Drawing on the experience of evaluating over 2000 emergency room patients, Rene Muller explores the important role of psychiatry in emergency room medicine. He discusses some of his most challenging cases, showing how psychiatry comes to the aid of medicine in managing the crises - real, imagined, and contrived - that are the everyday fare of clinicians who work in the ER. We are introduced to a world in which lies are exposed, manipulations revealed, diagnoses made, medications adjusted, and even very brief psychotherapy attempted. Muller begins with patient narratives rooted in the mental disorders most commonly encountered in the ER: Depression, panic disorder, drug dependence, bipolar depression, bipolar mania, schizophrenia, and Alzheimer's dementia. These stories pave the way for more puzzling ER cases, which Muller gathers into sections of "Veiled and Bizarre Stories" and "Stories with a Medical Component." He introduces us to the meanings of ER malingering and offers hard-won insights into managing "dumps" (when patients are dumped into the ER by families, police, doctors) and "stumbles" (when patients' bizarre behavior lands them in the ER). The stories patients tell - and the questions these stories raise - drive Muller's text. A young man has seriously overdosed, but with what? Why has a successfully medicated schizophrenic suddenly begun hearing voices again? And what are we to make of a patient who is willing to risk death attempting to "drown" his hiccups by drinking up to 12 liters of fluid a day? For these and equally fascinating questions, Muller is a sure-handed guide, working his way through one ER challenge after another with psychiatric acumen and a balanced appreciation of the medical, custodial, socioeconomic, and legal dimensions of ER work. An intriguing account of the competing agendas that enter into the handling of emergencies, Psych ER is also a compilation of evocative patient stories about the subjective experience of being ill.

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!

Emergency Department Technicians (EDTs) play a vital role in actively supporting the medical team in today's hospitals, and the role continues to expand in light of staffing shortages and increased emergency department volumes. The Emergency Department Technician Handbook is a reliable, comprehensive resource in this increasingly important field, filling a timely need in EDT workforce development for both technicians and educators. Concise, readable text, along with high-quality clinical photos and a video library that depict procedures and patient positioning, make this new handbook a must-have resource in every emergency department. Provides quick, convenient access to practical guidance and everyday answers in an easy-to-read outline format. Discusses key topics such as patient flow and assessment in the ED, triage, and point-of-care testing. Advises on best practices for wound care, including cleansing, dressing, and splinting a wound as well as how to set up a suture tray and advanced wound care techniques. Covers essential imaging-based procedures, including the use of ultrasound-guided IV. Features a companion video library with a range of clips depicting how to perform procedures and patient examinations in real time. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, videos, and references from the book on a variety of devices.

This book reviews the recent advances in the development of proteomics-based biomarkers for the non-invasive diagnosis of altitude sickness and explores the potential of antioxidant therapy for this sickness. The first chapters introduce the associated pathophysiology and provide mechanistic insights into the enhanced generation of reactive oxygen and nitrogen species (RONS), which leads to an increase in oxidative damage to lipids, proteins, and DNA. The book then highlights the current problems relating to the diagnosis and treatment of altitude sickness and summarizes novel approaches for identifying potential biomarkers and therapeutics. Lastly, it explores the therapeutic efficacy of antioxidant agents.

1. Features recent developments like 3-D surgery, telescopic IOL, bionic implants and robotic surgery. 2. Highlights case selection and important precautions to be taken by vitreoretinal surgeons and senior residents. 3. Covers the controversies surrounding primary VR versus RD surgery in Phakic, fresh retinal detachments; Positioning after macular hole/ VR surgery; and to peel or not peel ILM in non-macular hole retinal surgery.

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.

"Dental emergencies are common and require rapid response. Order today and keep readily accessible in your dental practice "

Filled with clinical examples and step-by-step procedures, "Dental Emergencies" covers the full range of both common and complex traumatic injuries, pain, and oral lesions.

From clinical examination and assessment of potential complications to key considerations in pain management, acute oral medical and surgical conditions, restorative emergencies, treating special needs patients, and beyond, you get a comprehensive reference that: distills essential information on dental emergenciesoffers succinct, practical instruction for immediate treatmenthighlights conditions for referraland much more

En Estados Unidos, cada ano, aproximadamente 1,6 millones de pacientes pediatricos se transportan en ambulancia al departamento de emergencias y se atiende a millones mas en todo el mundo. Dado que la atencion pediatrica prehospitalaria se considera una atencion de baja frecuencia y alta gravedad, es fundamental que los profesionales renueven y actualicen sus conocimientos clinicos, practiquen habilidades psicomotoras y apliquen pensamiento critico a los posibles casos de los pacientes para garantizar que puedan poner en practica estas habilidades cuando se reciba una llamada pediatrica. La cuarta edicion de Atencion pediatrica de emergencia es el siguiente paso en la evolucion de este curso critico de capacitacion continua. Este manual es un recurso interesante que se puede consultar despues del curso para ayudar a los profesionales a proporcionar la mejor atencion a sus pacientes jovenes. Un enfoque de la atencion pediatrica centrado en la familia El programa de Atencion pediatrica de emergencia de la Asociacion Nacional de Tecnicos en Emergencias Medicas (National Association of Emergency Medical Technicians, NAEMT) asiste a los pacientes pediatricos a traves de la educacion global de profesionales de la atencion prehospitalaria de todos los niveles. El programa de Atencion pediatrica de emergencia promueve la excelencia en el tratamiento de pacientes pediatricos por parte de todos los profesionales involucrados en la atencion prehospitalaria. El objetivo principal del curso de Atencion pediatrica de emergencia no es unicamente garantizar que los profesionales de servicios medicos de emergencia puedan atender mejor a los ninos enfermos y lesionados; tambien reconoce que casi todas las llamadas pediatricas giran en torno a las necesidades no solo del nino, sino tambien de sus cuidadores. Este manual del curso incluye capitulos sobre lo siguiente: * Desarrollo y evaluacion pediatrica * Emergencias respiratorias * Traumatismos * Shock y circulacion * Emergencias medicas pediatricas * Eventos cardiacos pediatricos * Urgencias toxicologicas * Maltrato infantil * Atencion obstetrica/de recien nacidos y anomalias congenitas * Menores con necesidades especiales de cuidado de la salud * Crisis de salud mental en pediatria

Hospice care is available to patients and families dealing with terminal illness. People often do not avail themselves of hospice care because they don't understand what it entails. Many wait until their last few days to request this extraordinary comfort care instead of using the full six months available to them through Medicare and other insurance options. Demystifying Hospice describes through stories good news about end-of-life issues. Written from the perspective of a licensed social worker with experience in public and private hospitals, hospice, and the American Cancer Society, these first-hand accounts of patients, family members, hospice workers and others will lift spirits, touch hearts, and illustrate the advantages of hospice care. These are real-life examples of personalized comfort care, offered by an interdisciplinary team, where ever the patient lives. Each story addresses some aspect of helping families through the caregiving and grieving process, which are part-and-parcel of a serious illness, and offers comfort and understanding to readers who may be going through similar experiences. This book describes hope, healing, and support through difficult times.

The first pocket-size resource to guide PA students through their emergency medicine rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The Emergency Medicine edition of this 7-volume series delineates the exact duties required in this specialty. Written by experienced PA educators, this guide details the clinical approach to common presentations such as chest pain, altered mental status, and headache. It also provides a systems-based approach to more than 40 of the most frequently encountered disease entities you will see in this rotation, including traumatic injury, cerebrovascular accident, and acute coronary syndrome. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during the emergency medicine rotation, including incision and drainage, wound repair, and foreign body removal. Also included is a special chapter on non-medical situations you'll find in the emergency department, such as drug-seeking behavior, violent or incarcerated patients, and malingering and factitious disorders. Key Features: Provides a pocket-size overview of the PA emergency medicine rotation Describes common clinical presentations, disease entities, and procedures Offers clinical pearls throughout Reflects the 2019 NCCPA PANCE blueprint Includes three bonus digital chapters! Guided case studies to reinforce clinical reasoning, 25 rotation exam-style questions with remediating rationales, and additional resources to enhance your emergency department experience Other books in this series: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Surgery; OB-GYN; Pediatrics; Behavioral Health

Equip yourself with all the guidance you need to diagnose, stabilize and provide the initial management of MSK emergencies as effectively as possible. Optimize patient's disposition ranging from emergency department discharge to the operating room. A leading orthopaedic trauma surgeon and a respected emergency physician bridge the gap between these specialties to help you give these patients the best chances of favorable outcomes. Address emergency orthopaedics - both acute trauma and urgent general orthopaedic issues - at the point of care with the multidisciplinary guidance from experts in both trauma surgery and emergency medicine. Easily navigate the information you need to make critical decisions related to diagnosis; options for initial therapeutic intervention; disposition planning; and follow up through a consistent, templated format designed for rapid reference. Manage the full spectrum of traumatic musculoskeletal challenges, including infections, soft tissue injuries, and compartment syndrome, that you might encounter in a hospital emergency department, urgent care facility, or primary care setting. Make the best decisions for every patient with unique coverage of both adult and pediatric injuries. Access Musculoskeletal Emergencies online at www.expertconsult.com, search the complete contents, and download all the images.

-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

Delays in recognising deterioration or inappropriate management of people in acute care settings can result in late treatment, avoidable admissions to intensive care units and in some instances unnecessary deaths. As the role of the nurse in healthcare settings continues to change and evolve, today's student nurses need to be equipped with the fundamental skills to recognise and manage deterioration in the patient in a competent and confident manner, as you learn to become practitioners of the future. Using a body systems approach and emphasising the central role and function of the nurse throughout, this book provides a comprehensive overview of the essential issues in this important subject. Topics covered include: recognition and identification of physiological deterioration in adults; identification of disordered physiology that may lead to a medical emergency linked to deterioration of normal function; relevant anatomy and physiology; pathophysiological changes and actions that need to be taken; immediate recognition and response; investigations, diagnosis and management issues; and teaching and preventative strategies.

Les personnes agees restent le plus grand consommateur de ressources de soins de sante. Pour un nombre croissant de personnes agees dans la societe, le prestataire de services medicaux d'urgence est le seul travailleur de la sante, en dehors du service des urgences, qui est immediatement disponible pour aider la personne agee en crise 24 heures sur 24, 7 jours sur 7. Geriatric Education for Emergency Medical Services, Deuxieme edition, aborde de maniere approfondie tous les besoins de la population agee afin de s'assurer que les personnes agees recoivent le traitement specifique dont elles ont besoin de la part des praticiens des services d'urgence et des services de sante mobiles dans les moments ou les competences geriatriques sont les plus necessaires. La deuxieme edition couvre desormais de maniere exhaustive toutes les competences specifiques a la geriatrie des Normes nationales d'enseignement SMU et constitue la source la plus credible et la plus complete d'informations medicales prehospitalieres pour la population agee. Le texte comprend plus de contenu et de nouveaux sujets essentiels, notamment les soins de sante mobiles integres et la reponse aux catastrophes. Reconnaissant que les appels geriatriques sont parmi les plus complexes, le contenu du cours adopte une approche " haut de gamme " et met les etudiants au defi avec des conferences approfondies, des etudes de cas et des scenarios realistes et compliques, des discussions animees et des formations pratiques.

The only book dedicated to the College of Emergency Medicine's Membership examination, this book contains numerous questions and answers, together with data sets and clinical examples to help prepare candidates taking part B of this and other higher examinations in emergency medicine.All trainees wishing to pursue a career in Emergency Medicine have to have to pass the College of Emergency Medicine's own membership examination (MCEM) to enter training and pass the Fellowship examination (FCEM) to complete their Certificate of Specialist Training (CST). This book is a study guide which can be used in conjunction with standard emergency medicine texts. It follows the MCEM syllabus exactly and each chapter has three key parts: core facts which supplements revision for parts A and B, clinical scenarios, including data, which can be used to prepare for part B, and sample answers for questions. This book prepares candidates for examination success in part B, the data interpretation part of the MCEM examination. The authors are doctors all dedicated to the acute or emergency setting and who have collated extensive material to help in candidates' preparation for the MCEM examination. They have run a successful revision course for candidates taking the examination.

Fundamentals of Frontline Surgery is an easy to read text, written by world class faculty, that provides clinicians with succinct and didactic information about what to do in high intensity, resource limited situations.With global conflicts and humanitarian emergencies on the rise, there has been a dramatic uptake in the number of volunteers for both military and humanitarian operations. This manual aids best practice and fast decision making in the field.

Diagnostic Imaging for the Emergency Physician, written and edited by a practicing emergency physician for emergency physicians, takes a step-by-step approach to the selection and interpretation of commonly ordered diagnostic imaging tests. Dr. Joshua Broder presents validated clinical decision rules, describes time-efficient approaches for the emergency physician to identify critical radiographic findings that impact clinical management and discusses hot topics such as radiation risks, oral and IV contrast in abdominal CT, MRI versus CT for occult hip injury, and more. Diagnostic Imaging for the Emergency Physician was awarded a 2011 PROSE Award for Excellence for the best new publication in Clinical Medicine. Access the fully searchable text online at Expert Consult, along with downloadable images suitable for use in educational presentations. Choose the best test for each indication through clear explanations of the "how" and "why" behind emergency imaging. Interpret head, spine, chest, and abdominal CT images using a detailed and efficient approach to time-sensitive emergency findings. Stay on top of current developments in the field, including evidence-based analysis of tough controversies - such as indications for oral and IV contrast in abdominal CT and MRI versus CT for occult hip injury; high-risk pathology that can be missed by routine diagnostic imaging - including subarachnoid hemorrhage, bowel injury, mesenteric ischemia, and scaphoid fractures; radiation risks of diagnostic imaging - with practical summaries balancing the need for emergency diagnosis against long-terms risks; and more. Optimize diagnosis through evidence-based guidelines that assist you in discussions with radiologists, coverage of the limits of "negative" or "normal" imaging studies for safe discharge, indications for contrast, and validated clinical decision rules that allow reduced use of diagnostic imaging. Clearly recognize findings and anatomy on radiographs for all major diagnostic modalities used in emergency medicine from more than 1000 images. Find information quickly and easily with streamlined content specific to emergency medicine written and edited by an emergency physician and organized by body system. The "must-have" resource for emergency physicians to make critical diagnostic imaging decisions.

Urological Emergencies: A Practical Approach, Second Edition provides a concise, evidence based review of common urgent and emergent urological conditions in children and adults. Descriptions of the appropriate diagnostic and therapeutic considerations on topics of traumatic, infectious, obstructive, hemorrhagic, iatrogenic, vascular and congenital urological emergencies in adults and children are provided. The text is organized by pathophysiology rather than organ system, allowing the reader to develop approaches to the care of patients with acute urological conditions based on mechanism of disease. Relevant pathophysiological background and epidemiology are reviewed, necessary diagnostic testing recommended, and detailed medical, surgical and endourological management approaches have been provided. All chapters incorporate published guidelines and best practice recommendations from appropriate organizations including the American Urological Association, the Centers for Disease Control and Prevention, and various International Consultations on Urological Diseases. New or significantly revised chapters in each of the subsections address innovations in trauma care and prevention, new strategies in management of kidney stones, and special care needs of children with acute urological problems. Urological Emergencies: A Practical Approach, Second Edition is of great value to practicing urologists, urology residents, emergency medicine trainees and practitioners, and primary care providers including MD's, PA's, and NP's without immediate access to urological consultation.

Highly Commended at 2012 BMA awards in Paediatrics Category. This new edition in the Mobile Medicine series covers today's life-saving approaches to the critically ill or injured child. Find what you need quickly using the step-by-step, outline format that includes numerous algorithms, tables, and figures. After all, time is of the essence when performing emergency techniques such as intraosseous needle insertion, intubation, and cardioversion/defibrillation. Significant updates and revisions make the third edition of this reference a must-have for any physician, resident, nurse, or emergency medical technician. Find what you need quickly when performing emergency techniques such as cardioversion/defibrillation with a step-by-step, outline format that includes numerous algorithms, tables, and figures. Prepare for a broad range of emergency situations with new chapters on General Surgical Emergencies; Asthma; Acute Renal Failure; Diabetic Ketoacidosis; Gastrointestinal Emergencies; Liver Failure; Hematologic and Oncologic Emergencies; Hypo/Hyperthermia; and Terrorism and Mass Casualty. Solve more clinical challenges with new and expanded material, including spinal cord trauma, and additional focus on the hot topic of pain and sedation. Get expert visual guidance with additional illustrations to supplement the comprehensive coverage.

This issue, Guest Edited by Dr. Michael Bond, focuses on Orthopaedic injuries and emergencies with topics such as: Management and Treatment of Neck and Cervical Injuries; Management and Treatment of Shoulder/Humerus/ Clavicle Injuries; Management and Treatment of Elbow and Forearm Injuries; Management and Treatment of Pelvic and Hip Injuries; Approach and Management of Pediatric Injuries; Risk Management and Avoiding Legal Pitfalls in the Emergency Treatment of Orthopaedic Injuries.

Guest editor Chad Kessler has assembled an expert panel of authors on the topic of Alterations of Consciousness. Articles include: The Mental Status Examination in Emergency Practice, Dizzy and Confused: A Step-by-Step Evaluation of the Clinician's Favorite Chief Complaint, Diagnosis and Evaluation of Syncope in the Emergency Department, The Emergency Department Approach to Syncope: Evidence-based Guidelines and Prediction Rules, Pediatric Syncope: Cases from the Emergency Department, Seizures as a Cause of Altered Mental Status, Central Nervous System Infections as a Cause of an Altered Mental Status? What is the Pathogen Growing in Your Central Nervous System?, Traumatic Alterations in Consciousness: Traumatic Brain Injury, and more!

Drs. Mercedes Torres and Rachel Chin guest edit this issue on HIV in the Emergency Department. Topics include: Emergent Dermatologic Issues in HIV Patients; HEENT Emergencies in HIV-Infected Patients; Diarrhea in HIV-Infected Patients; Emergent Hematologic and Oncologic Problems in HIV-Infected Patients; Acute HIV and Immune Reconstitution Syndrome; Orthopedic Problems in HIV-Infected Patients; and Pulmonary: HIV-Associated Respiratory Emergency.

Articles include: The Problem of Orofacial Injury, Acute and Chronic Psychological Reactions to Orofacial Injury, Technological Advances to Foster Collaborative Care, Screening for Psychological Problems in the Trauma Setting, Barriers to Collaborative Care: Patient and Provider Perceptions, Substance Use Problems and Correlates of Facial Injury, Facial Injury as a Marker of Domestic Violence, Social Support and Resource Needs as Mediators of Recovery After Facial Injury, and Integrated Care in General Trauma.

This highly practical text on gynecologic emergencies includes sonographic findings and laparascopic investigations and management for point-of-care assessment. Gynecologists, emergency physicians, and other providers will find this an invaluable resource for information on what to do in a crisis.

'Dermatological Emergencies' aims to cover aspects of situations and their management when they present in a Dermatology setup. This includes severe drug reactions, bullous disorders, erythroderma, infections, vasculitis and systemic emergencies presenting with skin signs. This book guides the reader to recognize such emergencies, helps to approach the initial phase of management, identifies the investigations, thus leading to a holistic management of the scene. Case scenarios are used in all chapters with logical flow of text, flowcharts, algorithms and representative clinical and laboratory images for better understanding of the readers. Key Features Details all dermatological emergencies Discusses manifestation of these emergencies with unique algorithms and flowcharts Examines case scenarios for first-hand experience Consists of Do's and Don'ts for effective management of cases Uses high quality clinical images for clarity