The healthcare landscape in the United States is evolving rapidly but has largely ignored EMS, until recently. As the country focuses on cost containment and more appropriate methods to deliver services as a result of healthcare reform, EMS will need to undergo dramatic change to fill a new role in the healthcare system. The current traditional delivery method for EMS is financially unsustainable and will soon not be a viable option for care. EMS has a choice to make-adapt to the new environment or be left behind. A viable alternative to the current structure of EMS is Mobile Integrated Healthcare (MIH)-community-based health management that is fully integrated with the overall health system. Various programs like this have appeared across the United States, but a definitive resource that describes how to successfully implement such a program has not been available. Mobile Integrated Healthcare: Approach to Implementation fills this void by serving as a reference not only to the EMS community, but also to other medical professionals working toward implementation of a successful MIH program. Mobile Integrated Healthcare: Approach to Implementation provides a step-by-step approach for the identification of community needs, forming the appropriate partnerships, selection of staff, acquiring resources, patient identification, and overcoming hurdles to a successful program. Examples from successful programs across the country are included. The author team of Mobile Integrated Healthcare: Approach to Implementation has developed and implemented a functioning, successful program. Their experiences with community partners and other healthcare specialists provide a broad-based view of the future of EMS in the healthcare industry. Mobile Integrated Healthcare: Approach to Implementation is written by leaders in the field of EMS who are committed to guiding the successful evolution of EMS. Their approach to integration should be considered by EMS management, hospital-based social workers, and community partners such as county health authorities, homeless coalitions, and psychiatric services. The type of care EMS providers give needs to evolve with the changing landscape of healthcare. This text describes how healthcare professionals and community partners can work together to facilitate that change and define a successful MIH program.

A cardiac technician takes you to the front lines of emergency medicine—from tragic car accidents to gunshot wounds—in this “fast-moving� memoir (Booklist). This book takes the reader to the front lines of medicine, from a serious automobile accident on a dark country road to a woman in cardiac arrest to a young man with near‑fatal gunshot wounds. For these patients and countless others, treatment cannot wait until they are wheeled into a distant emergency room. If lives are to be salvaged, care must begin with the life‑saving skills of Emergency Medical Technicians. “I could never work on a rescue squad,� is a statement the author has heard over and over throughout her years of squad service and readily admits it once described her own feelings. “If I can do it, so can you,� is her response to those whose fear and self‑doubt hold them back. “Anything is possible.� EMT: Beyond the Lights and Sirens is more than a personal account of Pat Ivey’s rescue squad experiences. It is a story of courage and hope and letting go of past losses. It is a book for anyone who has ever struggled to go beyond who they are. Step aboard the ambulance. Witness the tender moments amidst tragedy. Experience the joy and the anguish, and share the tears and laughter of volunteer rescue squad personnel who respond around the clock to the cries of others. In this heartwarming and compelling book, Pat Ivey takes the reader beyond the lights and sirens on a journey they will never forget.

This 2nd Edition contains a wealth of new material and 46 expanded chapters including Information on Minor Injuries and Illness, Lifesaving Surgery, Environmental Problems and Tactical Considerations Life is uncertain, people who are involved in survival situations, disasters and accidents are often unprepared both in knowledge and supplies. This book is intended to give you grounding in medical care and encourage you to prepare supplies suitable to your level of knowledge and likely situations you may encounter. It is hoped it will be useful to those who partake in extreme and wilderness sports and activities as well as those who are interested in survivalism and preparedness. Chris Breen is a Registered Nurse who served with the RAMC, a Paramedic and Clinical Tutor with additional qualifications in Trauma and Remote Medicine. He has had a long term interest in Survival medicine and is the Medical Advisor for a Preparedness group and runs courses in Survival Medicine. Craig Ellis is a Medical doctor who trained as a Specialist Emergency Physician. He has a special interest in austere medicine and medical practice during prolonged disasters. He has both worked and taught austere medical practice. The contents of this book are derived from a number of articles which have been published online and the syllabus of Wilderness and Survival Medicine Course they run. The aim of this work is to provide the lay person with the knowledge and skills to deal with a variety of medical conditions and traumatic injuries usually dealt with by Health Care Professionals. Equipment, medical supplies and initial first aid treatment is covered, if the injury or illness would benefit from more advanced measures then these are detailed as well as any skills needed to carry them out. We will also look at aftercare and the limitations of care without the benefit of a modern health service. Contents INTRODUCTION CHAPTER 1 EXAMINATION OF PATIENTS CHAPTER 2 ENVIRONMENTAL PROBLEMS CHAPTER 3 BITES AND STINGS CHAPTER 4 DEALING WITH PARASITES CHAPTER 5 FOOT CARE CHAPTER 6 FRACTURES CHAPTER 7 SPINAL TRAUMA AND IMMOBILISATION CHAPTER 8 DISLOCATIONS CHAPTER 9 WOUNDS AND BURNS CHAPTER 10 LOCAL ANAESTHETIC CHAPTER 11 HEAD, CHEST AND ABDOMINAL TRAUMA CHAPTER 12 MANAGING ROAD TRAFFIC COLLISIONS (RTCS) CHAPTER 13 MINOR INJURIES CHAPTER 14 ALLERGIC REACTION CHAPTER 15 RESPIRATORY & CARDIAC CHAPTER 16 ABDOMINAL ASSESSMENT & ILLNESSES CHAPTER 17 NEUROLOGICAL PROBLEMS CHAPTER 18 DIABETES CHAPTER 19 PRIMITIVE MEDICINE CHAPTER 20 THE SCIENCE AND ART OF WATER PURIFICATION CHAPTER 21 POISONING CHAPTER 22 SHOCK CHAPTER 23 EAR, NOSE AND THROAT (ENT) CHAPTER 24 EYE PROBLEMS CHAPTER 25 DERMATOLOGY CHAPTER 26 MINOR MEDICAL PROBLEMS CHAPTER 27 MEDICATION CHAPTER 28 VACCINES (IMMUNISATION) CHAPTER 29 ROUTES OF DRUG ADMINISTRATION CHAPTER 30 CLINICAL SKILLS CHAPTER 31 MEDICAL KITS & SUPPLIES CHAPTER 32 EMERGENCY DENTISTRY CHAPTER 33 SEXUALLY TRANSMITTED DISEASES (STD) CHAPTER 34 OBSTETRICS AND GYNAECOLOGY CHAPTER 35 PLANNING FOR FUTURE MEDICAL NEEDS CHAPTER 36 ESTABLISHING A MEDICAL CLINIC MILITARY MEDICINE SECTION CHAPTER 37 INFECTIOUS DISEASES, NUCLEAR BIOLOGICAL & NERVE AGENT WARFARE CHAPTER 38 GUNSHOT WOUNDS, EXPLOSIONS & TACTICAL CONSIDERATIONS CHAPTER 39 TRIAGE CHAPTER 40 NUTRITION CHAPTER 41 LEGAL ISSUES CHAPTER 42 PSYCHOLOGICAL PROBLEMS CHAPTER 43 SURGERY AND ANAESTHESIA WITH MINIMAL TRAINING CHAPTER 44 HOME LABORATORY CHAPTER 45 MEDICAL ASPECTS OF ISOLATED OR SHELTER LIVING APPENDIX 1 GCS APPENDIX 2 MEDICAL TERMINOLOGY APPENDIX 3 FURTHER READING INDEX

ACL Made Simple is a book/CD-ROM combination that educates orthopedic residents, athletic trainers, and various medical support staff about the fundamentals of ACL injuries. The content is both thorough and practical. Readers will benefit from comprehensive discussions of diagnosis, partial tears, treatment options, operative techniques, and complications. This definitive guide also outlines a six-month rehabilitation program complete with goals, stages, and exercises. More than 150 photographs and diagrams illuminate key concepts. A CD-ROM keyed to each chapter complements the text and makes it easy for users to locate sections of particular interest. The numerous graphics and narrated video clips are dynamic tools that highlight topics including the mechanism of injury, physical examination, and surgical techniques.

This is the 2014 update to the 2004 version.

Information in this edition reflects lessons learned from American involvement in Iraq and Afghanistan, and represents state-of-the-art principles and practices of forward trauma surgery. This publication is not a first aid manual and is intended for physicians, physician assistants, and advanced practice medics and corpsmen involved in providing emergency medical and trauma care near the battle space. This publication expertly addresses the appropriate medical management of blast wounds, burns, multiple penetrating injuries, as well as other battle and non-battle injuries.

Specific chapters cover the following topics: Weapons Effects and War Wounds-Treat the wound, not the weapon, explosive injuries, and ballistics injuries including 5.56mm and 7.62mm.Mass Casualty and Triage-Triage categories and decision making and emergency treatment area setup.Airway/Breathing-Initial airway management, ventilation, intubation, difficult airways, and surgical crichothyrotomy.Hemorrhage Control-Bleeding control, tourniquets, pressure points, dressings, bandages, hemostatic agents, and controlled hypotension.Shock, Resuscitation, and Vascular Access-Treatment of hypovolemic shock, vascular access, subclavian vein access, internal jugular venipuncture, saphenous vein cut downs, and intraosseous infusion.Anesthesia-Indications, rapid sequence intubation, indications and dosing recommendations for narcotics and muscle relaxants.Soft Tissue and Open Joint Injuries-Pre-surgical care, surgical wound management, and wound care.Infections-Diagnosis of a wound infection, common microorganisms causing battlefield infections, recommendations to prevent infections associated with combat related injuries, antimicrobial agent selection including preferred agents and alternate agents with appropriate administration and dosing guidelines.Critical Care-Shock resuscitation, fluid and electrolyte management, treatment of acute coronary syndrome, congestive heart failure, unstable angina, and other acute medical conditions.Damage Control Surgery-Pre-hospital and emergency resuscitation and critical care.Face and Neck Injuries-Immediate management of face and neck injuries and facial bone fractures.Ocular Injuries-Immediate treatment, treatment of chemical injuries, corneal abrasions, and foreign bodies.Thoracic Injuries-Tension pneumothorax, hemothorax, open pneumothorax (sucking chest wound), flail chest, chest tube placement, and emergency thoracotomy.Gynecologic Trauma and Emergencies-Emergency delivery and emergency Cesarean section and neonatal resuscitation.Extremity Fractures-Wound managementBurns-Point of injury care, primary survey, estimation of fluid resuscitation needs, burn resuscitation, burn and wound care.Environmental Injuries-Trench foot and frostbite, field and medical facility treatment, hypothermia treatment, heat injury and heat stroke, altitude illness and acute mountain sickness, high altitude pulmonary and cerebral edema, Radiological Injuries-Treatment of injuries and illnesses from conventional nuclear weapons and radiological dispersal devices (dirty bombs.)Biological Warfare Agents-Hemorrhagic fever, Hanta, Ebola, Lassa, Rift Valley, botulinum, ricin, anthrax, plague, cholera, and tularemia treatment.Chemical Injuries-Treatment of nerve agents, vesicants, and choking agents.Pediatric Care-Fluid, caloric, and protein requirements for children, normal vital signs, pediatric resuscitation equipment and supplies, commonly used drugs and dosages, surgical managementBattlefield TransfusionsEmergency Whole Blood CollectionProduct Manufacturers

Details the First Aid procedures for the three degrees of burns, Superficial of 1st degree, Partial Thickness or 2nd degree, Full thickness or 3rd degree, that may affect a burns accident victim. Also discusses Skin grafting methods, Scar alleviation, Managing pain from burns, Psychological effects of scarring and pain. This book is the result of research carried out by the author after he recovered from a serious burns accident involving 60% of his total body surface area, with about half of that being full thickness burn.

Is a real ER anything like what we see on TV? Dr. Donovan Gray answers that question in Dude, Where's My Stethoscope? - a laugh-out-loud funny, heartbreaking and sometimes poignant collection of true-to-life medical short stories. We follow Dr. Gray through medical school and two decades of unforgettable ER and family practice. Humorously written in an engaging mash-up of formal prose and informal medical slang with a nod to pop culture and ancient mythology, Dude is a powerful book that captures the essence of what it is to be an emergency room doctor.

B. G. Jefferis, M.D., Ph.D. and J. L. Nichols originally published this volume in 1897. According to the original authors "KNOWLEDGE IS SAFETY," and their medical "knowledge" from before the days of disposable diapers will be of great interest to historians, researchers of women's issues and the general reader in light of modern medical, social and scientific advancements. These pages reflect attitudes towards women, common family planning practices, and scientific "truths" of the times, giving the reader a deeper understanding of day to day life and beliefs during the late 1800s. This volume covers procreation disorders such as impotence and sterility, health during pregnancy, pregnancy advice including dress and diet, confinement during delivery, newborns and their care, home lessons in nursing sick children, and treatment for the diseases of infants and children including home remedies. Many of these home treatments, advising a simple diet and exercise, make the reader smile at their ageless wisdom. Some advice will make the reader grin - "Pregnant mothers should avoid thinking of ugly people... Also avoid ungraceful position and awkward attitude, but cultivate grace and beauty in herself. Avoid difficulty with neighbors or other trouble." Charming period illustrations augment the text. Appendices include a "Dictionary of Medical Terms" and "Old Disease Names and Their Modern Definitions." Includes illustrations and an appendix.

Building a Trauma Kit by Gunner Morgan is the result of numerous requests from readers who read his successful book Trauma Care for the Worst Case Scenario. In Building a Trauma Kit Morgan goes over such factors as kit priorities, needs assessment, kit platform, components, medications, thoughts on wound suturing and more. This book is targeted for those interested in designing a high quality individualized kit. This is especially useful for preppers, concerned citizens, law enforcement officers, military personnel, correctional officers, detention officers, probation & parole officers, and others who want to know what to build a trauma kit for the worst case scenario. This book also covers components for a medical kit that covers emergency and non-emergency supplies. If you are not prepared for the Worst Case Scenario you are not prepared

"We as the American hospices are not sent to help the poor African hospices, but to deepen relationships with them, to assess needs and to discover how they function. We can share our knowledge with them, and they in turn can share their knowledge and insight with us." Hospice and Palliative Care is a new concept in Africa, and is established, funded and carried out in different ways than American hospices. The author's 3-pronged purpose in writing this book is to: 1) Approach hospice care from a missional point of view, 2) Share the importance of compassionate, faith-based end-of-life care, and 3) Understand and appreciate Zambia's challenges of hospice and palliative care.

Designed for EMS and medical professionals at all levels of training, Tactical Medicine Essentials, Second Edition provides the foundation needed to become a world-class tactical medical provider (TMP). Written by an experienced team of authors from diverse backgrounds, this text covers the essential curriculum of tactical medicine, including tactical patient assessment, expedient extrication and evacuation, and self-defense skills. The Second Edition thoroughly prepares medical professionals to safely accompany a SWAT unit into the tactical environment. Current, State-of-the-Art Medical Content for the Tactical Environment The rapidly changing tactical environment requires specialized rapid assessment techniques. The tactical patient assessment process is presented in a single, comprehensive chapter, ensuring that students understand how to rapidly apply this specialized process to the patient in the tactical environment. Each traumatic injury chapter further reinforces the tactical patient assessment process by highlighting the unique aspects of each traumatic injury. A new chapter about active assailant mass casualty incidents has been added. Law enforcement education topics for TMPs are compiled in a new appendix. Dynamic Features These features allow EMS and medical professionals to take the extra step toward becoming outstanding TMPs: * At the Scene Advice from experienced TMPs on how to excel during a mission * Safety Information on how to remain safe in the tactical environment, even under the threat of violence * Medical Gear Tips on the best equipment to pack and utilize in the tactical environment * Detailed Step-by-Step Skill Reviews A thorough discussion of how to perform lifesaving skills in the high-intensity tactical environment

What forms the perceptions of a nurse in the emergency room regarding a particular patient? In this book the memorable patients are not chosen by the "emergency" that brought them in for medical care, but for who they are, how they present themselves, and what they say. As you read each of the 202 cases presented, you will meet these diverse people face to face. You will learn who they are. Whether it is the young girl who thinks she is about to die, or the man who is actually dying, the things they do and say are what make a story to be told. You will meet the couple from the back hills who reminds everyone of the Hillbilly's show, and the elegant lady who strips to the waist and asks for the medicine that "stops my heart." Some of the people have a heartbreaking story, and others are comical- like the injured young boy volunteering to do the cutting of a stallion to make it a gelding. Some of the patients are brave, and others are scared like the man whose girlfriend fired a shotgun into his groin. You will fall in love with the sweet elderly lady who was embarrassed to have constipation, but proved she could make bold comments in the end. To quote Dr Ashley in the book endorsement after she studied each case for medical accuracy, she wrote: "Although concise, each story has a nice balance of medical accuracy and character that is easy to follow for those readers who have never worked in the medical field. Because the stories are told from a personal perspective rather than focusing on medical jargon, the reader sees the ER from a softer side where some important and often funny life lessons come to life. There is plenty of entertainment for everyone with each chapter containing excitement, comedy, and heart- warming scenarios; this book makes a great conversation piece for any household. Once the reader experiences one story there is a desire to read more and move on to the next case as there is always something new ahead."

Each year in the United States alone, over 125,000 children suffer serious burn injuries, and only a relative few are treated at specialized centers. Ratios are even more dismal in other regions of the world. These cases require immediate and complex care from a myriad of disciplines if survival and full functional recovery are to be achieved. This unprecedented book is therefore a vital resource as it describes the most advanced practices in use throughout the world in every type of burn wound category, providing clear descriptions of treatment methods from every discipline's perspective and from a variety of countries. It is the first book ever undertaken that is solely dedicated to providing a comprehensive roadmap to caregivers involved in treating and rehabilitating the child with a serious burn injury, from emergency room to resocialization. It is also the first planned approach to the future of pediatric burn care and education. The contributors to the volume were carefully selected for their expertise for this volume and are considered the top surgeons in the field. The editor, renowned surgeon and professor, Dr. Bradley Phillips, has devoted his career to the care of injured children. As an operating surgeon, active clinician, educator, lecturer and prolific author, Dr. Phillips' expertise is widely respected and recognized in the field. In this text, he has leveraged his Burn-Trauma-ICU background with selected colleagues from around the world in order to produce a work that encompasses the unique and cultural-specific aspects of caring for burned children. Pediatric Burns is an unprecedented edited volume that focuses on the spectrum of childhood burn injury. A collaborative work from authors around the world, this book describes the principles of management from Time Zero through Long-term Rehabilitation. Recognized experts have written individual chapters and the entire work addresses practical issues involved in caring for this unique patient population. This is a limited paperback edition.

This enlightening artifact was originally published by Prof. B.G. Jefferis, MD, PhD, and J.L. Nichols, AM, in 1897 as a home medical reference for common people. The intent of the authors was to promote general physical and mental health by dispelling the myths and mysteries of both the human body and the medical sciences. To that end, this text covers a wide scope of health-related topics, including home remedies, the care of the sick, bathing and personal hygiene, puberty and reproduction, women's health issues and increasing longevity. Two appendices comprise a glossary of medical terms and a section pairing antiquated disease names with their new, "modern" definitions. Quaint period illustrations accompany much of the text. Like its companion volume, Safe Counsel: A Complete Guide to Pregnancy, Childbirth and Childcare in the Late 19th Century (also published by Heritage Books, Inc.), this book is notable not so much as a reference work but as a reflection of the attitudes of our ancestors and of the times in which they lived. Some readers are sure to chuckle at some of the more peculiar scientific facts or advise offered by the authors, such as cautioning nurses to never wear dark clothing ("studies" had shown that dark cloth was more likely to absorb the "subtle effluvia that emanates from sick persons") or demanding sexual temperance (never just before or after meals and never under the influence of alcohol, to avoid "idiotic" offspring). However, it is the ageless wisdom of simple diet and abundant exercise that is most often suggested by the authors as a formula for well-being. Includes illustrations and an appendix.

Working in the field of emergency medicine brings with it not only physical and mental challenges but also introduces you to some of the most strange, bizarre and unbelievable medical cases that can only be told by first hand account. Some of the cases are very graphic in detail and can be disturbing to some readers. All names, patient information and locations have been changed to protect their identity and dignity.

The female doctors in the Parkview Hospital emergency department decide that they will no longer allow gang members who assault healthcare workers in their community to escape justice. The neighborhood of Parkview is being terrorized by the Plagues, a gang of violent criminals and drug dealers, and the local police department is taking pay-offs to ignore their activity. After one of the ED doctors, Elita Romanov, is kidnapped and raped, she and her best friend, Dr. Kate Taylor, resolve to take definitive action against the Plagues, whatever the consequences. They systematically recruit co-wokers, friends and family members who are willing to break the law in order to restore the rule of law in Parkview. THE FIRST TO SAY NO is Kate's journey to achieve peace with her past and to eliminate those who threaten her future and the future of her neighborhood. Set in contemporary America, this novel illustrates many of the failings of today's healthcare system as Kate and Elita's startling solution unfolds in Parkview.

This book for emergency physicians and fellows training in emergency medicine provides evidence-based information on what diagnostic tests to ask for and when and how to use particular decision rules. The new edition builds on the success of the current book by modifying the presentation of the evidence, increasing the coverage, and updating the current information throughout.

Would you like to know about the noble men who risked everything to make Texas the oil capital of America? Well find another book, because this one's about gambling, pimps, prostitutes, crooked officials, hard drinking, liquor fueled brawling and the roughnecks at the center of it all...real life in Texas oil boomtowns. In 1901, George Parker Stoker was twenty-three and a newly hatched MD seeking his fortune. He stepped off the train at Beaumont into a world of mud and mayhem. Within a day he was at the Spindletop field and had inherited the only medical practice in town from an old doc who wanted to "go on a drunk" for a few months. Stoker spent the next few years patching up the inmates of this oil patch asylum. He worked at Spindletop, Batson Prairie and Saratoga. This was no tea-sipping engagement. The work was as hard as the men, who risked death in ways that Edgar Allen Poe couldn't have dreamed up. But boy were they paid All that idle cash made saloons pop up like toadstools, tacked together from pine planks. Roofs leaked and there were no doors...because they never closed. The "Kid Doctor," as Stoker was called because of his youthful appearance, saw it all. He treated them all too, giving each the best care he could in that carnival of contusion and contagion.