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Books > Medicine > Other branches of medicine > Accident & emergency medicine > Trauma & shock
An understanding of current trauma imaging concepts is essential for all medical personnel involved in the care of trauma patients where the outcome may depend on a rapid assessment of the nature and severity of injuries, allowing appropriate medical management and surgical or non-surgical intervention. Containing more than 300 state of the art full colour images, the "ABC of Imaging in Trauma" addresses this increasingly important area and provides a concise and practical guide to the role, performance and interpretation of emergency imaging procedures in disaster victims and major trauma patients, and focuses on the use of CT, ultrasound, and MRI scanning to diagnose such patients. It is ideal for the non specialist and emergency physicians, Foundation doctors, trainee radiologists, and specialist trauma nurses.
Plum and Posner's Diagnosis and Treatment of Stupor and Coma, 5th edition, is a major update of the classic work on diagnosing the cause of coma, with the addition of completely new sections on treatment of comatose patients, by Dr. Jan Claassen, the Director of the Neuro-ICU at Columbia New York Presbyterian Hospital. The first chapter of the book provides an up-to-date review on the brain mechanisms that maintain a conscious state in humans, and how lesions that damage these mechanisms cause loss of consciousness or coma. The second chapter reviews the neurological examination of the comatose patient, which provides the basis for determining whether the patient is suffering from a structural brain injury causing the coma, or from a metabolic disorder of consciousness. The third and fourth chapters review the pathophysiology of structural lesions causing coma, and the specific disease states that result in coma. Chapter five is a comprehensive treatment of the many causes of metabolic coma. Chapter 6 review psychiatric causes of unresponsiveness and how to identify and treat them. Chapters 7 and 8 review the overall emergency treatment of comatose patients, followed by the treatment of specific causes of coma. Chapter 9 examines the long term outcomes of coma, including the minimally conscious state and the persistent vegetative state, and how they can be distinguished, and their implications for eventual useful recovery. Chapter 10 reviews the topic of brain death and the standards for examination of a patient that are required to make the determination of brain death. The final chapter 11 is by J.J. Fins, a medical ethicist who was invited by the other authors to write an essay on the ethics of diagnosis and treatment of patients who, by definition, have no way to approve of or communicate about their wishes. While providing detailed background for neurological and neurosurgical specialists, the practical nature of the material in this book has found its greatest use among Internists, Emergency Medicine, and Intensive Care specialists, who deal with comatose patients frequently, but who may not have had extensive neurological training.
In a world where natural, social and political disasters are a daily reality, the therapist is increasingly called upon to find rapid and effective methods of treating the survivors of trauma, including sexual abuse, torture, war-related trauma, addiction, depression and bereavement. The contributors to this book provide persuasive evidence of how psychodrama can safely be used to create paths of change for even the most severe traumatization and they also discuss the possible transmission of trauma patterns across generations. Research following World War II, neurobiological studies and other recent research into PTSD has shown that many trauma symptoms are unconscious, non-verbal, right-brained experiences which cannot be accessed through talk therapy. Psychodrama creates a place to act out unprocessed trauma within the containment of therapy, in order to stop the obsessive repetition of the past. Psychodrama with Trauma Survivors documents the impact of trauma and explores the development of treatment, providing integrated models of experiential treatment for clinicians to use. It is an invaluable resource for those interested in psychodrama and those working with trauma survivors.
Part of the "What Do I Do Now?: Emergency Medicine" series, Pediatric Emergency Radiology uses a case-based approach to cover common and important topics in radiology imaging for pediatric emergency care. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. Areas of controversy are clearly delineated with a discussion regarding evidence-based options and a balanced view of treatment and disposition decisions. The book addresses a wide range of topics including neonatal respiratory distress, foreign body ingestion, Bronchiolitis, and related radiology issues faced by emergency medicine providers and pediatricians. Pediatric Emergency Radiology is an engaging collection of thought-provoking cases which clinicians can utilize for effective imaging of pediatric patients. The volume is also a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"
The collective trauma of the COVID-19 pandemic. Digital shaming. Violence against women. Sexual bullying. Racial slurs and injustice. These are just some of the problems faced by today’s young adults. Liberating Shakespeare explores how adaptations of Shakespeare’s plays can be used to empower young audiences by addressing issues of oppression, trauma and resistance. Showcasing a wide variety of approaches to understanding, adapting and teaching Shakespeare, this collection examines the significant number of Shakespeare adaptations targeting adolescent audiences in the past 25 years. It examines a wide variety of creative works made for and by young people that harness the power of Shakespeare to address some of the most pressing questions in contemporary culture – exploring themes of violence, race relations and intersectionality. The contributors to this volume consider whether the representations of characters and situations in YA Shakespeare can function as empowering models for students and how these works might be employed within educational settings. This collection argues that YA Shakespeare represents the diverse concerns of today’s youth and should be taken seriously as art that speaks to the complexities of a broken world, offering moments of hope for an uncertain future.
This innovative guide to the chakras explains how grief and trauma impacts on every level of our being, and provides the tools to help clients experiencing trauma and grief by influencing, balancing and nurturing the chakra system. The book provides thorough and clear explorations of each chakra, their connections to each other, and tantric ways of working with energy. It features over 100 expressive and experiential exercises to remedy the ill-effects of grief and trauma, including yoga poses, mudras, pranayama (breath exercises), journaling, creation of ritual, use of essential oils and crystals and stones. Drawing on expertise as a licensed counselor, psychotherapist and yoga therapist, and personal experience as a bereaved mother, the author shares the teachings, practices and philosophies of yoga's ancient wisdom in a new way, and shows how to sustain personal chakra balancing that will resonate through all areas of life.
Uncover fearlessness through yoga's methods and disciplines with this guide. This book offers a medically-proven approach to help students and clients uncover their own radiance that is hidden by fear and anxiety. Yoga offers a readily-accessible system for courageous living, and this book explains how to use simple and quick yoga therapy methods for accessing the vagus nerve, resulting in instant relief from symptoms of fear, including depression, anxiety and rage. It offers asana, pranayama and dhyana exercises that help to eliminate 'worry chatter', directly affecting the amygdala, the part of the brain responsible for fearful thoughts. Addressing many components of fear, the book explains when fear is useful and when it is not, and teaches how to reprogram responses to uncertain circumstances so that they can be dealt with in a healthy way.
Emotional trauma can upset the harmony of the body and reduce the body's ability to heal and regulate itself. Once the traumas are identified and treated, the body will function at an optimum level and will respond to treatments for other conditions present. This book integrates the multi-diagnostic and treatment methods existing in Chinese medicine, and contains diagnostics such as facial, pulse, tongue, and channel palpation diagnosis. Treatments include acupuncture, Chinese herbal formulas, qigong, shamanic drumming, and lifestyle and nutritional recommendations. Many types of emotional traumas and their manifestations are presented, including fear, anxiety, panic attacks, PTSD, depression, mood swings, insomnia and sensory organ impairment. How to prevent future emotional trauma will be discussed, and case studies are included to show the application of theory in practice.
After serving in Rwanda during the 1994 genocide and civil war, Lieutenant Colonel Stephane Grenier returned to Canada haunted by his experiences. Facing post-traumatic stress disorder and an archaic establishment, he spent ten years confronting -- and changing -- the military mental health system from within. Coining the term "Operational Stress Injury" to allow the military to see mental injury in the same light as a physical wound, Grenier founded the Operational Stress Injury Social Support program that provides help for mentally injured soldiers and veterans. Since retiring from the military in 2012, his groundbreaking approach has been adopted by civilian society. Through his social enterprise Mental Health Innovations, Grenier delivers his direct "walk the talk" method to improve mental well being in government and business.
The Routledge International Handbook of Forensic Psychology in Secure Settings is the first volume to identify, discuss and analyse the most important psychological issues within prisons and secure hospitals. Including contributions from leading researchers and practitioners from the UK, US, Australia and Canada, the book covers not only the key groups that forensic psychologists work with, but also the treatment options available to them, workplace issues unique to secure settings, and some of the wider topics that impact upon offender populations. The book is divided into four sections: population and issues; treatment; staff and workplace issues; contemporary issues for forensic application. With chapters offering both theoretical rigour and practical application, this is a unique resource that will be essential reading for any student, researcher or practitioner of forensic psychology or criminology. It will also be relevant for those interested in social policy and social care.
What are the human consequences of conflict and what are the appropriate service responses? This book seeks to provide an answer to these important questions, drawing on over twenty-five years of work by the author in Northern Ireland and elsewhere. Focusing on the work undertaken following the Omagh bombing, the book describes how needs were assessed and understood, how evidence-based services were put in place, and the training and education programmes that were developed to assist first those communities affected by the bombing and later the wider population affected by the years of conflict. The author places the mental-health needs of affected communities at the heart of the political and peace processes that follow. This is a practical book and will be of particular interest to those planning for and responding to conflict-related disasters, policy makers, service commissioners and providers, politicians, civil servants and peace makers. -- .
Cop Doc delivers a unique map of police psychology. Retired NYPD sergeant Daniel Rudofossi delivers compelling inside scoops: the first-grade detective who nailed the Times Square bomber, intelligence enigmas unraveled by the DEA intelligence chief, wisdom culled from a best-selling novelist, a NYPD detective captain's narrative of the Palm Sunday Massacre, and much more. The book also includes an interview with a captain of hostage negotiations and a preface by the founder of the NYPD department of psychological services. Both students and seasoned professionals can find insights into policing and forensic psychology in these pages.
The definitive new guide on healing trauma and taming our triggers, by Harvard-trained-Psychiatrist and pioneer of mind-body medicine, Doctor James Gordon. Trauma comes to all of us, through grief or from a painful experience; even if our symptoms do not reach that of Post-Traumatic Stress Disorder, the consequences can be devastating. The good news is that there are self-care tools to help us face the storm, heal our traumas and become healthier and more whole than ever before because of them. In Transforming Trauma, Doctor Gordon equips readers with the first evidence-based program to reverse the effects of trauma on our bodies and minds that he has used to support thousands of people across the world who have suffered - from Syrian refugees and 9/11 survivors to everyday people with emotional or physical illness. Doctor Gordon believes that any challenge can be overcome once you have the right techniques - he will show us how to recognise our triggers step-by-step - those words, actions, perceptions that in some way resemble a past trauma - and let them become our teachers, so we can finally realise that that is then and this is now and in turn, open the door for freedom from our past and a fresh route for hope, purpose and love. 'This is the book on trauma treatment I've been waiting for' - Dr Andrew Weil, New York Times bestselling author + Professor of Medicine 'This book could give you back your life in unimaginable ways, it will inspire you to say 'yes' to the seemingly inconceivable and impossible' - Jon Kabat-Zinn
Memory and Sexual Misconduct: Psychological Research for Criminal Justice investigates the veracity of memories of sexual misconduct and the factors that may influence accurate recall, and fundamentally assesses whether psychological science can help the criminal justice system in determining which accusations are likely to be accurate, and which are not. In recent years, the public has been inundated with announcements of sexual assault allegations, in particular against public figures like politicians, businessmen, movie moguls, and professional athletes. Many of these accusations concern events that occurred several years prior to their announcements and trials. Drawing upon a compilation of real-life sexual assault cases and psychological science on recall and sexual trauma, this book provides an analysis of memory reports of sexual misconduct, including inappropriate comments, behaviors, harassment, and assault. It compares these memories with other types of memory, such as flashbulb memories, co-witness conformity memory, and autobiographical memory. Memory and Sexual Misconduct helps readers interpret the role of emotion, the level of detail, and the possible distinction between someone remembering a past event and believing the past event occurred. By providing a thorough evaluation of the likelihood that misconduct memories are accurate and investigating factors that affect this accuracy, Memory and Sexual Misconduct is an invaluable text to both the criminal justice system and the general public, particularly as sexual misconduct allegations of past events continue to come to light.
"A Stranger in My Bed" takes you inside Debbie Sprague's life for
an intimate view of a love story disrupted by the invasion of
PTSD--thirty years after the Vietnam War. The cycle moves from love
to fear, anger, and despair. Stories unfold of her husband's battle
with PTSD, displaying typical behaviors, triggers, and moods. Those
familiar with this world will be comforted: "That sounds just like
my life, and I thought I was the only one." Others will find a new
awareness: "I had no idea it was like that."
It is becoming increasingly clear that the brain has an important role in the control and integration of the responses to injury and infection. This is the first volume to look in depth at the way the brain responds to trauma and subsequently integrates and influences behavioral, metabolic, neurohumoral, cardiovascular, and immune functions. It is well established that some of these responses, such as fever and neuroendocrine changes are directly influenced by the central nervous system. These, and other more recent advances, provide new insights into this area and provide a basis for more effective understanding and clinical management of trauma patients. The authors, all international authorities in their fields, discuss established and recent data from experimental and clinical studies and consider the implications of these findings for the treatment of the trauma patient. This book will serve as an excellent reference for professionals who deal with trauma or who work in accident and emergency medicine, neuroscience, neuroimmunology and physiology.
This is the first comprehensive volume to be published on the subject of electrical trauma in humans. Many of the world's leading experts describe the basic mechanisms of tissue injury in victims of electrical trauma, the complex and varied manifestations of electrical trauma, and state-of-the-art clinical treatment protocols. Promising new therapies still in the research stage are also discussed and assessed. The volume describes the basic physiochemical mechanisms responsible for tissue damage and explains the complex and variable ways in which electrical trauma manifests itself. An understanding of these underlying processes provides the basis for a rational and consistent approach to treatment which is highlighted in this volume. Electrical Trauma serves as a new and important source of information from a variety of perspectives that contributes to the understanding of the electrical injury problem. It is suitable for clinicians in plastic surgery, intensive care and burn units and for those with an academic and research interest in the mechanisms and causes of electrical trauma.
Now revised and expanded with 50% new content reflecting important clinical refinements, this manual presents a widely used evidence-based therapy approach for adult survivors of chronic trauma. Skills Training in Affective and Interpersonal Regulation (STAIR) Narrative Therapy helps clients to build crucial social and emotional resources for living in the present and to break the hold of traumatic memories. Highly clinician friendly, the book provides everything needed to implement STAIR--including 68 reproducible handouts and session plans--and explains the approach's theoretical and empirical bases. The large-size format facilitates photocopying; purchasers also get access to a Web page where they can download and print the reproducible materials. First edition title: Treating Survivors of Childhood Abuse: Psychotherapy for the Interrupted Life. New to This Edition *Reorganized, simplified sessions make implementation easier. *Additional session on emotion regulation, with a focus on body-based strategies. *Sessions on self-compassion and on intimacy and closeness in relationships. *Chapter on emerging applications, such as group and adolescent STAIR, and clinical contexts, such as primary care and telemental health. *Many new or revised handouts--now downloadable. *Updated for DSM-5 and ICD-11.
Many DBT clients suffer from posttraumatic stress disorder (PTSD), but until now the field has lacked a formal, tested protocol for exactly when and how to treat trauma within DBT. Combining the power of two leading evidence-based therapies--and designed to meet the needs of high-risk, severely impaired clients--this groundbreaking manual integrates DBT with an adapted version of prolonged exposure (PE) therapy for PTSD. Melanie S. Harned shows how to implement the DBT PE protocol with DBT clients who have achieved the safety and stability needed to engage in trauma-focused treatment. In a convenient large-size format, the book includes session-by-session guidelines, rich case examples, clinical tips, and 35 reproducible handouts and forms that can be downloaded and printed for repeated use.
This ground-breaking book provides the first detailed clinical analysis of the various manifestations of catatonia, shutdown and breakdown in autistic individuals, with a new assessment framework (ACE-S) and guidance on intervention and management strategies using a psycho-ecological approach. Based on Dr Amitta Shah's lifetime of clinical experience in Autism Spectrum Disorders, and her research in collaboration with Dr Lorna Wing, this much needed book will be a valuable resource for professionals, autistic individuals and their families and carers.
This book describes the underlying mechanisms and pathophysiological processes that relate to various childhood injuries, and brings together experimental and empirical data that determine the rational management of injury in childhood. It also deals with the wider issues of service organization and rehabilitation. The book describes the most common causes and types of injury encountered in the young, including trauma, head injury, near drowning and burns. It also deals with essential aspects of effective hospital management of injury, including trauma scoring, life support and nutritional support. It is intended for trainees and consultants in pediatrics, pediatric surgery, accident and emergency medicine, anesthesia, and intensive care, and it will also serve as a source book for medical and nonmedical researchers.
Dismal spending on government health services is often considered a necessary consequence of a low per-capita GDP, but are poor patients in poor countries really fated to be denied the fruits of modern medicine? In many countries, officials speak of proper health care as a luxury, and convincing politicians to ensure citizens have access to quality health services is a constant struggle. Yet, in many of the poorest nations, health care has long received a tiny share of public spending. Colonial and postcolonial governments alike have used political, rhetorical, and even martial campaigns to rebuff demands by patients and health professionals for improved medical provision, even when more funds were available. No More to Spend challenges the inevitability of inadequate social services in twentieth-century Africa, focusing on the political history of Malawi. Using the stories of doctors, patients, and political leaders, Luke Messac demonstrates how both colonial and postcolonial administrations in this nation used claims of scarcity to justify the poor state of health care. During periods of burgeoning global discourse on welfare and social protection, forestalling improvements in health care required varied forms of rationalization and denial. Calls for better medical care compelled governments, like that of Malawi, to either increase public health spending or offer reasons for their inaction. Because medical care is still sparse in many regions in Africa, the recurring tactics for prolonged neglect have important implications for global health today.
What are the human consequences of conflict and what are the appropriate service responses? This book seeks to provide an answer to these important questions, drawing on over twenty-five years of work by the author in Northern Ireland and elsewhere. Focusing on the work undertaken following the Omagh bombing, the book describes how needs were assessed and understood, how evidence-based services were put in place, and the training and education programmes that were developed to assist first those communities affected by the bombing and later the wider population affected by the years of conflict. The author places the mental-health needs of affected communities at the heart of the political and peace processes that follow. This is a practical book and will be of particular interest to those planning for and responding to conflict-related disasters, policy makers, service commissioners and providers, politicians, civil servants and peace makers. -- .
The most common trauma that occurs in western civilization is the
road traffic accident. Yet medical, psychological and legal
professionals have to date largely ignored this all too common
horror. In the fall of 1997, the First International Conference was
held that was dedicated exclusively to the psychological impact of
road traffic accidents (RTAs). This event brought, for the first
time ever, the leading experts from all over the world to share and
develop their ideas. This provided the catalyst of ideas and
information for this volume. The volume as a result contains some
of the most current information available on this topic to date.
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