Emergency services Books

Book SynopsisIn order for a community to be truly prepared to respond to any type of emergency, it must develop effective emergency planning. Emergency Planning guides readers through the steps of developing these plans, offering a number of strategies that will help ensure success. It delves into the patterns of human disaster behavior, social psychology, and communication as well as the basics of generic protective actions, planning concepts, implementation, and action.Table of Contents1 Introduction to Emergency Planning 1 2 The Emergency Planning Process 33 3 Patterned Human Behavior in Disasters 63 4 Fostering Successful Emergency Planning 91 5 Classes of Protective Action Recommendations 116 6 Analyzing and Selecting Protective Actions 148 7 The Content and Format of Emergency Plans 182 8 Continuity of Operations Plans 220 9 Milestones That Structure Emergency Planning 266 10 Population Warning 298 11 Planning for Hazard Adjustment 335 12 Structures for Managing Emergency Response 368 13 Selected Federal Emergency Planning Mandates 401 14 Emergency Planning, Professionalism and the Future 435 Bibliography 464 Glossary 492 Index 000

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Book SynopsisWhat is the philosophy of the NHS? What are these fundamental principles? Where do they come from and why are they so important? This book tackles each of these questions and more. Expresses the concept that the health service, armed with a substantial philosophy of health, should drive and control medicine. The central theme is that the theoretical and practical nature of health services can and must be contested.Table of ContentsA PURPOSEFUL ORGANIZATION?. The Manager's Problem. Purpose. Different Tribes?. FOUR NHS PRINCIPLES?. Need. Quality. Equality. Cost. FORTRESS NHS. Fortress NHS. Frustration. Options. Escape from the Fortress. Appendices. References and Footnotes. Index.

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Book SynopsisAn essential book for all those clinicians and reserachers undertaking clinical trials. It will ensure that all involved in clinical trials undertake their investigation according to standard operating procedures.Table of ContentsClinical Research. Phases of a Clinical Trail. Clinical Trial Design. History and Development of GCP. Good Clinical Practice - What is It? Responsibilities of the Investigator. Standard Operating Procedures. Organisation of Clinical Trials. Abbreviations. SOP 0: Preparation, Approval and Review of SOPs. SOP 1: Study Organisation and Planning. SOP 2: Study Team: Definition of Responsibilities. SOP 3: Study Files and Filing. SOP 4: Local Management Requirements. SOP 5: Review and Validation of the Protocol. SOP 6: Review of Protocol Amendments. SOP 7: Case Report Form (CRF) Review. SOP 8: Investigator's Brochure. SOP 9: Estimation of Patient Numbers. SOP 10: Ethics Committee. SOP 11: Indemnity, Compensation and Insurance. SOP 12: Laboratory. SOP 13: Pre-Study Monitoring Visits. SOP 14: Patient Recruitment and Intention to Enrol. SOP 15: Obtaining Personal Written Informed Consent. SOP 16: Obtaining Informed Consent for Patients Unable to Give Personal Consent. SOP 17: Randomisation and Stratification. SOP 18: Blinding: Codes and Code Breaking. SOP 19: Case Report Form (CRF) Completion. SOP 20: Study Drugs. SOP 21: Monitoring Visits. SOP 22: Adverse Event and Serious Adverse Event Reporting. SOP 23: Nursing Procedures. SOP 24: Clinical Procedures. SOP 25: Trial Report. SOP 26: Archiving. SOP 27: Audits and Inspections. FDA Regulations Concerning Clinical Trials. Index.

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Book SynopsisFire Safety in Buildings is a practical handbook on fire safety legislation, duties and requirements, providing answers to common questions relating to a range of fire prevention, protection and management issues. It is an essential reference for a range of professionals including engineers, architects and project managers.

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Book SynopsisInforming Health Care Purchasers In today''s competitive marketplace, health care providers, corporate purchasers, and health care executives are focusing their attention on quality, value, and accountability. This valuable resource provides health care practitioners, administrators, and policymakers with the pertinent information they need to create a scientific method of measuring customer satisfaction.Trade Review"Consumer choice and quality scorecards have been the subject of an extraordinary amount of rhetoric in the health care field. Finally, Hanes, Greenlick, and their colleagues have done us the enormous service of providing a thoughtful, comprehensive, and balanced exploration of the real issues." --Bruce Vladeck, former administrator, Health Care Financing Administration, U.S. Department of Health and Human Services 1993-1997 "Grading Health Care is truly a first of its kind in a health care environment that is in great need of such practical guidance. Pamela Hanes and Mitch Greenlick have pulled together a series of easily understood, provocative essays on the art and science of quality reporting for a consumer audience. This book is must-reading for anyone interested in working through the complexities of translating abstract and often elusive quality information into understandable and consumer-friAndly formats." --Philip Lee, professor emeritus, University of California San Francisco Medical School and former assistant secretary of Health 1992-1997 "Consumer choice and quality scorecards have been the subject of an extraordinary amount of rhetoric in the health care field. Finally, Hanes, Greenlick, and their colleagues have done us the enormous service of providing a thoughtful, comprehensive, and balanced exploration of the real issues." --Bruce Vadeck, former HCFA administrator (1993-97) "The Oregon Scorecard Project and this book has, for the first time, brought together commonsense science and deep commitment to listen to the consumer and has produced new knowledge and insights in this complex area." --Clifton R. Gaus, former director of the Agency for Health Care Policy and Research, U.S. Department of Health and Human Services 1992-1996Table of ContentsForeward Preface 1. Reporting Quality in a Market-driven Health Care System(Daniel M. Harris and Pamela P. Hanes) 2. Oregon Consortium: A Model in Scorecard Development(Pamela P. Hanes) 3. Consumer Preferences: Issues of Perception and Measurement(Pamela P. Hanes and Holly B. Jimison) 4. Consumers Want Choice and Voice(Michael J. Garland, Barry F. Anderson, and H. Diana Jones) 5. Tailoring Choice Information to Special Populations(Pamela P. Hanes) 6. Eliciting, Measuring, and Reporting Consumer Satisfaction(Christine Edlund) 7. Measuring Health Care Quality: The Process and Outcomes of Care(Bruce W. Goldberg) 8. The Alchemy of Accountability: Science and Art of Consumer Scorecards(Pamela P. Hanes and Merwyn R. Greenlick) AppAndix A: A Consumer Guide to Selecting a Health PlanAppAndix B: A Request for Descriptive Navigational Information Index

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Book SynopsisIn this work, the authors address the need to be culturally competent with patients, and to manage and cultivate cultural inclusiveness among staff. Readers can find practical information and specific suggestions for fostering skills, knowledge and awareness.Trade Review"This insightful and practical work should be required reading formanagers, physicians, nurses, allied health caregivers, and supportstaff, in order to overcome barriers to communication and change indealing with an increasingly complex patient and employee base. Ihighly Andorse this excellent book written by these outstandingauthors." (Donald R. Oxley, vice president and executive director,Kaiser Permanente) "A superb and complete reference guide on cultural diversity. Thisbook provides insight into why health care providers do not reachtheir potential in differentiating themselves in the health caremarketplace. Should be read by all health care providers--a side ofhealth care that is all too often forgotten." (James T. Yoshioka,president, MedCenters Division) "Managing Diversity in Health Care tackles a difficult topic thatcan no longer be considered optional for any health careprofessional. The authors have done an excellent job balancingtheory, facts, and statistics with an understanding of the'cultural software' we all possess. This book forces us, as healthcare professionals, to question the assumptions we have about ourpatients and offers concrete suggestions and resources for fightingagainst stereotypes in our work." (Kathryn Johnson, CEO, TheHealthcare Forum)Table of ContentsIntroduction. Wholeness and Well-Being: In the Eye of the Beholder. Organization of the Contents. How to Use this Book. 1. Why Diversity is Good for Business: Marketplace and WorkforceIssues. Demographics Changes: An Increasingly Complex Patient and EmployeeBase. What These Population Shifts Mean to Health Care. Meeting New Contractor and Managed Care Requirements. Analyzing the Challenges and Opportunities That DiversityBrings. 2. The Dimensions of Health Care Delivery. Personality: The Unique Core. Internal Dimensions of Diversity: Powerful Influencers of Identity,Opportunity, and Expectations. External Dimensions. Organizational Dimensions. Analyzing the Impact of Diversity Dimensions in YourOrganization. Analyzing the Impact of Your own Diversity Dimensions on You as aHealth Care Professional. Analyzing Your Own Attitudes Toward Differences. 3. The Truth About Cultural Programming. Realities of Cultural Programming. Dimensions of Culture that Influence Behavior. Questioning and Expanding Your Own Assumptions. 4. Achieving Practical Cultural Literacy. Factors that Influence Adherence to Norms. Definition and Perception of Illness and Health. Key Cultural Values Affecting Care. Non-Western Treatments. The Best of Both Worlds. Beliefs About Illness, the Body, and Its Functioning. Childbirth. Death and Dying. Family and Its Role. Cultural Beliefs About Health, Disease, and Healers. 5. Improving Communication in Diverse Environments. Language. Other Aspects of Communication. Assessing Intercultural Hooks that Block Communication. Learning About the Cultures You Serve. Getting Your Message Across: Directions and Feedback. Soliciting Information. Communicating Across Language Barriers. Getting Help in Interpreting. Culturally Sensitive Medical Interviews. 6. Removing Stereotypes That Block High-Quality Care. The Realities of Stereotypes. The Realities of Human Nature. Managing Your Biases: Suggestions for Fighting Stereotypes. 7. The Diversity Leadership Challenge. The Essentials of Diversity Leadership. Leadership Fulfilled: Steps Toward Lasting Change. 8. Overcoming Barriers to Change. Making Your Diversity Efforts Pay Off. Organizational Barriers to Diversity. 9. Creative Organizational Problem Solving. Demographics-driven Marketing. Kaiser Permanente Southern California Mentoring and Coaching. Providing Health Care to the Underserved: A RevolutionaryPlan. A Systematic Commitment to Caring for the Underserved. Resources. Notes. Index.

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Book SynopsisIn the wake of 9/11 and Hurricane Katrina, many are asking what, if anything, can be done to prevent large-scale disasters. How is it that we know more about the hazards of modern American life than ever before, yet the nation faces ever-increasing losses from such events? History shows that disasters are not simply random acts. Where is the logic in creating an elaborate set of fire codes for buildings, and then allowing structures like the Twin Towers—tall, impressive, and risky—to go up as design experiments? Why prepare for terrorist attacks above all else when floods, fires, and earthquakes pose far more consistent threats to American life and prosperity?The Disaster Experts takes on these questions, offering historical context for understanding who the experts are that influence these decisions, how they became powerful, and why they are only slightly closer today than a decade ago to protecting the public from disasters. Tracing the intertwined develoTrade Review"This marvelous book offers a gripping analysis of American disaster expertise over the last 150 years. . . . A powerful, eminently readable book that belongs on undergraduate and graduate syllabi in the history of science and technology-and, indeed, in the library of every educated citizen." * Isis *"Knowles adroitly chronicles in fine historical detail the emergence of the experts (and their intellectual disciplines) who worked to understand and mitigate the constantly changing human and technological landscapes of urban risk." * Choice *"In The Disaster Experts, Scott Knowles makes a key contribution to our understanding of how American disaster policy has evolved over time. This book is a way to appreciate at a deeper level why and how Americans are prepared in some ways, and profoundly unprepared in others, for the disasters to come in the twenty-first century." * James Lee Witt, Chief Executive Officer, Witt Associates, and FEMA Director, 1993-2001 *Table of ContentsList of Abbreviations Introduction 1 The Devil's Privilege 2 Reforming Fire 3 The Invisible Screen of Safety 4 Ten to Twenty Million Killed, Tops 5 What Is a Disaster? 6 A Nation of Hazards Conclusion Notes Index Acknowledgments

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Book SynopsisThe final volume of Catanzaro''s benchmark series on building a veterinary practice, this is also the series'' keystone, providing the ways and means to keep a veterinary business going and growing under all sorts of circumstances. Creativity is the key to healthy change, and it is also the key to Catanzaro''s approach as he helps the vet and clinic staff to colour outside the lines--to think in new ways that will enhance procedures and employee morale in any practice. A noted veterinary practice management consultant, Catanzaro draws on his own extensive experience and that of other consultants, writers, and speakers to bring together the essential tools for individual brainstorming and organisational restructuring. Liberally illustrated with examples, tables, chats, and forms, and full of exercises for stimulating creativity, this volume focuses on hiring strategies and job redesign, establishing leadership and building a client base, learning and teaching new techniques, and, laTable of ContentsPREFACE; INTRODUCTION; Evolving Perspectives of Veterinary Practice; The Right Person for the Right Job; Creative Client Power-Up; Leadership before Delegation; Building the Learning Environment; Appendices: Empowering the Team; Styles of Training Profile; How to Hire a Winner; 101 Veterinary Practice Management Gimmicks; Computerised Medical Records; Medical Record Audits; Do the Unusual as if It Were Usual; Coping Self-Assessment; Team Creativity Exercises; Leadership Profile in the New American Veterinary Practice.

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Book SynopsisOSHA (29 CFR 1910.119) has recognized AIChE/DIERS two-phase flow publications as examples of good engineering practice for process safety management of highly hazardous materials. The prediction of when two-phase flow venting will occur, and the applicability of various sizing methods for two-phase vapor-liquid flashing flow, is of particular interest when designing emergency relief systems to handle runaway reactions. This comprehensive sourcebook brings together a wealth of information on methods that can be used to safely size emergency relief systems for two-phase vapor-liquid flow for flashing or frozen, viscous or nonviscous fluids. Design methodologies are illustrated by selected sample problems. Written by industrial experts in the safety field, this book will be invaluable to those charged with operating, designing, or managing today''s and tomorrow''s chemical process industry facilities.Table of ContentsPreface. Introduction. 1. Overview. 2. Design Institute for Emergency Relief Systems (DIERS). 3. A Strategy for Major Accidental Release Prevention. 4. A Strategy for Emergency Relief System Design. 5. An Approach to Emergency Relief System Design Assessment. 6. Two-Phase Vapor-Liquid Flow. 7. Two-Phase Vapor-Liquid Flow Onset and Disengagement. 8. Two-Phase Vapor-Liquid Hydrodynamics. 9. DIERS Bench-Scale Apparatus. 10. Runaway Reaction Emergency Relief System Design Computer Program. 11. References. Appendix A. DIERS Committees. Appendix B. DIERS Sponsors. Appendix C. DIERS Contractors. Chapter I. Vapor Disengagement Dynamics. 1. Overview. 1.1 Vapor Disengagement Dynamics. 1.2 Design Considerations. 2. Detailed Discussion. 2.1 Open Literature References. 2.2 Project Manual. 3. References. Appendix I-A The Coupling Equation and Flow Models. Appendix I-B Best Estimate Procedure to Calculate Two-Phase Vapor-Liquid Flow Onset/Disengagement. Appendix I-C Fluid Behavior in Venting Vessels. Appendix I-D Energy and Material Balance Derivations for Emergency Pressure Relief of Vessels. Annex I-D1 Internal Energy and Venting Calculations. Chapter II. Pressure Relief System Flow. 1. Introduction. 1.1 Scope. 1.2 Organization. 1.3 Special Terminology. 2. Recommended Design Methods. 2.1 Newtonian Flow. 2.2 Complex Fluids. 2.3 Useful Approximations. 3. Technology Base. 3.1 General Flow Equations. 3.2 Nozzle Flow Models. 3.3 Sharp Reductions. 3.4 Pressure Recovery/Expansions/Equilibrations. 3.5 Pipe Flow. 3.6 Application to Pressure Relief System Elements. 3.7 Networks. 3.8 Complex Fluids. 4. Nomenclature. 5. Acknowledgments. 6. References. Appendix II-A Thermophysical Property Requirements. Appendix II-B Equilibrium Flash Calculations. Appendix II-C Model Parameters for Pipe Entrance Sections. Appendix II-D Computer Routines in SAFIRE Program. Appendix II-E Example Problems. Appendix II-F Generalized Correlations and Design Charts. Chapter III. DIERS Phase III Large-Scale Integral Tests. 1. Summary. 2. Introduction. 2.1 Program Objectives. 2.2 Program Description. 3. Test Configurations. 4. Test Results. 4.1 Tests T1 to T8 4.2 Tests V32-W1 to V32-W8. 4.3 Tests T9, T10, T11, T14, and T15. 4.4 Tests T12 and T13. 4.5 Tests T20. 4.6 Tests T17 and T18. 4.7 Tests T21, T22, T23, and T24. 4.8 ICRE Tests 32-6 to 32-11. 4.9 ICRE Tests 2000-1 to 2000-5. 4.10 ICRE Tests 32-14, 32-15, and 32-18. 5. Acknowledgments. 6. References. Appendix III-A Test Configurations. Appendix III-B Experimental Results and Model Comparisons. Appendix III-C Kinetics Model for Styrene Polymerizations. Chapter IV. High Viscosity Flashing Two-Phase Flow. 1. Introduction. 1.1 General Discussion of High Viscosity Flow in Relief Systems. 1.2 Why High Viscosity Systems Require Special Consideration. 1.3 Necessity for Conservatism. 2. Summary of DIERS High Viscosity Relief Flow Tests. 2.1 Project Overview. 2.2 Styrene Reactive Tests. 2.3 Small-Scale Rubber Cement Bottom-Vented tests. 2.4 Large-Scale Rubber Cement Tests. 2.5 Large-Scale Polystyrene-Ethylbenzene Bottom-Vented Tests. 3. Recommended Design Practices. 3.1 Theory and Scaling for Highly Viscous Systems. 3.2 General Equations for Newtonian Fluids. 3.3 Approximate Momentum Balances for Scaling Power-Law and Newtonian Fluids. 3.4 Scaling Using Integrated Approximate Momentum Balance for Newtonian Fluids. 3.5 Scaling Using Approximate Momentum Balance for Power-Law Fluids. 4. Unanswered Questions about High Viscosity Flow. 4.1 Uncertainties. 5. References. Appendix IV-A Simplified Theory and Sample Problems. Chapter V. Containment, Disposal, and Mechanical Design. 1. Introduction. 2. Blowdown in Drum Design. 2.1 Types of Knock-Out (Blowdown) Drums and Catchtanks. 2.2 Sizing of Blowdown Drums. 3. Disposal of Vapors from Blowdown Drums. 3.1 Direct Discharge to the Atmosphere. 3.2 Discharge through a Scrubber. 3.3 Discharge through a Vent Condenser. 3.4 Discharge to a Flare Stack or Incinerator. 4. Mechanical Design. 4.1 Vent Piping Considerations. 4.2 Catchtank Mechanical Design and Safety Considerations. 4.3 Reaction Forces—General. 4.4 Reaction Forces Equations. 4.5 Reaction Forces on Safety Valve Nozzles/Piping. 4.6 Reaction Forces from Rupture Disk Discharge. 4.7 Transient Effects of Reaction Forces, Rupture Disk Discharge. 4.8 Thrust Restraint Design. 4.9 Other Blowdown Load Considerations. 5. References. Chapter VI. DIERS Bench-Scale Apparatus. 1. Background. 1.1 DIERS Requirements for a Bench-Scale Apparatus. 1.2 Limitations of Previous Test Equipment. 2. How the Test Methodology Fits into the Overall Process Safety Design. 2.1 Requests. 2.2 Worst Credible Incident Scenario. 2.3 Screening Tests. 2.4 DIERS Venting Tests and Analysis. 2.5 Recommendations. 3. Description of the DIERS Bench-Scale Apparatus. 3.1 Schematic Description of Apparatus. 3.2 Apparatus Control and Data Recording. 3.3 Test Cell Configurations. 4. Emergency Relief System (ERS) Sizing Using the DIERS Bench-Scale Apparatus. 4.1 Emergency Relief System (ERS) Overview. 4.2 Functions of the Bench-Scale Apparatus. 4.3 Onset/Disengagement Behavior Testing. 4.4 Flow Rate Calculation/Viscosity Characterization. 4.5 Characterization of Runaway Reaction Behavior. 4.6 ERS Design—Analytical Methods/FAI Nomograph. 4.7 ERS Design—Area: Charge Scaling (Top Vent Test/Top ERS Device). 4.8 ERS Design—Area: Charge Scaling/Scaling Equation Method (Bottom Vent Test/Top or Bottom ERS Devices). 4.9 Limitations on Area: Charge Scaling for ERS Design. 5. References. Appendix V1-A Experimental ERS Sizing—Some Do and Do Not Recommendations. Chapter VII. SAFIRE Computer Program for Emergency Relief Sizing. 1. Background. 1.1 History. 1.2 Overview. 2. Program Description. 2.1 Overall Architecture. 2.2 Pure-Component Physical Properties. 2.3 Mixture handling Rules. 2.4 Flash Calculations. 2.5 Chemical Reactions. 2.6 Vent Flow Calculations. 2.7 Vessel Hydrodynamics. 2.8 External Heat Fluxes. 2.9 Mass and Energy Balances. 3. Data Input. 4. Sample Problem. 5. Experience with Program. 6. References. Appendix VII-A Input Data Forms. Appendix VII-B Sample Input/Output. Index.

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Book SynopsisDeals with prevention, preparedness, response and recovery, which are the key components of emergency planning. This book first describes PSM (Process Safety Management), then goes on to consider the main features of a preparedness program, including recognizing credible incidents, planning strategy to deal with these incidents, and more.Table of ContentsPreface. Acknowledgments. Acronyms. PART A. PREVENTION. 1. Prevention Through Process Safety Management. 1.1 Technical Management of Chemical Process Safety: Basic Elements. 1.2 The Role of Emergency Preparedness. References Cited. 2. Prevention And Mitigation. 2.1 Introduction. 2.2 Principles of Prevention. 2.2.1 Process Hazard Recognition. 2.2.2 Inherently Safer Plants. 2.2.3 Process Design Modification. 2.3 Principles of Mitigation. 2.3.1 Plant Siting/Buffers. 2.3.2 Unit Siting in Plant Design. 2.3.3 Principles of Mitigating Chemical Releases. 2.3.4 Postrelease Mitigation Systems. 2.3.5 Principles of Mitigrating Fires and Explosions. References Cited. PART B. PREPAREDNESS. 3. Identification of Credible Incidents. 3.1 Introduction. 3.2 Defining Credible Incidents. 3.3 Screening Techniques to Identify Focus Areas. 3.3.1 NFPA Fire Hazard Indices. 3.3.2 Toxicity/Mobility/Quantity Index. 3.3.3 Chemical Process Risk Indices. 3.4 Techniques For Identifying Credible Incidents For Emergency Planning. 3.4.1 Informal “Expert” Review. 3.4.2 Hazard Review to Support Emergency Planning. 3.4.3 Using Process Hazard Analysis to Support Emergency Planning. 3.5 Prioritizing Emergency Planning Incidents for Consequence Assessment. 3.6 Assessing Consequences and Impacts. 3.6.1 Tools. 3.6.2 Criteria for Defining Sensitive Areas. 3.6.3 Unexpected Hazards. 3.6.4 Other Effects. 3.7 Criteria for Selecting Incidents for Emergency Planning. 3.8 Reviewing Mitigation Systems. References Cited. Appendix A, Emergency Planning Guidelines: ERPGs/EEPGs. 4. Conceptual Approach to Emergency Response. 4.1 Introduction. 4.2 Capability and Resource Assessment. 4.2.1 Trained Personnel. 4.2.2 On-Site Response Equipment. 4.2.3 Response Equipment Available Off-Site. 4.2.4 Facilities. 4.2.5 Specialized Supplies and Contractors. 4.3 Determine Concept of Emergency Operations. 4.3.1 Effective Use of Inside and Outside Response. 4.3.2 Organizing for Credible Incident. 4.3.3 Classification of Emergencies. 4.4 Regulatory Considerations. 4.5 The Effect of Change on Emergency Preparedness. References Cited. 5. Developing Response Tactics. 5.1 Introduction. 5.2 Principles of Responding to Fires. 5.2.1 Plant Fire Response Organization. 5.2.2 Integration of On-Site Fire Brigades and Off-Site Departments. 5.2.3 Response Tactics. 5.3 Hazardous Materials. 5.3.1 Hazardous Materials Response Regulations. 5.3.2 Hazmat Initial Assessment and Size-Up. 5.3.3 Hazmat Reconnaissance. 5.3.4 Work Zones. 5.5.5 Hazmat Tactical Action Plan. 5.5.6 Continual Reassessments. 5.5.7 Termination. References Cited. 6. Physical Facilities and Systems. 6.1 Introduction. 6.2 Facilities. 6.2.1 Short-Term Shelters and Safe Havens. 6.2.2 Emergency Operations Center (EOC). 6.2.3 Incident Scene Areas. 6.2.4 Media Information Center (MIC). 6.2.5 Control Rooms. 6.2.6 Medical Support Facilities. 6.2.7 Adequate Water Supplies. 6.3 Systems. 6.3.1 Detection/Early Warning Systems. 6.3.2 Communications System Design. 6.3.3 Community and Site Alerting and Notification Systems. 6.3.4 Computer Systems for Emergency Management. 6.3.5 Site Maps and Diagrams for Emergency Management. 6.3.6 Emergency Power Systems. 6.3.7 Weather Stations. References Cited. 7. Response Equipment and Supplies. 7.1 Introduction. 7.2 Fire Apparatus. 7.3 Extinguishing Agents. 7.3.1 Water 7.3.2 Foams. 7.3.3 Dry Chemicals. 7.3.4 Dry Powders. 7.3.5 Halon. 7.3.6 Carbon Dioxide. 7.3.7 Miscellaneous Agents. 7.4 Inhibitors, Neutralizers, Sorbents. 7.4.1 Inhibitors. 7.4.2 Neutralizers. 7.4.3 Sorbents. 7.5 Personal Protective Equipment. 7.5.1 Materials for Protective Clothing. 7.5.2 Considerations. 7.5.3 Flash Protection. 7.5.4 Thermal Protection. 7.5.5 Choosing Appropriate Levels of Protection. 7.5.6 Respiratory Protection. 7.6 Heavy Equipment. 7.7 Adequate Inventory and Alternate/Outside Sources of Supply. References Cited. Appendix A. Channel Industry Standards for Apparatus. 8. Developing a Workable Plan. 8.1 Introduction. 8.2 Review Existing Plans or Procedures. 8.2.1 Review Existing Emergency-Related Facility Plans. 8.2.2 Review Neighboring Facility Plans. 8.2.3 Review Community Plans. 8.3 Determining Appropriate Plan Type. 8.3.1 Plan Types. 8.3.2 Plans, Procedures, and Instructions. 8.3.3 Coordination and Commonalty. 8.4 Determining Content. 8.5 Preparedness. 8.5.1 Training. 8.5.2 Drills and Exercises. 8.5.3 Supplies and Equipment. 8.5.4 Community Awareness. 8.5.5 Medical Surveillance Program. 8.6 General Response Procedures. 8.6.1 Alerting and Warning. 8.6.2 Communications. 8.6.3 Management Functions. 8.6.4 Evacuation and Personnel Accountability. 8.6.5 Emergency Shutdown Procedures. 8.6.6 Security. 8.6.7 Mutual Aid. 8.6.8 Public Information/Media. 8.6.9 Special Notifications and Fatality Procedure. 8.6.10 Reporting Requirements. 8.7 Hazard-Specific Procedures. 8.7.1 Fire. 8.7.2 Chemical Release. 8.7.3 Medical and Rescue. 8.7.4 Hurricane. 8.7.5 Tornado and High Wind. 8.7.6 Freeze/Winter Storm. 8.7.7 Flood. 8.8 Writing the Plan. 8.9 Ensure Integration with Other Plans. 8.10 Plan Review and Maintenance. 8.11 Exercise Regularly/Critique to verify Planning Assumptions. 8.11.1 Planning an Exercise. 8.11.2 Exercising without Interfering with Plant Operations. References Cited. Appendix A. Regulations Applicable to Emergency Equipment and Supplies. Appendix B. Sample Emergency Procedures Format and Instruction. 9. Using Modeling for Emergency Planning. 9.1 Introduction. 9.2 Consequence Analysis. 9.3 Using Models for Developing Emergency Response Plans. 9.3.1 Input Data Needs. 9.3.2 Interpretation of Results. 9.4 Utilizing Appropriate Models. 9.5 Real-Time Emergency Response Modeling Systems. References Cited. 10. Training Requirements. 10.1 Introduction. 10.2 General Requirements. 10.2.1 OSHA Emergency Training Requirements. 10.2.2 Basic Emergency Training. 10.2.3 Operating Personnel. 10.3 Emergency Response Personnel. 10.3.1 General. 10.3.2 Fire Brigade Training. 10.3.3 Hazardous Materials Response Training. 10.4 Support Personnel. 10.4.1 Media and Community Relations. 10.4.2 Medical. 10.4.3 Specialist Employees. 10.4.4 Security. 10.4.5 Skilled Support Personnel. References Cited. PART C. RESPONSE. 11. Key Response Functions. 11.1 Incident Command System. 11.1.1 Definition. 11.1.2 Characteristics of an ICS. 11.1.3 Considerations for ICS. 11.2 Strategy Development. 11.2.1 Assessment and Decision Making. 11.2.2 Evaluate Additional Resources Needs. 11.3 Determine Mitigation Tactics. 11.3.1 Evaluate Need for Off-Site Warnings. 11.4 Implement Tactical Plan and Evaluate. 11.5 Response Team Decontamination. 11.5.1 Types of Contamination. 11.5.2 Prevention of Contamination. 11.5.3 Decontamination Methods. 11.5.4 Determining Effectiveness. 11.5.5 Planning for Decontamination. 11.6 Medical Decontamination/Triage/Treatment. 11.7 Using Dispersion Modeling During Emergencies. 11.8 Termination. References Cited. Appendix A. Channel Industries Mutual Aid ICS Worksheet. 12. Support Functions, Systems, and Facilities. 12.1 Introduction. 12.2 Functions. 12.2.1 Internal Management and Technical Support. 12.2.2 Security. 12.2.3 Legal. 12.2.4 Outside Technical Support. 12.2.5 Reporting Requirements. 12.2.6 Public Relations. 12.3 Systems. 12.3.1 Mutual Aids. 12.3.2 Communications System Operation. References Cited. PART D. RECOVERY. 13. Managing Recovery. 13.1 Introduction. 13.2 Management During Recovery. 13.3 Scene Security and Safety. 13.4 Employee Assistance. 13.4.1 General. 13.4.2 Supervisors’ Role. 13.4.3 Human Resources Department. 13.4.4 Federal Assistance. 13.5 Damage Assessment. 13.6 Process Data collection. 13.7 Incident Investigation. 13.8 Restoring Safety and Emergency Systems. 13.9 Legal. 13.10 Insurance. 13.11 Public Information and Communication. 13.11.1 Business Relationships. References Cited. Appendix A. Sample Recovery Management Checklist. Appendix B. Sample Damage Assessment Checklist. 14. Cleanup of Facilities. 14.1 Introduction. 14.2 Types and Forms of Contamination. 14.2.1 Chemical Contamination. 14.2.2 Radioactive Contamination. 14.3 Preventing the Spread of Contamination. 14.4 Decontamination Methods. 14.4.1 Small-Scale Decontamination. 14.4.2 Large-Scale Decontamination of Facilities. 14.5Contractor Qualifications for Cleanup. 14.6 Determining the Effectiveness. General References. Bibliography. Glossary. Index.

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Book SynopsisA handy, well illustrated aide memoire for any disaster situation Provides rapid access to 80 easy to remember rules for a multiple casualty event Presents each rule followed by concise yet authoritative, evidence-based explanations and guidance A companion to the popular Trauma Rules, 2nd edition (9780727916495) .Trade Review"In twelve short chapters, this excellent and concise pocke-sized book presents 80 ‘disaster rules' concerning triage after chemical, biological, radiological and nuclear incidents". (Emergency Nurse, 1 March 2011)Table of ContentsIntroduction. Chapter 1 Golden Rules. Chapter 2 Command and Control Rules. Chapter 3 Safety Rules. Chapter 4 Communication Rules. Chapter 5 Assessment Rules. Chapter 6 Triage Rules. Chapter 7 Treatment Rules. Chapter 8 Transport Rules. Chapter 9 Hospital Rules. Chapter 10 Mass Gatherings Rules. Chapter 11 Special Incidents Rules. Chapter 12 The Last Rule. Index.

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Book SynopsisPresents a unique view of social problems and conflicts over urban space from the cab of an ambulance. While we imagine ambulances as a site for critical care, the reality is far more complicated. Social problems, like homelessness, substance abuse, and the health consequences of poverty, are encountered every day by Emergency Medical Services (EMS) workers. Written from the lens of a sociologist who speaks with the fluency of a former Emergency Medical Technician (EMT), Medicine at the Margins delves deeply into the world of EMTs and paramedics in American cities, an understudied element of our health care system. Like the public hospital, the EMS system is a key but misunderstood part of our system of last resort. Medicine at the Margins presents a unique prism through which urban social problems, the health care system, and the struggling social safety net refract and intersect in largely unseen ways. Author Christopher Prener examines the forms of marginality that capture the reality of urban EMS work and showcases the unique view EMS providers have of American urban life. The rise of neighborhood stigma and the consequences it holds for patients who are assumed by providers to be malingering is critical for understanding not just the phenomenon of non- or sub-acute patient calls but also why they matter for all patients. This sense of marginality is a defining feature of the experience of EMS work and is a statement about the patient population whom urban EMS providers care for daily. Prener argues that the pre-hospital health care system needs to embrace its role in the social safety net and how EMSs’ future is in community practice of paramedicine, a port of a broader mandate of pre-hospital health care. By leaning into this work, EMS providers are uniquely positioned to deliver on the promise of community medicine. At a time when we are considering how to rely less on policing, the EMS system is already tasked with treating many of the social problems we think would benefit from less involvement with law involvement. Medicine at the Margins underscores why the EMS system is so necessary and the ways in which it can be expanded.Table of ContentsPreface | ix The Sociologist in the Ambulance | xi A Note on Names and Places | xv List of Abbreviations | xvii Introduction: Shit Work on Urban America’s Front Lines | 1 The Scene | 23 PART I: EMS AS A MARGINAL INSTITUTION 1 Dial 9-1-1 for Emergencies | 37 2 The Ambulance Drivers Are Here! | 64 Conclusion | 89 PART II: EMS AS MARGINAL WORK 3 The Twenty-Four: The Rhythm of EMS Shifts | 93 4 Hurry Up and Wait: Passing Time and Avoiding Conflict | 112 Conclusion | 135 PART III: EMS IN THE MARGINAL CITY 5 The Daily Grind of Grunt Work | 139 6 Stigma and Space in Midtown | 162 Conclusion | 187 Marginality, Stigma, and the Future of Pre-Hospital Medicine | 189 Appendix: Notes on Data and Methods | 213 Acknowledgments | 227 Notes | 229 Works Cited | 241 Index | 263

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Book SynopsisPresents a unique view of social problems and conflicts over urban space from the cab of an ambulance. While we imagine ambulances as a site for critical care, the reality is far more complicated. Social problems, like homelessness, substance abuse, and the health consequences of poverty, are encountered every day by Emergency Medical Services (EMS) workers. Written from the lens of a sociologist who speaks with the fluency of a former Emergency Medical Technician (EMT), Medicine at the Margins delves deeply into the world of EMTs and paramedics in American cities, an understudied element of our health care system. Like the public hospital, the EMS system is a key but misunderstood part of our system of last resort. Medicine at the Margins presents a unique prism through which urban social problems, the health care system, and the struggling social safety net refract and intersect in largely unseen ways. Author Christopher Prener examines the forms of marginality that capture the reality of urban EMS work and showcases the unique view EMS providers have of American urban life. The rise of neighborhood stigma and the consequences it holds for patients who are assumed by providers to be malingering is critical for understanding not just the phenomenon of non- or sub-acute patient calls but also why they matter for all patients. This sense of marginality is a defining feature of the experience of EMS work and is a statement about the patient population whom urban EMS providers care for daily. Prener argues that the pre-hospital health care system needs to embrace its role in the social safety net and how EMSs’ future is in community practice of paramedicine, a port of a broader mandate of pre-hospital health care. By leaning into this work, EMS providers are uniquely positioned to deliver on the promise of community medicine. At a time when we are considering how to rely less on policing, the EMS system is already tasked with treating many of the social problems we think would benefit from less involvement with law involvement. Medicine at the Margins underscores why the EMS system is so necessary and the ways in which it can be expanded.Table of ContentsPreface | ix The Sociologist in the Ambulance | xi A Note on Names and Places | xv List of Abbreviations | xvii Introduction: Shit Work on Urban America’s Front Lines | 1 The Scene | 23 PART I: EMS AS A MARGINAL INSTITUTION 1 Dial 9-1-1 for Emergencies | 37 2 The Ambulance Drivers Are Here! | 64 Conclusion | 89 PART II: EMS AS MARGINAL WORK 3 The Twenty-Four: The Rhythm of EMS Shifts | 93 4 Hurry Up and Wait: Passing Time and Avoiding Conflict | 112 Conclusion | 135 PART III: EMS IN THE MARGINAL CITY 5 The Daily Grind of Grunt Work | 139 6 Stigma and Space in Midtown | 162 Conclusion | 187 Marginality, Stigma, and the Future of Pre-Hospital Medicine | 189 Appendix: Notes on Data and Methods | 213 Acknowledgments | 227 Notes | 229 Works Cited | 241 Index | 263

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Book SynopsisShannon McQuaide's book explores the benefits and practical application of yoga and its benefit to first responders.Table of Contents Part I: The Crisis in the Fire Service 1. Today’s Fire Service Needs a Conscious Warrior Culture Part II: East Meets West—Why Yoga Belongs in the Fire Station 2. From Badass Warrior to Savasana: The Benefits of Yoga for Firefightersand First Responders 3. What Does Resilience Have to Do with Yoga? Part III: The Science behind Yoga and Mindfulness 4. How Yoga Reduces Chronic Stress and What That Means for Your Job and Your Life 5. Take Heart: How Yoga and Mindfulness Mitigate Chronic Diseasesand Disorders Part IV: How to Set Up an Evidence-Based Yoga Program in Your Fire Station 6. Fireflex Yoga Fundamentals: Everything You Need to Know 7. Day One: Starting on the Right Foot Part V: The Classes 8. My Hips Are Too Tight! Classes 1 and 2 9. Shouldering the Burden: Classes 3–4 10. Trunk Stability for Your Aching Back: Classes 5–6 11. Balancing Your Life: Classes 7 and 8 12. #ItAllConnects: Classes 9–10 Part VI: The Conscious Warrior1 3. The Conscious Warrior: A Mind-Body Approach to Leadership The Yoga Challenge

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Book SynopsisAuch bei umsichtiger Tourenplanung können Verletzungen und Erkrankungen im Rahmen von alpinistischen Unternehmungen nicht vollständig vermieden werden. Um für derartige Ausnahmesituationen gerüstet zu sein, hilft es, die wesentlichen Handlungsschritte der Ersten Hilfe im alpinen Gelände zu kennen. Der fundierte Ratgeber herausgegeben von erfahrenen Alpin- und Notfallmedizinern des Bergrettungsdienstes Österreich bietet hierfür das erforderliche Wissen. Es werden die relevanten Erste-Hilfe-Maßnahmen praxisorientiert und einfach beschrieben und in Wort, Bild und Videos vorgestellt.Ein besonderes Augenmerk liegt auf den speziellen Umständen, die eine Erste-Hilfe-Leistung im alpinen Gelände unter häufig widrigen Wetterbedingungen mit sich bringt. Effektiv und einfach kann auch mit wenigen Ausrüstungsgegenständen geholfen werden. Neben den Erste-Hilfe-Tipps finden sich auch hilfreiche Informationen zur optimalen Ausstattung einer Notfallapotheke im Rucksack sowie zu bewährten Verhaltensregeln am Berg. Der Ratgeber richtet sich an alle Menschen, die im Gebirge unterwegs sind, gleichsam Wanderer, Bergsteiger, Tourengeher, Kletterer, Jäger, Forstarbeiter und Sanitäter.Trade Review“... Zusammenfassend handelt es sich um ein Buch, bei dem man permanent merkt, dass die Autoren tief im Thema verwurzelt sind. Es ist sehr gut verständlich geschrieben, so dass sich gerade nicht medizinisch vorgebildete Bergsteiger gut in das wichtige Thema der Ersten Hilfe am Berg einarbeiten können. Aber auch Personen mit medizinischem Hintergrund werden durch den speziellen bergmedizinischen Fokus sicherlich Neues in kompakter Form erfahren bzw. ein wertvolles Update auf den aktuellen Stand der Bergmedizin erhalten.” (Deutsche Zeitschrift für Sportmedizin, zeitschrift-sportmedizin.de, 14. Mai 2023)Table of ContentsSicher in den Bergen unterwegs.- Notfälle im alpinen Gelände.- Anatomie und Physiologie des Menschen.- Verletzungen im Bergsport.- Erkrankungen beim Bergsteigen.- Alpinmedizin.- Outdoor- und Expeditionsmedizin.- Psychische Aspekte am Berg.- Notfälle bei Kindern.- Praktisches Arbeiten und Improvisieren im Gelände.

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Book SynopsisNach dem erfolgreichen Buch Fallbeispiele Notfallmedizin erscheint mit Mehr Fallbeispiele Notfallmedizin ein weiteres Werk mit realen, spannenden und lehrreichen Fallbeispielen. Langjährig erfahrene Profis aus der Notfallmedizin schildern oft dramatisch verlaufene und menschlich berührende Notfalleinsätze, mit denen sie im Laufe ihres Berufslebens konfrontiert worden sind. Jeder Fall wird anhand aktueller Literatur diskutiert und schließt mit einem Fazit für die Praxis. Es wendet sich an alle, die in der Notfall - und Rettungsmedizin tätig sind und von der Erfahrung der Kolleginnen und Kollegen lernen wollen. Notärzte, Notärztinnen, Rettungssanitäter und Rettungssanitäterinnen erhalten so wertvolle Tipps für eigene, zukünftige Notfalleinsätze.Table of Contents

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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a huge range and FREE tracked UK delivery on ALL orders.

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Book SynopsisStates are increasingly important players in the efforts to reform US health care, as the federal government withdraws from this responsibility. This title analyzes the varied routes states have taken in reformulating health care policy and provides a road map of what specific strategies work and why.

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Book SynopsisYet many of us still like amusement park rides that scare the devil out of us; they dare us to take risks.Trade ReviewA thought-provoking study of danger and how people have managed it in American from preindustrial and industrial times up until today. -- Steven Goddard History Wire - Where the Past Comes Alive Risk is a fascinating exploration of culture, history, and mankind's tenuous grasp on saving itself from accidents. Midwest Book Review Writing in a lucid style, Mohun gives an impressive overview of the American transition from vernacular to expert-centered or state-driven risk regimes. -- Claas Kirchhelle British Journal for the History of Science Mohun's claims are persuasively argued, well documented, rooted in the everyday experiences of knowledgeable historical contemporaries, and animated by the broad political, social, and cultural changes that define modernization. -- David Blanke American Historical Review Mohun's comprehensive approach registers a major contribution that takes safety history a big step forward. -- Donald W. Rogers Journal of American HistoryTable of ContentsAcknowledgmentsIntroductionPart I: Risks from Nature1. Fire Is Everybody's Problem2. The Uncertainties of Disease3. Doing Something about the Weather4. Animal Risk for a Modern AgePart II: Industrializing Risk5. Railroads, or Why Risk in a System Is Different6. The Professionalization of Safety7. The Safety-First MovementPart III: Risk in a Consumer Society8. Negotiating Automobile Risk9. What's a Gun Good For?10. Risk as Entertainment: Amusement Parks11. Consumer Product SafetyConclusionNotesEssay on SourcesIndex

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Book SynopsisThe heroic story of the invention of trauma care, from battlefield triage to level 1 trauma centers

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Book Synopsis

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