This book is part of a six-volume series on Disaster Risk Reduction and Resilience. The series aims to fill in gaps in theory and practice in the Sendai Framework, and provides additional resources, methodologies and communication strategies to enhance the plan for action and targets proposed by the Sendai Framework. The series will appeal to a broad range of researchers, academics, students, policy makers and practitioners in engineering, environmental science and geography, geoscience, emergency management, finance, community adaptation, atmospheric science and information technology. This volume discusses how to measure and build disaster resilience at society's capacity, drawing upon individual, institutional and collective resources to cope with and adapt to the demands and challenges of natural disaster occurrences. The book will serve as a guide, outlining the key indicators of disaster resilience in urban and rural settings, and the resources and strategies needed to build resilient communities in accordance with the targets of the Sendai Framework. Readers will learn about multi-risk reduction approaches using computational methods, data mining techniques, and System Thinking at various scales, as well as institutional and infrastructure resilience strategies based on several case studies.

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.

Filling a gap in the literature, this is the first book to comprehensively present fracture sonography as a diagnostic tool that can complement and in some cases even replace conventional radiological imaging. Guiding readers step by step through a patient examination, it is an invaluable guide to implementing this technique in clinical practice. It also presents algorithms, tips, tricks and pitfalls shared by experienced authors, making it a useful reference resource for all those practicing in the field. This book is of interest to a wide readership, including orthopedic, pediatric and trauma surgeons, emergency physicians, pediatric radiologists and general practitioners.

The continued high mortality (up to 70 %) in patients with necro- tizing pancreatitis and diffuse peritonitis has led to the develop- ment of various surgical strategies within the past few decades. Up to the present decisions about the management of these disea- ses have been rather difficult because of the individual courses differ considerably, even being incomparable. Today, as a result of our in creased knowledge of the pathophysiology, the impro- ved imaging procedures, and the standaridized intensive care, the rend is moving toward delayed surgical intervention. The goals in the surgical treatment of necrotizing pancreatitis and diffuse peritonitis are still surgical removal of the focus of infection, elimination of endotoxins by lavage, and optimal drainage of the peritoneal cavity. Depending on the patient's general condition this cannot always be achieved in the first surgi- cal intervention. A number of surgical methods have therefore been developed, such as postoperative dorsoventral lavage, step- by-step lavage therapy, postoperative closed continuous perito- neal lavage, and open treatment (laparostomy). The last-mentioned method ist not new; it was first described by KOR'J;E in 1894 for the treatment of necrotizing pancreatitis. However, due to the progress in intensive care medicine (long- term respiratory therapy, hemofiltration, etc.) in the last few years this method of management has become successful and gai- ned in recognition.

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.

This book will enable practicing physicians and trainees to learn, in a clinically relevant and intellectually stimulating way, guidelines for appropriate ordering of imaging exams. The new edition provides more than 460 clinical case scenarios, organized into subspecialty modules (breast, cardiac, thoracic, gastrointestinal, urologic, women's, pediatric, vascular, musculoskeletal, and neurologic imaging). Each scenario is presented as a quiz in which the reader is invited to select the best option from various imaging modalities. All choices are given ratings of appropriateness and is consistent with the American College of Radiology (ACR) Appropriateness Criteria. Furthermore, a brief solution to each case is included. Finally, over 500 radiologic images are included each associated with a clinical case to illustrate the diagnostic capabilities of the imaging exam. This second edition incorporates new content and revisions to remain consistent with the updated ACR Appropriateness Criteria since the original publication in 2012. It will be an ideal tool both for self-study and for quantitative evaluation of students' knowledge.

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.

This book discusses multiple aspects of radiological and nuclear terrorism. Do you know what to do if there is a radiological or nuclear emergency in your city? These accidents are not common, but they have happened - and even though we have not seen an attack using these weapons, governments around the world are making plans for how to prevent them - and for how to respond if necessary. Whether you are an emergency responder, a medical caregiver, a public health official - even a member of the public wanting to know how to keep yourself and your loved ones safe - there is a need to understand how these weapons work, how radiation affects our health, how to stop an attack from taking place, how to respond appropriately in the event of an emergency, and much more. Unfortunately, the knowledge that is needed to accomplish all of this is lacking at all levels of society and government. In this book, Dr. Andrew Karam, an internationally respected expert in radiation safety and multiple aspects of radiological and nuclear emergencies, discusses how these weapons work and what they can do, how they can affect our health, how to keep yourself safe, and how to react appropriately whether you are a police officer investigating a suspect radiological weapon, a firefighter responding to a radiological or nuclear attack, a nurse or physician caring for potentially contaminated patients, or a governmental official trying to keep the public safe. To do this, he draws upon his extensive experience in the military, the several years he worked directly with emergency responders, his service on a number of advisory committees, and multiple trips overseas in the aftermath of the Fukushima accident and on behalf of the International Atomic Energy Agency, Interpol, and the Health Physics Society.

About Emergency Pediatric Care, Fourth Edition Each year in the United States, approximately 1.6 million pediatric patients are transported by ambulance to an emergency department, and millions more are cared for around the globe. Because pediatric prehospital patient care is considered low-frequency, high-acuity care, it is vital for practitioners to refresh and update their clinical knowledge, practice psychomotor skills, and apply critical thinking to potential patient presentations to ensure these skills are ready to be applied when a pediatric call is received. Emergency Pediatric Care, Fourth Edition is the next step in the evolution of this critical continuing education course. The EPC Course uses a specialized version of the Pediatric Education for Prehospital Professionals, Fourth Edition as the reference text, bundled with a course manual. This course manual is an engaging resource that can continue to be consulted after the course to assist practitioners in providing the best care for their young patients. A Family-Centered Approach to Pediatric Care NAEMT's EPC program serves pediatric patients through the global education of prehospital care practitioners of all levels. The EPC program promotes excellence in pediatric patient management by all practitioners involved in the delivery of prehospital care. The main goal of the EPC course is not just to assure that EMS practitioners can take better care of ill and injured children. It also recognizes that almost every pediatric call revolves around the needs of not only the child, but also the child's caregivers. This course manual includes comprehensive coverage of these topics and more: * Pediatric development and assessment * Pediatric respiratory emergencies * Pediatric trauma care * Shock and circulation * Common pediatric medical emergencies * Cardiac events * Common toxicological emergencies * Maltreatment * Obstetric and newborn care * Children with special healthcare needs * Behavioral health

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.

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.

Oxford Specialist Handbooks in Anaesthesia offer a concise, didactic way for medical and nursing staff to access practical management advice that is portable, accessible, and reliable. Anaesthesia for Emergency Care provides essential information for trainees, staff doctors, and consultants who are expected to anaesthetize patients for emergency surgery and other life-saving interventions. It includes concise advice on providing anaesthesia in the operating suite and in other locations, such as the emergency department, radiology department, and out of hospital. The book supports the curriculum for the CCT in Anaesthetics and covers many items across all three levels of the Royal College of Anaesthetists CPD matrix.

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.

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.

Verbrennungen kommen haufig vor, meist als Folge eines Unfalls. Manche Wunden heilen spontan, andere mussen in einem Brandverletzten-Zentrum versorgt werden. Dieses Kompendium bietet einen schnellen Uberblick uber den aktuellen Wissensstand zur Diagnose und Therapie von Verbrennungen. Erstversorgung, Flachen- und Tiefenbestimmung, chirurgische Versorgung, Haut und Hautersatz sind nur eine kleine Auswahl der behandelten Themen. Das Buch richtet sich an alle Berufsgruppen, die Verbrennungen behandeln, ob als Notarzt, Chirurg oder Pflegekraft.

This book presents a systematic review of research concerning processes and systems in Emergency Departments (EDs), the issues faced by EDs, and their solutions to ensure the delivery of proper and ideal healthcare services for patients through superior quality process management. The book evaluates two decades of data, from 2000 to 2019, in order to examine the processes used in ED operations. Emergency Department has become evident particularly in the current scenario when the world is in the grip of the deadly COVID-19. The two decades of data revealed a lack of literary content on bringing improvement for EDs in Malaysia and Saudi Arabia through the deployment of simulation models. Simulation model in Malaysia and Saudi Arabia is being considered for the first time by this book.

This eighth edition of Dr Reichel's formative text remains the go-to guide for practicing physicians and allied health staff confronted with the unique problems of an increasing elderly population. Fully updated and revised, it provides a practical guide for all health specialists, emphasizing the clinical management of the elderly patient with simple to complex problems. Featuring four new chapters and the incorporation of geriatric emergency medicine into chapters. The book begins with a general approach to the management of older adults, followed by a review of common geriatric syndromes, and proceeding to an organ-based review of care. The final section addresses principles of care, including care in special situations, psychosocial aspects of our aging society, and organization of care. Particular emphasis is placed on cost-effective, patient-centered care, including a discussion of the Choosing Wisely campaign. A must-read for all practitioners seeking practical and relevant information in a comprehensive format.

Gender Medizin ist eine noch junge Wissenschaft. Sie hat sich zum Ziel gesetzt, bislang entwickelte Forschungsfragen, Diagnose- und Therapieansatze durch einen geschlechtssensiblen Blick auf Gesundheit und Krankheit aus biologischer und psychosozialer Sicht zu erganzen. Erstmals im deutschen Sprachraum wird die Gender Medizin aus der Sicht von unterschiedlichen klinischen Fachbereichen, wie etwa Kardiologie, Rheumatologie, Intensivmedizin und Psychiatrie, sowohl wissenschaftsorientiert als auch praxisrelevant aufbereitet. Geschlechtsspezifische Forschung wird hierbei im Hinblick auf verbesserte und optimierte Pravention, Diagnostik, Fruherkennung, Therapie und Rehabilitation dargestellt. Neben der systematischen Ubersicht aus der jeweiligen Fachliteratur werden aktuelle Forschungsergebnisse mit praktischen Tipps und Ratschlagen verknupft. Fur die zweite Auflage wurden Kapitel zu den Fachgebieten Urologie, Radiologie und Pharmakologie neu verfasst. Die anderen Beitrage wurden komplett uberarbeitet und dem aktuellen Wissensstand angepasst. "

This book addresses the practical management of mental health scenarios in the emergency setting and offers first-hand reflections on how emergency nurses, practitioners and allied mental health professionals handle these situations. Responding to mental health needs in emergency situations can be profoundly complex. Frequently emergency nurses and other personnel express their feelings of powerlessness, as they do not know what to say or do in order to achieve the best outcome, and have concerns that their intervention may make the situation worse for those in their care. How a practitioner confronts the mental health encounter and takes the essential steps in managing the event can have a critical impact on how that person copes in the future. This book helps readers understand what is involved in mental health work in emergency situations, and the practical, psychosocial and spiritual tensions that arise from managing the event and the sequelae. Moreover, it shows that it may be possible to provide a more effective emergency mental health service. This unique edited book presents critical reflections on aspects of mental health work gathered from the ‘hands-on’ experiences of the personnel. Mental health encounters in the emergency context are described in detail, illustrating not only what emergency nurses and mental health workers ‘do’ when mental health crises occur, but also what they feel about what they ‘do’. Written by a diverse team of emergency and mental health nurses and allied professionals currently engaged in emergency care both in hospital and pre-hospital settings, this book will appeal to emergency nurses and allied health professionals alike.

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

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.

Blood and Marrow Transplantation Long Term Management Hematopoietic cell transplantation (HCT) provides curative therapy for a variety of diseases. Over the past several decades, significant advances have been made in the field of HCT, to the point where HCT has become an integral part of treatment modality for a variety of hematologic malignancies and some nonmalignant diseases. HCT remains an important treatment option for a wide variety of hematologic and nonhematologic disorders, despite recent advances in the field of immunologic therapies. Factors driving this growth include expanded disease indications, greater donor options (expanding unrelated donor registries and haploidentical HCT), and accommodation of older and less fit recipients. The development of less toxic pretransplant conditioning regimens, more effective prophylaxis of graft-versus-host disease (GVHD), improved infection control, and other advances in transplant technology have resulted in a rapidly growing number of transplant recipients surviving long-term free of the disease for which they were transplanted. The changes over decades in the transplant recipient population and in the practice of HCT will have almost inevitably altered the composition of the long-term survivor population over time. Apart from an increasingly older transplant recipient cohort, the pattern of transplant indications has shifted from the 1990s when chronic myeloid leukemia made up a significant proportion of allo-HCT indications. Changes in cell source, donor types, conditioning regimens, GVHD prophylaxis, and supportive care have all occurred, with ongoing reductions in both relapse and non-relapse mortality (NRM) have been demonstrated. These patients have increased risks for a variety of late complications, which can cause morbidity and mortality. Most long-term survivors return to the care of their local hematologists/oncologists or primary care physicians, who may not be familiar with specialized monitoring and management of long complications after HCT for this patient population. As HCT survivorship increases, the focus of care has shifted to the identification and treatment of long-term complications that may affect quality of life and long-term morbidity and mortality. Preventive care as well as early detection and treatments are important aspects to reducing morbidity and mortality in long-term survivors after allo-HCT. This second edition, Blood and Marrow Transplantation Long Term Management: Survivorship after Transplant, provides up-to-date information about diagnosis, screening, treatment, and long-term surveillance of long-term survivors after HCT.

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.

Nancy Caroline's Emergency Care in the Streets, Ninth Edition is the newest evolution of the premier paramedic education training program. This legendary paramedic textbook was first developed by Dr. Nancy Caroline in the early 1970s and transformed paramedic education. Today, lead editors Bob Elling and Barb Aehlert, along with the American Academy of Orthopaedic Surgeons, are proud to continue this legacy and set the new gold standard for the paramedics of tomorrow. The Ninth Edition offers cutting-edge, evidence-based content that meets or exceeds the most current scientific recommendations developed by the International Liaison Committee on Resuscitation (ILCOR) and the ECC Guidelines established by the American Heart Association and other resuscitation councils around the world. Clear chapter objectives align with the 2019 National EMS Scope of Practice Model and 2021 EMS Education Standards. Thoroughly reviewed by medical doctors and subject-matter experts, the Ninth Edition teaches students the technical skills required of today's paramedic while emphasizing other important professional attributes, including critical thinking, empathy, teamwork, communication, problem solving, and personal well-being. Taking a systemic approach to the assessment and management of traumatic and medical emergencies, and devoting entire chapters to special topics, such as mass-casualty incidents, the Ninth Edition covers the full scope of paramedic practice. Some of the key high-level updates to the Ninth Edition include the following: Language carefully reviewed throughout text to ensure gender neutrality, racial inclusivity, and nonstigmatizing descriptions of patient conditions NEW Street Smarts boxes throughout the text to emphasize the "soft skills" expected of today's paramedics Images updated to reflect appropriate PPE in the current COVID-19 setting Added emphasis on current spinal motion restriction guidelines Thoroughly reviewed and updated references, statistics, and case studies CPR and ACLS algorithms updated throughout text to reflect the current AHA guidelines