Guest editors Jeffery Tabas, MD and Teri Reynolds, MD have put together a top-notch panel of physicians on the topic of High Risk Emergency Medicine. Articles include: Pitfalls in the Low Risk Chest Pain Patient; Pitfalls in Patients with Shortness of Breath; High Risk Airway Management; Ultrasound in the Critically Ill Patient; Pitfalls in the Patient with Shock; and Pitfalls in the Evaluation/Resuscitation of the Trauma Patient.

This issue of Emergency Medicine Clinics tackles the increasingly difficult legal issues facing doctors today, guest edited by Joseph Kahn, Brendan Magauran, and John Olshaker. Topics include: "Clinical Practice Guidelines," "The Legal Process: Being a Defendant or an Expert Witness," "Professional Liability Insurance," "Informed Consent, AMA, Refusal of Care, Capacity," "CQI, Incident Reports, Reporting Requirements, PEER Review," and more!

Doctors Daya and Spiro concluded the two part series on Cancer Emergencies with articles on: "GI Bleeding," "Hepatic Encephalopathy," "Bleeding diatheses, Disseminated intravascular coagulation," "Hyperviscosity syndrome, Polycythemia, Hyperleukocytosis, Thrombocytosis," and more!

Why do governments choose to negotiate indigenous land claims rather than resolve claims through some other means? In this book Scholtz explores why a government would choose to implement a negotiation policy, where it commits itself to a long-run strategy of negotiation over a number of claims and over a significant course of time.

Through an examination strongly grounded in archival research of post-World War Two government decision-making in four established democracies - Australia, Canada, New Zealand, and the United States - Scholtz argues that negotiation policies emerge when indigenous people mobilize politically prior to significant judicial determinations on land rights, and not after judicial change alone. Negotiating Claims links collective action and judicial change to explain the emergence of new policy institutions.

First of a two-part issue dealing with Cancer Emergencies by Drs. Mohamud Daya, Charles Thomas and David Spiro. Topics with include: "Spinal Cord Compression," "Cerebral Edema," "Acute Renal Failure," "Electrolyte Disorders," and more!

Im Feld zahlen Sekunden. PHTLS: Die praklinische Trauma-Lebenshilfe lehrt und bekraftigt die Grundsatze der schnellen Beurteilung eines Trauma-Patienten durch einen ordentlichen Ansatz, die sofort lebensbedrohliche Probleme behandelt, sobald sie identifiziert werden, und eventuelle Verzoegerungen bei der Einleitung des Transports zu einem geeigneten Ziel auf ein Minimum reduziert. Entwickelt von der Nationalen Vereinigung der Rettungssanitater (NAEMT) in Zusammenarbeit mit dem American College of Surgeons Committee on Trauma (ASC-COT), PHTLS, neunte Edition reflektiert aktuelles, evidenzbasiertes Wissen und Praxis und foerdert kritisches Denken als Grundlage fur die Bereitstellung hochwertiger Pflege. Die schnelle Beurteilung eines Trauma-Patienten zur Identifizierung einer lebensrettenden Behandlung ist das Herzstuck der neunten Edition von PHTLS. Es dauert 2 Minuten oder weniger, bis ein Patient ausblutet. Keine andere Vorsorgeeinrichtung fur interventionelle praklinische Behandlung ist wichtiger als das Anhalten dieses Blutungsgrads bei Trauma-Patienten. Um dies zu reflektieren, verwendet PHTLS, neunte Edition die XABCDE-Patientenbeurteilungs-Mnemonik, um die Ausblutungs-?amorrhagie bei jedem einzelnen Patienten in den Vordergrund zu stellen. Die Bedeutung von XABCDE (Ausblutungs-?amorrhagie, Atemwege, Atmung, Kreislauf, Behinderung und Exposition/Umgebung) wird in jedem klinischen Kapitel verstarkt. Die PHTLS, neunte Edition hervorhebt: Aktuelle Informationen zur Flussigkeitsreanimation und zur Immobilisierung der Wirbelsaule von evidenzbasierter Forschung her und erfahrenen Anbietern praklinischer Behandlung, die die Prinzipien und Praktiken von PHTLS in diesem Bereich anwenden Aktualisierung von Patientenmanagement-Techniken, einschliesslich Platzierung von Tourniquets, Nadeldekompressionsstellen, die Verwendung von Beckenbindemitteln, padiatrischer Flussigkeitsreanimation und padiatrischen Atemwegsmanagements Hervorhebung der vermeidbaren Verletzungen, des ablenkenden Fahrens bis hin zum Sturz alterer Erwachsener und der Gewalt von intimen Partnern Konzentration auf zivilen taktischen Bedrohungen und Reaktion von Fahrzeugen als Massenvernichtungswaffen auf ein neues Flussdiagramm fur die Fernbewertungsmethodik Dynamische Programmkomponenten Das Haupthandbuch der PHTLS, neunte Edition, ist die definitive Quelle fur die Versorgung von Traumata, die die medizinischen Beweise fur die empfohlenen Prinzipien und Praktiken des PHTLS-Kurses beschreibt. Als nachster Schritt in der Entwicklung des PHTLS -Programms wird das Haupthandbuch durch das neue PHTLS-Kurshandbuch begleitet, das die wichtigsten Konzepte des Kurses verstarkt und klart; ein ansprechendes, interaktives Design bietet; und so verfasst ist, dass Sie das Gefuhl haben, an einem Gesprach teilzunehmen, anstatt einem Vortrag zuzuhoeren.

Topics include: "Practical guide to hypothermia for neuroprotection," "Safety of stroke thrombolysis in community practice," "Glycemic control and the injured brain," "Vertigo and dizziness in the ED," "Critical care transport of patients with neuroemergencies," "Primary headaches in the ER," "Meningitis and encephalitis," and "Management of TIAs in the 21st Century."

The eighth edition of this international bestselling emergency medicine handbook has been completely revised and updated to include the latest evidence-based guidelines and treatment protocols underpinning best practice in emergency medical care. Carefully designed to suit the needs of interns and resident doctors working in the emergency department as well as specialist trainees, the book covers the full range of emergencies - general medical, infectious disease and foreign travel-related, toxicological, surgical, paediatric, obstetric and gynaecological, ophthalmic and psychiatric - as well as practical procedures and administrative and legal issues.

"This featherweight volume packs a heavyweight punch. It's a how-to guide to emergency general medical practice, which omits no important subject - the most practical book ever for general practitioners...the ideal book to keep by your side when on call." Update, 1997 Here is the fully revised fourth edition of this unique book that provides general practitioners with an easy-to-read, easy-to-use guide to the management of the vast majority of emergencies. The first contact a GP has with an emergency case is almost always a telephone call, and the advice given here by the doctor is of paramount importance in the subsequent management of the case. A unique feature of the book is that each topic begins with advice on how to handle the initial telephone call. Each presenting problem is then approached logically with concise notes on assessment, advice and management necessary when the patient is seen. The emphasis is on practical primary care, with discussion of differential diagnosis taken as far as is needed to decide the best immediate course of action. Tables are used liberally to summarise useful information.For each emergency, the ultimate advice and strategy is emphasised within heavy horizontal lines. Emergencies in General Practice is an indispensable book for the practising GP, whether in the practice, on call, or working for the co-op or deputising service. It is also a valuable teaching text for GP registrars.

Now in its fifth edition, the Oxford Handbook of Emergency Medicine is the essential rapid-reference guide to emergency medicine for everyone from junior doctors to specialist registrars, nurse practitioners, and paramedics. New and improved, the Handbook has been thoroughly revised throughout, with 100 extra illustrations and the latest guidelines and treatment advice, completely overhauled chapters on Medicine, Obstetrics and Gynaecology, and Paediatric emergencies, and new topics on treatment escalation, end-of-life care, and sepsis. Clear and concise, extensively updated, and packed with a host of new X-rays to aid identification and treatment, this Handbook has everything you need to thrive in the demanding world of emergency medicine today.

Acute Coronary Syndrome (ACS) is a growing global menace with patients increasing in developing countries where tobacco and food play a major role. Its treatment guidelines and research results have proliferated in academia, but practical applications lag behind that research. This book addresses this void. Guidelines for treatment of ACS present in-depth reading for practicing cardiologists, thus preventing clinical application. The book aims to appraise readers of real-world situations and suggestions to help them acquire up-to-date knowledge on ACS and its effective diagnosis, prognosis and management. Key Features Covers recent advances in ACS management and pharmacotherapy Discusses the guidelines for treatment of ACS for the professional cardiologist to apply to clinical practice Explores the topics with the help of case scenarios Follows a concise, yet comprehensive approach Features a chapter on 'When to Transfer,' which discusses how to spot unstable patients or those heading towards shock

Infectious Diseases and Antimicrobial Stewardship in Critical Care Medicine 4E has been fully updated and revised. The clinical diagnostic approach to common infectious disease problems in the CCU is the underlying theme in the book. Emphasized throughout is the importance of formulating an accurate early presumptive clinical syndromic diagnosis which is the basis for selecting optimal initial antimicrobial therapy in the CCU. Without an accurate presumptive clinical diagnosis, effective therapy is unlikely at best. Based on the most probable clinical diagnosis, optimal antibiotic empiric therapy, based on antimicrobial stewardship principles, minimizes resistance and antibiotic complications in the CCU. This new edition features chapters that explain the tenets of differential diagnostic reasoning, differential diagnostic characteristics of fever patterns in the CCU. The proper interpretation of rapid diagnostic tests, in the appropriate clinical context, is included. The diagnostic importance of cardinal clinical findings, particularly when combined, in the appropriate clinical context is emphasized and remains the basis for clinical problem solving in the CCU. Uniquely, critical diagnostic physical findings in the CCU, including color atlas of diagnostic eye findings, are included as important diagnostic determinants in the CCU. Written by infectious disease clinicians for CCU consultants, Infectious Diseases and Antimicrobial Stewardship in Critical Care Medicine 4E remains a useful evidence based and experience tempered key clinical resource for infectious disease problems in the CCU. Key Features Essentials of the tenets of clinical diagnostic reasoning is explained as it relates to formulating a rapid and accurate clinical syndromic diagnosis in the CCU The diagnostic significance of fever patterns and their relationship to the pulse rate in the proper clinical context is explained in depth as related to the CCU setting Formulating an accurate early clinical syndromic diagnosis is presented as essential since it is the basis of effective empiric antibiotic therapy in the CCU How to combine key non-specific laboratory and imaging findings to increase diagnostic specificity and diagnostic probability in the CCU is presented Clinical perspective on the proper interpretation of the clinical significance of rapid diagnostic test results in the CCU is included A clinical approach to apparent "antibiotic failure" in the CCU is presented either due to actual antibiotic failure or seeming but unrelated non-antibiotic failure Section focuses on the practical aspects of antimicrobial stewardship particularly as related to optimizing dosing effectiveness while minimizing resistance and adverse effects in the CCU

Acute Coronary Syndrome (ACS) is a growing global menace with patients increasing in developing countries where tobacco and food play a major role. Its treatment guidelines and research results have proliferated in academia, but practical applications lag behind that research. This book addresses this void. Guidelines for treatment of ACS present in-depth reading for practicing cardiologists, thus preventing clinical application. The book aims to appraise readers of real-world situations and suggestions to help them acquire up-to-date knowledge on ACS and its effective diagnosis, prognosis and management. Key Features Covers recent advances in ACS management and pharmacotherapy Discusses the guidelines for treatment of ACS for the professional cardiologist to apply to clinical practice Explores the topics with the help of case scenarios Follows a concise, yet comprehensive approach Features a chapter on 'When to Transfer,' which discusses how to spot unstable patients or those heading towards shock

Pocket-sized and easy to use, Pocket Emergency Medicine, Fifth Edition, provides accurate, actionable, and up-to-date information essential to caring for patients in life-threatening situations. Edited by Drs. Richard D. Zane and Joshua M. Kosowsky, this handy, loose-leaf resource is designed to be used at the bedside by clinicians on the front lines of emergency care. A volume in the popular Pocket Notebook series, it organizes chapters by presenting condition and supports the thought processes needed to hone everyday diagnostic decision making. Offers easily accessible information on the entire field of emergency medicine-from history and physical exam to differential diagnosis testing to therapeutics to disposition-all in one easy-to-navigate notebook Follows the popular Pocket Notebook format, featuring bulleted lists, tables, diagrams, and algorithms that make essential facts easy to find and retain Features fully updated content throughout, including the latest research and best practices, as well as a new subsection on COVID-19 Covers all major organ systems, plus emergencies related to the environment, pediatrics, the psychiatric patient, toxicology, airway management, trauma, and more Contains useful quick-reference appendices on abbreviations, PALS, ICU medications, equations, and more Written by emergency medicine residents from the University of Colorado and Harvard Medical School, and edited by senior faculty

This concise, portable manual provides practitioners and future practitioners with a basic guide to pediatric emergency ultrasound, enabling them to learn the fundamentals of bedside ultrasound and use these to refresh their skills prior to, or when, performing it on a patient.

The multidisciplinary sub-specialty of Urgent Medical Care plays an increasingly important role in meeting the growing demands on the NHS. This is the first and only book in the UK specifically designed for clinicians preparing for urgent care postgraduate qualifications. Notes in Urgent Care brings together guidance, research and relevant clinical material in an easily accessible format. It addresses both management (operational and organisational) and clinical areas including emergency, time-critical conditions and symptom-related presentations. Written by Dr Martin McGrath, a General Practitioner, Honorary Professor, urgent care clinician and clinical director of one of the country's largest primary care networks, this book will be useful for all clinicians working in urgent, unscheduled, remote and rural environments. Suitable as a study aid for the Royal College of Surgeons of Edinburgh's Diploma in Urgent Medical Care Clinical information condensed into a concise, easily accessible and relevant format Urgent conditions broken down by specialty Useful tips for working in urgent medical care systems, using technology, risk management and human factors

The Trauma Care Manual 3e is the definitive evidence-based manual of best trauma practice. Now in its third edition, this valuable book continues to provide clear practical guidelines for the management of victims of major trauma. New coverage includes chapters on abdominal and urological trauma, aswell as trauma in the obese patient. Also included is coverage of pre-hospital management; trauma centres, sytems & teams; modern trauma resuscitation; trauma physiology & metabolism; damage control surgery. Written by members of Trauma Care, this book offers a nationally accepted set of standards for good practice.

Offering a comprehensive review of the field from basic scientific concepts to assessment and treatment strategies, this reference provides an excellent understanding of the epidemiology, diagnosis, and prevention of acute and chronic wounds-analyzing the latest research from some of the most experienced clinicians and scientists in the field, as well as promising therapies for wound evaluation and care. The editors provide a complete understanding of the process of wound healing and cover the latest practices in wound management and care. They discuss the pathophysiologic processes that lead to chronic wound formation, common factors, possible complications, and the most recent developments.

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.

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

A collection of 200 high quality ECGs (Electrocardiogram's) that cover the entire spectrum of emergency electrocardiography. The first half of the book represents an intermediate level of difficulty and is ideal for residents in training and for the emergency medicine board review. The second half contains more advanced ECGs and will challenge even the most seasoned emergency medicine practitioner. When taken in its entirety, the book contains one of the best collections of ECGs ever assembled, targeted at advancing the ECG interpretation skills of emergency physicians and other acute health care providers.

The aim of this booklet is to bridge the gap between rescue of a patient with an acute head injury and his or her treatment by a neurosurgeon. It provides a protocol for management of acute head injuries aimed at paramedics, all accident and emergency department staff, orthopaedic and general surgeons, casualty consultants, armed forces medics.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The book that belongs in the pocket of every clinician working in an acute care setting A Doody's Core Title for 2019! This portable manual encapsulates the most clinically relevant content of Tintinalli's Emergency Medicine, Eighth Edition - the world's bestselling text on the topic -- and puts it at your fingertips, or in your pocket or backpack. Covering the full spectrum of emergency medicine in all patient populations - adult and pediatric - this full-color guide is composed of concise chapters that focus on clinical features, diagnosis and differential, and emergency management and disposition. Packing a remarkable amount of information in a compact, full-color presentation, Tintinalli's Emergency Medicine Manual, Eighth Edition is enhanced by contributors from across the globe. Numerous tables and full-color photographs and illustrations enrich the text and help you deliver skillful and timely patient care. This new edition includes extensive updates to all sections, incorporating the latest guidelines, evidence-based protocols, and relevant research.

Drug-Facilitated Sexual Assault educates readers on the ways in which drugs are used as weapons in committing sexual assaults and how to successfully investigate these crimes. It looks at the history of these crimes over the years, and includes an in-depth discussion of the drugs and drug classes in use today. It describes the effects of these drugs on the victims, the process for reporting these crimes, details on the type of person who uses drugs to sexually assault an individual, and obstacles to investigating the suspect. The authors show the proper techniques in collecting and analyzing evidence; ways to overcome some of the unique difficulties encountered in these types of investigations; and how to work with other professionals to prosecute these cases successfully. The concluding appendixes are valuable samples of the necessary forms needed to complete these investigations. This book is ideal for anyone involved in investigating these crimes, including forensic scientists, law enforcement officers, lawyers, toxicologists, and medical professionals.