When someone has successfully completed a Standard First Aid Course, they often have a desire to extend their knowledge of first aid. The aim of this book is to give the holders of a Standard First Aid Certificate the opportunity to study the principles of first aid in greater detail. It is not intended to convert the first aider into a highly trained paramedic - so a discussion on the use of intra venous fluids, defibrillators etc., is beyond the scope of this book. It is hoped that the book will provide a useful in-depth study for demonstrators, instructors and first aiders likely to be involved in ambulance duties. I am very grateful to Brigadier D.O. O'Brien, Chief Medical Adviser, British Red Cross Society and Mrs. R.H. Smith, Assistant Branch Director (Training), Leicestershire Branch of the British Red Cross Society for their helpful comments and encouragement. I acknowledge the use of illustrations from the Clinical Symposia Series by CIBA on the "Heimlich Manoeuvre" to form the basis of Figures 3.7,3.8 and 3.9.

Over three decades ago, PHTLS: Prehospital Trauma Life Support transformed the assessment and management of trauma patients in the field, improving the quality of trauma patient care and saving lives around the world. The tenth edition of this trusted, comprehensive resource continues the PHTLS mission to promote excellence in trauma patient management by all prehospital care practitioners through global education. First developed by the National Association of Emergency Medical Technicians (NAEMT) in the early 1980s in cooperation with the American College of Surgeons Committee on Trauma (ACS-COT), this proven program includes updated medical content to reflect current, evidence-based knowledge and practice. PHTLS promotes critical thinking as the foundation for providing quality care, knowing that EMS practitioners make the best decisions on behalf of their patients when given a solid foundation of knowledge and key principles to fuel their critical-thinking skills. A Clear Approach to Assessing a Trauma Patient In the field, seconds count. The tenth edition of PHTLS: Prehospital Trauma Life Support teaches and reinforces the principles of rapidly assessing a trauma patient using an orderly approach, immediately treating life-threatening problems as they are identified, and minimizing delays in initiating transport to an appropriate destination. PHTLS, Tenth Edition features: - The updated ACS National Guidelines for the Field Triage of Injured Patients - An advanced discussion on the challenges of prolonged scene time - Consideration of when to shift efforts from search and rescue to recovery in the setting of a drowning victim - The United Kingdom Fire and Rescue Guidelines for search and rescue - New content on blast injuries - Clarification on the role of pelvic binders - Presentation of the emerging role of prehospital blood transfusion in hemorrhagic shock in reducing 30-day mortality - Current content addressing special considerations, including weapons of mass destruction and environmental trauma

ECG in Emergency Medicine and Acute Care provides a comprehensive, clinically relevant resource on electrocardiography for those who care for patients in the emergency setting. The book provides succinct information on ECG abnormalities and their aetiologic differential diagnoses, diagnostic criteria for the ECG manifestations of various clinical diseases/entities, and many 12-lead ECG examples for review. * Offers expert guidance from a premier editorial team. * Includes description/pathophysiology * causes * ECG findings * differential diagnosis/hints * and ECG examples in the Electrocardiographic Manifestations of Disease section. * Features a consistent chapter organization that follows a specific outline, ensuring consistent, reliable information throughout. * Uses over 450 illustrations, including a multitude of 12-lead examples for review-making this resource ideal for board preparation. * And much more.

The prevalence of obesity, an important risk factor for various diseases, has increased markedly worldwide in recent years. The results of long-term dietary behavioural therapy, however, remain sadly inadequate, with a relapse rate of about 90%. Surgery is still the only effective treatment for these patients. The annual number of weight loss operations performed in the United States in the early 1990s totaled only about 16,000, but by 2005 the figure exceeded 200,000. The anesthetic care of severely obese patients entails particular issues, and difficulties are believed to escalate in the presence of co-morbidities. Despite this, outcome data in respect of anesthetic care and pain management are still scarce. Anesthetic Management of the Obese Patient considers a wide range of important practical issues and controversies. Key questions in preoperative, intraoperative, and postoperative management are carefully addressed, and different approaches are evaluated, casting light on their effectiveness and limitations. Written by world leaders in the field, this book will be an invaluable aid for anesthesiologists.

For nearly 40 years, Medicine for the Outdoors: The Essential Guide to First Aid and Medical Emergencies has been the take-along manual of choice for anyone venturing into the mountains, forest, desert, or on water. This essential guide provides highly illustrated, easy-to-follow guidance on immediate stabilization and treatment of persons with virtually any possible medical problem-designed for on-the-spot use when higher-level medical care is not accessible. Written by experts in outdoor medicine, this updated edition helps you manage any situation until medical personnel can take over. Covers key information on a wide range of disorders related to specific environments, including natural disasters, high-altitude problems, water-related incidents, heat- and cold-related illnesses, and wildland fires. Provides easy-to-understand recommendations for dealing with animal attacks, venomous wildlife, wild plant and mushroom poisoning, minor and major medical problems, infectious diseases, water disinfection, and severe bleeding. Discusses key topics, including antibiotics, medicines, opioid overdose treatment, wound closure techniques, severe bleeding, spinal assessment and immobilization, tourniquets, the use of a Gamow bag for severe altitude illness, splinting, dental emergencies, disaster preparedness, global conflict guidelines, canine medicine, today's infectious disease threats, and much more. Includes up-to-date guidelines, even more helpful illustrations and diagrams, and a new chapter: Patient Assessment: A Structured Approach to Emergencies in the Outdoors. Includes advanced topics valuable to physicians and expedition medical staff at all levels of training and experience. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This new volume in the established and well-respected series of Self-Assessment Color Reviews covers all aspects of adult emergency medicine. Some 250 cases are presented randomly to reflect real-life practice. Each case consists of one or more questions, illustrated by stimulating visual material including clinical photographs, imaging and electrocardiograms. Answers and full discussion then follow covering differential and definitive diagnoses, management and subtle insights to provide optimal care and prevent complications. The book appeals to a wide readership, ranging from trainees to practitioners in emergency medicine or primary care, for examination revision and continuing education.

The first edition of conflict and catastrophe was produced in 2002 and a second, successful edition, followed in 2009. The decision to produce these works sprung from painful problems experienced by colleagues and authors themselves during many humanitarian and related deployments. The guide for both editions was to provide, in one volume, an entry level text covering all aspects of deployment, with an emphasis on medicine and healthcare in these environments. This third revised, expanded and updated edition of Conflict and Catastrophe Medicine: A Practical Guide follows its successful predecessors in providing a framework for use by health professionals visiting a resource constrained environment. Encompassing problems brought about by local conflict or natural disasters, the book covers preparation, organisation, logistics, treatment of major trauma and medical emergencies, and the special problems of delivering medicine in a hostile environment. This book comprehensively tackles: Self-preparation of health professionals to face a range of medical and related problems which occur in hostile and remote environments; War and disaster medicine, covering acute management, rehabilitation, reconstruction and prevention; Bridging the fields of medicine, nursing, international relations, history, politics and economics. The book also touches on nutrition, infection, trauma, psychiatry and psychological medicine and training.

This book provides a detailed and comprehensive overview of the role of diagnostic imaging in the assessment and management of trauma and polytrauma in children. The coverage includes imaging of injuries to the head, thorax, abdomen, bone and musculoskeletal system, with careful attention to the newest imaging techniques, imaging during the course of recovery and imaging of complications. A series of illustrative cases underline the prognostic value of imaging. In addition, an individual chapter is devoted to diagnostic imaging in cases of child abuse. The book concludes by discussing informed consent and medicolegal issues related to the imaging of pediatric traumatic emergencies. "Imaging Trauma and Polytrauma in Pediatric Patients "will be invaluable in enabling radiologists and clinicians to identify the main features and signs of injuries on a wide range of imaging techniques, including X-ray, ultrasonography, computed tomography and magnetic resonance imaging.

Ventilator-associated pneumonia (VAP) continues to be one of the greatest challenges to critical care practitioners and one of the greatest threats to the survival of our patients. The choice of this topic for an issue of the PERSPECTIVES IN CRITICAL CARE INFECTIOUS DISEASES Series is therefore quite appropriate. Despite its importance, many areas of the management of ventilator-associated pneumonia remain controversial. We therefore are pleased to include contributions from experts and investigators offering different perspectives on some of these controversial areas.

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 book was conceived in response to the increasing recognition of the central role of communication in effective healthcare delivery, particularly in high-stress contexts. Over a three-year period, the research team investigated communication between patients and clinicians in five representative emergency departments (EDs). The book describes the communicative complexity and intensity of work in the ED and identifies the features of successful patient-clinician interactions. Drawing on authentic examples of communication within the ED, the book provides comprehensive communication strategies for healthcare professionals that can be readily integrated into everyday practice. 'Professor Diana Slade and her colleagues have written an innovative and practical book on communication and relationships in emergency departments and their effects on the patient experience. Rarely does one find a book that so seamlessly translates research findings into practical action strategies. The book is an invaluable resource for the training of physicians, nurses, hospital administrators and others in healthcare.' - Elizabeth A. Rider, MSW, MD, FAAP, Department of Pediatrics, Harvard Medical School 'My participation in the UTS Emergency Communication project provided extraordinary insights into the complexities and subtleties of communication encounters during a patient's emergency department journey. This project has made a lasting impact on my daily work, and I hope will improve emergency patient care into the future.' - Dr Nick Taylor, Emergency Medicine Specialist, The Canberra Hospital 'The captured clinical conversations between doctors, nurses and patients are fascinating... The discussion and conclusions provide a rare insight into an integral and critical component of Emergency Medicine practice. The team, led by Professor Slade, was truly unobtrusive, professional and personable.' - Dr Marian Lee, Emergency Physician, Director of Emergency Medicine Training

This "comforting...thoughtful" (The Washington Post) guide to maintaining a high quality of life-from resilient old age to the first inklings of a serious illness to the final breath-by the New York Times bestselling author of Knocking on Heaven's Door is a "roadmap to the end that combines medical, practical, and spiritual guidance" (The Boston Globe). "A common sense path to define what a 'good' death looks like" (USA TODAY), The Art of Dying Well is about living as well as possible for as long as possible and adapting successfully to change. Packed with extraordinarily helpful insights and inspiring true stories, award-winning journalist Katy Butler shows how to thrive in later life (even when coping with a chronic medical condition), how to get the best from our health system, and how to make your own "good death" more likely. Butler explains how to successfully age in place, why to pick a younger doctor and how to have an honest conversation with them, when not to call 911, and how to make your death a sacred rite of passage rather than a medical event. This handbook of preparations-practical, communal, physical, and spiritual-will help you make the most of your remaining time, be it decades, years, or months. Based on Butler's experience caring for aging parents, and hundreds of interviews with people who have successfully navigated our fragmented health system and helped their loved ones have good deaths, The Art of Dying Well also draws on the expertise of national leaders in family medicine, palliative care, geriatrics, oncology, and hospice. This "empowering guide clearly outlines the steps necessary to prepare for a beautiful death without fear" (Shelf Awareness).

Whether switching on the TV, picking up a newspaper or simply logging on to the internet, one is constantly faced with images of natural disasters, conflict and human suffering. Humanity has experienced these problems throughout time and we have evolved methods and mechanisms for alleviating suffering, from trauma care following a traffic accident to international pacts and the Millennium Development Goals. In exploring such diverse cases of aid intervention, Disaster Medicine: A Case Based Approach provides interesting, easily accessible content and context for understanding disaster medicine and global health. In each case the reader will be put in the position of the decision maker and as in real life some of the cases will portray success and some will show failure. It is hoped the reader will consider the issues and problems for themselves and perhaps consider things they would choose to do differently. Written by a team of experts with extensive experience in the field and a progressive perspective Disaster Medicine: A Case Based Approach is a valuable text for students and professionals of disaster medicine.

This book analyses the private provision of rescue and emergency services, and focuses on the emergence of the world's largest rescue company, Falck. The author's structured academic perspective is informed through close co-operation with Falck, which operates in 44 countries and across 6 continents. The chapters examine aspects of reliability, culture, innovation, trust, governance and business development within rescue and emergency services, including differentiation, internationalisation and globalisation. Drawing on detailed case studies of Falck's global work in the USA, Columbia, India and Denmark, Private Action for Public Purpose is instructive for students and researchers of business and management, and will provide value for emergency responders, managers, policy-makers and organisations involved in emergency response and crisis management.

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

AMLS: Advanced Medical Life Support (AMLS) ist der fuhrende Kurs fur Rettungsfachpersonal zur erweiterten Beurteilung und Behandlung haufig auftretender internistischer und neurologischer Notfallerkrankungen. AMLS wird seit 1999 weltweit unterrichtet und war das erste auf den Rettungsdienst und die Akutmedizin ausgerichtete Ausbildungsprogramm, das sich vollstandig mit der Frage befasste, wie Patienten in internistischen und neurologischen Notfallsituationen am besten behandelt werden koennen. AMLS wurde in den USA von der National Association of Emergency Medical Technicians (NAEMT) entwickelt und wird von der National Association of EMS Physicians (NAEMSP) unterstutzt. Diese wichtige Herangehensweise zur Beurteilung ermoeglicht es dem Rettungsfachpersonal, schnell eine Arbeitsdiagnose zu stellen und eine effektive Behandlung vor Ort einzuleiten. Diese dritte Auflage von AMLS enthalt voellig neue Inhalte zu Pharmakologie (Kapitel 11), Sepsis (Kapitel 12) und psychischen Notfallen (Anhang C). AMLS ist das einzige Lehrbuch, das fur die Verwendung im Advanced Medical Life Support- Kurs der NAEMT zugelassen ist. Der medizinische Inhalt wird kontinuierlich uberarbeitet und aktualisiert, um den aktuellen, evidenzbasierten Wissensstand und die Best-Praxis widerzuspiegeln. Im Mittelpunkt der AMLS-Philosophie steht die Anwendung kritischen Denkens zur Beurteilung von Patienten und zur Erstellung von Behandlungsansatzen. Ein klarer Ansatz zur Beurteilung eines medizinischen Patienten Im Einsatz zahlt jede Sekunde. Die AMLS-Herangehensweise bietet einen systematischen Ansatz fur die Beurteilung eines nicht traumatologischen Patienten, der es dem Rettungsfachpersonal ermoeglicht, diese Patienten mit schnell und zielsicher einzuschatzen und einer Behandlung zuzufuhren.

Examine the effects of childhood trauma on sexual orientation and behavior! This pioneering book examines the effects of childhood traumaincluding sexual abuseon sexual orientation and behavior. It will help you expand your sensitivity and expertise in a critically important way: by providing a nonjudgmental look at the profound effects of long-standing early abuse on the sexual identities, orientation, behaviors, and fantasies of the people who come to you for help. From the editors: In the modern era of trauma studies, clinicians and researchers have been treating and investigating the effects of traumaincluding the sexual abuse of childrenfor more than two decades. And yet, we know far more about sequelae such as post-traumatic and dissociative symptoms, disrupted attachment, addictions, eating disorders, and somatoform symptoms than we do about the effects of trauma on sexual behavior. With the exception of a relatively few articles in the scientific literature (many of which were written by the authors in this collection), little has been published about the sexual effects of sexual abuse and other childhood maltreatment. Why have we neglected this obvious and important area? Perhaps the reason can be simply attributed to our Victorian legacy of reluctance to openly discuss sexuality. Or, perhaps the reason may be related to some of the expressions of sexuality that are sometimes seen in persons with childhood trauma. At times, expressions such as sexual addiction, homosexuality, sadomasochistic behavior, and prostitution have been classified as deviant. This may have contributed to our reluctance to discuss them openly. Or, perhaps the reason is that we collectively wish to deny the effects of abuse on one of the core aspects of ourselvesto deny that early traumatic events forever change the sexual lives of persons in such an intimate and profound way. The contributors to this well-referenced book combine their insight and expertise to address sensitive areas, including: the concepts of femininity and masculinityand how these personality styles are direct and indirect outcomes of trauma and reflective of dissociation treatment approaches for lesbian, gay, bisexual, and transgendered trauma survivors the need to address sexuality in treatmentand to always keep in mind that there are many different healthy expressions of sexuality and gender the relationship of dissociation to sexual addiction/compulsivity in survivors of childhood sexual abuse sexual behavior problems in children who have been abused, including sexually reactive behaviors, extensive but mutual sexual behaviors, and children who molestessential reading for anyone who doesn't want to see abused children mislabeled as sexual offenders! hyposexuality and hypersexuality as a result of childhood trauma the relationship between trauma history, trauma-related symptoms, and sexual risk behaviors that can lead to infection by HIV or other STDs as well as unplanned pregnancy

This completely revised fourth edition of Principles of Pediatric and Neonatal Emergencies - a flagship publication of Indian Pediatrics - is now in colour. With its focus on the management of acute illnesses in emergency settings, especially in low- and middle-income settings, the book will be highly relevant to the needs of pediatricians working in developing countries. Most chapters have been completely rewritten, incorporating latest consensus guidelines of management by various academic bodies and incorporating flowcharts and key points. The emphasis continues to be on initial management of common and important emergencies affecting children. Detailed discussions on etiology and pathophysiology have been avoided. This textbook shall be extremely valuable for pediatricians, physicians, resident doctors and other trainees, and will be an essential part of shelf in all pediatric emergency units. Incorporates latest evidence-based diagnostic and therapeutic recommendations related to pediatric and neonatal emergencies. Comprehensively covers acute illnesses in children, with emphasis on their initial management. New chapters on oxygen therapy, anaphylaxis, blood component therapy, asthma, chronic respiratory disorders, cardiac arrhythmias, traumatic brain injuries, oncological emergencies, dermatological, gynecological and psychiatric emergencies, burns, corrosive poisonings, urological, orthopedic, and ocular emergencies and approach to sexually abused child. Special arrangement in 8 sections - starting with Organization of Pediatric Emergency Department, and progressing to initial Stabilization of a Sick Child, followed by Systemic Emergencies, Environmental, and Toxicological Threats, Neonatal Emergencies, Surgical and Subspecialty Emergencies, and Procedures. Contribution from over 170 authors with vast experience in emergencies and intensive care. Annexures on drug doses for emergency drugs, with emphasis on antiarrhythmic drugs. A must for every postgraduate student and practicing pediatriciains and an essential component in the shelf of all pediatric emergenct units.

Women have always been healers; they have helped each other through the birthing process, nursed the sick and wounded, and sought cures for illnesses and injuries. This book summarizes the lives of 240 significant or representative women who have engaged in the core professions of mid-wifery, nursing, and medicine (exclusive of psychiatry), and whose careers were primarily spent in the United States and Canada, from colonial times to the present. For the high school or college student, it will serve as an introduction to the lives of these healers; some students may be inspired to do further research on them or may be inspired to become healers themselves. Women's Studies scholars, biographers, and historians of science, medicine, or nursing, will find the biographies useful starting points for more in-depth research. Each biography provides references for further reading and study.

While many books are available on disaster medicine, none is specifically devoted to the role of physicians in the management of patients exposed to radiation leakage from a damaged nuclear power plant. "Radiation Disaster Medicine" aims to fill this void based on the response to the Fukushima nuclear accident. Each chapter addresses principles and practices of radiation medicine within the specific context of that accident. Topics covered include the role of physicians in radiation disasters, the concepts of external and internal exposure, prehospital and hospital response, disaster behavioral health, and radiation emergency response from the perspective of national and international institutions. Most of the contributors are active educators and researchers in radiation medicine with first-hand experience in dealing with prehospital triage and management of patients within secondary and tertiary care hospitals in Japan.

This book provides readers with a critical, conceptual and applied understanding of the role of communication and community engagement for disease outbreak preparedness and response. Until the WHO declared COVID-19 a pandemic on March 11, 2020, for several years public health authorities and influential voices in the international public health community have warned of a pandemic and therefore a need to strengthen governments and communities' ability to prevent and respond to it effectively to minimize its impact on lives and economies. While investments have focused on clinical, diagnostic, and vaccine research, preventing and minimizing the impact of disease outbreaks requires a wider socio-ecological systems approach that places communities at the centre of the response. Such an approach is still rare in public health practice. One of the key lessons that the authors have learned, and on which they reflect in the chapters, is that technical inputs will be as effective as they are fully integrated within the broader architecture of disease outbreak preparedness and response. The ten chapters of this contributed volume are organized under three parts: a conceptual framework, case studies, and recommendations. Communication and Community Engagement in Disease Outbreaks is a timely and essential resource for public health managers, donors, implementers, organizations engaged in disease prevention and control and academics called on to support the response. These audiences should benefit from this approach as the book highlights dimensions that are often under-resourced.