This book provides a comprehensive review of the challenges, risk stratification, approaches and techniques needed to improve pain control in ambulatory surgery centers (ASCs). It addresses not only the management of acute perioperative pain but also describes modalities that could potentially reduce the risk of evolution of acute pain into chronic pain, in addition to weaning protocols and follow ups with primary surgical specialties and pain physicians as needed. Organized into five sections, the book begins with the foundations of managing ASCs, with specific attention paid to the current opioid epidemic and U.S. policies relating to prescribing opioids to patients. Section two and three then explore facets of multimodal analgesia and non-operating room locations, including the use of ultrasounds, sedation in specific procedures, regional anesthesia, ketamine infusions, and the management of perioperative nausea and intractable pain in outpatient surgery. Section four examines the unique challenges physicians face with certain patient demographics, such as the pediatric population, those suffering from sleep apnea, and those with a history of substance abuse. The book closes with information on discharge considerations, ambulatory surgery protocols, recovery room protocols, and mandatory pain management services. An invaluable reference for all health personnel and allied specialties, Pain Control in Ambulatory Surgery Centers (ASCs) meets the unmet need for a resource that covers optimum pain control in patients undergoing outpatient surgery as well as the urgent ASCs challenges that are presented on an immense scale with national and international impact.

You have just encountered a possible stroke patient. You ask yourself: what should I do first? How do I know it is a stroke? Is it too late to reverse the damage? This book provides integral assistance in answering these critical questions. All content is arranged in chronological order, covering all considerations in assessing and treating patients in the emergency room, stroke unit, and rehabilitation facilities. This new edition offers readers the latest information on stroke treatment, and features brand new chapters on stroke radiology, endovascular therapy, the uncommon causes of stroke, cerebral venous thrombosis, stroke prevention, and the transition to outpatient care. The comprehensive set of appendices contains useful reference information, including dosage algorithms, conversion factors, and stroke scales.

An important review on trauma and emergency care for the general dentist! Topics will include medical and oro-facial evaluation, epidemiology of trauma to oro-facial structures, minor traumatic injuries to the primary and permanent dentition, major trauma to the oral and maxillofacial structures, developing and maintaining a "dental trauma kit," management of trauma to supporting dental structures, psychological aspects of dental injuries, preventive strategies for traumatic injuries, medico-legal issues in traumatic injuries, and more!

Every year, thousands of emergency medical services (EMS) vehicle collisions cause significant property damage, injury, and death-underscoring the need for dedicated EMS vehicle operator training. To meet this need, the Jones & Bartlett Learning Public Safety Group partnered with the National Association of Emergency Medical Technicians (NAEMT) to develop a comprehensive course for EMS practitioners who operate ambulances and other emergency response vehicles. EMS Vehicle Operator Safety (EVOS) addresses the vehicle operations and transport safety knowledge gaps that lead to injury and death. Built on current research and featuring discussions of actual crashes and common driving scenarios-and the lessons that can be learned from them- it challenges emergency vehicle operators to consider if they truly know how to arrive at a scene safely. The course manual profiles real-life incidents and provides practical safety pointers, emphasizing the critical safety principles that are needed to transform a culture of dangerous driving habits into a culture of safety. Promoting a Culture of Safety EMS Vehicle Operator Safety trains EMS providers to recognize the specific behaviors that must be changed in order to promote a culture of safe driving. Participants are taught to identify and remove hazards that lead to vehicle collisions, from sleep deprivation to technological distractions to alcohol and substance use. Participants learn practical strategies to reduce the risk of a collision, from defensive driving to vehicle positioning to use of lights and siren. The course also underscores the significance of local laws and regulations that govern EMS vehicle operation, and how standard operating procedures (SOPs) are central to shaping safe driver behavior. The program addresses: Developing a safety-first attitude to ensure the emergency vehicle operator's own safety and the safety of his or her partner, the patient, and any passengers Distinguishing the types of laws that affect EMS vehicle operation, including considerations for responding to emergency and non-emergency calls Taking appropriate precautions when performing specific vehicle maneuvers and when driving under various road and weather conditions Performing daily vehicle inspections to manage mechanical issues Practicing mental, emotional, and physical preparedness Responding appropriately and safely to emergency responses Proactively avoiding vehicle crashes and how to respond if one occurs Developing spatial awareness and practicing skill maneuvers in a driving skills course Evaluating new and future developments in EMS technology Utilizing simulation training to integrate knowledge learned during lectures with the technical abilities and judgment acquired through skills practice Developing effective agency SOPs for key aspects of EMS vehicle operation

This is a practical guide to the use of simulation in emergency medicine training and evaluation. It covers scenario building, debriefing, and feedback, and it discusses the use of simulation for different purposes, including education, crisis resource management and interdisciplinary team training. Divided into five sections, the book begins with the historical foundations of emergency medicine, as well as education and learning theory. In order to effectively relay different simulation modalities and technologies, subsequent chapters feature an extensive number of practical scenarios to allow readers to build a curriculum. These simulations include pediatric emergency medicine, trauma, disaster medicine, and ultrasound. Chapters are also organized to meet the needs of readers who are in different stages of their education, ranging from undergraduate students to medical directors. The book then concludes with a discussion on the future and projected developments of simulation training. Comprehensive Healthcare Simulation: Emergency Medicine is an invaluable resource for a variety of learners, from medical students, residents, and practicing emergency physicians to emergency medical technicians, and health-related professionals.

Broken Bones contains 434 individual cases and 1,101 radiologic images illustrating the typical and less typical appearances of fractures and dislocations throughout the body. The first chapter describes fractures and dislocations of the fingers, starting with fractures of the phalangeal tufts and progressing through the distal, middle, and proximal phalanges and the DIP and PIP joints. Subsequent chapters cover the metacarpals, the carpal bones, the radius and ulna, the elbow and upper arm, and the shoulder and thoracic cage. The cervical spine and the thoracic and lumbosacral spine are covered in separate chapters, followed by the pelvis, the femur, the knee and lower leg, the ankle, the tarsal bones, and the metatarsals and toes. The final three chapters cover the face, fractures and dislocations in children, and fractures and dislocations caused by bullets and nonmilitary blasts.

This fully updated second edition focuses on mental illness, both globally and in terms of specific mental-health-related visits encountered in emergency department settings, and provides practical input from physicians experienced with adult emergency psychiatric patients. It covers the pre-hospital setting and advising on evidence-based practice; from collaborating with psychiatric colleagues to establishing a psychiatric service in your emergency department. Potential dilemmas when treating pregnant, geriatric or homeless patients with mental illness are discussed in detail, along with the more challenging behavioral diagnoses such as substance abuse, factitious and personality disorders, delirium, dementia, and PTSD. The new edition of Behavioral Emergencies for Healthcare Providers will be an invaluable resource for psychiatrists, psychologists, psychiatric and emergency department nurses, trainee and experienced emergency physicians, and other mental health workers.

The misuse of alcohol presents both individual physical and psychological problems as well as wider social consequences. Alcohol misuse is a frequent cause of attendance in accident and emergency departments and an underlying factor in a range of long term and chronic conditions commonly treated and managed within primary care settings. This expanded fifth edition includes new chapters on alcohol and the young person, alcohol related liver disease, neurological problems, alcohol and the older person, alcohol and cancer, and the alcohol nurse specialist. There is also improved coverage of the role of alcohol health workers, and guidance on the availability of voluntary alcohol services more generally, and the concluding resources chapter provides further guidance on how to access appropriate services. It incorporates current NICE guidelines, the Government's Alcohol Strategy 2012, as well as case study scenarios and examples of best practice throughout. From a new editor and a multidisciplinary contributor team, ABC of Alcohol is a practical guide for general practitioners, family physicians, practice nurses, primary healthcare professionals as well as for junior doctors, medical and nursing students. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from iTunes, Google Play or the MedHand store.

Test-taking strategies and steps to succeed as an EMT No two EMT exam experiences are exactly alike, as questions are tailored to the test-taker and range in topics from handling medical emergencies and patient assessment, to medical ethics, ambulance operations, and pediatrics. EMT Exam For Dummies takes the intimidation out of the test, offering everything you need to prepare for and pass the exam. Along with the book, there is also an online companion website that features two additional practice tests, and over 200 flashcards to ensure that you do your best on test day. Career opportunities are abundant for certified EMTs, and this straightforward guide increases your chances of scoring higher on the computer-adaptive and practical portions of the exam so you can get out in the field and dispense lifesaving medical care. In the book, you'll find an overview of the EMT Exam, including test organization and how the exam is scored, content review with practice questions, a sneak peek at the practical exam, and one full-length practice test with detailed answer explanations. * Includes sample test questions and detailed answers throughout, as well as a sneak peek into the practical test * Gives you two bonus practice exams via the companion online test bank, with tests available in timed and untimed formats, and more than 200 flashcards that cover all the test topics * Offers clear test-taking advice for passing the crucial, practical part of the exam * Covers the psychomotor component of the EMT Exam EMT Exam For Dummies has everything you need to succeed as an EMT and continue your training, and with an easy-to-read style and focus on the most important details, you'll be ready to pass the exam in no time!

On Call in Trauma and Orthopaedics is aimed at junior trainees working with the specialty of Trauma and Orthopaedics. It is written in a clear and concise method, covering all common injuries that a junior trainee would expect to see during their shifts. With essential imaging, schematic diagrams and 'top tips' sections, this book is written as a 'survival guide' to allow the reader to manage patients in the emergency, ward and clinic setting. Why buy On call in Trauma and Orthopaedics? This book not only provides a comprehensive guide to common injuries, but also includes a basic examination and technical skills section. The more advanced sections such as classification of common fractures and consenting for common operations will career Trauma and Orthopaedic trainees a higher insight into the specialty. What's inside: Essentials: History, examination and classification Emergency Department: Limb threatening conditions, Adult Upper/Lower limb injuries, paediatrics and more Operating theatre: How to prepare your patient for theatre Ward: Pre and post operative management of your patients Clinic: What to say, ask and do when admitting a patient from clinic Procedures: Step by step guide to simple procedures such as aspiration of joints and reduction of fractures/joint dislocations

In 1972 David Sklar left in his senior year of college to volunteer at a community clinic in rural Mexico. The experience challenged him and, ultimately, molded him into a skilled emergency physician. Years later, in the midst of intense professional and personal stress - emergency room traumas and the end of his marriage - Sklar revisited the village and clinic that had inspired him to be not only a doctor but later a good husband and father.

This book outlines the essential knowledge required for the management of critically ill and severely injured children. It is designed to facilitate successful completion of the Pediatric Emergency Medicine Board Examination of the American Board of Pediatrics (ABP). Each chapter follows a Question & Answer format, covering major areas in pediatrics such as cardiology, dermatology, nephrology, surgery and trauma. The book concludes with a comprehensive practice test, allowing it to function as a well-rounded reference and study guide. Prepare for the Pediatric Emergency Medicine Board Examination is an essential resource for any clinician or trainee seeking a concise review of how to manage critically ill and severely injured children.

Belastende Einsatze, belastete und handlungsunfahige Helfer.

Die psychosozialen Anforderungen im Rettungsdienst werden meistens unterschatzt. Psychologie in der Notfallmedizin und im Rettungsdienst wendet sich an Notarzte und alle Rettungsdienstmitarbeiter, die taglich mit Notfallen und menschlichen Katastrophen umgehen mussen. Das Lehrbuch vermittelt eine sichere Handlungsbasis fur psychologische Problemlosungen am Notfallort:

* Psychologische Grundlagen in Notfallsituationen und Katastrophen

* Praktische Kenntnisse in Pravention, Belastungsbewaltigung sowie Nachsorge

* Separate Kapitel zur psychologischen Betreuung spezieller Notfallpatienten

Plus fur die Praxis: Pravention von Burnout, Informationen zu Fuhrung, Aufbau von Supervisionsgruppen. Neu in der 2. Auflage: alle Beitrage komplett uberarbeitet mit praktischen Hinweisen und Ubersichten

Ein unentbehrlicher Praxisleitfaden fur Mitarbeiter in Notfalldienst und Rettungswesen, um mit fremden und der eigenen Seele sorgsam umgehen zu konnen"

This is the 2014 update to the 2004 version.

Information in this edition reflects lessons learned from American involvement in Iraq and Afghanistan, and represents state-of-the-art principles and practices of forward trauma surgery. This publication is not a first aid manual and is intended for physicians, physician assistants, and advanced practice medics and corpsmen involved in providing emergency medical and trauma care near the battle space. This publication expertly addresses the appropriate medical management of blast wounds, burns, multiple penetrating injuries, as well as other battle and non-battle injuries.

Specific chapters cover the following topics: Weapons Effects and War Wounds-Treat the wound, not the weapon, explosive injuries, and ballistics injuries including 5.56mm and 7.62mm.Mass Casualty and Triage-Triage categories and decision making and emergency treatment area setup.Airway/Breathing-Initial airway management, ventilation, intubation, difficult airways, and surgical crichothyrotomy.Hemorrhage Control-Bleeding control, tourniquets, pressure points, dressings, bandages, hemostatic agents, and controlled hypotension.Shock, Resuscitation, and Vascular Access-Treatment of hypovolemic shock, vascular access, subclavian vein access, internal jugular venipuncture, saphenous vein cut downs, and intraosseous infusion.Anesthesia-Indications, rapid sequence intubation, indications and dosing recommendations for narcotics and muscle relaxants.Soft Tissue and Open Joint Injuries-Pre-surgical care, surgical wound management, and wound care.Infections-Diagnosis of a wound infection, common microorganisms causing battlefield infections, recommendations to prevent infections associated with combat related injuries, antimicrobial agent selection including preferred agents and alternate agents with appropriate administration and dosing guidelines.Critical Care-Shock resuscitation, fluid and electrolyte management, treatment of acute coronary syndrome, congestive heart failure, unstable angina, and other acute medical conditions.Damage Control Surgery-Pre-hospital and emergency resuscitation and critical care.Face and Neck Injuries-Immediate management of face and neck injuries and facial bone fractures.Ocular Injuries-Immediate treatment, treatment of chemical injuries, corneal abrasions, and foreign bodies.Thoracic Injuries-Tension pneumothorax, hemothorax, open pneumothorax (sucking chest wound), flail chest, chest tube placement, and emergency thoracotomy.Gynecologic Trauma and Emergencies-Emergency delivery and emergency Cesarean section and neonatal resuscitation.Extremity Fractures-Wound managementBurns-Point of injury care, primary survey, estimation of fluid resuscitation needs, burn resuscitation, burn and wound care.Environmental Injuries-Trench foot and frostbite, field and medical facility treatment, hypothermia treatment, heat injury and heat stroke, altitude illness and acute mountain sickness, high altitude pulmonary and cerebral edema, Radiological Injuries-Treatment of injuries and illnesses from conventional nuclear weapons and radiological dispersal devices (dirty bombs.)Biological Warfare Agents-Hemorrhagic fever, Hanta, Ebola, Lassa, Rift Valley, botulinum, ricin, anthrax, plague, cholera, and tularemia treatment.Chemical Injuries-Treatment of nerve agents, vesicants, and choking agents.Pediatric Care-Fluid, caloric, and protein requirements for children, normal vital signs, pediatric resuscitation equipment and supplies, commonly used drugs and dosages, surgical managementBattlefield TransfusionsEmergency Whole Blood CollectionProduct Manufacturers

This practical surgical reference for the diagnosis and management of traumatic vascular injuries is unique in that it brings together all prominent management strategies from the various surgical subspecialties, creating a unified voice on the care of the vascular trauma patient. Management of common vascular injuries is examined from a general, trauma, vascular, orthopaedic, plastics, cardiothoracic, and neurosurgical perspective by respected experts from each of these fields. Each section has been edited by specialists in the other relevant disciplines to ensure that every chapter represents an evidence-based assessment of all of the surgical subspecialties. The clear and concise text is supplemented by dozens of surgical photographs, illustrations, tables, and charts that assist in conveying complex concepts in vascular trauma management. The "Clinical Review of Vascular Trauma" will be essential reading for any healthcare professional involved in care of the trauma patient.

"

The true story of an A&E doctor that became a huge word-of-mouth hit. Forget what you have seen on Casualty or Holby City, this is what it is really like to be working in A&E. Dr Nick Edwards writes with shocking honesty about life as an A&E doctor. He lifts the lid on government targets that led to poor patient care. He reveals the level of alcohol-related injuries that often bring the service to a near standstill. He shows just how bloody hard it is to look after the people who turn up at the hospital door. But he also shares the funny side - the unusual 'accidents' that result in with weird objects inserted in places they really should have ended up - and also the moving, tragic and heartbreaking. It really is an unforgettable read.

This book fills a gap in the existing medical literature by providing a best-practice approach to the evaluation and acute treatment of patients presenting for emergency care with identifiable substance use and/or co-occurring psychiatric disorders. As the first interdisciplinary book to integrate psychiatric and emergency care, the text uniquely covers a myriad of serious medical conditions, acute mental status and dangerous behavioral abnormalities. The book focuses on guidelines that support emergency room physicians with little formal medical training in addiction medicine. The first section focuses on the diagnosis and management of substance-specific intoxication and withdrawal states, as well as common medical co-morbidities and disposition considerations. The book lends particular attention to the identification and stabilization of high risk medical conditions associated with each substance of abuse. The second section is psychiatrically focused, addressing the most common psychiatric symptoms and syndromes, their association with SUDs, an approach to differential diagnosis, and discussion of crucial treatment considerations for both safe ED management and post-ED disposition. A final section includes other pertinent topics, for example, the assessment of patient safety, responding to the medication-seeking patient, assessment and treatment of pregnant patients and working with adolescents and their families around substance use. Substance Use and The Acute Patient is a unique and valuable contribution to the literature for both consulting psychiatrists, emergency medicine specialists, addiction medicine specialists, and all other medical professionals who provide care for these most complex and underserved patients.

Aquick reference to clinical information needed in Pediatric Intensive Care Units. The Manual makes extensive use of illustrations tables and boxes and provides up-to-date information on nursing interventions for the critically ill child. It also includes content on psychosocial issues, family needs and PICU instrumentation. Authored by an international expert in pediatric critical care who has incorporated the most up to-date policies, practices, and procedures into the text. Provides manageable summaries so that clinical information needed in PICU's can be quickly referenced. Contains more than 300 illustrations, tables, and boxes to aid in quick referencing of essential critical care information. Provides anatomy and physiology reviews to ensure complete understanding. Contains up-to-date information on nursing interventions that aids in the formulation of appropriate policy and accurate decision-making. Has many updated drug tables for the most current pharmacotherapy interventions. Includes content on psychosocial issues, family needs, and PICU instrumentation to prepare the nurse for the realities of working in a pediatric critical care unit. Features a chapter on burns to assist the pediatric critical care nurse in the care of a child with severe burns. Suggested resource lists provide a practical reference supplement for more detailed conditions.

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. Deliver quality healthcare in the most challenging field conditions Comprehensive yet compact, practical, and enduring, Improvised Medicine: Providing Care in Extreme Environments, Second Edition, is the one book to toss into your bag when going to practice medicine in global, disaster, or other resource-poor settings, including theaters of war, regions of civil unrest, and economically deprived areas. Full of practical clinical pearls and field-tested strategies, this indispensable guide provides detailed instructions on how to work successfully outside of your comfort zone. It demonstrates how to devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable or when providing care outside your primary area of expertise. In any crisis, from power failures and computer crashes to floods, tsunamis, and earthquakes, knowing how to deal with the unique challenges encountered saves lives and communities. This reference gives you that knowledge and inspires innovative crisis resolution. FEATURES: * Simple-to-follow directions, diagrams, and illustrations describing practical techniques and improvised equipment necessary to provide quality care during crises * Contains improvisations in anesthesia and airway management, dentistry, gynecology/obstetrics, infectious disease/laboratory diagnosis, internal medicine, otolaryngology, pediatrics and malnutrition, orthopedics, psychiatry, and surgery * Covers situational analysis and basic needs in a crisis; specific triage, diagnosis, and stabilization efforts; medical interventions for surgical and non-surgical problems; and debunks some commonly reported improvised techniques * Features public health measures, basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods * New to the second edition: More concisely written, more e

Das Handbuch der gefahrlichen Guter ist das Standardwerk fur den Transport von Gefahrgutern. Es gibt Informationen zu nationalen und internationalen Transportvorschriften und zu Notfallmassnahmen bei Unfallen mit gefahrlichen Gutern sowie Hinweise fur die arztliche Erstbehandlung von Personen. Fur alle Gefahrguter, die im Hommel enthalten sind, wurden die GHS-Kennzeichnungen mit aufgenommen: Signalworte, Piktogramme, sowie die neuen Gefahrenhinweise (H-Statements) und Sicherheitshinweise (P-Statements). Diesem Band liegt das Update der Einzelplatzversion 19.0 auf 20.0 bei.

This book documents the ways that clinical practitioners and trainees have used the "structural competency" framework to reduce inequalities in health. The essays describe on-the-ground ways that clinicians, educators, and activists craft structural interventions to enhance health outcomes, student learning, and community organizing around issues of social justice in health and healthcare. Each chapter of the book begins with a case study that illuminates a competency in reorienting clinical and public health practice toward community, institutional and policy level intervention based on alliances with social agencies, community organizations and policy makers. Written by authors who are trained in both clinical and social sciences, the chapters cover pedagogy in classrooms and clinics, community collaboration, innovative health promotion approaches in non-health sectors and in public policies, offering a view of effective care as structural intervention and a road map toward its implementation. Structural Competency in Mental Health and Medicine is a cutting-edge resource for psychiatrists, primary care physicians, addiction medicine specialists, emergency medicine specialists, nurses, social workers, public health practitioners, and other clinicians working toward equality in health.