Examine the effects of childhood trauma on sexual orientation and behavior! This pioneering book examines the effects of childhood traumaincluding sexual abuseon sexual orientation and behavior. It will help you expand your sensitivity and expertise in a critically important way: by providing a nonjudgmental look at the profound effects of long-standing early abuse on the sexual identities, orientation, behaviors, and fantasies of the people who come to you for help. From the editors: In the modern era of trauma studies, clinicians and researchers have been treating and investigating the effects of traumaincluding the sexual abuse of childrenfor more than two decades. And yet, we know far more about sequelae such as post-traumatic and dissociative symptoms, disrupted attachment, addictions, eating disorders, and somatoform symptoms than we do about the effects of trauma on sexual behavior. With the exception of a relatively few articles in the scientific literature (many of which were written by the authors in this collection), little has been published about the sexual effects of sexual abuse and other childhood maltreatment. Why have we neglected this obvious and important area? Perhaps the reason can be simply attributed to our Victorian legacy of reluctance to openly discuss sexuality. Or, perhaps the reason may be related to some of the expressions of sexuality that are sometimes seen in persons with childhood trauma. At times, expressions such as sexual addiction, homosexuality, sadomasochistic behavior, and prostitution have been classified as deviant. This may have contributed to our reluctance to discuss them openly. Or, perhaps the reason is that we collectively wish to deny the effects of abuse on one of the core aspects of ourselvesto deny that early traumatic events forever change the sexual lives of persons in such an intimate and profound way. The contributors to this well-referenced book combine their insight and expertise to address sensitive areas, including: the concepts of femininity and masculinityand how these personality styles are direct and indirect outcomes of trauma and reflective of dissociation treatment approaches for lesbian, gay, bisexual, and transgendered trauma survivors the need to address sexuality in treatmentand to always keep in mind that there are many different healthy expressions of sexuality and gender the relationship of dissociation to sexual addiction/compulsivity in survivors of childhood sexual abuse sexual behavior problems in children who have been abused, including sexually reactive behaviors, extensive but mutual sexual behaviors, and children who molestessential reading for anyone who doesn't want to see abused children mislabeled as sexual offenders! hyposexuality and hypersexuality as a result of childhood trauma the relationship between trauma history, trauma-related symptoms, and sexual risk behaviors that can lead to infection by HIV or other STDs as well as unplanned pregnancy

Technological development has not only provided mankind with more prosperity, but with increased destructive power as well. These developments, combined with an explosive growth of the world population, have led to mass casualty situations, varying from traffic accidents to war. In the 20th Century over 200 million people were killed as a result of man-made disasters --- a figure unequalled in the history of mankind. It is not surprising, therefore, that a new medical discipline has emerged: disaster medicine.
The realization that disasters have effects which cross the traditional boundaries of medical specialisms and nationality, led to the foundation of the International Society of Disaster Medicine (ISDM), which issued an international curriculum on education and training in disaster medicine. As a logical consequence the ISDM decided to develop its curriculum into a handbook, now available to the global community of disaster medicine specialists. This Handbook of Disaster Medicine contains contributions from international experts in the field and will be of value and interest to a wide variety of professionals in the discipline of disaster medicine and management.
Co-published with Van der Wees Uitgeverij, Utrecht, The Netherlands

Drs. John C. Perkins and Michael E. Winters have assembled an expert team of authors on the topic of Sepsis in the Emergency Department. Article topics include: Defining and Diagnosing Sepsis; Appropriate Antibiotic Therapy; Severe Sepsis Resuscitation in Resource Limited Settings; Source Control in Severe Sepsis; Considerations in Special Populations with Severe Sepsis; Pediatric Severe Sepsis Resuscitation; The New Usual Care; Prehospital Sepsis Care; Endpoints of Sepsis Resuscitation; Pitfalls in the Diagnosis, Treatment, and Disposition of Severe Sepsis; Biomarkers in Sepsis; Vasopressors and Inotropes in Sepsis; and Sepsis Quality Measures and Performance Improvement.

Covers the immediate assessment and management of common plastic and reconstructive surgery emergencies and referrals. A companion for junior doctors starting within plastic surgery, the Plastic Surgery for \Trauma provides succinct and clear presentation together with up to date guidelines on the common plastic surgery emergencies. With clear descriptions of difficult trauma scenarios, illustrated with numerous figures, and updated guidelines for each step of practice, this book will ensure that the reader can access all the information required to help gain confidence and experience .Be the readers passing through a plastic surgery rotation on their way to some other career goal or beginning within plastic surgery and keen to make a strong start with a view to progressing in the speciality, this book provides the support to allow rational and confident clinical decision making from the start. Essential reading for all non-specialists and trainees.

-Accessible introduction to the full spectrum of diseases and disasters for students of politics, human security studies and development studies -Case studies include Covid-19, Haiti Earthquake 2010, Hurricane Maria, Typhoon Haiyan, Second Congo War; Yemen Civil War; Tajikistan Civil War, AIDS in Africa, Malaria, SARS, and Ebola -Timely new textbook to address issues arising from the Covid-19 global pandemic

This brand new title provides a highly illustrated and unambiguous introduction to most common presentations encountered in GP surgeries, in minor injury units and emergency departments. It provides the basic information required to identify and manage these conditions, as well as highlighting the pitfalls and the key diagnoses not to be missed. Minor Injury and Minor Illness at a Glance: * Presents the perfect combination of text and image; double page spreads enable quick access to information for readers in a pressurised environment * Covers a wide range of minor injuries and illnesses in one illustrated, full colour volume * Identifies key diagnoses not to be missed with red flags * Contains Short Answer Questions (SAQs) to help test learning and recognition * Includes a companion website featuring Short Answer Questions (SAQs) and flashcards, available at www.ataglanceseries.com/minorinjury Minor Injury and Minor Illness at a Glance is the perfect preparation guide or aide memoire for placements in acute or primary care, ideal for medical students, junior doctors, GP trainees and nurse practitioners.

This is an ideal evidence based clinical guide to the essential principles and practical points arising from obstetric emergencies for residents, trainees, and obstetricians in practice. The concise text, illustrated with key diagrams, is from experienced educators and practitioners. *Provides a concise illustrated guide to the key principles and practical points involved *Gives trainees, residents, and obstetricians the practical information they need in an emergency *Supplies quick and easy reference to key points with illustrations

Acute Medicine offers an accessible and concise guide to the practical management of all acute medical problems likely to be encountered in the emergency department, ambulatory care centre, acute medical unit or on the wards. Reflecting the maturation of acute medicine as a separate specialty, the book is divided into common presentations, specific problems and procedures. New to the fifth edition is a chapter on bed-side ultrasonography; throughout, emphasis is placed on patient safety, and the use of flow diagrams, tables and figures ensures that key information is quickly accessible. Thoroughly revised by experts in the subject, and updated to reflect current approaches to diagnosis and management, Acute Medicine is an excellent companion for the trainee as well as an aide-memoire for the more experienced physician.

Dr. Drew Pinsky is best known as the cohost of the long-running radio advice program Loveline. But his workday is spent at a major Southern California clinic, treating the severest cases of drug dependency and psychiatric breakdown. In this riveting book, Pinsky reveals the intimate and often shocking stories of his patients as they struggle with emotional trauma, sexual abuse, and a host of chemical nemeses: alcohol, marijuana, Ecstasy, heroin, speed, cocaine, and prescription drugs. At the center of these stories is Pinsky himself, who immerses himself passionately, almost obsessively, in his work. From the sexually compulsive model to the BMW-driving soccer mom, Cracked exposes, in fast-moving, powerful vignettes, the true scope and severity of addiction, a nationwide epidemic.

This issue of Emergency Medicine Clinics, edited by Drs. Robert Vissers and Michael Gibbs, focuses on Pulmonary Emergencies. Articles include: Approach to the Adult Patient with Acute Dyspnea,Approach to the Pediatric Patient with Acute Dyspnea,Advances in Pulmonary Imaging,Respiratory Monitoring,Management of Acute Asthma and COPD,Diagnosis and Treatment of Acute Pulmonary Embolus,Pulmonary Manifestations Of Systemic Diseases,Pleural Disease,Management of Hemoptysis, and more!

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.

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.

Key Features: * Presents the content in a comprehensive and logical manner with an appropriate level of illustrations. * Serves as a ready reference of clinical examination in an easy-to-use pocket-book format for residents and physicians who encounter hand injuries. * Covers crucial knowledge in the field of hand trauma.

Simulate a realistic delivery room setting during your NRP training courses with the all-new NRP Equipment Poster, featuring images of a manometer, oxygen blender, pulse oximeter, and more. Printed on flexible plastic with holes for hanging on hooks. Size: 22" x 24".

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

Designed to enhance the confidence, knowledge and skills needed to perform effectively in urgent or emergency situations that can occur in a hospital, at a birth centre or at home, this fully updated third edition provides an accessible resource for all practising midwives. With contributions from highly experienced midwives, this practical handbook incorporates an all-new chapter on serious infections and continues to provide key, up-to-date information on high-risk medical and obstetric situations. It also covers relevant information on litigation and the conclusions arising from the reports from the Confidential Enquiries into Maternal Deaths. Emergencies Around Childbirth is essential reading for practising and trainee midwives, and those who teach them.

The Neonatal Resuscitation Program (R) (NRP (R)) course conveys an evidence-based approach to care of the newborn at birth and facilitates effective team-based care for healthcare professionals who care for newborns at the time of delivery. NRP utilizes a blended learning approach, which includes online testing and hands-on case-based simulation/debriefing that focus on critical leadership, communication, and team-work skills. The NRP, 8th Edition, introduces a new educational methodology to better meet the needs of health care professionals who manage the newly born baby. New in the 8th edition: Key Points at the beginning of each lesson. Quick response (QR) codes that enable the reader to view short videos about the topic on their mobile device. Lesson Review Questions grouped together at the end of each lesson. Quality Improvement Opportunities and Frequently Asked Questions in each lesson. New sections in Lesson 10 (Special Considerations) about resuscitation of the newborn with a myelomeningocele or an abdominal wall defect. Three Supplemental Lessons (Improving Resuscitation Team Performance, Resuscitation Outside the Delivery Room, and Bringing Quality Improvement to Your Resuscitation Team) that all NRP users to enhance their resuscitation knowledge and performance.

For nearly 40 years, Medicine for the Outdoors: The Essential Guide to First Aid and Medical Emergencies has been the take-along manual of choice for anyone venturing into the mountains, forest, desert, or on water. This essential guide provides highly illustrated, easy-to-follow guidance on immediate stabilization and treatment of persons with virtually any possible medical problem-designed for on-the-spot use when higher-level medical care is not accessible. Written by experts in outdoor medicine, this updated edition helps you manage any situation until medical personnel can take over. Covers key information on a wide range of disorders related to specific environments, including natural disasters, high-altitude problems, water-related incidents, heat- and cold-related illnesses, and wildland fires. Provides easy-to-understand recommendations for dealing with animal attacks, venomous wildlife, wild plant and mushroom poisoning, minor and major medical problems, infectious diseases, water disinfection, and severe bleeding. Discusses key topics, including antibiotics, medicines, opioid overdose treatment, wound closure techniques, severe bleeding, spinal assessment and immobilization, tourniquets, the use of a Gamow bag for severe altitude illness, splinting, dental emergencies, disaster preparedness, global conflict guidelines, canine medicine, today's infectious disease threats, and much more. Includes up-to-date guidelines, even more helpful illustrations and diagrams, and a new chapter: Patient Assessment: A Structured Approach to Emergencies in the Outdoors. Includes advanced topics valuable to physicians and expedition medical staff at all levels of training and experience. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Quick, one-stop guide to neonatal resuscitation steps. Self-adhesive strips ease on-cart mounting. Size: 8.5" x 11

Quick, one-stop guide to neonatal resuscitation steps. Great take-along for all newborn care providers. Size: 4" x 3.5" (Two card set)

The award-winning guide to medical training for wilderness rescue and self-care Wilderness First Responder is a comprehensive text for the recognition, treatment, and prevention of backcountry emergencies, written by wilderness expert Buck Tilton with more than a dozen medical professionals. Thoroughly updated and revised, this teaching manual for the National Outdoor Leadership School's Wilderness First Responder course represents more than a century and a half of combined experience in wilderness medicine, rescue, and education. It is essential reading for wilderness educators, trip leaders, guides, search and rescue groups, and anyone who works or plays far from definitive medical care. This invaluable resource includes expert step-by-step instructions, clear illustrations, and "Signs and Symptoms" sidebars designed to help you provide immediate care in the wilderness-whenever you are more than an hour away from an ambulance or a medical facility. It shows how to conduct a patient assessment, improvise when ideal materials are not handy, and decide whether or not to evacuate the injured. Learn how to assess and treat: Airway obstructions Cardiac arrest External and internal bleeding Shock Spine injuries Head injuries Chest injuries Abdominal injuries Fractures and dislocations Athletic injuries Soft-tissue injuries Cold- or heat-induced injuries Altitude sickness Insect bites and stings Diabetic emergencies Poisoning emergencies Allergic reactions and anaphylaxis

Churchill's Guide to UK Medicolegal Essentials provides a no-nonsense guide to managing those everyday clinical scenarios that have potential or obvious legal implications. With a clear, practical and easy-to-read style, it takes you through everything that you need to know including the UK legal systems, complaints handling, clinical governance and risk management, disciplinary procedures, and how the law relates to alcohol, drugs, mental health and end of life. This is an ideal book for medical, nursing, dental and paramedic students preparing for exams or interviews, all grades of healthcare professionals, police staff, and anyone needing a brief overview of the legal intricacies of medical practice. Defines the law of England and Wales, Scotland and Northern Ireland Provides tips on preparing a police statement, appearing in court and obtaining forensic samples Scenarios and questions to bring the law to life Filled with practical advice to help you understand and minimise risks to your practice Covers risk management, which is central to Government health policies An enhanced eBook version is included with purchase. The eBook allows you to access all the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud Comprehensive update of all areas of medical law New chapter on the Sexual Offences Act 2003 New questions and scenarios to test your knowledge and understanding

Key Features: * Presents the content in a comprehensive and logical manner with an appropriate level of illustrations. * Serves as a ready reference of clinical examination in an easy-to-use pocket-book format for residents and physicians who encounter hand injuries. * Covers crucial knowledge in the field of hand trauma.