"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.

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.

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

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.

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.

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.

A real-life thriller about a nation in crisis, and the controversial decisions its leaders made during the COVID-19 pandemic. First, the government instituted no restrictions. Then, it didn't order the wearing of face masks. While the rest of the world looked on with incredulity, condemnation, admiration, and even envy, a small country in Northern Europe stood alone. As COVID-19 spread across the globe rapidly, the world shut down. But Sweden remained open. The Swedish COVID-19 strategy was alternately lauded and held up as a cautionary tale by international governments and journalists alike - with all eyes on what has been dubbed 'The Swedish Experiment'. But what made Sweden take such a different path? In The Herd, journalist Johan Anderberg narrates the improbable story of a small nation that took a startlingly different approach to fighting the virus, guiding the reader through the history of epidemiology and the ticking-clock decisions that pandemic decision-makers were faced with on a daily basis.

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.

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.

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.

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).

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.

Behind heart disease and cancer, medical error is now listed as one of the leading causes of death. Of the many medical errors that may lead to injury and death, diagnostic failure is regarded as the most significant. Generally, the majority of diagnostic failures are attributed to the clinicians directly involved with the patient, and to a lesser extent, the system in which they work. In turn, the majority of errors made by clinicians are due to decision making failures manifested by various departures from rationality. Of all the medical environments in which patients are seen and diagnosed, the emergency department is the most challenging. It has been described as a "wicked" environment where illness and disease may range from minor ailments and complaints to severe, life-threatening disorders. The Cognitive Autopsy is a novel strategy towards understanding medical error and diagnostic failure in 42 clinical cases with which the author was directly involved or became aware of at the time. Essentially, it describes a cognitive approach towards root cause analysis of medical adverse events or near misses. Whereas root cause analysis typically focuses on the observable and measurable aspects of adverse events, the cognitive autopsy attempts to identify covert cognitive processes that may have contributed to outcomes. In this clinical setting, no cognitive process is directly observable but must be inferred from the behavior of the individual clinician. The book illustrates unequivocally that chief among these cognitive processes are cognitive biases and other flaws in decision making, rather than knowledge deficits.

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.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. Deliver quality healthcare in the most challenging field conditions Comprehensive yet compact, practical, and enduring, Improvised Medicine: Providing Care in Extreme Environments, Second Edition, is the one book to toss into your bag when going to practice medicine in global, disaster, or other resource-poor settings, including theaters of war, regions of civil unrest, and economically deprived areas. Full of practical clinical pearls and field-tested strategies, this indispensable guide provides detailed instructions on how to work successfully outside of your comfort zone. It demonstrates how to devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable or when providing care outside your primary area of expertise. In any crisis, from power failures and computer crashes to floods, tsunamis, and earthquakes, knowing how to deal with the unique challenges encountered saves lives and communities. This reference gives you that knowledge and inspires innovative crisis resolution. FEATURES: * Simple-to-follow directions, diagrams, and illustrations describing practical techniques and improvised equipment necessary to provide quality care during crises * Contains improvisations in anesthesia and airway management, dentistry, gynecology/obstetrics, infectious disease/laboratory diagnosis, internal medicine, otolaryngology, pediatrics and malnutrition, orthopedics, psychiatry, and surgery * Covers situational analysis and basic needs in a crisis; specific triage, diagnosis, and stabilization efforts; medical interventions for surgical and non-surgical problems; and debunks some commonly reported improvised techniques * Features public health measures, basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods * New to the second edition: More concisely written, more e