What should a Navy SEAL do when faced with evidence that representatives of the U.S. Government are secretly buying old Soviet tactical nuclear weapoons for purposes other than disarmament? In this thriller, Andy Carlson responds by throwing a monkey wrench into the deal and by resigning from the Navy. Hoping to settle down on his family's Virginia farm and resume his career as an emergency physician, Andy instead finds himself and those he loves the targets of his own governement and a Russian arms dealer. Although a capable warrior and field surgeon, Andy is disallusioned with his country and unprepared for the female operative sent to ensnare him. He's a binge drinker, never comfortable around women when he's sober and scarred by personal losses. Andy's antebellum plantation is a major player in the action, with its network of limestone caves, family treasures, historical surprises, and natural defenses. Andy enlists three unlikely allies in his defense--a pregnant CIA agent, a male descendant of a former slave on the Carlson plantation who shares a common ancestor with Andy, and a teenage Saudi girl. Some of the secrets of the plantation have never been discused in polite company. Some have heretofore been unspeakable. There were good reasons why the Indians, the British, and the Yankees had lost on this same ground in previous battles. But the Carlsons knew who their enemies were in those fights. And tactical nuclear weapons had never been in Farmville before.

"Trauma" is Dr. Cole's harrowing account of a career fighting to save lives. But unlike the authors of other medical memoirs, Cole trained to be a surgeon in the military and served as a physician member of a Marine Corps reconnaissance unit, United States Special Operations Command, and on a Navy Reserve SEAL team. From treating war casualties in Afghanistan and Iraq to his experiences as a civilian trauma surgeon treating alcoholics, drug addicts, criminals, and the mentally deranged, "Trauma" is an intense look at one man's commitment to his country and to those most desperately in need of aid.

Published exclusively with "Mosby's Paramedic Textbook," this all-Canadian supplement covers key areas and discusses injury prevention, and medical-legal aspects. It includes a drug index, and Glossary.

CQI for EMS is not just another long winded, academic dissertation which drones on about abstract theories borrowed from quality control of industry, rather it is a quick and easy read specifically designed for the beleaguered, time and resource challenged EMS quality coordinator. CQI for EMS is ten chapters of tried and proven initiatives which you can literally read one day and put into effect at your agency the next.

Cross-sectional imaging plays an ever-increasing role in the management of the acutely ill patient. There is 24/7 demand for radiologists at all levels of training to interpret complex scans, and alongside this an increased expectation that the requesting physician should be able to recognise important cross-sectional anatomy and pathology in order to expedite patient management. Emergency Cross-sectional Radiology addresses both these expectations. Part I demystifies cross-sectional imaging techniques. Part II describes a wide range of emergency conditions in an easy-to-read bullet point format. High quality images reinforce the findings, making this an invaluable rapid reference in everyday clinical practice. Emergency Cross-sectional Radiology is a practical aide-memoire for emergency medicine physicians, surgeons, acute care physicians and radiologists in everyday reporting or emergency on-call environments.

The central concern of this book is with the "prediction problem" in biomedical research. In particular, the authors examine the use of animal models to predict human responses in drug and disease research. The arguments discussed are drawn from both biological and biomedical theory (with numerous examples and case studies drawn from evolutionary biology, complex systems theory, oncology, teratology, and AIDS research), and analyses of empirical evidence (concerning, for example, data on intra- and inter-species differences revealed by recent results from genome analyses of various species, human population studies, and statistical studies of the predictive utility of animal models). This book comes to the unique conclusion that while animals can be successfully used for many endeavors in science such as basic and comparative research, they cannot be used to predict drug and disease response in humans. The arguments presented are rooted in the history, philosophy, and methodology of biomedical research. This book will be of interest to anyone involved, directly or indirectly, in biomedical research (including physicians, veterinarians and scientists), and anyone interested in the history, philosophy and methodology of science. In contrast to books written by and for the animal rights movement and books written by and for the animal-based research industry, this book honestly examines all sides of the scientific arguments for using animals in science and concludes that each group in turn exaggerates the flaws or strengths of using animals. There are areas in science where animals can be viably used but there are also areas where they cannot be so used.

On any given day in the emergency department, the chance of confronting a medical-legal dilemma is significant. Emergency medicine and critical care practitioners may have to deal with malpractice claims, informed consent, protection of minors, resuscitation, operational issues and legal compliance requirements frequently. Substantial knowledge of the law as it pertains to their emergency care and acute care practice is essential. Legal Issues in Emergency Medicine is an invaluable resource for medical practitioners, legal practitioners and administrators in practice and in training. The book covers key topics that have direct relevance to day to day acute patient care practice. Each topic includes a clinical vignette, followed by a review of the legal controversy, current medical scientific evidence, case law and preventative solutions to the dilemma. This approach allows practitioner exposure to a wide variety of medical-legal problems, allowing a pre-emptive, informed approach to problem solving.

Modern medicine borrows heavily from plants in the never ending quest for improved remedies. Of all the prescription drugs sold in the United States, an American Indians, by necessity, developed a vast expertise in plant medicines. And early settlers from England and Western Europe brought to the New World their knowledge of medical treatment with plants. Herbal home remedies were handed down in those families over many generations. In Colonial days, no drugstores could be found on street corners and few, if any, trained doctors. People were forced to rely on homemade medicines. It goes without saying that the greatest pharmacy in the world is found in plants scattered throughout the countryside. When properly used, these plants have incredibly effective medicinal properties. Plants can and should be utilized when faced with an emergency medical situation or where survival may be in question. It doesn't take a genius to understand the one most important aspect of surviving. It's having access to drinkable water Without water a person can't live more than three days. The second most important thing is food Men have been known to live more than a month without food. But there's absolutely no need for any person to be deprived of something to eat. Nature is and always has been a good and reliable provider. Everyone should know how to properly use her. Learn to live off the land. It really isn't that difficult.

Save Your Life is an easy-to-read guide that tells how to recognize a medical emergency, when to call 9-1-1 and what to do, or not do, until help arrives. It covers life-threatening conditions such as heart attack, stroke, head injuries, burns, accidental poisoning and allergic reactions. The book includes helpful anecdotes that illustrate medical emergencies and an interactive journal for lists of important medical information and emergency contacts. It is ideal for readers of all ages and backgrounds.

This is the official, comprehensive and widely used United States Army "Emergency War Surgery" handbook. Addresses the appropriate medical management of both battle and nonbattle injuries. Written by by subspecialty experts, this latest revision (2004) has been much updated and enhanced from experiences gained in Iraq and Afghanistan. A collaborative effort of the Borden Institute and the Walter Reed Army Medical Center, this handbook is an essential tool for the management of forward combat trauma. Chapters include: Weapons Effects and Parachute Injuries; Levels of Medical Care; Triage; Aeromedical Evacuation; Airway/Breathing; Haemorrhage Control; Shock and Resuscitation; Vascular Access; Anesthesia; Infections; Critical Care; Damage Control Surgery; Face and Neck Injuries; Ocular Injuries; Head Injuries; Thoracic Injuries; Abdominal Injuries; Genitourinary Tract Injuries; Gynecologic Trauma and Emergencies; Wounds and Injuries of the Spinal Column and Cord; Pelvic Injuries; Soft-Tissue Injuries; Extremity Fractures; Open-Joint Injuries; Amputations; Injuries to the Hands and Feet; Vascular Injuries; Burns; Environmental Injuries; Radiological Injuries; Biological Warfare; Chemical Injuries; Pediatric Care; Care of Enemy Prisoners of War and Internee. 478 pages. Profusely illustrated throughout.

Ultrasound has revolutionized a physician's ability to make urgent and emergent diagnoses at the bedside, and has changed the management of many acute injuries and conditions. This is a practical, concise introduction to what is rapidly becoming an essential tool for all critical care physicians: bedside emergency ultrasound. The Manual covers the full spectrum of conditions diagnosed using ultrasound and gives practical guidance in how to use ultrasound for common invasive procedures. Major applications are introduced using focused diagnostic questions and reviewing the image-acquisition skills needed to answer them. Images of positive and negative findings are presented, and scanning tips for improving image quality. The second edition has been substantially revised and expanded, with new images, updated literature reviews, new applications and clinical algorithms. New chapters cover additional procedures, musculoskeletal and pediatric applications, and the use of ultrasound in resuscitation. This text is invaluable for emergency physicians at all levels.

This 304 page full-color textbook is essentially two volumes in one. The first 92 pages present the basic principles of 12 lead ECG interpretation. The remainder of the book focuses on the evaluation of Acute Coronary Syndrome (ACS) patients. 13 ECG patterns associated with ACS are presented, including the most subtle ECG changes most often missed by clinicians and the ECG machine 's automated interpretation software. The curriculum provides an in-depth, balanced approach to patient assessment, combining advanced ECG interpretation skills with patient history, risk factor and cardiac marker evaluation. Correlation of ECG leads with the coronary arterial distributions which commonly supply each region of the heart are reinforced by use of 24 case studies of ST Segment Elevation Myocaridal Infarction (STEMI), Non ST Segment Elevation Myocardial Infarction (NSTEMI), Unstable Angina, and Brugada Syndrome. STEMI Case Studies emphasize the ECG identification of the infarct related artery, and complications to be expected based on failure of cardiac structures commonly supplied by the obstructed arterial distribution. Case studies begin with patients' initial assessment data obtained in the emergency department and continue into the cardiac catheterization lab where coronary artery angiography illustrates the location of arterial obstruction. Key learning objectives for each type of Myocardial Infarction (MI) are highlighted. 453 full color images, 135 review questions, and 114 ECGs reinforce the learning process. Target audience is all medical professionals whom are already competent in single-lead rhythm strip evaluation, and desire to become proficient in the 12 lead ECG evaluation of Acute Coronary Syndrome patients. This book was written and reviewed by veteran cardiac cath lab interventionalists. View this book 's Table of Contents on the publisher 's website: www.TriGenPress.com

WRITTEN BY A PARAMEDIC FOR PARAMEDICS, THIS TEXT IS AN ALL INCLUSIVE LOOK INTO EVERY FACET OF CAPNOGRAPHY AS IT RELATES TO PREHOSPITAL PATIENT CARE.
Capnography texts have been written in the clinical settings of anesthesiology, critical care and ventilator management ad nauseum, but never for the paramedic....unti l now.
This book is the first of its kind written by a paramedic for paramedics to use in their everyday medicine. Capnography is arguably one of the most powerful tools in a paramedics' repertoire. From the basics to V/Q ratio assessment, hopefully this book will serve as the educational foundation for paramedics to realize the full capabilities of capnography as it relates to EMS.

A critical care and emergency flight nurse, Jennifer Culkin is no stranger to death and its dramas, and her memoir plunges the reader into both. Aboard the Agusta A109A helicopter, we see through her eyes as she is entrusted with the life of a teenager wrenched from the wreckage of a head-on collision. In the intensive-care nursery, we take each tenuous breath with an eleven-ounce preemie she struggles to ventilate. Tempering her profound insights about mortality with humor, Culkin explores the rich borderland that lies between person and profession as she cares for her dying mother, widowed father, and, eventually, as she adjusts to life with multiple sclerosis, herself.

Medical Spanish: A Guide for Emergency Medicine, is the most extensive Medical Spanish resource ever created for emergency medicine. At 684 pages, it is so complete that no one in emergency medicine will ever want to work without it again. History: Step-by-step phrases for taking a complete medical history. Don't know much Spanish? No problem. If you speak English, you can take a history from Spanish-speaking patients with this book. It is that complete and easy to use. Evaluation: Just as easy are the step-by-step phrases for performing a complete emergency-medicine evaluation. Do you want your patients to hold their breaths, perform specific tests, or just be quiet? No matter what your Spanish level, this book orients the evaluation to the way you think in English. Diagnosis: A virtual cookbook for instructing patients about numerous diagnostic issues. Want the diagnosis in technical terms? Want the diagnosis in lay terms? And want the diagnosis explained in the kind of Spanish, which your patients understand? Procedures: Need to explain the procedures you need to perform? Just pick your topic. Treatment and Explanations: A whole host of treatments and their explanations - from cardiac disorders and trauma to a whole host of acute and chronic diseases. Vocabulary: From soups to nuts - literally - all of the vocabulary needed to practice emergency medicine well is in this book. Uncommonly simple - and utilitarian. This book has it all.

Medical Case Studies For The Paramedic Contains 20 Case Studies Representing A Variety Of Medical Emergencies That The Paramedic May Encounter In The Field. Each Case Study Begins By Presenting Dispatch Information And A General Impression Of The Patient Upon Arriving At The Scene. Then, As The Case Progresses, Pertinent Patient Information Is Provided, Interspersed With A Series Of Standardized Questions Designed To Assess The Paramedic's Ability In Correlating Specific Signs And Symptoms With A Particular Medical Condition And Providing The Appropriate Treatment.

The psychiatric emergency room, a fast-paced combat zone with pressure to match, thrusts its medical providers into the outland of human experience where they must respond rapidly and decisively in spite of uncertainty and, very often, danger. In this lively first-person narrative, Paul R. Linde takes readers behind the scenes at an urban psychiatric emergency room, with all its chaos and pathos, where we witness mental health professionals doing their best to alleviate suffering and repair shattered lives. As he and his colleagues encounter patients who are hallucinating, drunk, catatonic, aggressive, suicidal, high on drugs, paranoid, and physically sick, Linde examines the many ethical, legal, moral, and medical issues that confront today's psychiatric providers. He describes a profession under siege from the outside - health insurance companies, the pharmaceutical industry, government regulators, and even 'patients' rights' advocates - and from the inside - biomedical and academic psychiatrists who have forgotten to care for the patient and have instead become checklist-marking pill-peddlers. While lifting the veil on a crucial area of psychiatry that is as real as it gets, "Danger to Self" also injects a healthy dose of compassion into the practice of medicine and psychiatry.

Forget everything you've learned of medical terminology! "Layman's Terms: The Humorous Guide to Medical Misinterpretation" introduces a whole new medical language as patients, family members, and even healthcare workers give their version of the "doctor talk." From "ammonia" (pneumonia) to "chex populations" (chest palpitations) Layman's Terms serves as your guide to hundreds of medical malapropisms, misspellings, and humorous quotations.

Highlights include:
- Almost 400 translations of misinterpreted medical terms
- Humorous definitions and clinical indicators
- Weird medical treatments
- Includes original "research"
- Perfectly sized for a lab-coat pocket
- Brings some humor to a boring shift or rotation
- More funny and less helpful than a medical dictionary

Perfect for both the healthcare student and veteran medical provider, "Layman's Terms" is your "subscription" (prescription) for a healthy dose of laughter.

This field manual (FM) provides doctrine, as well as techniques and procedures for conducting medical evacuation and medical regulating operations. Medical evacuation encompasses both the evacuation of Soldiers from the point of injury (POI) or wounding to a medical treatment facility (MTF) staffed and equippedto provide essential care in theater and further evacuation from the theater to provide definitive, rehabilitative, and convalescent care in the continental United States (CONUS) and the movement of patients between MTFs or to staging facilities. Medical evacuation entails the provision of en route medical care; supports the joint health service support (JHSS) system; and links the continuum of care. In addition, it discusses the difference between medical evacuation and casualty evacuation (CASEVAC), as well as coordination requirements forand the use of nonmedical transportation assets to accomplish the CASEVAC mission. This publication is intended for use by medical commanders and their staffs, command surgeons, and nonmedical commanders involved in medical evacuation operations.

For both political and practical reasons, healthcare reforms are more about doing-what-has-been-done-elsewhere rather than learning-by-doing. In this regard, developments in the German Social Health Insurance (SHI) system are of international importance not least because SHI is one of the primary models of financing healthcare both in the North and in the South. This research aims to complement the literature on SHI systems and healthcare reforms by evaluating post-reunification reforms in the German SHI system and how they have impacted the lot of the patient - the raison d'tre of healthcare systems. How have the reforms in German SHI since reunification affected the system? What does engagement in medical tourism by the German patient imply for the SHI system? What role does personal responsibility in the German SHI system play in terms of healthcare financing? The author, Percivil M. Carrera presents a comprehensive overview of the German SHI system and highlights the unique role of the patient in the general sense and particular to the German SHI system. Two conceptual models are presented upon which the bulk of the discussion is anchored. The book should prove valuable to health economists, health managers, health policy makers and decision-makers as well as the general public with keen interest on the German SHI system and contemporary issues faced by healthcare systems.

Prehospital Behavioral Emergencies and Crisis Response was designed to complement Jones & Bartlett Learning's Continuing Education series. This resource educates readers on the crisis and behavioral health issues of patients in the prehospital environment. Separated into three parts, coverage includes: the acute behavioral crisis, chronic mental health issues, and prehospital response. Prehospital Behavioral Emergencies and Crisis Response simplifies various types of diagnosed mental disorders such as mood, personality, eating, and sleeping, as well as schizophrenia and psychosis. This is a great resource for continuing education courses and is also appropriate for any basic, intermediate, or paramedic prehospital provider course.

The award-wining Birth Emergency Skills Training is the interface between the world of midwifery and the world of medicine. BEST is designed to improve the midwife's ability to act decisively in an emergency and to see it though until resolved or until mother and baby are under physician management. Topics covered include pain and bleeding in pregnancy, hypertension, preterm labor, malpresentations, undiagnosed twins, abnormal fetal heart rate, neonatal resuscitation, shock, trauma, syncope and cardiac arrest.Richly illustrated with drawings and photographs by the author.

Most clinical practices are not prepared for a disaster, and failure to prepare for a disaster can have devastating consequences on a medical practice, the physicians, and the patients. Disaster Planning for the Clinical Practice describes the types of disasters that can affect medical practices, suggests steps for disaster planning, and identifies the necessary procedures for restarting the practice after a disaster has occurred. Natural disasters are not the most common casue of practice failure - man-made disasters such as computer crashes, power outages, and loss of electronic data are more likely to impact a medical practice. This book offers suggestions on the preparation of a disaster plan that can be easily implemented into any health practice, and discusses how to overcome both natural and man-made disasters. Each chapter features true disaster case studies, questions doctors or office managers need to answer, and step-by-step recommendations for the implementation of the disaster plan, as well as dozens of templates and forms ready for immediate use. This is an essential resource for all practices large, small, rural, and academic. Includes a user-friendly CD ROM with forms, questionnaires, and charts!

A well-illustrated quick-reference guide to the complete management of emergent medical problems occurring in women. Formatted to lead the clinician from signs and symptoms to differential diagnosis. Includes a bulleted list of high-yield key facts at the start of each chapter and highlighted diagnostic and treatment guidelines.