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This book aims to provide condensed and crystallised knowledge, providing the rationale for investigations and interventions. Emergency medicine is a specialty where time and knowledge are critical factors in deciding appropriate management which could otherwise result in loss of life or limb. The challenge often is to have lucid management plans, whilst standing at the bedside of the patient. In order to address this challenge, a manuscript is needed which aims to enhance the clinical skills of the emergency physician. The objective of this book is to compile a road map for practitioners of emergency medicine, which would guide them through algorithm-based pathways. This format is distinctive by nature for its concise presentation, which facilitates easy reading and early application. Written by global experts, this book aims to be a truly international representation of emergency physicians who have come together to deliver contemporary concepts in emergency patient care.
Orthopaedic trauma represents 75% of the casualties in a disaster. Many of these patients will be cared for by international volunteers, but good intentions are not always matched by good preparation. This book explains how best to prepare for missions, how to deal with injuries in austere conditions, how to ensure a positive legacy, and the need for cultural, political, and legal awareness. All of the most common orthopaedic presentations encountered in the austere environment are covered. In addition to evidence-based research, cases and actual experiences from the authors' missions are included to illustrate and bring to life key points. This book, written by a team of international experts with extensive experience of challenging field missions, will be an ideal practical guide for volunteers and health care workers, helping them to deal with confusing, chaotic, and distressing situations with greater confidence and efficacy.
Includes more than 30 new diagnoses and eBook with digital updates as needed! Updated to deliver the most current standards, this is a unique prescribing reference for APRN students and advanced health care providers in all practice settings who need guidance on prescribing drugs for patients with acute, episodic, and chronic health problems. Concise, easy to read, and updated throughout, the resource delivers pharmacotherapy regimens for more than 600 diagnoses-including over 30 that are new. The print format includes an eBook with digital updates to assure immediate access to essential information. Listed alphabetically by diagnosis, pharmacotherapy regimens include, for each diagnosis, drug choices listed by generic name, FDA pregnancy category, generic/over-the-counter availability, adult/pediatric dosing regimens, brand names, forms of dosage, and additives. Clinically useful information such as laboratory values to be monitored, patient teaching points, and safety information is interspersed throughout each diagnosis. Additional quick-access features include information presented in convenient table format and an alphabetical cross-reference index of drugs by generic and brand name, with FDA pregnancy category and controlled drug schedule (I, II, III, IV, V). Key Features: Includes 31 new diagnoses totaling over 600 organized alphabetically Serves as a quick-access prescribing reference for APRN and PA students and health care providers in all primary care settings Presents drug information in condensed and summary form for ease of use Within each diagnosis, drug choices are listed alphabetically by generic /trade name, FDA pregnancy category, adult/pediatric dosing, dose forms, and additives Delivers guidance on lab values to be monitored, patient education points, and safety information Includes 30 Appendices with ready access to key drug classifications, FDA Pregnancy Categories, US Schedule of Controlled Substances, Immunization Schedules, Contraceptive Guidance, categories Anti-Infectives, and more! Offers brand/generic cross-reference
The dead do not hide the truth and they never lie. Through me the dead can speak ... Dr Richard Shepherd is the UK's foremost forensic pathologist, his job to understand the deaths which may have no natural cause. From crime scene to court room, his findings are crucial to the pursuit of justice. His work has seen killers put behind bars, exonerated the innocent, and turned open and shut cases on their heads. Shepherd's obsession with revealing the secrets of the dead is personal. At medical school, while performing his first autopsy, he held the heart of the patient in his hand and thought of his late mother, taken too early by heart disease. He became driven by the challenge of finding the truth, of seeing justice, and by compassion: sometimes for the dead, but always for those they have left behind. Thoughtful, revealing, chilling, sometimes bizarre and always unputdownable, Unnatural Causes is the true crime book of the year.
The most popular and trusted source of portable drug information since 1987. Used by prescribers around the world, the Tarascon Pharmacopoeia (R) 2019 Deluxe Lab-Coat Edition continues its tradition as the leading portable drug reference packed with vital drug information to help clinicians make better decisions at the point of care. The Tarascon Pharmacopoeia (R) 2019 Deluxe Lab-Coat Edition is an expanded version of the Classic Shirt-Pocket Edition, containing more drugs, black box warnings, evidence-based off-label indications for adults and pediatric patients, and additional tables. This reference also includes typical drug dosing (all FDA approved), available trade and generic formulations, metabolism, safety in pregnancy and lactation, relative drug pricing information, Canadian trade names, and an herbal & alternative therapies section. Multiple tables supplement the drug content, including opioid equivalency, emergency drug infusions, pediatric drug dosing, and much more. New to the 2019 Edition: * Updated with new drug information * New drugs reflect Innovative trimester scheme for describing pregnancy and reproductive risk based on FDA's updated Pregnancy and Lactation Rule * Outpatient Pediatric Drugs table revised to extend age ranges and reflect new recommendation that volume of liquid doses be measured only in mLs * Renal dose adjustment to indicate when a drug needs a dose adjustment or is contraindicated in renal insufficiency * FDA guideline updates * Removal of discontinued drugs and outdated dosing information The Tarascon Pharmacopoeia (R) 2019 Deluxe Lab-Coat Edition is an essential resource for all physicians, pharmacists, nurses, physician assistants, dentists, medical transcriptionists, and other point of care providers. Each edition is meticulously peer-reviewed by experts and is now available in multiple print, mobile, and digital formats. The Tarascon Pharmacopoeia is also available in a Classic Shirt-Pocket version.
This volume focuses on the etiology and morphogenesis of congenital heart diseases. It reviews in detail the early development and differentiation of the heart, and later morphologic events of the cardiovascular system, covering a wide range of topics such as gene functions, growth factors, transcription factors and cellular interactions that are implicated in cardiac morphogenesis and congenital heart disease. This book also presents recent advances in stem cell and cell sheet tissue engineering technologies which have the potential to provide novel in vitro disease models and to generate regenerative paradigms for cardiac repair and regeneration. This is the ideal resource for physician scientists and investigators looking for updates on recent investigations on the origins of congenital heart disease and potential future therapies.
This handbook is a clinically-focused guide on the diagnosis and evidence-based treatment of migraine, the third most common medical condition on the planet. It is a concise yet thorough guide for management of migraine in clinical practice settings as informed by current scientific literature and clinical guidelines. This handbook incorporates diagnostic criteria from the most recent edition of the International Classification of Headache Disorders (ICHD-3). The first half of the handbook provides information on assessment of migraine (including headache red flags and indications for neuroimaging), screening for common comorbid conditions, and essential lifestyle recommendations for all migraine patients. The second half covers both acute and preventive headache medications and relevant treatment algorithms and indications, as well as other medical therapies and behavioral interventions for migraine. This clinician's manual is easy to read and includes numerous tables and other content valuable to all providers wanting a go-to resource on clinical management of migraine. It is an ideal companion for busy general practitioners and neurologists, nurses and mid-level providers, neurology trainees and residents, as well as patients wishing to gain a better understanding of their condition.
Murray Bowen (1913-1990) was the first to study the family in a live-in setting and describe specific details about how families function as systems. His theories dominated family therapy for decades. This book, written by one of his closet collaborators, updates his still-radical theory with the latest approaches to understanding emotional development.
Fully 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.
This book represents the evolution of Satir's ideas over the last twenty years. In clear, plain terms, it details her theoretical position, her strategy in therapy, and how she tailored her interventions to address people's particular issues.
The Frozen Section Library series provides concise, user-friendly, site specific handbooks that are well illustrated and highlight the pitfalls, artifacts and differential diagnosis issues that arise in the hurried frozen section scenario. Written by expert surgical pathologists, Frozen Section Library: Endocrine Organs presents common and practical problems including follicular adenoma versus follicular carcinoma, papillary thyroid carcinoma versus reactive change and freezing artifact, follicular variant of papillary thyroid carcinoma, and medullary thyroid carcinoma. Anaplastic carcinoma, thyroid lymphoma, resection margin of a pancreatic endocrine tumor, pheochromocytoma within an adrenal gland and extra- adrenal gland, parathyroid tissue versus a thyroid tissue and versus a lymph node are also explored in detail. All chapters are illustrated with color pictures and accompanied legends. As a handbook for practicing pathologists, this volume is an indispensable aid to diagnosis and for avoiding dangers in one of the most challenging situations that pathologists encounter. Rapid consideration of differential diagnoses and how to avoid traps caused by frozen section artifacts are readily accessible. Tables and charts provide guidance for differential diagnosis of various histological patterns. Frozen Section Library: Endocrine Organs is a highly valuable guide for practicing surgical pathologists, both community and academic, and to pathology residents and fellows. Qihui "Jim" Zhai, MD, FCAP, is Professor of Laboratory Medicine and Pathology, Mayo Clinic Florida, Jacksonville, FL.
In the 1960s, Americans combined psychedelics with Buddhist meditation to achieve direct experience through altered states of consciousness. As some practitioners became more committed to Buddhism, they abandoned the use of psychedelics in favor of stricter mental discipline, but others carried on with the experiment, advancing a fascinating alchemy called psychedelic Buddhism. Many think exploration with psychedelics in Buddhism faded with the revolutionary spirit of the sixties, but the underground practice has evolved into a brand of religiosity as eclectic and challenging as the era that created it. Altered States combines interviews with well-known figures in American Buddhism and psychedelic spirituality-including Lama Surya Das, Erik Davis, Geoffrey Shugen Arnold Sensei, Rick Strassman, and Charles Tart-and personal stories of everyday practitioners to define a distinctly American religious phenomenon. The nuanced perspective that emerges, grounded in a detailed history of psychedelic religious experience, adds critical depth to debates over the controlled use of psychedelics and drug-induced mysticism. The book also opens new paths of inquiry into such issues as re-enchantment, the limits of rationality, the biochemical and psychosocial basis of altered states of consciousness, and the nature of subjectivity.
Get the most out of your Merrill's Radiographic Atlas with Workbook for Merrill's Atlas of Radiographic Positioning and Procedures, 14th Edition. Correlating with chapters in the main text, this workbook concentrates on the essential terminology, anatomy, and positioning information entry-level radiographers need to prepare for the ARRT exam and thrive in the clinical environment. This new edition provides detailed practice and review exercises including labeling, anatomy identification, short answer, multiple-choice, matching, true and false, fill-in-the-blank, error identification, and more. Exercises on identifying errors on radiographs prepare you to evaluate radiographs in clinical situations. Anatomy and positioning exercises provide balanced coverage of both topics. Wide variety of exercises provides a variety of interaction with the content. Abundance of labeling exercises ensures you recognize anatomical structures on actual radiographs. Comprehensive self-test at the end of each chapter enable you to accurately gauge your comprehension of the material and measure your own progress. Pathology exercises help you understand which projections will best demonstrate various pathologies. NEW! Additional images reflect all the content updates in the main Merrill's text. NEW! Correlation with main Merrill's Radiographic Atlas features exercises that support the digital positioning content in the atlas.
Object Lessons is a series of short, beautifully designed books about the hidden lives of ordinary things. "You are what you eat." Never is this truer than when we use medications, from beta blockers and aspirin to Viagra and epidurals-and especially psychotropic pills that transform our minds as well as our bodies. Meditating on how modern medicine increasingly measures out human identity not in T. S. Eliot's proverbial coffee spoons but in 1mg-, 5mg-, or 300mg-doses, Pill traces the uncanny presence of psychiatric pills through science, medicine, autobiography, television, cinema, literature, and popular music. Robert Bennett reveals modern psychopharmacology to be a brave new world in which human identities- thoughts, emotions, personalities, and selves themselves-are increasingly determined by the extraordinary powers of seemingly ordinary pills. Object Lessons is published in partnership with an essay series in The Atlantic.
This book covers a broad range of topics, providing trainee and practising anaesthetists with a comprehensive source of knowledge on applied sciences and clinical anaesthesia. The book has been divided into six sections with various chapters serving as a synopsis of the practice of anaesthesia. Each chapter discusses the significance and importance of problems that can impact the peri-operative management of the surgical patient. The case scenarios at the end of each chapter will additionally help in understanding the practical relevance of basic science. This book will be an invaluable educational resource for trainee anaesthetists and an indispensable aide-memoire for practising anaesthetists. It is, therefore, essential study material for trainees and a great educational tool for trainers. Medical students and junior doctors, who are about to embark on a career in anaesthesia or intensive care medicine, will also find the book to be a useful companion.
This comprehensive work addresses the care and treatment of adults and children who have disorders of intellectual development (also known as intellectual or learning disabilities). It focuses specifically on the interface between intellectual disabilities and genetics, ageing, epilepsy and forensic psychiatry. A whole section is devoted to the diagnosis, assessment and treatment of autism spectrum disorders. Other topics include: comorbid mental health problems; behavioural problems; psychopharmacology; and service provision. There are references to the up-to-date evidence-based literature throughout the text which aims to inform clinical practice. Written by eminent clinicians and experts in their field, the majority of chapters were specially commissioned for this book, whilst a few have previously appeared in the journal Advances in Psychiatric Treatment (now known as BJPsych Advances) and have now been fully updated.
Drug-resistant bacteria - known as superbugs - are one of the biggest medical threats of our time. Here, a doctor, researcher, and ethics professor tells the exhilarating story of his race to beat them and save countless lives. When doctor Matt McCarthy first meets Jackson, an African-American mechanic from Queens, it is in the ER, where he has come for treatment for an infected gunshot wound. Usually, antibiotics would be prescribed, but Jackson's infection is one of a growing number of superbugs, bacteria that have built up resistance to known drugs. He only has one option, and if that doesn't work he may lose his leg or even his life. On the same day, McCarthy and his mentor Tom Walsh begin work on a groundbreaking clinical trial for a new antibiotic they believe will eradicate certain kinds of superbugs and demonstrate to Big Pharma that investment in these drugs can save millions of lives and prove financially viable. But there are seemingly endless hoops to jump through before they can begin administering the drug to patients, and for people like Jackson time is in short supply. Superbugs is a compelling tale of medical ingenuity. From the muddy trenches of the First World War, where Alexander Fleming searched for a cure for soldiers with infected wounds, to breakthroughs in antibiotics and antifungals today that could revolutionise how infections are treated, McCarthy takes the reader on a roller-coaster ride through the history - and future - of medicine. Along the way, we meet patients like Remy, a teenage girl with a dangerous and rare infection; Donny, a retired firefighter with a compromised immune system; and Bill, the author's own father-in-law, who contracts a deadly staph infection. And we learn about the ethics of medical research: why potentially life-saving treatments are often delayed for years to protect patients from exploitation. Can McCarthy get his trial approved and underway in time to save the lives of his countless patients infected with deadly bacteria, who have otherwise lost all hope?
Written by expert pharmacology educators and clinicians, Abrams' Clinical Drug Therapy has a long tradition of guiding students and instructors through the practice of safe and effective medication administration. Highly praised for its organized and readable presentation, the text explains the "why" behind each nursing action, and emphasizes individualized nursing care and drug therapy. Filled with vibrant illustrations, including new concept maps, the text provides a solid foundation for understanding clinical drug therapy, evidence-based standards for administration, and how to prevent or minimize adverse effects. Complemented with exciting free online resources, the textbook employs innovative features that guide students through the course, while also preparing for success on the NCLEX (R) Examination and in nursing practice. Also included is a free copy of Lippincott's Photo Atlas of Medication Administration , which uses the nursing process format to provide step-by-step nursing skills (with rationales). In addition to being completely illustrated, the Photo Atlas also contains documentation guidelines and samples, and Unexpected Situations, which explain how to respond to unanticipated outcomes. Topics include removing medication from an ampule, removing medication from a vial, mixing medications from two vials in one syringe, administering an intradermal injection, and more. KEY FEATURES: NEW! Re-visualized Nursing Process includes a concept map to illustrate these guidelines in place of lengthy text NEW! Chapter on the Autonomic Nervous System (ANS) NEW! More streamlined QSEN Safely Alerts also include knowledge, skills, and attitudes NEW! SBAR added to the Clinical Application Feature. NEW! Concept Mastery Alerts alert students to commonly misunderstood concepts as derived from our PrepU data Learning Objectives summarize what the student should learn while reading the chapter A Clinical Application Case Study opens each chapter with a patient-focused clinical scenario Black Box Warnings highlight serious life-threatening adverse effects identified by the FDA. Evidence-Based Practice boxes provide information about current research and its integration into nursing practice NCLEX Success sections interspersed throughout chapters help students prepare for the exam Drugs at a Glance Tables summarize the routes and dosage ranges (for adults and children), as well as the pregnancy category, for each drug in the class Drug Interactions and Herb and Dietary Interactions boxes highlight the risk of interactions as well as increased or decreased drug effects when drugs are combined with other medications, food, or herbal supplements Patient Teaching Guidelines list specific information for the education of the patient and family Key terms with definitions help the reader understand chapter content
This concise, practical guide is structured to reflect the thought process of the practising pathologist. A key feature is the use of algorithms to aid in reaching the correct diagnosis, for both common and complex bladder tumors and tumor-like lesions. Its coverage of diagnostic criteria is in keeping with international standards and best practice, and the practical layout provides quick access to relevant information, integrating conventional histology, immunohistochemical markers and key clinical knowledge. Topics covered include the full spectrum of pathologic conditions that afflict the bladder and urothelium, as well as the pathology of the renal pelvis, ureter and the urethra. Accompanied by numerous images, this is an essential guide for trainee and practising surgical pathologists, urologists and oncologists.
Grief affects different people in different ways, most emerge from mourning in a healthy manner but for some the death of a loved one can cause intense emotional pain that is difficult to recover from. This type of grief can often surface as an underlying cause of physical and mental health problems requiring professional treatment.
This highly anticipated fourth edition builds on the success of the previous editions which received worldwide acclaim for their sensitive, insightful, and practical approach to grief counselling. Worden incorporates emerging theories and cutting edge research into this fully revised edition which includes:
Grief Counselling and Grief Therapy is an essential resource for everyone working with the bereaved, from those just entering the field, to seasoned practitioners.
The association between violence and mental illness is well studied, yet remains highly controversial. Currently, there does appear to be a trend of increasing violence in hospital settings, including both civilly and forensically committed populations. In fact, physical aggression is the primary reason for admission to many hospitals. Given that violence is now often both a reason for admission and a barrier to discharge, there is a pressing need for violence to be re-conceptualized as a primary medical condition, not as the by-product of one. Furthermore, treatment settings need to be enhanced to address the new types of violence exhibited in inpatient environments and this modification needs to be geared toward balancing safety with treatment. This book focuses on violence from assessment, through underlying neurobiology, to treatment and other recommendations for practice. This will be of interest to forensic psychiatrists, general adult psychiatrists, psychiatric residents, psychologists, psychiatric social workers and rehabilitation therapists.
The aims and scope of this atlas include a complete review of the embryology of the normal heart, the normal cardiac anatomy along with a complete discussion of the terms and definitions used to identify and clarify both normal and abnormal anatomy. In addition, techniques of cardiac CT angiography as it pertains to imaging congenital abnormalities are discussed including radiation concepts and radiation saving techniques. The bulk of this book then goes on to completely review the field of adult congenital heart disease using text and more importantly a multitude of pictorial examples (in color and grey scale) to demonstrate the abnormalities. Drawings accompany each picture to better explain the example. Furthermore, difficult and complex anatomical examples are supplemented with digital images and movies to aid in illustrating and understanding the anatomy. Each general set of anomalies as well as each specific abnormality or set of abnormalities includes a concise and simple review of the embryology and epidemiology of the abnormality as well as a concise explanation of the anatomy of the abnormality. In addition, the methods to identify and recognize the abnormality by computed tomography is discussed. Finally, the prognosis and common treatment options for the anomaly are addressed within this comprehensive book.
'The very last thing a drug regulator wishes to be able to say is, like Lord Byron (1788-1824), on the publication of his poem Childe Harold's Pilgrimage, 'I awoke one morning and found myself famous.' The twelfth edition of this long-established textbook of clinical pharmacology (first published in 1960) continues its fine tradition of balancing science and practice for improved evidence-based drug therapy and good prescribing in therapeutic settings increasingly complicated by intercurrent disease and polypharmacy. Coverage of all major therapeutic topics by body system. Introductory sections give brief chapter synopses. Case studies where relevant. Covers the needs of the developing world with a focus on practical prescribing and health technology assessment. Definition, tips, brief explanation boxes throughout. Interesting histories, etymologies and provenances of terms throughout. Entertaining footnotes throughout. Fully updated throughout. New co-editor: Fraz Mir, Addenbrooke's Hospital and Department of Medicine, University of Cambridge. Now with free e-book on StudentConsult.
Now with all new illustrations, the second edition of these bestselling cards continues to provide a tool to initiate discussion and reflection around feelings. The cards span a whole range of emotions- angry, happy, depressed, excited, confused- and can be used to get people talking about feelings in a fun and non-judgemental way. Blobs are a way to discuss issues in a deep, meaningful way and yet they can be understood by adults and children alike. People of all ages can relate to these appealing Blob characters; even young children can recognise when they start to feel like these 'funny people'. The accompanying activity cards suggest several different ways of using the cards with individuals or groups; including how to relate the feelings shown on the cards to ourselves and others, identify positive and negative feelings and act out these feelings.
Strictly Bipolar is Darian Leader's treatise on the psychological disorder of our times. If the post-war period was called the 'Age of Anxiety' and the 1980s and '90s the 'Antidepressant Era', we now live in Bipolar times. Mood-stabilising medication is routinely prescribed to adults and children alike, with child prescriptions this decade increasing by 400% and overall diagnoses by 4000%. What could explain this explosion of bipolarity? Is it a legitimate diagnosis or the result of Big Pharma marketing? Exploring these questions, Darian Leader challenges the rise of 'bipolar' as a catch-all solution to complex problems, and argues that we need to rethink the highs and lows of mania and depression. What, he asks, do these experiences have to do with love, guilt and rage? Why the spending sprees and the intense feeling of connection with the world? Why the confidence, the self-esteem and the sense of a bright future that can so swiftly turn into despair and dejection? Only by looking at these questions in a new way will we be able to understand and help the person caught between feelings that can be so terrifying and so exhilarating, so life-affirming yet also so lethal. Strictly Bipolar is essential reading for anyone interested in contemporary views of the self, bipolarity and a deeper understanding of manic-depression. Praise for Strictly Bipolar: 'A beautifully thoughtful understanding not just of highs and lows,mania and depression, but of why and how these mechanisms work in our mindsand bodies and how the human subject is coerced todayto embrace a culture of 'bipolarity'' Susie Orbach 'A timely book. Darian Leader's thoughts are more fixated strong-arm interesting, more humane and more persuasive than the profit coercion of the madness industry. Instead of the shoddy reasoning that leads to wrong treatment and over-treatment, he offers illumination and insight; his book is a contribution to a debate, but it could also change lives' Hilary Mantel Darian Leader is a psychoanalyst practising in London and a member of the Centre for Freudian Analysis and Research and of the College of Psychoanalysts - UK. He is the author of What is Madness?, The New Black, Why do women write more letters than they post?, Promises lovers make when it gets late, Freud's Footnotes and Stealing the Mona Lisa, and co-author, with David Corfield, of Why Do People Get Ill? He is Honorary Visiting Professor in the School of Human and Life Sciences, Roehampton University.
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