In diesem Werk schildern langjahrig erfahrene Notarzte, spannend und lehrreich zugleich, oft dramatisch verlaufene und menschlich beruhrende Notfalleinsatze, mit denen sie im Laufe ihres Berufslebens konfrontiert worden sind. Jeder Fall wird diskutiert und schliesst mit einem Fazit fur die Praxis. Notarzte und Rettungsdienstmitarbeiter erhalten so wertvolle Tipps fur eigene, zukunftige Notfalleinsatze. Die 2. Auflage erscheint um 8 spannende Fallbeispiele erweitert.

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.

Hospital-based Emergency Departments (EDs) are required to stabilise patients with emergent conditions regardless of the patients' ability to pay as a requirement of the Emergency Medical Treatment and Active Labor Act (EMTALA). Given this requirement, EDs play an important part in the health care safety net by serving the uninsured, the underserved, and those enrolled in Medicaid. This book describes EDs and the role they play in the health care delivery system. It also discusses the federal role and interest in supporting emergency care.

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.

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.

This book serves as a tool for general psychiatrists, medical students, residents, and fellows looking for a clinically relevant and high-yield overview of addiction psychiatry in preparation for their board exams - or for everyday clinical practice. Written by expert educators in addiction psychiatry, the text is organized by substances misused and populations affected. This book serves as both a primary learning tool for those new to the field, as well as a reference for those working in addiction treatment. Each chapter begins with summaries of high yield clinical pearls, followed by general information including treatment, and then ends with accompanying board-style review questions. The scope includes understanding substances of misuse and substance use disorders (SUDs), how to evaluate, diagnose, and monitor SUDs, how to treat SUDs both pharmacologically and behaviorally, and critical information for specific populations of patients. Absolute Addiction Psychiatry for Clinical Practice and Review is an excellent resource for all medical students, residents, fellows, and professionals taking certification exams in addiction, including those in psychiatry, addiction medicine, emergency medicine, internal medicine, pain medicine, and others. The chapter "Laboratory Testing for Substance Use Disorders" is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

Dieses Lehrbuch bietet Ihnen einen vollstandigen UEberblick uber alle prufungsrelevanten Inhalte der Notfallmedizin. Es leitet Sie leicht verstandlich von den Grundlagen bis zur Praxis durch das gesamte Wissen. Profitieren Sie von der langjahrigen Erfahrung des Autors, der sorgfaltig das Wesentliche fur Sie ausgewahlt und aufbereitet hat. Der Inhalt Diese aktualisierte Neuauflage berucksichtigt die Leitlinien des European Resuscitation Council 2020. Zahlreiche Abbildungen und das bewahrte didaktische Konzept ermoeglichen ein effizientes Lernen: Prufungsteil - Fur eine optimale Vorbereitung auf Fallstudien Cave- und Merksatze - Bringen das Wichtigste auf den Punkt Praxistipps - Stellen einen anschaulichen Bezug zur Notfallpraxis her Der Autor Dr. Thomas Ziegenfuss ist Chefarzt der Abteilung fur Anasthesie und Intensivmedizin des St. Josef-Krankenhauses in Moers. An der Klinik fur Anasthesiologie und Intensivmedizin der Universitatskliniken des Saarlandes war er Oberarzt, langjahriger Einsatzleiter fur den Notarztdienst und Leitender Notarzt.

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). Band 9 ist erganzt mit weiteren 200 neuen Merkblattern. Die Transportvorschriften wurden aktualisiert, und die Aussagen zur Umweltgefahrdung durch chemische Stoffe wurden stark erweitert.

Building a Trauma Kit by Gunner Morgan is the result of numerous requests from readers who read his successful book Trauma Care for the Worst Case Scenario. In Building a Trauma Kit Morgan goes over such factors as kit priorities, needs assessment, kit platform, components, medications, thoughts on wound suturing and more. This book is targeted for those interested in designing a high quality individualized kit. This is especially useful for preppers, concerned citizens, law enforcement officers, military personnel, correctional officers, detention officers, probation & parole officers, and others who want to know what to build a trauma kit for the worst case scenario. This book also covers components for a medical kit that covers emergency and non-emergency supplies. If you are not prepared for the Worst Case Scenario you are not prepared

As societies become more complex and interconnected, the global risk for catastrophic disasters is increasing. Demand for expertise to mitigate the human suffering and damage these events cause is also high. A new field of disaster medicine is emerging, offering innovative approaches to optimize disaster management. Much of the information needed to create the foundation for this growing specialty is not objectively described or is scattered among multiple different sources. This definitive work brings together a coherent and comprehensive collection of scientific observations and evidence-based recommendations with expert contributors from around the globe. This book identifies essential subject matter, clarifies nomenclature, and outlines necessary areas of proficiency for healthcare professionals handling mass casualty crises. It also describes in-depth strategies for the rapid diagnosis and treatment of victims suffering from blast injuries or exposure to chemical, biological, and radiological agents.

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.

“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). Diesem Band liegt das Update der Einzelplatzversion 20.0 auf 21.0 bei.

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).

Ultrasound has revolutionized a physician's ability to make urgent and emergent diagnoses at the bedside, and has changed the management of many acute injuries and conditions. This is a practical, concise introduction to what is rapidly becoming an essential tool for all critical care physicians: bedside emergency ultrasound. The Manual covers the full spectrum of conditions diagnosed using ultrasound and gives practical guidance in how to use ultrasound for common invasive procedures. Major applications are introduced using focused diagnostic questions and reviewing the image-acquisition skills needed to answer them. Images of positive and negative findings are presented, and scanning tips for improving image quality. The second edition has been substantially revised and expanded, with new images, updated literature reviews, new applications and clinical algorithms. New chapters cover additional procedures, musculoskeletal and pediatric applications, and the use of ultrasound in resuscitation. This text is invaluable for emergency physicians at all levels.

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.

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 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.

On Call in Trauma and Orthopaedics is aimed at junior trainees working with the specialty of Trauma and Orthopaedics. It is written in a clear and concise method, covering all common injuries that a junior trainee would expect to see during their shifts. With essential imaging, schematic diagrams and 'top tips' sections, this book is written as a 'survival guide' to allow the reader to manage patients in the emergency, ward and clinic setting. Why buy On call in Trauma and Orthopaedics? This book not only provides a comprehensive guide to common injuries, but also includes a basic examination and technical skills section. The more advanced sections such as classification of common fractures and consenting for common operations will career Trauma and Orthopaedic trainees a higher insight into the specialty. What's inside: Essentials: History, examination and classification Emergency Department: Limb threatening conditions, Adult Upper/Lower limb injuries, paediatrics and more Operating theatre: How to prepare your patient for theatre Ward: Pre and post operative management of your patients Clinic: What to say, ask and do when admitting a patient from clinic Procedures: Step by step guide to simple procedures such as aspiration of joints and reduction of fractures/joint dislocations

The hands-on study companion for the most respected, rigorous medical toxicology text available-with 1,400 practice questions/answers Goldfrank's Toxicologic Emergencies has long been the go-to guide for accurately diagnosing and effectively treating poisoned and overdosed patients. Now, this practical companion provides everything you need to get even more out of Goldfrank's. Study Guide for Goldfrank's Toxicologic Emergencies provides 1,400 questions/answers for testing your knowledge-a process that increases information retention and serves as invaluable practice for board exams. Each chapter has its own question set using both general factual and case-based questions. Study Guide for Goldfrank's Toxicologic Emergencies covers: General approach to the poisoned patient Principles of medical toxicology Clinical basis of medical toxicology Poison prevention and education Research principles Legal and forensic considerations

Many patients come to the Accident and Emergency department in pain or with conditions requiring local or general anaesthesia. Close co-operation between the staff of the Anaesthesia and Accident and Emergency departments is vital if anaesthesia and analgesia are to be dealt with efficiently and safely. This new edition has been extensively revised throughout, especially with regard to resuscitation techniques. It provides a concise guide to anaesthesia and pain relief in emergency medicine. Throughout, the emphasis is on the practical management of problems, giving clear instructions about the treatment of common conditions.

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.

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 19.0 auf 20.0 bei.

Pain management (also called pain medicine) is the discipline concerned with the relief of pain. Acute pain, such as occurs with trauma, often has a reversible cause and may require only transient measures and correction of the underlying problem. In contrast, chronic pain often results from conditions that are difficult to diagnose and treat, and that may take a long time to reverse. Some examples include cancer, neuropathy, and referred pain. Often, pain pathways (nociceptors) are set up that continue to transmit the sensation of pain even though the underlying condition or injury that originally caused pain has been healed. In such situations, the pain itself is frequently managed separately from the underlying condition of which it is a symptom, or the goal of treatment is to manage the pain with no treatment of any underlying condition (e.g. if the underlying condition has resolved or if no identifiable source of the pain can be found.Pain management generally benefits from a multidisciplinary approach that includes pharmacologic measures (analgesics such as narcotics or NSAIDs and pain modifiers such as tricyclic antidepressants or anticonvulsants), non-pharmacologic measures (such as interventional procedures, physical therapy and physical exercise, application of ice and/or heat), and psychological measures (such as biofeedback and cognitive therapy). This new book presents the latest research in this growing field.