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

Recognition and diagnosis of child abuse and neglect creates an important foundation for the protection of children. Physicians and other healthcare providers have a fundamental role in this process, and need to be confident that they can identify correctly the signs and symptoms that provide clues to non-accidental injuries resulting from child maltreatment. Diagnosis of Non-accidental Injury: Illustrated Clinical Cases is an invaluable tool to aid prompt and appropriate diagnosis, presenting various types of findings and challenging the reader with both common and not-so-common manifestations that may result from - or be confused with - child abuse and neglect. The book describes various clinical scenarios through a brief clinical history accompanied by high-quality clinical images. Questions focus on the important concepts to be learned from each case. The answers are revealed after a turn of the page, sometimes with additional images to explain critical aspects, and feature a diagnosis, the 'ruling out' of abuse or neglect, further diagnostic options where relevant, and helpful treatments.

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

This book will address collateral legal consideration that may affect emergency service organizations. Its primary focus is on the relationship between the emergency service employee and the organisation. With the deterioration of "At Will" employment doctrine by Congress and courts, emerging new technologies, and the dwindling number of "unionized shops", emergency service organizations face the potential of increased litigation under new and novel theories in areas which were not even fathomed by emergency service organizations twenty years ago.
Written by a lawyer for non-lawyers, the book is not consumed with the basic legalese that most books of this kind are. It seeks to inform the user of his or her rights under the law in a clear and comprehensive way. Legal Liabilities in EMS will cover topics such as workers compensation, negligence issues, employment discrimination, Family and Medical Leave Act, EMS and privacy in the workplace. To provide extra guidance the text also provides cases exemplifying the issue and an appendix of websites that can provide further information.

Sheehy's Manual of Emergency Care, 8th Edition offers complete, up-to-date coverage of the essentials emergency nurses need to know. Each condition commonly seen in the emergency setting is thoroughly addressed, from signs and symptoms, to diagnosis, treatment, developmental considerations, patient education, and more. Updated material and easy-to-reference contents make this resource a must-have for current practice. Quick-reference format is ideal for updating emergency nursing knowledge and improving patient care. Detailed discussions for each condition include signs and symptoms, diagnosis/diagnostic testing, treatment/interventions, age/developmental considerations, and patient/family education/discharge instructions. Authorship from the Emergency Nurses Association for more than 30 years ensures this book is a mainstay for best practices in emergency nursing. Content presented in a bulleted format provides quick and easy access to vital information. Practice points highlighted in special boxes offer quick reference to important content. NEW! Restructured table of contents presents anatomically related medical and trauma chapters sequentially for quick reference. NEW! Considerations for critical care in the ED. NEW! Considerations for the transgender patient. NEW! Section on human trafficking in the Interpersonal Violence and Abuse chapter. NEW! Section on violent risk assessment in the Workplace Violence chapter. NEW! Color photos insert visually highlights and clarifies key content. EXPANDED! Substance Abuse and Addiction Emergencies chapter covers methamphetamines, bath salts, marijuana edibles, opioid abuse/prescription drug abuse, heroin/Narcan, and substance abuse disorder. EXPANDED! Chapter on end-of-life includes information on palliative care considerations. UPDATED! Infectious Diseases chapter addresses coronavirus 19 (COVID-19), Ebola, and vector-borne malaria.

The new edition of Major Incident Medical Management and Support is a vital component in the blended learning course from Advanced Life Support Group (ALSG), which aims to provide hospital staff at all levels with essential information on the preparation, management and support elements of dealing with casualties in a major incident. Split into five sections, each focuses on the elements requisite in preparing for, and responding, to a major incident. The first section discusses the epidemiology and incidences of major incidents and the structured approach to the hospital response. The second section contains the preparation required in planning for major incidents, including equipment and training. The third section covers the management of a major incident, concentrating on the clinical, nursing and management hierarchies. The fourth includes the various stages of support in a major incident, including declaring an incident and activating the plan, the reception, triage, definitive care and recovery phases of an incident. The final section focuses on special incidents which require additional consideration, including those involving hazardous chemicals, burns and children. Written in collaboration with the National Emergency Planning, Major Incident Medical Management and Support is an invaluable reference in the emergency department and beyond for staff needing to prepare for the rare, but inevitable, hospital major incidence response.

This and over 60 other easily memorised phrases are the starting points for Resuscitation Rules. Their accompanying short texts provide a core of authoritative information that can be mentally retained and acted upon in emergency situations.

This pocket sized guide contains succinct rules on the fundamentals of resuscitation, together with helpful line illustrations, for use in the most commonly encountered situations.

Contents include:
basic life support.
advanced cardiac life support.
medical emergencies.
paediatric resuscitation.

In line with the current European Resuscitation Council guidelines, the rules are an invaluable support for doctors, nurses and ambulance staff who are called upon to provide resuscitation both in-hospital and pre-hospital.

ENT emergencies are a regular occurrence. This new book covers the full range of hospital emergencies seen by ENT trainees and practitioners, and also by oral and maxillofacial surgeons and plastic surgeons. Succinct text and clear illustrations complement the sections on Rhinology,Head and Neck,Otology and Paediatrics.Practical and up to date, this book facilitates excellence in clinical practice.

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

'Radiology Life Support' focuses on the adverse effects and life-threatening emergencies caused by reactions to the contrast media used in every modern radiology department. Such reactions are relatively infrequent yet can be severe and are therefore difficult to identify and then handle safely without training. All radiologists will experience at least a few such reactions throughout their career. This book teaches proper recognition and treatment of adverse contrast reactions, proper use of sedation and analgesic agents, proper management of an airway in an emergency situation and principle concepts in basic and advanced life support (including early defibrilation). The text is based on the successful training course run by the editors and sponsored by the American Roentgen Ray Society. Adverse reactions to contrast agents are somewhat difficult for physicians without practice to identify and then handle effectively. This volume is a useful aid to the identification process.

This book includes 200 clinical cases which present as emergencies. Congenital and acquired conditions affecting all body systems in infants and children are covered, including allergy, abuse, burns, fractures and other trauma, feeding problems, foreign bodies, genetic disorders, infections, poisoning, haematology, oncology, and much more. Cases appear in random order, reflecting actual practice in emergency medicine, and reinforcing skills in investigation, diagnosis, and treatment. It is superbly illustrated with high-quality radiographic images and photographs and is indispensable for all health professionals dealing with emergencies involving children.

First responders confronted by forensic cases are forced to consider the competing concerns of administering proper medical treatment while at the same time safeguarding vital evidence. Forensic Science in Healthcare: Caring for Patients, Preserving the Evidence presents precise on-scene protocol designed to ensure that the actions of the response team provide the necessary care and yet maintain the integrity of the evidence for legal purposes. Following an introduction to forensics, the book explains how to recognize and identify patients with forensic issues, offers guidelines on proper documentation, and provides tips on forensic photography and capturing critical images. It reviews basic principles of evidence collection before moving into specific case scenarios, including domestic violence, sexual assault, child and elder abuse, youth violence, and death investigation. The book also examines occupational concerns for forensic personnel as well as legal issues such as testifying in depositions and in court. Enhanced with photographs, illustrations, templates for documentation, and case-specific recommendations, this one-stop reference provides first responders with practical understanding of the steps that should be followed to ensure not only patient protection but evidence preservation.

This book provides guidelines, procedures, and techniques for emergency support personnel involved with handling radiation accident patients. Prepared by a former emergency medical responder, this book amplifies the level of radiological response training provided to emergency medical technicians and emergency room physicians and nurses. Supporting graphics, references, and a glossary help readers understand the critical aspects of emergency trauma treatment.

This book focuses on the operational and clinical strategies needed to improve care of Emergency Psychiatric patients. Boarding of psychiatric patients in ED's is recognized as a national crisis. The American College of Emergency Physicians identified strategies to decrease boarding of psychiatric patients as one of their top strategic goals. Currently, there are books on clinical care of psychiatric patients, but this is the first book that looks at both the clinical and operational aspects of caring for these patients in ED setting. This book discusses Lean methodology, the impact of long stay patients using queuing methodology, clinical guidelines and active treatment of psychiatric patients in the ED.

First Published in 2001. Routledge is an imprint of Taylor and Francis, an informa company.

Succinct and highly illustrated, the third edition of this handy pocket guide enables practitioners to successfully manage common minor injuries in children at the point of care. Each chapter has been updated to reflect changes to the treatment for the injury based on recent research and new guidelines. The new edition includes: the latest recommended guidelines and procedures, for instant access to key information generous use of colour, warning boxes, icons, clinical tips and practical advice to help the reader find information at a glance numerous illustrations help explain more difficult concepts detailed guidance on when to treat, how to treat, when to refer or when minor trauma is indicative of a more serious diagnosis. This concise evidence-based book remains an essential purchase for junior doctors, nurse practitioners and emergency care practitioners in the emergency department, minor injury centre or primary care facility. It is a touchstone for all those seeing children following minor injury or trauma.

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.

This new addition to the popular 100 cases series explores common clinical scenarios that will be encountered by the medical student and junior doctor during practical training in the emergency department, in the community and in intensive and critical care settings, and which are likely to feature in qualifying examinations. The book covers a broad range of presentations, organized by sub-specialty area for ease of reference. Comprehensive answers highlight key take home points from each case and provide practical advice on how to deal with the challenges that occur when practising emergency and critical care medicine at all levels.

Household Chemicals and Emergency First Aid is an essential manual that covers 386 household chemicals, discusses their hazards when mixed with other chemicals, describes the symptoms of overexposure, and provides instructions for emergency first aid treatment. The book is intended to be used in the event that label instructions on household chemicals have not been followed. It describes what may possibly happen and how to handle the situation if it does occur. Poison control centers are listed by state with phone numbers and addresses.
Because household accidents involving chemicals are so prevalent, this manual is a "must have" book for all emergency medical technicians, paramedics, and other emergency first aid providers. It is also useful for anyone wanting detailed information regarding emergency situations with household chemicals.

Lightning Injuries: Electrical, Medical, and Legal Aspects presents a thorough examination of injuries inflicted by lightning strikes. The expertise of acknowledged world authorities from three continents have been brought together to create this truly remarkable volume. Lightning Injuries: Electrical, Medical, and Legal Aspects begins with a short historical review featuring a discussion of the physics of lightning phenomena and the aspects of electrical circuit theory. This review provides the background for following chapters, which address topics such as the epidemiology of lightning injury, the pathogenesis of the features of lightning injury, the clinical aspects of managing patients with lightning injury, and lightning injury mediated by communications systems (including telephones). The book also describes the problem of finding protection against lightning strikes and the issues that arise in legal liability as a result of lightning strikes. The book is written for a diverse audience and includes material that makes it appropriate for all professionals in medical, legal, and technical fields. Never before has such a comprehensive collation of related facets of lightning injury been published within a single volume.

The book is exceptionally timely and will be of interest to many professionals, students and academics. I am not aware of any other book that covers this important topic. Glenn Laverack brings credibility and kudos having direct experience of health emergencies and seen as a leading academic thinker in health promotion. Dr James Woodall, Reader in Health Promotion, Leeds Beckett University Using specific examples to illustrate broader concepts, this text provides a solid introduction to health promotion in infectious disease outbreaks. Ella Watson-Stryker, Health Promotion Manager, Medecins Sans Frontieres This book is timely given the current humanitarian and development scenarios in which health promoters and development communicators must work. There is a dire need for reference materials for practitioners which expand upon theoretical/scientific concepts and principles and provide practical, straightforward guidance to professionals working in the field. The increasing amount of public health emergencies, e.g. SARS, Ebola, Zika etc. require professionals to increase their preparedness to respond in outbreak or disaster situations and this book becomes a useful tool for needed action. Dr Erma Manoncourt, Vice-President of Membership and Co-Chair Global Working Group on the Social Determinants of Health, IUHPE, Paris, France. This is the first ever practical guide to the valuable role that health promotion can play in disease outbreaks and health emergencies. Over the past 20 years the number of disease outbreaks has increased alongside a significant role played out by international agencies involved in emergency responses. The book comprehensively covers the role that health promoters have in this new and exciting field of international work including data collection, communication, community capacity building and engagement and rumour management. Part 1 provides a detailed overview of the role of health promotion in disease outbreaks and health emergencies. Part 2 directly addresses the role of health promotion in two distinct types of disease outbreaks: person to person and vector borne disease transmission. Part 3 covers the role of health promotion in specialist areas of work in disease outbreaks and health emergencies. Health Promotion in Disease Outbreaks and Health Emergencies is essential reading for health promotion and public health students worldwide, as well as for UN agencies and international NGOs working in this emerging field.

This second edition of Ambulance Care Essentials offers a complete guide to the skills, knowledge and understanding required to work as a support worker or similar within the ambulance service. Covering fundamental elements of the role, the book combines theoretical aspects of communication, legal and ethical issues and safeguarding with more practical areas such as manual handling, medical emergencies and a range of clinical skills. It includes in-depth chapters on the primary areas of patient assessment as well as covering different patient populations across the lifecourse. Key features include: *Clearly illustrated, step-by-step instructions for range of practical skills and procedures including how to handle different types of trauma and cardiac arrest *Detailed anatomical diagrams to provide the reader with the necessary context to carry out the practical elements of their job more effectively *Evidence-based throughout and up-to-date with the latest guidance, policy and research *Specific chapters on each area of patient assessment and how to manage this effectively *Chapters dedicated to various patient populations such as obstetrics, paediatrics and older people *In-depth chapter on supporting senior clinicians and how best to assist the paramedic as a support worker This second edition has been brought up to-date with the latest national guidance. The book is appropriate for a Level 3 diploma course or similar that qualifies you to work as a support worker and covers learning objectives from a range of courses offered by ambulance services. It is an essential resource for anyone wanting to prepare themselves for a role within the ambulance service as well as those hoping to become a more effective member of an emergency ambulance crew.

Interpreting the fluid requirements of a patient and working out what to do next can seem like a daunting task for the non-specialist, yet it is a skill that any doctor, nurse or paramedic needs to be fully appraised of and comfortable with. Making Sense of Fluids and Electrolytes has been written specifically with this in mind, and will help the student and more experienced practitioner working across a variety of healthcare settings to understand why fluid imbalance in a patient may occur, to assess quickly a patient's fluid needs through a thorough clinical assessment and to develop an effective management plan. Reflecting the latest guidelines, this practical, easy-to-read and easy-to remember guide will be an invaluable tool to aid speedy and appropriate management in emergency situations, on the ward and in the clinic.

This book provides candidates with the practice material necessary to successfully pass trauma examinations. It is helpful for postgraduate candidates preparing for the specialist courses and exams, as well as nurses, doctors, and other healthcare workers using these practices on a daily basis.