El curso de Soporte Vital Cardiovascular Avanzado (ACLS por sus siglas en ingles) de ECSI, esta disenado para lograr en los participantes el desarrollo, no solo de los conocimientos y habilidades necesarios para la reanimacion del paciente, si no que ademas fomenta el pensamiento critico y la toma de decisiones basada en evidencia. Todas las lecciones y clases practicas estan disenadas para construir un aprendizaje significativo en cada uno de los participantes al realizar preguntas clave y desarrollar casos de manera simultanea. En el programa tradicional (16 horas) cuenta con los elementos fundamentales de aprendizaje con herramientas teoricas y practicas. Lecciones de clase: - Medicina basada en evidencia - Reanimacion cardiopulmonar y Equipo de Alto Desempeno (RAD) - Sindrome Coronario Agudo - Identificacion del STEMI en EKG de 12 derivaciones - IAM no STEMI y shock cardiogenico - Cuidados post-PCR: Retorno de la circulacion espontanea - Cuidados post-PCR: Fin de la RCP y notificacion de la muerte - Accidente cerebrovascular Clases practicas: - Modelo RAD en soporte vital basico - Modelo RAD en soporte vital avanzado - Integracion del equipo RAD - SVB y SVCA - Codigo PCR: ritmo desfibrilable - Codigo PCR: ritmo no desfibrilable - Codigo PCR: integral con via aerea dificil - Bradicardia - Taquicardia estable - Taquicardia inestable - Codigo PCR: retorno de la circulacion espontanea - Codigo PCR: fin de las maniobras de reanimacion - Retroalimentacion en el equipo RAD En la version extendida del programa (24 horas) se incluyen lecciones adicionales, que permitiran fortalecer, en los participantes, sus conocimientos en: - Via Aerea - Capnografia - Farmacologia aplicada al SVA - Interpretacion del electrocardiograma - Impostores del STEMI -Bradicardias -Taquicardias Los materiales de estudio y de clase fueron disenados, para facilitar el aprendizaje y comprension de los temas, por expertos profesionales medicos y paramedicos de toda Latinoamerica y EE.UU.

Thermal harm is one of the most traumatizing assaults on man and his environment. Whether suffered by living beings as burn injury, or sustained by societal structures as fire damage, the resulting physical pain and material loss can be extremely distressing both to the person and to society. The health professions and in particular burn specialists have been continually developing effective means of combating burn disease and promoting rehabili tation of the victims, especially in mass casualty situations. In parallel, various levels of the community have been mobilizing fire prevention and fire-fighting mechanisms that protect society and the environment from the ever-increasing hazards of fire disasters. It is therefore surprising that, while aiming at the same objective, the two sectors have rarely come together; doctor has rarely worked with fire chief. Yet both disciplines have so much to learn from and contribute to each other's efforts. The Mediterranean Burns Club is a professional organization that brings together persons concerned with burn therapy and fire safety in all forms, especially in the countries of the Mediterranean basin. It is honoured to have been identified by the United Nations as a premier scientific body in its field within the programme of the International Decade for Natural Disaster Reduction. It is therefore natural that it should have initiated an international gathering of specialists engaged in burns as a surgical, clinical problem, and of counterparts dealing with fires as a societal, disaster management problem."

Neurological Emergencies in Clinical Practice discusses neurological emergencies in a stepwise fashion including stabilizing the patient, identifying the cause, and treating the underlying cause. It is useful in several settings including the emergency room, hospital in-patient service as well as the intensive care unit. Neurological Emergencies in Clinical Practice has a wide appeal and relevance to disciplines including neurology, emergency medicine, critical care medicine, internal medicine and family medicine. Medical students and residents may use this convenient, pocket-sized book to prepare for and succeed in their training examinations and it is also useful for other house staff and practicing physicians.

For important information you need to know, but can't remember, turn to QUICK HITS IN EMERGENCY MEDICINE. This practical, short compendium contains the key decision-rules, clinical values, mnemonics, and dosages that you need at your finger tips in the ED. It covers everything from acute coronary syndrome and ACLS, to electrolyte equations and hyperkalemia, to ventilator settings by disease to Wellen's syndrome. Information on each topic is limited to a single page and presented in easily digested formats such as tables, algorithms, bulleted lists, and clinical illustrations.

Over the past decade, radiological imaging tests - including CT scanning, MRI, PET, X-rays, ultrasound, fluoroscopy and other modalities - have become essential to the routine diagnostic process. While these modern advanced medical images and their striking anatomic detail have discovered underlying issues, they have also contributed to a false impression of infallibility. Unlike other straightforward diagnostic tests, such as the EKG or blood chemistry panel, radiological imaging tests are highly variable and complex, often yielding uncertain results, as well as frequent false-negatives and false-positives. The experts who interpret the images (the diagnostic radiologists) sometimes make mistakes: the practice of diagnostic radiology is a fallible, human endeavour, one involving complex perceptual, neuro-physiological and cognitive processes employed under a wide range of circumstances, and with a great deal of variability. Error and Uncertainty in Diagnostic Radiology opens the 'black box,' of medical imaging, exposing the remarkable inner workings of the process of diagnostic radiology-including how and why it can sometimes go tragically wrong. The occurrence of radiological error is shown to be fundamentally intertwined with the underlying high level of uncertainty known to be present in the diagnostic process. As a foremost expert on radiology quality and safety, Dr. Bruno provides insight into the various types of radiologist error, along with a conceptual framework for understanding error and uncertainty in radiology, leading to practical strategies for error prevention and for reducing the risk of harm to patients when errors inevitably occur. This book is essential for radiologists, members of the Society to Improve Diagnosis in Medicine, emergency physicians, medical educators, medical and hospice administrators, especially quality and safety officers, as well as malpractice insurance carriers.

The first edition of Infection Prevention reviewed evolving areas in infection prevention on topics including contact precautions, technology implementation, specific infections, and care in various settings. It summarized the current data on infection prevention, presents controversies on the various topics, and includes recommendations for patient safety. Addressing hot topics such as MRSA, C. difficile vaccination, mandatory flu vaccines, and CLABSI, this is the only text to include prevention and control overviews across a range of infection issues. Written by experts in the field, this successor edition will update current chapters on the most cutting-edge models of care on emerging and evolving topics in infectious diseases. It will also include new material and chapters on high-level disinfection, diagnostic test stewardship, unique pathogens units, outpatient antibiotic stewardship, outpatient antibiotic therapy, as well as a chapter on infection prevention metrics: how much can we prevent healthcare associated infections and how hard should we try. The second edition of Infection Prevention: New Perspectives and Controversies is a valuable resource for infection prevention professionals, healthcare quality and safety professionals, caring for patients in in- and outpatient settings.

Every year emergency medicine resident physicians participate in the American Board of Emergency Medicine (ABEM) In- Training Examination to assess their medical knowledge. Preparing for the examination involves assembling several different resources on a wide range of topics. Many resources are either too detailed or too superficial, limiting their effectiveness. Pocket Guide to the American Board of Emergency Medicine In-Training Exam is designed specifically for the Emergency Medicine Resident Physician as an aid to reviewing for the In-Training exam. Pertinent information is organized under the same topics as the examination. The concise text and tables deliver information quickly and a rapid review section allows for self-assessment. In addition, the small portable size enables revision whenever and wherever you are. Pocket Guide to the American Board of Emergency Medicine In-Training Exam is the only resource you will need for In-Training Examination preparation.

Essential Emergency Trauma is a concise, reader-friendly, and portable reference on the care of trauma patients in the emergency department. Geared to practicing emergency physicians, residents, and medical students, the book focuses sharply on the key details needed to stabilize and treat trauma patients with a wide variety of injuries.

Major sections cover trauma of each anatomic region. Each section opens with a chapter "The First 15 Minutes, Algorithm, and Decision Making." Subsequent chapters focus on specific injury patterns, emphasizing pathophysiology, diagnosis, evaluation, and management. The information is presented in bullet points with numerous tables and images. Each chapter ends with an up-to-date review of the "Best Evidence."

This guide to the proper use of the ECG in diagnosing acute myocardial infarction puts the combined experience of international authorities at your fingertips for immediate use. In "The 12 Lead ECG in ST Elevation MI: A Practical Approach for Clinicians, " Drs. Bayes de Luna, Fiol-Sala and Antman supply the practical, specific information you need to determine which patients with ACS are showing ST elevation.

To facilitate correct diagnosis and guide management, the authors use a consistent sequence to explain the ECG abnormalities for each site of coronary occlusion. A schematic of the coronary tree illustrates the point of occlusion.
The second part of the book contains a self-assessment section with a series of 15 cases, each of which includes one or more 12-lead ECGs for analysis. These valuable examples help you prepare for on-the-spot interpretation in the emergency department or intensive care unit.

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.

Leading medical experts from the military and other branches of government comprehensively review the possible infectious disease and chemical agents that can be used in terrorist attack and the proper diagnostic and therapeutic methods for dealing with them. The book also discusses treating blast injuries, the effects of nuclear and radiological weapons, and the psychological effects of terrorist events. Comprehensive and up-to-date, Physician's Guide to Terrorist Attack provides physicians, health care workers, and emergency personnel with a practical handbook for confidently and effectively diagnosing and managing the victims of terrorist attack.

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."

The aim of this book is to provide a practical guide to help junior doctors to manage the important acute paediatric problems they are likely to encounter. The emphasis has been placed on the diagnostic problems and management when the child first presents. The approach taken is largely pragmatic, in contrast with the more theoretical approach of undergraduate teaching. As many doctors in general paediatrics are also required to perform neonatal resuscitation, a chapter on this topic has been included, but no attempt has been made to cover the specialized field of neonatal intensive care. Several of the chapters have been published in a series of articles in Hospital Update. They have been thoroughly revised and many new chapters added. It would have been impossible for me to have written this book without the help and encouragement of my wife, Dr Ann Goldman. She has read the book at each stage of its gestation and made many constructive suggestions and improvements. I am also grateful to Dr Paul Hutchins who has helped me considerably. Dr Doug Jones has provided helpful advice on the anaesthetic aspects and practical procedures and contributed the section on the insertion of central venous catheters. Many other colleagues have read sections of the book and I should like to thank Drs Ruby Schwartz, Terry Stacey, Andy Whitelaw, Rodney Rivers, John Warner, Sue Rigden, Susan nah Hart, Mike Liberman and Bernard Valman."

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.

Designed for learning success. Overcome your fears and build your confidence while you master the mathematic and pharmacology knowledge you need to pass your licensure exams and prepare for professional practice. The 5th Edition of this popular resource presents often complex information is an way that's easy to understand and easy to follow, emphasizing the relevance of the drug information to your work as a paramedic as well as the calculations required to safely administer the correct drug dosages. Access more online. Redeem the Plus Code inside new, printed texts to access a wealth of resources online at DavisPlus. You'll find your Davis Digital Version, your complete text online, study questions, and fifteen animated learning modules that show you how drugs work. "Good book." "This book is VERY helpful! I found that it breaks the math down and makes it very simple and easy to follow! I recommend this book to anyone going through Paramedic School!" - Kimberly Wright, review of a previous edition

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.

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.

In Paramedics On and Off the Streets, Michael K. Corman embarks on an institutional ethnography of the complex, mundane, intricate, and exhilarating work of paramedics in Calgary, Alberta. Corman's comprehensive research includes more than 200 hours of participant observation ride-alongs with paramedics over a period of eleven months, more than one hundred first hand interviews with paramedics, and thirty-six interviews with other emergency medical personnel including administrators, call-takers and dispatchers, nurses, and doctors. At the heart of this ethnography are questions about the role of paramedics in urban environments, the role of information and communication technologies in contemporary health care governance, and the organization and accountability of pre-hospital medical services. Paramedics On and Off the Streets is the first institutional ethnography to explore the role and increasing importance of paramedics in our healthcare system. It takes readers on a journey into the everyday lives of EMS personnel and provides an in-depth sociological analysis of the work of pre-hospital health care professionals in the twenty-first century.

* 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

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.

The eighth edition of this international bestselling emergency medicine handbook has been completely revised and updated to include the latest evidence-based guidelines and treatment protocols underpinning best practice in emergency medical care. Carefully designed to suit the needs of interns and resident doctors working in the emergency department as well as specialist trainees, the book covers the full range of emergencies - general medical, infectious disease and foreign travel-related, toxicological, surgical, paediatric, obstetric and gynaecological, ophthalmic and psychiatric - as well as practical procedures and administrative and legal issues.

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.

Der ploetzliche Herzstillstand zahlt weltweit zu den hoechsten Todesursachen. Hoert das Herz zu schlagen auf, fehlt die lebensnotwendige Durchblutung des Gehirns und der inneren Organe. Nur 20 von 100 Betroffenen uberleben. Die Chancen steigen mit dem fruhzeitigen Beginn hochwertiger Erster Hilfe. Das Buch beschreibt einfach und leicht verstandlich die korrekte Reihenfolge der Reanimationsmassnahmen bei Erwachsenen und Kindern sowie in besonderen Situationen, wie z.B. Erstickungsgefahr. Mit dieser Anleitung kann im Notfall mit simplen Handgriffen ein Leben gerettet werden: Notruf, Herzdruckmassage, Defibrillatoreinsatz. Der Autor und Fotograf schuf mit diesem Buch aber auch einen emotionalen und kunstlerischen Appell zur Ersten Hilfe. In einer Portraitserie zeigt er Menschen aus unterschiedlichsten Lebensbereichen, die eines gemeinsam haben - sie alle haben dank des Eingreifens ihrer Mitmenschen einen Herzstillstand uberlebt. Sie wurden von couragierten Ersthelferinnen und Ersthelfern wiederbelebt.