Total intravenous anaesthesia (TIVA) is an innovative alternative to traditional inhalational anaesthesia. Often incorrectly perceived as overly complex, TIVA has numerous advantages over inhalational drugs, such as a lower risk of nausea, less pain and better cognitive recovery. Taking on TIVA is a practical, easy to read and engaging guide to TIVA. It demystifies this important technique and will empower the novice but also support more experienced practitioners. It is a clear step-by-step approach to treating everything from routine elective to paediatric, geriatric, obese and pregnant patients. Pharmacokinetic models, dosage calculations, and the use of TIVA in emergency medicine are also elucidated. Written by international experts in the field with many years of experience both conducting and teaching TIVA, this handbook is an essential resource for experienced and novice anaesthetists alike who want to improve their understanding and confidence with the technique.

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.

Stay on top of the rapidly-changing area of emergency radiology with this new volume in the popular Case Review Series. This challenging subspecialty requires a range of knowledge and skills for rapid diagnosis of issues related to trauma and acute situations including cardiopulmonary emergencies, stroke, and fractures. Emergency Imaging offers highly illustrated, case-based preparation for board review to help residents and recertifying radiologists succeed on exams and provide state-of-the-art patient care. Presents 125 case studies organized by level of difficulty, with multiple-choice questions, answers, and rationales following the board review and recertification question format. Includes clinical information and diagnostic images highlighting important considerations for every case, with a recap of the procedure and explanations of key concepts. Features 400+ high-quality images spanning the full range of emergency findings from classic to less common. Covers the latest imaging technology and indications, including MDCT-angiography of vascular injury, CT and MRI of spine injuries and CNS emergencies, subtle and classic CT signs of bowel emergencies, cardiac angiography, and dual-energy CT. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

Patients in the neurointensive care unit pose many clinical challenges for the attending physician. Even experienced clinicians occasionally arrive at the point where diagnostic, work-up, treatment, or prognostic thinking becomes stymied. In daily practice, neurocritical care pertains to managing deteriorating patients, treatment of complications but also end-of-life care assisting families with difficult decisions. Part of the "What Do I Do Now?" series, Neurocritical Care provides insight into interventions in acute neurologic disorders. Using a case-based approach, this volume emphasizes how to handle comparatively common clinical problems emergently. New to this edition are cases on monitoring and prognostication. All cases have been carefully revised, and new information, references, and practical tables have been added. Neurocritical Care is both an engaging collection of thought-provoking cases and a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"

Over three decades ago, PHTLS: Prehospital Trauma Life Support transformed the assessment and management of trauma patients in the field, improving the quality of trauma patient care and saving lives around the world. The tenth edition of this trusted, comprehensive resource continues the PHTLS mission to promote excellence in trauma patient management by all prehospital care practitioners through global education. First developed by the National Association of Emergency Medical Technicians (NAEMT) in the early 1980s in cooperation with the American College of Surgeons Committee on Trauma (ACS-COT), this proven program includes updated medical content to reflect current, evidence-based knowledge and practice. PHTLS promotes critical thinking as the foundation for providing quality care, knowing that EMS practitioners make the best decisions on behalf of their patients when given a solid foundation of knowledge and key principles to fuel their critical-thinking skills. A Clear Approach to Assessing a Trauma Patient In the field, seconds count. The tenth edition of PHTLS: Prehospital Trauma Life Support 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 delays in initiating transport to an appropriate destination. PHTLS, Tenth Edition features: - The updated ACS National Guidelines for the Field Triage of Injured Patients - An advanced discussion on the challenges of prolonged scene time - Consideration of when to shift efforts from search and rescue to recovery in the setting of a drowning victim - The United Kingdom Fire and Rescue Guidelines for search and rescue - New content on blast injuries - Clarification on the role of pelvic binders - Presentation of the emerging role of prehospital blood transfusion in hemorrhagic shock in reducing 30-day mortality - Current content addressing special considerations, including weapons of mass destruction and environmental trauma

Point of care ultrasound is a critical tool required for assessing all patients, providing rapid answers to clinical questions and facilitating high quality care for patients. This essential guide caters for all generalist clinicians beginning their ultrasound journey and extends to more advanced assessments for those with established ultrasound experience wishing to advance their knowledge and skills. It covers a wide range of ultrasound topics from echocardiography, thoracic and COVID-19 to emerging areas such as palliative care, hospital at home and remote and austere medicine. An extensive collection of colour images, videos and examples of clinical applications will inspire readers to acquire the skills of point of care ultrasound quickly, safely and systematically. The printed code on the inside of the cover provides access to an online version on Cambridge Core. An essential aid for acute clinicians, paramedics, general practitioners as well as remote medical providers, medical educators and students.

Interdisziplinar - DAS Werk zur Wundballistik Grundlagen Das notwendige Grundwissen uber Physik, Munition und Waffen, Ballistik Verhalten von Geschossen im Menschen und im Tier (Physik der Schussverletzung) Experimentelle Simulation von Schussverletzungen und die dazu geeigneten Materialien Anwendungen Rechtsmedizin und Kriminalistik Die Schussverletzung als kriminalistische Spur (Rekonstruktion des Tatablaufs, Schussdistanz) Nicht-letale Geschosse und ihre Gefahrlichkeit Gefahrdung durch Geschosse Notfall- und Kriegschirurgie Bewertung von Verletzungen durch Kleinwaffengeschosse und Splitter Gasstrahlen (bei Schreckschuss- und Gaswaffen) Internationale Konventionen Physikalische Masszahlen fur das Verletzungspotenzial (die Wirksamkeit) von Geschossen und Splittern Nachschlagewerk Tabellenwerk (ballistische Daten zahlreicher - auch alterer - Patronenarten, Materialeigenschaften, sowie viele sonst schwer zugangliche Daten) Dreisprachiges Glossar fachspezifischer Ausdrucke (deutsch, englisch, franzoesisch) NEU Wundballistik der Polizeigeschosse Hinweise auf neuere Forschungsergebnisse Farbige Abbildungen Durch die Zunahme der terroristischen und kriminellen Aktivitaten weltweit sind nicht nur Armeeangehoerige betroffen. Auch Chirurgen, Rechtsmediziner, Polizisten und Kriminalisten mussen die Besonderheiten der Schussverletzungen kennen und beurteilen koennen.

’n Onontbeerlike gids vir die uitkenning van al die gevaarlike slange en algemene onskadelike slange in Suider-Afrika, sowel as belangrike en praktiese kitsinligting oor noodhulp ingeval van ’n slangbyt.

Eenvoudige ikone, verspreidingskaarte, bondige teks en talle volkleurfoto's help om slange wat algemeen in die streek voorkom maklik uit te ken. Simptome en behandeling van slangbyte word beskryf, wat die leser lewensbelangrike noodhulpinligting gee.

Slange en Slangbyt in Suider-Afrika is helder, prakties, maklik om te gebruik en van onskatbare waarde vir almal wat van die buitelewe hou.

The fields of Global Health and Global Emergency Response have attracted increased interest and study. There has been tremendous growth in the educational opportunities around humanitarian emergencies; however, educational resources have not yet followed the same growth. This book corrects this trend, offering a comprehensive single resource dedicated to health in humanitarian emergencies. Providing an introduction to the public health principles of response to humanitarian emergencies, the text also emphasizes the need to coordinate the public health and emergency clinical response within the architecture of the greater response effort. With contributing authors among some of the world's leading health experts and policy influencers in the field, the content is based on best practices, peer reviewed evidence, and expert consensus. The text acts as a resource for clinical and public health practitioners, graduate-level students, and individuals working in response to humanitarian emergencies for government agencies, international agencies, and NGOs.

Psychogenic nonepileptic seizures (PNES) are attacks that mimic epileptic seizures, but are not caused by abnormal electrical discharges in the brain. Instead, PNES are typically considered involuntary expressions of distress, making diagnosis and treatment a challenge. Historically, patients are referred to neurologists who, after completing a diagnostic work up, refer patients to mental health professionals, including psychiatrists, for treatment. For a number of reasons, this transition of care between specialists is often not successful, and this impacts patient treatment and outcomes. Psychogenic Nonepileptic Seizures: Toward the Integration of Care offers new insights into the practical diagnostic and treatment challenges faced by clinicians who manage this condition. This book covers the different stages of care, from the initial evaluation to long-term outcomes, and highlights the need to work collaboratively to provide patients with comprehensive care and improved outcomes. It provides up-to-date evidence and shares clinical expertise for the management of this challenging diagnosis that requires the expertise of a multi-disciplinary team. The authors provide a new framework on how to conceptualize and manage this disorder to more effectively address the needs of patients.

This fully revised and updated second edition of Emergency Cardiology offers highly practical advice on the diagnosis and management of acute cardiac conditions. Throughout the book the authors employ an evidence-based approach to clinical practice, and provide detailed guidance for day-to-day practice in a wider variety of settings - from the emergency department to intensive care and the cardiac ward. Provides essential advice for the rapid diagnosis and management of cardiac emergencies - both common and more rare. Includes evidence-based guidelines and the results of the most groundbreaking clinical trials Practical format pocket-sized format Authored by four cardiologists with extensive experience in the emergency setting Emergency Cardiology, Second Edition is an essential purchase for junior doctors, emergency department staff, trainees in cardiology and specialist nurses.

The number of natural and man-made disasters has risen dramatically over the last decade. Natural disasters, industrial accidents and terrorist attacks represent major incidents, often involving multiple casualties. In such cases, health professionals face multiple challenges because the type of medical care required differs from what is taught and provided in their everyday hospital duties. The aim of this book is to inform and prepare healthcare professionals for the challenges posed by major incidents, so that they can act effectively in medical teams sent on humanitarian missions or into conflict zones. It offers a holistic and horizontal approach covering all stages of the disaster management cycle.The book is divided into 5 sections: section 1: prehospital emergency services; section ii: hospital response; section iii: management of incidents; section iv: after the disaster; and section v: evaluation, ethical issues, education and research. Healthcare providers will find essential information on the special medical considerations in both prehospital and hospital disaster settings, medical management of disaster response, recovery, mitigation and preparedness. The book offers an interdisciplinary and interprofessional approach, and was written by prominent researchers and experienced practitioners.

Behind heart disease and cancer, medical error is now listed as one of the leading causes of death. Of the many medical errors that may lead to injury and death, diagnostic failure is regarded as the most significant. Generally, the majority of diagnostic failures are attributed to the clinicians directly involved with the patient, and to a lesser extent, the system in which they work. In turn, the majority of errors made by clinicians are due to decision making failures manifested by various departures from rationality. Of all the medical environments in which patients are seen and diagnosed, the emergency department is the most challenging. It has been described as a "wicked" environment where illness and disease may range from minor ailments and complaints to severe, life-threatening disorders. The Cognitive Autopsy is a novel strategy towards understanding medical error and diagnostic failure in 42 clinical cases with which the author was directly involved or became aware of at the time. Essentially, it describes a cognitive approach towards root cause analysis of medical adverse events or near misses. Whereas root cause analysis typically focuses on the observable and measurable aspects of adverse events, the cognitive autopsy attempts to identify covert cognitive processes that may have contributed to outcomes. In this clinical setting, no cognitive process is directly observable but must be inferred from the behavior of the individual clinician. The book illustrates unequivocally that chief among these cognitive processes are cognitive biases and other flaws in decision making, rather than knowledge deficits.

Urology is a speciality that notoriously receives little attention in medical school, yet it makes up a sizeable portion of the workload in emergency departments and also in primary care. Urological emergencies can often be managed simply but require the appropriate knowledge and skills. Emergency urology is often covered very superficially alongside general surgery or in excessive detail within voluminous urology textbooks. This book is different: it will consist of concise, well-structured chapters, with an accessible and easily digestible style. The content will be clinically-based and will include a number of clinical photographs and radiological investigations. This book will appeal to all doctors, including those rotating through surgical and emergency medicine specialities, and those clinicians approaching professional examinations worldwide. Medial students on urology or emergency medicine placements, who are studying for their exams will also find it invaluable. In addition, primary care doctors, speciality nurses in urology and nurses in emergency department may also appreciate the clinically relevant content of the book. The authors are all dedicated to education and teaching, and have published extensively. In addition, they run a successful emergency urology course in Cambridge, popular with clinicians and senior students alike.

The Managing Obstetric Emergencies and Trauma (MOET) course teaches the practical skills and procedures needed to save the mother and fetus in life-threatening circumstances. The course includes lectures, skills stations and workshops covering: resuscitation of the mother and newborn, including cardiopulmonary resuscitation, amniotic fluid embolism, pulmonary embolism and airway management; trauma, including shock, spine and spinal cord injuries and musculoskeletal trauma; obstetric emergencies, including pre-eclampsia and eclampsia, shoulder dystocia, umbilical cord prolapse and anaesthetic emergencies; and triage and transfer. The Manual provides readers with a structured preparation and revision system for the course. It provides essential anatomical, physiological and pathological information which the authors use to explain basic logical principles of resuscitation and treatment. Based on sound principles, this comprehensive handbook is easy to read and provides useful practical advice and management plans, and will be of use to all those working in obstetrics as well as to course delegates.

From principles of oxygen delivery and patient assessment, through rapid sequence induction of anaesthesia and tracheal intubation, to the difficult and failed emergency airway, this book from an expert team of clinicians guides the reader through every aspect of emergency airway management. Retaining the concise, accessible format of the first edition, it includes a new section on human factors and improving teamwork and performance, an expanded special circumstances section, and a summary of the 4th National Audit Project of the Royal College of Anaesthetists and Difficult Airway Society and its implications for practice. Updated guidelines, new technologies such as videolaryngoscopy, and recent evidence have all been incorporated into the chapter content, ensuring that the book reflects best current practice. This thoroughly updated new edition remains an essential resource for navigating a highly challenging clinical scenario and will be of value to emergency medicine, intensive care, anaesthesia and acute medicine clinicians.

Worldwide, at least 1 million people die by suicide each year and many millions more attempt suicide. However, suicide has been increasingly recognised as a preventable problem in many cases. Because of this, and the rising rates of suicide in young people, many countries have established national suicide prevention strategies. These include the United Kingdom, the USA, Scandinavian countries, other countries in Europe, Australia and New Zealand. There is also increasing emphasis on the treatment of suicidal people and those who have made suicide attempts. In order to be effective it is imperative that strategies for treatment and prevention are based on sound scientific evidence.
In this book leading figures from psychiatry, psychology, epidemiology, public health, and social medicine bring together the research evidence concerning the key elements in suicide prevention and treatment of suicidal behaviour and translate it into implications for practical action. This includes social and public health policy as well as clinical practice. The book draws together the evidence relevant to treatment and prevention, and uses this in order to highlight the most effective approaches. The range of initiatives covered is wide, reflecting the complex nature of suicide and hence the need for a range of approaches. This book will be an essential source for anyone concerned with the design and implementation of effective suicide prevention strategies, including clinicians working with individual patients, strategic policy makers, and researchers.

This practical book describes the basic science, clinical presentation and management of the 67 common acute medical presentations stipulated in the Royal College of Physicians syllabus for Core Medical Training and Acute Core Common Stem. * Case scenarios are included for each presentation, and guidance about management is offered in the context of national guidelines and important studies * Experienced clinicians describe their approach to common difficult problems and explain the answers to questions often asked on the ward round by successive generations of trainees * Chapters highlight key decisions that need to be made early, common misunderstandings, and risks * Detailed discussion provides an understanding of the rationale, allowing the reader to apply their knowledge to other situations * Guidance is provided on urgency of referral, safe ambulatory management, and when to seek specialist help. This is an essential resource that provides readers with the knowledge base to practise as a confident medical registrar.

As the global geriatric population continues to grow, an increasing proportion of people reporting to emergency departments are elderly. The work-up of these patients uses more time and resources than that of younger patients, and is complicated by the fact that acute disease often presents more subtly, without the outward manifestations typically seen in younger patients. This volume focuses on the unique pathophysiology of the elderly, presenting guidelines for resuscitation, evaluation and management. The first section discusses general principles including demographics, pharmacology and pain management. The following sections cover high-risk chief presenting complaints and review geriatric emergencies. Finally, topics of particular relevance in the geriatric population are discussed, including functional assessment, end-of-life care, financial considerations and abuse. This book provides a comprehensive, practical framework for community and academic emergency medicine practitioners, as well as emergency department administrators striving to improve delivery of care to this vulnerable, growing population.

Many healthcare providers based in primary care, emergency care or other acute care environments encounter patients with psychiatric problems. These presentations can be difficult to manage and often pose significant challenges. A better understanding of most common psychiatric problems can greatly aid both providers and patients. Emergency Psychiatry reviews a wide range of common psychiatric disorders and provides succinct management guidelines. Written by emergency physicians and psychiatrists, Emergency Psychiatry is a rapid reference for the acute management of psychiatric disorders for all care providers, including, but not limited to, emergency physicians, internists, psychiatrists, social workers, family practitioners and other primary care providers.

The acclaimed quick-reference guide to performing and interpreting emergency ultrasound exams More than 400 ultrasound images! Spanning all body systems typically evaluated by ultrasound, this succinct, find-it-now pocket atlas allows you to instantly compare and contrast your real-time images with those appearing in the book. You will also find valuable how-to guidance on essentials such as probe placement, patient positioning, and proper settings - along with anatomical drawings that help you visualize affected organs. Featuring concise, bulleted text, and more than 400 ultrasound images and dozens of line drawings, Emergency Ultrasound, Second Edition is specifically designed to be used at the bedside in an emergency care setting. Coverage includes: * Clinical Considerations * Clinical Indications * Anatomic Considerations * Technique and Normal Findings * Tips to Improve Imaging Acquisition * Common and Emergency Abnormalities * Pitfalls

Like the first edition, this is a seminal textbook for the advanced practice nursing care of the seriously ill and dying. This comprehensive work addresses all aspects of palliative care including physical, psychological, social, and spiritual needs. It brings to the forefront current issues of health equity, managing through crisis, and meeting the needs of diverse populations. Each chapter contains case examples and a strong evidence base to support the highest quality of care. The text is written by leaders in the field and includes authors who have pioneered the role of the advanced practice nurse in palliative care. This volume offers advanced practice content and practical resources for clinical practice across all settings of care and encompassing all ages, from pediatrics to geriatrics. This newly revised edition has been reorganized to meet the needs of the APRN according to role delineation and practice issues. It offers foundation information on leadership, practice, and the various roles of the APRN as an administrator, educator, policy advocate, and researcher. The various settings of APRN work includes acute care settings (clinical care unit, intensive care unit, and emergency department), clinic (specialty care, primary care, and palliative care), community, rehabilitation, residential facilities, and telehealth. This edition also gives particular attention to special populations, including chapters on health disparities, economic disadvantages for urban dwellers, members of the LGBTQ+ community, Veterans, and Survivorship. There are sections wholly devoted to pediatric care, end of life communication, and the ethics APRNs have to navigate on a daily basis. Written by current APRNs for fellow APRNs, this text provides practical resources for clinical practice across a variety of topics.

Field hospitals are deployed in a wide range of scenarios including natural disasters, epidemic outbreaks, armed conflicts and refugee crises. Operation in these conditions requires adaptation to disaster medicine principles and operation in an austere environment and unfamiliar cultural milieu, whilst maintaining acceptable standards of care. For many of those involved it may be their first encounter. This book, which is the first to address the preparation and operation of field hospitals, brings together the experience of world leaders in the field. Coming from a wide variety of organizations and backgrounds, all have extensive experience in field hospital deployment in multiple scenarios. The text - containing both background information and practical guidelines - will serve all those involved in field hospital deployment, including policy makers and planners, physicians and nurses, paramedical professionals and logisticians. It will help them deliver optimal care to people around the globe in difficult times of need.

Head injuries are commonplace. Though most patients survive, the consequences, both physical and social, can be devastating. The methods of initial assessment and management can have a crucial effect on determining the outcome of the injury, and long-term effects. However, only a minority of head-injured patients are cared for by Neurosurgeons. The majority are seen by non-specialists, often junior doctors and nurses, and treated in district hospitals where specialist neurosurgical assistance is unavailable. As a guide for doctors and nurses working in the A & E department, or the Orthopaedic or General Surgical Ward, the emphasis of this book is on the early management of the head- injured patient. New to the second edition are chapters on managing the 'disturbed' head injured patient, a chapter of special value to nurses (who often have to deal with this difficult task). A new chapter on anaesthesia and head injuries has also been added, with other chapters significantly revised to reflect the crucial role played by anaesthetists in head injury management. Providing practical advice on the early treatment of minor head injuries, and the management of major head injuries, the book provides advice that will be essential in ensuring effective treatment of these patients. From reviews of first edition: '... an excellent account of the management of head injuries... this one certainly fulfils its stated aim and is to be recommended.' JOURNAL OF NEUROLOGY, NEUROSCIENCE, AND PSYCHIATRY '... concise and well-referenced... a worthwhile addition to an A& E department's bookshelves.' NURSING TIMES 'The text is easy to read, and is of particular use to non-specialist staff... Useful as an introduction for junior neurosurgeons in training.' ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND

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.