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.

The development of urgent care centres within emergency departments and the proliferation of minor injury units and walk in centres in recent years has led to a parallel rise in Emergency Practitioners (EPs) whose professional backgrounds range between nursing, physiotherapy and paramedical sciences with nurses being the predominant group. These hybrid groups of clinicians combine nursing and medical knowledge to deliver timely effective care to patients presenting with a wide range of injuries and illness. This handbook is an ideal companion and aide memoire for daily practice, and an essential tool for EPs - enabling them to assess, diagnose, treat and discharge or refer the patient effectively. Written by emergency nurse practitioners who understand the thought processes and complexities of clinical decision making, this guide offers straightforward practical advice, particularly for those in isolated nurse led units or those working in a pressurised environment of the emergency department. General Practitioners and foundation year 2 doctors also increasingly work in emergency/urgent care settings and will find this guide invaluable for current, easy to access information.

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.

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.

In response to persistent donor organ shortages, organs from marginal donors, such as expanded criteria donors (ECD) and donation after cardiac death (DCD) donors, are now accepted and have been successfully transplanted, reducing the waiting times for transplantation. Especially in Japan, transplantation of DCD kidneys has a relatively long history because of the difficulty or lack of national consensus in accepting brain death, which has made it possible to accumulate considerable clinical experience. Thus, the current organ shortage has stimulated interest in the use of marginal donors for transplantation. On the other hand, however, it is known that these organs have a high rate of delayed graft function and a more complicated postoperative course. These drawbacks have created the greatest clinical challenge in transplantation to date because of the current shortage and limitations of donors using ECD and DCD.

This book, prepared by distinguished authorities in their fields, is intended for clinicians and researchers. It highlights the use of marginal donors as a comparatively novel source of transplantation organs and provides a thorough overview of marginal donors from their historical origins to recent clinical applications, including the state-of-the-art science of organ/donor management, procurement, and preservation. Also provided is valuable information on ABO-incompatible donors which extend the availability of donor sources. Each chapter offers an individual analysis of the optimal requirements for the safe management and preservation of organs, including the heart, lung, liver, kidney, pancreas, and pancreatic islets.

The female doctors in the Parkview Hospital emergency department decide that they will no longer allow gang members who assault healthcare workers in their community to escape justice. The neighborhood of Parkview is being terrorized by the Plagues, a gang of violent criminals and drug dealers, and the local police department is taking pay-offs to ignore their activity. After one of the ED doctors, Elita Romanov, is kidnapped and raped, she and her best friend, Dr. Kate Taylor, resolve to take definitive action against the Plagues, whatever the consequences. They systematically recruit co-wokers, friends and family members who are willing to break the law in order to restore the rule of law in Parkview. THE FIRST TO SAY NO is Kate's journey to achieve peace with her past and to eliminate those who threaten her future and the future of her neighborhood. Set in contemporary America, this novel illustrates many of the failings of today's healthcare system as Kate and Elita's startling solution unfolds in Parkview.

This book provides a comprehensive overview of deaths and injuries from residential fires as well as the most up to date information on evidence-based approaches to reduce this problem. The volume serves as a guide for professionals working in the field of fire prevention and as a textbook for instruction in universities and fire service schools. The authors' interdisciplinary approach, where public health methodology is combined with fire protection engineering, medicine, and policy science, is quite distinctive outside of the technical literature devoted to larger scale fire events. Traditional textbooks on fire protection tend to describe the problem as purely technical, whereas in essence it is a problem of human vulnerability. In this book, readers will find lucid and rigorous descriptions of various risk groups and effective preventive measures that are effective, both in general and with respect to the different risk groups. They will also find work processes to facilitate risk reduction. Summarizing state-of-the-art knowledge and giving guidance for the future, both in terms of preventive efforts and ongoing research, Residential Fire Safety: An Interdisciplinary Approach, is ideal for students, educators, and practitioners of residential fire protection.

Spreading to every corner of the Earth, the COVID-19 virus has had an unparalleled impact on all aspects of our lives. This book explores in detail how the COVID-19 pandemic has affected clinical practice, education, and research in medical physics, and how colleagues on the frontline dealt with this unpredictable and unprecedented pandemic. It tackles key questions such as: How did medical physicists first respond to the situation? What innovative strategies were taken and how effective were they? How are medical physicists preparing for the future? There will be a focus on the different experiences of regional medical physicists and the responses and outlooks in clinical practice, education, and research in the affected continents, Asia-Pacific, the Middle East, Europe, Africa and North and Latin America. With over 91 contributors from 39 countries, this unique resource contains key perspectives from teams from each territory to ensure a global range of accounts. The collective opinion and wisdom from the major medical physics journal editors-in-chief are also explored, alongside how the pandemic has affected the quantity and quality of publications. Voices of early-career researchers and students of medical physics will be included, with narratives of their experiences coping with life during the pandemic. Lastly, communicating leadership in times of adversity is highlighted. This book will be a historic account of the impact of the COVID-19 virus on the field of medical physics. It will be an ideal reference for medical physicists, medical physics trainees and students, hospital administrators, regulators, and healthcare professionals allied with medical physics. Key features: The first book to cover the impact of COVID-19 on the field of medical physics Edited by two experts in the field, with chapter contributions from subject area specialists around the world Broad, global coverage, ranging from the impact on teaching, research, and publishing, with unique perspectives from journal editors and students and trainees

The first COVID-19 case in the US was reported on January 20, 2020. As the first cases were being reported in the US, Washington State became a reliable source not just for hospital bed demand based on incidence and community spread but also for modeling the impact of skilled nursing facilities and assisted living facilities on hospital bed demand. Various hospital bed demand modeling efforts began in earnest across the United States in university settings, private consulting and health systems. Nationally, the University of Washington Institute of Health Metrics and Evaluation seemed to gain a footing and was adopted as a source for many states for its ability to predict the epidemiological curve by state, including the peak. This book therefore addresses a compelling need for documenting what has been learned by the academic and professional healthcare communities in healthcare analytics and disaster preparedness to this point in the pandemic. What is clear, at least from the US perspective, is that the healthcare system was unprepared and uncoordinated from an analytics perspective. Learning from this experience will only better prepare all healthcare systems and leaders for future crisis. Both prospectively, from a modeling perspective and retrospectively from a root cause analysis perspective, analytics provide clarity and help explain causation and data relationships. A more structured approach to teaching healthcare analytics to students, using the pandemic and the rich dataset that has been developed, provides a ready-made case study from which to learn and inform disaster planning and preparedness. The pandemic has strained the healthcare and public health systems. Researchers and practitioners must learn from this crisis to better prepare our processes for future pandemics, at minimum. Finally, government officials and policy makers can use this data to decide how best to assist the healthcare and public health systems in crisis.

The Geometric Induction of Bone Formation describes new biomimetic biomaterials that offer mechanistic osteogenic surfaces for the autonomous and spontaneous induction of bone formation without the addition of osteogenic soluble molecular signals of the transforming growth factor- supergene family. The chapters frame our understanding of regenerative medicine in primate species, including humans. The goal is to unravel the fundamental biological mechanisms of bone formation unique to non-human and human primates. The broad target audience dovetails with several disciplines both in the academic and private biotech sectors primarily involved in molecular biology, tissue biology, tissue engineering, biomaterial science, and reconstructive, orthopedic, plastic, and dental surgery. Key Features Includes outstanding images of undecalcified whole mounted sections Summarizes non-human primate research - ideal for clinical translation Reviews methods for creating devices capable of making bone autonomously, i.e. an intrinsically osteo-inductive bioreactor and/or biomaterial Describes the spontaneous induction of bone formation including a whole spectrum of tissue biology, from basic molecular biology to clear-cut morphology and pre-clinical application in non-human primate species Intended for audiences in both academic research and the biotech industry

Modern vascular neurology, particularly in the emergency setting, often requires a great capacity for analysis and synthesis. Physicians who manage these patients must have acquired multidisciplinary skills, including a good knowledge of clinical neurology and medical imaging, but they may also need to be skilled in cardiology and intensive care. The initial clinical and imaging examinations play a decisive role in the management strategy. This book, written by neurologists and neuroradiologists, is designed to help all physicians involved in the management of neurovascular disease. The format and contents of this book, including the latest guidelines from learned societies, are designed to provide a succinct and practical guide. Although this book is particularly devoted to ischaemic stroke, other neurovascular diseases, especially haemorrhagic stroke, are also discussed. This book should constitute a valuable tool for everyday practice for all medical personnel involved in neurovascular disease.

This issue of Emergency Medicine Clinics, guest edited by Drs. Mimi Lu, Ilene Claudius and Chris Amato, focuses on Pediatric Emergency Medicine. This is one of four issues each year selected by the series consulting editor, Dr. Amal Mattu. Articles in this issue include, but are not limited to: High-risk medicolegal issues in PEM: meningitis, appendicitis, fractures, Respiratory Emergencies: intubation, non-invasive, trach emergencies , supraglottic airways, Neck Trauma: cervical spine, seatbelt signs, penetrating palate injuries, Cardiac Emergencies, Fever and Tox: New Designer Drugs.

Disaster Preparedness for Seniors: A Comprehensive Guide for Healthcare Professionals outlines specific disaster scenarios for homebound, community, hospitalized, long term care, homeless and aged veterans. Chapters are written by a diverse group of authors, all of whom offer insight and expertise in training healthcare professionals in preparing for disasters. Topics include myths and realities of natural disasters and disaster preparedness for special populations of elders-the acute care elderly, the community-dwelling elderly, home based primary care senior veterans, the immune-compromised elderly, those with multiple and co morbid illnesses, the long-term care elderly, those elderly at the end of life and the effects of disaster on caregivers. A significant portion of the book is also devoted to training, competencies, literacy, cultural competency and resilience in disaster preparedness as well as the role of the academic medical center. The volume concludes with coverage of the management of behavioral, medical and psychological consequences of disasters. Disaster Preparedness for Seniors: A Comprehensive Guide for Healthcare Professionals is an important new volume and will serve as a guide for the development of programs, policies and procedures for evacuation of seniors during various disaster scenarios.

This book presents a systematic review of research concerning processes and systems in Emergency Departments (EDs), the issues faced by EDs, and their solutions to ensure the delivery of proper and ideal healthcare services for patients through superior quality process management. The book evaluates two decades of data, from 2000 to 2019, in order to examine the processes used in ED operations. Emergency Department has become evident particularly in the current scenario when the world is in the grip of the deadly COVID-19. The two decades of data revealed a lack of literary content on bringing improvement for EDs in Malaysia and Saudi Arabia through the deployment of simulation models. Simulation model in Malaysia and Saudi Arabia is being considered for the first time by this book.