This is the most practical, concise guide to medical practice in extreme and remote environments. With an increase in visits to remote and dangerous locations around the world, the number of serious and fatal injuries and illnesses associated with these expeditions has markedly increased. Medical personnel working in or near such locations are not always explicitly trained in the management of unique environmental injuries, including high-altitude sickness, the bends, lightning strikes, frostbite, acute dehydration, venomous stings and bites, and tropical diseases.
Many health care professionals seek training in the specialty of wilderness medicine to cope with the health risks faced when far removed from professional care resources, and the American College of Emergency Medicine has recently mandated that a minimum level of proficiency needs to be exhibited by all ER physicians in this discipline. This book covers everything a prospective field physician or medical consultant needs to prepare for when beginning an expedition and explains how to treat a variety of conditions in a concise, clinically oriented format.

This heavily revised second edition provides a comprehensive multi-disciplinary resource on blast injuries. It features detailed information on the basic science, engineering, and medicine associated with blast injuries. Clear, easy to understand descriptions of the basic science are accompanied by case studies of a variety of clinical problems including heterotopic ossification, hearing damage, and traumatic brain injury, enabling the reader to develop a deep understanding of how to appropriately apply the relevant science into their clinical practice. The use of prosthetics, orthotics and osseointegration in rehabilitation is also covered. Blast Injury Science and Engineering: A Guide for Clinicians and Researchers is a valuable interdisciplinary text primarily focused towards clinical medical professionals and trainees seeking to develop a thorough understanding of injury mechanisms, and the latest treatment techniques. In addition, this resource is of use to individuals in other fields whose work centres around blast injury science such as injury mitigation researchers, military scientists and engineers.

In this issue of Emergency Medicine Clinics, guest editors Drs. Kimberly A. Boswell and Christopher Hicks bring their considerable expertise to Trauma Emergencies. Top experts in the field cover key topics such as management of the complex airway in the trauma setting; neck trauma; trauma in the aging population; pediatric trauma; trauma patients in shock; minor procedures in trauma; and more. Contains 15 relevant, practice-oriented topics including neurotrauma update; the Big Five: heroic procedures in the trauma bay; new approaches to pain management in trauma; new uses for ultrasound in trauma; intimate partner violence and human trafficking; and more. Provides in-depth clinical reviews on trauma emergencies, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This is the second edition of the book originally published under the title Medical Emergencies Caused by Aquatic Animals: A Zoological and Clinical Guide. Including updated chapters, new content and additional references, it discusses follow-up with patients, describes diseases that are not emergencies and explains procedures that can take place at health stations and outpatient centers, focusing on clinical and biological aspects relevant to researchers and practitioners alike. The chapter on Invertebrate Aquatic Animals presents facts and advances that were left out of the first edition. In addition, it includes improved images. The subtopic on Cnidaria presents recent data on outbreaks and new species identification in unprecedented areas, with a timely discussion on first aid treatment. The chapter on Injuries by Vertebrate Aquatic Animals has been improved, based on continued work with bathers and fishermen. Featuring numerous images and representative clinical cases, it explores the most significant injuries caused by fish around the globe. The chapter on Ingestion of Aquatic Venomous Animals: Toxinology, Clinical Aspects, and Treatment discusses outbreaks of intoxication diseases from eating fish and seafood, drawing on reliable records of serial cases of Haff's syndrome, scombroidism and ciguatera. Further, it examines the indiscriminate consumption of aquatic animals, which the author argues present the same (or even greater) risks of poisoning and infections as terrestrial animals. Lastly, since there is a general lack of awareness of the risk of infections in aquatic environments, the chapter on Bacterial and Fungal Infections in Aquatic Environments describes the symptoms and treatments and highlights preventive measures.

No ambiente tatico civil, os segundos contam. O TECC: Atendimento Tatico de Emergencias, Segunda Edicao ensina aos prestadores de cuidados pre-hospitalares como atender e cuidar dos pacientes durante uma emergencia tatica civil, incluindo tiroteios ativos. Este programa de engajamento foi projetado para preparar os prestadores de Servicos Medicos de Emergencia (SME) a atender aos pacientes em um ambiente tatico. Desenvolvido pela Associacao Nacional de Tecnicos Medicos de Emergencia (ANTME) e endossado pelo Colegio Americano de Cirurgioes, o TECC, Segunda Edicao trata dos atuais dominios dos Servicos Medicos de Emergencia Tatica (SMET) e esta em conformidade com o atual Comite de Diretrizes TECC. A ANTME e uma reconhecida parceira de educacao do Comite TECC. Componentes Dinamicos do Programa O manual do curso TECC, Segunda Edicao reforca e esclarece os principais conceitos do curso. Ele apresenta um design envolvente e interativo, e foi escrito para que voce ache que esta participando de uma conversa enquanto ouve uma palestra. O manual do curso inclui as seguintes caracteristicas principais: Verificacao das Habilidades de Conhecimento - Aplicacao dos conhecimentos apresentados na aula e fortalecimento das habilidades de gestao do paciente. Estacoes de Habilidades - Revisao passo a passo sobre como executar habilidades que salvam vidas no ambiente tatico

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Delayed recognition of an injury or improper stabilization of the spine can lead to irreversible spinal cord injury and permanent neurological damage. This highly illustrated resource chronicles the rapid developments in imaging technology and expertise over the past decades that have transformed the medical management of vertebral injury, including thoracolumbar trauma classification. With over 250 CT and MRI images, this essential text is designed to aid both trainees and practicing physicians in making rapid and accurate diagnoses to patients with spinal trauma and provide appropriate care. This clear, concise, case-based resource will serve as a guide and learning source for trainees as well as an easily navigable reference for medical practitioners that can be essential to establishing the presence of an acute spinal injury.

An authoritative pocket-sized guide on the medical and surgical management of neurosurgical intensive care patients Decompression is still the mainstay of surgical intervention for neurosurgeons treating neurocritical care patients. However, during the last 20 years, an evolution away from a mechanistic approach has transformed neurocritical care into an increasingly multidisciplinary field. Neurosurgical Intensive Care, 2nd Edition reflects this new paradigm, authored by a neurosurgeon with contributions from experts in the fields of neurology, vascular neurology, interventional neuroradiology, anesthesiology, critical care, traumatology, nutrition, and advanced practice nursing. Neuromonitoring advances have enabled customized interventions tailored to each patient's unique circumstances. The critical care of neurosurgical patients has evolved from an emphasis on pulmonary care (ventilation and oxygenation) to a more nuanced understanding of cerebral protection measures required to manage a disrupted blood-brain-barrier. This edition encompasses advances in the use of ICP monitors, external ventricular devices, brain tissue oxygen monitoring devices, cerebral microdialysis, fluid and electrolyte correction, as well as the increasing use of continuous EEG in the ICU. Key Features Straightforward summaries for each stage of patient care including bedside exams, neuroimaging, lab work, triage procedures, sedation and pain management, neuropharmacology, nutritional needs, administration of fluids, and more. 159 tables and figures facilitate rapid evaluation and decision making. Clinical pearls on a wide range of ICU scenarios - from pathophysiology and management of coma - to interventions for spinal cord injury, multisystem injuries, acute ischemic stroke, and pediatric cases. Insights on how to handle family communication and spiritual needs, medical-legal issues, and discharge planning This compact, highly practical handbook provides a stellar reference for managing critically ill neurosurgical patients in the ICU. It is a must-have resource for nurses, medical students, residents, fellows, and attending physicians who treat these patients.

This issue of Emergency Medicine Clinics focuses on Neurologic Emergencies. Articles include: Headache; Back Pain; Dizziness; Generalized Weakness; Initial Diagnosis and Management of Coma; Neuro-ophthalmology; Diagnosis of Acute Ischemic Stroke; Treatment of Acute Ischemic Stroke; Acute Hemorrhagic Stroke; Status Epilepticus; Diagnosis and Emergency Management of Subarachnoid Hemorrhage and more!

This issue of Emergency Medicine Clinics focuses on Geriatric Emergencies. Articles include: Recent Trends in Geriatric Emergency Medicine, Resuscitation of the Elderly, Pharmacology in the Geriatric Patient, Trauma and Falls in the Elderly, Sepsis and Infectious Emergencies in the Elderly, Evaluation of the Geriatric Patient with Chest Pain, Evaluation of Dyspnea in the Elderly, Abdominal Pain in the Geriatric Patient, Neurologic Emergencies in the Elderly, Evaluation of Syncope, Altered Mental Status and Delirium, and more!

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 INSIDER'S GUIDE TO ACING THE EMERGENCY MEDICINE BOARDS - NOW WITH FULL COLOR PHOTOS! Features: * A thorough and user-friendly review of the most frequently test topics * NEW! Review questions at the end of each chapter to test your knowledge * NEW! Vibrant full-color photographs * Insider tips and study strategies to maximize your study time and improve your performance * Integrated vignette Q&As prepare you for what you will see on exam day * Hundreds of high-yield tables, diagrams, and illustrations

Covering all state-of-the-art experimental research methods in orthopedic surgery and trauma From bioinformatics to nanotechnology, advances in basic research ultimately drive advances in clinical care. This book provides a comprehensive summary of all current research methodologies for translational and pre-clinical studies in biomechanics and orthopedic trauma surgery. With this "roadmap" at hand, specialists and trainees will have the tools to conduct high-quality experimental research in any area of musculoskeletal science, with a solid understanding of how the findings can be applied in patient care. Special Features: Utilizes the principles and methodology of modern, evidence-based medicine in pre-clinical musculoskeletal research Offers a comprehensive analysis of in vivo models for studying different components of the musculoskeletal system Demonstrates how principles of structural, functional, and numerical biomechanics can be utilized in well-defined experimental research studies - spanning topics from fracture fixation to gait analysis to bone remodeling Covers the role of new macroscopic CT and ultrasound imaging techniques for assessing bone and cartilage function Explores cutting-edge developments in cell culture research, molecular testing, and tissue engineering Provides practical advice, a glossary of key terminology, and hundreds of illustrations to familiarize clinicians with every aspect of designing and interpreting an effective research study With 54 state-of-the-art chapters by orthopedic surgeons, musculoskeletal physicians, biologists, engineers, physicists, and mathematicians, Experimental Research Methods in Orthopedics and Trauma is the authoritative reference on the topic. It is essential for clinicians, basic researchers, and orthopedic surgical trainees who need to understand experimental research methodology, apply its findings, and participate fully in research activities.

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.

Emergency Medicine is not divided into specific areas of practice. Emergency room visitors come in all shapes and sizes, at any time of day or night, with a wide range of maladies. Emergency physicians need to become experts in diverse areas of medicine and to be able to make quick and informed decisions about patient care. A cornerstone of emergency medicine training is the constant drilling and re-drilling of simulated cases and clinical scenarios. This book offers a unique yet underutilized strategy for learning: a case-based approach from real patients and actual events. Each case provides the opportunity for learning essential clinical concepts. Focused exclusively on the needs of in-training emergency physicians and nurses, the book covers more than 100 common and unusual cases in emergency medicine. The procedures have been class-tested by the Stanford/Kaiser Emergency Medicine Residency Program.

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.

This issue of Emergency Medicine Clinics, Guest Edited by Dr. Laura Bontempo and Dr. Jan Shoenberger, is devoted to Ear, Nose, and Throat Emergencies. Topics in this issue include: Infections of the Ear; Sinusitis; Infections of the Oropharynx; Infections of the Neck; Peripheral Vertigo; Epistaxis; Soft Tissue Disorders of the Mouth; Dental Emergencies; Foreign Bodies; Tracheostomy Emergencies; Traumatic Injuries of the Ear, Nose, and Throat; and Facial Fractures.

There are many emergencies that the dermatologist needs to address and many cutaneous diseases in the emergency room that require rapid dermatologic consultation. The dermatologist is frequently the first physician to examine such patients before a hospital admission and also the first to identify a critical situation, stabilize the patient, and choose urgent and appropriate intervention. Both the practicing dermatologist and the emergency physician will benefit from the revised and updated edition of this text from top international dermatologists, enabling them to hone their diagnostic skills, expand their knowledge and understanding of pathologic events, and learn treatment options available for acute life-threatening skin diseases in this complicated and multifaceted field.

The Medicine on the Move series provides fully flexible access to subjects across the curriculum in a unique combination of print and mobile formats ideal for the busy medical student and junior doctor. No matter what your learning style, whether you are studying a subject for the first time or revisiting it during exam preparation, Medicine on the Move will give you the support you need.
This innovative print and app package will help you to connect with the topics of Emergency and Acute Medicine, to learn, understand, and enjoy them, and to cement your knowledge in preparation for exams and future clinical practice.

Renommierte Vertreter internationaler Fachgesellschaften vermitteln Ihnen direkt umsetzbar den aktuellen Kenntnisstand zur enteralen und parenteralen Ernahrungstherapie. - Grundlagen der Ernahrungs- und Stoffwechselphysiologie - Moeglichkeiten und Grenzen der enteralen und parenteralen Ernahrung - Therapie bei ernahrungsabhangigen Stoerungen und angeborenen Stoffwechsel- und Speicherkrankheiten Die Empfehlungen basieren auf den Leitlinien der DGEM, DGVS, DIVI und ESPEN. Sie bieten Ihnen praktische Entscheidungshilfen auch bei schwierigen Fragestellungen und seltenen Erkrankungen.

Focusing on a public health problem affecting millions of people of all ages, the second edition of Concussive Brain Trauma: Neurobehavioral Impairment and Maladaptation reflects Dr. Rolland S. Parker's more than 25 years of neuropsychological practice and research in traumatic brain injury and stress, and his prior experience as a clinical psychologist. Unique in its coverage of the personality changes, family dysfunction, and stress that often occur in the wake of concussive brain trauma, this book uses case examples to illustrate persistent and acute alterations of consciousness, as well as cognitive, mood, personality, and social effects of head injury in order to guide appropriate treatment. With six additional chapters, this edition covers: Post-concussive syndrome, biomechanical causes of trauma, and acute and chronic phases of co-morbid brain and somatic injury The physiological basis for behavior and posttraumatic dysregulation of systems Disorders related to pain, sensation, and motor activities Headaches, consciousness, cognition, cerebral personality, and psychodynamic disorders Developmental effects of children's concussive injury Blast injuries characteristic of modern war Unfamiliar signs not included in the usual list of post-concussive symptoms With a firm multi-disciplinary foundation, this book aids the concerned practitioner in rendering a more complete and accurate assessment, recognizing gaps in prior documentation, and conducting a more complete examination to acquire omitted information. It also shows how to achieve the benefit of higher accuracy in assessing disability, planning rehabilitation, and offering compensation. The book stands alone as an in-depth, authoritative guide to closed head injury and traumatic brain injury.

The outbreak of anthrax infections that followed September 11, 2001, showed all too clearly that while we can defend ourselves against bioterrorism, our defenses need improvement. What's most important is the ability to recognize the associated disease, and recognize them quickly. Yet, many in the medical world are unfamiliar with the characteristic signs and symptoms of bioterrorism agents and are unable to differentiate between diseases whose symptoms appear almost identical. While a plethora of information on such diseases is available, finding it is time consuming.

Bioterrorism: Field Guide to Disease Identification and Initial Patient Management is an accessible resource that helps first-responders to quickly recognize the signs and symptoms caused by exposure to bioterrorism agents. It provides enough information to initiate treatment while a definitive diagnosis is being determined and presents measures for preventing contamination of those involved in the victims' medical management.

A special quick-reference foldout chart features a matrix linking 180 symptoms to 17 diseases and 90 differential diagnosis. In bulleted format, the book includes for each pathogenic agent:

" A brief description
" Signs and symptoms
" Diagnostic features
" Lab tests and expected results
" Treatment (specific drug regimens)
" Prophylaxis (specific drug regimens)
" Precautionary measures

This book is a potentially life-saving resource that can be thrown into a medical bag and kept there, hopefully forever unused. But if needed, it is a resource that can quickly provide information that will prevent secondary infections, improve site safety, and buy life-saving time for victims.

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.