This book is for all those entering general surgical training. It explains the reasoning involved in recognizing and dealing with general surgical conditions and pays special attention to managing surgical emergencies and trauma patients. It is also intended to serve as a practical guide to safe and effective day-to-day surgical practice. The content is laid out logically so that a patient can be followed from a working diagnosis, through investigation and assessment, preparation for surgery, care in the operating theatre and afterwards, including the prevention and treatment of complications. Throughout, factors are identified which affect surgical outcome and which are important in surgical audit and quality control. It is not meant as a textbook of diagnosis, or an atlas of operative surgery; however, it does cover the principles of both, as well as details of the common operations trainees are likely to have to perform. Each chapter concludes with a few key references to classic papers, books and review articles. Philip Deakin, a medical artist and GP, has illustrated tha book throughout. Clive Quick and Paul Thomas are recent past members of the Court of Examiners for the Royal College of Surgeons of England and have planned the book to meet the requirements of the new syllabus for the higher general surgical qualification. Their team of contributing authors is made ip of senior trainees and recently appointed consultants who provide a clear and focused perspective, reflecting their recent experience or the training process.

Trauma has been recognized in recent years as one of the most important health care issues still to be fully addressed. A new awareness of deficiencies in the clinical management of injured patients has led to an urgent reappraisal of procedures and training in many hospitals. Parallel to this, there has been a revolution in the field of radiology and diagnostic imaging. Imaging in Trauma provides guidance on the safe and effective application of imaging techniques to patients who have been injured - recommending appropriate techniques wherever they are known to be effective and highlighting cases where their use would be inappropriate. The use of basic conventional radiology is most comprehensively covered, recognising that some of the newer modalities, such as magnetic resonance imaging, will not be generally available for some years. . It is important to consider not only the production of good images, but also how to help clinicians to order them appropriately and to interpret them. A full report from a trained radiologist may not be immediately available to junior medical staff trying to manage the patient in the A&E department. Therefore, advice about viewing images systematically is offered, together with hints on the pitfalls which might be faced. This advice is patient- centred rather than image centred - an emphasis which makes the text different from others. Each chapter offers a summary of the key points it contains. The book will be of assistance to all medical and nursing staff working in the speciality of Accident and Emergency Medicine and also to those working in specialities which offer definitive care to injured patients. The contents of the book may also assist those wishing to study for higher examinations in Accident and Emergency, Surgery and Radiology, especially where the interpretation of images forms part of the examination.

Wound management forms the bulk of the work in Accident and Emergency practice. Although most of these wounds will appear minor and the treatment straightforward for many injuries, the consequences of improper assessment or management can be very serious. Disabling injury may be overlooked, and life threatening infections can follow inappropriate treatment. Accident and Emergency staff must be prepared to begin initial assessment and treatment while surgical help arrives. This new edition of The Management of Wounds and Burns provides practical and authoritative information on all aspects of wound and burn care, taking the reader from initial assessment to the treatment of specific injuries. The care and legal aspects of life-threatening wounds are covered, together with anaesthesia, surgical techniques of wound care, wound infection, and injuries to the hand, face, neck, chest, and abdomen. Throughout , the authors present their guidelines concisely and lucidly, with detailed advice on anatomy, medication, and treatment techniques, providing an invaluable guide for junior doctors and nurses in A & E.

Reviews of the first edition: 'Any doctor, regardless of seniority or speciality, likely to be called on to treat a wound would do well to read this valuable book from cover to cover and to retain the wealth of practical information that it contains... the best insurance against patients suffering needless harm after sustaining a wound.' British Journal of Surgery (1993) 'There is good advice throughout the book... It is well suited to the target audience of junior doctors starting a job in A & E and to the nursing staff of an A & E department... Patients can only benefit.' British Journal of Hospital Medicine (1993) 'Each chapter has a clear and well structure layout... I think this book would provide a useful addition to any A & E library.' Accident and Emergency Nursing (1993) 'It covers just about every wound that one is likely to encounter... It will be of great help in the treatment room.' The Medical Journal of Australia (1993)

Grounded in the updated Posttraumatic Stress Disorder Prevention and Treatment Guidelines of the International Society for Traumatic Stress Studies (ISTSS), the third edition of this definitive work has more than 90% new content. Chapters describe PTSD assessment and intervention practices that have been shown to work and provide practical, real-world implementation guidance. Foremost authorities address the complexities of trauma treatment with adults, adolescents, and children in diverse clinical contexts. The book delves into common obstacles and ways to overcome them, when to stop trying a particular approach with a client, and what to do next. Special topics include transdiagnostic interventions for PTSD and co-occurring problems, dissemination challenges, and analyzing the cost-effectiveness of treatments. Prior edition editors: Edna B. Foa, Terence M. Keane, Matthew J. Friedman, and Judith A. Cohen. New to This Edition *Fully rewritten to reflect over a decade of clinical, empirical, and theoretical developments, as well as changes in DSM-5 and ICD-11. *Increased research-to-practice focus--helps the clinician apply the recommendations in specific clinical situations. *New chapters on previously covered treatments: early interventions, psychopharmacotherapy for adults and children, and EMDR therapy. *Chapters on additional treatments: prolonged exposure, cognitive processing therapy, cognitive therapy, combined psychotherapy and medication, e-mental health, and complementary and alternative approaches. *Chapters on cutting-edge topics, including personalized interventions and advances in implementation science.

Doctors working for the first time in an intensive care unit are faced with a variety of extremely ill and technically demanding patients. Very often they are exposed to situations for which they have not been properly prepared. Although most disciplines and professional examinations now demand some understanding of intensive care, opportunities for learning intensive care medicine are limited, with few courses available. Critical Care Cases presents a cross section of common problems seen in intensive care, presented by experienced teachers working in this field. Each topic begins with a real life case history, complete with examination findings, biochemistry, and blood gases. The readers are then given the opportunity to consider how they would manage the situation, before turning over to find a full discussion and recommendations from an expert in the field. The book covers all the common intensive care problems, including: respiratory failure, trauma, infection, and neurological disorders, and will provide a stimulating and thought provoking text for anyone preparing to work in intensive care medicine.

During the First World War many soldiers suffered brain injuries, mostly from gunshot wounds. The localized nature of these injuries made them of special significance for neuropsychological studies and they were the subject of research by British and German psychologists and neurologists working in military hospitals. The work done by Walther Poppelreuter in Germany is of particular interest. He was one of the first to design and use precise experimental methods for neuropsychological assessment and analysis. He was also one of the first to suggest a relatively specific processing of visual submodalities such as movement, depth, form, and colour in the prestriate areas. Much of his practical advice on the management of patients is still of value. Anyone concerned with brain injuries, especially of the occipital lobe, can still benefit from his contribution. Professor Zihl's translation makes this classic now available to a wider audience.

Since the attacks of September 11, 2001, disaster preparedness and response has developed into a discrete subspecialty in medicine, and the paramount health care initiative of the U.S. Government. The mental health component of disaster response is a serious subject of study, as trauma is associated with a substantial and long-lasting psychologic burden, both on an individual and community level. The psychopathologies associated with disaster are also quite broad, varying from several different types of post-traumatic stress and anxiety disorders to acute variations of grief-associated depression. This book is the definitive reference on mental health and disasters, focused on the assessment and treatment of the full spectrum of psychopathologies associated with many different types of individual disasters. The logistics for utilizing pre-existing community-based mental health services, as well as the development of new programs, are covered in depth. Case studies and perspectives for improving care, incorporating lessons from Hurricane Katrina and 9/11, are included in detail.

Mental health wisdom and a systems-approach to trauma from a family doctor who works with people suffering from stress and community-based challenges, offering practical advice that can be personalized for readers to choose the tools they wish to practice.

In the midst of collective trauma, it helps us to know how our body is built to respond to stress and what we might do to shift those reflexes. The Modern Trauma Toolkit directly addresses that need. Having studied brain-based and body-based approaches to wellbeing, Dr. Christy Gibson (@tiktoktraumadoc) is adept at sharing what she's learned about stress and coping with others, to embrace our innate power and to catalyze community wisdom.

The Modern Trauma Toolkit shares with readers how challenges can change the body. Written in an accessible and trauma-informed way, Christy goes over new theories in brain biology like the polyvagal theory and epigenetics, and how the brain can be remodeled to achieve post-traumatic growth. Noting the inequitable stressors of modern times and faced by particular communities, she describes how their strengths can be harnessed. Dr. Gibson shares a variety of activities that can be self-taught so you can begin your healing journey.

Now in an extensively revised third edition with 65% new material, this is the authoritative reference on posttraumatic stress disorder (PTSD). Contributors examine the breadth of current knowledge on the mechanisms by which stressful events can alter psychological processes, brain function, and individual behavior. Risk and protective factors across development and in specific populations are explored. Reviewing the state of the science of assessment and treatment, the volume covers early intervention and evidence-based individual, couple/family, and group therapies. Conceptual and diagnostic issues are addressed and key questions for the next generation of researchers are identified. New to This Edition *Thoroughly revised to reflect the accelerating pace of scientific and clinical progress; includes a range of new authors. *Chapters on new topics: treatment of PTSD with comorbid disorders, and postmortem brain banking. *New chapters on previously covered topics, including DSM-5 and ICD-11 diagnostic criteria, the psychoneurobiology of resilience, and challenges in implementing clinical best practices. *New or updated discussions of such timely issues as treatment of refugees, telemental health, and technology-based interventions.

Written by leading American practitioners, the Oxford American Handbooks in Medicine each offer a pocket-sized overview of an entire specialty, featuring instant access to guidance on the conditions that are most likely to be encountered. Precise and prescriptive, the handbooks offer up-to-date advice on examination, investigations, common procedures, and in-patient care. These books will be invaluable resources for residents and students, as well as a useful reference for practitioners.
The Oxford American Handbook of Emergency Medicine is a dependable manual geared for quick reference any time. Each topic is covered in a two-page spread, offering concise, high-yield information in a quickly accessible format and the flexi cover makes the book a rugged companion in the emergency department. Thin and light, it uses bulleted text, quick reference tabs, four-color presentation, and bookmark ribbons to help provide fast answers on the ward. This new handbook is ideal for students and residents who want a succinct, comprehensive, and affordable volume in the proven format of the best selling Oxford Handbook Series. _ _

Management of critically-ill trauma patients presents multiple challenges that are unique to this patient population. Optimal management of the trauma patient requires establishing priorities of care, minimizing complications, and striving to return the trauma victim to the best possible functional outcome. Yet, most books devoted to trauma focus on prehospital care, the initial assessment of trauma patients, and operative management of specific injuries. Part of the Pittsburgh Critical Care Medicine series, this book will help intensivisits involved in the care of trauma patients implement best care practices for trauma victims in the intensive care unit. Chapters address issues such as: management priorities for trauma patients in the ICU, the use of monitors and drains in trauma patients, resuscitation from hemorrhagic shock, massive transfusions and coagulopathy, ventilator management of trauma patients including patients with chest trauma, as well as management ICU strategies and solutions for specific types of trauma, including traumatic brain injury, spinal cord injury, and burn management.

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.

How can we help heal children who have been abused or neglected? Healing Child Trauma Through Restorative Parenting details how children can be helped to recover with the use of Restorative Parenting, an innovative model informed by psychological and neurological understanding of trauma and its effects. It explains the critical role that people, relationships and the environment play in a child's recovery. It shows what constitutes a therapeutic environment, whereby a child experiences therapy not as one-to-one sessions but as a lived experience. The authors show how other components of the model - building therapeutic relationships, promoting positive education and encouraging clinically informed life style choices - are intimately linked, each critical to the re-parenting which the child undergoes. This book will be welcomed by professionals working with children, including those in residential, health and foster care, psychology, education and health, as well as those commissioning services. The models, concepts and practices are transferable to public, private and charitable agencies.

THE LONG-AWAITED, MOVING MEMOIR OF HOLOCAUST SURVIVOR HANNAH PICK-GOSLAR, WHO SHARES AN INTIMATE LOOK INTO HER LIFE AND FRIENDSHIP WITH ANNE FRANK. 'As a girl I witnessed the world I loved crumble and vanish, destroyed by senseless hatred, and with it, my best friend Anne' Two best friends' lives were about to change for ever, neither would ever be forgotten... When Hannah's family flee from the Nazi to Amsterdam, she soon strikes up a friendship with a girl just like her freshly arrived from Germany. Precocious and outspoken, the girl's name is Anne Frank and for seven blissful years the inseparable pair navigate school, boys and coming of age. Then one day in 1942, as the Nazi occupation intensifies, they are separated without warning. Hannah calls on Anne and can't find a trace of her, breakfast dishes still in the sink, beds unmade. Anne and her family have seemingly vanished. They are told the Franks have fled to Switzerland. As Hannah is tormented by the fate of her friend, hoping she is alive and well elsewhere, her own family's fate unfolds. After attempts to flee themselves, the SS finally come for them and they are taken to the transit camp Westerbork. Eventually Hannah, her father and younger sister Gabi are transported to Bergen-Belsen. Amid horrific conditions with death all around, it is during Hannah's darkest point at the concentration camp that she hears astonishing of news of Anne. Desperate to save her friend who is weak and struggling to survive, Hannah risks her life to help her. In an incredible memoir of hope, strength and defiance, Hannah shares the intimate, loving portrait of her friendship with the young diarist who would go on to capture the hearts of millions around the world.

Psychic trauma is one of the most frequently invoked ideas in the behavioral sciences and the humanities today. Yet bitter disputes have marked the discussion of trauma ever since it first became an issue in the 1870s, growing even more heated in recent years following official recognition of post-traumatic stress disorder (PTSD).
In a book that is bound to ignite controversy, Ruth Leys investigates the history of the concept of trauma. She explores the emergence of multiple personality disorder, Freud's approaches to trauma, medical responses to shellshock and combat fatigue, Sandor Ferenczi's revisions of psychoanalysis, and the mutually reinforcing, often problematic work of certain contemporary neurobiological and postmodernist theorists. Leys argues that the concept of trauma has always been fundamentally unstable, oscillating uncontrollably between two competing models, each of which tends at its limit to collapse into the other.
A powerfully argued work of intellectual history, "Trauma" will rewrite the terms of future discussion of its subject.

This is a comprehensive but concise reference that documents the nature and importance of the injury problem in the United States. For each of more than sixty causes of injury, data are presented by age, race, sex, geographic area, urban/rural residence, and per capita income. This second edition includes new chapters on injuries related to sports, work, aviation, and large trucks. Also new are many analyses subdivided by four racial groups as well as age and sex, made possible by the use of mortality data from a seven year period. The updated analyses of time trends throughout the book document major reductions in death rates over the past decade. As a statistical compilation, the book offers users a quick reference to valuable detail, much of which would otherwise be inaccessible. It also discusses reasons for many of the extreme differences among groups of people in injury death rates and describes promising avenues to prevention. This accessible, readable reference will be valuable to public health personnel, physicians, epidemiologists, safety planners and policy makers.

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

Traumatic stress arises in reaction to catastrophic life events. Such events can range from train disasters and car crashes to natural calamities such as earthquakes, wildfires and floods, and from life-threatening medical diagnoses to acts of violence and abuse. Post-Traumatic Stress Disorder (PTSD) is a common psychological condition resulting from such events and occurs when our coping resources have been completely overwhelmed. The intrusive hyper-reactions, recurring memories, flashbacks, avoidance behaviours and changes in the sense of self linger long past the actual event and often prevent a sense of healing or resolution with the experience. This self-help guide uses Cognitive Behavioural Therapy (CBT) strategies with a trauma focus to help you to manage your reactions to the traumatic experience and find new, effective ways of coping. You will learn: - To understand your reactions to traumatic events - Practical strategies for monitoring, managing and overcoming post-traumatic stress - Innovative therapeutic options and new mobile device supports

"Fear is always experienced individually, and few experiences are as personal. There can be no collective fear without individual fear preceding it. A society's fear is born out of the convergence of individual experiences, when dozens, hundreds, thousands, and millions of people are afraid of the same thing at the same time." This is a story about postwar Polish society and its emotions. This is a story of heroes: soldiers, deserters, orphans, and beggars. Now available in English for the first time, Entangled in Fear reveals the broken society where bandits, hunger, bombs, Russia, and countless other threats had an immense influence on Poles as they struggled through the wreckage caused by World War II. Journalist and historian Marcin Zaremba uses sociology, psychology, and history to explore collective fear in official documents and the personal papers of those who were left to survive in postwar Poland. In doing so, he reveals how fear of famine and epidemics, sexual violence and looting, joblessness and invasion led directly to collective action on the part of Poles. A groundbreaking work, Entangled in Fear challenges the reader to consider how emotions have shaped human history and how a more serious engagement with emotions is key to a fuller understanding of the past.

Why do some people seem to bounce back from trauma and tragedy, while others suffer long-lasting and crippling traumatic disability syndromes? What are the keys to triumphing over trauma? In Shocks to the System, Laurence Miller offers a practical clinical guide for therapists who work with patients traumatized by criminal assaults, traffic accidents, toxic exposure, natural and man-made disasters, terrorist attacks, industrial injuries, sexual harassment, brain injury and chronic pain, workplace violence, and law enforcement and emergency services stress. This book also addresses the legal, family, economic, and social issues surrounding traumatic disability syndromes. Shocks to the System is a unique and comprehensive resource for therapists entering what will surely become a rapidly expanding and challenging field of clinical practice in the decades ahead.

Having wrestled for decades with an inexplicable sense of guilt, Angela Findlay eventually turned to her German roots in the hope of finding answers. There, she discovered three generations knotted together by events that took place in Nazi Germany: a grandfather who was a decorated general on the Eastern Front, his daughter and granddaughter - Angela herself. In a rare confluence of memoir, psychology and historical detective story, Findlay's unflinching quest for the truth about her grandfather breaks through the silence surrounding many the Second World War's perpetrators. In My Grandfather's Shadow explores the heritability of unresolved experiences, questions deeply held perceptions of good and bad, and uncovers the lesser-known history of the war's losers, a post-war culture of apology and atonement, and the lingering legacy of shame. Using her own family story to explore an episode in history that continues to appal and fascinate, Findlay reveals that it is possible not only for the scars of trauma to be handed down through generations, but also for them to be healed.