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.

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.

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

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!

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."

"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.

This handbook is designed to help shape the thought processes of the eye clinician or trainee and guide them toward the right decision-making pathway in emergency ophthalmology situations. Chapters are titled by the way cases present to eye casualty rather than condition, along with an algorithmic approach on what clinical and laboratory investigations to carry out. There is also guidance on how to perform simple procedures. It is aimed at trainees, general ophthalmologists and those with an interest from allied specialties (including specialist nurses) and professions such as optometrists and emergency medicine doctors. Key Features Stresses safe and practical navigation of common eye symptoms presented in an emergency setting. Provides guidance on differential diagnosis and includes useful decision-making flowcharts. Emphasizes "how to" approach the eye casualty patient. Shows what can be expected at each stage of the eye injury patient encounter. Presents information appropriate for the entire multi-disciplinary eye casualty team

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.

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

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.

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.

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.

1. A guide to managing paediatric surgical patients in a remote and rural setting 2. Includes guidance on differences in presentation and problems relating to the Tropical environment 3. A key resource in understanding paediatric surgical patients needs when being managed remotely

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.