The majority of all road trauma deaths occur either at the scene of injury or in the pre-hospital setting. The World Health Organization has identified uncontrolled bleeding to be the leading cause of preventable traumatic death. Emergency Medical Services systems play a key role in helping to reduce motor vehicle-related fatalities by providing medical care at the crash scene and by quickly transporting injured patients to the most appropriate level of trauma care. This book's purpose is to present a systematic review and assessment of the biomedical and clinical literature describing pre-hospital treatment of external haemorrhage caused by traumatic injury. The primary focus of the book is the efficacy of pre-hospital application of tourniquets and hemostatic dressings to control traumatic external haemorrhage.

In anesthesiology, pain medicine, and critical care, practitioners at all levels need help to stay current with the continually evolving drug knowledge-base, and trainees need tools to prepare for in-training and board exams that increasingly test their knowledge of pharmacology. This practical book is aimed at both readerships. It features a unique and practical chapter on the United States Food and Drug Administration (FDA) "black box" warnings that describe what safety precautions should be taken with commonly used drugs. The editors and contributors are pharmacology experts representing a cross-section of clinical specialties and institutions in the United States and include pharmacologists, pharmacists, as well as physicians.

Inside God's Shed is a series of tales that describe the experiences of an Intensive Care specialist during his career working in two major Australian teaching hospital intensive care units (critical care units) and three private hospital intensive care units. The stories provide a portrait of the intensive care unit by taking the reader into the lives of patients, relatives, medical specialists, nurses, hospital administrators and even pharmaceutical industry 'reps'. The narrative breaks down the stereotypes often found in novels and TV shows about the care of the acutely ill patient with over-worked heroes and heroines who cure the incurable and operate on the inoperable. The accounts tell of the hazards of the medical industry, of unreliable information, the fallibility of individuals and the distance that sometimes exists between science and humanity. They also draw attention to the unique workplace repartee and banter between medical specialists and nurses, underscoring the esprit de corps in a well functioning unit. While the tales portray what can be achieved when a unified medical team manages a critically ill patient, they also describe the limits of acute medical care; highlighting the complexities and ethical dilemmas in the care of a dying and chronically ill elderly patient. These stories are of true events, gleaned from notes and memories of cases in almost 40 years of an intensive care practice. Many of the names are either changed or are not included. Those people who are identified are already known and on the public record.

My Wife's Death I see my self as saving patients lives and money. What that means to me is passing on my first hand experience of the malpractice death of my wife on July 19, 2004, the resulting malpractice lawsuit suit and years of hard research on our health care system. My wife was an outstanding lady. She was the first woman bank vice president in Lubbock, Texas . Her death devastated me and my son and his family to this day. In fact she was rocking one of his two daughters two nights before she went into hospital. Her death haunts me even more me because it was preventable A preventable infection. I blindly trusted the health care system and was betrayed.

Strokes are a leading cause of brain injury that strike approximately 800,000 people per year in the US alone, killing about 150,000 meaning one death in every four minutes. According to World Health Organization, 15 million people suffer strokes world-wide each year and out of these, 5 million die and another 5 million are permanently disabled. Despite advances in stroke research during last decade, current strokes remain a vexing public health problem. Even with the onset of the 21st century, there is still no effective therapy for strokes beyond a limited group of patients who are treated with thrombolytics, which have significant adverse effects. This situation prevails despite intense research efforts and numerous clinical trials that have attempted to develop drugs to reduce morbidity and mortality from strokes. So far, drug development efforts have targeted modulators of ion channels (Ca2+and Na+), scavengers of oxygen radicals, and antagonists of excitotoxic neurotransmitters (primarily glutamate and glycine receptors). Despite tremendous progress in understanding the pathophysiology of a stroke, translation of this knowledge into effective therapies has largely failed, with the exception of thrombolysis, which only benefits a small proportion of patients. Systemic and local immune responses have important roles in causing stroke and are implicated in the primary and secondary progression of ischaemic lesions, as well as in repair, recovery, and overall outcome after a stroke. However, potential therapeutic targets in the immune system and inflammatory responses have not been well characterised. The development of novel and effective therapeutic strategies for strokes will require further investigation of these pathways in terms of their temporal profile (before, during, and after stroke) and risk-to-benefit therapeutic ratio of modulating them.

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.

When a boy named Billy follows a 70's man with a 70's hair style, he is suddenly thrust into an underground world filled with mystical creatures, such as dwarves. He finds out that his father was an important man in the land underneath, which is called Inbet. In a battle between good and bad, Retros versus Rock Devils, Billy joins the fight for the Retros. This book is written in the unique style of a medium book. There are short stories and regular books, but this is the best of both worlds. This style allows a more developed plot and more characters, while having more action in less space. Therefore more interesting and exciting, but still an easy to read and quick book. 62 pages

"There is no night in the ICU. There is day, lesser day, then day again. There are rhythms. Every twelve hours: shift change. Report: first all together in the big room, then at the bedside, nurse to nurse. Morning rounds. A group of doctors moves slowly through the unit like a harrow through a field. At each room, like a game, a different one rotates into the center. They leave behind a trail of new orders. Wean, extubate, titrate, start this, stop that, scan, film, scope. The steep hill the patient is asked to climb. Can you breathe on your own? Can you wake up? Can you live?" from Where Night Is Day

Where Night Is Day is a nonfiction narrative grounded in the day-by-day, hour-by-hour rhythms of an ICU in a teaching hospital in the heart of New Mexico. It takes place over a thirteen-week period, the time of the average rotation of residents through the ICU. It begins in September and ends at Christmas. It is the story of patients and families, suddenly faced with critical illness, who find themselves in the ICU. It describes how they navigate through it and find their way. James Kelly is a sensitive witness to the quiet courage and resourcefulness of ordinary people.Kelly leads the reader into a parallel world: the world of illness. This world, invisible but not hidden, not articulated by but known by the ill, does not readily offer itself to our understanding. In this context, Kelly reflects on the nature of medicine and nursing, on how doctors and nurses see themselves and how they see each other. Drawing on the words of medical historians, doctor-writers, and nursing scholars, Kelly examines the relationship of professional and lay observers to the meaning of illness, empathy, caring, and the silence of suffering. Kelly offers up an intimate portrait of the ICU and its inhabitants."

Cardiothoracic Surgery covers all areas of adult and pediatric, cardiac and thoracic surgery and intensive care. This new edition, with updated cardiac surgery and thoracic sections, provides on-the-spot guidance to common and less common operative procedures.
Every chapter is divided into topics presented across two pages to enable easy reference, with pages on intensive care edged in red for immediate access. Completely updated with current evidence and guidelines, the book is practically oriented to provide reliable guidance in intensive care and in theatre. Fully indexed and lavishly illustrated, the book is a must for anyone seeking a comprehensive yet portable guide to all areas of cardiothoracic surgical practice.

About the Book: Concise yet comprehensive review of the Critical Care and Emergency Medicine. Most commonly encountered clinical scenarios and relevant topics are summarized in an easy to understand format. Can be used as quick reference guide during rounds, or during the patient encounter. Simplified version which can be used by physicians, pharmacists, nurses and allied health care staff. Author Biography: Dr. Asif Anwar graduated from Northeastern Illinois University, in Chicago IL, in 1997. Later he proceeded with his Internal Medicine residency training, at University of New Jersey (UMD-NJ) and Saint Louis University in Saint Louis Missouri. He also completed his fellowship training in Pulmonary, Critical Care and Sleep Medicine from SLUH in 2008. He has been affiliated with the US Air force, and currently holds the rank of a Major, and works with the Critical Care Air Transport Team (CCATT), and as a Flight Surgeon with the Air National Guard. He is board certified and a Fellow of American College of Chest Physicians. He is Clinical Assistant Professor, at University of Wisconsin-Madison, and Marquette University in Milwaukee, Wisconsin. Dr. Anwar has published original research in the peer-reviewed scientific journals.

Do you find arterial blood gasses a challenge and a bit complicated? Perhaps you just want to further your knowledge and dive deeper into the subject. Whether you are a student nurse, registered nurse, medical student, intern, senior doctor or other allied healthcare professional this book is what you need to grasp and fully understand this subject. This book will give you a simple step-by-step process of interpreting any arterial blood gas that you are likely to come across. A concise and easy to understand explanation of what to look for and also what the causes are for any derangement in the results are provided in this book. The contents of this book include the basics of the arterial blood gas: How to take a sample and what the varying values mean. The oxygen dissociation curve is explored and reference is made to temperature correction. Examples of acidaemia and alkalosis from both primary respiratory and metabolic causes are given along with partial and fully compensated examples. Treatment options depending on the results are also discussed in depth for both the patient in and out of a critical care environment. In addition to this broad analysis and explanation of the arterial blood gas the book also discusses the A-a gradient and provides explanation of how to calculate any anion-gap and what it means. This is a very thorough and premium book, that is written in a very easy to understand way, that can be comprehended by anyone. It is thoroughly referenced throughout to support the claims and statements made. More great healthcare resources are available at our website: http: //www.eadvancedhealthcare.com/healthcare-resources/

Critical Care Pharmacotherapeutics Presents Information On The Fundamentals Of Critical Care Practice From A Pharmacist'S Point Of View. This Accessible Text Is An Excellent Introduction To Critical Care Pharmacy. Pharmacy Students, Residents, And New Pharmacists Will Learn About The Medications Used And Approaches To Pharmaceutical Care For The Critically Ill Patient. This Text Is Also A Helpful Reference For Students During An ICU Advanced Practice Experience Or For A Pharmacy Resident During An ICU Rotation.

This is the story of one Mom and one very special family that had born into it one very special little girl who at this writing is waiting for a multi-organ transplant so that she can visit London and Paris, and so that she can see the world beyond the four corners of a hospital room. Delight in the joys and cry for the sorrows of this mother and family for an infant born with a very serious problem that for the most part is not given the recognition it deserves. Kourtney Najjar has neurogenic pseudo obstruction and osteopenia, and every single day since her birth, she has struggled with pain. Find out how one mom fought and continues to fight to get answers for her youngest child, and how she fights the system and juggles the schedules of her other three active children, while making choices no parent ever wants to make. Mother, father, and children all are a part of this process, and the journals inscribed herein are the true thoughts and feelings of the moment; and this book is as Laura Najjar's journal was inscribed. Laura Najjar wrote this book as a help to all parents of children with this condition, and for all families and children who face life threatening issues on a daily basis. It helps to cope when you know there are others who care, and others who share the same plight. Laura Najjar has a degree in early child development, and brings that expertise to the table in resolving her issues. This is a book everyone should read, because it is a book all about fighting hard for life and living life to its fullest. All profits from this book will be donated to Kourtney Najjar to cover her mult-transplant costs.

Now in paperback, the second edition of the Oxford Textbook of Critical Care is a comprehensive multi-disciplinary text covering all aspects of adult intensive care management. Uniquely this text takes a problem-orientated approach providing a key resource for daily clinical issues in the intensive care unit. The text is organized into short topics allowing readers to rapidly access authoritative information on specific clinical problems. Each topic refers to basic physiological principles and provides up-to-date treatment advice supported by references to the most vital literature. Where international differences exist in clinical practice, authors cover alternative views. Key messages summarise each topic in order to aid quick review and decision making. Edited and written by an international group of recognized experts from many disciplines, the second edition of the Oxford Textbook of Critical Careprovides an up-to-date reference that is relevant for intensive care units and emergency departments globally. This volume is the definitive text for all health care providers, including physicians, nurses, respiratory therapists, and other allied health professionals who take care of critically ill patients.

Learning how to use a mechanical ventilator can be very challenging and frightening for most residents and other health care students. Many books and articles have been published on this subject, but they often leave the reader confused because they are generally written for pulmonary/critical care specialists. However, most patients will need the same basic respiratory support and will have similar complications. In this book we provide background information and outline strategies for use of mechanical ventilation to make this advanced patient support easy to understand and apply. Use this handbook to learn the basics about mechanical ventilators and to enhance your ICU experience.

If you or a family member suffer from a life-threatening illness and have been told there is little chance of a medical cure or remission, "Sooner or Later" is written for you. It offers the reader a safe place to help process the turbulent emotions during the diagnosis phase and remain sane, rational and in control. Pertinent questions to ask specialists, written in a way reader and provider understand, empower patients and their families to seek the appropriate level of care. To date, no other book offers the information and tools to take control and make good decisions to maintain the best quality of life. "Sooner or Later is a rare treasure. This book shines with compassion, wisdom, humor, and truth. I believe it should be must reading for everyone. Really " Christiane Northrup, M.D.

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.

This scarce antiquarian book is included in our special Legacy Reprint Series. In the interest of creating a more extensive selection of rare historical book reprints, we have chosen to reproduce this title even though it may possibly have occasional imperfections such as missing and blurred pages, missing text, poor pictures, markings, dark backgrounds and other reproduction issues beyond our control. Because this work is culturally important, we have made it available as a part of our commitment to protecting, preserving and promoting the world's literature.

This memoir tells of my recovery from a coma when I was 13. Because I live a normal life now, people are surprised to learn that I have had a Traumatic Brain Injury, and they're always so curious: How did it happen? Do you remember anything? How long were you in a coma? Do you still ride horses? This book answers all those questions and more. An emotional Part I allows readers to experience the range of emotions my family felt as I lay unconscious. Part II describes my frustrations upon gaining consciousness: my right side was paralyzed and I couldn't speak. Part III tells how I was received once I returned to eighth grade and follows through to high school graduation, describing physical, social, and emotional problems I had along the way. This story shows how I met these problems with determination and how I accepted the ones I couldn't change.

Increasingly the need is recognized for safe and effective care of children being transferred for specialist services. Whether a premature baby or a critically ill child is being transported, specialist skills and knowledge are required.

This book, based on a highly popular course from the University Hospitals of Leicester, covers the processes involved in transporting sick children and neonates. The book is also the coursebook for NEOSTAR, which will be run by the Advanced Life Support Group. Major sections cover:
Planning transport programmes
The clinical management of different groups of critically ill infants and children.

This tried and tested, practical guide is ideal for doctors, nurses and other health care workers that are involved with organizing transport services or who may be care for babies and children during transfer.

Chapters include:
Principles of safe transport
Transport physiology
The ambulance environment
Equipment and monitoring
Air transport of critically ill children
Neonatal resuscitation and stabilization
Paediatric resuscitation and stabilization
Management of airway and breathing
Management of the circulation
Trauma
Special transport interventions
What to do when it all goes wrong
Drugs