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.

A multi-professional research team comprising practitioners, academics, service-users and students has undertaken a major research project on pre and post-registration students engaged in Social Work, Midwifery and Emergency Care (Nursing and Paramedicine) professional degrees. This book explores students' perceptions of the tools and methods used to assess their practice and the impact these processes have had on their learning and professionalism during their journey through the programme. A four-year longitudinal study comprising annual interviews with 14 students has enabled their developing understanding and changing views to emerge, rather than just gaining a snapshot as in previous literature.

Prepare athletic trainers to provide emergency treatment for acute sports-related injuries and illnesses in children, adolescents, and adults--on and off the field. Noted practitioners and educators address all aspects of the evaluation and management of the full-range of medical problems that may be encountered. From emergency evaluation and airway management through the major categories of injury, this timely text meets a critical need in the classroom and in practice.

Paramedic: Pathophysiology Covers The Relevant Issues Of Pathophysiology As They Relate To The Field Practice Of The Paramedic. The Specific Objectives That Are Identified In The DOT Curriculum Are Clearly Listed At The Beginning Of Every Chapter, And Additional Non-Curriculum Objectives Have Been Added Where Appropriate To Allow Comprehensive Coverage Of The Material. The Authors Have Endeavored To Keep The Text Stimulating And Informative Without Entering The Realm Of Esoteric Materials. Quality Figures And Tables Enrich The Text And Help Further The Reader's Understanding.

A-Z of Musculoskeletal and Trauma Radiology is an invaluable reference to the key aspects of imaging for all conditions of bones, muscles, tendons and ligaments. It provides the clinician with practical guidance on the key presenting characteristics, clinical features, diagnosis and management. The description of each condition is provided in a standard template of Characteristics, Clinical Features, Radiology and Management, enabling the reader to find the relevant information quickly. All diagnostic modalities are included and a separate section is dedicated to musculoskeletal trauma. Written by a multidisciplinary team of radiologists and an orthopaedic surgeon, A-Z of Musculoskeletal and Trauma Radiology is an invaluable resource for radiologists, orthopaedic surgeons, rheumatologists and all clinicians managing musculoskeletal conditions.

About Emergency Care and Transportation of the Sick and Injured, Twelfth Edition: Since 1971, Emergency Care and Transportation of the Sick and Injured has advanced how EMS education is delivered to help train exceptional EMS professionals around the globe. Fifty years later, the Twelfth Edition is now the most advanced EMT teaching and learning system ever developed. Current State-of-the-Art Medical Content Comprehensive coverage of the National EMS Education Standards and the 2020 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (ECC). Evidence-based medical concepts are incorporated to ensure that students and instructors have accurate, insightful interpretation of medical science as it applies to prehospital medicine today. Updated coverage of PPE and CDC guidelines for safe patient care during COVID-19 pandemic. A Focus on Career Readiness and Employability Greater emphasis on soft skill development, including empathy, teamwork, interpersonal skills, and problem solving, and how critical these skills are for better patient outcomes. Enhanced content on provider mental health, wellness, and safety. Evolving patient case studies that deliver clinical education and help prepare students to care for patients in the field. The cases offer increased focus on EMS provider leadership and critical thinking skills throughout the text. A new "Street Smarts" feature that helps bridge the gap between the classroom and field environment by addressing nontechnical skills that improve patient and co-worker interactions. A Foundation for Success The textbook design and layout have been revised to improve visualization of key content and overall readability. Comprehensive anatomy, physiology, pathophysiology, and medical terminology content is delivered in early chapters, and subsequently reinforced in related chapters throughout the textbook. Valuable student resources, including audiobook, interactive lectures, test prep, soft-skill simulations, and videos cater to a variety of learning styles and needs. Educators are supported by a broad range of instructional and assessment resources to fully enable traditional, hybrid, and flipped course delivery.

Filled with critically ill patients, equipped with the sophisticated and expensive technologies that are the miracles of modern medicine, American intensive care units are testing grounds for the most fundamental issues of contemporary medical ethics. The doctors and nurses who staff ICUs daily confront these difficult questions: Under what circumstances, if any, is it acceptable to withhold treatment? Who should get the last bed when there are too few? How should these decisions be made and by what criteria? In riveting case studies collected between 1985 and 1989, Robert Zussman describes how medical decisions in ICUs are considered and reconsidered, made and remade, negotiated and renegotiated. He concentrates on the practice of medical ethics, on the ways in which right and wrong are interpreted and used in the ward--how definitions of right and wrong emerge from the social situations of patients, families, doctors, and nurses and from the workings of hospitals and the courts. From this superb fieldwork--observing medical staff on their rounds; interviewing staff, patients, and families; and systematically reviewing hospital records--Zussman reveals the existence of deep conflicts of opinion on how to allocate treatment and resources. He shows that these perspectives depart from the formal principles of medical ethics. He argues that courts and hospital administrators, with their new insistence on taking the rights of patients seriously, have reshaped the way life and death decisions are made. At the same time, Zussman examines doctors' frequent resistance to the precepts of medical ethics: doctors, he shows, often override patients' wishes, justifying their decisions in the name ofthe patients' best interests while maintaining control over the decision-making process. In Zussman's hands, the study of medical ethics becomes a means of examining the logic and limits of professional discretion and a source of insights into the social and economic forces empowering patients and administrators at the expense of physicians. His book is a strong, often moving portrait of the way careful planning is undermined by the unpredictability of illness and the persistence of self-interest, by high principle and curious compromise.

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

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.

Concise, current, need-to-know coverage of emergency medicine in children - presented in full color Endorsed by the American College of Emergency Physicians "...a comprehensive and current resource for anyone who cares for children in an acute setting, from the office to the emergency department. Its presentation is straightforward, and the information is easy to read and assimilate. It will be a valuable resource for those in the field of pediatric emergency medicine as well as other practitioners who occasionally care for sick children."-JAMA (reviewing an earlier edition) This clinically-focused guide covers the entire field of pediatric emergency medicine. Featuring a strong focus on practical need-to-know information Pediatric Emergency Medicine, Fifth Edition is bolstered by numerous full-color images, bulleted High-Yield Facts at the beginning of each chapter, nearly 100 diagnostic and treatment algorithms, and treatment tables with drug dosages. Endorsed by the American College of Emergency Physicians, this book is perfect for use in the emergency department or the pediatric clinic. FEATURES *Chapters open with bulleted High-Yield Facts, followed by just enough pathophysiology for understanding, and continue with a focus on what needs to be done to protect and save the child*Broad scope spans the full spectrum of pediatric emergencies -- from trauma care to psychosocial emergencies*NEW CHAPTER on Brief Resolved Unexplained Events (BRUE)*Opens with an important symptom-based section of Cardinal Presentations that familiarizes you with crucial life-saving protocols*Covers all major categories of disease that present in children on an urgent or emergent basis If you are in need of a very readable and easily accessible, evidence-based text written to help you provide high quality emergency medical care to children, your search ends here.

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.

The Oxford Manual of Major Incident Management brings together and integrates the key facts for all those involved in major incident planning and response. This will be an invaluable resource for a wide range of professionals, from doctors across emergency medicine, public health, general practice, pre-hospital care, and communicable disease control, to nurses, emergency services, administrators and planners. Transport, industrial, and natural disasters have always necessitated a coordinated interagency, multi-professional response, and with the rising threat in terrorist incidents, that need has never been greater. The information base required to plan for and manage this response has now been collected together into a single user friendly volume, clearly describing the hazards and their management at all stages. This manual will be useful in planning for all types of major incident, acting as the basis for training, and as an aide-memoir during an event. Authoritative, comprehensive, and concise, this quick-reference guide will be of use to both established experts and to novices in the field.

Expert guidance on managing interventional radiology in trauma Interventional Radiology in Trauma Management brings together the insights and expertise of Dr. Tisnado, an interventional radiologist, and Dr. Ivatury, a trauma surgeon, to guide surgeons on how to effectively integrate both specialties into their management of trauma patients. This reference book provides comprehensive coverage of the increasingly important role of interventional radiology in the care of trauma patients and will be an essential text for interventional radiologists and surgeons specializing in trauma and critical care. Key Features: Emphasizes the importance of a team approach to the care of trauma patients undergoing interventional procedures Includes chapters on imaging of thoracic, abdominal, and peripheral vascular trauma, complemented by over 600 high-quality images Describes a wide range of interventional procedures and techniques such as embolotherapy, stenting, and balloon occlusion, in detail This book will be an indispensable resource for radiologists, trauma surgeons, emergency medicine physicians, and all others involved in the care of trauma patients.

For courses in Emergency Medical Technician Training and Emergency Medical Services Help students think like EMTs with the gold standard for EMT training For over 30 years, Emergency Care has provided generations of EMT students with the practical information they need to succeed in the classroom and in the field. Updated with the latest research and developments in emergency medical services, this edition meets the 2010 American Heart Association guidelines for CPR and ECC. Using the National EMS Education Standards as a foundation, Emergency Care goes beyond the Standards to provide the most current, accurate reflection of EMS practice today. The text integrates scientific principles in an easy-to-understand way, with a host of critical-thinking features that help students learn to think like EMTs. Also available with MyBRADYLab (TM) This title is also available with MyBRADYLab-an online homework, tutorial, and assessment program designed to work with this text to engage students and improve results. Within its structured environment, students practice what they learn, test their understanding, and pursue a personalized study plan that helps them better absorb course material and understand difficult concepts. NOTE: You are purchasing a standalone product; MyBRADYLab does not come packaged with this content. If you would like to purchase both the physical text and MyBRADYLab, search for ISBN: 0134190750/9780134190754 Emergency Care plus MyBRADYLab with Pearson eText -- Access Card -- for Emergency Care That package includes: 0133946096 / 9780133946093 MyBRADYLab with Pearson eText -- Access Card -- for Emergency Care 0134024559 / 9780134024554 Emergency Care MyBRADYLab should only be purchased when required by an instructor.

Nancy Caroline's Emergency Care in the Streets, Eighth Edition is the next step in the evolution of the premier paramedic education program. This legendary paramedic textbook was first developed by Dr. Nancy Caroline in the early 1970s and transformed paramedic education. Today, lead editors Bob Elling and Barb Aehlert, with the American Academy of Orthopaedic Surgeons, are proud to continue this legacy and set the new gold standard for the paramedics of tomorrow. This fully updated edition covers every competency statement of the National EMS Education Standards for Paramedics with clarity and precision in a concise format that ensures student comprehension and encourages critical thinking. This iconic text emphasizes the ideal that becoming a paramedic is a continual pursuit of growth and excellence throughout an entire career. Concepts of team leadership and professionalism are woven throughout the chapters, challenging students to become more compassionate, conscientious health care professionals as well as superior clinicians. Evidence-Based Recommendations and Protocols Medicine is constantly changing and prehospital medicine varies across states and regions. The content of the Eighth Edition reflects the guidance and recommendations of an extremely experienced, geographically diverse group of authors, and its team of Medical Editors from the AAOS. Where possible, content is based on evidence, such as data from the field and studies published in the medical literature. Current, State-of-the-Art Medical Content The Eighth Edition meets and exceeds the paramedic National EMS Education Standards and reflects the National Model EMS Clinical Guidelines (NASEMSO), the National Registry Skill Sheets and Psychomotor Competency Portfolio, and Prehospital Trauma Life Support, Eighth Edition, from NAEMT and American College of Surgeons' Committee on Trauma. Where applicable, the authors and editors followed additional authoritative sources, such as national stroke guidelines. Last but not least, the Eighth Edition thoroughly addresses the 2015 ECC and CPR guidelines published by the American Heart Association. These updates went beyond a compression rate or depth change; the text has been completely updated to reflect all of the Guideline changes. Strong Application to Real-World EMS Students who are studying to become paramedics are focused on helping the sick and injured. They need to know why information is important to learn. Through evolving patient case studies in each chapter, the Eighth Edition gives students a genuine context for the application of knowledge. This approach makes it clear how all of this new information will be used to help patients in the field. Opportunities to apply knowledge equip students to ultimately become better providers. Progressive case studies are followed by a comprehensive summary that answers the critical thinking questions raised throughout the case. The You are the Paramedic cases conclude with a Patient Care Report, showing the student exactly how the presented case would be documented. New to This Edition! Based on feedback from program directors and educators around the country, we added two new chapters to the Eighth Edition: Medical Terminology. Medical Terminology was previously addressed in the Documentation chapter, but educators strongly preferred that we dedicate a standalone chapter to this important topic. Career Development. Recognizing that the U.S. health care system, and the role of the paramedic in it, are rapidly evolving, we've added a chapter on career development. In addition to discussing the changing and expanding career opportunities for paramedics, this chapter presents nontraditional specialties that paramedics may need in the future to fill evolving roles in the healthcare system.

Now in its 7th edition, Auerbach's Wilderness Medicine continues to help you quickly and decisively manage medical emergencies encountered in any wilderness or other austere setting! World-renowned authority Dr. Paul Auerbach and 2 new associate editors have assembled a team of experts to offer proven, practical, visual guidance for effectively diagnosing and treating the full range of issues that can occur in situations where time and resources are scarce. Now in an exciting 2-volume set that includes convenient online access, this indispensable resource equips physicians, nurses, advanced practice providers, first responders, and rescuers with the essential knowledge and skills to effectively address and prevent injuries and illnesses - no matter where they happen! Brand-new 2-volume format ensures all content is available in print and online to provide you easy access. Face any medical challenge in the wilderness with expert guidance from hundreds of outstanding world experts edited by Dr. Auerbach and 2 new associate editors, Drs.Tracy Cushing and N. Stuart Harris New and expanded chapters with hundreds of new photos and illustrative drawings help increase your visual understanding of the material Acquire the knowledge and skills you need with revised chapters providing expanded discussions of high-altitude medicine, improvisation, technical rescue, telemedicine, ultrasound, and wilderness medicine education Ten new chapters cover Acute High-Altitude Medicine and Pathophysiology; High Altitude and Pre-Existing Medical Conditions; Cycles, Snowmobiles, and other Wilderness Conveyances; Medical Wilderness Adventure Races (MedWAR); Canyoneering and Canyon Medicine; Evidence-Based Wilderness Medicine; National Park Service Medicine; Genomics and Personalized Wilderness Medicine; Forestry; and Earth Sciences 30+ Expert Consult online videos cover survival tips, procedural demonstrations, and detailed explanations of diseases and incidents Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices Brand-new 2-volume format ensures all content is available in print and online to provide you easy access. Face any medical challenge in the wilderness with expert guidance from hundreds of outstanding world experts edited by Dr. Auerbach and 2 new associate editors, Drs.Tracy Cushing and N. Stuart Harris. New and expanded chapters with hundreds of new photos and illustrative drawings help increase your visual understanding of the material. Acquire the knowledge and skills you need with revised chapters providing expanded discussions of high-altitude medicine, improvisation, technical rescue, telemedicine, ultrasound, and wilderness medicine education. Ten new chapters cover Acute High-Altitude Medicine and Pathophysiology; High Altitude and Pre-Existing Medical Conditions; Cycles, Snowmobiles, and other Wilderness Conveyances; Medical Wilderness Adventure Races (MedWAR); Canyoneering and Canyon Medicine; Evidence-Based Wilderness Medicine; National Park Service Medicine; Genomics and Personalized Wilderness Medicine; Forestry; and Earth Sciences. 30+ Expert Consult online videos cover survival tips, procedural demonstrations, and detailed explanations of diseases and incidents. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices.

Oxford Assess and Progress is a new and unique revision resource for medical students. Written and edited by clinicians and educational experts the series provides an array of popular assessment questions and extra features, including bonus online questions, to be truly fit for purpose and assessment success
Medical students will benefit from a comprehensive selection of Single Best Answer Questions and Extended Matching Questions designed to test understanding and application of core medical topics. Key professional themes such as decision making, communication and ethics are also teased out to ensure complete revision coverage. Editorials in each chapter unlock difficult subjects.
Ideal companions to the best-selling Oxford Handbooks these excellent self-assessment guides can also be used entirely independently. Oxford Assess and Progress: Emergency Medicine doesn't simply reveal the correct or wrong answer. Readers are directed to further revision material via detailed feedback on why the correct answer is best, and references to the Oxford Handbook of Emergency Medicine and resources such as journal articles. Each question is rated out of four possible levels of difficulty, from medical student to junior doctor.
Carefully complied and reviewed to ensure quality, students can rely on the Oxford Assess and Progress series to prepare for their exams.

'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.

This compact book contains colour coded sections of checklists and flow charts for the immediate management of a wide range of paediatric situations including resuscitation, trauma, anaesthetic and medical emergencies. The 'age-by-page' section consists of tables of commonly used anaesthetic and resuscitation drugs, pre-calculated for a specific weight within the WHO weight range, for that specific age. Each page includes medication doses, airway equipment including size of endotracheal tubes, laryngeal masks and airway adjuncts, resuscitation fluids including blood products and mannitol and stabilisation infusions such as sedatives and inotropes for ongoing management of the patient. In addition to the emergency guideline sections, the anaesthetic management of 50 common syndromes and congenital conditions are included and the drug formulary providing a convenient reference section of doses and indications of common paediatric medications. An essential quick-reference handbook for anaesthetists, intensive care and emergency department physicians, and trainees.

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.

Entre 5 y 10% de las consultas a los servicios de urgencias corresponden a una alteracion neurologica primaria y aunque la mayoria de estas manifestaciones no esta asociada a una afeccion que ponga en peligro la vida, un subconjunto importante si lo esta. El reconocimiento y el tratamiento tempranos de estas afecciones pueden marcar la diferencia entre un buen resultado funcional y una discapacidad permanente o la muerte. Motivados por su compromiso por mejorar la atencion al paciente, los doctores Andy S. Jagoda y Christopher A. Lewandowski aportaron su experiencia clinica para crear Manual de emergencias neurologicas, una guia practica y de facil lectura que, ademas de presentar las emergencias neurologicas mas frecuentes y las que tienen mayores repercusiones para la vida y la funcion de los pacientes, proporciona una importante cobertura de su diagnostico y manejo basada en evidencia clinica.

Sudden Death and the Myth of CPR is for anyone who has taken a CPR course or who believes the images from television dramas. It is also for families of victims and survivors of CPR. It will engage emergency personnel, others in the medical field, and anyone concerned with ethical issues of death and dying.

Anyone who has ever taken a CPR course has wondered, "What would happen if I actually had to use CPR?" In Western societies, the lifesaving power of resuscitation has the status of a revered cultural myth. It promises life in the face of sudden death, but the reality is that lives are rarely saved. Medical researchers estimate the survival rate for out-of-hospital CPR to be between 1 and 3 percent. Sudden Death and the Myth of CPR explores the history of this medical innovation and the promotion of its effectiveness.

The overuse of resuscitation, Timmermans explains, defines people's experience with sudden death, something he learned firsthand by following the practice of lifesaving from street comer to emergency room. He argues that very few people are successfully resuscitated without brain damage despite the promotion of CPR's effectiveness through powerful media images. In vivid accounts of the day-to-day practices of cardiopulmonary resuscitation in one of the only studies of sudden death, Timmermans records the astonishingly frank comments of emergency personnel. Doctors, nurses, social workers, and paramedics express emotions from cynicism about going through the futile motions to genuine concern for victims' family members.

If a person who was supposed to keep on living dies at the end of a resuscitative attempt, how socially meaningful is the dying? Timmermans askstough questions and addresses the controversial ethical issues about the appropriateness of interfering with life and death. He suggests policy reforms and the restoration of dignity to sudden death.