Long-term oxygen therapy (LTOT) usually represents the final step in the management of severe chronic respiratory diseases: a large proportion of patients suffering from these conditions is involved and the corresponding impact for the Health Institutions and the Society is dramatically increasing. Although LTOT is well known and widely used since long ago in most modern countries, it still represents a challenging topic due to the huge amount of variables which can affect both its efficacy and effectiveness. Unfortunately, patients, doctors, care-givers, together with health institutions and political decision makers frequently have different visions on LTOT, thus highly contributing to obtain uneven results and changing outcomes. The focus of this volume is on new insights and novel perspectives of LTOT. Starting from consolidated experiences, it's aim is also to emphasize the strategic value of developing technologies and innovative organizational models uniquely to find out even more opportunities and advantages for the management of chronic respiratory patients needing long-term oxygen treatment.

Emergency Medicine Review: Preparing for the Boards, by Richard Harrigan, Matthew Tripp, and Jacob Ufberg, uniquely combines a comprehensive, bulleted review of all required subjects with a thorough practice exam of board-style questions, giving you all the tools you need to be prepared and confident during the American Board of Emergency Medicine's qualifying exam and beyond! You can also access the online Q&A review at expertconsult.com. A comprehensive, bulleted review section allows you to efficiently brush up on every area tested on the exam. Board-style practice questions - in print and online - let you assess your mastery of all topics you need to know. Over 200 illustrations challenge you to correctly identify images, read ECGs, and interpret other visual elements crucial to successful completion of the exam. Answers and detailed explanations for every question enable you to fill any gaps in your knowledge. Content based on The Model of the Clinical Practice of Emergency Medicine, from which the boards and ConCert exams are also derived, lets you focus on the most essential information in the field. High yield board prep information to help the busy emergency physician's certification/recertification needs

"Explosion and Blast-Related Injuries" is an authoritative text that brings together diverse knowledge gained from both the experience of clinicians treating blast casualties and the insights of scientists obtained from research and modeling of blast exposures. By providing information on explosion and blast injury patterns, as well as the mechanism of blast-induced injuries, it is a useful reference for both physicians and researchers. With contributions by experts from around the globe, the book covers topics such as the epidemiology of blast and explosion injury, pathology and pathophysiology, and the modeling and mechanism of injury. Finally, this book might stimulate additional studies into ways to improve our current mass casualty response systems.
* Contains contributions from experts who had first hand experience dealing with explosion and blast injuries.
* Provides a diverse global experience derived from both military operations and terrorist attacks in civilian settings from the US, Europe and the Middle East.
* Covers such topics as epidemiology of blast and explosion injury, pathology and pathophysiology, modeling and mechanism of injury, and finally presents the global experiences of blast injury and mass casualty management.

The terrorist use of diseases as bioweapons has been one of the major security concerns in recent years, particularly after the anthrax letter attacks in the USA in 2001. This uncertain threat of intentional outbreaks of diseases exists side by side with the constantly changing very real threat from diseases, epidemics and pandemics as recently illustrated by the H1N1 influenza pandemic, SARS, and H5N1 bird influenza events. This publication contains case studies on the public health planning for (un)usual disease outbreaks for 11 large and small countries with a focus on South Eastern Europe. In many countries, military entities traditionally play an important role in emergency response to disease outbreaks. In smaller countries, very little exists, however, in terms of specific biopreparedness efforts (in both the military and civilian area), which is at least partly due to a relatively low bioterrorism threat perception, and serious resource constraints. The uncertainty associated with the bioterrorism threat makes public health preparedness planning for such events politically and financially very difficult. The similarity of responding to bioterrorism events and natural disease outbreaks from a public health point of view suggests the merit of looking at biopreparedness as a part of overall health emergency planning, not as a separate effort.

Current and concise, the updated and revised 2nd Edition of this pocket-sized reference reflects the substantial changes shaping the evaluation and treatment of many emergency conditions today. Its unique "signs and symptoms" approach offers the quickest possible way to diagnose critical conditions in an emergency situation. Organized around presenting symptoms, it can be used in real time to answer patient care questions. Diagnoses are listed in order of their severity in each chapter, with the symptoms, signs, suggested workup, and patient disposition given for each diagnosis. Uses a symptom-based approach for quick diagnosis. Features an outline format for real-time reference. Focuses on the 200 conditions most frequently encountered in the emergency room. Presents a useful tool for evaluating the likelihood that a specific symptom - or symptoms - denotes a particular disease, and allows the reader to initiate an appropriate treatment. Includes new chapters on emergency situations involving biological, chemical, and radiation terrorism * chapters devoted to the challenges presented by patients with AIDS and those with organ transplants * two chapters on environmental emergencies * one chapter examining heat illness, hypothermia, and submersion injury * and a chapter on envenomations. Features expanded "Treatment Considerations" sections.

Substantialfundamental workhas been undertaken inthe different aspects of impact biomechanics over the past three decades. Much of this has been motivated and undertaken bythe automotive industry intheirefforts to improve transport safety. More recently, however, it has become app- ent that themultidisciplinary synergies which are realisedby interactions between engineers, scientists and clinical practitioners will ultimately lead to a greater understanding of the complex interacting phenomena withinthe human bodyafter it has sustained an impact. In turn, this greater depth of knowledge will provide more fundamentalinsights into the analysis, d- gnosis, treatment and prevention ofimpact injuries across a broader sp- trum of accident environments. Thescienti?c focus of this IUTAM symposium istoaddress those t- ics that are centrally important to the biomechanics ofimpact. These can be groupedinto those that are concerned with the different causes of - cidents (e. g. , transport, occupational and sports injuries), themechanics - volvedinaccident analysis (e. g. , accident investigation, computational m- elling techniques), the different types of resulting traumatic injuries (incl- ing musculoskeletal, organ, spinal and head injuries), methods of asse- ing the extent of injury (e. g. , injury assessment, injury criteria, constitutive laws for human tissue), and providing protection during an impact (e. g. , injury prevention, energy absorption materials, and safety devices).

"Hospital Preparation for Bioterror" provides an extremely timely guide to improving the readiness of hospitals or healthcare organizations to manage mass casualties as a result of bioterrorism, biological warfare, and natural disasters. Contributions from leading law enforcement agencies, hospital administrators, clinical engineers, surgeons and terror-prevention professionals provide the most comprehensive, well-rounded source for this valuable information. Chapters on logistics and protecting the infrastructure help personnel distinguish the specific risks and vulnerabilities of each unique institution and assists in identifying specific solutions for disaster and bioterrorism preparedness.
-Principles and techniques discussed are applicable to all disasters, both large and small, not just bioterrorism
-Technical aspects such as hospital power and telecommunications are covered, in addition to patient care, response to mass casualties, large-scale drills, and surge capacity.
-Organized along functional lines, patient flow, medical specialty, and infrastructure
-A complimentary website with supplementary materials, check-lists, and references enhances the text and provides additional resources for preparedness.

This book addresses earthquakes, with a special focus on the Ghorka earthquake, which struck parts of central Nepal in April 2015. Drawing on this disastrous event, it closely examines various aspects of earthquakes in contributions prepared by international experts. The topics covered include: the geological and geophysical background of seismicity; a detailed inventory of the damage done by the earthquake; effective damage prevention through earthquake-safe buildings and settlements; restoration options for world-heritage buildings; strategies for providing technical and medical relief and, lastly, questions associated with public life and economy in a high-risk seismic zone. Combining perspectives from various fields, the book presents the state of the art in all earthquake-related fields and outlines future approaches to risk identification, damage prevention, and disaster management in all parts of society, administration, and politics in Nepal. Beyond the specific disaster in Nepal, the findings presented here will have broader implications for how societies can best deal with disasters.

This comprehensive account of the deadliest Ebola outbreak in history examines its devastating effects on West Africa's most vulnerable populations: pregnant women and children. Noted experts across disciplines assess health care systems' responses to the epidemic in Liberia, Guinea, and Sierra Leone, emphasizing key areas such as pregnancy, prenatal services, childbirth, neonatal care, and survivor health among pregnant and non-pregnant women. The 30 chapters hone in on gender-based social issues exacerbated during the outbreak, from violence against women and girls to barriers to female education. At the same time, chapters pinpoint numerous areas for service delivery and policy improvements for more coordinated, effective, and humane actions during future pandemics. A sampling of the topics: Ebola virus disease: perinatal transmission and epidemiology Comprehensive clinical care for children with Ebola virus disease Maternal and reproductive rights: Ebola and the law in Liberia Ebola-related complications for maternal, newborn, and child health service delivery and utilization in Guinea The Ebola epidemic halted female genital cutting in Sierra Leone-temporarily Maternity care for Ebola at Medecins Sans Frontieres centers Stigmatization of pregnant women with and without Ebola Exclusion of women and infants from Ebola treatment trials Role of midwives during the Ebola epidemic Pregnant in the Time of Ebola is a powerful resource for public health specialists, anthropologists, social scientists, physicians, epidemiologists, nurses, midwives, and governmental and non-governmental agency staff studying the effects of the epidemic on women and children as a result of the most widespread Ebola outbreak to date.

En Estados Unidos, cada ano, aproximadamente 1,6 millones de pacientes pediatricos se transportan en ambulancia al departamento de emergencias y se atiende a millones mas en todo el mundo. Dado que la atencion pediatrica prehospitalaria se considera una atencion de baja frecuencia y alta gravedad, es fundamental que los profesionales renueven y actualicen sus conocimientos clinicos, practiquen habilidades psicomotoras y apliquen pensamiento critico a los posibles casos de los pacientes para garantizar que puedan poner en practica estas habilidades cuando se reciba una llamada pediatrica. La cuarta edicion de Atencion pediatrica de emergencia es el siguiente paso en la evolucion de este curso critico de capacitacion continua. Este manual es un recurso interesante que se puede consultar despues del curso para ayudar a los profesionales a proporcionar la mejor atencion a sus pacientes jovenes. Un enfoque de la atencion pediatrica centrado en la familia El programa de Atencion pediatrica de emergencia de la Asociacion Nacional de Tecnicos en Emergencias Medicas (National Association of Emergency Medical Technicians, NAEMT) asiste a los pacientes pediatricos a traves de la educacion global de profesionales de la atencion prehospitalaria de todos los niveles. El programa de Atencion pediatrica de emergencia promueve la excelencia en el tratamiento de pacientes pediatricos por parte de todos los profesionales involucrados en la atencion prehospitalaria. El objetivo principal del curso de Atencion pediatrica de emergencia no es unicamente garantizar que los profesionales de servicios medicos de emergencia puedan atender mejor a los ninos enfermos y lesionados; tambien reconoce que casi todas las llamadas pediatricas giran en torno a las necesidades no solo del nino, sino tambien de sus cuidadores. Este manual del curso incluye capitulos sobre lo siguiente: * Desarrollo y evaluacion pediatrica * Emergencias respiratorias * Traumatismos * Shock y circulacion * Emergencias medicas pediatricas * Eventos cardiacos pediatricos * Urgencias toxicologicas * Maltrato infantil * Atencion obstetrica/de recien nacidos y anomalias congenitas * Menores con necesidades especiales de cuidado de la salud * Crisis de salud mental en pediatria

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.

This completely revised fourth edition of Principles of Pediatric and Neonatal Emergencies - a flagship publication of Indian Pediatrics - is now in colour. With its focus on the management of acute illnesses in emergency settings, especially in low- and middle-income settings, the book will be highly relevant to the needs of pediatricians working in developing countries. Most chapters have been completely rewritten, incorporating latest consensus guidelines of management by various academic bodies and incorporating flowcharts and key points. The emphasis continues to be on initial management of common and important emergencies affecting children. Detailed discussions on etiology and pathophysiology have been avoided. This textbook shall be extremely valuable for pediatricians, physicians, resident doctors and other trainees, and will be an essential part of shelf in all pediatric emergency units. Incorporates latest evidence-based diagnostic and therapeutic recommendations related to pediatric and neonatal emergencies. Comprehensively covers acute illnesses in children, with emphasis on their initial management. New chapters on oxygen therapy, anaphylaxis, blood component therapy, asthma, chronic respiratory disorders, cardiac arrhythmias, traumatic brain injuries, oncological emergencies, dermatological, gynecological and psychiatric emergencies, burns, corrosive poisonings, urological, orthopedic, and ocular emergencies and approach to sexually abused child. Special arrangement in 8 sections - starting with Organization of Pediatric Emergency Department, and progressing to initial Stabilization of a Sick Child, followed by Systemic Emergencies, Environmental, and Toxicological Threats, Neonatal Emergencies, Surgical and Subspecialty Emergencies, and Procedures. Contribution from over 170 authors with vast experience in emergencies and intensive care. Annexures on drug doses for emergency drugs, with emphasis on antiarrhythmic drugs. A must for every postgraduate student and practicing pediatriciains and an essential component in the shelf of all pediatric emergenct units.

Emergency Orthopedics is a practical, up-to-date, and comprehensive manual on the diagnosis and treatment of emergency injuries and disorders of the locomotor system. Its problem-based structure, with each chapter addressing a particular symptom, is designed to allow the reader to rapidly locate hands-on advice relevant to a wide range of circumstances. For each symptom, facts and findings that will assist in diagnosis are highlighted. Possible diagnoses are suggested according to the ICD-10 code, and the proposed treatment recommendations consider both short- and long-term aspects. In addition, important issues such as osteoporosis, joint injection techniques, and burn injuries are considered in separate chapters. The text is supported by exceptionally instructive illustrations, e.g., of examination techniques and reduction maneuvers. The book is written with a wisdom reflecting the author's extensive practical experience in emergency rooms as well as in sports medicine, research, and education. It will be a treasure trove of information for all who work in the emergency room and also very useful for general practitioners, physiotherapists, and chiropractors.

As a result of arms control efforts over the past 50 years, nuclear material is subject to strict national controls and tough international treaties. But there are still almost no controls, other than a voluntary International Atomic Energy Agency code of conduct, on the sorts of radiological sources used to make radiological dirty bombs. Radiological sources are used all over the world for a wide range of peaceful purposes, including smoke detectors, medical devices, meteorology, mining and thermoelectric generators. There are at least eight million identified radiological sources worldwide. Their small size, portability and high value make them vulnerable to misuse and theft: the IAEA reported 272 cases of illicit trafficking in sealed radioactive sources between 1993 and 2002.

The IAEA estimates that 110 countries worldwide still fail to impose adequate controls. The time is ripe for an international convention and treaty on the safety and security of radiological sources.

This book covers expert discussions designed to enhance cooperation and assistance between NATO and Partner countries in support of International Atomic Energy Agency (IAEA) efforts to secure radioactive sources against the threat of terrorism and also to support the security agenda at the International Radiation Protection Association Congress in Buenos Aires in 2008.

Drowning-the third leading cause of accidental death in the U.S.-can be prevented with proper education and intervention. The Science of Drowning: Perspectives on Intervention and Prevention offers a significant departure from how drowning is traditionally treated by combining discussions about medical, prevention, and intervention issues, including the latest statistics; prevention and intervention techniques; and water safety strategies. This book provides valuable information on the risks of drowning and how to avoid them for those employed in aquatic environments, risk managers, lawyers, public safety officers, and healthcare professionals.

AMLS: Advanced Medical Life Support e il principale corso per i soccorritori preospedalieri incentrato sulla valutazione medica avanzata e sul trattamento delle principali emergenze mediche. Insegnato in tutto il mondo fin dal 1999, AMLS e stato il primo programma educativo per soccorritori che ha affrontato nel suo insieme la gestione dei pazienti con problematiche internistiche. Ideato dalla National Association of Emergency Medical Technicians (NAEMT) e approvato dalla National Association of EMS Physicians (NAEMSP), AMLS enfatizza l'utilizzo del proprio Algoritmo AMLS per la Valutazione del Paziente. Questo strumento di valutazione essenziale, consente ai soccorritori preospedalieri di inquadrare rapidamente i pazienti con emergenze mediche e di indirizzarne una prima gestione efficace sulla scena. Questa terza edizione dell'AMLS comprende capitoli completamente nuovi su Farmacologia (capitolo 11), Sepsi (capitolo 12) e sulle Emergenze comportamentali (appendice C) AMLS e l'unico libro di testo approvato durante il corso Advanced Medical Life Support di NAEMT. I suoi contenuti medici vengono continuamente aggiornati e rivisitati per riflettere le conoscenze e le pratiche attuali, basate sull'evidenza scientifica. La filosofia AMLS e incentrata sull'uso del ragionamento critico per valutare i pazienti e formulare strategie di trattamento. Un approccio chiaro alla valutazione di un paziente medico Sulla scena ogni secondo conta! L'Algoritmo AMLS per la Valutazione del Paziente fornisce un approccio sistematico alla valutazione del paziente internistico che consente ai soccorritori preospedalieri di diagnosticare le problematiche con rapidita e accuratezza. Soluzioni tecnologiche dinamiche I contenuti avanzati si integrano ad un design didattico con un'interfaccia intuitiva per offrire a istruttori e studenti un'esperienza di apprendimento davvero interattiva e coinvolgente con: * Un eBook, il manuale del corso AMLS, che rafforza I concetti chiave presentati durante il corso AMLS

This vital new resource demonstrates the tools and techniques necessary to safely and successfully carry out a trench rescue operation. Chapters include assessment, hazard control, support operations, emergency care, disentanglement, removal and transfer, as well as a glossary of key terms.

Despite wide recognition as a serious public health problem, anaphylaxis and hypersensitivity reactions remain under-recognized and under-diagnosed. This book fills the gaps in our understanding of the identification of triggers, recognition of clinical presentations, understanding of the natural history of these reactions, and selection of treatment strategies including those focused on cellular and molecular targets. The book provides a detailed examination of disease etiology, pathogenesis, and pathophysiology and their correlation to clinical practice. Forefront knowledge of the mediators and mechanisms of anaphylaxis is covered with an emphasis on how new discoveries shape our current and emerging therapies.

Auf dem Feld zahlen die Sekunden. PHTLS: Prehospital Trauma Life Support, neunte Edition lehrt und bekraftigt die Prinzipien der raschen Beurteilung eines Traumapatienten unter Anwendung eines systematischen Vorgehens, der sofortigen Behandlung lebensbedrohlicher Probleme, sobald diese erkannt werden, und der Minimierung von Verzoegerungen bei der Einleitung des Transports zu einem geeigneten Zielkrankenhaus. Entwickelt von der NAEMT (National Association of Emergency Medical Technicians) in Zusammenarbeit mit dem American College of Surgeons Committee on Trauma (ACS-COT) spiegelt die neunte Edition von PHTS aktuelle, evidenzbasierte Erkenntnisse und Praktiken wider und foerdert kritisches Denken als Grundlage fur eine qualitativ hochwertige Versorgung. Dynamische Programmkomponenten Das PHTLS-Hauptlehrbuch, neunte Edition, ist die massgebliche Ressource fur die Traumabehandlung, die die medizinische Evidenz hinter den empfohlenen Prinzipien und Praktiken des PHTLS-Kurses detailliert beschreibt. Als nachster Schritt in der Entwicklung des PHTLS-Programms wird das Hauptlehrbuch von diesem neuen PHTLS-Kurshandbuch begleitet, das die Schlusselkonzepte des Kurses bekraftigt und verdeutlicht, ein ansprechendes, interaktives Design aufweist und so geschrieben ist, dass Sie das Gefuhl haben, an einem Gesprach teilzunehmen, anstatt einem Vortrag zuzuhoeren. Das Kurshandbuch enthalt die folgenden Hauptmerkmale: Progressive Fallstudien - UEberwachen Sie einen Patienten von Alarmierung uber die Untersuchung bis hin zum Management und Transport und legen Sie fest, wie Sie einen ahnlichen Fall vor Ort behandeln wurden. Fragen, die zum kritischen Denken einladen - Wenden Sie das im Kapitel vorgestellte Wissen an und starken Sie Ihre Fahigkeiten im Umgang mit Patienten. Weitere Informationen - Erweitern Sie Ihr Verstandnis von Vitalkonzepten und erforschen Sie die Erkenntnisse, die hinter den besten Praktiken zur Behandlung von Traumapatienten stehen. Lernfragen - Bereiten Sie sich auf den Erfolg beim Nachtest des Kurses vor, indem Sie die Hauptkonzepte des Kapitels durch praxisbezogene Fragen untermauern.

This issue of Emergency Medicine Clinics, guest edited by Drs. Gentry Wilkerson, Sal J. Suau, focuses on Allergy, Inflammatory, and Autoimmune Disorders in Emergency Medicine. This issue is one of four selected each year by series Consulting Editor, Dr. Amal Mattu. Topics include: Allergy/Anaphylaxis, Anaphylaxis: Treatment in the ED, Drug Allergies, Food Allergies, Allergic acute coronary syndrome - Kounis Syndrome; Hereditary and Acquired Angioedema, Immunotherapy, Sarcoidosis, Spondyloarthritides and Autoimmune Connective Tissue Diseases.