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.

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.

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.

Making the decision to help in an emergency situation is often a difficult choice. Be prepared for emergencies with the help of our CPR & Lifesaving QuickStudy (R) guide. Packed with quickly accessible information on different aspects of lifesaving, this go-to reference will help you respond effectively in an emergency until professional help arrives. Learn how to evaluate a scene, the steps in CPR and AED use, standard precautions, and other essential elements in the chain of survival. This durable, laminated guide also includes illustrations for easy understanding. Keep a copy in your home, with your camping gear, at your office, in your car, etc., so that you will always be prepared.

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.

For nearly 40 years, Medicine for the Outdoors: The Essential Guide to First Aid and Medical Emergencies has been the take-along manual of choice for anyone venturing into the mountains, forest, desert, or on water. This essential guide provides highly illustrated, easy-to-follow guidance on immediate stabilization and treatment of persons with virtually any possible medical problem-designed for on-the-spot use when higher-level medical care is not accessible. Written by experts in outdoor medicine, this updated edition helps you manage any situation until medical personnel can take over. Covers key information on a wide range of disorders related to specific environments, including natural disasters, high-altitude problems, water-related incidents, heat- and cold-related illnesses, and wildland fires. Provides easy-to-understand recommendations for dealing with animal attacks, venomous wildlife, wild plant and mushroom poisoning, minor and major medical problems, infectious diseases, water disinfection, and severe bleeding. Discusses key topics, including antibiotics, medicines, opioid overdose treatment, wound closure techniques, severe bleeding, spinal assessment and immobilization, tourniquets, the use of a Gamow bag for severe altitude illness, splinting, dental emergencies, disaster preparedness, global conflict guidelines, canine medicine, today's infectious disease threats, and much more. Includes up-to-date guidelines, even more helpful illustrations and diagrams, and a new chapter: Patient Assessment: A Structured Approach to Emergencies in the Outdoors. Includes advanced topics valuable to physicians and expedition medical staff at all levels of training and experience. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

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

A collection of challenging and unusual cases from the author's extensive experience as a Medical Toxicologist, these cases demonstrate medical problem solving and differential diagnosis in action from the perspective of an experienced clinician. Written in an engaging style and giving a fascinating account of some complex cases from real practice, this book will provide a good supplementary learning text for graduate students or those at an early stage in their professional career.

When someone has successfully completed a Standard First Aid Course, they often have a desire to extend their knowledge of first aid. The aim of this book is to give the holders of a Standard First Aid Certificate the opportunity to study the principles of first aid in greater detail. It is not intended to convert the first aider into a highly trained paramedic - so a discussion on the use of intra venous fluids, defibrillators etc., is beyond the scope of this book. It is hoped that the book will provide a useful in-depth study for demonstrators, instructors and first aiders likely to be involved in ambulance duties. I am very grateful to Brigadier D.O. O'Brien, Chief Medical Adviser, British Red Cross Society and Mrs. R.H. Smith, Assistant Branch Director (Training), Leicestershire Branch of the British Red Cross Society for their helpful comments and encouragement. I acknowledge the use of illustrations from the Clinical Symposia Series by CIBA on the "Heimlich Manoeuvre" to form the basis of Figures 3.7,3.8 and 3.9.

The prevalence of obesity, an important risk factor for various diseases, has increased markedly worldwide in recent years. The results of long-term dietary behavioural therapy, however, remain sadly inadequate, with a relapse rate of about 90%. Surgery is still the only effective treatment for these patients. The annual number of weight loss operations performed in the United States in the early 1990s totaled only about 16,000, but by 2005 the figure exceeded 200,000. The anesthetic care of severely obese patients entails particular issues, and difficulties are believed to escalate in the presence of co-morbidities. Despite this, outcome data in respect of anesthetic care and pain management are still scarce. Anesthetic Management of the Obese Patient considers a wide range of important practical issues and controversies. Key questions in preoperative, intraoperative, and postoperative management are carefully addressed, and different approaches are evaluated, casting light on their effectiveness and limitations. Written by world leaders in the field, this book will be an invaluable aid for anesthesiologists.

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.