Critical care medicine comprises the observation, diagnosis, treatment, and rehabilitation of patients with overt or potential failure of vital functions. Unlike other, bulkier reference texts, Handbook of Acute Critical Care Neurology focuses on one topic for quick and easy use on the job. Written by a highly respected expert in the field, this book will be extremely helpful for the practioner.

Specifically designed for the MCEM Part C, this book contains 100 questions to help candidates prepare for this OSCE examination. All questions and answers are mapped directly to the College of Emergency Medicine syllabus and contain detailed information that allows candidates to appreciate the format and requirements of each OSCE. Each question features instructions to candidate, actor, and examiner, so candidates can practise in groups and recreate OSCE stations. MCEM-style marking sheets ensure that candidates have a good understanding of the standard that is required by the College. Complete and up-to-date, this book will give trainees a realistic and comprehensive preparation for the MCEM Part C.

The definitive interdisciplinary reference work for wound ballistics Basics The book begins by providing the necessary basic knowledge about physics, ballistics and ammunition and weapons. Then it describes the behaviour of projectiles in humans and animals (the physics of gunshot injuries) and introduces the experimental simulation of gunshot wounds, including the materials suitable for this purpose. Applications These basic principles can be applied in forensic medicine and criminalistics. The gunshot wound provides some forensic traces and the experimental reconstruction helps to understand the dynamic crime process. The wounding potential of non-lethal weapons can be determined. In emergency and war surgery, injuries caused by small arms bullets and fragments as well as by gas jets (of gas weapons) can be assessed. International conventions could be freed from undefined terms (such as "unnecessary suffering") with the help of physical quantities. Reference work Detailed tables as e. g. ballistic data of numerous cartridge types, also older ones, material properties, as well as many otherwise difficult to access data and a trilingual glossary of ballistic and technical terms in the languages German, English and French. NEW Wound Ballistics of European Police ammunition References to recent research results Partly coloured illustrations Due to the increase in terrorist and criminal activities worldwide, it is not only members of the armed forces who are affected. Surgeons, forensic doctors, police officers and criminalists also need to know and be able to assess the specifics of gunshot wounds.

This book explores communication in emergency call and response centers, taking an approach drawn from Conversation Analysis to examine how call-takers answer calls and the ways in which dispatch is issued in different contexts. It offers an original contribution to the study of the organization of emergency calls, the ways such calls are treated, and some of the practical problems that emerge when dealing with them. The author offers a systematic review of studies in the international field of the organization of emergency calls, while at the same time providing fresh case studies, illustrated with empirical materials, taken from audio- and video- recordings of the everyday activities of call and response centers. This book will be of interest to students and scholars of social interaction and may be appreciated by all scholars and practitioners working on the social management of emergency situations, including in fields such as Sociolinguistics and Pragmatics.

Over three decades ago, PHTLS: Prehospital Trauma Life Support transformed the assessment and management of trauma patients in the field, improving the quality of trauma patient care and saving lives around the world. The tenth edition of this trusted, comprehensive resource continues the PHTLS mission to promote excellence in trauma patient management by all prehospital care practitioners through global education. First developed by the National Association of Emergency Medical Technicians (NAEMT) in the early 1980s in cooperation with the American College of Surgeons Committee on Trauma (ACS-COT), this proven program includes updated medical content to reflect current, evidence-based knowledge and practice. PHTLS promotes critical thinking as the foundation for providing quality care, knowing that EMS practitioners make the best decisions on behalf of their patients when given a solid foundation of knowledge and key principles to fuel their critical-thinking skills. A Clear Approach to Assessing a Trauma Patient In the field, seconds count. The tenth edition of PHTLS: Prehospital Trauma Life Support teaches and reinforces the principles of rapidly assessing a trauma patient using an orderly approach, immediately treating life-threatening problems as they are identified, and minimizing delays in initiating transport to an appropriate destination. PHTLS, Tenth Edition features: - The updated ACS National Guidelines for the Field Triage of Injured Patients - An advanced discussion on the challenges of prolonged scene time - Consideration of when to shift efforts from search and rescue to recovery in the setting of a drowning victim - The United Kingdom Fire and Rescue Guidelines for search and rescue - New content on blast injuries - Clarification on the role of pelvic binders - Presentation of the emerging role of prehospital blood transfusion in hemorrhagic shock in reducing 30-day mortality - Current content addressing special considerations, including weapons of mass destruction and environmental trauma

Extracorporeal membrane oxygenation (ECMO) is developing rapidly, and is now part of the toolkit for the management of all patients with severe respiratory or cardiac failure. Clinicians of all disciplines are in need of a simple manual, easy and fun to read, that will take them through the management of these patients, explaining the principles of safe and successful practice. Part of the Core Critical Care series, this book is an easy-to-read guide for the aspiring ECMO clinician. Doctors, nurses, physiotherapists, dieticians, pharmacists and all other key members of the team will learn the basics required to better understand the technology and care of the patient. The experienced clinician will enjoy reading through the chapters, which present structured thoughts and knowledge acquired through clinical experience.

For courses in Prehospital Emergency Care Prehospital Emergency Care, Tenth Edition, meets the National EMS Education Standards and is the most complete resource for EMT-B training. This best-selling, student-friendly book contains clear, step-by-step explanations with comprehensive, stimulating, and challenging material that prepares users for real on-the-job situations. Featuring case studies, state-of-the-art scans, algorithms, protocols, and the inclusion of areas above and beyond the DOT protocols, the tenth edition effectively prepares students for success. The assessment and emergency care sections provide the most up-to-date strategies for providing competent care; and the enrichment sections further enhance students' ability to assess and manage ill and injured patients in prehospital environments. The text's table of contents is organized to follow the National EMS Educational Standards.

This book discusses multiple aspects of radiological and nuclear terrorism. Do you know what to do if there is a radiological or nuclear emergency in your city? These accidents are not common, but they have happened - and even though we have not seen an attack using these weapons, governments around the world are making plans for how to prevent them - and for how to respond if necessary. Whether you are an emergency responder, a medical caregiver, a public health official - even a member of the public wanting to know how to keep yourself and your loved ones safe - there is a need to understand how these weapons work, how radiation affects our health, how to stop an attack from taking place, how to respond appropriately in the event of an emergency, and much more. Unfortunately, the knowledge that is needed to accomplish all of this is lacking at all levels of society and government. In this book, Dr. Andrew Karam, an internationally respected expert in radiation safety and multiple aspects of radiological and nuclear emergencies, discusses how these weapons work and what they can do, how they can affect our health, how to keep yourself safe, and how to react appropriately whether you are a police officer investigating a suspect radiological weapon, a firefighter responding to a radiological or nuclear attack, a nurse or physician caring for potentially contaminated patients, or a governmental official trying to keep the public safe. To do this, he draws upon his extensive experience in the military, the several years he worked directly with emergency responders, his service on a number of advisory committees, and multiple trips overseas in the aftermath of the Fukushima accident and on behalf of the International Atomic Energy Agency, Interpol, and the Health Physics Society.

"Heart Failure: From Research to Clinical Practice" contains chapters that describe the current views on the biological mechanisms, clinical assessment, diagnosis and evidence-based treatments of the condition. Topics in this volume range from basic research at cell and molecular level to patient care in everyday clinical practice and provide essential background information and analyses of recent advances for a deeper understanding of the issues involved. With contributions from international experts in their specified fields and are suitable for both beginners and more advanced readers. This volume includes not only the essential information for clinical practice but also the latest information from the contemporary guidelines and the recommendations from leading societies. It also covers ongoing research and puts forward new hypotheses that can be tested in future research. This comprehensive volume will provide a valuable resource for both research students and expert clinicians.

Leading medical experts from the military and other branches of government comprehensively review the possible infectious disease and chemical agents that can be used in terrorist attack and the proper diagnostic and therapeutic methods for dealing with them. The book also discusses treating blast injuries, the effects of nuclear and radiological weapons, and the psychological effects of terrorist events. Comprehensive and up-to-date, Physician's Guide to Terrorist Attack provides physicians, health care workers, and emergency personnel with a practical handbook for confidently and effectively diagnosing and managing the victims of terrorist attack.

This book highlights cutting-edge research into emergency early warning management and decision-making for severe accidents. Using toxic gas leakages as examples, it puts forward new design methods for emergency early warning systems, as well as a systematic description of emergency early warning information communication mechanisms and characteristics of regional evacuation, based on a wide range of theories, including safety engineering, information engineering, communication, behaviorology and others. The book applies a range of methods, such as case analysis, questionnaire interviews, and multi-objective optimization modeling. Drawing on this basis, it subsequently proposes a multi-objective optimization modeling and algorithm for emergency path selection, together with an evacuation risk assessment method. Divided into six chapters prepared by an international team of researchers, the book addresses the design of early warning systems, communication and dissemination mechanisms of early warning information, characteristics of regional evacuation, multi-objective optimization of emergency paths, and evacuation risk assessment. The book offers an essential reference guide for engineering technicians and researchers in a wide range of fields, including emergency management, safety science and engineering, disaster relief engineering, and transportation optimization, as well as graduate students in related majors at colleges and universities.

While medical specialists in disaster mitigation, preparedness, and response are needed worldwide, the initial phase of disaster response is almost entirely dependent upon local resources-making it essential that all healthcare personnel have a working knowledge of the field and stand ready to integrate into the response system. Ciottone's Disaster Medicine, 3rd Edition, is the most comprehensive reference available to help accomplish these goals in every community. It thoroughly covers isolated domestic events as well as global disasters and humanitarian crises. Dr. Gregory Ciottone and more than 200 worldwide authorities share their knowledge and expertise on the preparation, assessment, and management of both natural and man-made disasters, including lessons learned by the responders to contemporary disasters such as the COVID-19 pandemic, Australian and western U.S. wildfires, European heatwaves, the Beirut explosion, recent hurricanes and typhoons, and the global refugee crisis. Part 1 offers an A-to-Z resource for every aspect of disaster medicine and management, while Part 2 features an exhaustive compilation of every conceivable disaster event, organized to facilitate quick reference in a real-time setting. Covers basic concepts such as identification of risks, organizational preparedness, equipment planning, disaster education and training, and more advanced concepts such as disaster risk reduction, health in complex emergencies, building local disaster resiliency, psychological impact of disasters on children, and more. Contains new decision trees throughout that help guide you through the decision-making process in difficult situations. Uses an easy-to-follow, templated approach to historical perspectives, overviews of current practice including pre-incident and post-incident actions, medical treatment of casualties, and potential pitfalls. Includes updated sections on man-made disasters, including mass casualties, active shooter situations, integrated response to terrorist attacks, and chemical/biological/radiological/nuclear/high-yield explosives disasters. Discusses the latest technologies, such as the use of mobile disaster applications, drone response systems, and virtual reality simulation training. Features thoroughly updated information on crisis leadership, practical applications of disaster epidemiology, disaster and climate change, and the integration of non-government agencies (NGOs) in disaster response-a critical topic for those responding to humanitarian needs overseas. Includes new chapters on Pandemic Preparedness and Response, Disaster Medicine in a Changing Climate, Disaster Response in Asia, Building Local Capacity and Disaster Resiliency, Civilian-Military Coordination in Disaster Response, Medical Simulation in Disaster Preparedness, Disaster Nursing, Crisis Meta-Leadership, Palliative Care in Disasters, Counter-Terrorism Medicine, SARS CoV (COVID-19 and SARS), and Disasters in Space Travel. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

This volume is a complete manual of operative techniques for battling a severe liver injury. It provides an easy pre-operative and intra-operative reference with clear illustrations, line drawings as well as actual intra-operative color pictures, supplemented by online video segments. The early sections of the book deal with the fundamentals of surgical anatomy and critical maneuvers in the resuscitation of the patient in extremis. The various technical maneuvers for manual control of hemorrhage, debridement-resection as well as formal lobectomy of the liver, the identification of biliary tract injuries and other miscellaneous techniques, such as balloon tamponade of missile tracts, are discussed in complete detail. The book also sketches the role of liver transplantation surgeons in the acute trauma setting. The final chapters focus on the urgent problem of teaching operative techniques to young trauma surgeons in an era of dwindling surgical experience. Written by authors who are world- renowned experts in trauma management, often termed "master-surgeons," Operative Techniques for Severe Liver Injury is required preparation for all surgeons who are likely to face a massive crush injury of the liver.

This new book from leading neurosurgeon and author Gary Kraus is an account of traumatic brain injury (TBI) from the time a brain-injured patient arrives in the emergency department through to the wide range of clinical outcomes of such an injury. Written with the voice of experience, the author examines causation of TBI, the patient’s stay in the neuro-intensive care unit and the many neurological assessments and tests that inform the outcomes that the patient and their families will encounter. A wide range of medical professionals will benefit from Dr Kraus’s acute insights into TBI including Neurosurgical residents, Neurosurgeons with a sub-specialist interest in Neuro-Trauma, Neurologists managing patients with post traumatic brain injury, Neuro-Intensivists, Neuro-Psychologists, Researchers/scientists involved in Clinical trial in traumatic brain injury, and those with a specialist interest in Neuro-rehabilitation.

The Tourniquet Manual - principles and practice provides a comprehensive and detailed account of the safe use of the tourniquet by using a physiological approach which ensures good practice. Starting from a historical background the reader learns the detailed effects of ischaemia on the vulnerable tissues, especially muscle and nerve. The effects of releasing the tourniquet on the systemic circulation and the complicated biochemistry of the ischaemia-reperfusion response are explained. Complications and good practice are discussed. There is a chapter on the latest technological advances in tourniquets. This book provides a coherent account of the subject and is an invaluable source of references. It will help avoid medicolegal problems and promote good practice by surgeons, anaesthetists and operation theatre technicians alike and should be in every theatre office.

Designed for candidates preparing for the MCEM Part A exam, Get Through MCEM Part A: MCQs provides invaluable revision for this new exam, success in which is obligatory for entry into higher specialist training in Emergency Medicine. Over 400 practice questions are presented reflecting the format and content used in the actual exam. Useful revision tips and practical advice on the format of the exam, plus techniques for answering questions are provided to develop candidates' exam skills and build up confidence in readiness for the exam day. Three complete mock exams provide the ultimate last minute revision tool. All the answers are supported with detailed explanations to allow the candidate to assess and supplement their own level of knowledge, and target areas of weakness.
Get Through MCEM Part A: MCQs is comprehensive and authoritative: all authors are practising emergency physicians. Featuring questions that specifically address all areas of the College of Emergency Medicine's curriculum, this is the essential revision book for all candidates preparing for the Part A exam. It also provides valuable revision for trainees
sitting the FCEM exam and for medical students revising for clinical exams.

This book is exceptional in being devoted solely to vasovagal syncope (VVS), the most frequent cause of transient loss of consciousness in the general population. All aspects of VVS are covered, including epidemiology, pathophysiology, diagnosis and differential diagnosis, prognosis, therapy and implications for particular activities such as work, driving and physical activity. The context for the book is that about half of the population suffer from this type of loss of consciousness during their lifetime and then often call for general practitioner and/or emergency room assistance. While many pathophysiological aspects of VVS have been clarified, others remain elusive. The diagnosis of VVS may be easy, but it is sometimes challenging. From the therapeutic standpoint, few evidence-based therapies have been established and the large majority of treatments remain unsatisfactory. Vasovagal Syncope presents the latest evidence on all these issues and will be of value for internists, cardiologists, neurologists, emergency physicians and general practitioners.

This handbook covers the most common paediatric problems encountered in Accident and Emergency departments. The contents include cardiopulmonary resuscitation, major trauma, fractures and other orthopaedic problems, burns, scalds and poisoning. Child abuse and its recognition and management are described. Emphasis has been placed on the emergency management of serious illness and injury and on the management of common problems. In many cases, further management is described for those studying for the Accident and Emergency Fellowship examination. This edition includes a revised section on paediatric resuscitation which summarizes the latest guidelines in this area. The section on major trauma has been extended to follow the Advanced Paediatric Life Support guidelines, and the section on fractures is now in tabular format for the comparison of possible diagnoses.

This easy-to-read Handbook offers clinicians a practical system for interpreting emergency head CT. This image driven book covers a wide spectrum of conditions likely to be encountered in everyday clinical practice. Practical tips for recognizing subtle pathology, through to the more obvious, are supplemented by easy-to-interpret diagrams. New topics have been added since the first edition, including trauma CT cervical spine interpretation, and an up-to-date section on acute stroke. In addition to the clinical chapters, this Handbook provides simplified technical details, and a brief historical background, making it an excellent reference manual and learning aide for all clinicians with an interest in emergency CT head interpretation.

This book provides recommendations for evaluation and therapy in the area of acute pediatric neurology; these are presented didactically with frequent use of illustrations and algorithms. Chapters in the first part of the book discuss presenting symptoms of acute neurological conditions. The second part of the book covers major areas of acute pediatric neurology and each of these chapters has three key elements: description of presenting symptoms; recommended assessments; and recommended interventions. Acute Pediatric Neurology provides an accessible, clinically focused guide to assist physicians in the emergency ward or intensive care unit in decisions on diagnosis and therapeutic interventions in all major acute pediatric neurological diseases.

In the twentieth-century, evidence-based injury prevention and control strategies have contributed to a substantial decline in the number of deaths associated with injury. However, researchers in the field of injury prevention have often gathered their study methods from other disciplines; it can be difficult for injury investigators to locate all of the research tools that can be applied to problems related to injury. Injury Control: A Guide to Research and Program Evaluation addresses the growing need for a comprehensive source of knowledge on all research designs available for injury control and research. Included in this accessible guidebook is information about choices in study design, details about study execution and discussion of specific tools such as injury severity scales, programme evaluations and systematic reviews. Epidemiologists, health service investigators, trauma surgeons and emergency medicine physicians will find this a useful source for understanding, reviewing and conducting research related to injuries.

A 19-year-old student is admitted to hospital after being found unconscious in her room in the university halls of residence. Her roommate told the paramedics that the patient had recently failed her end of year exams. She was reportedly found with several packets of paracetamol and codeine phosphate nearby and an empty bottle of wine on her bedside table. You are the medic on duty... 100 Cases in Acute Medicine presents 100 acute conditions commonly seen by medical students and junior doctors in the emergency department, or on the ward or in the community setting. A succinct summary of the patient's history, examination and initial investigations, including photographs where relevant, is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors. Making clinical decisions and choosing the best course of action is one of the most challenging and difficult parts of training to become a doctor. Fully revised and updated for this second edition, these cases will teach students and junior doctors to recognize important clinical symptoms and signs, and to develop their diagnostic and management skills.

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.