Concern. Compassion. Doubt. Despair. Anger. Hope. Imagine juggling these feelings every day in a situation where your ability to manage them could be the difference between life and death. For Dr Chris Luke, a consultant in emergency medicine, these experiences are an intrinsic part of the job - ranging from rage at a system that often leaves vulnerable people waiting anxiously, to the incomparable satisfaction of relieving patients' suffering and distress and making a real difference in people's lives and in society. Here, Dr Luke reveals his own rollercoaster journey from orphanage boy to one of the leading emergency physicians in the country. Luke's recollections and reflections on a life spent on the frontline - grappling with his own health issues, burnout and sometimes despair at a dysfunctional system - make for compelling reading. A Life in Trauma is a frank, remarkable account of a career spent helping others, sometimes at a painful personal cost, and ultimately offers a positive outlook on the potential of Ireland's healthcare system in the future.

Published in the series Headache, endorsed by the European Headache Federation, this is the first book on the novel synthetic treatment of migraine with ditans (lasmiditan) and gepants (atogepant, ubrogepant, rimegepant, vazegepant). These drugs will provide additional options for people with migraine put at risk of side effects by other medications or with unsatisfactory response to previous drugs. There is now a sufficient amount of literature published to interest a wide multidisciplinary readership (general physicians, general neurologists, clinical psychologists, neurologists in training, and medical students) facing every day this burdensome disorder in their clinical practice. The book aims therefore at offering an overview of these new drugs for both acute and prophylactic treatments of migraine, covering studies on clinical evidence, tolerability, and the different stages of clinical development.

This book is part of a six-volume series on Disaster Risk Reduction and Resilience. The series aims to fill in gaps in theory and practice in the Sendai Framework, and provides additional resources, methodologies and communication strategies to enhance the plan for action and targets proposed by the Sendai Framework. The series will appeal to a broad range of researchers, academics, students, policy makers and practitioners in engineering, environmental science and geography, geoscience, emergency management, finance, community adaptation, atmospheric science and information technology. This volume offers the international guidelines and global standards for resilient disaster risk reduction and lessons learned from disasters, particularly the COVID-19 and Cholera pandemics. A resilient health system and an effective disaster risk management Index are then suggested. The book further emphasizes urban resilience strategies with local authorities, adaptation strategies for urban heat at regional, city and local scales, and lessons from community-level interventions. Also addressed are coastal erosion, displacement and resettlement strategies. Land use planning and green infrastructure are suggested as tools for natural hazards reduction. Human security in times of climate change and urban heat at regional, city and local scales is discussed for an integrated action, with case studies based in Manila, Burkina Faso, Chad, Mauritania, Niger, Senegal, Nigeria, India, Spain, and Ghana. Structure design for cascading disasters resulting from mining and flooding is presented and sustainable smart city planning using spatial data is recommended.

Emergency physicians assess and manage a wide variety of problems from patients presenting with a diversity of severities, ranging from mild to severe and life-threatening. They are expected to maintain their competency and expertise in areas where there is rapid knowledge change. Evidence-based Emergency Medicine is the first book of its kind in emergency medicine to tackle the problems practicing physicians encounter in the emergency setting using an evidence-based approach. It summarizes the published evidence available for the diagnosis and treatment of common emergency health care problems in adults. Each chapter contextualizes a topic area using a clinical vignette and generates a series of key clinically important diagnostic and treatment questions. By completing detailed reviews of diagnostic and treatment research, using evidence from systematic reviews, RCTs, and prospective observational studies, the authors provide conclusions and practical recommendations. Focusing primarily on diagnosis in areas where evidence for treatment is well accepted (e.g. DVTs), and treatment in other diseases where diagnosis is not complex (e.g. asthma), this text is written by leading emergency physicians at the forefront of evidence-based medicine. Evidence-based Emergency Medicine is ideal for emergency physicians and trainees, emergency department staff, and family physicians specialising in the acute care of medical and injured patients.

Focuses on the development of the emergency medical specialty from the post World War II period to the early 1990s. In addition to chronicling the times and events of the genesis of emergency medicine, the book incorporates the oral history of the field from more than forty five interviews with the founders of emergency medicine. Represents the first comprehensive history of emergency medicine as a specialty. Provides first-hand oral histories from more than 45 of the key figures who witnessed and helped to shape the developments chronicled in the book. Offers keen insights into how the sociopolitical changes of the 1950s through 1970s influenced public health, health care delivery, and emergency medicine. Includes many unique photographs of important leaders in emergency medicine.

'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

Pre-hospital Emergency Medicine at a Glance offers healthcare students and trainees the essential theoretical knowledge and practical skills relevant to the provision of immediate care outside of the hospital. This concise text provides information on the principles of managing acutely unwell patients with life-threatening injuries at the scene of their accident, all in highly-illustrated double-page spreads to help explain key messages. This brand new title: * Looks at the ways in which pre-hospital care is organised and delivered in the United Kingdom * Explores some of the most common incidents that pre-hospital care teams attend to, including major trauma as well as cardiac arrests * Includes an illustrated introduction to some of the many practical procedures pre-hospital care teams must be able to perform including resuscitative thoracotomy and rapid sequence induction of anaesthesia * Takes into account the multi-disciplinary nature of the specialty * Features a section on careers within pre-hospital care for doctors and paramedics Pre-hospital Emergency Medicine at a Glance is the perfect companion for medical students and junior doctors interested in learning more about pre-hospital care, as well as for paramedic students and paramedics who practise in the pre-hospital environment every day.

This book provides a comprehensive analysis of the contemporary management of all aspects of traumatic brain injury (TBI), combining the findings of several recent randomised controlled trials investigating the role of hypothermia, erythropoietin, intracranial pressure monitoring and decompressive craniectomy in the management of TBI. The book is divided into four sections: the first section covers the epidemiology of TBI, the changing global patterns of presentation, and the basic pathophysiology and classification, while the second discusses contemporary management of TBI, from pre-hospital care, emergency assessment, and medical and surgical management to rehabilitation and social reintegration. The third section then examines the evidence gained from recent clinical trials that have investigated the efficacy of management strategies involving intracranial pressure monitoring, multimodal monitoring, hypothermia, erythropoietin, thromboembolic prophylaxis and decompressive craniectomy. Lastly, the fourth section explores the ethical issues, both at the societal level and on an individual basis. Written by a broad range of experts, this book provides a valuable reference resource for neurosurgeons, intensivists, clinicians with ethical experience and pure bioethicists in their daily work.

Since the first edition of Textbook of Adult Emergency Medicine was published twenty years ago, there has been enormous change in the way emergency care is delivered. This has occurred both in countries where emergency medicine was originally developed and in those where its application was limited because of cost. Emergency medicine is now perceived as the cornerstone of response to acute illness regardless of resources. This fully revised Fifth Edition provides clear and consistent coverage of this constantly evolving specialty. Building on the success of previous editions it covers all the major topics relevant to the practice of emergency medicine. The book will prove invaluable to professionals working in this setting - including nurse specialists and paramedics - who require concise, highly practical guidance, incorporating the latest best practice and evidence-based guidelines. This edition comes with an enhanced electronic version with video and self-assessment content, providing a richer learning experience and making rapid reference easier than ever before, anytime, anywhere. A comprehensive textbook of adult emergency medicine for trainee doctors - covers all the problems likely to present to a trainee in the emergency department. Chapters are highly readable and concise - boxes summarise chapter key points and highlight controversial areas of treatment. The content is highly practical, clinically orientated and thoroughly updated in all the core subjects There have been major updates in topics such as airway, shock and sepsis where guidelines have changed rapidly. The imaging chapters have also evolved with changing practice and improved technology, to be concordant with evidence on the importance of image interpretation by emergency clinicians. There are major sections on other skills and issues of key importance to today's advanced emergency medicine practitioner, such as staffing, overcrowding, triage, patient safety and quality measures. In addition, difficult topics such as death and dying, the challenging patient, ethics, giving evidence and domestic violence are covered. Governance, training, research and organisational subjects such as disaster planning and response, humanitarian emergencies and refugee medicine are included to give the reader a framework to understand the complexity of managing major emergency systems of care.

The global population is aging rapidly, and as a result emergency abdominal surgery for acute abdomen in the elderly has become a global issue. Demographic changes in the population have also altered the profile of emergency abdominal surgery, with typical causes of acute abdomen in the elderly including acute cholecystitis, incarcerated hernia, bowel obstruction and appendicitis. In these patients, recovery from surgery is often complicated, leading to longer hospital stays compared with younger patients. Laparoscopy in the emergency setting is well established and offers a number of advantages over open surgical approaches, such as reduced postoperative pain, length of hospital stay and complication rates. While laparoscopic surgery for acute diverticulitis has become more widespread, in other conditions, like small bowel obstruction and perforated peptic ulcer, laparotomy is still used in about 70% of cases. Further, despite the urgent need for knowledge regarding surgical treatment of acute abdomen in the elderly, there is still a lack of evidence in this relevant clinical field.This book analyzes the management strategies and critically evaluates the outcomes of laparoscopic emergency surgery for acute abdomen in the elderly according to the principles of evidence-based medicine. Discussing each topic clearly, and promoting the use of emergency laparoscopy in elderly patients, the book is intended for young general surgeons and surgeons in training with at least a basic knowledge of surgery for acute abdomen. It is also useful as a quick reference tool during on-call shifts.

Diagnosis and management of infectious disease are among the most common and challenging aspects of emergency practice. Ranging from surgical treatment of a minor skin abscess to recognition of a rare tropical disease in a returning traveler to rapid resuscitation of a patient in septic shock, these problems will be familiar to every practicing acute care provider. Written by both infectious disease experts and practicing emergency physicians, this book is designed specifically for the acute care provider. It covers the most important pathogens and the most common clinical syndromes, organized by system and by special patient populations. The book features a comprehensive narrative, as well as high-yield tables covering key points on diagnosis and treatment. High quality color photographs assist with visual diagnosis. This book provides an invaluable resource for every practicing clinician who confronts the spectrum of infectious disease in the acute care setting.

This practical resource has easily accessed emergency management plans to deal with critical conditions in obstetric care, in which maternal health or life is threatened. Decision algorithms and summary boxes are featured throughout for ease of reading.

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.

Since 1971, Emergency Care and Transportation of the Sick and Injured has advanced how EMS education is delivered to help train exceptional EMS professionals around the globe. Fifty years later, the Twelfth Edition is now the most advanced EMT teaching and learning system ever developed. Current State-of-the-Art Medical Content Comprehensive coverage of the National EMS Education Standards and the 2020 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (ECC). Evidence-based medical concepts are incorporated to ensure that students and instructors have accurate, insightful interpretation of medical science as it applies to prehospital medicine today. Updated coverage of PPE and CDC guidelines for safe patient care during COVID-19 pandemic. A Focus on Career Readiness and Employability Greater emphasis on soft skill development, including empathy, teamwork, interpersonal skills, and problem solving, and how critical these skills are for better patient outcomes. Enhanced content on provider mental health, wellness, and safety. Evolving patient case studies that deliver clinical education and help prepare students to care for patients in the field. The cases offer increased focus on EMS provider leadership and critical thinking skills throughout the text. A new "Street Smarts" feature that helps bridge the gap between the classroom and field environment by addressing nontechnical skills that improve patient and co-worker interactions. A Foundation for Success The textbook design and layout have been revised to improve visualization of key content and overall readability. Comprehensive anatomy, physiology, pathophysiology, and medical terminology content is delivered in early chapters, and subsequently reinforced in related chapters throughout the textbook. Valuable student resources, including audiobook, interactive lectures, test prep, soft-skill simulations, and videos cater to a variety of learning styles and needs. Educators are supported by a broad range of instructional and assessment resources to fully enable traditional, hybrid, and flipped course delivery.

This book is a practical revision guide for postgraduates preparing for the OSCE element of the FRCEM Final examinations. Divided into nine sections, each chapter covers a different element of the exam, beginning with history taking and communication skills, then discussing various systems of the body. Each station opens with a summary of relevant clinical information, followed by a practice OSCE scenario and examiner mark sheet. This third edition has been fully updated in line with the FRCEM Final syllabus and features many new scenarios, providing candidates with the ideal revision tool to help them achieve success in the examination. Key points Practical revision guide for candidates preparing for the OSCE element of the FRCEM Final examinations Covers various elements of the exam including history taking and communication skills, and various systems of the body Each station provides a summary of relevant clinical information, a practice scenario and examiner mark sheet Fully revised, third edition updated in line with the FRCEM Final syllabus and with many new scenarios

This guide to the proper use of the ECG in diagnosing acute myocardial infarction puts the combined experience of international authorities at your fingertips for immediate use. In "The 12 Lead ECG in ST Elevation MI: A Practical Approach for Clinicians, " Drs. Bayes de Luna, Fiol-Sala and Antman supply the practical, specific information you need to determine which patients with ACS are showing ST elevation.

To facilitate correct diagnosis and guide management, the authors use a consistent sequence to explain the ECG abnormalities for each site of coronary occlusion. A schematic of the coronary tree illustrates the point of occlusion.
The second part of the book contains a self-assessment section with a series of 15 cases, each of which includes one or more 12-lead ECGs for analysis. These valuable examples help you prepare for on-the-spot interpretation in the emergency department or intensive care unit.

On the battlefield, seconds count. PHTLS: Prehospital Trauma Life Support, Military Ninth Edition teaches and reinforces the principles of rapidly assessing a trauma patient using an orderly approach, immediately treating life-threatening problems as they are identified, and minimizing any delays in initiating transport to an appropriate destination. Developed by the National Association of Emergency Medical Technicians (NAEMT) in cooperation with the American College of Surgeons Committee on Trauma (ASC-COT), PHTLS, the Military Ninth Edition reflects current, evidence-based knowledge and practice, and promotes critical-thinking as the foundation for providing quality care. Since 1996, Tactical Combat Casualty Care (TCCC) has improved the care rendered in combat prehospital environments. TCCC is the battlefield prehospital component of the Joint Trauma System, an organization within the Department of Defense that projects combat trauma care out to the point of injury and continues that care seamlessly while bringing the casualty home for recuperation and rehabilitation. TCCC guidelines are continuously revised and updated by the Committee on Tactical Combat Casualty Care (Co-TCCC), an all-volunteer group of military medicine and trauma care specialists. The membership of Co-TECC includes combat medics, corpsmen, and pararescuemen as well as physicians and physician assistants. PHTLS: Prehospital Trauma Life Support, Military Ninth Edition is the next step in the evolution of the premier global prehospital trauma education program, a partnership between PHTLS and TCCC that goes back to the fourth edition of this manual. Military Ninth Edition continues the shared mission to promote excellence in trauma care by all providers and in all environments. In addition to the PHTLS core content, it features thirteen chapters written by military prehospital trauma care experts for practitioners in the military environment. Military Ninth Edition includes: Scenario - An opening case study that presents the key concepts of the chapter in a realistic patient or casualty care situation that encourages the participant to ask, "What would I do?" Key Terms - All key terms that appear in the Glossary are highlighted within the chapters. Engaging Art Program - The Military Ninth Edition features photos and illustrations that depict the realities of battlefield prehospital care. Summary - A list of the key concepts of the chapter. Scenario Solution - A discussion on how the patient or casualty in the opening scenario is assessed and treated in the field or on the battlefield and during transport.

Some important constraints of anesthesia must be taken into consideration when the pharmacological properties of modern anesthetics are discussed. The most imp- tant of these could be that the target effect be achieved preferably within seconds, at most within a few minutes. Similarly, offset of drug action should be achieved within minutes rather hours. The target effects, such as unconsciousness, are pot- tially life-threatening, as are the side effects of modern anesthetics, such as respi- tory and cardiovascular depression. Finally, the patient's purposeful responses are not available to guide drug dosage, because, either the patient is unconscious, or more problematically, the patient is aware but unable to communicate pain because of neuromuscular blockade. These constraints were already recognised 35 years ago, when in 1972 Volume XXX entitled "Modern Inhalation Anesthetics" appeared in this Handbook Series. The present volume is meant as a follow up and extension of that volume. At the beginning of the 1970's anesthesia was commonly delivered by inhalation, with only very few exceptions. The clinical understanding of that time considered anesthesia as a unique state achieved by any of the inhalation anesthetics, in- pendent of their specific molecular structure. "The very mechanism of anesthetic action at the biophase" was discussed within the theoretical framework of the "u- tary theory of narcosis".

This scenario-based text provides answers to urgent and emergent questions in acute, emergency, and critical care situations focusing on the electrocardiogram in patient care management. The text is arranged in traditional topics areas such as ACS, dysrhythmia, etc yet each chapter is essentially a question with several cases illustrating the clinical dilemma - the chapter itself is a specific answer to the question.

This is a unique format among textbooks with an ECG focus. The clinical scenarios cover the issues involved in detecting and managing major cardiovascular conditions. Focused, structured discussion then solves these problems in a clinically relevant, rapid, and easy to read fashion.

This novel approach to ECG instruction is ideal for practicing critical care and emergency physicians, specialist nurses, cardiologists, as well as students and trainees with a special interest in the ECG.