The book covers various scenarios when errors, biases and systemic barriers prevail in emergency medicine, discusses their impact, and then offers solutions to mitigate their undesired outcomes. The process of clinical reasoning in emergency medicine is a complex exercise in cognition, judgment and problem-solving that is prone to mistakes. The book presents various cases written by a team of emergency specialists and trainees in an engaging format that is helpful for the practicing and teaching emergency doctor and trainees. The book discusses 60 different types of biases and errors with clinical cases, and knowledge of strategies to mitigate them-a concept known as 'cognitive debiasing' that has the potential to reduce diagnostic error, and therefore, morbidity and mortality. It aims to help the readers during assessment of patients in the emergency department. Each chapter includes 4 cases illustrating the bias, error or barrier discussed, followed by a potential solution. This book helps in polishing the thinking and behavior of the readers so to potentially enhance their clinical competence in emergency department.

This book provides a comprehensive and practical guide to orthostatic hypotension (OH) for doctors and nurses involved in the care of older adults, together with a state-of-the-art update on OH, covering its epidemiology, pathophysiology, assessment, diagnosis, causes, prevention, management, and relevance for geriatric practice. In addition, it addresses mechanisms of orthostatic tolerance and other orthostasis related conditions, as well as drugs, comorbidities and geriatric syndromes related to OH. The homeostatic ability to maintain blood pressure while standing requires an adequate blood volume and the integrity of the nervous system, heart, blood vessels and muscle pump. However, in older adults, some age-related factors can contribute to the development of OH. For example, decreased baroreflex sensitivity, -1-adrenergic vasoconstrictor response to sympathetic stimuli, parasympathetic activity, renal salt and water conservation, increased vascular stiffness and decreased ventricular diastolic filling, as well as concentrated capacities of the kidney may be associated with changes in postural blood pressure. It has also been shown that OH is associated with falls, cardiac events, heart failure, stroke, reduced quality of life, and increased risk of overall mortality in these patients. "Orthostatic Hypotension in Older Adults" will be of considerable interest to all professionals working in the fields of geriatrics, geriatric psychiatry, neurology, internal medicine, cardiology, and emergency medicine, or working with older people in hospitals or in their community.

Medical emergencies due to disorders of the endocrine system represent a unique category of clinical care. Hypotension, fever, palpitations, confusion, and electrolyte abnormalities are all signs of disparate endocrine emergencies that require immediate diagnoses and treatment. Recognition of endocrine emergencies will frequently lead to rapid improvement and stabilization of the patient. Now in a revised and expanded second edition including the latest clinical guidelines and protocols, Endocrine Emergencies serves as a handy single reference for any endocrinologist, internist, hospitalist, and emergency medicine physician to rapidly identify and initiate treatment. Topics covered include acute adrenal insufficiency, diabetic ketoacidosis, thyroid storm, hyponatremia, and myxedema coma, among many others. Each chapter opens with a precis that provides, in a single page, a presentation of symptoms, workup, and therapy. This serves as a rapid, "off the shelf" cue to immediately begin a differential diagnoses and therapy plan. The remainder of each chapter is an in-depth review of the pathophysiology, diagnoses, and management of the disease process. Book chapters are written by experts in the field and reflect the consensus and standard of care for specific endocrine emergencies. Updated with the latest clinical evidence and treatment options, Endocrine Emergencies remains a valuable resource for practitioners in endocrinology and internal medicine, as well as emergency room physicians, hospital support staff, fellows and residents.

If you see patients in an urgent care center, minor injury unit or other acute care setting, this new clinically-focused guide will help you avoid high-risk pitfalls and achieve optimal outcomes. This must-have resource covers a wide range of emergencies that may be encountered in an urgent care setting, focusing on those that can occur with the most commonly-encountered complaints and conditions, including: Genitourinary complaints Common infections Orthopedic injuries Wounds Back pain Dermatologic complaints The book also includes chapters on common pitfalls during the HEENT examination, effective patient communications, urgent care pharmacology pitfalls, special issues in the care of pediatric and geriatric patients, and more. Each chapter is authored by an experienced acute care clinician and includes clinical pearls that you can apply directly to the care of your own patients. The urgent care center can be a challenging and fast-paced environment, and pitfalls, especially those encountered during emergencies, can have serious consequences for patients immediate well-being, their recovery time, and possibly their long-term prognosis. More than ever, you need a resource you can trust that has been tailored specifically to the needs of providers in the low-acuity setting.

This book recognizes Mexico's effects and challenges in a natural disaster and offers empirical risk-reduction methods in critical cases. The proposals considered here include real and detailed analysis, a set of models, frameworks, strategies, and findings in the three stages of the disaster (before-during-after). This book: describes the methodology to find secure locations for the Regional Humanitarian Response Depot; offers recommendations for the sites and creation of an Export Logistics Cluster; shows how to use available technology and information to locate volunteers in the right spots describes mathematical models to help to allocate procedure of resources for restoring the affected community and proposes actions to create resilience in the country's main economic sectors, including agriculture and industry. The processes applied at recent disasters such as the 19S earthquake and their results are used as case studies, identifying possibilities for further improvement. The book also describes new trends for Mexico due to climate change and makes suggestions for mitigating future disasters. The proposals are also replicable to other highly populated societies with similar socio-economic structures. Finally, this book is the basis for generating more innovative recommendations by researchers, graduate students, academics, professionals, and practitioners to obtain better planning and better collaboration between all the humanitarian chain actors. This book intends to be of interest as a fundamental tool for decision-makers, governments, non-governmental organizations, and enterprises.

As surgical specialization becomes more focused, there is a growing lack of expertise amongst surgeons in life-preserving management of severely injured patients. This comprehensively updated second edition provides an in-depth, visual guide to both commonly and uncommonly performed trauma procedures. It includes over 900 high-quality color photographs and illustrations of step-by-step procedures on fresh, perfused and ventilated cadavers. Practical surgical anatomy, procedural sequencing, and common technical pitfalls are all clearly outlined. A number of new techniques have been introduced since the first edition, from REBOA (resuscitative endovascular balloon occlusion of the aortic), to ribplating for flail chest and skin grafting. Informed by the editors' experience in some of the busiest trauma centres in the world, the text has been updated throughout and includes additional photographs. This Atlas is an essential resource for trainee and operating trauma surgeons, and general surgeons distant from academic centres, as well as emergency medicine and critical care personnel.

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.

This manual describes in simple language the clinical and technical skills of an anaesthetic assistant. The key learning points are highlighted, and a comprehensive up-to-date reading list is included to guide the trainee to areas of further reading.

Selected as a Doody's Core Title for 2022! Clinically focused and evidence-based, Harwood-Nuss' Clinical Practice of Emergency Medicine, Seventh Edition, is a comprehensive, easy-to-use reference for practitioners and residents in today's Emergency Department (ED). Templated chapters rapidly guide you to up to date information on clinical presentation, differential diagnosis, evaluation, management, and disposition, including highlighted critical interventions and common pitfalls. This concise text covers the full range of conditions you're likely to see in the ED, with unmatched readability for quick study and reference. Emphasizes management and disposition, helping you make effective management decisions for patients with or without a confirmed diagnosis. Contains a unique high-risk chief complaint section, covering frequently seen, critical presentations in the ED, including chest pain, abdominal pain, shortness of breath, and altered mental status. Provides carefully selected tables, diagrams, and illustrations to enhance and augment concise, focused chapters. Features key testing sections throughout as well as pertinent clinical guideline boxes providing practical advice and guidance to increase your knowledge and improve your clinical care. Includes access to additional online-only content (including chapters, figures, and tables) and access to over 1,500 self-assessment questions and answers. 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.

Conversational and easy to read, Avoiding Common Errors in Pediatric Emergency Medicine discusses 198 errors commonly made in the practice of pediatric emergency medicine and gives practical, easy-to-remember tips for avoiding these pitfalls. This unique manual offers brief, approachable, evidence-based chapters suitable for reading immediately before the start of a rotation, for quick reference on call, or daily for personal assessment and review. Covers nuanced topics specific to the care of children in the emergency setting, including treatment strategies, procedure competencies, distinct pathophysiology, and disease processes. Discusses the crashing patient, ultrasound and imaging, community and legal issues, applied practice, behavioral health, and medication/pharmacy topics. Summarizes each chapter with handy key points that present must-know information in an easy-access, bulleted format. Helps prevent clinical practice errors in the ED due to applying an adult management approach instead of a directed pediatric approach. Ideal for emergency medicine physicians, residents, and attendings; emergency nurse practitioners, PAs who practice in the ED, and pediatricians. 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 compact yet comprehensive handbook will allow Accident and Emergency staff to investigate and treat hand injuries with confidence - and just as importantly, to see at a glance which patients should be referred immediately to a specialist hand surgeon. Written in a concise and accessible style, it is illustrated throughout with clear and informative diagrams. This book is intended for junior doctors in Accident and Emergency, and juniors working in plastic, orthopaedic and trauma surgery departments.

Globally, EDs face new challenges as the world's population ages. Visits from older people are predicted to rise for the next 20 years. This practical and accessible book provides essential guidance on assessing the ED care of older patients - and improving it. It assists ED teams to implement changes tailored to their unique environments, providing guidance across all settings regardless of size, location or resources. Experience- and evidence-based elements combine to guide best practices for older patient flow, staff and patient satisfaction, and improving patient health outcomes. The book features proven ideas for creating a geriatric ED such as specific staff training, modifying job roles, implementing new care processes, and adapting physical spaces. An invaluable resource for practising ED clinicians, leaders, administrators, educators, and system change leaders.

This book covers relevant concepts in nuclear cardiology, combining imaging techniques and clinical data to do so. Today, nuclear cardiology is a worldwide discipline connected to the broader field of cardiovascular imaging. The combination of clinical aspects (symptoms, medications, previous cardiac procedures), ancillary exams and nuclear images is key to decision-making in clinical practice. Thus, a book on this topic is essential to provide better outcomes for cardiology patients. The chapters cover a comprehensive range of topics in current cardiology practice, such as ambulatory patients, patients in emergency settings, patients after complex cardiac procedures, and patients during and after the use of cancer therapies that are potentially toxic for the heart (cardio-oncology). As such, multiple clinical scenarios are also presented: patients with suspected coronary disease, patients with heart failure of unknown origin, patients with acute chest pain in the emergency department, patients with suspected pulmonary embolism, patients with complications of the left ventricular assist device, etc. Furthermore, the book describes nuclear cardiology procedures and techniques, discusses the main clinical indications and scenarios for each procedure, presents new technological advances in the field (machine learning and artificial intelligence tools), and mentions the coronavirus disease 2019 (COVID-19) pandemic. Given its scope, the book offers a valuable guide and videos for various medical professionals, especially cardiologists and nuclear physicians.

This handbook covers the most common paediatric problems encountered in Accident and Emergency departments. The contents include cardiopulmonary resuscitation, major trauma, fractures and other orthopaedic problems, burns, scalds and poisoning. Child abuse and its recognition and management are described. Emphasis has been placed on the emergency management of serious illness and injury and on the management of common problems. In many cases, further management is described for those studying for the Accident and Emergency Fellowship examination. This edition includes a revised section on paediatric resuscitation which summarizes the latest guidelines in this area. The section on major trauma has been extended to follow the Advanced Paediatric Life Support guidelines, and the section on fractures is now in tabular format for the comparison of possible diagnoses.

ABC of Resuscitation is a practical, illustrated guide to the latest resuscitation advice for the non-specialist and provides the core knowledge on the treatment of cardiopulmonary arrest. This edition provides a guide to the European Resuscitation Council Guidelines for Resuscitation 2010 and the Resuscitation Council (UK) 2010 Resuscitation Guidelines. It Includes: * the causes and prevention of cardiac arrest * basic and advanced life support for adults, children and newborns * resuscitation in a range of contexts (in-hospital and out-of-hospital, including drowning, pregnancy, sport and trauma) * important aspects of implementation of guidelines including human factors and education ABC of Resuscitation, 6th Edition is ideal for all healthcare professionals including junior doctors, medical students, general practitioners, paramedics and nurses. It is also useful for pre-hospital care practitioners, emergency medicine trainees, resuscitation officers and all those who teach resuscitation. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store.

A comprehensive guide to the Final FRCEM examination, OSCE Revision for the Final FRCEM covers over 100 topics in emergency medicine. It is mapped to the curriculum for the Royal College of Emergency Medicine, and is structured by the domains in the syllabus. Ideal for helping you practice in pairs or groups, each topic starts with a clinical situation for the candidate, instructions for an actor or revision buddy, and a mark sheet so you can score yourself effectively against the FRCEM criteria. Each question contains a pie chart to demonstrate how the marks will be assigned so you know where to focus your efforts. Topics include learning points so you can learn about the nuances of the stations and improve your answer next time. References to guidelines or evidence-based rules are included to further your study. Written by a team of authors who have successfully passed their FRCEM examination, OSCE Revision for the Final FRCEM will give you all the essential tips, insights, and guidance you need for thorough exam preparation.

This casebook profiles exceptional traumatic injury prevention programs from all over the globe. Its detailed description and analysis employ a multi-stage process of identifying, evaluating, and casing effective prevention practices. The case studies reflect how legislative and regulatory information impact prevention efforts and provide insight into how national centers for injury prevention and control inform prevention practices on countrywide levels. The authors work with outcome-based research criteria to select and develop their comprehensive and contextually aware profiles of the programs. All included case studies follow the BRIO approach (Background, Resources, Implementation, and Outcome) - a model designed to provide a consistent way of describing programs that have been evaluated and found to be exceptional practices. The scope of the Casebook ranges across: The challenge of traumatic injury prevention Sports and recreation-related traumatic injury prevention Fall-related traumatic injury prevention Road traffic-related traumatic injury prevention Traumatic injury prevention within complex systems In its recognition of traumatic injury prevention across the lifespan as a critical and complex public health challenge, the Casebook of Traumatic Injury Prevention promises to be an influential and authoritative resource for professionals and students in public health, safety, injury prevention, medicine, psychology, sociology, nursing, and engineering. Government agencies and institutions such as the Centers for Disease Control and Prevention (CDC), public health departments, and safety associations also would find the Casebook relevant to their work.

1 Einfuhrung.- Was dieses Buch will.- Welche Pflanzen werden behandelt ?.- Welche Pflanzen werden nicht behandelt ?.- Wie wird die Giftigkeit der Pflanzen bewertet ?.- Welche Angaben zur Behandlung der Vergiftung werden gemacht?.- 2 Hinweise zur Benutzung des Buches.- Allgemeine Voraussetzungen.- Bestimmungsablauf.- Fallbeispiel zur schnellen Identifizierung einer moeglicherweise giftigen Pflanzen.- Erlauterung der botanischen Terminologie.- 3 Bestimmungsschlussel.- Bestimmungsschlussel A bei Ingestion von Fruchten.- Bestimmungsschlussel B bei Ingestion gruner Pflanzenteile.- Bestimmungsschlussel C bei Ingestion von Wurzeln.- Bestimmungsschlussel D bei Ingestion von Zierpflanzen im Hause (Zimmerpflanzen und Schnittblumen) und Balkonpflanzen.- 4 Beschreibungen der Pflanzen.- Pflanzen mit hohem Giftgehalt (Kategorie I).- Pflanzen mit geringem bis mittelschwerem Giftgehalt (Kategorie II).- Pflanzen mit geringem oder fehlendem Giftgehalt (Kategorie III).- 5 Anhang.- Welche Pflanzen sind giftig?.- Welche Inhaltsstoffe der Pflanzen sind giftig?.- Therapie der Pflanzenvergiftungen.- 6 Weiterfuhrende Literatur.- 7 Giftinformationszentren der Bundesrepublik Deutschland.

Advocating a pragmatic and multidisciplinary approach to the management of patients with brain injuries, Traumatic Brain Injury provides a detailed description of care along the whole-patient pathway. Delivering an evidence-based update on the optimal care of both adult and paediatric patients who have sustained injuries ranging from mild to severe, information from on-going multi-centre studies in neurotrauma is included. The basic scientific principles of neuropathology, head injury research and scoring systems are presented before detailed sections on emergency department care, patient transfer, intensive care and longer-term care. Rehabilitation is reviewed in detail with chapters discussing the aims and roles of physiotherapy, occupational therapy and neuropsychology amongst others. Discussing medico-legal issues in detail, the effect of injury on the individual and their family are also examined. Emphasising a holistic approach to caring for patients with brain injuries, this is an essential guide for all involved.

The Pocket Field Guide for Disaster Health Professionals: Missioncraft in Disaster Relief is a disaster management toolkit containing briefing checklists, systems profiles, assessment forms, reporting templates, project management worksheets, and other tools required in the field. It also provides mission-critical technical reference information adapted from internationally recognized sources. "Missioncraft" is the art and science of preparing and conducting effective field operations. This Field Guide enables disaster health professionals to collect and analyze critical information and then implement high-impact interventions in field settings. Tools and reference information are structured in a concise, comprehensive, structured format. Sections are arranged in logical order of relief operations to facilitate application in key field activities. These activities include: Field briefing Field assessment Field recommendations Field reporting Field project and staff management Medical coordination The Pocket Field Guide for Disaster Health Professionals is an authoritative resource for field-based clinical and public health providers responsible for health outcomes of disaster-affected populations; team leaders and medical coordinators in governmental, non-governmental, Red Cross, and UN agencies; information and program staff supporting technical best practices in relief operations; and, trainers preparing health professionals for field missions.

The second edition of Clinical Manual of Emergency Psychiatry is designed to help medical students, residents, and clinical faculty chart an appropriate course of treatment in a setting where an incorrect assessment can have life-or-death implications. Arranged by chief complaint rather than by psychiatric diagnosis, each chapter combines the fresh insights of an accomplished psychiatry trainee with the more seasoned viewpoint of a senior practitioner in the field, providing a richly integrated perspective on the challenges and rewards of caring for patients in the psychiatric emergency department. This newly revised edition presents current approaches to evaluation, treatment, and management of patients in crisis, including up-to-date guidelines on use of pharmacotherapy in the emergency setting; suicide risk assessment; evaluation of patients with abnormal mood, psychosis, acute anxiety, agitation, cognitive impairment, and/or substance-related emergencies; and care of children and adolescents. The editors have created an accessible text with many useful features: * A chapter devoted to effective strategies for teaching, mentoring, and supervision of trainees in the psychiatry emergency service.* Chapters focused on assessment of risk for violence in patients, determination of the need for seclusion or restraint, and navigation of the legal and ethical issues that arise in the emergency setting.* Clinical vignettes that contextualize the information provided, allowing readers to envision applicable clinical scenarios and thereby internalize important concepts more quickly* Constructive "take-home" points at the end of each chapter that summarize key information and caution against common clinical errors.* References and suggested readings to help readers pursue a deeper understanding of concepts and repair any gaps in knowledge. Emergency psychiatry is one of the most stressful and challenging areas of practice for the psychiatric clinician. The guidelines and strategies outlined in Clinical Manual of Emergency Psychiatry, Second Edition, will help psychiatric trainees and educators alike to make sense of the complex clinical situations they encounter and guide them to advance their skills as clinicians and educators.

This book addresses the nature of professional learning, paramedic skill development, practice assessment, and feedback from both clinical and educational theory perspectives. It provides clear guidance from the literature, learning theory, and current research to help clinical educators plan robust professional education activities that address students' learning needs and clinical practice expectations. Based on the premise that assessment of practical skills and applied knowledge is integral to paramedic education, the book presents a worked example of a validated assessment approach. Each chapter contains realistic case studies for the array of paramedic education contexts, including simulated supervision, continuing in-service education, tertiary education and formal graduate programs. All chapters include a series of questions designed to guide both individual and group-based reflection on educational practice and philosophy.