Guidelines for Trauma Quality Improvement Programmes

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Author :
Publisher : Stylus Pub Llc
ISBN 13 : 9789241597746
Total Pages : 104 pages
Book Rating : 4.5/5 (977 download)

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Book Synopsis Guidelines for Trauma Quality Improvement Programmes by : World Health Organization

Download or read book Guidelines for Trauma Quality Improvement Programmes written by World Health Organization and published by Stylus Pub Llc. This book was released on 2009 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: In order to promote greater implementation of effective, affordable and sustainable trauma systems globally, the World Health Organization and the International Association for Trauma Surgery and Intensive Care have worked collaboratively to produce these guidelines on trauma quality improvement. The response to the growing problem of injury needs to include the improvement of care of the injured. Quality improvement (QI) programs offer an affordable and sustainable means to implement such improvements. These programs enable health care institutions to better monitor trauma care services, better detect problems in care, and more effectively enact and evaluate corrective measures targeted at these problems. The goal of this publication is to give guidance on ways in which health care institutions globally can implement QI programs oriented to strengthening care of the injured. This guidance is intended to be universally applicable to all countries, no matter what their economic level. These guidelines provide basic definitions and an overview of the field of QI, so that those not familiar with this field will have a working knowledge of it. Evidence of the benefit of QI in general and trauma QI in particular is then laid out. The main part of the publication reviews the most common methods of trauma QI, written in a how-do-to fashion. This covers a wide range of techniques. The first two of these are especially emphasized as ways in which to strengthen trauma QI in the setting of low-income and middle-income countries.

A National Trauma Care System

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Author :
Publisher : National Academies Press
ISBN 13 : 0309442885
Total Pages : 531 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis A National Trauma Care System by : National Academies of Sciences, Engineering, and Medicine

Download or read book A National Trauma Care System written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-09-12 with total page 531 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

Strengthening Care for the Injured

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Author :
Publisher : World Health Organization
ISBN 13 : 9241563966
Total Pages : 73 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Strengthening Care for the Injured by : World Health Organization

Download or read book Strengthening Care for the Injured written by World Health Organization and published by World Health Organization. This book was released on 2010 with total page 73 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Injury accounts for a significant proportion of the world's burden of disease. Each year 5.8 million people die from injury and millions more are disabled. The response to this global health problem needs to include a range of activities, from better surveillance to more in-depth research, and primary prevention. Also needed are efforts to strengthen care of the injured. The World Health Organization (WHO) has responded to this need with a variety of actions. It has supported countries in setting up trauma care programmes and in developing their capacity to care for the injured. It has also developed, in consultation with global experts, guidelines to assist with the organization and planning of trauma care, such as Prehospital trauma care systems, Guidelines for essential trauma care, and Guidelines for trauma quality improvement programmes. These publications have been used in many countries and have helped to stimulate 'on the ground' improvements and policy changes. Through this publication, WHO seeks to increase communication and the exchange of ideas among those working in the field of trauma care, whether in the prehospital setting, in acute care in hospitals, or in longer term rehabilitation; to increase communication among those involved in planning, administering, advocating for, or directly providing trauma care services; and to increase communication among those working in the field of trauma care in different countries worldwide." - p. iii.

Skeletal Trauma E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 032361115X
Total Pages : 2400 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Skeletal Trauma E-Book by : Bruce D. Browner

Download or read book Skeletal Trauma E-Book written by Bruce D. Browner and published by Elsevier Health Sciences. This book was released on 2019-06-27 with total page 2400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering expert, comprehensive guidance on the basic science, diagnosis, and treatment of acute musculoskeletal injuries and post-traumatic reconstructive problems, Skeletal Trauma, 6th Edition, brings you fully up to date with current approaches in this challenging specialty. This revised edition is designed to meet the needs of orthopaedic surgeons, residents, fellows, and traumatologists, as well as emergency physicians who treat patients with musculoskeletal trauma. International thought leaders incorporate the latest peer-reviewed literature, technological advances, and practical advice with the goal of optimizing patient outcomes for the full range of traumatic musculoskeletal injuries. Offers complete coverage of relevant anatomy and biomechanics, mechanisms of injury, diagnostic approaches, treatment options, and associated complications. Includes eight new chapters dedicated to advances in technology and addressing key problems and procedures, such as Initial Evaluation of the Spine in Trauma Patients, Management of Perioperative Pain Associated with Trauma and Surgery, Chronic Pain Management (fully addressing the opioid epidemic), Understanding and Treating Chronic Osteomyelitis, and more. Features a complimentary one-year subscription to OrthoEvidence, a global online platform that provides high-quality, peer-reviewed and timely orthopaedic evidence-based summaries of the latest and most relevant literature. Contains unique, critical information on mass casualty incidents and war injuries, with contributions from active duty military surgeons and physicians in collaboration with civilian authors to address injuries caused by road traffic, armed conflict, civil wars, and insurgencies throughout the world. Features important call out boxes summarizing key points, pearls and pitfalls, and outcomes. Provides access to nearly 130 instructional videos that demonstrate principles of care and outline detailed surgical procedures. Contains a wealth of high-quality illustrations, full-color photographs, and diagnostic images.

Trauma Surgery

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 8847054036
Total Pages : 222 pages
Book Rating : 4.8/5 (47 download)

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Book Synopsis Trauma Surgery by : S. Di Saverio

Download or read book Trauma Surgery written by S. Di Saverio and published by Springer Science & Business Media. This book was released on 2013-12-13 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Trauma surgery has increasingly become a specialized field inspired by different principles and philosophy. A good trauma surgeon is a surgeon who knows how to perform abdominal vascular, thoracic, urologic, gynecologic, and orthopaedic procedures and is able to repair multiple traumatic injuries in the best sequence possible. In this first volume, practical, up-to-date guidance is provided on the optimal critical care and ICU management of trauma patients. In addition, individual chapters focus on specific injuries in orthopaedic trauma (and especially spinal trauma) and neurotrauma, with the aim of providing a fresh view of the surgical approach and practical suggestions for improving the skills of treating surgeons. Educational issues and the organization of a trauma center are also covered. The volume will be a handy pocket guide for trainee surgeons and any surgeon, physician, or nurse who treats trauma patients. It will be particularly relevant for emergency department physicians, critical care and ICU doctors, orthopaedic surgeons, neurosurgeons, and professionals responsible for trauma care and decision making, programs of trauma education, or organization of a trauma center. Also available: Trauma Surgery Vol. 2: Thoracic and Abdominal Trauma

Quality health services

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Author :
Publisher : World Health Organization
ISBN 13 : 9240011633
Total Pages : 62 pages
Book Rating : 4.2/5 (4 download)

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Book Synopsis Quality health services by :

Download or read book Quality health services written by and published by World Health Organization. This book was released on 2020-09-30 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Trauma Care Pre-Hospital Manual

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Author :
Publisher : CRC Press
ISBN 13 : 1351816756
Total Pages : 412 pages
Book Rating : 4.3/5 (518 download)

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Book Synopsis Trauma Care Pre-Hospital Manual by : Ian Greaves

Download or read book Trauma Care Pre-Hospital Manual written by Ian Greaves and published by CRC Press. This book was released on 2018-12-07 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new book provides evidence based guidelines for the immediate clinical management of major trauma.It has been written by clinicians with many years of trauma experience, and endorsed as authoritative by Trauma Care (UK). The UK now has highly effective trauma systems. Clinical developments include the introduction of damage control resuscitation, tranexamic acid, blood product resuscitation, novel hybrid resuscitation and an emphasis on the control of major external haemorrhage as part of a new ABCDE approach. Consequently, more individuals with major trauma are surviving than ever before. Optimal pre-hospital care is essential for improved survival rates and reduced morbidity.

Rich’s Vascular Trauma E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323359116
Total Pages : 405 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Rich’s Vascular Trauma E-Book by : Todd E. Rasmussen

Download or read book Rich’s Vascular Trauma E-Book written by Todd E. Rasmussen and published by Elsevier Health Sciences. This book was released on 2015-04-15 with total page 405 pages. Available in PDF, EPUB and Kindle. Book excerpt: Published in association with the Society for Vascular Surgery (SVS), the newly updated edition of Rich’s Vascular Trauma draws on civilian and military authorities from around the world to offer comprehensive and up-to-date coverage of the management of vascular injury. Anatomic patterns of vascular trauma including extremity, torso and cervical injury are reviewed in detail, including the latest techniques to manage non-compressible torso hemorrhage. You’ll have access to all of the current innovations across the broad spectrum of vascular trauma, presented in a well-organized fashion that allows you to quickly hone-in on the most important issues in patient care and management. Emphasizes the current management of civilian vascular injuries with an historical reflection of pioneering contributions from the battlefield. Combines the largest existing database of military vascular trauma with the experience of one of the nation's premier civilian trauma centers. Examines operative techniques and "damage control" for vascular traumas. For the first time, includes a novel International Perspectives section featuring fascinating accounts of vascular trauma from nine leading surgeons from five continents. This section focuses on innovative surgical treatments tailored to locally developed pathways of care, training solutions, and regional injury patterns. End-to-end coverage of all phases of acute vascular injury care, including a new assessment of the implications of vascular trauma in the pre-hospital setting (i.e. point of injury and en-route care). Covers the emerging hot topics, including endovascular procedures to manage trauma, contemporary use of vascular shunts, and a modern reappraisal of resuscitative endovascular balloon occlusion of the aorta for shock. An innovative chapter on the systems approach and quality improvement in vascular trauma, offering information and tactics for all providers wishing to understand how clinical systems underpin patient outcome and recovery from this challenging injury pattern. A combined civilian and military authorship from internationally recognized authorities draws on the best available evidence, experience, and lessons-learned from Afghanistan, Iraq, and the "urban battlefield." Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.

Trauma Certified Registered Nurse (TCRN) Examination Review

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 0826131956
Total Pages : 476 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Trauma Certified Registered Nurse (TCRN) Examination Review by : Kendra Menzies Kent, MS, RN-BC, CCRN, CNRN, SCRN, TCRN

Download or read book Trauma Certified Registered Nurse (TCRN) Examination Review written by Kendra Menzies Kent, MS, RN-BC, CCRN, CNRN, SCRN, TCRN and published by Springer Publishing Company. This book was released on 2017-01-05 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a comprehensive review for the new trauma-certified registered nurse exam, featuring innovative clinical judgment--enhancing content review, 500 practice-test Q&As with rationales, test-taking skills, and in-depth coverage of the test blueprint. This review is distinguished by its unique "Think in Questions" format, which helps readers to anticipate the kinds of questions that might be asked and promotes critical thinking throughout the exam. The content review is comprised of bite-size sections for easier learning and memorization that include thousands of unfolding questions, answers, and hints. The review's user-friendly format guides candidates through each topic with a short content review followed by a Socratic-style Q&A reasoning process to assist in arriving at the best possible clinical judgment. It also includes plentiful tables and charts to reinforce learning, a chapter on test-taking skills, specific guidance on preparing for the certification exam, and useful suggestions related to the exam format. Key Features: Goes beyond mere memorization of facts with "Think in Questions" Socratic-style content review Provides content review, practice exam-style Q&A with rationales, test-taking skills, and test blueprint format Includes thousands of unfolding questions, answers, and hints Contains "bite-size" sections for each topic for easier learning and memorization Includes 500 exam-style questions with rationales The Board of Certification for Emergency Nursing (BCEN) is the sole owner of the Trauma Certified Registered Nurse (TCRN) certification program. BCEN does not endorse any TCRN certification exam review resources or have a proprietary relationship with Springer Publishing Company.

Trauma Centers and Acute Care Surgery

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Author :
Publisher : Springer Nature
ISBN 13 : 3030731553
Total Pages : 262 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis Trauma Centers and Acute Care Surgery by : Osvaldo Chiara

Download or read book Trauma Centers and Acute Care Surgery written by Osvaldo Chiara and published by Springer Nature. This book was released on 2021-10-15 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers an overview of acute care surgery around the world, focusing on the four main branches of this novel subdiscipline: trauma, general emergencies, critical care, and rescue surgery. The book’s primary goal is to provide a general view of acute care surgery, while addressing the most important issues in depth. The content is divided into three parts, the first of which is dedicated to the general organization of trauma centers, including the composition of modern trauma teams. Protocols of activation and action for the trauma team, as well as damage control procedures both in the emergency room and in the surgical theatre, are described. The book also addresses the development of a trauma registry, together with the quality assessment process that can be applied. In turn, the second part describes the principal protocols for making diagnoses, with special attention to circumstances such as unstable hemodynamics, neurological deterioration, normal vital signs, and penetrating injuries. The book subsequently deals with the most important aspects of trauma to the abdomen, chest, and pelvis, with notes on both surgical and intensive care issues. Practical descriptions of how to treat principal injuries to various organs are also provided. Finally, the third part of the book is dedicated to the most frequent general surgical emergencies and rescue surgical approaches, and includes information on diagnostic support with point of care ultrasound and endoscopic advanced techniques. Presenting cutting-edge strategies, this book will be of interest to professionals involved in surgical and intensive care for emergency conditions, such as colonic perforations, obstructions, acute pancreatitis, biliary tree stones, and caustic injuries.

Resources for Optimal Care of the Injured Patient

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Author :
Publisher :
ISBN 13 :
Total Pages : 90 pages
Book Rating : 4.3/5 (277 download)

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Book Synopsis Resources for Optimal Care of the Injured Patient by : American College of Surgeons. Committee on Trauma

Download or read book Resources for Optimal Care of the Injured Patient written by American College of Surgeons. Committee on Trauma and published by . This book was released on 1990 with total page 90 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Textbook of Paediatric Emergency Medicine - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0702085367
Total Pages : 715 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Textbook of Paediatric Emergency Medicine - E-Book by : Peter Cameron

Download or read book Textbook of Paediatric Emergency Medicine - E-Book written by Peter Cameron and published by Elsevier Health Sciences. This book was released on 2023-04-04 with total page 715 pages. Available in PDF, EPUB and Kindle. Book excerpt: This leading text is essential reading for all those working in the paediatric emergency medicine setting who require concise, highly practical guidance that incorporates the latest best practice and evidence-based guidelines. The Textbook of Paediatric Emergency Medicine provides clear, concise and comprehensive information to support clinicians in what can be a challenging area to provide care. It not only covers diagnosis and management of all common presentations, but it also includes practical tips on communicating with both patients and their families. As a companion book to Cameron’s Textbook of Adult Emergency Medicine, this volume is specifically tailored to the educational needs of emergency medicine trainees, but is also expected to benefit others working in the emergency setting including paramedics and emergency nurse specialists. Concise chapters and key point boxes allow for the quick and easy retrieval of information Comprehensive coverage of all major topics that present within paediatric emergency care Practical tips on communicating with patients and their families All key topics updated to include latest available evidence New section on COVID-19 and Infection control Expanded and enhanced coverage of the use of ultrasound in emergency care

Guidelines for Essential Trauma Care

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Author :
Publisher : World Health Organization
ISBN 13 : 9789241546409
Total Pages : 110 pages
Book Rating : 4.5/5 (464 download)

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Book Synopsis Guidelines for Essential Trauma Care by : World Health Organization

Download or read book Guidelines for Essential Trauma Care written by World Health Organization and published by World Health Organization. This book was released on 2004 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Injury is an increasingly significant health problem throughout the world, accounting for 16 per cent of the global burden of disease. The public health burden of death and disability from injury is particularly notable in low and middle income countries. These guidelines seek to establish practical and affordable standards applicable to injury or trauma care worldwide, whether in rural health posts, small hospitals, hospitals staffed by specialists or tertiary care centres. It sets out a list of key trauma treatment services designed to be achievable in all settings, and defines the various human and physical resources required. It also includes a number of recommendations for methods to promote such standards including training, performance improvement, trauma team organisation and hospital inspection.

Ocular Trauma in Armed Conflicts

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Author :
Publisher : Springer Nature
ISBN 13 : 9811940215
Total Pages : 295 pages
Book Rating : 4.8/5 (119 download)

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Book Synopsis Ocular Trauma in Armed Conflicts by : Shrikant Waikar

Download or read book Ocular Trauma in Armed Conflicts written by Shrikant Waikar and published by Springer Nature. This book was released on 2023-06-16 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book comprehensively covers the complete spectrum of ocular trauma in war and peace, while most of the books on ocular trauma cover only civil trauma. It explains the care to be taken by the injured himself from the time of injury to the most specialized tertiary care management step-by-step. It covers the various modes of trauma, the evaluation, and the management from emergency care and evacuation to secondary and tertiary care. The initial chapters cover the step by step care of wounds and the application of dressings or tourniquets available in the battlefield to be taken by the individual himself and the initial medical care by forward medical officer and surgeon before evacuating to the ophthalmologist The book also covers the management of polytrauma involving the head and neck or other parts of the body based on real-life experience since most of the battlefield ocular trauma presents with it. It incorporates chapters on ocular trauma due to chemical, biological, radiological or nuclear (CBRN) hazards and the important aspect of imaging in ocular trauma. It covers the classification systems of ocular trauma. The book presents the step-by-step approach to primary repair of open globe injuries and lid lacerations by the first contact ophthalmologist. It covers the subspeciality wise tertiary care management of ocular trauma, encompassing an approach to the management of corneal scars, lenticular injuries, uveitis, traumatic glaucoma, intraocular foreign body and other posterior segment manifestations of injury like retinal detachment, vitreous and choroidal hemorrhage, etc., orbit and optic nerve trauma and other neuroophthalmological manifestations of trauma. It also includes a chapter on chemical injuries and techniques of stem cell transplantation for ocular surface reconstruction. Additionally, it covers the management of unsalvageable eyes and cosmetic rehabilitation. The book is a complete and helpful resource on ocular trauma and assists ophthalmologists, trauma care workers, and medical officers with security forces in the easy management of ocular trauma.

Conflict And Health

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Author :
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335243797
Total Pages : 226 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Conflict And Health by : Howard, Natasha

Download or read book Conflict And Health written by Howard, Natasha and published by McGraw-Hill Education (UK). This book was released on 2012-10-01 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text is an introductory overview of healthcare provision in different humanitarian conflicts, designed for healthcare professionals and students from a wide range of backgrounds.

Practicing Health Geography

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Author :
Publisher : Springer Nature
ISBN 13 : 303063471X
Total Pages : 206 pages
Book Rating : 4.0/5 (36 download)

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Book Synopsis Practicing Health Geography by : Prestige Tatenda Makanga

Download or read book Practicing Health Geography written by Prestige Tatenda Makanga and published by Springer Nature. This book was released on 2021-05-05 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume uniquely presents case studies on health geography in Africa, and analyzes health practices in different African regions to illustrate a unified perspective to the geographies of health. The book describes various contemporary and traditional themes that have characterized the discipline of health geography, and uses its 13 case studies across 14 chapters to challenge the perceived dichotomy between health geography and medical geography among health researchers and practitioners. In 3 sections, the book provides readers with a comprehensive and interdisciplinary approach to understanding health geography in Africa. The first chapter introduces the major theories and perspectives in health geography, and how these characteristics apply to health geography practices in Africa. Section 1 discusses the different uses of space-based analyses in health geography, including geo-data infrastructures, geographies of disease burden, spatial epidemiology, spatially precise public health, and spatial access to health. Section 2 discusses the different uses of place-based analyses in health geography, including health representation, healthcare access, food allergies, and health determinants. Section 3 addresses how geography is incorporated into decision processes in Africa, and how policy planning shapes health-related interventions at the population and individual level. The case studies here discuss geo-enabling health records, health policy, public health planning, and mobile health geographies.

ACCCN's Critical Care Nursing - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0729580687
Total Pages : 836 pages
Book Rating : 4.7/5 (295 download)

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Book Synopsis ACCCN's Critical Care Nursing - E-Book by : Doug Elliott

Download or read book ACCCN's Critical Care Nursing - E-Book written by Doug Elliott and published by Elsevier Health Sciences. This book was released on 2011-11-21 with total page 836 pages. Available in PDF, EPUB and Kindle. Book excerpt: A revised new edition of this comprehensive critical care nursing text, developed with the Australian College of Critical Care Nurses (ACCCN). This second edition of ACCCN's Critical Care Nursing has been fully revised and updated for critical care nurses and students in Australia and New Zealand. As well as featuring the most recent critical care research data, current clinical practice, policies, procedures and guidelines specific to Australia and New Zealand, this new edition offers new and expanded chapters and case studies. The ultimate guide for critical care nurses and nursing students alike, ACCCN's Critical Care Nursing 2e has been developed in conjunction with the Australian College of Critical Care Nurses (ACCCN). As with the first edition, the text in ACCCN's Critical Care Nursing 2e reflects the expertise of ACCCN's highly-qualified team of local and international critical care nursing academics and clinicians. This authoritative nursing resource takes a patient-centred approach, encouraging practising critical care nurses and students to develop effective, high-quality critical care nursing practice. ACCCN's Critical Care Nursing 2e outlines the scope of critical care nursing, before detailing the core components and specialty aspects of critical care nursing, such as intensive care, emergency nursing, cardiac nursing, neuroscience nursing and acute care. Specific clinical conditions such as emergency presentations, trauma, resuscitation, and organ donation are featured to explore some of the more complex or unique aspects of specialty critical care nursing practice. expanded chapters for cardiovascular, respiratory and neurological content new chapters on Quality and Safety; Recovery and Rehabilitation; Psychological care; and Obstetric emergencies new case studies elaborate on relevant care issues critiques of recent research publications explore related topics practice tips highlight areas of care particularly relevant to daily clinical practice learning activities support knowledge, reflective learning and understanding