This classic text is much beloved by medical students and physicians-in-training throughout the English-speaking world, as its many editions indicate. It is chock full of the pearls of clinical wisdom that students and practitioners treasure, and many of these lessons apply to medicine in general. The book was well characterized by a reviewer of an earlier edition for The New England Journal of Medicine: 'If only one book about surgery could be made available to physicians from all specialties, it should probably be Silen's recent revision of Cope's Early Diagnosis of the Acute Abdomen. Since the book first appeared, it has remained the classic treatise on the initial approach to abdominal pain.' Because acute, severe abdominal pain is still a common problem whose misdiagnosis can result in quick death, each generation of beginning physicians is faced with the urgency of learning to make a diagnosis in this high-anxiety situation, and they appreciate the wise, humane, precisely detailed guidance offered by Cope and Silen. For the 22nd Edition, Dr. Silen has again updated the text in a respectful but significant way. He has added a chapter on the increasing disorder of diverticulitis, reexamines the use of analgesics, emphasizes the costs of over-testing, and updates all recommendations regarding trauma, radiologic studies, and therapeutic recommendations.

Keep pace with the latest advances in CT imaging of the heart with this cutting-edge Second Edition. With a special emphasis on the complementary nature of anatomic and functional cardiac data, Clinical Cardiac CT: Anatomy and Function -- now in a lavishly illustrated Second Edition -- ensures physicians develop the skills they need to interpret cardiac CT images with confidence. This volume begins with a brief introduction to the essentials of CT technique, normal cardiac anatomy, and anatomic anomalies. The expert authors then discuss the clinical application of cardiac CT for risk stratification, how to evaluate coronary artery disease, and the preoperative planning for and postoperative assessment of percutaneous cardiac procedures, including coronary stents and bypass grafts. Features: Entirely new chapters address evaluation of the thoracic aorta, congenital heart disease in the adult, triple rule-out CT angiography, and the latest innovations in cardiac CT 1,157 high-resolution CT images -- including over 500 images that are new to this edition -- demonstrate the full range of normal cardiac variations and pathologic findings An accompanying DVD contains 3-D displays of anatomic relationships and cine clips of more than 200 cases that demonstrate cardiac function and valve evaluation New information on frontier techniques, including myocardial perfusion and targeted contrast agents This highly visual reference is a must-have for anyone involved in performing or interpreting cardiac CT images. It is an essential resource for radiologists, cardiologists, or cardiothoracic surgeons, as well as for residents or fellows preparing for Boards or a cardiac imaging rotation.

Complications during airway management occur frequently when treating children. Although tracheal intubation is a routine procedure, there are no pediatric texts dedicated to this essential practice. The lack of specific resources and knowledge makes treating children with complex airways even more challenging. This landmark book is dedicated to the successful management of the complex pediatric airway. It explores and evaluates current research and covers novel topics such as airway ultrasonography and apneic oxygenation. It delineates the risks associated with intubating children, and their preventative measures. Aimed at clinicians involved in airway management in any form, this book covers the basics of airway management and how to perform a variety of essential techniques. Both occasional and exclusive pediatric clinicians will find this a valuable resource to support best practice. The book is supplemented by additional videos online, enhancing the demonstration of devices and techniques discussed in the text.

Background: Psychosocial care remains an extremely important part of the holistic approach to care, but one which has been underestimated in clinical practice and only superficially addressed in the ophthalmic literature to date. This aspect of care most often gets less attention by healthcare professionals due to the dominance of a technology-enhanced approach to caring practice. Clearly, the skills afforded by science and technology are important for healthcare professionals in practice, but it is also important for them to be aware of the impact of the transfer of such skills on patients from a humanistic perspective. The delivery of technology-enhanced care can often trigger innermost feelings and needs such as fear, anxiety, stress, loss of control, and a sense of alienation. This book seeks to address the imbalance often observed between nursing both as an art and science, and to emphasise the importance of raising the healthcare knowledge and understanding of the value of social psychology and its application to ophthalmic practice in addressing this imbalance. Main aims: (1) To discuss the psychosocial needs and care of patients with ocular disease and sight loss. (2) To discuss the importance and relevance of the psychosocial aspects of ophthalmic care with reference to psychosocial theory and its application. (3) To discuss the psychosocial role of the healthcare professional in facilitating emotional recovery and promoting quality of life in the care and management of patients with ocular disease and sight loss.

Ace the EM-CAQ and advance your PA career! Written entirely by physician assistants, for physician assistants, Emergency Medicine CAQ Review for Physician Assistants is your go-to study guide for the Physician Assistants EM-CAQ exam. Now this first-of-its kind review offers you a convenient resource to help you need to demonstrate your proficiency and expertise in emergency medicine! Consult just one reliable source for a complete review of what you need to know for the exam. Prepare with confidence! This study guide was written using the NCCPA emergency medicine content blueprint. Get focused, well-organized, and up-to-date guidance from EM-PAs who have passed the exam. Maximize your study time with 250 multiple-choice questions that mimic the exam, including rationales for correct and incorrect answers. Cover every area of your field in one easy-access guide: abdominal and GI; cardiovascular; dermatologic; endocrine, metabolic, and nutritional disorders; environmental; head, ear, eye, nose, and throat disorders; hematologic; immune system; musculoskeletal; nervous system; obstetrics and gynecology; psychobehavioral disorders; pulmonary; renal and urogenital; systemic infectious disorders; toxicology disorders; traumatic disorders; procedures and skills; and other topics. "The book is a treasure trove of clinical information, carefully formulated with a question-based format designed to optimally prepare [physician assistants] for their emergency medicine examinations." - Ron M. Walls, MD , Executive Vice President and Chief Operating Officer, Brigham and Women's Health Care, Neskey Family Professor of Emergency Medicine, Harvard Medical School, Boston, MA Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use

The U.S. medical countermeasures (MCMs) enterprise is interconnected, complex, and dynamic. It includes public and private entities that develop and manufacture new and existing MCMs, ensure procurement, storage, and distribution of MCMs, and administer, monitor, and evaluate MCMs. The interagency group known as the Public Health Emergency Medical Countermeasures Enterprise (PHEMCE) is the nation's sole coordinating body, responsible for ensuring end-to-end MCM preparedness and response. Ensuring an Effective Public Health Emergency Medical Countermeasures Enterprise provides recommendations from an expert committee for a re-envisioned PHEMCE. Four priority areas of improvement emerged from committee deliberations: (1) articulating PHEMCE's mission and role and explicating the principles guiding PHEMCE's operating principles and processes, (2) revising PHEMCE operations and processes, (3) collaborating more effectively with external public and private partners, and (4) navigating legal and policy issues. Table of Contents Front Matter Summary 1 Introduction 2 Delivering on PHEMCE's Mission 3 Ensuring That PHEMCE Decisions and Recommendations Are Defensible 4 Engaging Nonfederal and Private-Sector Partners and Stakeholders in PHEMCE's Mission 5 Legal and Policy Considerations Underlying PHEMCE Operations and Implementation Appendix A: Study Methods Appendix B: Committee and Staff Biosketches Appendix C: Disclosure of Unavoidable Conflicts of Interest

Hace mas de tres decadas, PHTLS: Soporte Vital de Trauma Prehospitalario transformo la evaluacion y manejo del trauma en el campo. A lo largo de los anos y alrededor del mundo, el curso de PHTLS ha mejorado la calidad de la atencion al paciente de trauma y ha salvado vidas. La novena edicion de este confiable y fidedigno recurso continua con la mision de PHTLS de promover la excelencia en el manejo de pacientes con trauma por parte de los proveedores involucrados en proporcionar la atencion prehospitalaria mediante la educacion global. Este legendario programa fue desarrollado por primera vez por la Asociacion Nacional de Tecnicos en Emergencias Medicas (National Association of Emergency Medical Technicians, NAEMT), a principios de la decada de los ochenta del siglo pasado con la cooperacion del Comite para el Trauma del Colegio Americano de Cirujanos (American College of Surgeons Commitee on Trauma, ACS-COT). Su contenido medico se revisa y actualiza en forma continua para reflejar lo ultimo y mas actualizado del conocimiento y la practica con base en la evidencia. El PHTLS promueve el pensamiento critico como fundamento para proporcionar una atencion de calidad. Basandose en la creencia de que los profesionales de los servicios de emergencias medicas toman las mejores decisiones en beneficio de sus pacientes cuando se les proporciona una base solida de conocimiento y principios clave para estimular sus habilidades de pensamiento critico. Desde 1996, la Atencion Tactica a Victimas en Combate (TCCC) ha mejorado el cuidado que se proporciona en los entornos prehospitalarios de combate. La TCCC es el element prehospitalario en el campo de batalla del Joint Trauma System, una organizacion del Departamento de Defensa que proyecta la atencion de trauma en combate hasta el punto de lesiones y seguimiento de cuidado continuo mientras lleva a la victima a casa para su recuperacion y rehabilitacion. Las guias de TCCC son revisadas y actualizadas constantemente por el Comite de Atencion Tactica a Victimas de Combate (CoTCCC), un grupo de voluntarios en medicina militar y especialistas en atencion de trauma. PHTLS: Soporte Vital de Trauma Prehospitalario, Novena Edicion Militar es el siguiente paso en la evolucion del programa lider mundial de educacion sobre trauma prehospitalario, una asociacion entre PHTLS y TCCC que se remonta a la cuarta edicion de este curso. Esta edicion continua la mision compartida de promover la excelencia en el tratamiento del trauma por parte de todos los proveedores y en todos los entornos. Ademas del contenido principal de PHTLS, presenta trece capitulos escritos por militares expertos en la atencion de trauma prehospitalario para profesionales en el entorno militar. Estos incluyen un capitulo dedicado a escenarios detallados disenados para perfeccionar las habilidades de pensamiento critico y para ayudar al personal medico de combate a aprender a pensar claramente bajo presion en combate. Un enfoque claro para evaluar al paciente de trauma En el campo, los segundos cuentan. PHTLS: Soporte Vital de Trauma Prehospitalario, edicion militar novena ensena y refuerza los principios para evaluar con rapidez al paciente con trauma usando un enfoque ordenado, tratando de inmediato los problemas que ponen en riesgo la vida conforme se van identificando y minimizando cualquier retraso para iniciar transporte a un destino adecuado.

The World Health Organization's recently published Global Report on Drowning found that drowning is the third leading cause of unintentional injury death worldwide-making the information presented in this new book an important part of the global effort to reduce this health risk. Written by leading researchers and academics from around the world, The Science of Beach Lifeguarding focuses on the scientific evidence that underpins what is taught to and practised by beach lifeguards. It is the first book to pull together all the different areas involved in beach lifeguarding and evaluate their evidence base. An accessible and informative reference underpinned by the best current research, the book's key themes cover the context of beach lifeguarding, the physical environment in which lifeguards work, medical aspects, practical lifeguarding techniques, physiological standards for lifeguards, safety education, and future developments in beach lifeguarding. The book presents groundbreaking work quantifying the scientific rationale behind a universally accepted fitness standard. It supplies an in-depth examination of the risks and hazards associated with the beach environment, including rip currents and cold water immersion. The book includes a state-of-the-art review of drowning and a comprehensive chapter on first aid. Detailing the recently announced 2015 European Resuscitation Council Guidelines, this book is a must-have for beach lifeguards, beach lifeguard managers, search and rescue personnel, paramedics, sports scientists, health and safety practitioners, and occupational health practitioners.

Jedes Kind kann von einem traumatischen Ereignis betroffen werden, sei es durch den ploetzlichen oder unerwarteten Tod eines Familienangehoerigen, durch einen schweren Verkehrsunfall oder durch das Erleben einer Naturkatastrophe.Viele Kinder wirken nach aussen hin unauffallig, doch qualen sie sich innerlich mit Phantasien, wie etwa, dass sie durch "schlimm sein" schuld am Ereignis sind. Pippa und Leo-Rix - ein traumatisiertes Madchen und sein Hilfstier, der Loewe Leo-Rix - bieten dem betroffenen Kind die Moeglichkeit sich auszudrucken und Fragen zu stellen. Durch die Identifikation mit den beiden Figuren und den Bezug zum eigenen Erlebnis, welcher in eine Sprechblase eingetragen oder gezeichnet werden kann, hat das Kind die Moeglichkeit - unterstutzt durch Angehoerige, Therapeuten oder Helfer - sein traumatisches Erlebnis prozesshaft zu verarbeiten. Die Geschichte ist eindrucksvoll mit Grafiken von Christiane Noestlinger illustriert.

A unique atlas of 350 extraordinary emergency medicine cases Author Douglas Brunette, MD has amassed an amazing collection of emergency medicine photographs from his thirty-five years' of service at Hennepin County Medical Center in Minnesota. From this collection, he has selected 350 cases for inclusion in this book. Each case begins with an image, or set of images, and then continues with concise, templated details of patient presentation, clinical features, differential diagnosis, emergency care, outcome, key learning points, and further reading. The images include HIPAA compliant patient photos, as well as medical procedures, and medical diagnostic imaging of all types, including electrocardiograms. *Cases are relayed in an interesting, sometimes humorous, but always respectful and educational manner*Cases range from "once in a lifetime" to what is commonly seen an emergency room

Over three decades ago, PHTLS: Prehospital Trauma Life Support transformed the assessment and management of trauma patients in the field. Throughout the years and across the globe, the PHTLS course has improved the quality of trauma patient care and has saved lives. The ninth edition of this trusted and reliable resource continues the PHTLS mission to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care through global education. This legendary program was first developed by the National Association of Emergency Medical Technicians (NAEMT) in the early 1980s in cooperation with the American College of Surgeons Committee on Trauma (ACS-COT). Its medical content is continuously revised and updated to reflect current, evidence-based knowledge and practice. PHTLS promotes critical thinking as the foundation for providing quality care. It is based on the belief that EMS practitioners make the best decisions on behalf of their patients when given a solid foundation of knowledge and key principles to fuel their critical-thinking skills. A Clear Approach to Assessing a Trauma Patient In the field, seconds count. PHTLS: Prehospital Trauma Life Support, Ninth Edition teaches and reinforces the principles of rapidly assessing a trauma patient using an orderly approach, immediately treating life-threatening problems as they are identified, and minimizing any delays in initiating transport to an appropriate destination. The PHTLS Course Manual reinforces the content presented in the PHTLS course. This concise, accessible 10-lesson resource covers and expands upon the content presented in the lesson presentations. Dynamic Technology Solutions World-class content joins instructionally sound design with a user-friendly online interface to give instructors and students a truly interactive and engaging learning experience with: * eBook of the PHTLS Textbook, the encyclopedia of trauma which details the science behind the best practices of trauma assessment and management

The elderly represent the fastest growing segment of the population in developed countries, reflected in the patient population presenting to EDs and hospitals. These patients more often than not have greater co-morbidities, more complicated workups and utilize more laboratory and radiologic services. This text is designed to teach emergency physicians how best to care for this specific demographic of patients. It addresses physiologic changes, high-risk conditions, and atypical presentations associated with elderly patients in the ED that result in frequent misdiagnosis or delays in diagnosis. It instructs the readers how best to care for elderly patients in order to minimize morbidity and mortality, addressing some of the difficult psychosocial issues that confront health care providers that care for elderly patients, such as psychiatric disease and end-of-life care. The utility of this text is not limited to emergency physicians, but it should be useful to all health care providers involved in the treatment of elderly patients with acute medical or surgical conditions.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Put the authority of Tintinalli's into your emergency medicine review! A Doody's Core Title for 2015! Published in partnership with The American College of Emergency Physicians Derived from Tintinalli's Emergency Medicine: A Comprehensive Study Guide, Seventh Edition, this streamlined text is the perfect review for any emergency medicine exam -- or for use as a clinical refresher. Its concise, bulleted design condenses and simplifies must-know concepts and helps you make the most of your study time. This authoritative study guide includes radiographs, color images, line drawings, and ECGs, all designed to enhance your understanding of the material and help you meet the challenges of visual diagnosis in practice and exam situations. Features Updated to reflect the latest advances in diagnostic imaging NEW CHAPTERS on Hematologic-Oncologic Emergencies, Renal Emergencies in Children, Low Probability Coronary Syndromes, Urinary Retention, Food and Water-Borne Diseases, and World Travelers Increased coverage of toxicology and trauma More than 300 tables encapsulate important information More than 100 radiographs/color images and 90 line drawings/ECGs aid recognition of challenging and life-threatening disorders Provides a brief yet comprehensive review of the practice of emergency medicine for clinicians who wish to update their knowledge of the specialty

As societies become more complex and interconnected, the global risk for catastrophic disasters is increasing. Demand for expertise to mitigate the human suffering and damage these events cause is also high. A new field of disaster medicine is emerging, offering innovative approaches to optimize disaster management. Much of the information needed to create the foundation for this growing specialty is not objectively described or is scattered among multiple different sources. This definitive work brings together a coherent and comprehensive collection of scientific observations and evidence-based recommendations with expert contributors from around the globe. This book identifies essential subject matter, clarifies nomenclature, and outlines necessary areas of proficiency for healthcare professionals handling mass casualty crises. It also describes in-depth strategies for the rapid diagnosis and treatment of victims suffering from blast injuries or exposure to chemical, biological, and radiological agents.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. A highly focused and highly affordable review of the major concepts of Emergency MedicineUSMLE Road Map: Emergency Medicine offers an easy-to-follow outline format that simplifies and speeds the mastering of the essential concepts of Emergency Medicine. High-yield facts, learning, tips, and clear explanations integrated within the outline promote comprehension and recall; clinical correlations integrated within the outline link topics to their clinical applications.

This book provides a vividly illustrated description of a wide range of soft tissue injuries of the head and neck and their treatment, which forms part of the workload of both Plastic and Reconstructive Surgery and Cranio –Maxillofacial Surgery. Other medical and surgical disciplines are also involved, though to a lesser extent. It clarifies many topics, including the general principles of wound management, the treatment of various soft tissue injuries, burns, and wound healing disturbances.This book is intended for interns, residents and fellows of Plastic Surgery and Maxillofacial Surgery as well as surgeons and physicians of other disciplines dealing with soft tissue trauma of the head and neck. It may also prove useful to theatre and A & E nurses as well as medical students with interests in head and neck traumatology. 

It is well known that certain diseases and patient conditions are associated with increased perioperative risk. The aim of this book is to define and identify the clinical factors that warrant a broader and more detailed assessment of pre-operative surgical risk in difficult and unusual clinical settings. One of the sections is dedicated to the main pathway of peri- and post-surgical critical care based on the patient-specific deterioration risk and associated diseases; here, a panel of selected experts describes the correct patient-oriented pathways for complex or unscheduled surgical operations in order to reduce the operative risk. In addition, the book describes the latest trends in minimally invasive surgical techniques that are associated with peri- and post-operative risk reduction, and provides an overview of recent advances in surgical simulation, focusing on perspectives in surgical research to increase patient safety. Guidance is also provided on extracorporeal membrane oxygenation (ECMO), Left Ventricular Assist Devices (LVADs), and their management in patients requiring emergency surgery. The book will help surgical trainees recognize cases with the highest surgical risk and identify the most common complications at an early stage.

In vielen Bereichen der kommerziellen Technik, und ganz besonders in der Wehrtechnik, gewinnt die Infrarot-Sensorik an Bedeutung. Fur die Nachtsichttechnik kann man sich zwei verschiedene Prinzipien zunutze machen: 1. Bildverstarkergerate, die darauf beruhen, dass haufig nachts eine geringe Resthelligkeit vorhanden ist; 2. Warmebildgerate nutzen dagegen die von jedem Koerper naturgesetzlich im Infraroten ausgesendete Warmestrahlung, die ohne jegliche Beleuchtung auskommt. Dieses Buch ist fur alle geschrieben, die sich in das noch relativ junge Gebiet der Warmebildtechnik einarbeiten, wobei es sowohl fur Anwender von Warmebildgeraten als auch fur Naturwissenschaftler und Ingenieure, die sich uber diese Technik informieren oder selbst auf diesem Gebiet arbeiten wollen, von Nutzen ist. Es folgen technische Realisierungen, Konzepte und Konstruktionen von Geraten. Nutzen daran hat auch der Offizier an nachtsichtfahigen Waffensystemen. Es ist zur Zeit das einzige deutschsprachige Buch zum Thema Hoechstleistungs-Warmebildgerate.

In this issue of Emergency Medicine Clinics, guest editors Drs. Jeremy G. Berberian and Leen Albkaihed bring their considerable expertise to the topic of Cardiovascular Emergencies. Top experts in the field cover key topics such as approach to the pediatric ECG; ACS in women; the aging heart; cardiogenic syncope; the ischemic ECG; and more. Contains 14 relevant, practice-oriented topics including evaluation and management of pacemaker malfunction; medicolegal topics in emergency cardiology; tachydysrhythmias; ED evaluation and management of patients with LVAD; acute heart failure; cardiovascular pharmacology; and more. Provides in-depth clinical reviews on cardiovascular emergencies, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

In this issue of Magnetic Resonance Imaging Clinics, guest editors Drs. John Conklin and Michael Lev bring their considerable expertise to the topic of MR in the Emergency Room. Top experts in the field cover key topics such as penile and scrotal trauma, thoracic emergencies, biliary obstruction, GI/GU emergencies, abdominal and pelvic emergencies in the pregnant patient, pediatric emergencies, and more. Contains 14 relevant, practice-oriented topics including acute stroke; intracranial trauma, hemorrhage, and other non-stroke vascular emergencies; spinal emergencies; head and neck emergencies; musculoskeletal trauma and infection; and more. Provides in-depth clinical reviews on MR in the emergency room, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.