This volume is published with a triple aim: to take a look back over the advances during the ten years of the Mediterranean Burns Club and mark its anniversary; to follow up and strengthen the successful twin ning of burns as a clinical, individual illness problem and fires as a societal, disaster management problem; and to look ahead at the per spectives of burn care and fire prevention in the fast-approaching new century. The occasion also marks the tenth annual presentation of the prestigious G. Whitaker International Burns Prize, to which the Mediterranean Burns Club acts as the scientific fulcrum. The award is now established as the most distinguished recognition in burns science worldwide, and it is gratifying that the contributions of many of the renowned recipients will be found in this book. This is a sequel to The Management of Mass Burn Casualties and Fire Disasters, which contained the Proceedings of the First International Conference on Burns and Fire Disasters. The book and the conference have fully justified the authors' initial concept that burn specialists, con stantly combatting burn disease and promoting rehabilitation of the victims, especially in mass casualty situations, had for too long remained separate from that other essential sector, the fire-fighting authorities and fire prevention systems, whose aim is also the protection of the individual and the promotion of safety. This long overdue synergism has now become reality, and the present volume strengthens this desirable trend.

This practical guide offers a comprehensive summary of the most important and most immediate therapeutic approaches in the assessment and treatment of burn injuries. Taking into account age-specific needs in pediatric, adult, and elderly burn patients, the book discusses key issues such as pre-hospital treatment, wound care and infection control, burn nursing, and critical care. In addition, burn reconstructive surgery and rehabilitation for burn victims are described. Written in a concise manner, Burn Care and Treatment provides guidelines for the optimal care in order to improve patient outcome, and thus will be a valuable reference for physicians, surgeons, residents, nurses, and other burn care providers.

This interdisciplinary account provides an integrated and practical guide to the management and treatment of burns. Experts from all the major disciplines involved in critical care have focused their attention on specific problems and areas of treatment involved in the care of burned patients. Although it is essentially a practical guide to the management of thermal injury, with explicit recommendations for courses of treatment, it also provides explanatory background information on the manifestations and clinical consequences of this common source of injury. Between them, the contributors encompass all the major facets of critical care of the burned patient: from initial assessment and monitoring, resuscitation, nutritional aspects, infection, anaesthesia and surgical management, right through to postoperative care and prognosis. The volume will be useful to specialists in critical care, intensive and emergency medicine, surgery and anaesthesia, and to all staff associated with intensive care and burns units.

This interdisciplinary account provides an integrated and practical guide to the management and treatment of burns. Experts from all the major disciplines involved in critical care have focused their attention on specific problems and areas of treatment involved in the care of burned patients. Although it is essentially a practical guide to the management of thermal injury, with explicit recommendations for courses of treatment, it also provides explanatory background information on the manifestations and clinical consequences of this common source of injury. Between them, the contributors encompass all the major facets of critical care of the burned patient: from initial assessment and monitoring, resuscitation, nutritional aspects, infection, anaesthesia and surgical management, right through to postoperative care and prognosis. The volume will be useful to specialists in critical care, intensive and emergency medicine, surgery and anaesthesia, and to all staff associated with intensive care and burns units.

Acute Pain Medicine is the first comprehensive, case-based text of its kind that explores the essential topics of acute pain medicine, including interventional, pharmacologic, and diagnostic considerations. Written and edited under the auspices of the American Academy of Pain Medicine by members of the Academy's Shared Interest Group for Acute Pain Medicine, the text includes an introduction to acute pain medicine and an easily referenced interventional section. Chapters focus on patients experiencing acute pain from either surgery or other medical conditions and include detailed information on the diagnosis and treatment of specific cases in acute pain medicine. The text is rounded out by the complete content of the thoroughly revised Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA II). Although the MARAA handbook gained its reputation as a useful resource for managing the pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance is useful for providing vital acute pain services in all settings. Acute Pain Medicine is an ideal, complete resource for physicians, fellows, and residents managing acute pain patients.

These eight volumes, which developed out of the international congress "Update and Future Trends in Fibrin Sealing in Surgical and Nonsurgical Fields" held in November 1992, present the state of the art in fibrin sealing. Initially, fibrin sealant played an important role in surgery. During the past few years, it has been increasingly applied nonsurgically and we can now say that it has become an integral component of medical treatment. The doubts which have been raised by nonusers about the efficacy of fibrin sealant are no longer valid. The correct indication and technique continue to be basic prerequisites for effective treatment. Even today - 20 years after fibrin sealant was first used - the three most prominent effects of fibrin sealant are still hemostasis, sealing of the wound, and support of wound healing. The problems posed by the transmission of viral infections have gained sub stantially in importance because of the potential transmission of AIDS via fi brin sealant. Fortunately, this is so unlikely today that it no longer represents a cause for concern, which does not mean, however, that research in this field can be discontinued.

Plum and Posner's Diagnosis and Treatment of Stupor and Coma, 5th edition, is a major update of the classic work on diagnosing the cause of coma, with the addition of completely new sections on treatment of comatose patients, by Dr. Jan Claassen, the Director of the Neuro-ICU at Columbia New York Presbyterian Hospital. The first chapter of the book provides an up-to-date review on the brain mechanisms that maintain a conscious state in humans, and how lesions that damage these mechanisms cause loss of consciousness or coma. The second chapter reviews the neurological examination of the comatose patient, which provides the basis for determining whether the patient is suffering from a structural brain injury causing the coma, or from a metabolic disorder of consciousness. The third and fourth chapters review the pathophysiology of structural lesions causing coma, and the specific disease states that result in coma. Chapter five is a comprehensive treatment of the many causes of metabolic coma. Chapter 6 review psychiatric causes of unresponsiveness and how to identify and treat them. Chapters 7 and 8 review the overall emergency treatment of comatose patients, followed by the treatment of specific causes of coma. Chapter 9 examines the long term outcomes of coma, including the minimally conscious state and the persistent vegetative state, and how they can be distinguished, and their implications for eventual useful recovery. Chapter 10 reviews the topic of brain death and the standards for examination of a patient that are required to make the determination of brain death. The final chapter 11 is by J.J. Fins, a medical ethicist who was invited by the other authors to write an essay on the ethics of diagnosis and treatment of patients who, by definition, have no way to approve of or communicate about their wishes. While providing detailed background for neurological and neurosurgical specialists, the practical nature of the material in this book has found its greatest use among Internists, Emergency Medicine, and Intensive Care specialists, who deal with comatose patients frequently, but who may not have had extensive neurological training.

Neurotrauma: A Comprehensive Textbook on Traumatic Brain Injury and Spinal Cord Injury aims to bring together the latest clinical practice and research in the filed of two forms of trauma to the central nervous system: namely traumatic brain injury (TBI) and spinal cord injury (SCI). Nationally, more 1.9 million Americans sustain a traumatic brain injury annually. In parallel, there are an estimate of 12,000 new cases of SCI in the United States annually. In addition, approximately 1.2 million people live with paralysis due to SCI. In recent years, dramatic advancements in the field have resulted in much improved outcomes for patients and higher standards of care. This volume details the latest research and clinical practice in the treatment of neurotrauma, in a comprehensive but easy-to-follow format. Neurotrauma is a valuable resource for any clinician involved in caring for TBI and SCI patients, clinical research professionals, researchers, medical and graduate students, and nurse specialists.

This book presents the principles of hand trauma and plastic reconstructive surgery in a clear and concise manner. Its aim is to instruct the reader on how to identify the priorities of treatment and, using the principles of therapy, select the appropriate treatment modalities. Part one presents the principles of burns and plastic surgery, followed by an explanation of the roles of the multidisciplinary team. Part two explores the role of the physiotherapist and includes the principles of hand therapy, assessment and treatment modalities.

Treatment rationales are referenced with the available evidence and aspects that lack evidence are highlighted, with the intention of stimulating further investigation. In order to clarify and reaffirm essential parts of the text, key point boxes are provided regularly throughout the book.

This issue of Critical Care Clinics focuses on Burn Resuscitation in the ICU. Articles include: The Physiologic Basis of Burn Shock and the Need for Aggressive Fluid Resuscitation; The Use of Colloid in Burn Resuscitation; Monitoring and Endpoints of Burn Resuscitation; Vitamin C in Burn Resuscitation; Pediatric Burn Resuscitation; Burn resuscitation in the Austere Environment; Failed Burn resuscitation; and more!

Delivering Emergency Medicine involves constant challenges to the emergency clinician, seen in the frequency of severely unwell patients, the wide breadth of conditions encountered, and the urgency required in diagnosis and treatment. Concise, and, critically, accessible, Algorithms for Emergency Medicine supports the key decision-making requirements of clinicians working in the Emergency Department. Designed to support rapid problem solving, this resource covers everything from common non-life-threatening emergencies such as headaches to life-threatening acute events such as major traumas. Each topic is divided into two; the left page provides essential knowledge, and on the right, an algorithm which guides the clinician in a step by step process in managing these conditions. Evidence based and up-to-date, this book follows the College of Emergency Medicine Curriculum, making it an invaluable resource for Emergency Nurse Practitioners, new doctors starting their placement in the Emergency Department, and trainee doctors working towards specialising in Emergency Medicine.

"The book should be required reading for every clinician, medical student, social worker, and therapist who cares for injured patients, and especially for those who care for burned patients. It also should be made widely available in bookstores for anyone who has empathy for the ill and infirm or curiosity about burns."--"Journal of the American Medical Association" Although medical advances have remarkably increased the survival rate of the severely burned, such patients still encounter physical and psychological pain and disability, disfigurement, and social rejection. "Rising from the Flames" examines the experience of the severely burned as survivors confront it, not just as a medical event but as a human ordeal involving social, cultural, psychological, and medical trauma. It discusses the causes of burns, the physiology of injury and healing, the forms of isolation burn patients endure, and the cultural meaning attached to burns and burned persons.

This issue of Hand Clinics will include the following articles: Management of Acute Adult Hand Burns; Management of Acute Pediatric Hand Burns; Electrical Injury; Frostbite Injury; The Biologic Principles of Scar and Contracture; Postburn Contractures of the Hand; Biology and Treatment of Upper Extremity Heterotopic Ossificatio; Postburn Contractures of the Elbow and Heterotopic Ossification; Reconstruction of the Adult and Pediatric Burned Hand; Microsurgical Reconstruction of the Burned Hand; The Use of Dermal Skin Substitutes for the Treatment of the Burned Hand; and many more exciting articles!

Editor Robert Sheridan and authors review the latest in Management of Burns. Articles will include Reflection: evolution of the field over 50 years, Acute burn procedures and operations, Special injuries and illnesses, Initial evaluation and fluid resuscitation, Critical care of burns, Biology and principles of scar management and burn reconstruction, Management of common post-burn deformities, Burn recovery-physical and emotional rehabilitation, Anesthesia and pain control for burns, Outpatient burn management, Measuring burn outcomes, Burn care in disasters and austere settings, On the horizon--research priorities for the next decade, and more!

This issue of Perioperative Nursing Clinics will include the following topics: History of Burn Care; Pathophysiology of Burns; Perioperative Considerations for the Burn Injured Patient; Surgical Procedures for the Burn Patient; Epicells; Reconstructive/Plastic Surgery; OR/PACU/ICU Hand Off; Pain; Infection Control; Surgical Care of Thermally Injured Patients on the Battlefield; Burn Pressure Ulcer Management in the Perioperative Burn Patient; Conducting Research in the Operating Room; High-Tech, High-Stress Environment for the Burn Nurse; Costs; and Personal Experiences of a Perioperative Burn Nurse in the Military.

Articles in this issue include: Brain Computer Interfaces; Computer Access; Environmental Control; Transportation Safety; Prosthetics; Control Interfaces; Telerehabilitation; Augmentative Communication; Future Clinical Implementation of Technology;Technology in Low Income Countries; Virtual Coach; Robotics; Handcycles; Wheelchair Basketball Quantification.

The effects of hand burn injuries can be critical to quality of life and crucial to long-term functional outcomes following burn injury. Since hands are at the front line of human contact, a high percentage of thermal injury involves the upper extremity and, in particular, the hand. Hand burns can vary in severity from shallow burns requiring local wound care and aggressive range of motion therapy to complex wounds requiring repair of joints, tendons, and other soft tissue. Historically, given the poor survival associated with severe burn injury, many patients with hand burns simply did not survive the acute phase of treatment. If patients survived the systemic insult of burn injury, often the hands were neglected relative to more extensive areas on the trunk. However, with the widespread use of early excision and grafting, as well as great advancements in critical care, survival following thermal injury has become the rule rather than the exception. Therefore, emphasis in burn care has shifted towards optimizing the functional and psychosocial outcomes of those that survive their injury. Accordingly, optimal management of hand burns has received increasing attention given the critical importance of hand recovery to long-term outcome. In this volume of Hand Clinics, experts in burn care present an overview of pediatric and adult hand burn management - including shallow burns, as well as complex injuries from deep thermal burns or electrical injury. In addition, chapters on pathphysiology of scar, burn hand rehabilitation and assessing outcomes of hand injury emphasize critical concepts in achieving optimal hand function after injury.

Wound management forms the bulk of the work in Accident and Emergency practice. Although most of these wounds will appear minor and the treatment straightforward for many injuries, the consequences of improper assessment or management can be very serious. Disabling injury may be overlooked, and life threatening infections can follow inappropriate treatment. Accident and Emergency staff must be prepared to begin initial assessment and treatment while surgical help arrives. This new edition of The Management of Wounds and Burns provides practical and authoritative information on all aspects of wound and burn care, taking the reader from initial assessment to the treatment of specific injuries. The care and legal aspects of life-threatening wounds are covered, together with anaesthesia, surgical techniques of wound care, wound infection, and injuries to the hand, face, neck, chest, and abdomen. Throughout , the authors present their guidelines concisely and lucidly, with detailed advice on anatomy, medication, and treatment techniques, providing an invaluable guide for junior doctors and nurses in A & E.

Reviews of the first edition: 'Any doctor, regardless of seniority or speciality, likely to be called on to treat a wound would do well to read this valuable book from cover to cover and to retain the wealth of practical information that it contains... the best insurance against patients suffering needless harm after sustaining a wound.' British Journal of Surgery (1993) 'There is good advice throughout the book... It is well suited to the target audience of junior doctors starting a job in A & E and to the nursing staff of an A & E department... Patients can only benefit.' British Journal of Hospital Medicine (1993) 'Each chapter has a clear and well structure layout... I think this book would provide a useful addition to any A & E library.' Accident and Emergency Nursing (1993) 'It covers just about every wound that one is likely to encounter... It will be of great help in the treatment room.' The Medical Journal of Australia (1993)

Burn injuries are recognised as a major health problem worldwide, causing morbidity and mortality in individuals of all ages. The Oxford Specialist Handbook of Burns is a concise, easy-to-navigate reference text that outlines the assessment, management, and rehabilitation of burns patients. With contributions from international experts, this handbook covers all aspects of burn-patient care, from first aid to reconstructive techniques and physiotherapy. This new, pocket-sized title is an invaluable resource for all those who come into contact with burns patients, from accident and emergency doctors to allied health professionals, as well as specialists and trainees in burns units. Filling an important niche in the market for an accessible quick-access guide for those first on the scene, The Oxford Specialist Handbook of Burns is a comprehensive and detailed new resource.

The Essential Burn Unit Handbook is a pocket-sized reference dedicated to the evaluation, diagnosis, care, and treatment of burn patients. It covers the spectrum of burn care, from initial assessment and treatment to long-term sequelae. This second edition includes an added chapter on the criteria for admissions to a burn unit as well as outpatient and follow-up care. It covers a wealth of topics that surgical residents, emergency medicine residents, and critical care fellows often encounter such as patient nutrition, the use of antibiotics, wound care, and some of the unique pathologic conditions seen in this distinct and often critically injured population. The book covers electrical burns, inhalation injury, chemical burns, and pediatric patient management. It also presents a full range of day-to-day management modalities along with sample orders and templates for patient presentation and the organization of notes. A quick-reference glossary includes many of the acronyms and abbreviations used in this setting as well as a list of useful equations and ranges. This book will help you provide better patient care while shortening your learning curve. It stands alone as the most convenient, practical, and informative guide available today for those working with burn patients.

In this book, the authors present current research in the study of burns. Burns are responsible for significant morbidity and mortality and are among the most devastating of all traumatic injuries, resulting in physical impairment, permanent disabilities, and emotional distress. Topics discussed in this compilation include the diagnosis, management and research of burns; the current and future directions of burn resuscitation and wound management; a manual therapy approach, known as Mulligan's mobilisations with movement, and its use for treatment and management of hand burn injuries; the epidemiological characteristics of burn injuries; and finally, the authors discuss hospital experiences of patients with paediatric burns.

Emerging as a new sub-specialization within the hospitalist community, the neurosurgery hospitalist provides preoperative risk stratification, advises on managing pre- and postoperative complications, and helps doctors make decisions about when to involve specialists other than neurosurgeons. This collaborative approach to the neurosurgery patient has been shown to offer effective care since hospitalists can be better attuned than specialists to multiple medical problems that most patients have. Medical Management of Neurosurgical Patients is a first of its kind textbook providing a standardized source of information for neurosurgery hospitalists in order to establish a common ground and improve their knowledge and training. The work will focus on management of CNS infections, management of bleeding in the context of CNS surgery (a potentially catastrophic complication), management of sodium and blood glucose levels including steroid-induced hyperglycemia, perioperative pain control, and management of pressure injuries and rehabilitation in the context of CNS injury.

The author emphasizes the fundamental surgical, medical and related procedures involved in each stage of burn care, thus enabling the reader to focus on the essentials, and ensure the best outcome for patients. Chapters range from burn physiology, initial care and resuscitation, to wound evaluation and surgical management, respiratory and critical care, rehabilitation, reconstruction and aftercare. The book's concise visual approach will appeal to all professionals caring for burn patients in acute or recovery phases. It is of special value to those surgeons, physicians, nurses and related professionals in burn and emergency units. The author's experience is immense and varied at two of the finest burn care organizations -- the United States Army's Institute of Surgical Research and the Harvard Program at the Massachusetts General Hospital and Boston Shriners Hospital for Children.

The burns patient, during the course of the resulting injury, undergoes a variety of physical and psychological changes. The multidisciplinary team needs an understanding of the pathophysiological effects of burns and the management required at each stage of recovery. This book discusses the pathophysiology and the classification of burns and emphasizes the importance of correct action in the first 48 hours. It looks at the special care required by the patient with an inhalation injury and examines the management of pain for burns patients. There is also a thorough analysis of wound care and early wound excision and grafting. The second half of this text looks at the physical and psychological needs of the patient. It discusses nutrition and rehabilitation and examines the special problems of reintegration. A full explanation of scar management and psychological aftercare is given with a special emphasis on post traumatic stress disorder. A concluding chapter discusses the care needs by staff in this specialized area and details the requirements of staff support on a burns unit.

Aimed at physical therapists and students of rehabilitation, this series exposes the reader to today's most challenging concepts in rehabilitation in a problem-solving format. The emphasis is on clinical decision making. The intent of the series is to promote a clear grasp of concepts in clinical practice through an analytical perspective that will complement the academic or workshop presentations in the field of rehabilitation therapy.