About Emergency Pediatric Care, Fourth Edition Each year in the United States, approximately 1.6 million pediatric patients are transported by ambulance to an emergency department, and millions more are cared for around the globe. Because pediatric prehospital patient care is considered low-frequency, high-acuity care, it is vital for practitioners to refresh and update their clinical knowledge, practice psychomotor skills, and apply critical thinking to potential patient presentations to ensure these skills are ready to be applied when a pediatric call is received. Emergency Pediatric Care, Fourth Edition is the next step in the evolution of this critical continuing education course. The EPC Course uses a specialized version of the Pediatric Education for Prehospital Professionals, Fourth Edition as the reference text, bundled with a course manual. This course manual is an engaging resource that can continue to be consulted after the course to assist practitioners in providing the best care for their young patients. A Family-Centered Approach to Pediatric Care NAEMT's EPC program serves pediatric patients through the global education of prehospital care practitioners of all levels. The EPC program promotes excellence in pediatric patient management by all practitioners involved in the delivery of prehospital care. The main goal of the EPC course is not just to assure that EMS practitioners can take better care of ill and injured children. It also recognizes that almost every pediatric call revolves around the needs of not only the child, but also the child's caregivers. This course manual includes comprehensive coverage of these topics and more: * Pediatric development and assessment * Pediatric respiratory emergencies * Pediatric trauma care * Shock and circulation * Common pediatric medical emergencies * Cardiac events * Common toxicological emergencies * Maltreatment * Obstetric and newborn care * Children with special healthcare needs * Behavioral health

The fourth edition of this text constitutes a continuation of 20 years of coverage of traumatic brain injury, and broadens the discussion of acquired brain injury. Within TBI, the paradigm shift from an injury occurring at a point in time to a disease entity of a chronic nature is changing the discussion of diagnosis, management, treatment and outcome assessment. Disease specification that differentiates TBIs by the mechanism of injury, the exact nature of the injury, the extent of injury, presence of co-morbidities and their exact nature, gender, age, race, and genome are emerging as crucial. Disease differentiation has impacted diagnosis, treatment and outcome.

Inpatient units treat some of the most clinically challenging psychiatric patients. Clinicians must carefully balance patients' rights with safety concerns of violence and suicide. This updated manual is compact and practical, addressing the common questions and issues clinicians face in day-to-day practice. Chapters are organised around the diagnoses found on inpatient psychiatric units, allowing readers to find their area of interest quickly. A user-friendly question and answer format anticipates commonly asked questions, and tables provide easily accessible information, including diagnostic criteria and medication effects. Incorporating advances in the field over the past decade, chapters review new treatments including ketamine use and chronotherapy, as well as the most recent evidence-based approaches for patients with borderline personality disorder. Drawing on the authors' wealth of experience, their recommendations for best practice as well as treatment philosophies will be valuable for all healthcare professionals working in mental health.

This book contains three chapters about peritonitis, which is an inflammation of the membrane lining the abdominal wall and covering the abdominal organs. Chapter One presents classification of postoperative peritonitis, describes symptoms, reviews the current understanding of the phases and stages of development and features of the disease, and discusses the usefulness of different prognostic scales for assessment of complicated intra-abdominal infections. Chapter Two studies assisted peritoneal dialysis, wherein a nurse goes to the patient's home to perform the dialysis technique when the patient is unable to do it himself. Chapter Three discusses in detail different types of peritoneum infections, including their principles of diagnosis and treatment options.

An easily accessible guide to diagnosing and managing critical situations, Emergencies in Gastroenterology and Hepatology aids doctors in dealing with acutely sick patients quickly and effectively. The book provides practical advice on how to make difficult decisions in an emergency situation. Areas covered include life and death emergencies, as well as the broad problems faced by on-call Gastroenterologists and Hepatologists on a daily basis. The focus throughout is on immediate management, but the book also includes reference to long term follow up for certain problems. Each chapter has an associated algorithm, which summarises the contents of the chapter, providing an aide memoir for the reader and facilitating learning, as well as being a quick reference tool. Bullet-point information for speed and clarity combined with the integral cross-referencing system, further enables quick access to the necessary information.

Sudden cardiac arrest is the leading cause of death among adults, yet it need not be fatal. Though survival in most communities is very poor, a few communities achieve rates as high as 50%. Why are some communities so successful in snatching life from the jaws of death? "Resuscitate " describes the steps any EMS system can take to improve cardiac arrest survival. It is written for the medical directors, administrative directors, fire chiefs, dispatch directors, and program supervisor who direct and run EMS systems all across the country, and for the EMTs, paramedics, and dispatchers who provide frontline care.

This second edition of "Resuscitate " provides fifteen concrete steps to improve survival. Four steps will lead to rapid improvements at the local level and are relatively easy to implement. Six additional steps are more difficult to implement but also likely to improve survival. The remaining steps recommend changes at the national level.

"Resuscitate " is the official textbook for the Resuscitation Academy, held twice a year in Seattle. Cosponsored by Seattle Medic One, King County EMS, and the Medic One Foundation, the Academy draws attendees from throughout the world for two intensive days of classes, demonstrations, and workshops to acquire the knowledge and tools to improve survival in their own communities. This new edition includes lessons learned from attendees of the Academy as well as from the faculty's evolving thoughts on how to measure performance and improve survival, one community at a time. It also includes an addendum on the Resuscitation Academy (resuscitationacademy.org).

For more than thirty years, Mickey S. Eisenberg M.D., Ph.D., has played a leading role in developing King County, Washington's emergency response to cases of sudden cardiac arrest, a system recognized as among the very best in the nation. He is a professor of medicine at the University of Washington and serves as the medical director of King County Emergency Medical Services.

"If you care about sudden cardiac arrest in your community and how emergency medical services respond to this critical emergency, I can think of no more important book than this."-from the Foreword by Roger D. White, M.D., Mayo Clinic

"Eisenberg has done a remarkable job in articulating the steps to be taken for communities to improve survival from sudden cardiac arrest. "Resuscitate " is a 'best in class' and one of a kind guide that provides inspiration as well as direction in translating resuscitatioin science into practice. It is essential for all those who seek to establish strategies to improve survival and quality of life for cardiac arrest victims whose hearts are 'too young to die.'" -David B. Hiltz, EMT-P Resuscitation Academy Alumni

"This book was transformative to me and to the EMS system in Durham, North Carolina. I read it cover to cover and attended the Resuscitation Academy. Eisenberg and his colleagues gave me the knowledge, the tools, and the inspiration to improve resuscitation in Durham. Step by step we are getting better and more lives are being saved." -Captain David Jacobs, Durham County Fire Department

As surgical specialization becomes more focused, there is a growing lack of expertise amongst surgeons in life-preserving management of severely injured patients. This comprehensively updated second edition provides an in-depth, visual guide to both commonly and uncommonly performed trauma procedures. It includes over 900 high-quality color photographs and illustrations of step-by-step procedures on fresh, perfused and ventilated cadavers. Practical surgical anatomy, procedural sequencing, and common technical pitfalls are all clearly outlined. A number of new techniques have been introduced since the first edition, from REBOA (resuscitative endovascular balloon occlusion of the aortic), to ribplating for flail chest and skin grafting. Informed by the editors' experience in some of the busiest trauma centres in the world, the text has been updated throughout and includes additional photographs. This Atlas is an essential resource for trainee and operating trauma surgeons, and general surgeons distant from academic centres, as well as emergency medicine and critical care personnel.

'During open-chest resuscitations, I've held a non-beating, recently stilled human heart in my hands. And, should you ever get to hold one, you will find the human heart to be rubbery and shockingly light.' What Could Possibly Go Wrong? is a report from the front line of emergency medicine, the first ever account of what it is like to work as an air ambulance doctor. Whether describing cutting through a patient's breastbone to plug a stab wound or barrel rolling a light aircraft at 5,000 feet, Tony Bleetman captures the sheer adrenaline of racing through the sky to save lives. You will learn how to land a helicopter on the side of a mountain, what it means to encounter death every day, and how to perform a tracheotomy in real life (clue: it doesn't involve a ball-point pen). Funny, shocking and moving, What Could Possibly Go Wrong? is a glimpse at a world where the wrong decision can mean the difference between life and death. Originally published as You Can't Park There: The Highs and Lows of an Air Ambulance Doctor.

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 management of critically ill or injured children has become increasingly specialised; nevertheless, the first point of contact for many sick children remains their nearest hospital. Here, the initial management will usually involve emergency department doctors, anaesthetists and paediatricians. Managing the Critically Ill Child is written by anaesthetists and emergency department physicians who currently have a significant paediatric practice. It provides a straightforward guide for non-paediatricians encountering acutely unwell or injured children. This book helps readers apply their knowledge from adult practice to children, and avoid pitfalls where the approaches in paediatrics differ. Written in a practical, concise format, Managing the Critically Ill Child guides physicians beyond the initial emergency algorithms and is essential reading for physicians and trainees in emergency medicine, anaesthesia and intensive care who may be asked to look after a child.

Ultrasound technology is enabling anesthesiologists to perform regional anesthetic procedures with greater confidence in accuracy and precision. With improvements in visualizing neural anatomy and needle movement, ultrasound guidance improves patient safety and operating room efficiency. This book offers a detailed, stepwise approach to this technique, identifying pearls and pitfalls to ensure success. Topics are organized into four chapters. The first chapter provides the basic principles behind ultrasound guided regional anesthesia, setting a strong context for the rest of the book. The last three cover the nerve blocks: upper extremity, lower extremity, and chest, trunk and spine. Each nerve block is comprehensively explained, divided up by introduction, anatomy, clinical applications, technique, alternate techniques, complications, and pearls. This new edition includes discussions of 6 new blocks: the suprascapular block, axillary nerve block for shoulder surgery, fascia iliaca block, lateral femoral cutaneous block, and the adductor canal block. This edition also contains over 40 new procedural and imaging figures, an appendix on what blocks to perform for specific surgeries, and new information on choice of local anesthetic agent, types of catheters and practical ultrasound physics to help improve scanning. Ultrasound Guided Regional Anesthesia provides authoritative, in-depth coverage of ultrasound guided regional anesthesia for the anesthesiologist beginning to use ultrasound and makes a great reference for the more seasoned physician.

Emergency Procedures in Clinical Practice in Obstetrics and Gynecology is a concise, quick-reference resource for obstetricians and gynaecologists, written by Professor Sanja Kupesic from the Texas Tech University Health Sciences Centre. This book provides guidance on fifty of the most common procedural skills in emergency obstetrics and gynaecology. Learning objectives, indications, contraindications, universal precautions, complications, basic equipment and a step-by-step guide to preparation and technique are provided with every procedure. Techniques covered include core procedures in family medicine, internal medicine and obstetrics and gynaecology training. Multiple choice questions, with answers, are also provided to test understanding. Emergency Procedures in Clinical Practice in Obstetrics and Gynaecology includes full colour illustrations throughout, and an accompanying DVD-ROM demonstrates the procedures explained in the text, making this an excellent teaching tool and source of reference in every day practice. Key Points Guide to fifty of the most common emergency procedures in obstetrics and gynaecology Multiple choice questions to test understanding Full colour illustrations and accompanying DVD-ROM demonstrate procedures

Accurate analysis of blood gases is vital to give information on a patient's respiratory and circulation state as well as the adequacy of resuscitation. This book guides the reader, with the help of clarifying cartoons, through the basic principles and a new and easy to grasp system of interpretation.

Mice are used as model organisms across a wide range of fields in science today--but it is far from obvious how studying a mouse in a maze can help us understand human problems like alcoholism or anxiety. How do scientists convince funders, fellow scientists, the general public, and even themselves that animal experiments are a good way of producing knowledge about the genetics of human behavior? In Model Behavior, Nicole C. Nelson takes us inside an animal behavior genetics laboratory to examine how scientists create and manage the foundational knowledge of their field. Behavior genetics is a particularly challenging field for making a clear-cut case that mouse experiments work, because researchers believe that both the phenomena they are studying and the animal models they are using are complex. These assumptions of complexity change the nature of what laboratory work produces. Whereas historical and ethnographic studies traditionally portray the laboratory as a place where scientists control, simplify, and stabilize nature in the service of producing durable facts, the laboratory that emerges from Nelson's extensive interviews and fieldwork is a place where stable findings are always just out of reach. The ongoing work of managing precarious experimental systems means that researchers learn as much--if not more--about the impact of the environment on behavior as they do about genetics. Model Behavior offers a compelling portrait of life in a twenty-first-century laboratory, where partial, provisional answers to complex scientific questions are increasingly the norm.

Hospital-based Emergency Departments (EDs) are required to stabilise patients with emergent conditions regardless of the patients' ability to pay as a requirement of the Emergency Medical Treatment and Active Labor Act (EMTALA). Given this requirement, EDs play an important part in the health care safety net by serving the uninsured, the underserved, and those enrolled in Medicaid. This book describes EDs and the role they play in the health care delivery system. It also discusses the federal role and interest in supporting emergency care.

Mag lives in a rustic cabin in the Canadian wilds, far from neighbours and further from her past. It's an unremarkable life, save for the enormous bear carcass on the kitchen table. But when her estranged daughter Beth turns up on the doorstep having been freshly released from prison, the past becomes terrifyingly present - and the bear isn't the only thing with a dangerous bite.

The Oxford Textbook of Palliative Social Work is a comprehensive, evidence-informed text that provides clinicians, researchers, policy-makers, and academics with a broad range of content to inform and enhance palliative social work practice. This definitive resource brings together an array of more than 150 international authors and is edited by three leading palliative social work pioneers to address the needs of professionals providing interprofessional, culturally sensitive, biopsychosocial-spiritual care for patients and families living with serious illness. Social workers from diverse settings will benefit from the historical perspective and international scope as well as the wealth of patient and family narratives. In keeping with the dynamic growth of the field over the last decade, this second edition offers a substantially deeper dive both conceptually and contextually into the more nuanced delivery of palliative social work. This edition includes additional chapters that reflect the increased integration of palliative social work across populations, diagnoses, and settings. Each chapter has been extensively updated integrating current evidence, with a section specifically devoted to interventions for the purpose of affirming the scope of social work palliative practice. A new preface highlights aspects of social-political inequity and injustice that informed the development, process, and ultimate content of this Text. International palliative social work practice is reflected by regional voices and highlighted by an exploration of the unique response to the COVID-19 pandemic as it evolved in their respective countries. Professional issues explore topics of mentoring, supervision, advocacy, leadership, certification, legacy, and resilience.

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. The first atlas of emergency diagnostic imaging that brings together every must-know radiographic method and techniqueIncludes nearly 1,500 clinical images! Whether it's a CT, MRI, ultrasound, or x-ray, this comprehensive, hands-on resource helps you read and understand any imaging study--and guides you step-by-stepthrough the process of making a proper diagnosis based on radiographic results. The Atlas of Emergency Radiology is filled with diagnostic images for the fullspectrum of acute conditions and emergencies. Filled with 1,484 figures that demonstrate clinical findings Concise text solidifies your grasp of clinical and imaging correlations and includes: Radiographic summary Clinical implications Radiographic pearls Unique, up-to-date chapter on pediatric problems reviews the full range of medical issues associated with children

Patient Blood Management (PBM) is an innovative clinical concept that aims to reduce the need for allogenic blood transfusions, cut health-care costs, and avert or correct the risk factors related to blood transfusion, thus minimizing the rate of side effects and complications. This comprehensive hands-on volume offers a three-point approach for the implementation of PBM to improve patient outcome, focusing on how to prevent or treat anemia, reduce blood loss, and increase anemia tolerance. The book also goes beyond preoperative PBM, with detailed accounts of coagulation disorder management and the administration of coagulation products and platelet concentrates. Special Features: Presents a clear three-pillar strategy for the application of PBM: diagnosis and treatment of anemia, reduction of peri-interventional blood loss, and optimization of the tolerance to anemia in the everyday clinical setting Covers issues such as PBM during surgery, requirements for modern transfusion medicine, ordering blood products, the role of pre-anesthesia clinics, benchmarking processes, and potential implications of PBM in the public health sector Overview of research in PBM including landmark studies and current clinical trials Boxes in each chapter highlighting key information, core statements, and summaries A multidisciplinary and international team of contributors experienced in PBM Patient Blood Management is a guide for clinicians and residents whose patients are at risk for anemia, coagulation disorders, or severe blood loss. Anesthesiologists, surgeons, and specialists involved in the use of blood and blood products can use the book for quick reference or to learn more about a leading-edge concept for optimizing patient safety and improving outcome.

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.

The late Dr. Michihiko Hachiya was director of the Hiroshima Communications Hospital when the world's first atomic bomb was dropped on the city. Though his responsibilities in the appalling chaos of a devastated city were awesome, he found time to record the story daily, with compassion and tenderness. His compelling diary was originally published by the UNC Press in 1955, with the help of Dr. Warner Wells of the University of North Carolina at Chapel Hill, who was a surgical consultant to the Atomic Bomb Casualty Commission and who became a friend of Dr. Hachiya. In a new foreword, John Dower reflects on the enduring importance of the diary fifty years after the bombing.

Pain management (also called pain medicine) is the discipline concerned with the relief of pain. Acute pain, such as occurs with trauma, often has a reversible cause and may require only transient measures and correction of the underlying problem. In contrast, chronic pain often results from conditions that are difficult to diagnose and treat, and that may take a long time to reverse. Some examples include cancer, neuropathy, and referred pain. Often, pain pathways (nociceptors) are set up that continue to transmit the sensation of pain even though the underlying condition or injury that originally caused pain has been healed. In such situations, the pain itself is frequently managed separately from the underlying condition of which it is a symptom, or the goal of treatment is to manage the pain with no treatment of any underlying condition (e.g. if the underlying condition has resolved or if no identifiable source of the pain can be found.Pain management generally benefits from a multidisciplinary approach that includes pharmacologic measures (analgesics such as narcotics or NSAIDs and pain modifiers such as tricyclic antidepressants or anticonvulsants), non-pharmacologic measures (such as interventional procedures, physical therapy and physical exercise, application of ice and/or heat), and psychological measures (such as biofeedback and cognitive therapy). This new book presents the latest research in this growing field.