This issue of Medical Clinics, guest edited by Dr. Joseph F. Szot, is devoted to Outpatient Emergencies. Articles in this issue include: Anaphylaxis; Monoarticular Arthritis; Tachyarrhtmias/Bradyarrhythmias; Psychiatric Emergencies; Hypertensive Emergency; TIA/Stroke; COPD and Asthma Exacerbation; Ophthalmologic Emergencies; Otolaryngologic Emergencies; Acute Congestive Heart Failure; Endocrine Emergencies, DKA Hyper Osmolar; Altered Mental Status/Delirium; and Intoxication and Withdrawal.

Fully revised to meet current guidelines, Pharmacology for the Prehospital Professional, Second Edition offers a complete and practical understanding of pharmacology in the prehospital setting.The Second Edition provides a unique problem-based approach to ensure that you, as a prehospital provider, are prepared to effectively administer the drugs your patients need. Clinical scenarios present case information just as you will learn it in the classroom and encounter it in the field. By placing each drug in its relevant context, this text teaches you to identify the proper drug for a specific patient in a specific situation. This Second Edition includes: Contextualized profiles of over 90 drugs used in prehospital care for quick identification at critical moments. Problem-oriented approaches to real scenarios encountered in the field. Step-by-step procedural descriptions of pharmacologic processes commonly performed in the prehospital setting. A Medication Math chapter that strengthens your dosage-calculation skills. Legal Aspects and Risk Management coverage to help you avoid common mistakes made in prehospital care. Review questions that reinforce important chapter concepts and test your understanding.

The aim of this book is to help the reader achieve the correct diagnosis in the emergency setting, which continues to remain a challenge, given the variety of potential clinical presentations. Diagnostic failure is the largest reason for delays in provision of appropriate treatment, which can be life-saving, and the largest source of clinical complaints and untoward incidents leading to poor clinical outcomes and to litigation. In this book, the readers will find diagnostic checklists, organised according to potential emergency presentations and classified under body systems, including atypical presentations, lists of differential diagnoses and guidance to pattern recognition. Apart from providing an aide-memoire for a range of presentations, it is hoped that the book will allow for better quality and informed referrals, especially between health care providers. This book is aimed as a rapid reference guide for all levels of medical staff working in emergency and acute care settings in the English-speaking world, but may also benefit nursing professionals and medical students.

This practical and timely book provides comprehensive, state-of-the-art guidance on how primary care clinicians can best care for patients with substance use disorders. The book covers the major drugs of abuse, as well as the more recent ones, detailing the biology of various addictions and all dimensions of clinical diagnosis and management. It is organized in four parts: (1) The Basics, (2) Psychoactive Substance Dependencies, (3) Diagnosis, Treatment, Recovery, Relapse, and the Family, and (4) Special Groups. Part I, The Basics, consists of an overview, the various definitions of substance dependence, and the pharmacology of addictive substances. Chapter 1, Overview, is an introductory chapter that covers material common to the entire field of substance dependence. Chapter 2 covers the various definitions of substance dependence, and Chapter 3 reviews the pharmacology of addictive substances. Part II, Psychoactive Substance Dependencies, explains the various drug dependencies-alcohol dependence, sedative-hypnotic dependence, opioid dependence, stimulant dependence, nicotine dependence, cannabis dependence, dissociative dependence, inhalant dependence, hallucinogen dependence, and anabolic steroid dependence. Part III addresses diagnosis, treatment, recovery, relapse, and the family. Part IV, Special Groups, discusses substance dependence in women, adolescents, the elderly, ethnic minority groups, co-occurring disorders, LGBT patients, HIV positive patients, and the impaired physician. In addition to primary care physicians, Substance Use Disorders: A Guide for the Primary Care Provider will serve as an invaluable resource to primary care nurse practitioners and physician assistants, as well as medical students, primary care residents, emergency medicine physicians, ASAM and APA certified addictionists and those studying for certification in those specialties, psychiatrists, psychologists, and alcohol/drug counselors.

This book is designed to present an overview of common geriatrics ethical issues that arise during patient care and research activities. Each chapter includes a case example and practical learning pearls that are useful in day-to-day patient care. Coverage includes a brief overview of geriatric epidemiology, highlighting the high rates of dementia, use of surrogate decisions makers at the end-of-life, relocation from home to long-term care facilities, and low health literacy in the geriatrics population. Sections are devoted to issues around capacity, surrogate decision making, end-of-life care, hemodialysis in the elderly, and futility as well as challenges presented by independence questions, such as dementia care, driving, feeding, and intimacy in nursing homes. The text also addresses questions around recognizing, reporting, and treating elder abuse and self-neglect, ethics related to research and technology in the geriatric population, and the use of e-mail, Facebook, and open notes. Written by experts in the field, Ethical Considerations and Challenges in Geriatrics is a valuable tool for trainees at a variety of levels including medical students, residents, and fellows. In addition, it provides practical guidance and a useful reference for practicing geriatricians, primary care physicians, geriatric nurses, social workers, nursing home workers, hospice care employees, and all medical health professionals working with the elderly.

This issue of Emergency Medicine Clinics focuses on Neurologic Emergencies. Articles include: Headache; Back Pain; Dizziness; Generalized Weakness; Initial Diagnosis and Management of Coma; Neuro-ophthalmology; Diagnosis of Acute Ischemic Stroke; Treatment of Acute Ischemic Stroke; Acute Hemorrhagic Stroke; Status Epilepticus; Diagnosis and Emergency Management of Subarachnoid Hemorrhage and more!

This book is written for physicians who work within an emergency department or urgent care setting to provide them with a treatment plan for those patients who are deemed not to have an emergency medical situation and can be safely treated as an outpatient. Emergency physicians (EPs) see a wide variety of patients and ostensibly for emergency reasons. However, many patients present to the emergency department for primary care-related reasons due to multiple factors or are diagnosed with potentially chronic problems that require a primary care intervention. Examples include a new diagnosis of hypertension (without hypertensive emergency) or diabetes. Thus, it is prudent for the EP to learn about basic primary care management of these conditions. Unfortunately, the training of EPs does not include these conditions, and they are left to guess appropriate treatment or to start a new medication that may not be appropriate. This book aims to fill this gap by educating the EP on basic primary care interventions for specific conditions.

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. Put the authority of Tintinalli's into your emergency medicine review! A Doody's Core Title for 2015! Published in partnership with The American College of Emergency Physicians Derived from Tintinalli's Emergency Medicine: A Comprehensive Study Guide, Seventh Edition, this streamlined text is the perfect review for any emergency medicine exam -- or for use as a clinical refresher. Its concise, bulleted design condenses and simplifies must-know concepts and helps you make the most of your study time. This authoritative study guide includes radiographs, color images, line drawings, and ECGs, all designed to enhance your understanding of the material and help you meet the challenges of visual diagnosis in practice and exam situations. Features Updated to reflect the latest advances in diagnostic imaging NEW CHAPTERS on Hematologic-Oncologic Emergencies, Renal Emergencies in Children, Low Probability Coronary Syndromes, Urinary Retention, Food and Water-Borne Diseases, and World Travelers Increased coverage of toxicology and trauma More than 300 tables encapsulate important information More than 100 radiographs/color images and 90 line drawings/ECGs aid recognition of challenging and life-threatening disorders Provides a brief yet comprehensive review of the practice of emergency medicine for clinicians who wish to update their knowledge of the specialty

The 80 rules you need to prepare for action in a medical disaster

Here are 80 disaster management rules to reflect on, remember and follow in the immediate aftermath of an incident involving mass casualties. Each rule is a single-page long, providing the essential information to inform the most common critical decisions you will have to make in either a civilian or military environment.

Written by clinicians with deep clinical and operational experience, these rules are concise evidence-based guidelines for all medical personnel dealing with disasters at the scene or in hospital. Based on the Major Incident Medical Management and Support system widely adopted in the UK, mainland Europe, Australasia and NATO, they are both authoritative and effective.

Now in its 7th edition, Auerbach's Wilderness Medicine continues to help you quickly and decisively manage medical emergencies encountered in any wilderness or other austere setting! World-renowned authority Dr. Paul Auerbach and 2 new associate editors have assembled a team of experts to offer proven, practical, visual guidance for effectively diagnosing and treating the full range of issues that can occur in situations where time and resources are scarce. Now in an exciting 2-volume set that includes convenient online access, this indispensable resource equips physicians, nurses, advanced practice providers, first responders, and rescuers with the essential knowledge and skills to effectively address and prevent injuries and illnesses - no matter where they happen! Brand-new 2-volume format ensures all content is available in print and online to provide you easy access. Face any medical challenge in the wilderness with expert guidance from hundreds of outstanding world experts edited by Dr. Auerbach and 2 new associate editors, Drs.Tracy Cushing and N. Stuart Harris New and expanded chapters with hundreds of new photos and illustrative drawings help increase your visual understanding of the material Acquire the knowledge and skills you need with revised chapters providing expanded discussions of high-altitude medicine, improvisation, technical rescue, telemedicine, ultrasound, and wilderness medicine education Ten new chapters cover Acute High-Altitude Medicine and Pathophysiology; High Altitude and Pre-Existing Medical Conditions; Cycles, Snowmobiles, and other Wilderness Conveyances; Medical Wilderness Adventure Races (MedWAR); Canyoneering and Canyon Medicine; Evidence-Based Wilderness Medicine; National Park Service Medicine; Genomics and Personalized Wilderness Medicine; Forestry; and Earth Sciences 30+ Expert Consult online videos cover survival tips, procedural demonstrations, and detailed explanations of diseases and incidents Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices Brand-new 2-volume format ensures all content is available in print and online to provide you easy access. Face any medical challenge in the wilderness with expert guidance from hundreds of outstanding world experts edited by Dr. Auerbach and 2 new associate editors, Drs.Tracy Cushing and N. Stuart Harris. New and expanded chapters with hundreds of new photos and illustrative drawings help increase your visual understanding of the material. Acquire the knowledge and skills you need with revised chapters providing expanded discussions of high-altitude medicine, improvisation, technical rescue, telemedicine, ultrasound, and wilderness medicine education. Ten new chapters cover Acute High-Altitude Medicine and Pathophysiology; High Altitude and Pre-Existing Medical Conditions; Cycles, Snowmobiles, and other Wilderness Conveyances; Medical Wilderness Adventure Races (MedWAR); Canyoneering and Canyon Medicine; Evidence-Based Wilderness Medicine; National Park Service Medicine; Genomics and Personalized Wilderness Medicine; Forestry; and Earth Sciences. 30+ Expert Consult online videos cover survival tips, procedural demonstrations, and detailed explanations of diseases and incidents. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices.

Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system. Table of Contents Front Matter Abstract Summary Part I: Introduction, Overview, and Framework 1 Introduction 2 Overview of Contemporary Civilian and Military Trauma Systems 3 A Framework for a Learning Trauma Care System Part II: Assessment 4 Generating and Applying Knowledge to Improve Trauma Outcomes 5 Creating and Sustaining an Expert Trauma Care Workforce 6 Delivering Patient-Centered Trauma Care 7 Leveraging Leadership and Fostering a Culture of Learning Part III: Recommendations 8 A Vision for a National Trauma Care System Appendixes Appendix A: Case Studies Appendix B: Committee Collective Analysis of Case Studies Appendix C: MilitaryCivilian Exchange of Knowledge and Practices in Trauma Care Appendix D: Military and Civilian Trauma Care in the Context of a Continuously Learning Health System Appendix E: Public Committee Meeting Agendas Appendix F: Committee Biosketches