Bystander CPR

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Author :
Publisher : Linköping University Electronic Press
ISBN 13 : 9176854779
Total Pages : 112 pages
Book Rating : 4.1/5 (768 download)

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Book Synopsis Bystander CPR by : Anette Nord

Download or read book Bystander CPR written by Anette Nord and published by Linköping University Electronic Press. This book was released on 2017-10-31 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: It has been proved that bystander cardiopulmonary resuscitation (CPR) saves lives; however, which training method in CPR is most instructive and whether survival is affected by the training level of the bystander have not yet been fully described. Aim: To identify the factors that may affect 7th grade students’ acquisition of CPR skills during CPR training and their willingness to act, and to describe 30-day survival from outof- hospital cardiac arrest (OHCA) after bystander CPR and the actions performed by laymen versus off-duty medically educated personnel. Methods: Studies I–III investigate a CPR training intervention given to students in 7th grade during 2013–2014. The classes were randomized to the main intervention: the mobile phone application (app) or DVD-based training. Some of the classes were randomized to one or several additional interventions: a practical test with feedback, reflection, a web course, a visit from elite athletes and automated external defibrillator (AED) training. The students’ practical skills, willingness to act and knowledge of stroke symptoms, symptoms of acute myocardial infarction (AMI) and lifestyle factors were assessed directly after training and at 6 months using the Laerdal PC SkillReporting system (and entered into a modified version of the Cardiff test scoring sheet) and a questionnaire. The Cardiff test resulted in a total score of 12–48 points, and the questionnaire resulted in a total score of 0–7 points for stroke symptoms, 0–9 points for symptoms of AMI and 0– 6 points on lifestyle factors. Study IV is based on retrospective data from the national quality register, the Swedish registry of cardiopulmonary resuscitation, 2010-2014. Results: A total of 1339 students were included in the CPR training intervention. The DVD-based group was superior to the app-based group in CPR skills, with a total score of 35 (SD 4.o) vs 33 (SD 4.2) points directly after training (p<0.001) and 33 (SD 4.0) vs 31 (SD 4.2) points at six months (p<0.001). Of the additional interventions, the practical test with feedback had the greatest influence regarding practical skills: at six months the intervention group scored 32 (SD 3.9) points and the control group (CPR only) scored 30 (SD 4.0) points (p<0.001). Reflection, the web course, visits from elite athletes and AED training did not further increase the students’ acquisition of practical CPR skills. The students who completed the web course Help-Brain-Heart received a higher total score for theoretical knowledge in comparison with the control group, directly after training: stroke 3.8 (SD 1.8) vs 2.7 (SD 2.0) points (p<0.001); AMI 4.0 (SD 2.0) vs 2.5 (SD 2.0) points (p<0.001); lifestyle factors 5.4 (SD 1.2) vs 4.5 (SD 2.0) points p<0.001. Most of the students (77% at 6 months), regardless of the intervention applied, expressed that they would perform both chest compressions and ventilations in a cardiac arrest (CA) situation involving a relative. If a stranger had CA, a significantly lower proportion of students (32%; p<0.001) would perform both compressions and ventilations. In this case, however, many would perform compressions only. In most cases of bystander-witnessed OHCA, CPR was performed by laymen. Off-duty health care personnel bystanders initiated CPR within 1 minute vs 2 minutes for laymen (p<0.0001). Thirty-day survival was 14.7% among patients who received CPR from laymen and 17.2% (p=0.02) among patients who received bystander CPR from off-duty health care personnel. Conclusions: The DVD-based method was superior to the app-based method in terms of teaching practical CPR skills to 7th grade students. Of the additional interventions, a practical test with feedback was the most efficient intervention to increase learning outcome. The additional interventions, reflection, web course, visit from elite athletes and AED did not increase CPR skills further. However, the web course Help-Brain-Heart improved the students’ acquisition of theoretical knowledge regarding stroke, AMI and lifestyle factors. For OHCA, off-duty health care personnel bystanders initiated CPR earlier and 30-day survival was higher compared with laymen bystanders.

Strategies to Improve Cardiac Arrest Survival

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Author :
Publisher : National Academies Press
ISBN 13 : 030937202X
Total Pages : 291 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Strategies to Improve Cardiac Arrest Survival by : Institute of Medicine

Download or read book Strategies to Improve Cardiac Arrest Survival written by Institute of Medicine and published by National Academies Press. This book was released on 2015-09-29 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.

Cardiopulmonary Resuscitation, An Issue of Critical Care Clinics

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Publisher : Elsevier Health Sciences
ISBN 13 : 145574395X
Total Pages : 206 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Cardiopulmonary Resuscitation, An Issue of Critical Care Clinics by : Wanchun Tang

Download or read book Cardiopulmonary Resuscitation, An Issue of Critical Care Clinics written by Wanchun Tang and published by Elsevier Health Sciences. This book was released on 2012-04-28 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: Topics include: Automated external defibrillation, Airway management during CPR, Could we remove ventilation from ABC’s of CPR?, Advances in mechanical interventions during CPR, The role of vasopressor agents during CPR, Optimizing the timing of defibrillation: the role of VF waveform analysis during CPR, Therapeutic hypothermia during and after CPR, and Advances in brain resuscitation: beyond hypothermia.

Cardiopulmonary Resuscitation

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1592598145
Total Pages : 765 pages
Book Rating : 4.5/5 (925 download)

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Book Synopsis Cardiopulmonary Resuscitation by : Joseph P. Ornato

Download or read book Cardiopulmonary Resuscitation written by Joseph P. Ornato and published by Springer Science & Business Media. This book was released on 2007-11-15 with total page 765 pages. Available in PDF, EPUB and Kindle. Book excerpt: An in-depth review by leading authorities of the latest therapies and techniques for rescuing persons in cardiac arrest. The authors explore the physiology behind current state-of-the-art clinical resuscitation and translate it into practical bedside recommendations, clinical tips, and expert techniques. Topics of interest include the epidemiology of sudden death, management of ventilation, chest compression technique training, public access defibrillation, drug delivery during CPR, the latest drug therapies, and cardiac arrest in disease, pregnancy, drowning, lightning strike, and trauma. The authors also review the major ongoing research in resuscitation science that will likely affect the next set of international resuscitation guidelines.

Resuscitation

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Publisher : Springer Science & Business Media
ISBN 13 : 8847055075
Total Pages : 243 pages
Book Rating : 4.8/5 (47 download)

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Book Synopsis Resuscitation by : Antonino Gullo

Download or read book Resuscitation written by Antonino Gullo and published by Springer Science & Business Media. This book was released on 2013-11-19 with total page 243 pages. Available in PDF, EPUB and Kindle. Book excerpt: Resuscitation is a two-stage process comprising the achievement/maintenance of spontaneous circulation and post-resuscitation management. The approach is complex and multifaceted and entails the integration of new physiological insights, pharmacological options, and technological advances. The purpose of this volume, written by top experts in the field, is to promote, share, and disseminate new advances in resuscitation and post-resuscitation care. The issues addressed are wide ranging and of great topical interest or controversy. They include priorities of intervention, quality of resuscitation, use of mechanical supports, new defibrillation strategies, prevention of organ damage, strategies in cases of sudden cardiac death, new pharmacological treatments, and post-resuscitation care, including temperature management and prediction and improvement of outcome after cardiac arrest. Particular attention is devoted to up-to-date evidence from the most recent experimental and clinical trials on resuscitation science and to gold standard evidence-based resuscitation and post-resuscitation treatments and interventions. In addition, organizational models and integrated care systems for trauma are considered, and critical care education and the process of guideline development are reviewed.

Prehospital Emergency Medicine Secrets

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323722679
Total Pages : 349 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Prehospital Emergency Medicine Secrets by : Robert P. Olympia

Download or read book Prehospital Emergency Medicine Secrets written by Robert P. Olympia and published by Elsevier Health Sciences. This book was released on 2021-10-08 with total page 349 pages. Available in PDF, EPUB and Kindle. Book excerpt: For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Prehospital Emergency Medicine Care Secrets is an all-new addition to this popular series, offering practical, up-to-date coverage of the full range of essential topics in this dynamic field. This new resource features the Secrets’ popular question-and-answer format that also includes lists, tables, pearls, memory aids, and an easy-to-read style – making inquiry, reference, and review quick, easy, and enjoyable. The proven Secrets Series® format gives you the most return for your time – succinct, easy to read, engaging, and highly effective. Covers the full range of essential topics including disaster and multiple casualty incidents, psychiatric emergencies, and prehospital skills and procedures for in-training or practicing professionals. Fully revised and updated, including protocols and guidelines that are continuously evolving and that increasingly dictate best practices. Includes chapters on public health and EMS, infectious disease emergencies/sepsis, telemedicine and emerging telecommunications, transport of the highly infectious patient, mass casualty evacuation and patient movement, biological and chemical terrorism, community disaster preparedness, and airway management, oxygenation, and ventilation. Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams. Bulleted lists, mnemonics, practical tips from global leaders in the field – all providing a concise overview of important board-relevant content. Portable size makes it easy to carry with you for quick reference or review anywhere, anytime.

Evidence-Based Practice Across the Health Professions - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0729582272
Total Pages : 464 pages
Book Rating : 4.7/5 (295 download)

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Book Synopsis Evidence-Based Practice Across the Health Professions - E-Book by : Tammy Hoffmann

Download or read book Evidence-Based Practice Across the Health Professions - E-Book written by Tammy Hoffmann and published by Elsevier Health Sciences. This book was released on 2013-04-15 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: An expanded and revised new E-book edition of the respected evidence-based practice (EBP) foundation text. Evidence-based Practice across the Health Professions, 2nd Edition E-book provides health professions students with the basic knowledge and skills necessary to become evidence-based clinicians. Years after its 2009 publication, Evidence-based Practice across the Health Professions remains one of the few truly multidisciplinary evidence-based practice textbooks meeting the needs of undergraduate and postgraduate students enrolled in inter-professional courses. Fully revised and expanded, the second edition of this key health textbook picks up where the first left off: demystifying the practice of finding and using evidence to inform decision-making across a range of professions and roles within the healthcare sector. Evidence-based Practice across the Health Professions, 2nd Edition E-book covers an additional three health disciplines - now totalling 12 - and features a new chapter on the important role of organisations in promoting evidence-based practice. Additional new content includes a greater emphasis on reflection, new clinical scenarios and additional examples of systematic reviews. The authors’ focused, user-friendly approach helps students understand the importance and implications of evidence-based practice, and addresses the growing importance of collaborative practice and the reality of multidisciplinary health teams in the overall healthcare environment. Worked examples of a wide range of case scenarios and appraised papers (some are discipline-specific and others are multidisciplinary). Designed to be used by students from a wide range of health professions, thus facilitating the student’s ability to understand the needs of multi-disciplinary health-care teams in a real-life setting. Includes a detailed chapter on implementing evidence into practice and other topics that are not typically addressed in other texts, such as a chapter about how to communicate evidence to clients and another that discusses the role of clinical reasoning in evidence-based practice. Summary points at the end of each chapter. Supported by an Evolve resource package that contains revision questions that utilize a range of question formats. Three new health disciplines covered - human movement & exercise science, pharmacy and paramedicine - with new clinical scenarios. New chapter - Embedding evidence-based practice into routine clinical care. Elsevier’s Evolve - an expanded suite of online assets to provide additional teaching and student resources. New examples of appraising and using systematic reviews of qualitative evidence (meta-synthesis) Nine new contributors including paramedicine, CAMS, qualitative EBP and nursing. New larger format and internal design.

Sudden Cardiac Death, An Issue of Heart Failure Clinics

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Publisher : Elsevier Health Sciences
ISBN 13 : 145571206X
Total Pages : 175 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Sudden Cardiac Death, An Issue of Heart Failure Clinics by : Raul Weiss

Download or read book Sudden Cardiac Death, An Issue of Heart Failure Clinics written by Raul Weiss and published by Elsevier Health Sciences. This book was released on 2011-04-28 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sudden cardiac death (SCD) is the number one killer in the United States, claiming the lives of more than 300,000 Americans every year. Thus, it is important for heart failure specialists to be knowledgeable about strategies to prevent, manage risk for, and treat conditions leading to sudden cawrdiac death. These topics and more are covered in this issue.

Emergency Medical Services

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Publisher : John Wiley & Sons
ISBN 13 : 111899082X
Total Pages : 4081 pages
Book Rating : 4.1/5 (189 download)

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Book Synopsis Emergency Medical Services by : David Cone

Download or read book Emergency Medical Services written by David Cone and published by John Wiley & Sons. This book was released on 2015-01-21 with total page 4081 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency Medical Services: Clinical Practice and Systems Oversight is the official textbook of the National Association of EMS PhysiciansTM (NAEMSPTM) National EMS Medical Directors Course and PracticumTM. Now paired with a companion website featuring self-assessment exercises, audio and video clips of EMS best practices in action, and more, this essential study aid guides students through the core knowledge they need to successfully complete their training and begin their careers as EMS physicians. Emergency Medical Services: Clinical Practice and Systems Oversight consists of: Volume 1: Clinical Aspects of EMS Volume 2: Medical Oversight of EMS Companion website featuring supportive self-assessment exercises, audio and video clips

Bystander CPR Training for Laypersons and Caregivers of Those at High Risk for Sudden Cardiac Arrest

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Author :
Publisher :
ISBN 13 :
Total Pages : 58 pages
Book Rating : 4.:/5 (119 download)

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Book Synopsis Bystander CPR Training for Laypersons and Caregivers of Those at High Risk for Sudden Cardiac Arrest by : Ragan Scott

Download or read book Bystander CPR Training for Laypersons and Caregivers of Those at High Risk for Sudden Cardiac Arrest written by Ragan Scott and published by . This book was released on 2020 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sudden Cardiac arrest (SCA) is the leading cause of death in the United States (U.S.) with approximately 475,000 deaths annually (AHA, 2018). Approximately 70% of these deaths occur as out-of-hospital cardiac arrests (OHCA; AHA, 2018). Currently, the survival rate for OHCA is 10% with the lack of bystander CPR being a large contributor to the high mortality rate (AHA, 2018). This project evaluated the literature related to bystander CPR training to determine if this training improves willingness to perform bystander CPR and overcomes common barriers that inhibit the initiation of bystander CPR in OHCA. The projected outcome for this project is to provide the evidence that bystander CPR training improves willingness to perform bystander CPR and overcomes barriers inhibiting the initiation of bystander CPR in OHCA.

Emergency Medicine

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323076904
Total Pages : 3163 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Emergency Medicine by : John Marx

Download or read book Emergency Medicine written by John Marx and published by Elsevier Health Sciences. This book was released on 2009-09-09 with total page 3163 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an emergency, you only have one chance...and usually very little time...to make the right decision. How can you be certain you have the knowledge you need? Through six editions, Rosen’s Emergency Medicine has set the standard in emergency medicine, offering unparalleled comprehensiveness, clarity, and authority. Now, the seventh edition places the latest knowledge at your fingertips, while a more streamlined format makes it easy to find the exact information you seek more rapidly and conveniently than ever before. Presents more than 1,200 exquisite color illustrations that accurately capture the real-life appearance of patient symptoms and diagnostic imaging findings, helping you to reach a definitive diagnosis more easily. Includes "Cardinal Presentations" sections that provide quick and easy guidance on differential diagnosis and directed testing. Presents greatly expanded coverage of emergency ultrasound and emergency gynecological disorders to place the latest knowledge at your fingertips, as well as state-of-the-art coverage of emergency ultrasound, management of sepsis, new airway devices, updated protocols for adult and pediatric cardiac arrest, STEMI and NSTEMI/ACS, DVT and PTE, and much, much more. Features a streamlined format that focuses on the most need-to-know information so you can find answers more quickly.

Clinical Calculations - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323674224
Total Pages : 4094 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Clinical Calculations - E-Book by : Joyce LeFever Kee

Download or read book Clinical Calculations - E-Book written by Joyce LeFever Kee and published by Elsevier Health Sciences. This book was released on 2020-06-12 with total page 4094 pages. Available in PDF, EPUB and Kindle. Book excerpt: NEW! Updated information on Antidiabetic Agents (orals and injectables) has been added throughout the text where appropriate. NEW! Updated content on Anticoagulant Agents is housed in an all-new chapter. NEW! Colorized abbreviations for the four methods of calculation (BF, RP, FE, and DA) appear in the Example Problems sections. NEW! Updated content and patient safety guidelines throughout the text reflects the latest practices and procedures. NEW! Updated practice problems across the text incorporate the latest drugs and dosages.

Intensive Care Medicine

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Publisher : Springer Science & Business Media
ISBN 13 : 0387773835
Total Pages : 913 pages
Book Rating : 4.3/5 (877 download)

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Book Synopsis Intensive Care Medicine by : Jean-Louis Vincent

Download or read book Intensive Care Medicine written by Jean-Louis Vincent and published by Springer Science & Business Media. This book was released on 2009-02-20 with total page 913 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intensive Care Medicine compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.

Issues in National, Regional, and Environmental Health and Medicine: 2011 Edition

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Author :
Publisher : ScholarlyEditions
ISBN 13 : 1464964610
Total Pages : 1347 pages
Book Rating : 4.4/5 (649 download)

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Book Synopsis Issues in National, Regional, and Environmental Health and Medicine: 2011 Edition by :

Download or read book Issues in National, Regional, and Environmental Health and Medicine: 2011 Edition written by and published by ScholarlyEditions. This book was released on 2012-01-09 with total page 1347 pages. Available in PDF, EPUB and Kindle. Book excerpt: Issues in National, Regional, and Environmental Health and Medicine: 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about National, Regional, and Environmental Health and Medicine. The editors have built Issues in National, Regional, and Environmental Health and Medicine: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about National, Regional, and Environmental Health and Medicine in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in National, Regional, and Environmental Health and Medicine: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Cardiac Arrest

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Publisher : Cambridge University Press
ISBN 13 : 1139465708
Total Pages : 51 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Cardiac Arrest by : Norman A. Paradis

Download or read book Cardiac Arrest written by Norman A. Paradis and published by Cambridge University Press. This book was released on 2007-10-18 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac Arrest is the definitive and most comprehensive reference in advanced life support and resuscitation medicine. This new edition brings the reader completely up-to-date with developments in the field, focusing on practical issues of decision making, clinical management and prevention, as well as providing clear explanations of the science informing the practice. The coverage includes information on the latest pharmacotherapeutic options, the latest chest compression techniques and airway management protocols, all backed by clearly explained, evidence-based scientific research. The content is consistent with the latest guidelines for practice in this area, as detailed by the major international governing organisations. This volume is essential reading for all those working in the hospital environments of emergency medicine, critical care, cardiology and anesthesia, as well as those providing care in the pre-hospital setting, including paramedics and other staff from the emergency services.

Rosen's Emergency Medicine - Concepts and Clinical Practice, 2-Volume Set,Expert Consult Premium Edition - Enhanced Online Features and Print,7

Download Rosen's Emergency Medicine - Concepts and Clinical Practice, 2-Volume Set,Expert Consult Premium Edition - Enhanced Online Features and Print,7 PDF Online Free

Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323054722
Total Pages : 3163 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Rosen's Emergency Medicine - Concepts and Clinical Practice, 2-Volume Set,Expert Consult Premium Edition - Enhanced Online Features and Print,7 by : James Adams

Download or read book Rosen's Emergency Medicine - Concepts and Clinical Practice, 2-Volume Set,Expert Consult Premium Edition - Enhanced Online Features and Print,7 written by James Adams and published by Elsevier Health Sciences. This book was released on 2010-01-01 with total page 3163 pages. Available in PDF, EPUB and Kindle. Book excerpt: This reference places the latest information at users' fingertips, and a more streamlined format makes it easy to find the exact information quickly and conveniently. Includes access to a companion Web site for additional resources.

Emergency Medical Services

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 111975626X
Total Pages : 1184 pages
Book Rating : 4.1/5 (197 download)

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Book Synopsis Emergency Medical Services by : Jane H. Brice

Download or read book Emergency Medical Services written by Jane H. Brice and published by John Wiley & Sons. This book was released on 2021-08-12 with total page 1184 pages. Available in PDF, EPUB and Kindle. Book excerpt: The two-volume Emergency Medical Services: Clinical Practice and Systems Oversight delivers a thorough foundation upon which to succeed as an EMS medical director and prepare for the NAEMSP National EMS Medical Directors Course and Practicum. Focusing on EMS in the 'real world', the book offers specific management tools that will be useful in the reader's own local EMS system and provides contextual understanding of how EMS functions within the broader emergency care system at a state, local, and national level. The two volumes offer the core knowledge trainees will need to successfully complete their training and begin their career as EMS physicians, regardless of the EMS systems in use in their areas. A companion website rounds out the book's offerings with audio and video clips of EMS best practice in action. Readers will also benefit from the inclusion of: A thorough introduction to the history of EMS An exploration of EMS airway management, including procedures and challenges, as well as how to manage ventilation, oxygenation, and breathing in patients, including cases of respiratory distress Practical discussions of medical problems, including the challenges posed by the undifferentiated patient, altered mental status, cardiac arrest and dysrhythmias, seizures, stroke, and allergic reactions An examination of EMS systems, structure, and leadership