Accident and emergency medicine Books

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Book Synopsis, St. Joseph's Hospital, DenverTrade ReviewRecommended for public libraries and consumer health collections... Munster, a professor of surgery and plastic surgery who has specialized in the care of burn patients for the past 25 years and who is director of the Baltimore Regional Burn Center, candidly discusses the medical and psychological care that burn patients receive. Written for lay readers, his guide presents a wide range of clearly explained medical information-types of burns, stages of treatment and recovery, pain management, physical rehabilitation, plastic surgery, and so forth. Munster is sensitive to the needs of young burn survivors. Library Journal Illustrated and bolstered by first-person accounts of four burn patients... Covers early treatment, rehabilitation, reconstructive surgery, and support groups. Kansas City StarTable of ContentsFiguresTablesContributorsPrefaceIntroduction: The Who, Where, and How of Burn InjuryPart I: The Early Course of Burn TreatmentChapter 1. Critical Burn CareChapter 2. Family and FriendsChapter 3. Medical Personnel, Procedures, and EquipmentPart II: The Road to Recovery Chapter 4. Physical RehabilitationChapter 5. Psychosocial RehabilitiationChapter 6. Reconstructive SurgeryPart III: Looking to the FutureChapter 7. Organized SupportChapter 8. Prevention: Spread the WordAppendix A. First Aid for Burn EmergenciesAppendix B. Corrective Cosmetics for the Burn PatientAppendix C. Burn Care Services in the United States and CanadaGlossary Index

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Book SynopsisAn urgent picture of medical care in our cities, written by an emergency room physician (and co-author of the New York Times bestseller The Pact) who grew up in the very neighborhood he is now serving“A pull-no-punches look at health care from a seldom-heard sector . . . Living and Dying isn’t a sky-is-falling chronicle. It’s a real, gutsy view of a city hospital.”—Essence In this book, Dr. Sampson Davis looks at the healthcare crisis in the inner city from a rare perspective: as a doctor who works on the front line of emergency medical care in the community where he grew up, and as a member of that community who has faced the same challenges as the people he treats every day. He also offers invaluable practical advice for those living in such communities, where conditions like asthma, heart disease, stroke, obesity, and AIDS are disproportionately endemic. 

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Book SynopsisTable of ContentsPrefaceContributing Authors 1.Pathophysiology of Intracranial Hypertension and Cerebral Herniation Syndromes Kevin Sheth Margy McCullough 2.Intracranial Pressure Monitoring and Waveforms Syed Kazmi Christos Lazaridis 3.Controversies in Intracranial Pressure Monitoring Kristine O’Phelan Starane A.I. Sheperd Indira DeJesus-Alvelo 4.Cerebral Herniation Syndromes Scott A. Marshall Adam M. Willis 5.Osmotic Agents for Treatment of Intracranial Hypertension and Cerebral Edema Julia C. Durrant Holly E. Hinson 6.Metabolic Suppression and Induced Hypothermia for Treatment of Intracranial Hypertension Chad M. Miller 7.Surgical Management of Intracranial Hypertension and Cerebral Herniation Syndromes Shelly Timmons 8.Multi-Compartment Management of Intracranial Hypertension Margaret Laureman Deborah Stein 9.The Role of Intracranial Pressure in Multimodality Monitoring Strategies H. Alex Choi Suhas Bajgur Tiffany R. Chang

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Book SynopsisNoninvasive Positive Pressure Ventilation offers practical, evidence-based advice from experienced authors on the selection of appropriate patients, equipment and techniques used in the initiation of noninvasive positive pressure ventilation (NPPV). It discusses how to anticipate and resolve possible problem scenarios, and how to implement and monitor NPPV programs both in hospitals and in the patient''''s home. Defined as ventilatory assistance given without the need for an invasive airway, NPPV is often preferred over invasive mechanical ventilation because it is more convenient to use, more comfortable for the patient, and avoids complications of invasive mechanical ventilation including upper airway trauma, nosocomial pneumonias, sinusitis and sepsis. However, recipients of NPPV must be carefully selected and considerable skill and experience are necessary for successful implementation. This book aims to provide readers with knowledge that will contribute to that success. Table of ContentsContributors. Foreword (Anita K. Simonds, M.D.). Introduction. 1. Equipment Used for Noninvasive Positive Pressure Ventilation (Dean Hess, Ph.D., R.R.T.). 2. Initiation of Noninvasive Positive Pressure Ventilation (Nicholas S. Hill, M.D., Dean Hess, Ph.D., R.R.T.). 3. Management and Monitoring of Noninvasive Positive Pressure Ventilation (Peter C. Gay, M.D., Nicholas S. Hill, M.D.). 4. Noninvasive Mechanical Ventilation for Acute Exacerbations of Chronic Obstructive Pulmonary Disease (Nicolino Ambrosino, M.D., Michele Vitacca, M.D.). 5. Noninvasive Positive Pressure Ventilation for Non Chronic Obstructive Pulmonary Disease Causes of Acute Respiratory Failure (Nicholas S. Hill, M.D.). 6. Other Applications of Noninvasive Positive Pressure Ventilation in the Acute Care Setting (Nicholas S. Hill, M.D.). 7. Nasal Positive Pressure Ventilation in Restrictive Thoracic and Central Hypoventilatory Disorders (Patrick Leger, M.D., Nicholas S. Hill, M.D.). 8. Noninvasive Ventilation in Severe Stable Chronic Obstructive Pulmonary Disease (Mark W. Elliott, M.D., Nicholas S. Hill, M.D.). 9. Application of Noninvasive Positive Pressure Ventilation in Children (W. Gerald Teague, M.D., David M. Lang, M.D.). 10. Problems, Remedies, and Strategies to Optimize the Success of Noninvasive Ventilation (Nicholas S. Hill, M.D.). 11. Program Development, Costs, Resource Utilization, and Outcomes Assessment for Noninvasive Ventilation (DeLynn Johnston, B.S., R.R.T., Nicholas S. Hill, M.D.). Appendix. Index.

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Book Synopsis''Emergency Medicine Thinker'' is a practical pocketbook that provides important considerations for the practice of emergency medicine. Based on the popular website created by the authors, ''emDocs.net'', it covers practical thinking rules that can be applied on an emergency medicine shift and provides approaches to common and life-threatening diseases in the ED that physicians see on a regular basis. Easy to read with quick access to information, and full of essential tips and pearls from experts on the emergency frontlines, this is a handbook that can be used at the bedside on shift. Part 1 of the book explores the EM decision-making process and why it''s important from a myriad of central and talented emergency physicians. Part 2 features over 170 pearls for the frontline EM clinician. This book is a must-have for anyone working in emergency medicine.

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Book Synopsis

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Book Synopsis

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Book SynopsisThis easy-to-understand pocketbook in the highly respected Clarkâs stable of diagnostic imaging texts is an invaluable tool for student and practising radiographers, providing practical guidance to undertaking a wide range of mobile and theatre imaging examinations in multiple locations â' different theatre environments, the Emergency Department, Intensive Care Units, including Neonatal Intensive Care Units, and on general wards.Carrying out examinations outside the imaging suite can be particularly challenging, given the circumstances in which they are often requested, the condition of the patient and the complexity of the environment. Additionally, management of the team and area from a radiation protection point of view is the responsibility of the radiographer and requires excellent communication skills.Clarkâs Essential Guide to Mobile and Theatre Imaging takes the systematic approach adopted within books in the Clark's family and is designed to be clear an

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Book SynopsisA 19-year-old student is admitted to hospital after being found unconscious in her room in the university halls of residence. Her roommate told the paramedics that the patient had recently failed her end of year exams. She was reportedly found with several packets of paracetamol and codeine phosphate nearby and an empty bottle of wine on her bedside table. You are the medic on duty...100 Cases in Acute Medicine presents 100 acute conditions commonly seen by medical students and junior doctors in the emergency department, or on the ward or in the community setting. A succinct summary of the patient's history, examination and initial investigations, including photographs where relevant, is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors. Table of ContentsAbbreviations. Case 1: Acute Confusion. Case 2: Apparent Adverse Drug Reaction. Case 3: Shortness of Breath and a Cough. Case 4: Collapse and Confusion in a Young Woman. Case 5: Drowsy After a Fall. Case 6: Constipation with Confusion. Case 7: Diarrhoea Following Antibiotics. Case 8: Worsening Delirium. Case 9: Swollen Glands and Hearing Impairment. Case 10: Nose Bleed (Epistaxis) Following an Operation. Case 11: Deliberate Self-Harm with Antifreeze. Case 12: Right-Sided Chest Pain. Case 13: A Case of Deliberate Self-Harm. Case 14: Lymphadenopathy and Malaise. Case 15: Loss of Consciousness in Diabetes. Case 16: Fevers, Weight Loss, and Night Sweats. Case 17: The Ill Returning Traveller. Case 18: An Atypical Seizure. Case 19: Delirium and Urinary Symptoms. Case 20: Headache in Pregnancy. Case 21: Epigastric Pain and Vomiting. Case 22: Fever in a Returning Traveller. Case 23: Shortness of Breath during a Sickle Cell Crisis. Case 24: Chest Pain Radiating to the Back. Case 25: Shortness of Breath. Case 26: Recurrent Abdominal Pain. Case 27: A Persistent Cough. Case 28: Bloody Diarrhoea. Case 29: Progressive Dysphagia in a Patient with Known Malignancy. Case 30: Progressive Lower Limb Weakness. Case 31: Seizure and Agitation. Case 32: Substance Misuse. Case 33: Unilateral Leg Swelling. Case 34: Vomiting Caused by Norovirus. Case 35: Fever and Sore Throat. Case 36: A Couple with Headaches and Vomiting. Case 37: Recurring Dizziness with Exercise. Case 38: Palpitations and Collapse. Case 39: Shortness of Breath in a Young Non-Smoker. Case 40: ‘Indigestion’ with Radiating Pain. Case 41: Memory Loss and Unsteadiness. Case 42: Ecchymosis. Case 43: Petechiae and Limb Weakness. Case 44: Acute Breathlessness. Case 45: Dysphagia and Shallow Breathing. Case 46: Painful Ankles and Rash. Case 47: Collapse Associated with a Headache. Case 48: Blisters and Itchy Skin. Case 49: Postoperative Hypotension. Case 50: Drowsiness Bordering on Coma. Case 51: Anxiety with Graves’ Disease. Case 52: Episodic Anxiety and Headache. Case 53: Cough, Fever, and Shortness of Breath. Case 54: Shortness of Breath Following a Fall. Case 55: A Lady with Fatigue. Case 56: Haematuria and Flank Pain. Case 57: Bradycardia and Malaise. Case 58: Swelling of Lower Limbs. Case 59: Haemoptysis and Shortness of Breath. Case 60: Headache and Eyelid Drooping. Case 61: Knee Swelling and Pain. Case 62: Lower Abdominal Pain. Case 63: Abdominal Pain, Bruising, and Confusion. Case 64: Jaundice and Pruritis. Case 65: Bleeding Gums and Nose. Case 66: Palpitations and Shortness of Breath. Case 67: Shortness of Breath and Pedal Oedema. Case 68: Sharp Central Chest Pain. Case 69: Chest Pain with Fever, Malaise, and Myalgia. Case 70: Deteriorating Renal Function. Case 71: Petechial Rash and Loss of Consciousness. Case 72: Wheeze and Productive Cough. Case 73: Flu-Like Illness and Generalised Weakness. Case 74: Fever and a Murmur. Case 75: Wheeze and Shortness of Breath. Case 76: Red Eyes and Sight Impairment. Case 77: Severe Abdominal Pain and Fever. Case 78: Rash and Flu-Like Symptoms. Case 79: Substance Abuse and Agitation. Case 80: Generalised Rash and Malaise. Case 81: Coffee-Ground Vomiting. Case 82: Blurred Vision with Headache. Case 83: Pruritic Rash and Alopecia. Case 84: Abdominal Pain, Diarrhoea, and Fever. Case 85: Progressive Dysphagia and Muscle Stiffness. Case 86: Headache and Double Vision. Case 87: Defective Vision and Eye Pain. Case 88: Back Pain and Weight Loss. Case 89: Abdominal Pain Following Alcohol Binge. Case 90: Abdominal Pain, Malaise, and Fever. Case 91: Respiratory Distress and Oedema. Case 92: Night Sweats, Polyuria, and Polydipsia. Case 93: Painful Shoulder and Malaise. Case 94: Facial Rash. Case 95: Self-Limiting Generalised Seizures. Case 96: Target-Like Rash and Fever. Case 97: Seizure. Case 98: Loss of Pain Sensation. Case 99: Shortness of Breath in a Returning Traveller. Case 100: A Woman "Off Her Legs". Index.

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Book SynopsisEchocardiography is the most powerful and cost-effective imaging technique for assessing patients suffering from unstable cardiovascular diseases. This didactically structured third edition of Emergency Echocardiography contains fully rewritten chapters by well-known, internationally recognized contributors. It includes new chapters on echo-guided patient management in the ICU, lung ultrasound, and complications of percutaneous interventions. Special attention is given to Focus Cardiac Ultrasound (FoCUS) in emergency settings. The book uses over 600 video loops of illustrative cases to interest a wide readership of all medical professionals involved in diagnostics and treatment of emergency cardiovascular patients.Key Features Covers the role of cardiac ultrasound in most cardiovascular emergencies and emergency settings Offers clinically useful information to a wide range of medical professionals dealing with cardiovascular emergeTable of ContentsPreface to the third editionPreface to the second edition Preface to the first editionContributors Image and video contributors Abbreviations 1. Emergency echocardiography: general considerations 2. Echocardiography in acute myocardial infarction 3. Echocardiography in complications of acute myocardial infarction 4. Echocardiography in acute heart failure and cardiogenic shock 5. Echocardiography and Focus Cardiac Ultrasound in cardiac arrest 6. Echocardiography in acute aortic dissection 7. Echocardiography in acute pulmonary embolism 8. Echocardiography in cardiac tamponade 9. Echocardiography in acute aortic insufficiency 10. Echocardiography in acute mitral regurgitation 11. Echocardiography in obstruction of native valves 12. Emergency echocardiography in patients with prosthetic valves 13. Echocardiography in detecting cardiac sources of embolism 14. Emergency intraoperative and postoperative echocardiography 15. Echocardiography in mechanical circulatory support 16. Echocardiography in chest trauma 17. Stress echocardiography in the emergency department 18. Handheld ultrasound devices in the emergency setting 19. Focus cardiac ultrasound (FoCUS) 20. Lung ultrasound in emergency cardiac care 21. Echocardiography-guided patient management in the intensive care unit 22. Echocardiography in complications of percutaneous interventions Index

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Book SynopsisAn overview of a decade of advances in psychological, biological and social responses to disasters, for medical professionals, leaders and disaster responders to prepare, react and aid recovery. This book covers topics including epidemiology of response, neurobiology of exposure, socio-cultural issues, early intervention, consultation-liaison care and public health planning.Trade Review'This book should feature in the library of every ambulance service resilience department and should not gather dust. The long-term mental health impact of disaster is clearly demonstrated and well evidenced throughout this book.' Vincent Romano, Journal of Paramedic PracticeTable of ContentsPart I. Introduction: 1. Individual and community responses to disasters Robert J. Ursano, Carol S. Fullerton, Lars Weisaeth and Beverley Raphael; Part II. Foundations of Disaster Psychiatry: 2. Epidemiology of disaster mental health: the foundation for disaster mental health Carol S. North; 3. Disaster ecology James M. Shultz, Sandro Galea, Zelde Espinel and Dori B. Reissman; 4. Neurobiology of disaster exposure: fear, anxiety, trauma, and resilience Lynnette A. Averill, Rebecca P. Smith, Craig L. Katz, Dennis S. Charney and Steven M. Southwick; 5. Trajectories of health, resilience, and illness Spruha Joshi and Magdalena Cerdá; Part III. Clinical Care and Interventions: 6. Early interventions for trauma-related problems Patricia J. Watson; 7. Acute stress disorder and posttraumatic stress disorder David M. Benedek and Gary H. Wynn; 8. Psychiatric aspects of medical-surgical disaster care Phebe Tucker and Ruchi Aggarwal; 9. Collaborative care interventions for acutely injured survivors of individual and mass trauma Kirsten Sandgren, Ella Jarvik, Doyanne Darnell and Douglas Zatzick; Part IV. Special Topics: 10. International disaster response Virginia Murray, Richard Williams and Sarb Johal; 11. Risk communication in disasters: promoting resilience Daniel Dodgen, William Herbert and Rachel Kaul; 12. The unintended consequences of disaster-related media coverage Pauline Lubens and E. Alison Holman; 13. Terrorism: mass disruption and killing Joshua C. Morganstein, Robert J. Ursano, Carol S. Fullerton and Harry C. Holloway; 14. Children and families responding to disaster and bereavement Gloria J. L. Whaley, William L. Cohen and Stephen J. Cozza; 15. Disaster workers: exposure to mass and traumatic death James E. McCarroll and Quinn Biggs; 16. Health care planning for community disaster care Richard Williams, Jonathan I. Bisson and Verity Kemp; 17. Workplace and organizational disasters: response and planning Lars Weisaeth and Trond Heir; 18. Pandemics: health care emergencies Joshua C. Morganstein, Carol S. Fullerton, Robert J. Ursano, Darrin Donato and Harry C. Holloway; 19. Leadership in disasters Brian W. Flynn, Prudence Bushnell and Nicole Lurie; 20. Nuclear disaster response Jun Shigemura, Nahoko Harada, Masaaki Tanichi, Masanori Nagamine, Kunio Shimizu and Aihide Yoshino; 21. Ethical issues in disaster psychiatry Edmund G. Howe and Elana Newman; Part V. Public Health and Disaster Psychiatry: 22. Public health and disaster mental health: preparing, responding, and recovering Carol S. Fullerton, Robert J. Ursano, Lars Weisaeth and Beverley Raphael; Index.

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Book SynopsisThis easy-to-read Handbook offers clinicians a practical system for interpreting emergency head CT. This image driven book covers a wide spectrum of conditions likely to be encountered in everyday clinical practice. Practical tips for recognizing subtle pathology, through to the more obvious, are supplemented by easy-to-interpret diagrams. New topics have been added since the first edition, including trauma CT cervical spine interpretation, and an up-to-date section on acute stroke. In addition to the clinical chapters, this Handbook provides simplified technical details, and a brief historical background, making it an excellent reference manual and learning aide for all clinicians with an interest in emergency CT head interpretation.Table of ContentsSection 1. Fundamentals of Computer Tomography Imaging: Important anatomical considerations; Section 2. Reviewing a CT Scan: 1. Acute stroke; 2. Subdural haematoma (SDH); 3. Extradural/epidural haematoma; 4. Subarachnoid haemorrhage; 5. Traumatic parenchyma brain injury; 6. Cerebral venous sinus thrombosis; 7. Hypoxic-ischaemic injury; 8. Skull fractures; 9. Raised intracranial pressure; 10. Hydrocephalus; 11. Meningitis; 12. Cerebral abscess; 13. Arteriovenous malformation; 14. Solitary lesions; 15. Multiple lesions; 16. Neck vessel dissection; Section 3. Cervical Spine: 'ABCS' approach to interpreting multiplanar reformats of the CT cervical spine; Types of spine fracture; Section 4. Self-Assessment Section: Self assessment - answers; Appendix 1. ABCD2 scoring system; Appendix 2. ROSIER score; Appendix 3. NICE acute stroke flow pathway; Appendix 4. Glasgow Coma Scale (GCS) assessment; Appendix 5. NICE guideline for adult CT head; Appendix 6. NICE guideline for adult CT neck; Appendix 7. NICE guideline for paediatric CT head; Appendix 8. NICE guideline for paediatric CT neck; Appendix 9. Information required prior to neurosurgical transfer; Appendix 10. Differential diagnosis for intracerebral lesions.

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Book SynopsisEnables novice simulation operators to run simulation cases for their programs and departments. Developed by emergency medicine simulation experts, this collection of cases includes topics to supplement UME and GME training, meet ACGME core competency requirements, and challenge the physician in critical decision-making, procedural skills, ethical issues, teamwork and communication.Table of ContentsPreface; Part I. SimWars 101: 1. Why SimWars?; 2. What is SimWars?; 3. SimWars – how to succeed; 4. SimWars debriefing: the art of the show; 5. SimWars judging: maximizing the educational value of a popular educational modality; 6. Troubleshooting technology; Part II. SimWars Cases: Section 1. Airway: Case 1. Terminal extubation; Case 2. Industrial fire victim: burns and cyanide toxicity; Case 3. Pool diving accident; Case 4. Difficult airway – house fire; Case 5. 'Is there a doctor on the plane?': Airplane anaphylaxis; Case 6. Hyperthermia on a cruise ship; Section 2. AMS: Case 7. Hypertensive emergency; Case 8. Adrenal insufficiency; Case 9. 'Raving' altered mental status; Case 10. Two patients with altered mental status and cyanosis; Section 3. Cardiopulmonary: Case 11. Severe asthma; Case 12. High-altitude pulmonary edema with high-altitude cerebral edema; Case 13. SCUBA – air embolism; Case 14. LVAD; Case 15. Aortic dissection mimicking as STEMI; Case 16. Procedural sedation gone wrong in patient with upper GI hemorrhage; Case 17. Transfer gone wrong – NG tube in the trachea; Section 4. Infectious Disease: Case 18. Septic shock secondary to pneumonia; Case 19. AMS/hemorrhagic fever; Case 20. Tetany in a home-body piercer; Case 21. Pediatric myocarditis; Case 22. Neonatal HSV meningo/encephalitis; Section 5. Neurocritical Care: Case 23. Traumatic brain injury; Case 24. Status epilepticus; Case 25. Intracranial hemorrhage; Case 26. Stroke/health information technology case; Case 27. Football injury – cervical spine fracture with neurogenic shock; Case 28. Floppy newborn resuscitation; Case 29. Post mortem C-section with seizing neonate at delivery; Case 30. Shoulder dystocia with postpartum hemorrhage; Case 31. Pediatric status epilepticus; Case 32. Neonatal cardiac arrest; Case 33. Anaphylaxis/boarding patient; Case 34. Zofran and long QTc syndrome; Case 35. Pediatric death debrief; Case 36. Infant abuse and the angry team member; Case 37. Intoxicated father with child neglect; Case 38. Body packer; Case 39. Multiple altered patients with carbon monoxide (CO) poisoning; Case 40. HazMat/decontamination response with complicated communication; Case 41. Migraines and beta blocker overdose; Case 42. Blast injury; Case 43. Multi-victim trauma case; Case 44. Traumatic head bleed/trephination; Case 45. Trapped in the elevator; Case 46. I'm never riding rollercoasters again; Part III. Appendices: Appendix A. Thinking about the cases with ACGME milestones in mind; Appendix B. Moulage in minutes; Appendix C. Case images; Index.

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Book SynopsisYou have just encountered a possible stroke patient. You ask yourself: what should I do first? How do I know it is a stroke? Is it too late to reverse the damage? This book provides integral assistance in answering these critical questions. All content is arranged in chronological order, covering all considerations in assessing and treating patients in the emergency room, stroke unit, and rehabilitation facilities. This new edition offers readers the latest information on stroke treatment, and features brand new chapters on stroke radiology, endovascular therapy, the uncommon causes of stroke, cerebral venous thrombosis, stroke prevention, and the transition to outpatient care. The comprehensive set of appendices contains useful reference information, including dosage algorithms, conversion factors, and stroke scales.Table of Contents1. Stroke in the emergency department; 2. What to do first; 3. Ischemic stroke; 4. Stroke radiology; 5. Intravenous thrombolysis; 6. Endovascular therapy (ET); 7. Neurological deterioration in acute ischemic stroke; 8. Ischemic stroke etiology and secondary prevention; 9. Transient ischemic attack (TIA); 10. Less common causes of stroke; 11. Cerebral venous sinus thrombosis; 12. Intracerebral hemorrhage (ICH); 13. Subarachnoid hemorrage (SAH); 14. Organization of stroke care; 15. Stroke rehabilitation; 16. Transition to outpatient stroke care.

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Book SynopsisGlobal and national confidential inquiry reports show that 60 to 80% of maternal and neonatal morbidity and mortality are due to avoidable errors. This comprehensive and illustrated second edition offers a practical guide to the management of obstetric, medical, surgical, anaesthetic and newborn emergencies in addition to organisational and training issues. The book is divided conveniently into nine sections and updated throughout in line with modern research and practice. Several new chapters cover setting up skills and drills training in maternity services to reduce avoidable harm, managing obstetric emergencies during ''home births'' and in low-risk midwifery units, and minimizing maternal and fetal morbidity in failed operative vaginal delivery. Each chapter includes a practical algorithm for quick reference, the scientific basis for proposed actions, a case-based practical exercise and useful learning tools such as ''Key Pearls'' and ''Key Pitfalls''. An invaluable resource for obTrade Review'This book effectively addresses the essential components of obstetrical emergencies and their care. The brief chapters allow busy students and practitioners to learn or refresh themselves on the treatment of these complications.' Barbara Hoffman, A Practical Guide to Management, 2nd EditionTable of ContentsPart I. General Principles: 1. Anatomical and physiological changes during pregnancy: impact on emergency care; 2. Principles of resuscitation for 'maternal collapse' during pregnancy, labour and postpartum: airway, breathing and circulation; Part II. Algorithms for Management of the Top Five 'Direct Killers': 3. Management of deep-vein thrombosis and pulmonary embolism: antepartum, intrapartum and postpartum; 4. Management of severe pre-eclampsia and eclampsia: antepartum, intrapartum nd postpartum; 5. Management of massive obstetric haemorrhage: antepartum, intrapartum and postpartum; 6. Management of septicaemia and septic shock: antepartum, intrapartum and postpartum; 7. Management of amniotic fluid embolism; Part III. Intrapartum Emergencies: 8. Uterine rupture; 9. Breech delivery; 10. Umbilical cord prolapse; 11. Fetal compromise: diagnosis and management; 12. Shoulder dystocia; 13. Twin delivery; 14. Instrumental vaginal delivery; 15. 'Crash' emergency caesarean section; 16. Unintended trauma and complications during caesarean section; 17. Managing obstetric emergencies during 'home births' and in low-risk midwifery units; Part IV. Postpartum Emergencies: 18. Acute puerperal uterine inversion; 19. Sudden postpartum maternal collapse; 20. Retained placenta; 21. Perineal trauma during delivery; Part V. Medical and Surgical Emergencies during Pregnancy: 22. Palpatations in pregnancy; 23. Breathlessness in pregnancy; 24. Abdominal pain in pregnancy; 25. Blurring of vision and sudden loss of vision in pregnancy; 26. Psychiatric emergencies in pregnancy; 27. Drug overdose in pregnancy; 28. Diabetic ketoacidosis in pregnancy; 29. Convulsions and epilepsy in pregnancy; 30. Musculoskeletal considerations in pregnancy; 31. Endocrine emergencies in pregnancy; Part VI. Anaesthetic Emergencies during Pregnancy: 32. General anesthesia and failed intubation in pregnancy; 33. Fluid underload and overload and the management of cardiac emergencies in pregnancy; 34. Transfusion and anaphylactic and adverse drug reactions in pregnancy; 35. Major trauma, including road traffic accidents, in pregnancy; Part VII. Neonatal Emergencies and the Management of Immediate Neonatal Problems: 36. Neonatal resuscitation and the management of immediate neonatal problems; Part VIII. Management of Anticipated and Non-Anticipated Emergencies in Pregnancy: 37. Placenta acreta Spectrum (PAS) disorders; 38. Peri- and postmortem caesearean section; 39. Preterm labour and rescue cerclage; 40. Failed operative vaginal delivery: minimizing maternal and fetal morbidity; Part IX. Setting-Up Skills and Drills Training in Maternity Services and Reducing Avoidable Harm: 41. Addressing human factors in obstetric emergencies; 42. Setting up and running labor ward fire drills; 43. Simulation training for obstetric emergencies; 44. Learning from mbrrace and each baby counts; 45. Risk-management for emergency obstetric and intrapartum care.

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Book Synopsis

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Book SynopsisThe Manchester Triage System (MTS), the most widely used emergency medical triage system in the UK and Europe, is employed to prioritise the treatment of tens of millions of patients each year. MTS utilises an easy-to-understand and safe, risk-based system of prioritisation. This title contains all the information necessary for an MTS user.Table of ContentsEditors vi Members of the original Manchester Triage Group vii International Reference Group viii Preface to the third edition ix Preface to the first edition xi 1 Introduction 1 2 The decision-making process and triage 6 3 The triage method 11 4 Pain assessment as part of the triage process 25 5 Patient management, triage and the triage practitioner 35 6 Auditing the triage process 42 7 Telephone triage 47 8 Beyond prioritisation 54 Presentational flow chart index 62 Presentational flow charts 64 Discriminator dictionary 174 Index 185 General discriminators 190

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Book SynopsisEmergency Triage: Telephone Triage and Advice complements the highly successful Emergency Triage. The algorithms are rooted in the Manchester Triage System (MTS), which is used in hospitals around the world and which is acknowledged as an effective means of clinical prioritisation.Table of ContentsEditors vi Acknowledgements vii Members of the Original Manchester Triage Group viii International Reference Group ix Preface xi 1 Introduction 1 2 The decision making process and Telephone Triage 7 3 The Telephone Triage method 13 4 The presentation priority matrix 25 5 Ensuring safety in Telephone Triage 29 Presentational Flow Chart Index 33 Discriminator and question dictionary 140 Index 157

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Book SynopsisThe misuse of alcohol presents both individual physical and psychological problems as well as wider social consequences. Alcohol misuse is a frequent cause of attendance in accident and emergency departments and an underlying factor in a range of long term and chronic conditions commonly treated and managed within primary care settings.Table of ContentsContributors vii Preface ix 1 Alcohol use: Consumption and costs 1Peter McGovern and Eric Appleby 2 Alcohol use: Society and politics 7Peter McGovern and Eric Appleby 3 Alcohol in the body 12Alex Paton and Anne McCune 4 Definitions 15Alex Paton 5 The nature of alcohol use disorders 19John B. Saunders 6 The detection of alcohol use disorders 25John B. Saunders 7 Medical problems 33Alex Paton 8 Problems in the Emergency Department – and their solutions 37Zulfiquar Mirza and Robin Touquet 9 Alcohol and the young person 42William Christian, Sian Veysey and Anne Frampton 10 Alcohol and the older person 46Jarrod Richards and Rachel Bradley 11 Alcohol and the liver 50Anne McCune 12 Surgical problems 56James S. Huntley 13 Alcohol, maxillofacial trauma and prevention of personal violence 61Jonathan Shepherd and Paul Jordan 14 Neurological and neurosurgical complications of alcohol 64Jane Alty and Jeremy Cosgrove 15 Alcohol and cancer 69Sarah L. Williams 16 Alcohol and the heart 74Nitin Kumar, Yasmin Ismail and Julian Strange 17 Drug–alcohol interactions 79Dan Harris 18 Management of acute unplanned alcohol withdrawal 84Adrian Brown and Anne McCune 19 The role of alcohol care teams in district general hospitals 89Kieran J. Moriarty 20 Management in primary care 95Carsten Grimm 21 Advice and counselling 99Nicola Taylor 22 Psychological treatment and relapse prevention 102Nicola Taylor 23 Alcohol and psychiatry 105Nicola Taylor 24 Other resources, and alcohol and the doctor 109Nicola Taylor Index 000

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Book SynopsisGastrointestinal Emergencies 3E provides practical, up-to-date guidance for gastroenterologists, endoscopists, surgeons, emergency and acute physicians, medical students and trainees managing patients presenting with GI complications and/or emergencies. Combining a symptom section, a specific conditions section and a section that examines complications (and solutions) of GI procedures, focus throughout is on clear, specific how-to guidance, for use before a procedure or immediately after emergency stabilization. An evidence-based approach to presentation, diagnosis and investigation is utilized throughout. New to this third edition are severalbrand new chapters covering various complications of procedures and specific conditions not previously featured, as well as a thorough look at the many diagnostic and therapeutic advances in recentyears. In addition, every chapter from the current edition has undergone wholesale revision to ensure it is updated with the very latesTable of ContentsNotes on contributors, vii Section 1: Approach to specific presentations 1 Approach to dysphagia, 3John S. A. Collins 2 Approach to vomiting, 8Bee Chan Lee and John S. A. Collins 3 Approach to upper gastrointestinal bleeding, 12Patrick B. Allen and Tony C. K. Tham 4 Approach to acute abdominal pain, 19Tony C. K. Tham 5 Approach to jaundice, 25Tony C. K. Tham 6 Acute severe lower gastrointestinal hemorrhage, 34Jennifer M. Kolb and Tonya Kaltenbach 7 Approach to diarrhea, 39John S. A. Collins Section 2: Complications of gastrointestinal procedures and therapy 8 Complications of upper gastrointestinal endoscopy, 45Daniel J. Stein and Reza Shaker 9 Complications of percutaneous endoscopic gastrostomy, 51Barbara Willandt and Jo Vandervoort 10 Complications of endoscopic variceal ligation, sclerotherapy, and balloon tamponade, 57Aarti K. Rao and Roy Soetikno 11 ERCP complications, 61Constantinos P. Anastassiades and Richard C. K. Wong 12 Complications of laparoscopic surgery, 70Stephen Attwood and Khalid Osman 13 Complications of liver biopsy, 77Robert J. Wong and Aijaz Ahmed 14 Complications of colonoscopy, 81Matthias Steverlynck and Jo Vandervoort 15 Complications of capsule endoscopy, 86Roy Soetikno and Andres Sanchez]Yague 16 Complications of endoscopic ultrasound, 91Maria Cecilia M. Sison]Oh, Andres Sanchez]Yague, and Roy Soetikno 17 Complications of Endoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD), 99Ichiro Oda, Haruhisa Suzuki, and Seiichiro Abe 18 Complications of bariatric surgery, 105Allison R. Schulman, Michele B. Ryan, and Christopher C. Thompson 19 Complications of drugs used in gastroenterology, 117Paul Kevin Hamilton and Philip Toner Section 3: Specific conditions 20 Foreign body impaction in the esophagus, 135George Triadafilopoulos 21 Esophageal perforation, 142Ioannis S. Papanikolaou and Peter D. Siersema 22 Acute upper non]variceal gastrointestinal hemorrhage, 151Kelvin Palmer 23 Acute pancreatitis, 158David R. Lichtenstein 24 Biliary tract emergencies, 172Joseph K. N. Kim and David L. Carr]Locke 25 Variceal hemorrhage, 177Roy Soetikno and Andres Sanchez]Yague 26 Acute liver failure, 183Philip S. J. Hall and W. Johnny Cash 27 Ascites and spontaneous bacterial peritonitis, 193Andrés Cárdenas, Isabel Graupera, and Pere Ginès 28 Alcoholic hepatitis, 204Brian J. Hogan and David William Michael Patch 29 Perforation of the gastrointestinal tract, 211Ian McAllister 30 Intestinal obstruction, 220Kevin McCallion 31 Acute appendicitis, 225Ian McAllister 32 Middle gastrointestinal bleeding, 230Andres Sanchez]Yague 33 Ischemic bowel, 239Ryan B. Perumpail and Shai Friedland 34 Acute severe ulcerative colitis, 242Subrata Ghosh and Marietta Iacucci 35 Gastrointestinal infections, 251Graham Morrison and John S. A. Collins 36 Diverticular disease, 263Jennifer M. Kolb and Tonya Kaltenbach 37 Gastrointestinal complications of HIV disease, 269Emma McCarty and Wallace Dinsmore 38 Gastrointestinal complications in the intensive care unit, 276James J. McNamee and Daniel F. McAuley Index, 282

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Book SynopsisAcute Medicine offers an accessible and concise guide to the practical management of all acute medical problems likely to be encountered in the emergency department, ambulatory care centre, acute medical unit or on the wards.Table of ContentsContributors, xi Preface, xix Evolution of acute medicine: the development of ambulatory emergency care, xxi Section 1: Presentations in Acute Medicine, 1 General, 2 1 The critically ill patient, 3 2 Hypotension and shock, 9 3 Reduced conscious level, 16 4 Delirium, 23 5 Falls in older people, 30 Cardiorespiratory, 34 6 Cardiac arrest in hospital, 35 7 Acute chest pain, 46 8 Palpitations, 53 9 Transient loss of consciousness, 60 10 Acute breathlessness, 68 11 Acute respiratory failure, 73 12 Pleural effusion, 79 13 Cough and haemoptysis, 85 Neurological, 91 14 Neurological diagnosis in acute medicine, 92 15 Acute headache, 98 16 Seizures and epilepsy, 103 17 Weakness and paralysis, 110 18 Acute sensory symptoms, 117 19 Loss of vision, 123 Abdominal, 132 20 Acute vomiting, 133 21 Acute abdominal pain, 138 22 Acute diarrhoea, 144 23 Acute jaundice, 150 24 Ascites, 155 25 Acute kidney injury, 160 Skin and Musculoskeletal, 170 26 Acute rash, 171 27 Urticaria and angioedema, 177 28 Acute arthritis, 183 29 Acute spinal pain, 187 30 Acute limb pain, 190 Miscellaneous, 194 31 Comprehensive geriatric assessment, 195 32 Acute medical problems in pregnancy, 199 33 Fever on return from abroad, 207 34 Acute medical problems in the HIV-positive patient, 215 Section 2: Syndromes and Disorders, 223 General, 224 35 Sepsis, 225 36 Poisoning, 233 37 Acid-base disorders, 246 38 Anaphylaxis, 252 Cardiovascular, 258 39 Acute arrhythmias: general principles of management, 259 40 Regular broad complex tachycardia, 263 41 Irregular broad complex tachycardia, 268 42 Narrow complex tachycardia, 272 43 Atrial fibrillation and flutter, 279 44 Bradycardia and atrioventricular block, 283 45 Acute coronary syndromes (1): ST-segment elevation, 289 46 Acute coronary syndromes (2): Non-ST-segment elevation, 298 47 Acute pulmonary oedema, 305 48 Acute heart failure and decompensated chronic heart failure, 311 49 Cardiogenic shock, 317 50 Aortic dissection and other acute aortic syndromes, 321 51 Heart valve disease and prosthetic heart valves, 328 52 Infective endocarditis, 333 53 Acute pericarditis, 340 54 Cardiac tamponade, 344 55 Severe hypertension, 347 56 Deep vein thrombosis, 353 57 Pulmonary embolism, 358 58 Problems with pacemakers and other cardiac devices, 366 Respiratory, 371 59 Upper airway obstruction, 372 60 Acute asthma, 378 61 Exacerbation of chronic obstructive pulmonary disease (COPD), 384 62 Community-acquired pneumonia, 390 63 Hospital-acquired pneumonia, 396 64 Pneumothorax, 399 Neurological, 402 65 Stroke, 403 66 Transient ischaemic attack, 412 67 Subarachnoid haemorrhage, 418 68 Bacterial meningitis, 422 69 Encephalitis, 428 70 Spinal cord compression, 432 71 Guillain-Barré syndrome, 436 72 Raised intracranial pressure, 442 Abdominal, 446 73 Acute upper gastrointestinal bleeding, 447 74 Acute lower gastrointestinal bleeding, 455 75 Acute oesophageal disorders, 459 76 Inflammatory bowel disease flare, 462 77 Acute liver failure and decompensated chronic liver disease, 467 78 Alcoholic hepatitis, 476 79 Biliary tract disorders and acute pancreatitis, 478 80 Urinary tract infection, 481 Metabolic, 487 81 Hypoglycaemia, 488 82 Hyperglycaemic states, 491 83 Diabetic ketoacidosis, 495 84 Hyperosmolar hyperglycaemic state, 499 85 Disorders of plasma sodium concentration, 501 86 Disorders of plasma potassium concentration, 508 87 Disorders of plasma calcium concentration, 514 88 Disorders of plasma magnesium concentration, 518 89 Disorders of plasma phosphate concentration, 521 90 Acute adrenal insufficiency, 525 91 Thyrotoxic storm, 530 92 Myxoedema coma, 534 93 Pituitary apoplexy, 537 94 Paraganglioma (phaeochromocytoma) crisis, 540 Skin and Musculoskeletal, 543 95 Cellulitis and necrotizing fasciitis, 544 96 Erythroderma and toxic epidermal necrolysis, 549 97 Acute gout and pseudogout, 555 98 Septic arthritis, 558 99 Acute vasculitis, 561 Haematology and Miscellaneous, 568 100 Interpretation of full blood count and film, 569 101 Pancytopenia and febrile neutropenia, 577 102 Bleeding disorders, 584 103 Management of anticoagulation, 589 104 Acute painful sickle cell crisis, 601 105 Complications of cancer, 605 106 Alcohol-related problems in acute medicine, 612 107 Hypothermia, 615 108 Drowning, 619 109 Electrical injury, 623 110 Palliative and end-of-life care, 625 111 Medicolegal issues in acute medicine, 632 Section 3: Techniques and Procedures in Acute Medicine, 639 112 Airway management, 641 113 Non-invasive ventilation, 646 114 Ultrasonography in acute medicine, 651 115 Reading a chest X-ray, 657 116 Central vein cannulation, 665 117 Arterial blood sampling and cannulation, 673 118 Arterial blood gases, oxygen saturation and oxygen therapy, 677 119 Temporary cardiac pacing, 681 120 Pericardial aspiration (pericardiocentesis), 687 121 DC cardioversion, 692 122 Insertion of an intercostal chest drain, 696 123 Lumbar puncture, 704 124 Aspiration of the knee joint, 709 125 Insertion of a Sengstaken-Blakemore tube, 712 Index, 715

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Book SynopsisABC of Transfer and Retrieval Medicine provides the key information required to help health care professionals involved in the movement of critically ill patients to do so safely, correctly and with confidence.Table of ContentsContributors ix Preface xiii List of Abbreviations xv 1 Introduction 1A. Low and J. Hulme Section 1 Physiology of Transfer Medicine 3 2 Acceleration Deceleration and Vibration 5M. Sheils and C. Hore 3 Environmental Exposure and Noise 9P. Paal and M. Helm 4 Altitude Physiology 13Y. Wimalasena and C. Duncan Section 2 Clinical Considerations 19 5 Resuscitation and Stabilisation 21C. Reid and K. Habig 6 Patient Packaging and Nursing Care 28C. Small and F. Clarke 7 Mode of Transport 31A. Cadamy and T. Martin 8 International Repatriations 36B. Vadera 9 Critical Incidents 39J.M. Droogh and J.G. Zijlstra Section 3 Transfer Equipment 43 10 Electrical Supply and Batteries 45G. Roberts and J. Hulme 11 Transport Ventilators and Medical Gas Supply 47J. Bingham 12 Monitoring 51A. Corfield and S. Hearns 13 Drug Delivery 54J. Cuell and M. McCabe 14 Near Patient Testing and Imaging 58A. Low and T. Harris 15 Haemorrhage Control and Splinting 63A. Hughes and A.Weaver 16 Stretchers Incubators and Vacuum Mattresses 70H. Bawdon and M.Ward 17 Personal Protective Equipment 73C. Bosanko and S. Hepburn 18 Communication and Navigation 77I. Locke Section 4 Pharmacology of Transfer Medicine 81 19 Routes of Administration 83T. Nutbeam and R. Fenwick 20 Pre-hospital Sedation and Analgesia 88J. Hulme 21 Sedation and Neuromuscular Blockers 92E. Joynes and B. Munford 22 Inotropes and Vasopressors 96A. Fergusson and R. Tipping 23 Specialist Pharmacology: Haemostatics and Uterotonics 100P. Morgan and D. Lockey Section 5 The Transfer Team 105 24 Managing and Leading a Transfer 107D. Ellis and S. Mazur 25 Teamwork and Communication 111C. McQueen and K.Thies 26 Non-technical Skills and Sources of Error 115C. McQueen and M. Horton 27 Standard Operating Procedures Checklists and Documentation 119S. Sollid and O. Uleberg 28 Audit Medicolegal and Ethical Aspects of Transfer Medicine 122G. Evetts S. Cox and R. Tipping 29 Training for Transfers 126J.Warwick and D. Quayle Section 6 Neonatal and Paediatric Transfers 131 30 Anatomical and Physiological Considerations 133S. Revana 31 Neonatal Medical Transfers 137Lesley Jackson 32 Paediatric Medical Retrievals 142S. Ray and E. Polke 33 Paediatric Trauma Retrievals 146Mary Montgomery 34 Additional Considerations 152H. McNeilly and J. Hegarty Section 7 Specialist Transfers 155 35 Head & Spinal Injuries 157R. Protheroe and F. Lecky 36 Burns 160T. Muehlberger M. Büeschges and C. Ottoman 37 Polytrauma and Military Retrievals 164D. Keene and O. Bartells 38 Obstetric Transfers 169H. Simpson 39 Cardiac Transfers 174C.Westrope and C. Harvey 40 Contagious Patients 178R. MacDonald 41 Bariatric Patients 183Z. Dempsey and M. Ross 42 Acute Behavioural Disturbances 187M. Le Cong 43 Considerations Regarding Organ Donation 190Anders Aneman andWilliam O’Regan Appendix 1 Framework for Radiology Interpretation 193 Appendix 2 Framework for Interpretation of Arterial Blood Gases 194 Appendix 3 Example of a Triage Sieve 195 Appendix 4 Example of a Transfer Checklist 196 Appendix 5 Example of Equipment Inventory 197 Appendix 6 Summary of useful National Guidelines 201 Index 203

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Book SynopsisThe elderly represent the fastest growing segment of the population in developed countries, reflected in the patient population presenting to EDs and hospitals. These patients more often than not have greater co-morbidities, more complicated workups and utilize more laboratory and radiologic services.Table of ContentsList of Contributors vii 1 General assessment of the elderly patient 1 Alison Southern & Scott Wilber 2 Physiologic changes with aging 13 Kate D. Zimmerman & Robert S. Anderson, Jr. 3 Functional assessment of the elderly 28 Kirk A. Stiffler 4 Pharmacological issues in the elderly 43 Ruben Olmedo & Denise Nassisi 5 Altered mental status in the elderly 58 Josh Joseph & Maura Kennedy 6 Geriatric psychiatric emergencies 71 Josh Joseph & Maura Kennedy 7 Acute abdominal pain in the elderly: Surgical causes 83 Katren Tyler & Maura Kennedy 8 Nonsurgical abdominal pain in the elderly 99 Katren Tyler & Maura Kennedy 9 Back pain 110 Nicholas Santavicca & Michael E. Winters 10 Headache 123 Benjamin W. Friedman & Rebecca Nerenberg 11 Dyspnea in the elderly 139 Mercedes Torres & Siamak Moayedi 12 Acute chest pain in the geriatric patient 152 Marianne Haughey 13 Acute cardiac disease in elder patients 168 Susanne DeMeester 14 Syncope in Geriatrics 191 Timothy C Peck, Nissa J Ali & Shamai A Grossman 15 Stroke 203 Julie Watkins-Torrey, Roxanna Sadri & Kama Guluma 16 Infections 218 Jason Ondrejka & Scott Wilber 17 Dizziness and vertigo in the geriatric population 234 Jonathan Edlow & Alessandro Cancelliere 18 Weakness and functional decline 252 Colleen M McQuown 19 Emergency department evaluation of falls in the elderly 264 Tania D. Strout & Robert S. Anderson 20 Trauma in the geriatric patient 280 Christopher R. Carpenter & Peter L. Rosen 21 Surgical considerations in the elderly 304 Charles W. O’Connell, Davut Savaser & Colleen Campbell 22 Oncologic emergencies 321 Gabriel Wardi, Alexander Bromfield & Leslie C. Oyama 23 Elder abuse and neglect 351 Michael C. Bond & Kenneth H. Butler 24 Geriatric emergency pain management case 363 Teresita M Hogan & Alexandra Wong 25 Ethical issues and end-of-life care 386 Phillip D. Magidson & Jon Mark Hirshon 26 Geriatric dispositions and transitions of care 394 Barbara Morano, Carmen Morano, Kevin Biese, Eric A. Coleman & Ula Hwang 27 The geriatric ED, 407 Phillip D. Magidson, John G. Schumacher & Elizabeth A. Couser Index 417

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Book SynopsisTest-taking strategies and steps to succeed as an EMT No two EMT exam experiences are exactly alike, as questions are tailored to the test-taker and range in topics from handling medical emergencies and patient assessment, to medical ethics, ambulance operations, and pediatrics.Table of ContentsIntroduction 1 About This Book 1 Foolish Assumptions 2 Icons Used in This Book 2 Beyond the Book 3 Where to Go from Here 4 Part I: Making Sense of the EMT Exam 5 Chapter 1: Becoming an Emergency Medical Technician 7 Understanding What Being an EMT Means 7 What does an EMT do? 7 Where do EMTs work? 8 Can you use EMT training for other purposes? 9 Walking through the Steps of Becoming an EMT 9 Finding and completing a class 9 Passing the National Registry Exam 9 Finishing the process 10 Maintaining Your EMT Certification 10 Chapter 2: Taking an EMT Course and Registering for the EMT Exam 13 Enrolling in and Completing an EMT Course 13 Finding a course that fits your needs 13 Being prepared for the course 14 Meeting the course requirements 16 Getting the most out of your instructors 16 Signing Up for the EMT Exam 16 Chapter 3: Getting to Know the EMT Exam 19 Checking Out the Cognitive Exam 19 Breaking down the exam 19 Airway, respiration, and ventilation 20 Cardiology and resuscitation 20 Medical and obstetrics/gynecology 20 Trauma 21 EMS operations 21 Getting a grip on computer adaptive testing 22 Scoring the exam and getting your results 22 Completing the Practical Exam Portion 23 Part II: Test-Taking Tips and Strategies 25 Chapter 4: The Anatomy of the Multiple-Choice Question 27 Looking at the Parts 27 The stem 28 Distractors and the answer 28 Noting the importance of high-quality distractors 28 Aiming for the best answer 29 Breaking Down a Question Step by Step 29 Looking at the stem and answering it 29 Eliminating what’s not right 30 Choosing which answer is best 31 Chapter 5: Checking Out Computer Adaptive Testing 33 Understanding How Computer Adaptive Testing Works 33 How does CAT adapt? 34 Who judges the questions’ difficulty, anyway? 35 What makes CAT better? 35 Adapting to Computer Adaptive Testing 36 Chapter 6: Preparing for the Exam 37 Gearing Up to Study 37 Setting the stage 37 Staying on schedule 38 Making the Most Out of Studying 39 Using objectives 39 Studying with buddies 39 Trying a few tips for retaining info 40 Giving your brain a break 40 Picking Out Other Pointers for Success 41 Having the right mindset 41 Making a few final plans before exam day 41 Chapter 7: Doing Your Best During the Exam 43 Knowing What to Expect in a Nutshell 43 Staying Focused and Positive During the Exam 44 Answering one question at a time 44 Maintaining a positive attitude 45 Getting Your Results and Moving Ahead 45 Part III: Assessing What You Know and Reviewing Essential Information 47 Chapter 8: Taking a Preassessment with Answers and Explanations 49 Going through the Preassessment Questions 49 Looking at the Preassessment Answers and Figuring Out How to Proceed 61 Chapter 9: The Air way, Respiration, and Ventilation 69 Getting an Overview of the Respiratory System 69 Knowing the Airway and Breathing Issues to Look for When You Assess Patients 72 Understanding when breathing is (and isn’t) normal 72 Deciding when to oxygenate 73 Recognizing when to ventilate 73 Taking Action on Potential Airway and Breathing Problems 74 Upper airway conditions 74 Lower airway conditions 76 Nonrespiratory conditions 78 Practice Questions about the Airway, Respiration, and Ventilation 79 Answers and Explanations 82 Chapter 10: Cardiology and Resuscitation Essentials 85 Checking Out the Cardiovascular System 85 Surveying major structures 85 Understanding blood pressure 88 Knowing the Cardiovascular Issues to Look for When You Assess Patients 88 Recognizing normal cardiovascular findings 88 Noting when cardiovascular findings aren’t normal 89 Distinguishing acute coronary syndrome from everything else 90 Acting on Potential Cardiovascular Problems 91 Pump problems 91 Pipe problems 92 Fluid problems 94 Managing a cardiac arrest 95 Practice Questions about Cardiology and Resuscitation 96 Answers and Explanations 100 Chapter 11: Medical and Obstetrics/Gynecology Fundamentals 103 Introducing the Body’s Main Systems 103 Feeling Out the Nervous System 104 Moving through the Gastrointestinal System 107 Fighting Invaders with the Immune System 110 Allergic reactions and anaphylaxis 110 Infectious diseases 111 Taking Control with the Endocrine System 112 Getting the Scoop on the Hematologic System (Blood) 115 Considering the Urinary System 116 Cycling through Obstetrics and Gynecology 117 Obstetrics 119 The normal delivery 121 Abnormal deliveries 123 Resuscitating a newborn 125 Gynecology 125 Boning Up on the Musculoskeletal System 126 Understanding Toxicology 127 Handling Psychiatric Disorders and Behavioral Emergencies 128 Practice Questions about Medical and Obstetrics/Gynecology Fundamentals 130 Answers and Explanations 135 Chapter 12: Trauma Basics 139 Relating the Mechanism of Injury to Injury Patterns 139 Connecting MOI and force 139 Differentiating blunt from penetrating MOI 140 Blunt MOI 140 Penetrating MOI 142 Blast MOI 142 Matching obvious injuries to hidden injuries 142 Investigating Injuries That Affect the Airway and Breathing 144 Injuries that block the airway 144 Injuries that make breathing difficult 145 Assessing Injuries That Affect Circulation 146 Pump, pipes, and fluid: How circulation works 147 Injuries to the heart 147 Injuries to the vasculature 148 Evaluating Spinal Cord Injuries 150 Managing Trauma Step by Step 151 Practice Questions about Trauma 152 Answers and Explanations 157 Chapter 13: The Scoop on Pediatrics 159 Sorting Out What Makes Children Different from Adults 159 Developmental differences 159 Anatomical differences 161 Physiological differences 162 Managing the Pediatric Patient 163 Assessment tips 164 Medical situations 165 Trauma situations 168 Head, brain, and spinal injuries 168 Chest and abdominal injuries 169 Falls and burns 169 Disaster management for multiple patients 169 Practice Questions about Pediatrics 171 Answers and Explanations 174 Chapter 14: EMS Operations 177 Maintaining Medical Legal Standards 177 Grasping the basic legal tenets of medical practice 177 Avoiding negligence 178 Getting the proper consent 178 Understanding slander and libel 179 Dealing with refusals of care and/or transport 179 Maintaining confidentiality 179 Respecting advanced directives 179 Steering clear of abandonment 180 Complying with mandatory reporting 180 Coping with crime scenes 180 Documenting your cases 180 Staying Healthy, Sane, and Safe 181 Being fit for the job 181 Handling the stress of the profession 182 Knowing that safety is job one 182 Communicating Well with Others During an Emergency 183 Working on a team 183 Interacting with others on the scene 184 Understanding Emergency Vehicle Operations 184 Maintaining equipment levels and vehicle readiness 185 Driving an ambulance 185 Using air medical services 186 Performing light rescue 187 Managing Large Incidents 187 Triage 188 Hazardous incidents 189 Practice Questions about EMS Operations 190 Answers and Explanations 194 Part IV: Putting Your Knowledge into Practice 197 Chapter 15: Practice Exam 1 199 Answer Sheet for Practice Exam 1 201 Questions 203 Chapter 16: Practice Exam 1: Answers and Explanations 217 Answers and Explanations 217 Answer Key 227 Chapter 17: Practice Exam 2 229 Answer Sheet for Practice Exam 2 231 Questions 233 Chapter 18: Practice Exam 2: Answers and Explanations 247 Answers and Explanations 247 Answer Key 257 Part V: The Part of Tens 259 Chapter 19: Ten Assessment Tips for EMTs 261 Looking at the Whole Patient 261 Assessing the ABCs before Anything Else 261 Deciding Whether to Oxygenate or Ventilate 262 Determining Shock 262 Searching for the Signs of Beck’s Triad 262 Checking for Cushing’s Triad 263 Recognizing That Not All Wheezes Are Asthma 263 Listing the Causes of Altered Mental Status 263 Understanding That Not All Myocardial Infarctions Have Chest Pain as a Symptom 264 Knowing That Crying is a Good Sign in Pediatric Patients 264 Chapter 20: Ten Tips for Per forming EMT Procedures 265 Practice, Practice, Practice 265 Closely Evaluate Breathing 265 Palpate Firmly and Steadily 266 Improve the Volume of Lung Sounds 266 Immobilize the Patient’s Spine at the Correct Time 266 Control Bleeding Immediately 267 Splint an Angulated Fracture the Way You Found It (If Possible) 267 Perform a Focused Physical Exam 267 Make an Abdominal Exam More Accurate 267 Provide Consistent Medical Documentation 268 Index 269

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Book SynopsisMidwifery Emergencies at a Glance is a succinct, illustrated guide covering the practical skills needed to manage obstetric and midwifery emergencies, as well as high-risk midwifery care. It provides clear guidance on the factors which predispose to complications so that preventative management can be employed whenever possible. Broad-ranging yet easy-to-read, Midwifery Emergencies at a Glance details the underlying physiology and pathophysiology related to the emergency and explores both the physical and psychological care of the woman, partner and newborn during and following the emergency. Key features: Evidence-based, with guidance from the NMC, RCOG, NICE, and The Resuscitation CouncilPresented in an innovative, visual style that makes the key concepts easy to understandProvides helpful websites that expand on various topics as well as providing information on support groups for the woman and her family Midwifery Emergencies at a Glance is an ideal guide for practising midwives, pTable of ContentsPreface viii Abbreviations ix About the companion website x Part 1 Professional issues 1 Section 1 Professionalism 1 Professional standards 2 2 Communications during an emergency 4 Part 2 Emergency skills 7 Section 2 Resuscitation 3 Maternal resuscitation 8 4 Neonatal resuscitation 10 Section 3 Haemorrhage 5 Antepartum haemorrhage 14 6 Primary postpartum haemorrhage 16 7 Secondary postpartum haemorrhage 18 Section 4 Malpresentations and multiple pregnancy 8 Occipito posterior positions 20 9 Face and brow presentations 22 10 Breech presentations 24 11 Cord presentation and prolapse 26 12 Twins 28 Section 5 Dystocia 13 Shoulder dystocia 30 14 Uterine dystocia – failure to progress 32 Section 6 Placental separation problems 15 Manual removal of the placenta 34 16 Adhered or partially adhered placenta 36 Section 7 Uterine emergencies 17 Uterine inversion 38 18 Uterine rupture and scar dehiscence 40 Part 3 Medical and psychological emergencies 43 Section 8 Psychological disorders 19 Post-traumatic stress disorder 44 20 Postnatal depression (mood disorder) 46 21 Puerperal (postpartum) psychosis 48 Section 9 Hypertensive disorders of pregnancy 22 Pre-eclampsia 50 23 Eclampsia 52 Section 10 Embolic and coagulation disorders 24 Venous thromboembolism 54 25 Amniotic fluid embolism 56 26 Disseminated intravascular coagulation 58 Section 11 Preterm labour 27 Prelabour rupture of membranes 60 28 Preterm labour and delivery 62 Part 4 Associated skills 65 Section 12 Instrumental and Operative deliveries 29 Instrumental vaginal delivery 66 30 Preparation and transfer to the operating theatre 68 31 Role of the scrub midwife or nurse 70 32 Receiving the baby in the operating theatre 72 33 Immediate care following surgery 74 Section 13 Fetal surveillance 34 Electronic fetal monitoring – actions following a suspicious or pathological trace 76 35 Fetal scalp electrode 78 36 Fetal blood sampling 80 Section 14 Maternal monitoring 37 Recognising the deteriorating woman 82 38 Examination per vaginam 84 39 Speculum examination 86 40 Urinary catheterisation 88 Section 15 Venous skills 41 Venepuncture 90 42 Intravenous cannulation 92 43 Blood transfusion therapy 94 Section 16 Augmentation 44 Artificial rupture of membranes 96 45 Oxytocic augmentation 98 Section 17 Perineal Trauma 46 Third- and fourth-degree tears 100 47 Perineal suturing 102 Section 18 Infection awareness 48 Maternal sepsis 104 49 Source isolation nursing 106 50 Group B streptococcus 108 51 Infection control 110 Part 5 Self-assessment 113 Section 19 Revision and self-assessment Multiple choice questions 114 Multiple choice answers 121 References 124 Index 131

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Book SynopsisFully revised and now in full colour, the new edition of Pre-Obstetric Emergency Training (POET) will help practitioners identify and manage a range of time-critical obstetric emergencies, specifically in the pre-obstetric department setting. Providing structured examination and assessment techniques as an aid to determine what treatment should be provided before transport, this practical manual equips the practitioner with the knowledge necessary to save the mother and fetus in life-threatening circumstances before admission to the hospital. New to the second edition are chapters covering non-technical skills and communication, as well as complicated labour and delivery. Designed to accompany the associated Advanced Life Support Group training course, Pre-Obstetric Emergency Training serves as an authoritative guide for a range of pre-hospital practitioners dealing with specialist situations.Table of ContentsWorking group vii Contributors viii Foreword to second edition ix Acknowledgements x Preface to second edition xi Preface to first edition xii Contact details and website information xiii How to use your textbook xiv 1 Obstetric services 1 2 Legal and ethical issues 7 3 When things go wrong 13 4 Getting it right – non‐technical skills and communications 23 5 Anatomical and physiological changes in pregnancy 33 6 Structured approach to the obstetric patient 41 7 Collapse, cardiac arrest and shock in pregnancy 55 8 Emergencies in early pregnancy (up to 20 weeks) 67 9 Emergencies in late pregnancy (from 20 weeks) 73 10 Trauma, surgical and medical emergencies 85 11 Normal labour and delivery 101 12 Complicated labour and delivery 111 13 Emergencies after delivery 133 14 Resuscitation of the baby at birth 145 15 Assessment and management of the post‐gynaecological surgery patient 161 Abbreviations 167 Glossary 169 References 173 Further reading 177 Index 179

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Book SynopsisComprehensive coverage of the entire induced pluripotent stem cell basic work flow Pluripotent stem cells (PSC) can divide indefinitely, self-renew, and can differentiate to functionally reconstitute almost any cell in the normal developmental pathway, given the right conditions. This comprehensive book, which was developed from a training course, covers all of the PSCs (embryonic, embryonic germ, and embryonic carcinoma) and their functions. It demonstrates the feeder-dependent and feeder-free culture of hESC and hiPSC, which will be referred to in all protocols as PSCs. It also addresses the methods commonly used to determine pluripotency, as defined by self-renewal marker expression and differentiation potential. Human Pluripotent Stem Cells: A Practical Guide offers in-depth chapter coverage of introduction to stem cell, PSC culture, reprogramming, differentiation, PSC characterization, and more. It also includes four appendixes containing informationTable of Contents1 Introduction 1 1.1 Biosafety 1 1.2 Biosafety Levels 2 1.3 Aseptic Technique 2 1.4 Storage 6 1.5 Contamination 7 1.6 Pluripotent Stem Cells 8 1.7 Procedures 9 References 16 2 Pluripotent Stem Cell Culture 17 2.1 Introduction 17 2.2 Materials 18 2.3 Solutions 19 2.4 Methods 21 References 47 3 Reprogramming 49 3.1 Introduction 49 3.2 Materials 49 3.3 Solutions 54 3.4 Methods 57 References 97 4 Characterization 99 4.1 Introduction 99 4.2 Materials 101 4.3 Solutions 103 4.4 Methods 104 References 128 5 Differentiation 131 5.1 Introduction 131 5.2 Materials 131 5.3 Solutions 133 5.4 Methods 135 References 151 Index 153

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Book SynopsisTable of ContentsWorking group vii Contributors to first edition viii Preface to the second edition ix Preface to the first edition x Contact details and further information xi How to use your textbook xii PART 1: Introduction 1 1 The epidemiology and incidence of major incidents 3 2 Are we ready for the next major incident? 11 3 The structured approach to the hospital response 15 PART 2: Preparation 21 4 Planning for major incidents 23 5 Major incident equipment 27 6 Training 33 PART 3: Management 37 7 The scaleable hierarchy concept 39 8 The clinical hierarchy 43 9 The nursing hierarchy 55 10 The management hierarchy 65 PART 4: Support 79 11 Declaring a major incident and activating the plan 81 12 The reception phase 87 13 Triage 97 14 The definitive care phase 107 15 The recovery phase 111 PART 5: Special incidents 115 16 Incidents involving hazardous chemicals 117 17 Incidents involving a large number of burns 129 18 Incidents involving large numbers of children 139 Template annexe of local highlights 149 Glossary 159 Index 161

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Book SynopsisBlood and Marrow Transplantation Long Term Management Hematopoietic cell transplantation (HCT) provides curative therapy for a variety of diseases. Over the past several decades, significant advances have been made in the field of HCT, to the point where HCT has become an integral part of treatment modality for a variety of hematologic malignancies and some nonmalignant diseases. HCT remains an important treatment option for a wide variety of hematologic and nonhematologic disorders, despite recent advances in the field of immunologic therapies. Factors driving this growth include expanded disease indications, greater donor options (expanding unrelated donor registries and haploidentical HCT), and accommodation of older and less fit recipients.The development of less toxic pretransplant conditioning regimens, more effective prophylaxis of graft-versus-host disease (GVHD), improved infection control, and other advances in transplant technology have resulted in a rapidly groTable of ContentsForeword by Professor John Barrett vii Foreword by Professor John Goldman viii List of Contributors ix Section 1 Late effects concepts 1 1 Introduction to long‐term survivorship after hematopoietic cell transplantation 3Bipin N. Savani and André Tichelli 2 International Blood and Marrow Registries: trends on long‐term data collection 6Rachel Phelan, Jakob R. Passweg, Helen Baldomero, Minako Iida, Yoshiko Atsuta, Shinichiro Okamoto, Mahmoud Aljurf, Feras Alfraih, and Bronwen E. Shaw 3 Long‐term follow‐up program and transplant clinic setup 14André Tichelli, Bipin N. Savani, Shahrukh K. Hashmi, Navneet S. Majhail, and Alicia Rovó 4 Telemedicine in patient care of long‐term transplant survivors 25Catherine J. Lee, Mihkaila Wickline, and Mary E.D. Flowers 5 Long‐term follow‐up calendar 33André Tichelli, Bipin N. Savani, Shahrukh K. Hashmi, Navneet S. Majhail, and Alicia Rovó 6 Late effects post‐allogeneic hematopoietic stem cell transplantation 38Shahrukh K. Hashmi and Yoshihiro Inamoto 7 Late effects post‐autologous hematopoietic stem cell transplantation 47Rajshekhar Chakraborty and Betty K. Hamilton 8 Long‐term follow‐up of children 58Paul A. Carpenter 9 Graft‐versus‐host disease and late effects after hematopoietic stem cell transplantation 73David Michonneau, Aurélien Sutra del Galy, and Gérard Socié 10 Screening and prevention guidelines for hematopoietic cell transplant survivors 80Neel S. Bhatt, J. Douglas Rizzo, and Navneet S. Majhail 11 Biology of survivorship after blood or marrow transplantation 92Smita Bhatia Section 2 Specific late effects 101 12 Second malignancies 103Aurélien Sutra del Galy, David Michonneau, and Gérard Socié 13 Anti‐infective prophylaxis, immunization and prevention of late infectious complications 112Per Ljungman 14 Seasonal respiratory viral infections 119Nosha Farhadfar, Zeina Al‐Mansour, and John R. Wingard 15 Monitoring and management of hepatitis B, C, and HIV infection before and after transplantation 132Enric Carreras and Montserrat Rovira 16 Skin chronic GVHD 140Attilio Olivieri, Anna Campanati, Gaia Goteri, and Andrea Bacigalupo 17 Ocular complications 166Alicia Rovó, André Tichelli, and Yoshihiro Inamoto 18 Management of oral and dental complications 176Hildegard T. Greinix 19 Thyroid disease: monitoring and management guidelines 183Juliana Matthews, Leslee Matheny, and Shubhuda Jagasia 20 Pretransplant considerations in gender, reproductive, and sexual health 189Dana Shanis, Jeanne Murphy, Kate Debiec, Betty K. Hamilton, Shawna Boyle, and Pamela Stratton 21 Posttransplant Considerations in Gender, Reproductive, and Sexual Health 198Jeanne Murphy, Dana Shanis, Kate Debiec, Betty K. Hamilton, Shawna Boyle, and Pamela Stratton 22 Fertility issues, fertility preservation, and pregnancy outcome in long‐term survivors 211Alicia Rovó, Alison W. Loren, André Tichelli, and Nina Salooja 23 Sexual Dysfunction in Long‐Term Survivors 221Rebecca L. Hunter, Sarah Thilges, Janna Gordon, Kristy Luke, Karla Cavazos, Emilee Moeke, Colleen Bruen, and Sunita Nathan 24 Late non‐infectious pulmonary complications 231Ayman O. Soubani 25 Cardiac and arterial complications 241Alicia Rovó and André Tichelli 26 Cardiovascular risk factors 251Kimberley Doucette and Minoo Battiwalla 27 Gastrointestinal complications 260Sumona Bhattacharya, Steven Pavletic, and Theo Heller 28 Hepatic Complications 271Christy Ann L. Gilman, Christopher Koh, Steven Pavletic, and Theo Heller 29 Renal complications 278Insara Jaffer Sathick and Sangeeta Hingorani 30 Posttransplantation bone disease: prevalence, surveillance, prevention, and management 287Christine N. Duncan 31 Late neurologic complications 300Enrico Maffini 32 Neurocognitive dysfunction 312David Buchbinder and Angela Scherwath 33 Psychological Distress 330Anna Barata, Aasha I. Hoogland, and Heather S. L. Jim 34 Evaluation and management of fatigue in survivors of allogeneic hematopoietic stem cell transplantation 337Sandra A. Mitchell 35 Social Issues 349Sanghee Hong and Navneet S. Majhail 36 Health‐related quality of life in adult and pediatric survivors 355Sandra A. Mitchell, Lori Wiener, Jenny Hoag, Abigail Fry, and Margaret F. Bevans Section 3 Supportive care and patients reported outcomes 381 37 Immunosuppressive agents and monitoring in long‐term survivors 383Kathryn A. Culos and Katie S. Gatwood 38 Nutritional support and nutritional supplementation 393Shigeo Fuji 39 Daily routines and healthy lifestyle guidelines 397Melissa Logue 40 Prevalent psychosocial adjustment issues and solutions: lifestyle and social challenges 402Katrina M. Stokes 41 Complementary and alternative medicine in HSCT 406Ibrahim N. Muhsen, Bipin N. Savani,, and Shahrukh K. Hashmi 42 Impact of adherence in outcome of long‐term survivors 413Corien Eeltink and Annika Kisch 43 Prominent role of allied health professionals 418Catherine E. Lucid 44 Patient reported outcomes 420Hélène Schoemans 45 Caregivers of long‐term survivors 428Angela Moreschi Woods 46 Patient’s perspective: memoir of a recovered lymphomaniac 434Michael Brown Appendix 1 Commonly used transplant‐related medications in long‐term survivors 442Kathryn A. Culos and Katie S. Gatwood Appendix 2 The eGVHD App 445Hélène Schoemans Index 448

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Book SynopsisTable of ContentsForeword v Preface vi Dedications viii Part 1 Case histories 3 ECG interpretations and comments 53 Part 2 Case histories 83 ECG interpretations and comments 133 Appendix A: Differential Diagnoses 159 Appendix B: Commonly used abbreviations 161 Index 162

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Book SynopsisThis book focuses on the operational and clinical strategies needed to improve care of Emergency Psychiatric patients. Boarding of psychiatric patients in ED's is recognized as a national crisis. The American College of Emergency Physicians identified strategies to decrease boarding of psychiatric patients as one of their top strategic goals.Currently, there are books on clinical care of psychiatric patients, but this is the first book that looks at both the clinical and operational aspects of caring for these patients in ED setting. This book discusses Lean methodology, the impact of long stay patients using queuing methodology, clinical guidelines and active treatment of psychiatric patients in the ED.Trade Review"All clinicians in Emergency Departments espouse to provide care for the whole person, yet those individuals with psychiatric and mental health conditions in EDs all too often find timely and competent care woefully lacking. Similar to the recent trends of integrating mental health services into primary care, this book provides expertise and practical guidance for ED physicians and nurses to increase competencies for diagnosing and treating common mental health conditions. This innovative model of care in EDs proactively and reliably addresses the majority of patients’ psychiatric and mental health needs, and reserves psychiatric consultation services and transfers to psychiatric treatment facilities for those patients who cannot be adequately treated by ED clinicians."Patricia Rutherford, RN, MSVice PresidentInstitute for Healthcare Improvement (IHI)"The authors not only have a deep understanding of emergency psychiatry but also of operational improvement. The mix makes this book a needed reference for anyone focused on a patient centered approach for this vulnerable population."Kevin Nolan, Statistician, Improvement Advisor, and Senior FellowInstitute for Healthcare Improvement (IHI)"The authors have organized and written a timely and necessary book on the care of the acute psychiatric patient in the Emergency Department. Over 2 million people a year seek care for behavioral health care problems in hospital EDs at a cost of over $4 billion. Behavioral health patients seeking care in the emergency department have the same hopes, needs, and fears as the rest of the patients who present to our EDs for evaluation and treatment. The ED is often an intense and stressful work environment where staff must perform rapid assessments and make swift treatment decisions.ED staff and team members, dedicated, focused, and highly trained, too often feel overwhelmed, burdened and at times even threatened by the need to provide care for behavioral health patients. There is a great deal of variation in ED expertise, training and resource allocation for emergency mental health problems, which can lead to sub-optimal care and negative patient and staff experiences. The management of acute behavioral emergencies and crisis intervention are simply and clearly described in this book. The tactics, tools and techniques outlined here can elevate our approach to emergency department psychiatry and allow our emergency medicine colleagues to rise above our current challenges and frustrations. Balan et al. apply approaches, lessons and insights from both evidence - based medicine and Lean service operations to behavioral health patients, defining best practices and demonstrating the benefits and positive impact on patient care, flow and safety. Big Book of Emergency Department Psychiatry is a practical playbook for the challenges at hand. The authors explain simply and clearly how to get it done."Kirk Jensen, MD, MBA, FACEPChief Innovation Officer, EmCare, Inc.Chief Medical Officer, BestPractices, Inc.Studer Faculty Member and National SpeakerInstitute for Healthcare Improvement (IHI) Faculty Member "The management of psychiatric patients seeking care in the emergency department is one of the most complex and important issues in modern emergency medicine. The patients are frequently disenfranchised and do not receive high quality or timely medical care. As a result, these patients impose a tremendous impact on ED resources and flow. This book provides comprehensive insights into psychiatric care in the ED and operational improvement using Lean Healthcare concepts. It will help you and your leadership team create a patient-centric culture where a community of scientists continuously improve value for psychiatric patients, hospital and society."Jody Crane, MD, MBAPrincipal, X32 HealthcareAuthor of "The Definitive Guide to Emergency Department Operational Improvement: Employing Lean Principles with Current ED Best Practices to Create the "No Wait" Department""Innovative, informative and inspiring book, with captivating stories that display the ins and outs of psychiatric emergency services. A must read, especially the chapters on correctional emergency psychiatry and the concept of Lean in healthcare."Mardoche Sidor, MDAssistant Professor of Psychiatry, Columbia UniversityMedical DirectorThe Center for Alternative Sentencing and Employment Services (CASES)"Big Book of Emergency Department Psychiatry is big as it should be; it is the most comprehensive text on emergency psychiatry in print. Not only does it guide one to the diagnosis and management of emergency room patients but it also addresses operational issues in various settings. The emergency room is a team effort and Big Book of Emergency Department Psychiatry includes the perspectives of its members: psychiatrist, nurse, social worker and non-psychiatric emergency doctor. Make room for it on your bookshelf."David W Preven, MDClinical Professor Department of Psychiatry and Human BehaviorAlbert Einstein College of Medicine"Complete, accurate and especially timely. A must read for any emergency department leader engaged in improving care for this vulnerable population."Seth Thomas, MD, FACEPDirector of Quality & PerformanceCEP America"Big Book of Emergency Department Psychiatry is empathically written and valuable to anyone that has ever experienced or cared for someone dealing with a psychiatric emergency. It has a dose of rigor, evidence and science and it conveys the personal experience of some of our peers and it keeps you wanting to read more. It is a tremendous compendium of the state of knowledge of the specialty and art of emergency psychiatry. Very soon, this book will become the must-read for this specialty for trainees and experienced mental health professionals alike.I congratulate the authors on an excellent, disciplined, rigorous work that retains the human perspective while educating the reader."Carlos Rueda MD, MBAChairman, Department of PsychiatrySt. Joseph’s Healthcare SystemTrinitas Regional Medical Center"All clinicians in Emergency Departments espouse to provide care for the whole person, yet those individuals with psychiatric and mental health conditions in EDs all too often find timely and competent care woefully lacking. Similar to the recent trends of integrating mental health services into primary care, this book provides expertise and practical guidance for ED physicians and nurses to increase competencies for diagnosing and treating common mental health conditions. This innovative model of care in EDs proactively and reliably addresses the majority of patients’ psychiatric and mental health needs, and reserves psychiatric consultation services and transfers to psychiatric treatment facilities for those patients who cannot be adequately treated by ED clinicians."Patricia Rutherford, RN, MSVice PresidentInstitute for Healthcare Improvement (IHI)"The authors not only have a deep understanding of emergency psychiatry but also of operational improvement. The mix makes this book a needed reference for anyone focused on a patient centered approach for this vulnerable population."Kevin Nolan, Statistician, Improvement Advisor, and Senior FellowInstitute for Healthcare Improvement (IHI)"The authors have organized and written a timely and necessary book on the care of the acute psychiatric patient in the Emergency Department. Over 2 million people a year seek care for behavioral health care problems in hospital EDs at a cost of over $4 billion. Behavioral health patients seeking care in the emergency department have the same hopes, needs, and fears as the rest of the patients who present to our EDs for evaluation and treatment. The ED is often an intense and stressful work environment where staff must perform rapid assessments and make swift treatment decisions.ED staff and team members, dedicated, focused, and highly trained, too often feel overwhelmed, burdened and at times even threatened by the need to provide care for behavioral health patients. There is a great deal of variation in ED expertise, training and resource allocation for emergency mental health problems, which can lead to sub-optimal care and negative patient and staff experiences. The management of acute behavioral emergencies and crisis intervention are simply and clearly described in this book. The tactics, tools and techniques outlined here can elevate our approach to emergency department psychiatry and allow our emergency medicine colleagues to rise above our current challenges and frustrations. Balan et al. apply approaches, lessons and insights from both evidence - based medicine and Lean service operations to behavioral health patients, defining best practices and demonstrating the benefits and positive impact on patient care, flow and safety. Big Book of Emergency Department Psychiatry is a practical playbook for the challenges at hand. The authors explain simply and clearly how to get it done."Kirk Jensen, MD, MBA, FACEPChief Innovation Officer, EmCare, Inc.Chief Medical Officer, BestPractices, Inc.Studer Faculty Member and National SpeakerInstitute for Healthcare Improvement (IHI) Faculty Member "The management of psychiatric patients seeking care in the emergency department is one of the most complex and important issues in modern emergency medicine. The patients are frequently disenfranchised and do not receive high quality or timely medical care. As a result, these patients impose a tremendous impact on ED resources and flow. This book provides comprehensive insights into psychiatric care in the ED and operational improvement using Lean Healthcare concepts. It will help you and your leadership team create a patient-centric culture where a community of scientists continuously improve value for psychiatric patients, hospital and society."Jody Crane, MD, MBAPrincipal, X32 HealthcareAuthor of "The Definitive Guide to Emergency Department Operational Improvement: Employing Lean Principles with Current ED Best Practices to Create the "No Wait" Department""Innovative, informative and inspiring book, with captivating stories that display the ins and outs of psychiatric emergency services. A must read, especially the chapters on correctional emergency psychiatry and the concept of Lean in healthcare."Mardoche Sidor, MDAssistant Professor of Psychiatry, Columbia UniversityMedical DirectorThe Center for Alternative Sentencing and Employment Services (CASES)"Big Book of Emergency Department Psychiatry is big as it should be; it is the most comprehensive text on emergency psychiatry in print. Not only does it guide one to the diagnosis and management of emergency room patients but it also addresses operational issues in various settings. The emergency room is a team effort and Big Book of Emergency Department Psychiatry includes the perspectives of its members: psychiatrist, nurse, social worker and non-psychiatric emergency doctor. Make room for it on your bookshelf."David W Preven, MDClinical Professor Department of Psychiatry and Human BehaviorAlbert Einstein College of Medicine"Complete, accurate and especially timely. A must read for any emergency department leader engaged in improving care for this vulnerable population."Seth Thomas, MD, FACEPDirector of Quality & PerformanceCEP America"Big Book of Emergency Department Psychiatry is empathically written and valuable to anyone that has ever experienced or cared for someone dealing with a psychiatric emergency. It has a dose of rigor, evidence and science and it conveys the personal experience of some of our peers and it keeps you wanting to read more. It is a tremendous compendium of the state of knowledge of the specialty and art of emergency psychiatry. Very soon, this book will become the must-read for this specialty for trainees and experienced mental health professionals alike.I congratulate the authors on an excellent, disciplined, rigorous work that retains the human perspective while educating the reader."Carlos Rueda MD, MBAChairman, Department of PsychiatrySt. Joseph’s Healthcare SystemTrinitas Regional Medical CenterTable of ContentsChapter 1: Introduction to Emergency PsychiatryChapter 2: Introduction to Lean MethodologyChapter 3: Queuing Theory and the Impact of the Long Stay PatientChapter 4: Change Management and Cultural BarriersChapter 5: Metrics for ImprovementChapter 6: Common Psychiatric Disorders in Emergency Department SettingsChapter 7: Children and Adolescents with Psychiatric EmergenciesChapter 8: Medical Problems Presenting as Psychiatric ComplaintsChapter 9: The Diagnosis and Management of Substance Use Disorders in Emergency PsychiatryChapter 10: Active Treatment Options used in Psychiatric EmergenciesChapter 11: The Myths of Medical ClearanceChapter 12: Treatment Teams and Operational Principles in the Emergency DepartmentChapter 13: Emergency Psychiatry from an ED Physician PerspectiveChapter 14: Emergency Psychiatry from an ED Nurse PerspectiveChapter 15: Emergency Psychiatry from a Psychiatrist perspectiveChapter 16: Emergency Psychiatry from an ED Social Worker PerspectiveChapter 17: Emergency Treatment of Agitation in Delirious and Demented PatientsChapter 18: Risk AssessmentChapter 19: Discharge PlanningChapter 20: Innovations in Treatment of Psychiatric Emergencies in a Hospital SettingChapter 21: Correctional Emergency PsychiatryChapter 22: Ethical Implications for the Psychiatrist in the ED

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Book SynopsisThis succinct manual provides detailed clinical practice guidelines for the care of women in labour, this is designed to be a ready guide for use in the delivery suite by the busy clinician. The third edition has been updated to include new developments in clinical practice and governance and new guidelines. So far as is possible, the differences in care scenarios internationally have been addressed to provide a reliable guide to safe delivery.Key Features Provides detailed clinical practice guidelines for the care of women in labour Offers a ready guide for use in the delivery suite by the busy obstetric clinician and all members of the team Focuses on the clinical relevance of the problem points arising. Table of ContentsPreface. Acknowledgements. About the Author. Abbreviations. Glossary. Bleep/crash calls. Part I: Approach to care. The biopsychosocial approach to care of the woman in labour. Communication between care providers. Documentation. Admission to, and discharge home from, the delivery suite. Learning from clinical incidents. T ransfer of care between professionals. Reviewing what happened. Part II: Normal and Low-Risk Labour. Vaginal examination. Intravenous cannulation. Management of normal labour. Prelabour rupture of membranes at term (37–42 weeks). Management of the first stage of labour. Fetal monitoring. Fetal scalp blood sampling. Augmentation of labour. Cord-blood sampling. Epidural analgesia in labour. Management of the second stage of labour. Criteria for paediatric attendance at delivery. Management of the third stage of labour. Immediate postpartum care. Care of the newborn. Meconium-stained amniotic fluid. Neonatal resuscitation. Babies born before arrival at hospital. Episiotomy. The woman with a history of childhood sexual abuse. Use of birthing pool. Part III: Abnormal and high-risk labour. SECTION 1. Powers, passenger, passage. Caesarean section. Recovery of obstetric patients. High-dependency care. Failed intubation drill. Instrumental delivery. Trial of vaginal delivery after a previous caesarean section. Induction of labour. Antenatal corticosteroid therapy. Preterm prelabour rupture of membranes. Preterm uterine contractions. Deliveries at the lower margin of viability. Multiple pregnancy. Abnormal lie in labour. Occipito-posterior position. Malpresentation. Breech presentation. External cephalic version. The woman with genital cutting. The obese woman in labour. Perineal tear. SECTION 2. Medical conditions. Heart disease in labour. Peripartum cardiomyopathy. Pre-eclampsia. Eclampsia. Diabetes mellitus. Asthma (acute exacerbation in labour). Epilepsy. Systemic lupus erythematosus. Connective tissue disorders. SECTION 3. Haemorrhage and haematological disorders. The rhesus-negative woman. Thromboembolism prophylaxis. Acute venous thromboembolism and pulmonary embolism. Major haemoglobinopathy. Inherited coagulation disorders: Haemophilia and von Willebrand disease. Immune thrombocytopenic purpura. Thrombophilia. Gestational thrombocytopenia. Antepartum haemorrhage. Major placenta praevia. Placenta accreta spectrum. Retained placenta. Postpartum haemorrhage. Disseminated intravascular coagulopathy. Delivery of the woman at known risk of haemorrhage. Standards for administering blood transfusion. Management of the woman who declines blood transfusion. SECTION 4. Infection. Prophylactic antibiotics. Intrapartum sepsis. Hepatitis B and C. Intrapartum antibiotic prophylaxis for Group B streptococci. Genital herpes. Human immunodeficiency virus. The woman with COVID-19. SECTION 5. Other obstetric emergencies. Paravaginal haematoma and cervical tear. Rupture of the uterus. Shoulder dystocia. Cord prolapse. Anaphylaxis. Inverted uterus. Amniotic fluid embolism. Sudden maternal collapse. Latex allergy. SECTION 6. Stillbirths and congenital abnormalities. Checklist for fetal loss at 13–23 weeks. Intrauterine fetal demise. Mid-trimester termination of pregnancy for fetal abnormality. Appendix. Index.

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Book SynopsisPre-hospital care plays an increasingly important part in contemporary healthcare delivery and the skills of paramedics, emergency medical technicians and emergency care assistants are a vital part of this. This casebook supports readers to develop the necessary assessment and decision-making skills they need in order to effectively manage a variety of cases typically seen in UK paramedic practice. 100 Cases in UK Paramedic Practice allows for learning and revision through 100 scenarios which aim to encompass cases that may be seen in daily practice. The book covers scenarios that can occur at any moment of the day, from an ambulance shift to primary care settings to event standby duties. The bite-size structure of this book allows the reader to focus on body systems or random case scenarios, depending on their preference.This is an essential, evidence-based guide for students of pre-hospital care and a useful reference for qualified staff as a source of coTable of ContentsPrefaceThe assessment and history taking structure of this bookAcknowledgementsAbbreviationsPart I: System-specific casesChapter 1. Cardiovascular systemChapter 2. Respiratory systemChapter 3. Abdominal/GI/renal systemChapter 4. Neurological systemChapter 5. Obstetrics & gynaecologyChapter 6. ToxicologyChapter 7. ResuscitationChapter 8. Mental HealthChapter 9. PaediatricsChapter 10. TraumaPart II: Mixed cases for self-assessment

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Book SynopsisFrom treating war casualties in Afghanistan and Iraq to his experiences as a civilian trauma surgeon treating alcoholics, drug addicts, criminals, and the mentally deranged, this book offers an intense look at one man's commitment to his country and to those most desperately in need of aid.

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Book SynopsisNow a Los Angeles Times BestsellerThe New York Times Book Review: Awdish''s book is the one I wished we were given as assigned reading our first year of medical school, alongside our white coats and stethoscopes...dramatic, engaging and instructive.A riveting first-hand account of a physician who''s suddenly a dying patient and her revelation of the horribly misguided standard of care in the medical worldDr. Rana Awdish never imagined that an emergency trip to the hospital would result in hemorrhaging nearly all of her blood volume and losing her unborn first child. But after her first visit, Dr. Awdish spent months fighting for her life, enduring consecutive major surgeries and experiencing multiple overlapping organ failures. At each step of the recovery process, Awdish was faced with something even more unexpected: repeated cavalier behavior from her fellow physiciansindifference following human loss, disregard for anguis

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