This practical and timely book provides comprehensive, state-of-the-art guidance on how primary care clinicians can best care for patients with substance use disorders. The book covers the major drugs of abuse, as well as the more recent ones, detailing the biology of various addictions and all dimensions of clinical diagnosis and management. It is organized in four parts: (1) The Basics, (2) Psychoactive Substance Dependencies, (3) Diagnosis, Treatment, Recovery, Relapse, and the Family, and (4) Special Groups. Part I, The Basics, consists of an overview, the various definitions of substance dependence, and the pharmacology of addictive substances. Chapter 1, Overview, is an introductory chapter that covers material common to the entire field of substance dependence. Chapter 2 covers the various definitions of substance dependence, and Chapter 3 reviews the pharmacology of addictive substances. Part II, Psychoactive Substance Dependencies, explains the various drug dependencies-alcohol dependence, sedative-hypnotic dependence, opioid dependence, stimulant dependence, nicotine dependence, cannabis dependence, dissociative dependence, inhalant dependence, hallucinogen dependence, and anabolic steroid dependence. Part III addresses diagnosis, treatment, recovery, relapse, and the family. Part IV, Special Groups, discusses substance dependence in women, adolescents, the elderly, ethnic minority groups, co-occurring disorders, LGBT patients, HIV positive patients, and the impaired physician. In addition to primary care physicians, Substance Use Disorders: A Guide for the Primary Care Provider will serve as an invaluable resource to primary care nurse practitioners and physician assistants, as well as medical students, primary care residents, emergency medicine physicians, ASAM and APA certified addictionists and those studying for certification in those specialties, psychiatrists, psychologists, and alcohol/drug counselors.

This new edition focuses on bias in health care and provides a variety of case examples related to the timely topics of unconscious bias and microaggressions encountered by patients, students, attending and resident physicians, nurses, staff, and advanced practice providers in various healthcare settings. The proliferation of literature on unconscious bias and microaggressions has raised public awareness around these concerns. This case compendium discusses strategies and addresses professional responses to bias in health care and extends beyond the individual patient and healthcare provider into the communities where biased assumptions and attitudes exist. Recognizing that ethnic minorities, the elderly, the poor, and persons with Medicaid coverage utilize the emergency department at higher rates than the general population, this compendium also builds upon the case studies from the first edition to cover a broader array of underserved minority groups. Diversity and Inclusion in Quality Patient Care: Your Story/Our Story - A Case-Based Compendium, 2nd Edition is an essential resource for attending and resident physicians, nurses, staff, advanced practice providers, and students in emergency medicine, primary care, and public health.

Recurrent pregnancy loss (RPL) includes recurrent first- and second-trimester abortions and recurrent preterm delivery, second- or third-trimester intrauterine fetal death, intrapartum stillbirth, and early neonatal death. This book includes protocols for case scenarios of early and late pregnancy loss as well as instances of poor obstetric history. Key Features Explores the management of different clinical presentations of RPL Includes preeclampsia, intrahepatic cholestasis of pregnancy, and hypertension-related disorders in pregnancy Includes clinical protocols with flowcharts Features tip boxes with learning points for easy reference

Children and infants comprise up to 20% of emergency department visits, and emergency physicians must be knowledgeable in choosing the most appropriate imaging modality to arrive at an accurate diagnosis and provide optimal patient care. Written specifically for the non-specialist and those with limited pediatric training, Pediatric Imaging for the Emergency Provider provides expert guidance in this challenging area. Abundant high-quality imaging examples cover the full range of pediatric disorders you're likely to see, including trauma, musculoskeletal, pulmonary, ENT, cardiac, genitourinary, gastroenterology, neurological, and neonatal patients. Presents more than 80 common and important rare cases, supported with 450+ images across relevant modalities including ultrasound, radiography, CT, and MRI. Identifies key radiographic findings for various pediatric conditions including congenital heart lesions, surgical entities, infectious disease processes, and traumatic injuries. Accompanies images with clear, concise text that makes it easy to grasp the most clinically significant points of each case. Provides expert guidance on best practices in important areas of pediatric imaging such as sedation, ionizing radiation exposure reduction, and imaging modality selection. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This issue of Emergency Medicine Clinics, Guest Edited by Dr. Laura Bontempo and Dr. Jan Shoenberger, is devoted to Ear, Nose, and Throat Emergencies. Topics in this issue include: Infections of the Ear; Sinusitis; Infections of the Oropharynx; Infections of the Neck; Peripheral Vertigo; Epistaxis; Soft Tissue Disorders of the Mouth; Dental Emergencies; Foreign Bodies; Tracheostomy Emergencies; Traumatic Injuries of the Ear, Nose, and Throat; and Facial Fractures.

This book is designed to present an overview of common geriatrics ethical issues that arise during patient care and research activities. Each chapter includes a case example and practical learning pearls that are useful in day-to-day patient care. Coverage includes a brief overview of geriatric epidemiology, highlighting the high rates of dementia, use of surrogate decisions makers at the end-of-life, relocation from home to long-term care facilities, and low health literacy in the geriatrics population. Sections are devoted to issues around capacity, surrogate decision making, end-of-life care, hemodialysis in the elderly, and futility as well as challenges presented by independence questions, such as dementia care, driving, feeding, and intimacy in nursing homes. The text also addresses questions around recognizing, reporting, and treating elder abuse and self-neglect, ethics related to research and technology in the geriatric population, and the use of e-mail, Facebook, and open notes. Written by experts in the field, Ethical Considerations and Challenges in Geriatrics is a valuable tool for trainees at a variety of levels including medical students, residents, and fellows. In addition, it provides practical guidance and a useful reference for practicing geriatricians, primary care physicians, geriatric nurses, social workers, nursing home workers, hospice care employees, and all medical health professionals working with the elderly.

Obstetric emergencies are unplanned and often unanticipated. Management requires a clear understanding of the life-saving and damage-limiting treatments that can be implemented.

The primary goals of this brief are to invoke alertness and solidarity among the public in earthquake prone areas of India, and to empower the community to prepare themselves to face and manage the aftermath of an earthquake. The work presented here sheds new light on the action plans to be taken by the common public and public agencies, before, during and after earthquakes to safeguard lives of people and minimize loss of assets. This carefully presented book articulates various factors related to earthquake preparedness, and develops guidelines and useful tips for communicating them to relevant stakeholders. The book has been divided into three parts: (i) the first providing background which explains earthquakes in general and seismicity of India (ii) the second explores earthquake preparedness intended for individuals, families and various stakeholders, and (iii) the final section which describes various strategies for communities to prepare themselves for a future earthquake.

This book is a one-stop guide to managing acute orthopedic injuries. Unlike other handbooks, this reference provides a comprehensive, yet concise, set of diagnostic and management tools to help readers deliver optimal, evidence-based, and efficient patient care. Additional focus on physical exam techniques, emergency room orthopedic procedures, and on-field athletic management strategies empowers readers with real tips and tricks used by orthopedic surgeons at top-tier institutions. This guide is a must have for emergency medicine providers, orthopedic surgeons, and other clinicians, trainees, and students caring for adult or pediatric patients in the emergency setting.

Until the past decade, clinicians and researchers assumed that the medical evaluation and treatment of both women and men were the same. This archaic and dangerous notion persisted in spite of the clear anatomic and physiologic differences between the genders. Today, we fully understand that this paradigm is false. In all specialties of medicine, practitioners and researchers are beginning to consider the influence of sex and gender and how it should inform the care of their patients. This book focuses on the issue of sex and gender in the evaluation and treatment of patients specifically in the delivery of acute medical care. It serves as a guide both to clinicians interested in the impact of sex and gender on their practice and to researchers interested in the current state of the art in the field and critical future research directions.

The first detailed retrospective of the spread and management of COVID-19-and a blueprint for better management of the next major healthcare crisis From a team of global experts, Understanding Crisis in Critical Care describes the global spread of COVID-19 and analyzes how it was managed compared to other deadly epidemics, such as SARS and MERS. The book features contributors from across the world who dealt first-hand with COVID-19, making this a truly global retrospective on new global pandemics. Organized into three sections, the text covers critical care changes associated with crises, crises in pandemics, trauma, and crises in war and natural disasters. You'll learn how hospitals are transformed to accommodate surges in patients, while dealing with shortages in staffing, medications, mechanical ventilators, and personal protective equipment and get an invaluable look at how real-time critical decision were made during the height of the pandemic. This one-of-a-kind guide covers: * Working the frontlines * Antimicrobials versus Immunomodulators * Respiratory failure and mechanical ventilation * Repurposing therapies for COVID-19 * Endocrinologic and cardiovascular Issues * Special Populations: pediatrics and immunocompromised patients * SARS, MERS, COVID-19, Ebola, Anthrax, Influenza * Traumatic brain and lung injury * Palliative care and bioethics * Psychiatric issues * Intensive care units under austere conditions * Terrorism (biological and chemical)

This volume provides fresh insights and management understanding of the changing role of the ambulance services against the backdrop of massive cuts in health budgets around the world and the changing context of pre-hospital care within the wider healthcare networks. The challenges of funding, training and cultural transformation are now felt globally. The need to learn and adapt from suitable models of ambulance service delivery have never been greater. The book offers critical insights into the theory and practice of strategic and operational management of ambulance services and the leadership needs for the service. One of the highlight of this volume is to bring together scholarship using experts- academics, practitioners and professionals in the field, to each of the chosen topics. The chapters are based in the practical experiences of the authors and are written in a way that is accessible and suitable for a range of audiences. We are confident that this book will cater to a wider audience to inform policy and practice, both in the UK and internationally. Paresh Wankhade is Professor of Leadership and Management at Edge Hill University, UK Kevin Mackway-Jones is the Medical Director at North West Ambulance Service NHS Trust, UK Endorsements "This unique and valuable publication, charts the history and development of the ambulance service in England over the last hundred years or so. The role of this key emergency service has always been important, and arguably never more so than today. The contributing authors have not only provided the reader with great insights into where the service has come from and the leadership challenges it has, and continues to face; it also gives examples of how the future could look as our journey of transformation continues." Peter Bradley CBE, MBA (and author of Taking Healthcare to the Patient 2005), Chief Executive Officer. St John National Headquarters, New Zealand "With a year on year increase in demand for emergency ambulances and over 9 million calls annually, the UK Ambulance Service must change from its emergency care and transport focus model. With the increase in professionalism of paramedics and an uplift in assessment and clinical skills the modern paramedic is increasingly able to treat at home, direct patients with alternative care pathways and avoid transportation to overburdened Emergency Departments. Whilst there is some historical and cultural resistance to change there is a need for further development in clinical skills and a new perspective for the future Ambulance Service. This book brings together practitioners, managers, academics and provides a broad understanding of the major management issues in the UK Ambulance Service. It includes the history of the Ambulance Service, quality and risk management issues, commissioning, leadership, intra-operability and shape of the future ambulance service. The content will be of interest to students, practitioners and academics". Sir Keith Porter, Professor of Clinical Traumatology, University Hospitals Birmingham NHS Foundation Trust, United Kingdom

Geriatric Trauma and Critical Care provides a multidisciplinary overview of the assessment and management of the elderly patient presenting with surgical pathology. By utilizing current literature and evidence-based resources, the textbook elucidates the unique nature of caring for the elderly population. The structure of the volume provides the reader with an overview of the physiologic and psychological changes, as well as the impact on the healthcare system, associated with the aging process. Emphasis is placed on the impact of aging, pre-existing medical problems, effects of polypharmacy, advanced directives and end-of-life wishes on acute surgical problems, including trauma and surgical critical care. Special attention is given to the ethical implications of management of the aged. The multidisciplinary contributors provide a unique point of view not common to surgical texts. The textbook is the definitive resource for practicing surgeons, emergency medicine physicians, intensivists, anesthesiologists, hospitalists, geriatricians, as well as surgical residents, nurses and therapists, all who care for elderly patients with surgical emergencies.

Does your heart rate increase when you are paged to the emergency department or ICU for emergency airway management? Would you know how to handle the unexpected arrival of a patient with a gunshot wound to the neck and worsening airway compromise? This guide to critical airway emergencies will prepare you to safely manage these high-pressure situations. Case-based discussions focus on specific scenarios and provide background on the relevant medical issues along with practical guidance and algorithms. This systematic approach gives quick access to vital clinical information. Multidisciplinary in approach and written by experts from a variety of specialties, the content covers both pediatric and adult patients, encompassing many of the challenging airway situations you could be faced with. Every healthcare practitioner involved with emergency airway management will benefit from this book.

Selected as a Doody's Core Title for 2022! Long considered the gold standard comprehensive reference for diagnosing and managing emergent health issues in children, Fleisher & Ludwig's Textbook of Pediatric Emergency Medicine is an essential resource for clinicians at all levels of training and experience. The revised eighth edition has been updated from cover to cover, providing practical, evidence-based content to help you meet any clinical challenge in the emergency care of pediatric patients. Streamlines content for quick reference, focusing on patient and practitioner safety, essential pathophysiology, clear outcomes and triage considerations, and efficient cross-referencing between chapters. Presents the knowledge and expertise of numerous new contributors Includes new chapters on clinical pathways, clinical decision and support, multidisciplinary teamwork, and the importance of humanism in emergency medicine. Contains easy-to-follow algorithms, online links to The Children's Hospital of Philadelphia's clinical pathways for managing critical patients, and clinical pearls throughout. Features an extensive signs and symptoms section, plus sections on resuscitation and stabilization, medical emergencies, trauma, surgical emergencies, and behavioral health emergencies. Includes helpful chapters on biological and chemical terrorism, equipment, parental instructions, procedures, and much more. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

This reference focuses on individualized spinal injury assessments, immobilization techniques, nonoperative and operative indications, operative fixation strategies, and prognoses. Containing over 1900 references, Fractures of the Cervical, Thoracic, and Lumbar Spine is an invaluable resource for orthopedic, spinal, and trauma surgeons; neurosurgeons; emergency medicine physicians; and neurologists; and residents, nurses, and medical school students in these disciplines.

Emergency departments around the world may differ, but many of the problems they face are the same. Written by an international panel of experienced emergency department leaders Emergency Department Leadership and Management provides the latest knowledge and advice to improve your personal leadership skills. The book will assist emergency department leaders in overcoming common management and operational problems including overcrowding, risk management, implementing the right triage system, electronic and IT solutions, improving clinical teamwork, education of emergency department staff, improving patient flow, care pathways and leading during times of change. Example cases are included to allow leaders to compare common cases to the problems which they face in their own departments. Information on designing emergency medicine specialty residency programs is also provided. It is the official text of the International Emergency Department Leadership Institute (IEDLI) and has been endorsed by the International Federation for Emergency Medicine (IFEM).

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.

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

This book explains the chemistry of Organophosphorus compounds (OPs), their mechanism of toxicity and the history of OPs from their initial discovery to the development of new compounds such as Novichoks. It details the harmful effects to human health both as a result of acute and chronic OP exposure and the necessary clinical management of affected patients to reduce their toxic side effects. The book also explains the detrimental effect that OPs have had on the environment and the efforts being made to prevent this in the future. Finally, the book looks at the incidents where OPs have been used as chemical warfare agents. Basic and Clinical Toxicology of Organophosphorus Compounds aims to act as a comprehensive guide to all aspects of OPs and is a key resource for clinical toxicologists and related health professionals involved in the prevention, diagnosis and clinical management of OP patients, toxicologists and other scientists involved in research on OPs including regulatory issues and postgraduate students in Toxicology and related fields.

Everything you need to pass FRCEM Primary is in this book. Based on the popular and successful Revision Notes for the MCEM Part A this new edition is mapped against the new FRCEM Primary syllabus. Addressing the basic sciences as they apply to Emergency Medicine and recent exam topics such as clinical trials and statistics, all components of the exams are covered. Written in a revision notes style, lists, bullets points and tables help candidates to absorb information and revise efficiently. This new edition includes more anatomy illustrations to bring the text to life and aid understanding. The author, a successful FRCEM candidate and Consultant in Emergency Medicine, brings his considerable experience to this text. Complete, refreshed and improved, Revision Notes for the FRCEM Primary is the ideal companion for all FRCEM candidates.

Prehospital Care of Neurologic Emergencies is a reliable and definitive resource for emergency medical services personnel at multiple levels; physicians, paramedics, nurses and others who encounter these critically ill patients. This focused and succinct book addresses the management of a wide range of neurologic emergencies, including traumatic brain injuries, spinal cord injuries, strokes, and seizures. In these emergencies time is critical, and the simply presented, straightforward format of the patient care and management recommendations help readers to treat patients rapidly and confidently. Each chapter follows a standard format that includes an overview of each neurologic emergency, important background, key challenges, and areas requiring future investigation. This book is unlikely to be placed on your bookshelf; instead, you will keep it nearby for times when you face life-threatening neurologic emergencies. When seconds count, this book has the answers.

This book is exceptional in being devoted solely to vasovagal syncope (VVS), the most frequent cause of transient loss of consciousness in the general population. All aspects of VVS are covered, including epidemiology, pathophysiology, diagnosis and differential diagnosis, prognosis, therapy and implications for particular activities such as work, driving and physical activity. The context for the book is that about half of the population suffer from this type of loss of consciousness during their lifetime and then often call for general practitioner and/or emergency room assistance. While many pathophysiological aspects of VVS have been clarified, others remain elusive. The diagnosis of VVS may be easy, but it is sometimes challenging. From the therapeutic standpoint, few evidence-based therapies have been established and the large majority of treatments remain unsatisfactory. Vasovagal Syncope presents the latest evidence on all these issues and will be of value for internists, cardiologists, neurologists, emergency physicians and general practitioners.

This book, written by expert surgeons, offers a comprehensive and up-to-date overview of all aspects of laparoscopic cholecystectomy. Coverage includes the indications for surgery, anesthesia, surgical technique, and the prevention and management of complications, with extensive reference to the latest clinical evidence and assessment of the benefits of the laparoscopic approach, for example in terms of outcomes and day surgery. New technologies, including SILS, NOTES, robotic surgery, and miniaturized instruments, are reviewed. The learning curve and training are also extensively discussed, and an individual chapter is devoted to the views of international experts in the field. Readers will find the book to be an ideal guide to this gold standard technique, which continues to evolve some 20 years after the National Institutes of Health Consensus Conference first published recommendations regarding indications for laparoscopic cholecystectomy.

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".