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"The first textbook examining all aspects of mass gathering medicine from basic medical staffing to complex risk management. Covers specific types of events and adverse events such as terrorism, severe weather, and civil disobedience. A resource for emergency medicine and EMS professionals, large event planners, venue organizers, and administrators"--
Minibog til "Digitalt Grundkursus i Psykisk Førstehjælp - og andre metoder til hjælp og støtte ved psykisk belastning" er en samling udvalgte krisepsykologiske modeller og action-cards til henholdsvis hjælp-til-selvhjælp, kollegastøtte, psykisk førstehjælp, støttende leder-medarbejder-samtaler, kriseledelse ved akutte hændelser samt psykologisk defusing. Minibogen rummer også en tjekliste med arbejdsmiljølovens krav til psykisk førstehjælp.Minibogen er knyttet til Institut for Belastningspsykologis digitale grundkursus i psykisk førstehjælp, der retter sig mod arbejdspladser, hvor der er en særlig risiko for, at de ansatte bliver konfronteret med en traumatisk hændelse, eller hvor er generelt stilles høje følelsesmæssige krav til de ansatte. For yderligere om instituttets kurser og øvrige ydelser - se www.belastningspsykologi.dk
This book provides an in-depth and complete guide explaining how to incorporate the strategic dialogue and strategic communication methods into the debriefing after the scenario, characteristics that make it unique. After examining all the aspects that allow a correct use of the simulation, such as knowledge of models, logical schemes, use of the different simulators, planning of the didactic activities and of learning process, this practical book aims to explore the advanced technique of the strategic debriefing. It encourages not only those who are approaching this new debriefing tool but also it provides a useful update to all those who are already more familiar with the standard debriefing after simulation technique.The strategic language, an effective tool in strategic psychotherapy and business problem solving, is ideal and complementary to the standard debriefing methods, making them more performing and functional because, next to common logic, it makes use of non-ordinary logical language.The book is intended for healthcare simulation debriefers and instructors, for hospitals' managers, university teachers and to all the physicians who are increasingly showing interest in active teaching processes with simulation.
Allt som finns är den femte och sista antologin i en serie av böcker om dissociation. De texter och bilder som finns i boken är skapade av människor som själva upplevt dissociation, ofta på grund av svåra eller upprepade trauman. Bidragen till den här boken är skapade utifrån tre olika teman: * Acceptans* Återhämtning och självomhändertagande* Fritt tema (där medverkande helt fritt fått välja vad de vill berätta om eller skildra)Trots att många lever med, kämpar med och behöver förståelse för de dissociativa tillstånd de befinner sig i är kunskapen om dissociation fortfarande dålig. Dissociation kan se ut på många olika sätt och innebära allt från overklighetskänslor till att man lever med flera olika delar eller personligheter inuti. Med de här antologierna hoppas vi öka förståelsen för olika former av dissociation och för olika delar av en möjlig läkningsprocess. Det här är en bok av dissociativa, för alla som är intresserade av dissociation. En bok med värdefulla och starka texter för dig som själv dissocierar, har någon i din närhet som gör det, som jobbar med dissociativa, eller som bara vill lära dig mer om dissociation.Den första boken i serien var Splittrade själar, som kom 2019. Den följdes av Våga läka 2020, Där ingen kunde nå mig 2021 och Att knyta band 2022. Allt som finns är den sista planerade boken i serien.Böckerna ges ut av föreningen Om dissociation.
Acute coronary syndrome (ACS) continues to challenge our health care system in the complexity of presentation and the ever increasing number of patients exhibiting signs and symptoms of an acute coronary syndrome. Written by leading experts, Short Stay Management of Chest Pain provides scientific and clinical insights on the management of patients who arrive at the hospital with a presentation consistent with a potential acute coronary syndrome. Focusing on the cardiology aspects of chest pain, Short Stay Management of Chest Pain is a valuable tool for acute care physicians, nurses, and hospital administrators devoted to caring for this population. Short Stay Management of Chest Pain details the remarkable improvements in diagnostic accuracy and improved patient outcomes for patients presenting with suspected acute coronary syndromes.
This book provides a comprehensive overview of deaths and injuries from residential fires as well as the most up to date information on evidence-based approaches to reduce this problem. The volume serves as a guide for professionals working in the field of fire prevention and as a textbook for instruction in universities and fire service schools. The authors' interdisciplinary approach, where public health methodology is combined with fire protection engineering, medicine, and policy science, is quite distinctive outside of the technical literature devoted to larger scale fire events. Traditional textbooks on fire protection tend to describe the problem as purely technical, whereas in essence it is a problem of human vulnerability. In this book, readers will find lucid and rigorous descriptions of various risk groups and effective preventive measures that are effective, both in general and with respect to the different risk groups. They will also find work processes to facilitate risk reduction. Summarizing state-of-the-art knowledge and giving guidance for the future, both in terms of preventive efforts and ongoing research, Residential Fire Safety: An Interdisciplinary Approach, is ideal for students, educators, and practitioners of residential fire protection.
Each year in the United States, approximately 40 percent of all emergency medical services (EMS) calls are for geriatric patients experiencing acute medical disorders, trauma, or exacerbations of chronic disease, and future EMS calls for this population will sharply rise. In fact, the number of people 80 years of age and older globally is expected to triple by 2050. The National Association of Emergency Medical Technicians' Geriatric Education for EMS Course Manual prepares prehospital practitioners to respond to, assess, and care for this fast-growing patient population. Geriatric Education for Emergency Medical Services, Third Edition is an engaging educational resource that practitioners can consult after the course to help them provide the best care for older adults in every community.A Comprehensive Approach to Geriatric CareThe GEMS program helps EMS practitioners learn to conduct a comprehensive assessment of geriatric patients. Because the aging process affects all body systems, NAEMT's course provides an overview of changes that occur as people age and describes how those changes can impact patient presentation. Completing a full assessment that integrates and responds to differences in geriatric pathophysiology is critical to recognizing and responding quickly and effectively to the critically ill or injured older adult. Additionally, incorporating the GEMS Diamond (Geriatric, Environmental, Medical, and Social assessments) can help practitioners formulate a holistic diagnostic and treatment approach.This new GEMS course manual includes chapters that address the following topics: - Changes with age and assessment of the older patient - Polypharmacy and Toxicity in Older Patients- Respiratory Emergencies- Cardiovascular Emergencies - Trauma- Other Medical Disorders- Neurologic Emergencies - Elder Maltreatment and Psychosocial Emergencies- End-of-Life and Palliative Care- Disaster Triage and Transporting Older Patients- Left Ventricular Assist Devices- Skin Disorders- Ventilators- Urinary Catheter and Colostomy Bag Care- Implantable Cardioverter DefibrillatorsThis print course manual comes with an access code for the course manual's eBook.The GEMS Course Manual, Third Edition is required for NAEMT's GEMS, Third Edition course.
In this issue of Emergency Medicine Clinics, guest editors Drs. Eileen F. Baker and Catherine A. Marco bring their considerable expertise to the topic of Psychiatric and Behavioral Emergencies. Top experts cover key topics such as the emergency psychiatric interview; the agitated patient; the suicidal or homicidal patient; excited delirium; substance use disorders; schizophrenia; depression; and more.Contains 15 relevant, practice-oriented topics including bipolar affective disorder; geriatric and pediatric psychiatric emergencies; personality disorders; malingering; legal and ethical considerations; and more.Provides in-depth clinical reviews on psychiatric and behavioral emergencies, offering actionable insights for clinical practice.Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
A new edition of this bestselling resource for emergency physicians seeking to expand their knowledge of the 12-lead electrocardiogram and how it relates to patient care ECGs for Acute, Critical and Emergency Care, Second Edition, Volume One, provides comprehensive guidance on the use and interpretation of the 12-lead electrocardiogram (ECG). Celebrating the 20th anniversary since initial publication, this book is an essential teaching and reference text that helps physicians with basic knowledge of electrocardiography quickly locate the objective criteria necessary for various diagnoses, understand different electrocardiographic waveforms and their meaning in individual patients, and interpret the ECG within the context of the patient's presentation. The second edition of ECGs for Acute, Critical and Emergency Care is fully updated and reviewed throughout, featuring ECG cases that are randomly presented to mirror the scenarios encountered in the emergency department. The text contains intermediate and more challenging ECGs representing the common electrocardiographic diagnoses that all acute care physicians need to know. Case histories, clinically focused reviews, ECG interpretations, and comments by the authors accompany each ECG presented. This book also: Covers all key areas of accurate ECG interpretation Contains 200 actual ECGs of patients treated in authors' emergency departments Focuses on emergency situations, with increased emphasis on recent literature Includes appendices of differential diagnoses and commonly used abbreviations Written by two highly experienced specialists, ECGs for Acute, Critical and Emergency Care, Second Edition, Volume One, is a must-have resource for trainee physicians, senior medical students, and practicing physicians who manage patients in emergency departments and other clinical care settings.
The intensive care unit (ICU) is a specialised hospital ward where the ¿sickest-of-the-sick¿ patients, often with life-threatening illness, receive around-the-clock monitoring and life support. There is a wide spectrum of conditions managed, and these present unique challenges for those who work in this field. Written in lay language by experienced ICU doctors (Intensivists), Psychiatrists, healthcare professionals outside of medicine and other stakeholders, ¿Stories from ICU doctors¿ provides insight and commentary around the nature and management of stressors for senior doctors working in the ICU. The first five sections of the book describe the distinctive nature of the ICU environment: the human factors involved, the characteristics of thriving Intensivists, the emotions they experience, and how they behave in response. The final three sections provide a synthesis of the advice of these clinicians for both current and future Intensivists, the advice from those who surround the Intensivist both at work and at home; and some concluding remarks about trainee suitability and selection for intensive care medicine.This book is for ICU patients and their families, it is for the families of ICU doctors, it is for doctors from other specialities, it is for the nurses and others that work alongside ICU doctors, and for anyone considering a career in ICU medicine and those who care for them. We share these stories in hope that readers might better appreciate the human side of these doctors, better understand the complex working environment in which they practice, and perhaps better empathize with their stressors and struggles. Most importantly, this book is also for the ICU doctors who currently work within the specialty, to validate their feelings and experiences, and ultimately provide support by reminding them that they are not alone in navigating the difficulties they face.
This book, written by internationally renowned experts, is a comprehensive text covering all aspects and recommendations regarding the use of POCUS for critically ill neonates and children. Point of Care Ultrasound (POCUS) for the Neonatal and Pediatric Intensivist is structured to address and expand upon recently published international evidence-based POCUS guidelines endorsed by the European Society of Paediatric and Neonatal Intensive Care (ESPNIC).The book is richly illustrated and includes a robust collection of individual POCUS images and cases. The Electronic Supplementary Materials offer high quality and interesting video clips complementing reader learning, particularly for neonatology, pediatric critical care, and general pediatric providers. Chapter authors provide a practical, experience-based approach to clinical integration of POCUS applications and highlight relevant supportive literature as well as important limitations to POCUS use in the management of critically ill children. The information within the book is also intended to support further clinical and educational research in the practice of pediatric POCUS.
This book is the result of thousands of encounters with tube-fed infants and their families over the past four decades. The ailing and fragile children, suffering from a myriad of medical conditions acted as muses and mentors teaching more than could be expected. This book is addressed to medical professionals, early interventionists, pediatricians, child surgeons, nurses, dieticians, occupational therapists, speech and language pathologists (SLPs), feeding specialists, psychologists, physiotherapists, infant psychiatrists as well as parents. The medically fragile child (MFC) is the subject of the authors' work when it is concerned with enteral nutrition support (ENS) by means of a feeding tube (ENT). As pediatricians and psychotherapists, they have been treating eating and feeding disorders of children since 1986 and with this book they pass on knowledge they have garnered over three decades. Over 5,000 children have been weaned off their feeding tubes. Tube weaning requires the evaluation of medical, nutritional, sensory, developmental, metabolic and growth-related findings. The review of the literature around this subject has provided a source of inspiration as well as critical self-reflection; the authors wish to offer their insight and ideas on how to approach child-led tube-management and tube-weaning to all healthcare professional involved in the management of these children.
75% of patients who die from trauma have injuries to the chest. The care of the chest trauma patient can be incredibly complex, require multiple specialty and sub-specialty services, and may require interventions available only at quaternary referral centers.This book provides a comprehensive, state-of-the-art overview of chest trauma. The text reviews all aspects of chest wall, intra-thoracic organ, and great vessel injury management, with each section of the book structured anatomically to explore specific treatment options.The first section of the book contains an overview and introduction to the topic, discussing the definition and significance of chest trauma, initial resuscitation of the chest trauma patient, and centers of excellence, health systems, and regionalization. The following section is focused on chest wall injury, with chapters on acute rib fractures, sternal fracture, clavicle and scapula fractures, non-surgical aids in fracture healing, and anesthesia considerations. The next section spotlights thoracic organ injury, specifically focusing on cardiac injury, aorta and great vessel injury, esophageal injury, tracheal and pulmonary injury, and thoraco-abdominal and combined injuries.Since injury care alone is insufficient in guiding the totality of care, the fourth section is dedicated to inpatient critical care. Topics covered in this section include principles of ICU resuscitation, coagulopathy management, ICU monitoring, ventilator management, and advanced acute pain management. With the increase in violent extremism around the world, including the use of non-conventional weapons, as well as the plethora of natural and man-made disasters, disaster and mass casualty events is the timely subject of the book's final section. Specific topics tackled in this section include blast injury, blast lung, pulmonary aspiration, thoracic crush injury after natural and man-made disasters, toxic agent exposures, the role of the local facility during a national disaster, and the ethics of resource of allocation. The text also features over 100 high-yield illustrations, photographs, and tables.
MUDRAS for PTSD, Release and Recode your Aura injuryIn this book, the Mudra authority and bestselling author Sabrina Mesko shares with you a powerful selection of Mudras, mantras, affirmations, breathing exercises, to help release and heal your PTSD. A trauma energy imprint can remain with us through many lifetimes and causes us to get stuck in repeated traumatic patterns. Learn to see PTSD as a map to your inner world that needs to be understood and transformed. This self-care journey requires your full attention, patience, self-love and disciplined practice.The ancient technique of MUDRA - hand yoga positions will unlock the transformative healing power of your own hands, as your tools for recovery and thriving. Mudras will help cleanse any old subtle energy congestion in your Aura and chakras, so you can function at your optimal capacity.In order to overcome PTSD from a previous traumatic relationship experience, you need to understand the complexities of how the subtle energy works. The energy cords can keep you connected to another person with whom you share ANY kind of emotional dynamic. ]Learn how to remove negative energy cords.PTSD is the primary reason for the desire to escape reality and get lost in addiction, in its countless forms.Recognize that perhaps the emotional or mental repercussions you may be experiencing in your present life, have nothing to do with people or situations in this lifetime. Inexplicable fears, grief, deep-set anxieties that are not in any way connected or a consequence of your current lifetime, most likely originate in your past life.Healing a traumatic experience on a deeper holistic level, will help you become crystal clear about your priorities, purpose and a way to experience inner peace and happiness.Your transformative journey requires eight weeks of a dedicated daily practice, self-reflection and effective steps to release your PTSD. Learn to recode your sensory and thinking pattern, so your Aura can reenergize and your personal frequency can ascend. Recognizing and effectively dissolving old energy codes of behavior and trauma-based energy depletion will help you imprint new, empowering, balancing and stabilizing healthy codes.In these pages you will learn how to: EXAMINE THE WOUND RECOGNIZE YOUR PATTERNSTHE PROCESS OF RELEASEREPLACE NEGATIVE WITH POSITIVEREPROGRAMING CODESPOSITIVE IMPACT and YOUR VICTORYBestselling author and Mudra expert Sabrina Mesko Ph.D.H. authored the first practical guide for unleashing the healing power of hand Mudras over twenty years ago. Her book HEALING MUDRAS - Yoga for Your Hands, became an international bestseller classic and is translated into more than 14 languages. She has authored over twenty books on this subject and founded the world's only Mudra Mastery(TM) Certification Mentorship with certified Mudra Teachers and Mudra Therapists in more than 27 countries around the world. Visit her website at www.SabrinaMesko.com
This book "argues that the principles of embodiment awareness--the awareness of our body's sensations, habits, and the beliefs that inform them--are critical to lasting healing and change. Hemphill ... shows us that we don't have to carry our emotional burdens alone. They demonstrate a future in which healing is done in community, weaving together stories from their own experience as a trauma survivor with clinical accounts and lessons learned from their time as a social movement architect. They ask, 'What would it do to movements, to our society and culture to have the principles of healing at the very center? And what does it do to have healing at the center of every structure, and everything we create?'"--
This book addresses the principle that successful treatment incorporates a remarkably broad range of clinical variables. Clinicians must identify the extent to which each factor contributes to the success of the treatment process, and how to utilize this information strategically so that their combination enhances outcome.Complex clinical situations involve numerous macroscopic and microscopic components and their interactions. This book describes clinical practices and variables, that should be weighted according to their relevance for achieving treatment precision and improved results.The book is divided into sections, each containing topically organized chapters. Sections build from identifying discrete components of the clinical field to combined variables as they impact treatment progression. The clinical narratives that make up the latter part of the book elaborate on the course of care and the challenges involved in managing complex clinical situations. Cases range from primary care patients with systemic medical and psychiatric co-morbidity to more complex cases requiring the involvement of medical specialists, allied health professionals, and multiple health care systems.Scholarly, practical, and comprehensive, Complexity in Health Care enables clinicians to incorporate previously underappreciated health-related factors into their thinking and practice.
This new edition presents an evidence-based review of extracorporeal membrane oxygenation (ECMO) for adults, with a particular focus on veno-venous (VV) ECMO. Due to the dramatic impact of COVID-19, the number of institutions offering ECMO, thus the number of clinicians performing ECMO (or referring their patients for ECMO), has exploded in a truly unprecedented way. While the pandemic may fade, programs built in response will survive by extending the application of ECMO to previously overlooked populations.This fully updated second edition refines its focus to VV ECMO, which has seen the most dramatic increase and relevance. This allows expert authors to go further in depth regarding VV ECMO and provide readers with better guidance from the physiology of VV ECMO to weaning and decannulation. Several areas have been expanded, including anti-thrombotic approaches; how to set the mechanical ventilator and judge the complex interactions between patient, ventilator, and ECMO circuit; assessing the systemic circulation during VV ECMO (especially right ventricular function and intravascular volume); and recognizing membrane lung dysfunction. Finally, new chapters addressing how the VV-capable clinician should think about VA ECMO and how to incorporate ethical principles in patient selection and withdrawal of ECMO have been added.This is an ideal guide for intensive care and respiratory medicine specialists, fellows training in critical care, ECMO specialist staff, perfusionists, nurses, and respiratory therapists.
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