This book contains edited and revised papers presented at the VIth International Symposium on Biomechanics and Medicine in Swimming. Held under the auspices of the International Society of Biomechanics and the World Commission of Sports Biomechanics, this multi-disciplinary symposium was attended by delegates from 30 countries, emphasizing the international interest in this subject. The contributions highlight the wealth of quality research being undertaken in the field of swimming throughout the world. Three keynote papers are included: "Lactate Metabolism for Swimming", "Performance Determining Factors in Front Crawl Swimming", and "Analysis of Sprint Swimming". The main contents are then grouped into nine sections, organized by discipline: biomechanics, electromyography, swim technique, training, lactate metabolism, performance and physiology, medical considerations, kinanthropometry, and psychological factors. This comprehensive book presents recent research but also tackles some of the current problems facing swimming practitioners. It aims to be a review for researchers in swimming, lecturers and students on sports science and physical education courses and sports medics and

OSHA frequently requires companies to implement the type of program promoted in Cumulative Trauma Disorders, the first and only book to address both the medical and ergonomic aspects of cumulative trauma. This combination of conservative medical intervention and attention to ergonomic design of jobs creates the long-term cost control that companies are actively seeking. The book presents a down-to-earth discussion of issues facing companies as they try to implement an ergonomic program to control cumulative trauma. It examines cumulative trauma from all angles, paying particular attention to cumulative trauma disorders of the upper extremities. Specific topics addressed include CTD etiology, in-plant control programs, return-to-work concepts, ergonomic stressors and their root causes, and basic guidelines for ergonomic workstation design. Cumulative Trauma Disorders also explains many of the programmatic features included in the OSHA Ergonomic Guidelines for the Red Meat Industry, which OSHA uses as a means to structure their regulatory activities. This book discusses the rationale and value of implementing program components in the OSHA guidelines as they pertain to the production environment, presenting technical information in a clear, easy-to-read format. Cumulative Trauma Disorders is an essential book for managers of workers' compensation costs, plant nurses, safety and health technicians and managers, and ergonomic consultants.

Psychoanalytic work with socially traumatised patients is an increasingly popular vocation, but remains extremely demanding and little covered in the literature. In Psychoanalysis and Holocaust Testimony, a range of contributors draw upon their own clinical work, and on research findings from work with seriously disturbed Holocaust survivors, to illuminate how best to conduct clinical work with such patients in order to maximise the chances of a positive outcome, and to reflect transferred trauma for the clinician. Psychoanalysis and Holocaust Testimony closely examines the phenomenology of destruction inherent in the discourse of extreme traumatization, focusing on a particular case study: the recording of video testimonies from a group of extremely traumatized, chronically hospitalized Holocaust survivors in psychiatric institutions in Israel. This case study demonstrates how society reacts to unwanted memories, in media, history, and psychoanalysis - but it also shows how psychotherapists and researchers try to approach the buried memories of the survivors, through being receptive to shattered life narratives. Questions of bearing witness, testimony, the role of denial, and the impact of traumatic narrative on society and subsequent generations are explored. A central thread of this book is the unconscious countertransference resistance to the trauma discourse, which manifests itself in arenas that are widely apart, such as genocide denial, the "disappearance" of the hospitalized Holocaust survivors and of their life stories, mishearing their testimonies and ultimately refusing them the diagnosis of "traumatic psychosis". Psychoanalysis and Holocaust Testimony provides an essential, multidisciplinary guide to working psychoanalytically with severely traumatised patients. It will appeal to psychoanalysts, psychoanalytic psychotherapists and trauma studies therapists.

Interpreting the fluid requirements of a patient and working out what to do next can seem like a daunting task for the non-specialist, yet it is a skill that any doctor, nurse or paramedic needs to be fully appraised of and comfortable with. Making Sense of Fluids and Electrolytes has been written specifically with this in mind, and will help the student and more experienced practitioner working across a variety of healthcare settings to understand why fluid imbalance in a patient may occur, to assess quickly a patient's fluid needs through a thorough clinical assessment and to develop an effective management plan. Reflecting the latest guidelines, this practical, easy-to-read and easy-to remember guide will be an invaluable tool to aid speedy and appropriate management in emergency situations, on the ward and in the clinic.

"Cop Doc's Guide to Public Safety Complex Trauma Syndrome" is written in response to the need for an advanced, specialized guide for clinicians to operationally define, understand, and responsibly treat complex post-traumatic stress and grief syndromes in the context of the unique varieties of police personality styles. The book continues where Rudofossi's first book, "Working with Traumatized Police Officer Patients", left off. Theory is wed to practice and practice to effective interventions with police officer-patients. The 'how' and 'why' of a clinician's approach is made highly effective by understanding the distinct personality styles of officer-patients. Rudofossi's theoretical approach segues into difficult examples that highlight each officer-patient's eco-ethological field experience of loss in trauma, with a focus on enhancing resilience and motivation to - otherwise left disenfranchised. Thus, this original work expands the ecological-ethological existential analysis of complex PTSD into the context of personality styles, with an emphasis on resilience - without ignoring the pathological aspects of loss that often envelop officer-patient trauma syndromes.

Offering an up-to-date perspective on the complexity of mental illness, Psychotic Disorders: Using Co-Morbidity Diagnoses to Enhance Treatment provides unique insight by presenting schizophrenia and psychosis as a cormorbid disorders. Comprehensive coverage of the five comorbidity subtypes includes everything from definitions of the comorbidity syndrome (with DSM-5 criteria) and how to interview to specific symptoms for the psychotic diagnosis, diagnosis, and treatment. This first-of-its-kind reference is a valuable clinical resource for psychiatrists, neurologists, neuropsychiatrists, psychologists, and clinicians in training, as well as a useful tool for exam review. Reflects current research, diagnosis, and treatment options for: Schizophrenia with Voices and Panic Anxiety Obsessive-Compulsive Schizophrenia and Obsessive-Compulsive Disorder Persecutory Delusional Disorder and Social Anxiety Delusional Depression and Melancholic Depression Bipolar I Disorder and Atypical Depression Substance Use Psychoses Medical Illness and Iatrogenic Psychoses Covers treatment options and outcomes with medication and psychotherapy. Includes sample patient interview approaches and/or biological tests for each diagnosis. Highlights symptoms, quasi-psychotic symptoms and secondary signs of the comorbidities when alone, and when in conjunction with psychosis. Reviews diagnosis-specific significance and contributory roles of neurotransmitters, hypofrontality, psychological trauma, and genetics. Enhanced eBook version allows access to entire book contents on most devices. Included free with book purchase, or purchase separately.

Disorders due to trauma to the head, spine, and peripheral nerves are among the most common seen by neurologists, neurosurgeons, and emergency physicians. This is the comprehensive definitive work on the subject, offering coverage on a wide range of clinical issues. There are comprehensive sections on head trauma, spinal trauma, plexu and peripheral nerve injuries, post-traumatic pain syndromes, sports and neurologic trauma, environmental trauma, post-traumatic sequelae and medicolegal aspects, and iatrogenic trauma. For the second edition, the editor has added 11 new chapters, and the existing chapters will be thoroughly revised and updated. Randolph Evans is a highly regarded neurologist and an excellent editor, ensuring effective coverage of all topics and a consistent manner of presentation.

For courses in Advanced EMT Using the National EMS Education Standards as a foundation, Advanced EMT: A Clinical-Reasoning Approach is designed to assist students in successfully completing their Advanced EMT course and ultimately obtaining their licensure. Special care has been taken to ensure that the latest applicable research was reviewed during the development of this text, resulting in our ability to deliver the latest evidence-based patient care to you and your students. Also available with MyBRADYLab (TM) MyBRADYLab is an online homework, tutorial, and assessment program designed to work with this text to engage students and improve results. Within its structured environment, students practice what they learn, test their understanding, and pursue a personalized study plan that helps them better absorb course material and understand difficult concepts. Note: You are purchasing a standalone product; MyBRADYLab does not come packaged with this content. Students, if interested in purchasing this title with MyBRADYLab, ask your instructor for the correct package ISBN and Course ID. Instructors, contact your Pearson representative for more information.

Real Life Heroes Life Storybook, 3rd Edition is a resourceful tool for children with traumatic stress. The resiliency-centered format and structure of the volume is coupled with treatment and sessions outlined in the Real Life Heroes Toolkit for Treating Traumatic Stress in Children and Families. This updated edition uses a creative arts approach, encouraging children to work with dependable adults to develop autobiographies through a wide range of activities, including drawings, music, movies, and narrative. By helping children feel protection from adversity and stressors that exist in everyday life, this workbook gives children a sense of value that can promote transformation of troubled children from victims into tomorrow's heroes.

For those offering trauma-informed care, it can be difficult to maintain wellbeing and a balanced, positive outlook when the nature of their job requires frequent engagement with traumatic disclosures. Self-help for Trauma Therapists: A Practitioner's Guide intends to assist human service workers- such as those working as therapists, social workers and counsellors- to maintain their self- care and professional effectiveness when working in fields where stress and trauma play a key factor in their everyday working lives. Adopting a comprehensive, multi-layered approach to self-care based, the book grounds its exploration of practice through researched accounts with experience professionals. Including accounts from clinical psychologists, therapists, counsellors, social workers and the friends and family of people in these professions, this book creates a narrative on stress and trauma from the human service worker perspective. Interwoven with these stories of practice, the author includes reflections on her own experiences in practice over the past 25 years with trauma survivors. With discussions on risk and resilience, compassion fatigue and vicarious traumatisation, readers are introduced to the theories and practical applications of developing a professional model for maintaining wellbeing and self-care in their work. Self-help for Trauma Therapists: A Practitioner's Guide is the first book of its kind to be written solely for human service workers. It is essential reading for beginning and more advanced practitioners who are involved in working with trauma and recovery and will also be of interest to supporters of those working in the helping professions.

This book examines the best ways to provide primary care at nights and weekends. There has been increasing demand from patients for out-of-hours care, and a great reorganisation of primary care services outside normal surgery hours. Different models of organisations are being tested, including primary care centres and nurses giving telephone advice. This book examines the tensions between public and professional expectations, and describes the range of options for providing services, with examples of good practice. It reviews the evidence about what works best, and the issues to consider in setting up different services. The contributors combine experience in organising, researching, evaluating and providing out-of-hours care, and offer practical advice, critical analysis and a political perspective. The book is an accessible and valuable contribution to this increasingly important aspect of healthcare. It is essential reading for all practitioners, managers and researchers in primary care, public health, Accident and Emergency departments, pharmacy, community nursing and ambulance services.

Trauma is the leading cause of death among people under the age of 40 and it ranks third for all age groups. Still, relatively few clinicians specialize in trauma and training is often obtained through experience. The number of trauma patients is expected to continue to grow as pre-hospital care continues to advance. As well, hospitals increasingly see trauma treatment, which requires no pre-approval, as a good source of revenue. Given these developments, the number of opportunities for specialists trained in trauma, including anesthesiologists and critical care physicians, will expand in the years ahead. This book addresses the need for an up-to-date, comprehensive and clinically focused volume for practitioners and trainees in trauma anesthesia and critical care. It is organized by organ system. The editor is an attending physician at a major urban hospital center recognized worldwide for its outstanding emergency medical services including trauma care and is recruiting leading trauma anesthesiologists to contribute. Anesthesiologists, pain medicine physicians, critical care physicians and trainees are the target audience.

This book covers several aspects of inhalation toxicology ranging from inhalation drug abuse to battlefield chemical inhalation lung injury, and emphasizes pathophysiology and therapy.

Disaster medicine has occupied an increasingly important niche within the specialty of emergency medicine over the latter half of the 20th century. Regardless of whether an event was natural, anthropogenic, or a combination of both, emergency medicine was and is the ideal discipline to develop the human resources, the strategies, the tactics, and the evidence- based research to elevate the field of disaster medicine. It began, organizationally speaking, with Hurricane Hugo in 1989 and it is continuing through the 2019 COVID- 19 pandemic and beyond. Now that we are well into the 21st century, we must steady our footing as a specialty on the 20th century's foundation so that we can wrestle with the more intricate challenges of the future. In the past two decades our global populations have experienced sectarian violence, wars, genocide, migration, terrorism, emerging infectious diseases, and pandemics. These natural and anthropogenic events will only worsen exponentially as we become intrinsically trapped by the effects of climate change. The United Nation's Intergovernmental Panel on Climate Change has recently concluded that regardless of how we try to reverse the effects of global warming, what we are experiencing now in terms of hurricanes, floods, and droughts will continue to worsen over the next 30 years. Should we, as a species, continue to equivocate and as global temperatures climb, these events will become more frequent and more catastrophic. "Catastrophic" may even be too mild a term. It is possible that over the next few years, the academic arm of emergency medicine may need to consider developing a curriculum devoted to "Cataclysmic Medicine." To confront these possibilities, there first needs to be a knowledge of disaster medicine and disaster management at its most basic level. It begins with crisis leadership, command and control, communications, and coordination. When all these pieces of the jigsaw puzzle are fitted together properly and enclosed by a proper ethical frame, then the best and most ethical and moral disaster medical can will be provided to the patient and to the community. The intent of this book is to introduce these concepts using diverse viewpoints and scenarios. Readers are challenged to cogitate, create, and layer their own set of building blocks upon the preexisting foundation, thereby reinforcing and sustaining their own capacity to prepare for and respond to any adverse eventuality, mass casualty or otherwise. I hope that the experiential and evidence- based contents of this book will inspire readers to delve deeper into the nuances of disaster medicine and will serve as an impetus for a more profound quest for knowledge and a desire to serve those who will be experiencing the worst moments of their lives. The intent of this book is to introduce these concepts using diverse viewpoints and scenarios. Readers are challenged to cogitate, create, and layer their own set of building blocks upon the preexisting foundation, thereby reinforcing and sustaining their own capacity to prepare for and respond to any adverse eventuality, mass casualty or otherwise. It is hoped that the experiential and evidence- based contents of this book will inspire readers to delve deeper into the nuances of disaster medicine and it will serve as an impetus for a more profound quest for knowledge and a desire to serve those who will be experiencing the worst moments of their lives.

First published in 1987. Routledge is an imprint of Taylor & Francis, an informa company.

Now fully revised and updated, Wilderness Medicine: Beyond First Aid is essential reading for any trail user, from trip leaders and guides to EMTs and paramedics. You'll learn vital skills, such as: *How to survey, assess, and stabilize the victim and the medical situation *How to manage physical symptoms *What questions to ask to gain necessary vital information *How to care for wounds and orthopedic injuries, and much more Packed with useful information, Wilderness Medicine is the ultimate resource for anyone faced with providing immediate care when access to a medical facility is difficult or impossible.

Learn to build the trust you need to help children in crisis! Rebuilding Attachments with Traumatized Children: Healing from Losses, Violence, Abuse, and Neglect is a therapeutic guide to helping troubled children move beyond the traumatic experiences that haunt them. Author Dr. Richard Kagan, Director of Psychological Services for Parsons Child and Family Center in Albany, New York, presents comprehensive information on how to understandand surmountthe impact of loss, neglect, separation, and violence on children's development, how to discover and foster strengths in children and their families, and how to rebuild connections and hope for children who are at risk of harm to themselves and others. This unique book is designed to be used in tandem with Real Life Heroes: A Life Storybook for Children (Haworth), an innovative workbook that helps children develop the self-esteem they need to overcome the worries and fears of their past through a creative arts approach that fosters positive values and a sense of pride. Rebuilding Attachments with Traumatized Children helps children move from negative or suppressed memories to a more positive perspective, not by denying hardships, but by drawing strength from the supportive people in their lives. Practitioners can use the book as a framework and detailed guide to assessment, engagement, development of service plans, and implementation of attachment and trauma therapy. The book is a comprehensive model for working to build the trust necessary before other trauma therapy approaches can be successfully initiated. Topics examined in Rebuilding Attachments with Traumatized Children include: attachment theory and research types of attachment problems PTSD behaviors permanency work with children in placement ADHD, bipolar, and RAD cognitive behavioral therapies storytelling therapies the myth of perfection neuropsychological patterns and much more! Rebuilding Attachments with Traumatized Children is a rich resource for practitioners, academics, parents, adoptive parents, foster parents, grandparents, and anyone working to show troubled children how to learn from the past, resolve problems in the present, and build a better future.

First published in 1986. Routledge is an imprint of Taylor & Francis, an informa company.

Emergency Action for Chemical and Biological Warfare Agents, Second Edition is intended for the first responder to the scene of the release of a chemical or biological warfare agent. Formatted similarly to the Department of Transportation's Emergency Response Guidebook and designed as a companion to the author's Handbook of Chemical and Biological Warfare Agents, this book is divided into concise chapters that focus on the first few hours after the incident. Each chapter, or class index, is designed to give responders vital information on a specific group of agents. This is done rather than focusing on detailed information for individual agents because the specific agent(s) may not be identified until well into the response, long after many critical decisions have been made. Adding more than 100 additional pages of material, the second edition contains a wider library of agent classes that covers more hazardous materials. It also includes updated appendices that cover dissemination, the effects of weather and terrain, isolation, protective shelters, and manual decontamination. The book also provides a chemical/biological terrorism emergency response checklist. Addressing the immediate needs of first responders as they arrive at the scene of a chemical or biological warfare agent release, this book serves as a guide that gives critical information for key initial reactions without having to read through long explanations. It is an essential quick reference for first responders facing the release of chemical or biological warfare agents.

Many hospital emergency departments are overcrowded and short-staffed, with a limited number of available hospital beds. It is increasingly hard for emergency departments and their staff to provide the necessary level of care for medical patients. Caring for people with psychiatric disabilities raises different issues and calls on different skills.
In Emergency Department Treatment of the Psychiatric Patient, Dr. Stefan uses research, surveys, and statutory and litigation materials to examine problems with emergency department care for clients with psychiatric disorders. She relies on interviews with emergency department nurses, doctors and psychiatrists, as well as surveys of people with psychiatric disabilities to present the perspectives of both the individuals seeking treatment, and those providing it.
This eye-opening book explores the structural pressures on emergency departments and identifies the burdens and conflicts that undermine their efforts to provide compassionate care to people in psychiatric crisis. In addition to presenting a new analysis of the source of these problems, Dr. Stefan also suggests an array of alternatives to emergency department treatment for people in psychiatric crisis. Moreover, the author proposes standards for treatment of these individuals when they do inevitably end up in a hospital emergency department.
Emergency Department Treatment of the Psychiatric Patient presents a thoughtful and thorough analysis of the difficulties faced by people with psychiatric disabilities when seeking emergency medical care. It is essential reading for anyone working in a hospital emergency department, as well as health care policy makers, and advocatesand lawyers for people with psychiatric disabilities.

This text uses cases to illustrate differential diagnoses of various infectious diseases. Unlike any other book on the market, this book is specifically designed for ease of use and can cater to a variety of medical professionals and their needs. The text features brief cases that allow for quick readability, an appendix particularly designed for cross-referencing cases with common symptoms, exposures, and putative diagnoses, bulleted conclusion points, and differential diagnoses tables. Each case is written by an expert in the field and includes a discussion that leads the reader through the logical process of deduction to narrow the diagnosis as well as the laboratory testing, physical examination findings, and elements of the patient's history and exposures utilized to make a diagnosis. Chapters conclude with a focused review on a specific topic related to diagnosis, treatment, or prognosis that the case illustrates, including references for further reading on the topics from the literature. The Infectious Disease Diagnosis is an outstanding resource for infectious disease specialists, internal medicine physicians, emergency room staff, primary care and general practice physicians, family practitioners, consultants in infectious disease, medical students, residents, fellows, and trainees who diagnose patients.

Trauma, trauma-related disorders, substance use, and addictive disorders often co-occur, and frequently play a role in the problems and issues that social workers contend with in their practice with individuals, families, and communities. Research shows that there is a relationship between trauma-related symptoms and problematic use of substances and other addictive behaviors. Individuals who experience these co-occurring problems have better outcomes when their issues are addressed with integrated treatment approaches. Trauma-informed care and trauma-specific treatment are therefore important components of effective social work interventions. This book examines various types of trauma, such as intergenerational trauma, adverse childhood events, childhood sexual abuse, and minority stress, amongst various populations and settings, including Native Americans, homeless youth, drug court participants, and LGB adolescents. It also explores the challenges in delivering trauma services in outpatient addiction treatment settings. Furthermore, it provides practical information on how to implement trauma-informed approaches in addiction treatment, and offers insights into the experience of a trauma survivor who is also recovering from a substance use disorder. This book was originally published as a special issue of the Journal of Social Work Practice in the Addictions.

In this volume leading academics explore the relationship between the experiences of terror and helplessness, the way in which survivors remember and the representation of these memories in the language and form of their life stories.

Every year, an estimated 1.7 million Americans sustain brain injury. Long-term disabilities impact nearly half of moderate brain injury survivors and nearly 50,000 of these cases result in death. Brain Neurotrauma: Molecular, Neuropsychological, and Rehabilitation Aspects provides a comprehensive and up-to-date account on the latest developments in the area of neurotrauma, including brain injury pathophysiology, biomarker research, experimental models of CNS injury, diagnostic methods, and neurotherapeutic interventions as well as neurorehabilitation strategies in the field of neurotraum research. The book includes several sections on neurotrauma mechanisms, biomarker discovery, neurocognitive/neurobehavioral deficits, and neurorehabilitation and treatment approaches. It also contains a section devoted to models of mild CNS injury, including blast and sport-related injuries. Over the last decade, the field of neurotrauma has witnessed significant advances, especially at the molecular, cellular, and behavioral levels. This progress is largely due to the introduction of novel techniques, as well as the development of new animal models of central nervous system (CNS) injury. This book, with its diverse coherent content, gives you insight into the diverse and heterogeneous aspects of CNS pathology and/or rehabilitation needs.

A new field of medicine has emerged as a result of the global proliferation of terrorism. Terror medicine is related to emergency and disaster medicine but focuses on the constellation of medical issues uniquely related to terrorist attacks. The field encompasses four broad areas: preparedness, incident management, mechanisms of injuries and responses, and psychological consequences. In Essentials of Terror Medicine, these core concerns are addressed by a distinguished international authorship brought together by the three editors of this volume, who themselves are recognized experts in relevant disciplines: Shmuel Shapira, epidemiology and hospital administration; Jeffrey Hammond, trauma surgery and emergency response; Leonard Cole, bioterrorism and public policy. Essentials of Terror Medicine provides insightful and practical information for physicians, nurses, emergency responders, and other health professionals who may be called to service during or after a terror incident. It is indispensable reading for the medical community of the 21st century, in which diligence, continued education, and careful preparation for a variety of possible events are a preeminent responsibility.