Intracranial injury, caused by a transorbital penetrating object, is a neglected topic in neurosurgery. With few exceptions, only occasional publications, often containing merely case histories, are present in the literature. Through a perusal of the world literature - for the first time - the author has collected and combined all available and relevant information, trying to give a thorough description of this rare, but extremely dangerous injury. This book is a major and definitive contribution to neurosurgery, but is also of importance to ophthalmology, neurology, traumatology, neuro-radiology and pediatrics.

Disasters are difficult to manage for many reasons: the immediacy of the event, magnitude of the event, lack of evidence-based practices, and the limited usefulness of many developed protocols. Consequently, combining academic approaches with realistic and practical recommendations continues to be an underdeveloped aspect of disaster texts. The Oxford American Handbook of Disaster Medicine offers a functional blend of science with pragmatism. Approached from a real-world perspective, the handbook is a portable guide that provides sufficient scientific background to facilitate broader application and problem solving yet approach the topic in a prioritized fashion, supporting rapid understanding and utilization. Contributing authors are clinical and public health providers with disaster experience. This book encompasses the entire scope of disaster medicine from general concepts and fundamental principles to both manmade and natural threats.

This book is not a learned treatise. Its purpose is to render practical instruction to all those physicians. surgeons, adminis trators, and paramedical personnel who have to act in war or disaster situations. As a manual it is in no way a substitute for existing detailed and specialized texts on the various aspects of trauma surgery and management: rather have we attempted to collate the most essenlial knowledge required to organize and afTord medical aid whenever civilian or military disaster strikes. The man on the spot is hardly ever a specialist, hence the need for a imple s general manual of instruction. The organizational aspects of medical services in war are very similar to those required for coping with a disaster: indeed the military are often called to cope with civilian disasters. Our duty is to be prepared, so as not to lose life and limb for lack of foresight. There are repetitions in the book for which no apologies are made, since they always concern invaluable knowledge. The chapters are organized to afford an understanding of the organization of medical services, the cause of wounds and trau matic disease, and the pathophysiological processes resulting from the different kinds of trauma. The management of treating casualties is divided in each section into the three basic eche lons: on site (at the actual place of wounding), at the medical (battalion) aid station and in the field or base hospital."

A shocking look at how the idea of romantic love can justify and excuse the killing of women by their partners, and lead to sympathy and reduced sentences for the killers. The author explores how stories of domestic homicide are told in the news, by the police, and in the courts, drawing from 72 cases which took place over a twelve month period.

With Wounds and Lacerations: Emergency Care and Closure, you'll get clear, concise guidance on the latest techniques and strategies for treating lacerations, wounds, and burns. This medical reference book will help you optimize every aspect of patient care based on current literature and guidelines. Expedite review and reference with a bulleted "Key Practice Points" section at the beginning of each chapter. Quickly reference the latest recommendations for tetanus and rabies prophylaxis. Implement the latest approaches for the use of ultrasound in foreign-body detection and removal; use of absorbable sutures on the face and hand; approaching complicated infections such as MRSA; managing chronic wounds seen in elderly and diabetic patients; applying new suture techniques and materials for pediatric patients; and updated recommendations for tetanus and rabies prophylaxis. Get step-by-step visual guidance on all aspects of wound care through more than 300 detailed line drawings and photographs showing techniques for wound assessment, irrigation, closure, wound dressing, foreign body removal, administration of local anesthesia, and follow-up care. Quickly find all the relevant information necessary to treat patients with material that focuses only on injuries that are handled by emergency physicians. On the scene or at the hospital, search the complete contents online at expertconsult.com. Master the art of healing wounds and lacerations with clear, concise guidance on everything from the patient's arrival in the ED to discharge and follow-up care.

This is an essential portable handbook on bioterrorism and disaster medicine. Its practical and comprehensive text features chapters pertinent to bioterrorism, infectious disease, microbiology, virology, public health, epidemiology, and disaster medicine. It will serve as a practical guide for situation-specific disasters; recognize what injuries or illnesses to expect; provide proactive guidelines to define specific diseases; and give a guide of appropriate personnel protective equipment during these large-scale emergencies. It is an essential companion to those either interested or currently working in any of the aforementioned fields.

This monograph provides in-depth information on exercise-induced acute renal failure after short-term anaerobic exercise, which causes severe pain in the loin and patchy renal ischemia with no sign of rhabdomyolysis. This complete clinical reference book includes characteristics of the disease, diagnosis, treatment and prognosis, and corresponding preventive measures. It also includes important information on gene analysis and etiology.

Sports medicine and sports science are relatively new and rapidly developing fields of knowledge. During the past 2 decades, a significant body of scientific knowledge has been published in these areas. However, there is a demand for practical ref- ences which address sports medicine and science in the context of different sports. This demand is higher in some sports including combat sports, which are highly physically and mentally demanding, and cause challenging issues such as risk of blood-borne infections, weight reduction, head injuries, stress management, and safety for women and children. This book has been developed to meet the needs of the practitioners who work with combat sports athletes in order to improve their health and performance. Combat sports include four Olympic sports (boxing, wrestling, judo, and t- kwondo) and other popular sports such as karate, kick boxing, and Wushu. These sports are popular in most countries of the world, both at competitive and rec- ational levels. Combat sports are practiced by people of different ages for a variety of reasons such as to gain fitness and health benefits and to learn self-defense.

"Principles of Therapy in the Epilepsies" provides a concise, authoritative guide to all aspects of the treatment and management of epilepsies. Chapters cover treatments with anti-epileptic drugs, neurosurgical interventions and other pharmacological and non-pharmacological treatments. The book also overviews management strategies for specific groups of patients including women and elderly patients. This pocket-sized reference work will be a valuable resource for all those involved in the care of patients with epileptic seizures.

Migraine is an extremely common condition affecting 28 million Americans. Fully 1 in every 6 adult women suffers from this malady. Patients with migraine are frequently seen in the Emergency Room and Urgent Care Clinic for acute treatment of their headaches. Headache generally accounts for nearly 3 % of all ER visits, resulting in almost 3.5 million visits annually.

There currently are no widely used guidelines for the treatment of patients with headache in the ER or UCC, and reducing the number of CT scans remains a key goal for administrators in many ER or urgent care settings. In one study, 35 drugs, alone or in combination, were used to treat migraine. The most common medication class used was narcotics, which were used in 25% of the visits. The next two most commonly used classes were antiemetics and NSAIDs. Only 5% of patients seen for headache received headache-specific medications during their visit.

ER and Urgent Care physicians generally have little or no formal training in treating these patients. Consequently, they often feel less comfortable ruling out secondary causes of headaches and using appropriate headache treatment medications and procedures. Since many patients have received narcotics in previous visits, providers may view them as drug seekers. Patients seen in ERs and UCCs for acute treatment of their headaches often report high levels of dissatisfaction. They often end up in the ER or UCC because they don t have a formal treatment strategy for their severe headaches.

Health plans and insurance agencies are often frustrated by the high cost of fragmented care for patients with headaches. Because of the environment that most ER and UCC providers operate in, many unnecessary scans and tests are done because of uncertainty of the diagnosis and unfamiliarity of the patient. Primary care physicians are also frustrated by patients with headaches presenting to them after being seen in the ER or UCC, wanting a refill of their narcotics that they were given. Many patients don t follow up with their PCPs and simply keep returning to the ER/UCC for their treatment.

In short, all involved in the care for patients with headache are frustrated by the current system. The care for these patients is clearly not optimal. It doesn t have to be that way. There are a wide variety of effective treatment options available, but are underutilized in the acute setting. With these treatment options, patients no longer have to be treated only with parenteral narcotics, only to perpetuate the cycle of suboptimal care described above.

This concise handbook covers all aspects of acute headache care, including care of the child and adolescent with acute headaches, treatment of pregnant and breastfeeding women with acute headaches and appropriate evaluation of secondary headaches. In addition, two other novel chapters are included: one on caring for older patients with acute headaches as well as a chapter describing how to ensure a seamless transition of the patient back to a headache interested provider.

Representing an important milestone in the care of patients with headache, this is the first concise handbook available to exclusively address the issue of headache treatment in the acute care setting. Including protocols and strategies that can be used right away, Management of Headaches in Emergency Room and Urgent Care Settings: Diagnosis and Management provides information about lesser known, but effective strategies such as greater occipital nerve blocks that can be easily learned and incorporated in the acute care setting. It emphasizes the continuity of care that is so vital to keep headache patients from returning to the ER and UCC for acute treatment.

* Offers a concise, comprehensive overview of the diagnosis, treatment and management of common and rarer movement disorders * Written by two key international movement disorder experts * Clinically focused and accessible * Provides a practical guide to the assessment of movement disorders where diagnosis relies on examination and observation rather than radiology and serological assessments Movement disorders attack the part of the brain that controls our movements, they are a complex group of disorders, spanning all aspects of neurological illnesses. Such disorders are widespread, often destroying the independence of those affected. Movement Disorders in Clinical Practice provides a concise, practical overview of the diagnosis, treatment and management of patients with these debilitating conditions, including a brief evaluation of ongoing clinical trials. Edited by two key international movement disorder experts, chapters cover: * Parkinson's disease * Parkinsonian syndromes * Dystonia * Tremor * Restless legs syndrome * An overview of other movement disorders

Dr. Drew Pinsky is best known as the cohost of the long-running radio advice program Loveline. But his workday is spent at a major Southern California clinic, treating the severest cases of drug dependency and psychiatric breakdown. In this riveting book, Pinsky reveals the intimate and often shocking stories of his patients as they struggle with emotional trauma, sexual abuse, and a host of chemical nemeses: alcohol, marijuana, Ecstasy, heroin, speed, cocaine, and prescription drugs. At the center of these stories is Pinsky himself, who immerses himself passionately, almost obsessively, in his work. From the sexually compulsive model to the BMW-driving soccer mom, Cracked exposes, in fast-moving, powerful vignettes, the true scope and severity of addiction, a nationwide epidemic.

This book helps family physicians understand their roles in preparing for and responding to terrorist events. The text considers the physical and psychological impact of terrorism on providers and patients who are directly affected, as well as the spillover effects. Proactive measures are outlined, such as addressing concerns about risk. The text also details how to detect terrorist-caused illness as early as possible, how to provide defensive or preventative therapy, and how to treat ill patients. In-depth coverage of biologic agents (anthrax, plague, smallpox, botulism, tularemia, and hemorrhagic viruses), chemical agents (nerve and blister), and radiologic agents is provided. Readers also learn how to counsel traumatized families. In addition, the text examines the structure, function, and planning efforts of the public health system at the local, state, and federal levels. Emphasis is placed on how physicians can work with health officials on the delivery of preventive and therapeutic measures.

Why Critical Care Evolved METs? In early 2004, when Dr. Michael DeVita informed me that he was cons- ering a textbook on the new concept of Medical Emergency Teams (METs), I was surprised. At Presbyterian-University Hospital in Pittsburgh we int- duced this idea some 15 years ago, but did not think it was revolutionary enough to publish. This, even though, our fellows in critical care medicine training were all involved and informed about the importance of "C- dition C (Crisis)," as it was called to distinguish it from "Condition A (Arrest). "We thought it absurd to intervene only after cardiac arrest had occurred, because most cases showed prior deterioration and cardiac arrest could be prevented with rapid team work to correct precluding problems. The above thoughts were logical in Pittsburgh, where the legendary Dr. Peter Safar had been working since the late 1950s on improving current resuscitation techniques, ?rst ventilation victims of apneic from drowning, treatment of smoke inhalation, and so on. This was followed by external cardiac compression upon demonstration of its ef?ciency in cases of unexpected sudden cardiac arrest. Dr. Safar devoted his entire professional life to improvement of cardiopulmonary resuscitation. He and many others emphasized the importance of getting the CPR team to o- of-hospital victims of cardiac arrest as quickly as possible.

The American State Normal School is the first comprehensive history of the state normal schools in the United States. Although nearly two-hundred state colleges and regional universities throughout the U.S. began as 'normal' schools, the institutions themselves have buried their history, and scholars have largely overlooked them. As these institutions later became state colleges and/or regional universities, they distanced themselves from the low status of elementary-literally erasing physical evidence of their normal-school past. In doing so, they buried the rich history of generations of students for whom attending normal school was an enriching, and sometimes life-changing experience. Focusing on these students, the first wave of 'non-traditional' students in higher education, The American State Normal School is a much-needed re-examination of the state normal school.This book was subject of an annual History of Education Society panel for best new books in the field.

Das Handbuch der gefahrlichen Guter ist das Standardwerk fur den Transport von Gefahrgutern. Es gibt Informationen zu nationalen und internationalen Transportvorschriften und zu Notfallmassnahmen bei Unfallen mit gefahrlichen Gutern sowie Hinweise fur die arztliche Erstbehandlung von Personen. Fur alle Gefahrguter, die im Hommel enthalten sind, wurden die GHS-Kennzeichnungen mit aufgenommen: Signalworte, Piktogramme, sowie die neuen Gefahrenhinweise (H-Statements) und Sicherheitshinweise (P-Statements). Diesem Band liegt das Update der Einzelplatzversion 21.0 auf 22.0 als Download bei.

Das Buch spannt einen weiten Bogen A1/4ber die Transplantationsmedizin und gibt einen Aoeberblick A1/4ber Immunologie, Chirurgie, Vorbereitung und Nachsorge sowie die Randbereiche der Transplantationschirurgie. Es dient Chirurgen, Internisten, Allgemeinmedizinern als auch Medizinstudenten als Nachschlagewerk fA1/4r die thorakale und abdominelle Organtransplantation und soll Grundlagen der Transplantationschirurgie bzw. -medizin vermitteln. Ausserdem informiert es den Leser A1/4ber rechtliche, ethische und organisatorische Aspekte der Transplantationsmedizin und nicht zuletzt A1/4ber die "Physiologie des Hirntodes und die Spenderkonditionierung" sowie A1/4ber den Themenkomplex "Organkonservierung, Transport und Allokation."

Accident and emergency departments are the doorway to the hospital for acutely ill and injured patients. Whereas casualty departments have existed for over 150 years, they were often poorly staffed and managed. This book describes the fight to create a new medical specialty of accident and emergency medicine against much opposition from established specialties. The specialty was first recognised in 1972. The book also charts the major developments that occurred in the first 30 years of the specialty.

Le situazioni critiche in medicina d urgenza e in terapia intensiva rappresentano una tra le sfide piu difficili nella pratica clinica. La natura stessa dell ambiente di cura, l incertezza, il rischio elevato, i tempi ristretti e lo stress, rendono queste discipline particolarmente vulnerabili agli errori nella gestione dei pazienti. Nell ultimo decennio e diventato sempre piu evidente, che la capacita di erogare trattamenti sicuri in queste circostanze dipende da un approfondita conoscenza dei meccanismi all origine dell errore umano. Questo volume, che e la traduzione italiana della seconda edizione di Crisis Management in Acute Care Settings, propone una rassegna originale e completa di tutti i problemi correlati ai fattori umani, rilevanti per la sicurezza dei pazienti durante l erogazione di trattamenti urgenti. Le energie di medici e psicologi si sono mescolate in un testo facilmente accessibile, che aiutera i medici e altri professionisti della salute a comprendere meglio i principi del comportamento umano e del processo decisionale nelle situazioni critiche, per evitare errori e garantire un trattamento piu sicuro ai loro pazienti.

Core Principles of Acute Neurology is a series of short volumes that handles major topics not found in sufficient detail elsewhere and provides useful context. Identifying Neuroemergencies provides practical information how to best manage and triage patients in the first hour of admission in the emergency department. Physicians consider a neurologic emergency when the patient has clearly worsened and their neurologic signs have changed. Correct decisions are imperative: any type of neurocritical illness demands immediate treatment in the emergency department. Neurologist can assist further with the successful triage of the neurologic emergency and this volume in the Core Principles of Acute Neurology will serve as a handy, concise, reference to both the neurologist and the emergency physician.

The Oxford Clinical Imaging Guides are specifically designed to help doctors master imaging techniques. Each guide explains the principles and practice of using imaging in an easy-to-read, highly-illustrated, and authoritative manner. Point of Care Ultrasound for Emergency Medicine and Resuscitation is the definitive guide to using this indispensable clinical tool quickly, safely, and accurately to diagnose patients in emergency, acute, and critical care settings. With a practical focus on how to perform ultrasound and interpret images, this book demonstrates how the reader can use ultrasound safely in patient management to diagnose and manage shock, acute presentations, or the acute phases of key conditions. Extensively illustrated, this resource also comes with online access to 160 ultrasound clips and over 130 annotated ultrasound images. Written by expert educators, this book is mapped to the curriculum for the International Federation for Emergency Medicine to teach emergency and acute medics exactly what they need to know. This guide is highly relevant for the syllabi of Emergency Medicine colleges and associations in the USA, Canada, UK, Australasia and South Africa.

For a busy clinician in the Emergency Department, the ability to spot a lethal cardiac condition is critical. "Rapid Interpretation of ECGs in Emergency Medicine" fills a gap in ECG training in an easy-to-use, highly visual format. ECG patterns, gathered from patient records and from the files of physicians at the Harvard-affiliated hospitals, represent the range of pathologies that hospitalists, internal medicine physicians, family medicine physicians, and emergency medicine physicians must recognize. The format of "Rapid Interpretation of ECGs in Emergency Medicine" is to first show an ECG in its native state to give you the chance to recognize and interpret salient features. The page can then be flipped to look at the same ECG with abnormal patterns enlarged, highlighted in color, and described in brief text. The ECGs are presented with and without annotations so you can test your diagnostic skills.

This book uses the case of the National Health Service to examine the management of ambiguity and change. Studies of the implementation of the Griffiths Report have identified a number of unintended consequences, but it is argued that they have not adequately theorised these outcomes in the policy implementation process. It is suggested that the process-sociological approach of Elias, and in particular his game models, enable us to better understand the complex interweaving of planned and unplanned processes which is involved in the management of change.