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Bring life to your curriculum with this comprehensive, yet versatile book that explores core disaster medicine principles through vivid emergency medicine cases. Each case has been crafted to suit a wide range of learners-from novice to practitioner. The ready-to-teach cases are scalable and customizable to any learning environment, from low-resource teaching settings to high-fidelity simulation labs. Covering the basics of simulation to advanced disaster response strategies, cases cover natural and human-made disasters, including pandemics, building collapses, mass gathering medicine and blast injuries, providing hands-on learning opportunities that can be used to enhance understanding and retention. Each case follows a standard structure including teaching objectives, discussion points, a timeline and critical actions. With a mix of scenarios and flexible application, this resource will ensure every learner is prepared with the knowledge and skills necessary to navigate complexities associated with real-world emergencies while learning core disaster medicine principles.
Using comprehensive sample administrative and clinical protocols, this fully updated and practical second edition guide to observation medicine (OM) provides a detailed account of how to establish and run an observation unit (OU) and reviews medical/surgical/obstetrical-gynecologic/psychiatric/social conditions in which OM may be applicable. The book covers clinical topics including improving patient outcomes, avoiding readmissions, and using OM in a pandemic or disaster. Practical topics on design, staffing, and daily operations; fiscal and business aspects, such as coding, billing, and reimbursement; regulatory concerns such as aligning case management and utilization review with observation; nursing considerations are all present. The new edition features many new chapters and topics ranging from the geriatric OU, psychiatric observation, telemedicine in OM, to the cancer patient in the OU. Applicable to an international audience, it offers instructions for implementing observation in any setting or locale and in any type of hospital or other appropriate facility.
'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.
With the number of surgical procedures requiring sedation increasing every year, most hospitals and other facilities now have a procedural (moderate/deep) sedation program. The third edition of this popular handbook provides concise, practical, and evidence-based guidance on safe and effective procedural sedation. Featuring contributions from national experts, chapters cover the description/definition of sedation levels, patient evaluation, pharmacology, legal and quality assurance issues, as well as sedation for specific populations (ambulatory/office settings, elderly, pediatric, ICU, emergency room, endoscopy, reproductive technologies). The book also reviews the specific clinical and administrative considerations for the nursing and PA staff often involved in administering sedation. Comprehensively updated to incorporate the most current, evidence-based information including updates to existing guidelines, patient outcomes data from the most recently published papers and expanded sedation-related content in sub-specialties. An essential manual for a wide array of healthcare providers to develop safer techniques, policies, and procedures for moderate and sedation.
Neuroprognostication in patients with primary neurological diagnoses as well as in critically ill patients with concomitant neurological diagnoses is increasingly complex. With advances in critical care, the focus of the field is progressively moving from survivorship to improving patients' quality of life. This evidence-based resource provides an in-depth analysis of different aspects of prognostication in neurologically critically ill patients, covering how to gather the correct data and synthesize this information at the bedside. Delving into disease specific prognostication such as traumatic brain injury, acute ischemic stroke and delirium, guidance is provided for choosing management strategies based on overall perception of prognostication and shared decision making. Other topics covered include religious and legal issues, palliative care, chronic critical illness and new frontiers including machine learning and biomarkers usage. An online version of the book with expandable figures can be accessed on Cambridge Core, via the code printed inside the cover.
Mass medical deployments to large events, such as music festivals or sporting events, are increasing in number, size, and complexity. This textbook provides guidance and direction for rational, effective, and practical medical management of mass gathering events for medical leaders. This is the first authoritative text on mass event medicine, filling a much-needed gap in a large and important area of the specialty. An international group of contributors introduce the specialty and cover topics such as general deployment, staffing, equipment, and resources, moving on to more complex issues such as the business aspect of mass gathering medicine and the legal implications. There are also practical chapters on specific types of events and adverse events such as terrorism, severe weather, and civil disobedience. An invaluable text for all healthcare professionals planning for and attending mass events, particularly EMS professionals, large event planners and administrators, and law enforcement and security personnel.
Easy to read and well-illustrated, this unique guidebook is written for acute care providers of all backgrounds and skill levels, who may be unfamiliar with basic EEG concepts and dependent on reading EEG reports or remote interpretations. This guide introduces the basics of critical care EEG with an emphasis on the skill of real-time bedside EEG reading (pattern recognition). It is presented in two parts using case-based approaches and is full of clinical tips. Readers will become familiar with common critical care EEG patterns, their significance, and management with relevant reasoning. They will also learn how to make basic bedside EEG interpretations to supplement their clinical neurological exam and better collaborate with EEG readers. A dedicated chapter on quantitative EEG explains this important modality. In short, this book enables the use of critical care EEG as a powerful extension to the clinical assessment of critically ill patients.
The COVID-19 pandemic has shown that all emergencies, major incidents and disease outbreaks can have substantial mental health consequences, and it has demonstrated the proven need for additional care for populations in the wake of disasters. This book brings together practice and recent developments in pre-hospital emergency care, emergency medicine and major trauma care with the wellbeing, psychosocial and mental health aspects of preparing for and responding to emergencies, incidents, terrorism, disasters, epidemics, and pandemics. Practical suggestions are included for future planning to provide better care for people caught up in emergencies. Setting it apart from other books on emergency preparedness is its specific focus on the psychosocial demands imposed on staff of healthcare and responding services. Featuring expert contributions from a wide variety of disciplines, this book appeals to people working within mental healthcare, emergency care, pre-hospital medicine, Blue Light services, public health, humanitarian care, emergency planning, and disaster management.
Patients with neurologic symptoms are frequently seen in the emergency department and require rapid and thorough evaluation. Appropriate assessment with tailored history-taking, localization of the neurological problem, differential diagnosis, focused testing, and urgent treatment when indicated are essential to prevent patient morbidity. Neurological examination and testing of patients are covered in-depth, along with common neurological presentations using a symptom-based approach, such as coma, dizziness and gait disturbance. Specific neurological disorders are also explored, including traumatic brain injury, ischemic stroke and transient ischemic attack and neurotoxicology. Chapters follow a basic outline, including an introduction and a pearls and pitfalls section, providing a succinct overview and key takeaway points for the busy clinician. This well organized handbook will serve as a concise, valued reference for the clinician to use in assisting the evaluation of the most common neurology related emergency department visits.
The practice of pain medicine has changed dramatically over the past few years. This practical and accessible evidence-based clinical handbook provides medical and nursing professionals with in-depth and up-to-date information on the various types of chronic pain, the underlying causes, and associated symptoms. Focused primarily on the management of chronic pain, the book covers the major chronic pain conditions in the head and neck, spine, and extremities. Also, it provides invaluable guidance on various pain management techniques, including medication, physical therapy, and psychological interventions. With this knowledge, healthcare professionals will be equipped to provide more effective and compassionate care, improve patients' quality of life, and reduce the risk of chronic pain and opioid dependence. An invaluable resource for pain medicine physicians, anesthesiologiests, primary care physicians, emergency medicine physicians, and nurse anaesthetists as well as those physicians preparing for US Board certification and recertification exams.
A fully revised second edition of a practical, easy-to-read and evidence-based text to assist healthcare professionals in the approach to the unstable and critically ill patient. Divided into sections by clinical scenario, the book covers the essential topics most often encountered in the emergency department and intensive care unit. A collaborative project from critical care physicians across multiple different specialties, the text covers general critical care, trauma and end-of-life care as well as emergencies across the spectrum of acute care medicine. The portable format and bulleted content provides practitioners with instant access to the essential information necessary for the diagnosis and management of critical care patients. The book is detailed while remaining focused and succinct, building on the first edition with new infographics for quick review and retention of key concepts. It is an invaluable bedside resource for emergency medicine and critical care clinicians across the acute care medicine spectrum.
This essential book is a comprehensive yet practical handbook on oncologic emergencies containing the important and current information on treating cancer patients in acute care settings such as emergency and urgent care departments and centers. A concise and evidence-based guide, it is the go-to resource for any acute care medical practitioner treating cancer patients, demystifying the processes of evaluating, diagnosing, and managing emergencies that often arise in the cancer patient population. The first part of the book offers an overview of cancer, anti-cancer treatment and pain and palliative care in the emergency department. It then moves on to provide a systems-based approach covering neurologic, cardiovascular, pulmonary, gastrointestinal, genitourinary, respiratory, lymphatic system, and integumentary cancer complications. The book also discusses the side effects of cancer treatments such as pain, delirium, dyspnea, and immunotherapy related adverse events, and importantly helps to bridge the gap between oncologic advancements for emergency medicine specialists.
Experts from the top hospitals in America's largest cities provide their insights into the disease states, injuries, patient populations, practice barriers, and societal conditions which present disproportionality in urban emergency departments. Distilling the authors' special expertise and skills in a clear and user-friendly way, this book enables the reader to recognize the impact of healthcare disparities on patient well-being and identify and manage the needs of special patient populations, including victims of substance abuse and intimate partner violence. Clinical chapters define conditions through case studies, discussing their prevalence in the urban setting, and offer expert advice for immediate and effective management. In addition, the book helpfully provides context and valuable tips for best practice and introduces new ways of thinking about the diseases and the problems discussed. Essential reading for clinicians looking to improve their knowledge of urban emergency medicine, from students through to senior attending practitioners.
Uncommon clinical problems can present serious challenges in any medical specialty, particularly in those areas providing acute care. Bringing together all uncommon problems relevant to the treatment of seriously ill patients in a quick one-stop reference, this book is an easy-to-use and practical reference for the clinician at any level faced with an uncommon acute medical problem at the bedside. Using a popular A-Z format, over 1000 entries reflect the current breadth of the specialty's extension to hospital-wide issues of acute care. Each topic contains both essential diagnostic and treatment information and discusses the implications for intensive care management. Extensive cross-referencing throughout aids rapid access to key information and the use of cartoons enhances learning. The book offers a source of reference for the many issues so often overlooked in major textbooks, which can be difficult not only to locate elsewhere but also for experienced clinicians to remember in detail. An invaluable resource within a single volume for intensivists, anaesthetists, emergency specialists, and a wide range of other healthcare professionals.
There are global concerns about the proliferation and misuse of club drugs and novel psychoactive substances, yet we know little about their harms and research on clinical management and treatment remains limited. This book fills the knowledge gap by providing a detailed overview of the research evidence available to date. The book provides a framework that allows readers to understand this large number of new drugs, using classifications based on primary psychoactive effect. Within this framework, the book provides detailed reviews of the more commonly used drugs. Each chapter explores pharmacology, patterns and mode of use, acute and chronic harms, and clinical interventions supported by research evidence. An invaluable resource for clinical staff, this book will support clinicians working in the emergency department, substance misuse and addiction services, mental health services, primary care, sexual health services and more. It will also be of interest to academics and those developing drug policy.
The Royal College of Emergency Medicine (RCEM) has implemented a new 2021 curriculum, with a new Single Best Answer (SBA) paper for the fellowship examination. Featuring 200 Single Best Answer questions and answers, this text is the first on the market to help prepare for this new examination. Mapped to the curriculum, this book covers core areas such as cardiology, environmental emergencies, mental health, toxicology, trauma, resuscitation and quality improvement. All of the answers are fully referenced to up-to-date guidelines and research, to allow for further reading. This is an essential text for postgraduate doctors in Emergency Medicine studying for the Fellowship of the Royal College of Emergency Medicine (FRCEM) SBA examination.
How does it feel to be a police officer? Jessica Miller uses the most recent neuroscience and real-life examples to explore risks to individual resilience. A compulsory read for anyone with an interest in policing, the book offers practical resilience techniques and policy recommendations for police officers facing crime in a post-COVID world.
Globally, EDs face new challenges as the world's population ages. Visits from older people are predicted to rise for the next 20 years. This practical and accessible book provides essential guidance on assessing the ED care of older patients - and improving it. It assists ED teams to implement changes tailored to their unique environments, providing guidance across all settings regardless of size, location or resources. Experience- and evidence-based elements combine to guide best practices for older patient flow, staff and patient satisfaction, and improving patient health outcomes. The book features proven ideas for creating a geriatric ED such as specific staff training, modifying job roles, implementing new care processes, and adapting physical spaces. An invaluable resource for practising ED clinicians, leaders, administrators, educators, and system change leaders.
Critically ill paediatric transfers have expanded rapidly over the past ten years and, as such, the need for transfer teams to recognise, understand and treat the various illnesses that they encounter is greater than ever. This highly illustrated book covers a multitude of clinical presentations in a case-based format to allow an authentic feel to the transfer process. Written by clinicians with experience in thousands of transfers, it brings together many years of experience from a world-renowned hospital. Following the case from initial presentation, to resuscitation and referral and finally with the transfer itself; the book explores the clinical stabilisation, human factors decisions and logistical challenges that are encountered every day by these teams. Following the entire journey, this is an ideal resource for all professionals who may be involved in critical care transfer and retrieval medicine, particularly those working in paediatrics, emergency medicine, anaesthesiology, intensive care, or pre-hospital settings.
Point of care ultrasound is a critical tool required for assessing all patients, providing rapid answers to clinical questions and facilitating high quality care for patients. This essential guide caters for all generalist clinicians beginning their ultrasound journey and extends to more advanced assessments for those with established ultrasound experience wishing to advance their knowledge and skills. It covers a wide range of ultrasound topics from echocardiography, thoracic and COVID-19 to emerging areas such as palliative care, hospital at home and remote and austere medicine. An extensive collection of colour images, videos and examples of clinical applications will inspire readers to acquire the skills of point of care ultrasound quickly, safely and systematically. The printed code on the inside of the cover provides access to an online version on Cambridge Core. An essential aid for acute clinicians, paramedics, general practitioners as well as remote medical providers, medical educators and students.