Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system. Table of Contents Front Matter Abstract Summary Part I: Introduction, Overview, and Framework 1 Introduction 2 Overview of Contemporary Civilian and Military Trauma Systems 3 A Framework for a Learning Trauma Care System Part II: Assessment 4 Generating and Applying Knowledge to Improve Trauma Outcomes 5 Creating and Sustaining an Expert Trauma Care Workforce 6 Delivering Patient-Centered Trauma Care 7 Leveraging Leadership and Fostering a Culture of Learning Part III: Recommendations 8 A Vision for a National Trauma Care System Appendixes Appendix A: Case Studies Appendix B: Committee Collective Analysis of Case Studies Appendix C: MilitaryCivilian Exchange of Knowledge and Practices in Trauma Care Appendix D: Military and Civilian Trauma Care in the Context of a Continuously Learning Health System Appendix E: Public Committee Meeting Agendas Appendix F: Committee Biosketches

This issue of Emergency Medicine Clinics focuses on Geriatric Emergencies. Articles include: Recent Trends in Geriatric Emergency Medicine, Resuscitation of the Elderly, Pharmacology in the Geriatric Patient, Trauma and Falls in the Elderly, Sepsis and Infectious Emergencies in the Elderly, Evaluation of the Geriatric Patient with Chest Pain, Evaluation of Dyspnea in the Elderly, Abdominal Pain in the Geriatric Patient, Neurologic Emergencies in the Elderly, Evaluation of Syncope, Altered Mental Status and Delirium, and more!

This third edition of the Handbook of Poisonous and Injurious Plants is designed to assist the clinician in the initial response to the needs of a child or adult exposed to a poisonous or injurious plant. It highlights common and important plants that lead to the adverse effects upon exposure, and it describes the mechanisms of action of the implicated toxin, clinical manifestations, and specific therapeutics, as available, for each. This truly comprehensive resource is botanically rigorous with insights from both the pharmacognosy and medical literature. At the same time, it is also for those who are interested in growing and enjoying the plants in their environment, filling in a not-often-discussed botanical and horticultural niche that goes beyond their beautiful physical appearance. Plants contain many useful chemicals that humans have used for millennia as botanical curatives. This book will help the reader understand the fine balance between a medication and a poison, why plants contain these natural substances, and their impact on the human body. With its thorough references and full-color photos of hundreds of potentially toxic and injurious plants inside and outside the home, this book is useful for identifying and addressing concerns about cultivated species and those found in the wild. This book will be of interest to botanists, horticulturists, clinicians, and naturalists as well as hikers, gardeners, and all those who simply enjoy the wonders of nature and the great outdoors.

The eACLS Course Manual, Revised Third Edition has been developed to assist you, the ACLS provider or instructor, in reviewing the principles and concepts of managing a patient with a respiratory or cardiovascular system emergency. The information and activities in this study guide are intended to accommodate both those who are relatively new to ACLS and the experienced provider.

This workbook is designed to standardize anatomic nomenclature, as it relates to the head and neck, for both new and experienced sexual assault nurse examiners (SANEs) and sexual assault forensic examiners (SAFEs), first responders, medical residents and physicians, nursing students, and nurse practitioners, including nurse midwives, women's health nurse practitioners, pediatric nurse practitioners, and forensic nurse practitioners. Manual Nonfatal Strangulation Assessment for Health Care Providers and First Responders will teach beginning first responders, SANE/SAFE practitioners, medical residents and nursing students the language of evidence-based evaluative methods of care for the strangulation patients. It will present peer-reviewed strangulation case studies with a clear history, photographic representation and confirmation of anatomical landmarks and injuries, discussions about existing conditions and their influence, identification of injury, evidence-based collection techniques, and treatment based on current standards of practice. Offering this workbook to first responders and health care providers will help fulfill their need for basic, peer-reviewed information and will contribute to continuing competence in care for strangulation patients.

Sexual Assault Across the Life Span, Volume 1: Investigation, Diagnosis, and the Multidisciplinary Team is the first of a 3-volume set of sexual assault references. This first volume serves as a complete guide for multidisciplinary team members involved in the investigation of sexual assault. It includes comprehensive medical guides for the diagnosis and treatment of assaultive trauma; legal guides to investigation and prosecution; and guidelines for the role of first responders in cases of sexual assault, including EMS and law enforcement professionals. Supplemented by nearly 200 full-color photographs, this new title offers an excellent visual reference for professionals in the field, in addition to in-depth guidelines for diagnostic and investigative procedures in response to sexual assault. Readers in medicine, law enforcement, and social service will all benefit from its comprehensive focus on a variety of interdependent investigative disciplines, making this all-new, convenient reference an ideal resource for any and all professionals in sexual assault response.

Of the injuries inflicted on physically abused children, head injuries are, in many cases, among the most damaging and potentially lethal. First responders and medical practitioners encountering children with head injuries may need to take quick and decisive measures to ensure a child's safety and, in the case of child death investigation, will need to recognize a variety of head injuries in order to identify or to rule out abusive trauma. This third volume of a new and ongoing series on child abuse provides professionals in medicine and law enforcement with more than 600 full-color photos and accompanying case studies representing a variety of both abusive and unintentional head injuries in children, as well as photographic studies of conditions mimicking abusive head trauma. Compact and comprehensive, this new title is certain to be an invaluable resource for any professionals investigating head injuries in children.

Designed for learning success. Overcome your fears and build your confidence while you master the mathematic and pharmacology knowledge you need to pass your licensure exams and prepare for professional practice. The 5th Edition of this popular resource presents often complex information is an way that's easy to understand and easy to follow, emphasizing the relevance of the drug information to your work as a paramedic as well as the calculations required to safely administer the correct drug dosages. Access more online. Redeem the Plus Code inside new, printed texts to access a wealth of resources online at DavisPlus. You'll find your Davis Digital Version, your complete text online, study questions, and fifteen animated learning modules that show you how drugs work. "Good book." "This book is VERY helpful! I found that it breaks the math down and makes it very simple and easy to follow! I recommend this book to anyone going through Paramedic School!" - Kimberly Wright, review of a previous edition

In the investigation of child abuse, consistent investigative protocol and clear, thorough documentation of facts and findings are essential to ensuring justice for victims, both for those who survive and for those who do not. In order to achieve the best possible results in such cases, multidisciplinary investigative teams of first responders, law enforcement, and medical practitioners should be well prepared for the process of investigation and documentation as they work in tandem toward a just end for every case of abuse. This new pocket atlas, part of an ongoing series on child abuse, offers nearly 500 full-color photos detailing proper approaches to crime scene investigation, physical and postmortem examinations, and photodocumentation, as well as a section on radiology and common fractures in cases of child maltreatment. Readers in medicine, law enforcement, and any other readers involved with child abuse and death investigations will enjoy the benefit of a compact and accessible guide to investigation and documentation.

This new pocket atlas, part 5 of an ongoing series on child abuse, is designed specifically for professionals involved in the investigation of child death, both intentional and unintentional. Readers in law enforcement, medicine, and other readers professionally involved in child death investigation will find this convenient resource essential to their work in the field. Over 600 full-color crime scene photos, reenactments, and photos taken in postmortem examinations and corresponding case studies written by expert investigators illustrate a variety of abusive and accidental causes of death, including neglect, burning, drowning, natural causes, and shaken baby syndrome. This text is a vital tool for any and all members of the child fatality review team, who will benefit both from its comprehensive content and from its convenient and accessible design.

Sexual abuse of children is an especially delicate matter, and each reported case should be treated with exacting care. Accurate identification and appropriate response to symptoms of sexual maltreatment in children is essential to resilient, long-term recovery for survivors. Therefore, it is incumbent upon those professionals who care for and represent the interests of survivors to recognize cases of childhood sexual abuse and to respond expediently, in the best interest of the survivors. This new pocket atlas, the second addition to an ongoing series on child abuse, will support medical practitioners and other affiliated sexual assault response providers in identifying and interpreting the physical signs and symptoms of sexual abuse in children. With nearly 400 full-color exam photos and corresponding case studies, as well as detailed refreshers on anogenital anatomy, exam equipment, and typical findings, readers in medicine, law enforcement, and social service will all benefit from this compact photographic reference and guide.

Skin injuries are among the most common, and, certainly, the most visible, symptoms of physical abuse in children. In some cases, these injuries may leave lasting marks on the bodies of the abused3/4enduring tokens of the pain inflicted upon them. Because professionals working with children will, at times, encounter such injuries, it is vital they be able to recognize abusive burns, bruises, and other skin injuries in order to differentiate them from accidental injuries and to respond appropriately when encountered. This new pocket atlas, the first of an ongoing series on child maltreatment, includes 600 full-color photographs of skin injuries in children, with diagnostic case studies written by attending medical professionals. It is expertly designed by and for first responders, medical practitioners, and social service professionals who routinely work with children. Any readers who encounter, or may encounter, cases of child abuse in the course of their work will enjoy the benefit of a pocket-sized photographic reference to better inform and support the identification of abusive skin injuries in children.