision with an understanding of the importance of their role in the ongoing rehabilitation process. Those reading the book will find it increases their knowledge and understanding of the problems faced by affected patients and their families. It will also help them to define their own role as therapists, whether working in hospital or in the community, within the lengthy and ongoing rehabilitation process.Defines the role of the therapist within the rehabilitation team Stresses the need to understand the ongoing nature of rehabilitation beyond the acute care phaseHighlights the impact upon the clients and their families of the non-physical and often less obvious deficits resulting from brain injury Provides a source of ideas for more effective rehabilitation managementRaises issues to stimulate wider debate

ENT emergencies are a regular occurrence. This new book covers the full range of hospital emergencies seen by ENT trainees and practitioners, and also by oral and maxillofacial surgeons and plastic surgeons. Succinct text and clear illustrations complement the sections on Rhinology,Head and Neck,Otology and Paediatrics.Practical and up to date, this book facilitates excellence in clinical practice.

This book provides a unique frame work for examining acute lung syndromes that arise from hematologic disorders or is defined by a hematologic abnormality as a key feature. Acute lung processes arising from hematologic disorders can present as life-threatening conditions, and as such, the pulmonary physician or critical care physician are often directly involved in care or called upon to provide expertise. Chapters are organized into three sections, each with an emphasis on pathogenesis and current understanding of mechanisms. The text begins with the central theme of the lungs as the direct interface between the external environment and blood, description of individual components of the hematopoietic system, their function and relevance to the lungs. The second section outlines both benign and malignant primary hematologic disorders that can lead to acute pulmonary manifestations. The final section focuses on acute lung syndromes stemming from complications of transfusion and treatment. Chapters are presented in an easy-to-access format, providing information on diagnosis, management, and outcomes. This is a valuable resource for pulmonary fellows in training, pulmonologists, critical care physicians, and physicians involved in caring for patients in the ICU.

Psychoanalytic Studies on Dysphoria: The False Accord in the Divine Symphony depicts the profound dysphoria afflicting certain individuals, and includes the author's own personal experience of this as a German Jewish child during the Holocaust. Marion M. Oliner explores the impact of catastrophic events on the lives of individuals and their descendants from a broadly psychoanalytic perspective. The book focuses on the interplay between the experience and the unconscious meaning attributed to the trauma, and the ways in which patients may feel guilt, and blame themselves for the events and effects of their trauma. Drawing on the work of Freud and Winnicott, and with emphasis on the traumas suffered during the Second World War, Oliner offers new ways of understanding how resistant to treatment such traumas can be, and how the analyst can understand the experiences. The chapters span the evolution undergone in the nearly four decades of practice by the author. The book references a range of works including some taken from the German and French psychoanalytic literature, some never published in English. Taken together they aim at keeping the vitality of psychoanalysis without idealization, while discarding concepts whose essence is static, and therefore unhelpful. Psychoanalytic Studies on Dysphoria will appeal to psychoanalysts as well as other mental health professionals working with self-defeating behavior as a result of trauma.