Eine adaquate Therapie von Schmerzen bei Kindern, egal welchen Alters, stellt die beste Pravention von chronischen Schmerzen dar. Lesen Sie in dem Standardwerk zum Thema nach, wie Sie gezielt die Therapie gestalten koennen: - Aktuelle Erkenntnisse zum Schmerzgeschehen bei Kindern, deren Schmerzwahrnehmung und -verarbeitung, - Moeglichkeiten zur Schmerzanamnese, medikamentoesen Therapie und psychologischen Intervention, - Hinweise zur speziellen Pflege inkl. alternativer Pflegemethoden, - Ambulante und stationare multimodale Schmerztherapie. Die 5. Auflage erscheint komplett aktualisiert und fachlich erweitert. Neu sind die Themen Gesprachsfuhrung bei chronisch schmerzkranken Kindern und Jugendlichen, Qualitatssicherung in der postoperativen Schmerztherapie, Therapie chronischer Schmerzen bei jungen Erwachsenen und mehr. Plus: Online-Zusatzmaterial u.a. mit zusatzlichen Informationen zur Fort- und Weiterbildung. Wissenschaftlich fundiert und praktisch anwendbar: Zahlreiche Tabellen, Fragebogen und Dokumentationshilfen zu Medikamentendosierungen, UEberwachungsbogen, Adressen von Websites und Selbsthilfegruppen. Ein idealer Begleiter fur alle Mitglieder im therapeutischen Team: Padiater, Anasthesisten, Schmerztherapeuten, Physiologen, Psychologen und Kinderkrankenschwestern.

AMLS: Advanced Medical Life Support is the leading course for prehospital practitioners in advanced medical assessment and treatment of commonly encountered medical conditions. Taught across the globe since 1999, AMLS was the first EMS education program that fully addressed how to best manage patients in medical crises. Created by the National Association of Emergency Medical Technicians (NAEMT) and endorsed by the National Association of EMS Physicians (NAEMSP), AMLS emphasizes the use of the AMLS Assessment Pathway. This essential assessment tool empowers prehospital practitioners to rapidly diagnose medical patients and initiate effective management in the field. AMLS is the only textbook approved for use in NAEMT's Advanced Medical Life Support course. Its medical content is continuously revised and updated to reflect current, evidence-based knowledge and practice. The AMLS philosophy is centered on using critical thinking to assess patients and formulate management plans. A Clear Approach to Assessing a Medical Patient In the field, seconds count. The AMLS Assessment Pathway provides a systematic approach to the assessment of a medical patient that enables prehospital practitioners to diagnose medical patients with urgent accuracy. Dynamic Technology Solutions World-class content joins instructionally sound design with a user-friendly interface to give instructors and students a truly interactive and engaging learning experience with: eBook of the AMLS Course Manual that reinforces key concepts presented in the AMLS course Engaging case-based lectures in the AMLS Online Instructor Toolkit

All Hazards Disaster Response (AHDR) is a groundbreaking program from the National Association of Emergency Medical Technicians (NAEMT) that uses realistic scenarios to prepare first responders to respond swiftly and effectively when disaster strikes. It is the first EMS education program that fully addresses how to best manage patients during disasters. AHDR trains EMS practitioners for a team- and systems-based approach to disaster preparedness and response. Training with AHDR leads to the acquisition of critical knowledge and enables EMS practitioners to explore potentially dangerous situations in an interactive and safe learning environment. Key Features The AHDR Course Manual is designed to be used by participants before, during, and after the course. Before the course, participants can prepare with the evidence-based content and engaging features within each lesson. Check Your Knowledge questions and lesson summaries reinforce key concepts and tie information together, helping participants retain what they have learned. During the course, participants will utilize the course manual as a vital resource during critical-thinking skill stations. After the course, participants can consult the course manual as a trusted reference.

Current, comprehensive, and focused, the bestselling Oxford Handbook of Acute Medicine returns for its fourth edition. Thoroughly revised and updated throughout, this trusted, quick-reference guide includes the latest evidence-based guidelines and recommended management of medical emergencies alongside new figures and clinical tips from experienced authors and a team of dedicated specialist reviewers. With a new chapter on acute medicine and the older patient, and even more distilled key points and practice tips, it is accessible to all members of the multidisciplinary team and practitioners across an even wider range of specialties. The Oxford Handbook of Acute Medicine remains the must-have resource for all those dealing with acute illness. Your practical guide to the presentation, causes, and management of the acutely ill patient, this Handbook will take you step-by-step through the management of the patient while awaiting specialist help, and beyond, with details of specialist treatments to help you make an informed decision about your patient's ongoing care. We have taken on board recent consumer feedback on the 4th edition and would like to clarify that the handbook has been kept to a portable and concise size whilst including the necessary information required by our readers. We have updated the Adult advanced life support algorithm in our latest reprint and online, and the other points raised by consumers are with the book authors for their review. Readers can get in touch with us directly using the contact details on the back of the book or at our online form via the address below with questions or comments. https://global.oup.com/academic/category/medicine-and-health

Dieses essential beleuchtet das Thema Integrierte Notfallzentren (INZ). INZ sollen an einem Tresen die Situation des Patienten einschatzen. Ziel ist es diesen einem der jeweiligen Behandlungsdringlichkeit zustandigen Versorgungsbereich (ambulante medizinische Versorgung, arztlicher Bereitschaftsdienst oder klinische Notfallversorgung) zuzuordnen, um u.a. auch einer UEberfullung und UEberlastung der Notaufnahmen entgegenzuwirken. Dieses essential fasst sowohl den aktuellen Forschungsstand als auch heterogene Meinungen zum Thema INZ zusammen.

Rapid acquisition and interpretation of radiographs, portable ultrasound (US) and computed tomography (CT) are now the mainstay of initial successful management of sick and traumatized patients presenting to Accident and Emergency Departments. The ABC of Emergency Radiology is a simple and logical step-by-step guide on how to interpret radiographs, US and CT. It incorporates all the latest technological advances, including replacing plain radiographs with digital radiographs, changes in imaging protocols and the role of portable US and multidetector CT. With over 400 illustrations and annotated radiographs, this thoroughly revised third edition provides more images, new illustrations, and new chapters on emergency US and CT that reflect current practice. Each chapter starts with radiological anatomy, standard and then additional views, a systematic approach to interpretation (ABC approach) and followed by a review of common abnormalities. The ABC of Emergency Radiology is an invaluable resource for accident and emergency staff, trainee radiologists, medical students, nurses, radiographers and all medical personnel involved in the immediate care of trauma patients. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from iTunes, Google Play or the MedHand Store.

A common symptom of psychiatric and medical disorders, agitation often appears in a variety of medical environments. This practical guide explores the origins of the condition and the differing approaches and treatments available. The biology of agitation is discussed, followed by specific chapters on substance abuse, medical causes, personality disorders, and treatment in pediatrics and the elderly. Treatment options including psychiatric work-ups, medical work-ups, psychopharmacology, de-escalation, and calming techniques are provided. The complexities of legal issues, patients' rights, and prehospital settings are also addressed, providing physicians, nurses, and mental health workers with a comprehensive resource in providing safe, focused, and effective treatment.

Everything you need to pass FRCEM Primary is in this book. Based on the popular and successful Revision Notes for the MCEM Part A this new edition is mapped against the new FRCEM Primary syllabus. Addressing the basic sciences as they apply to Emergency Medicine and recent exam topics such as clinical trials and statistics, all components of the exams are covered. Written in a revision notes style, lists, bullets points and tables help candidates to absorb information and revise efficiently. This new edition includes more anatomy illustrations to bring the text to life and aid understanding. The author, a successful FRCEM candidate and Consultant in Emergency Medicine, brings his considerable experience to this text. Complete, refreshed and improved, Revision Notes for the FRCEM Primary is the ideal companion for all FRCEM candidates.

This guide to the proper use of the ECG in diagnosing acute myocardial infarction puts the combined experience of international authorities at your fingertips for immediate use. In "The 12 Lead ECG in ST Elevation MI: A Practical Approach for Clinicians, " Drs. Bayes de Luna, Fiol-Sala and Antman supply the practical, specific information you need to determine which patients with ACS are showing ST elevation.

To facilitate correct diagnosis and guide management, the authors use a consistent sequence to explain the ECG abnormalities for each site of coronary occlusion. A schematic of the coronary tree illustrates the point of occlusion.
The second part of the book contains a self-assessment section with a series of 15 cases, each of which includes one or more 12-lead ECGs for analysis. These valuable examples help you prepare for on-the-spot interpretation in the emergency department or intensive care unit.

Pierre Pfutsch zeigt, dass mit dem Notfallsanitatergesetz aus dem Jahr 2014 die berufliche Tatigkeit im Rettungsdienst stark aufgewertet wurde. Den Berufsangehoerigen wurde eine dreijahrige Ausbildung, die Moeglichkeit zur akademischen Bildung und sogar die Ausubung bestimmter heilkundlicher Massnahmen zugestanden. Nach Ansicht des Autors wird seitdem die Frage nach Delegation bzw. Substitution arztlicher Leistungen verhandelt. Zu Beginn waren Rettungssanitater zum uberwiegenden Teil ehrenamtliche Mitarbeiter, die kaum mehr als eine Erste-Hilfe-Ausbildung besassen und lediglich fur den Transport zustandig waren. Aufgrund des medizinischen Fortschritts und der steigenden Unfallzahlen im Strassenverkehr setzte Ende der 1960er-Jahre eine Professionalisierung dieses Berufsfeldes ein. Treffen Notfallsanitater vor dem Notarzt am Unfallort ein und mussen bei lebensbedrohlichen Zustanden tatig werden, begeben sie sich in eine juristische Grauzone, die einige Unsicherheiten mit sich bringt. Der Autor: Dr. Pierre Pfutsch ist Historiker und wissenschaftlicher Mitarbeiter am Institut fur Geschichte der Medizin der Robert Bosch Stiftung in Stuttgart und forscht dort zur deutsch-deutschen Zeitgeschichte von Gesundheitsberufen.

Patients in the neurointensive care unit pose many clinical challenges for the attending physician. Even experienced clinicians occasionally arrive at the point where diagnostic, work-up, treatment, or prognostic thinking becomes stymied. In daily practice, neurocritical care pertains to managing deteriorating patients, treatment of complications but also end-of-life care assisting families with difficult decisions. Part of the "What Do I Do Now?" series, Neurocritical Care provides insight into interventions in acute neurologic disorders. Using a case-based approach, this volume emphasizes how to handle comparatively common clinical problems emergently. New to this edition are cases on monitoring and prognostication. All cases have been carefully revised, and new information, references, and practical tables have been added. Neurocritical Care is both an engaging collection of thought-provoking cases and a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"

The eighth edition of this international bestselling emergency medicine handbook has been completely revised and updated to include the latest evidence-based guidelines and treatment protocols underpinning best practice in emergency medical care. Carefully designed to suit the needs of interns and resident doctors working in the emergency department as well as specialist trainees, the book covers the full range of emergencies - general medical, infectious disease and foreign travel-related, toxicological, surgical, paediatric, obstetric and gynaecological, ophthalmic and psychiatric - as well as practical procedures and administrative and legal issues.

This quick reference guide provides residents and physicians with a valuable tool to help diagnose and treat the most common pediatric emergencies. Based on the clinical presentation, this guide offers advice on history taking, physical examinations, diagnostic imaging, treatment options, and differential diagnoses. Topics include general assessment and management, acute presentations, cardiac emergencies, neonatal emergencies, trauma, and more

Anesthesia Emergencies contains relevant step-by-step information on how to detect, manage, and treat complications and emergencies during the perioperative period. Concisely written, highlighted sections on immediate management and risk factors reinforce essential points for easy memorization, while consistent organization and checklists provide ease of learning and clarity. Anesthesia providers will find this book an indispensable resource, describing assessment and treatment of life-threatening situations, including airway, thoracic, surgical, pediatric, and cardiovascular emergencies. The second edition contains a revised table of contents which presents topics in order of their priority during emergencies, as well as two new chapters on crisis resource management and disaster medicine.

User-friendly resource presents state-of-the-art management of orthopaedic trauma Orthopaedic trauma spans the full spectrum of injury, from simple fractures to life-threatening accidents with multiple broken bones. As such, these incidents are a common reason patients visit emergency departments and receive treatment from orthopaedic surgeons. Synopsis of Orthopaedic Trauma Management by nationally recognized experts Brian Mullis, Greg Gaski, and esteemed contributors fills a gap in the literature by providing a concise yet comprehensive reference for evaluating these conditions and initiating immediate treatment. The text provides a well-rounded perspective on the surgical and nonsurgical management of trauma in adult and pediatric patients. The opening section lays a solid foundation, with chapters covering physiology, open and closed fracture management, imaging, biomechanics, complications, and other core topics. Subsequent chapters address a full compendium of orthopaedic procedures to treat traumatic conditions of the upper and lower extremities, pelvis, and spine. Key Features Bulleted format provides quick and authoritative navigation of essential information needed for effective treatment A wealth of high-quality illustrations, radiographic images, and tables supplement concise text Uniformly organized chapters include up-to-date, clinically relevant statistics and suggestions for further reading Videos by renowned experts enhance understanding of specific fractures and orthopaedic surgery approaches This is a must-have resource for providers who treat orthopaedic trauma patients, including general and orthopaedic surgeons, residents, ER physicians, nurse practitioners, physician assistants, nurses, medical students, and others on call. It also provides a robust review for orthopaedic residents prepping for the boards. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Fully up to date with recent research and practice, including the most recent AHA guidelines, this model resource for the practising emergency medicine resident allows for a case-based interactive approach to studying for the Oral Boards examination, while also providing an excellent introduction to the field. Featuring 126 cases derived from the Model of Clinical Practice of Emergency Medicine, with an emphasis on EKGs, CT scans, X-rays and ultrasounds, it now includes diagnoses such as nursemaid's elbow, multiple sepsis cases, the suicidal patient, and Cushing's syndrome, as well as a chapter on the scoring of Oral Boards. Practising alone or with a partner, the reader can review critical actions and key clinical pearls for each case. The appendices contain high-yield information on subjects emphasised in the Oral Boards examination, such as pediatric, cardiovascular, traumatic, and toxicological disorders. This book truly allows the reader to feel actively immersed in the case.

Complications during airway management occur frequently when treating children. Although tracheal intubation is a routine procedure, there are no pediatric texts dedicated to this essential practice. The lack of specific resources and knowledge makes treating children with complex airways even more challenging. This landmark book is dedicated to the successful management of the complex pediatric airway. It explores and evaluates current research and covers novel topics such as airway ultrasonography and apneic oxygenation. It delineates the risks associated with intubating children, and their preventative measures. Aimed at clinicians involved in airway management in any form, this book covers the basics of airway management and how to perform a variety of essential techniques. Both occasional and exclusive pediatric clinicians will find this a valuable resource to support best practice. The book is supplemented by additional videos online, enhancing the demonstration of devices and techniques discussed in the text.

The fields of Global Health and Global Emergency Response have attracted increased interest and study. There has been tremendous growth in the educational opportunities around humanitarian emergencies; however, educational resources have not yet followed the same growth. This book corrects this trend, offering a comprehensive single resource dedicated to health in humanitarian emergencies. Providing an introduction to the public health principles of response to humanitarian emergencies, the text also emphasizes the need to coordinate the public health and emergency clinical response within the architecture of the greater response effort. With contributing authors among some of the world's leading health experts and policy influencers in the field, the content is based on best practices, peer reviewed evidence, and expert consensus. The text acts as a resource for clinical and public health practitioners, graduate-level students, and individuals working in response to humanitarian emergencies for government agencies, international agencies, and NGOs.

Dieses essential liefert alle Informationen, die fur die sichere Vorbereitung und Durchfuhrung von Intrahospitaltransporten erforderlich sind. Innerklinische Patiententransfers sind elementare Bestandteile der stationaren Behandlung. Dennoch wird ihre Brisanz selten richtig und umfassend wahrgenommen. Moderne Kliniken bieten ein vielfaltiges und differenziertes Spektrum an diagnostischen und therapeutischen Massnahmen, die oft in spezialisierten Einrichtungen durchgefuhrt werden mussen. Hierzu mussen Patienten unter Fortfuhrung der erforderlichen UEberwachung und Behandlung innerhalb der Klinik transportiert werden. Insbesondere Intrahospitaltransporte von Intensivpatienten sind mit besonderen Gefahren verbunden, die uber Morbiditat und -mortalitat im Rahmen des Klinikaufenthaltes entscheiden koennen. Sie bedurfen einer individuellen kritischen Risiko-Nutzen-Abwagung.

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.

Dieses Buch richtet sich an alle Fachkrafte, die nach einem Grossschadensfall an Ort und Stelle sind und neben den offensichtlichen ersten Hilfeleistungen, mit Opfern, Zeugen und Angehoerigen konfrontiert werden. Neben den theoretischen Grundlagen der notfallpsychologischen Versorgung, wird detailliert auf Planung und Umsetzung eingegangen. Zahlreiche Fallbeispiele unterstreichen die Praxistauglichkeit fur Angehoerige des Rettungspersonals und hinzugezogene Notfallpsychologen oder Seelsorger.

Some important constraints of anesthesia must be taken into consideration when the pharmacological properties of modern anesthetics are discussed. The most imp- tant of these could be that the target effect be achieved preferably within seconds, at most within a few minutes. Similarly, offset of drug action should be achieved within minutes rather hours. The target effects, such as unconsciousness, are pot- tially life-threatening, as are the side effects of modern anesthetics, such as respi- tory and cardiovascular depression. Finally, the patient's purposeful responses are not available to guide drug dosage, because, either the patient is unconscious, or more problematically, the patient is aware but unable to communicate pain because of neuromuscular blockade. These constraints were already recognised 35 years ago, when in 1972 Volume XXX entitled "Modern Inhalation Anesthetics" appeared in this Handbook Series. The present volume is meant as a follow up and extension of that volume. At the beginning of the 1970's anesthesia was commonly delivered by inhalation, with only very few exceptions. The clinical understanding of that time considered anesthesia as a unique state achieved by any of the inhalation anesthetics, in- pendent of their specific molecular structure. "The very mechanism of anesthetic action at the biophase" was discussed within the theoretical framework of the "u- tary theory of narcosis".

Emergency Radiology presents a comprehensive review of emergency pathologies commonly encountered by practicing radiologists and residents in training. The first five sections are organized by organ system and include Head, Neck, Face, and Spine, Chest, Abdominal, Pelvic, and Bone emergencies, followed by chapters on Pediatric and Nuclear Medicine emergencies and special topics in emergency imaging. Part of the Rotations in Radiology series, this book offers a guided approach to imaging diagnosis with examples of all imaging modalities complimented by the basics of interpretation and technique and the nuances necessary to arrive at the best diagnosis. Each pathology is covered with a targeted discussion that reviews the definition, clinical features, anatomy and physiology, imaging techniques, differential diagnosis, clinical issues, key points, and further reading. This organization is ideal for trainees' use during specific rotations and for exam review, or as a quick refresher for the established emergency imager.