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."

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.

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

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.

* 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

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.

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.

Social Emergency Medicine incorporates consideration of patients' social needs and larger structural context into the practice of emergency care and related research. In doing so, the field explores the interplay of social forces and the emergency care system as they influence the well-being of individual patients and the broader community. Social Emergency Medicine recognizes that in many cases typical fixes such as prescriptions and follow-up visits are not enough; the need for housing, a safe neighborhood in which to exercise or socialize, or access to healthy food must be identified and addressed before patients' health can be restored. While interest in the subject is growing rapidly, the field of Social Emergency Medicine to date has lacked a foundational text - a gap this book seeks to fill. This book includes foundational chapters on the salience of racism, gender and gender identity, immigration, language and literacy, and neighborhood to emergency care. It provides readers with knowledge and resources to assess and assist emergency department patients with social needs including but not limited to housing, food, economic opportunity, and transportation. Core emergency medicine content areas including violence and substance use are covered uniquely through the lens of Social Emergency Medicine. Each chapter provides background and research, implications and recommendations for practice from the bedside to the hospital/healthcare system and beyond, and case studies for teaching. Social Emergency Medicine: Principles and Practice is an essential resource for physicians and physician assistants, residents, medical students, nurses and nurse practitioners, social workers, hospital administrators, and other professionals who recognize that high-quality emergency care extends beyond the ambulance bay.

In the twentieth-century, evidence-based injury prevention and control strategies have contributed to a substantial decline in the number of deaths associated with injury. However, researchers in the field of injury prevention have often gathered their study methods from other disciplines; it can be difficult for injury investigators to locate all of the research tools that can be applied to problems related to injury. Injury Control: A Guide to Research and Program Evaluation addresses the growing need for a comprehensive source of knowledge on all research designs available for injury control and research. Included in this accessible guidebook is information about choices in study design, details about study execution and discussion of specific tools such as injury severity scales, programme evaluations and systematic reviews. Epidemiologists, health service investigators, trauma surgeons and emergency medicine physicians will find this a useful source for understanding, reviewing and conducting research related to injuries.

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.

Nowhere in medicine is there a greater imperative to act than in the recognition and management of a patient's pain. This practical and evidence-based resource for emergency medicine and acute care providers will guide physicians in the selection of an effective therapy, define appropriate dosages to use and, equally important, when a treatment doesn't work, explain why, and what to do next. Starting with chapters on the assessment of pain, the safe and effective provision of analgesia in special populations, and featuring a reference table of drug names and interactions; the bulk of the coverage moves on to describe the provision of analgesia in the wide range of conditions likely to be encountered in the emergency department. The fundamental strengths of this approach are the comprehensive coverage, focus on practicality, basis in sound evidence, and authorship by specialists with extensive experience based on years of clinical practice.

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.

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.

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.

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.

Sul campo, i secondi contano. PHTLS: Supporto delle funzioni vitali in pazienti traumatizzati in fase pre-ospedaliera insegna e rafforza i principi della valutazione rapida di un paziente traumatizzato utilizzando un approccio ordinato, trattando immediatamente i problemi potenzialmente letali man mano che vengono identificati e riducendo al minimo i ritardi nel proporre il trasporto verso una destinazione appropriata. Sviluppato dall'Associazione nazionale dei paramedici di primo soccorso (National Association of Emergency Medical Technicians-NAEMT) in collaborazione con l'American College of Surgeons Committee on Trauma (ASC-COT), la nona edizione del PHTLS, riflette le conoscenze e le pratiche attuali basate sulle prove e promuove il pensiero critico come fondamento per fornire assistenza di qualita. La valutazione rapida di un paziente traumatizzato per identificare le cure salvavita e al centro della nona edizione del PHTLS. Ci vogliono 2 minuti o meno per il dissanguamento di un paziente. Nessun altro intervento che i prestatori di cure pre-ospedaliere eseguono e piu importante che arrestare il livello di sanguinamento nei pazienti traumatizzati. Per riflettere questo, nella nona edizione di PHTLS viene utilizzata la tecnica mnemonica XABCDE per la valutazione del paziente per porre l'emorragia dissanguante in prima linea in ogni interazione con il paziente. L'importanza della tecnica XABCDE (dissanguamento da emorragia, vie aeree, respirazione, circolazione, disabilita ed esposizione / ambiente) e rafforzata in ogni capitolo clinico. PHTLS, la nona edizione presenta: informazioni aggiornate sulla reintegrazione dei fluidi e immobilizzazione spinale da ricerche basate sulle prove e fornitori esperti di cure pre-ospedaliere che applicano i principi e le pratiche di PHTLS sul campo Tecniche aggiornate di gestione del paziente, tra cui posizionamento del laccio emostatico, siti di decompressione dell'ago, uso di sostegni pelvici, reintegrazione del liquido pediatrico e gestione delle vie aeree pediatriche Enfasi su infortuni prevenibili, dalla guida distratta alle cadute negli adulti piu anziani, alla violenza nell'ambito delle relazioni intime Focus sulle minacce tattiche ai civili e sugli interventi, da veicoli come armi di distruzione di massa a un nuovo diagramma di flusso metodologico di valutazione a distanza Componenti del programma dinamico Il manuale di riferimento PHTLS, nona edizione e la risorsa per la cura definitiva del paziente traumatizzato, che dettaglia le basi mediche sottostanti ai principi raccomandati e alle pratiche del corso PHTLS. Come passo successivo nell'evoluzione del programma PHTLS, il libro di testo principale sara accompagnato dal nuovo manuale del corso PHTLS, che rafforza e chiarisce i concetti chiave del corso. Presenta un design coinvolgente e interattivo ed e scritto in modo tale che ti senti come se stessi partecipando a una conversazione, invece che all'ascolto di una lezione.

“Forget the edge of your seat. Last Breath takes you to the edge of your life, for a pulse-pounding glimpse into the Great Beyond. There are many ways to risk your life in the out-of-doors, and Stark has captured them in exquisite and harrowing detail.”
–JIM ROBBINS
Author of A Symphony in the Brain

An enthralling blend of adventure and science, Last Breath re-creates in heart-stopping detail what happens to our bodies and our minds in the perilous last moments of life when an extreme adventure goes awry.

Combining the adrenaline high of extreme sports with the startling facts of physiological reality, veteran travel and outdoor sports writer Peter Stark narrates a series of adventure stories in which thrill can cross the line to mortal peril. Each death or brush with death is at once a suspense story, a cautionary tale, and a medical thriller. Will they survive, or will they succumb? Readers will shiver with a man lost in the snowy woods, suffering from hypothermia and tearsing off his clothes as he’s burning up from the cold; they will hallucinate with a young woman stranded at the top of Annapurna as she experiences a cerebral edema; and while a kayaker tumbles helplessly underwater for two minutes, five minutes, ten minutes, readers, too, will gasp for their last breath.

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).

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.

Modern evidence-based injury prevention and control strategies have contributed to a substantial decline in the number of deaths associated with injury. Injury Control: Research and Program Evaluation addresses the growing need for a single comprehensive source of data on all research designs available for injury control and research. This accessible guidebook includes information on research tools such as injury severity scales, conducting program evaluations and trauma audits, systematic reviews, and ecologic studies. Epidemiologists and health service investigators, as well as trauma surgeons and emergency medicine physicians who provide the post-acute care of trauma patients, will find this the only current information source focused on injury control research and evaluation.

This book is aimed at broad spectrum of intensive and coronary care personnel and provides rapid access to important information on the treatment of the patient in the coronary care unit (CUU), in an easily readable and accessible format. It comprises a series of articles on key aspects of emergency care of the cardiac patient and reviews some of the most advanced concepts in the CCU. Whilst assuming a basic knowledge of underlying problems, the book nonetheless outlines key physiological principles where necessary, and critically reviews current literature and best practice. The book focuses on providing key practical information on treatment techniques for busy CUU personnel and features some important topics such as shock, sever sepsis, echocardiography, catheter-based treatments for acute cardiac emergencies, cardiac arrest and CPR, cardiogenic shock, heart failure and the role of surgical intervention.