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Prise En Charge Pre Hospitaliere Dun Accident De Desaturation En Plongee Sous Marine Militaire
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Book Synopsis Prise en charge pré-hospitalière d'un accident de désaturation en plongée sous-marine militaire by : Romain Meillour
Download or read book Prise en charge pré-hospitalière d'un accident de désaturation en plongée sous-marine militaire written by Romain Meillour and published by . This book was released on 2018 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les accidents de désaturation neurologiques en plongée militaire sont à risque de présenter des séquelles. Ce sont des évènements rares dont le traitement repose sur la recompression hyperbare en urgences. Le but de cette étude est de voir s'il existe un lien statistique entre la survenue de séquelle et le délai de prise en charge de ces accidents. 25% de notre population a pu être traiée en moins de 15 minutes, objectif demandé par la marine nationale. Les séquelles d'ADD neurologiques sont des évènements rares, le manque de puissance de cette étude ne nous permet pas de montrer une différence significative quant à l'influence du délai de prise en charge sur la survenue de la séquelle. D'autres études de plus grande envergure, ou méta-analyse, pourraient peut êtremettre en évidence cette différence.
Book Synopsis Prise en Charge Des Accidents de Désaturation en Plongée Sous-Marine by : Jacques Bessereau
Download or read book Prise en Charge Des Accidents de Désaturation en Plongée Sous-Marine written by Jacques Bessereau and published by Omniscriptum. This book was released on 2010-12 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le traitement de l'accident de désaturation repose sur l'oxygène hyperbare et l'hydratation. Certaines équipes administrent aussi un traitement médicamenteux adjuvant, bien que celui-ci n'ait jamais fait la preuve de son efficacité comme le montre la revue de la littérature réalisée en première partie de ce travail. Nous rapportons ensuite les résultats d'une série rétrospective de 69 accidents traités au centre hyperbare de l'hôpital Poincaré de Garches entre 1993 et 2003. Nous avons voulu savoir si les accidents traités à Paris ressemblaient aux accidents traités sur la côte. Ces accidents présentent certaines particularités. Les facteurs de risque comme le voyage en avion et la réalisation de plongées techniques sont plus souvent retrouvés. Les symptômes sont souvent atypiques (63%), les délais d'apparition sont assez longs (plus de deux heures après l'émersion dans 59% des cas), les premiers soins sont trop souvent insuffisants (seulement 23% des patients ont reçu oxygène, aspirine et hydratation). Un tiers des patients garde des séquelles parfois invalidantes de leur accident, un quart est gèné dans la vie quotidienne. Ceux qui replongent modifient peu leur façon de plonger.
Book Synopsis PEUT-ON AMELIORER LA PRISE EN CHARGE EXTRA-HOSPITALIERE DES ACCIDENTS DE DECOMPRESSION EN PLONGEE SOUS-MARINE SPORTIVE ? by : FRANCOIS XAVIER.. RUFFIN
Download or read book PEUT-ON AMELIORER LA PRISE EN CHARGE EXTRA-HOSPITALIERE DES ACCIDENTS DE DECOMPRESSION EN PLONGEE SOUS-MARINE SPORTIVE ? written by FRANCOIS XAVIER.. RUFFIN and published by . This book was released on 2000 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis ETUDE PROSPECTIVE SUR LES ACCIDENTS DE PLONGEE ET LEUR PRISE EN CHARGE EN MARTINIQUE ENTRE 1993 ET 1995 by : RODRIGUE.. PIGNEL
Download or read book ETUDE PROSPECTIVE SUR LES ACCIDENTS DE PLONGEE ET LEUR PRISE EN CHARGE EN MARTINIQUE ENTRE 1993 ET 1995 written by RODRIGUE.. PIGNEL and published by . This book was released on 1996 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Evaluation de la prise en charge initiale des accidents de plongée par le pôle RUSH de l'AP-HM by : Raphaël Habib
Download or read book Evaluation de la prise en charge initiale des accidents de plongée par le pôle RUSH de l'AP-HM written by Raphaël Habib and published by . This book was released on 2013 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: Le pôle RUSH (Réanimation Urgence Samu Hyperbarie) de l'assistance publique des hôpitaux de Marseille prend en charge 30% des accidents de plongée de la région PACA. Dans un souci d'amélioration de la qualité des soins apportés aux patients, chaque médecin doit s'inscrire dans ne démarche de Développement Personnel Continu, cette dernière peut être réalisée par la mise en place d'une évaluation des pratiques professionnelles au sein du service. L'objectif de ce travail est de mettre en place au sein du pôle RUSH, une méthodologie d'évaluation de la prise en charge pré-hospitalière des accidents de plongée de l'alerte à la recompression, simple d’exécution et reproductible. La méthodologie de l'audit clinique ciblé a été utilisée. Une grille dévaluation de la filière spécifique de prise en charge ainsi que son guide d'utilisation ont été élaborés sur la base de recommandations actuelles. Cette grille a été testée sur l'ensemble des dossiers d'accidentés du mois de juin 2012 ayant consulté au centre hyperbare. La durée de passation de la grille a été estimée à 3 minutes par dossiers. Dans 83% des cas, les seuls dossiers du centre hyperbare ont suffit. Les résultats de l'audit clinique ciblé mettent en évidence le respect des recommandations de conne pratique en ce qui concerne les soins donnés par l'entourage, l'avis du médecin hyperbare consulté quasi systématiquement, les critères de médicalisation respectées, des moyens d'évacuation adaptés et notamment des délais entre l'alerte et l'oxygénothérapie hyperbare conformes. Des axes d'amélioration peuvent être proposés sur la nécessiter d'alerter en cas d'accident car ceci entraîne un dépassement du délai préconisé entre les premiers signes et l'oxygénothérapie hyperbare. Cette amélioration passe certainement par une meilleure information des plongeurs et des directeurs de clubs sur la nécessité de déclarer rapidement tout signe anormal survenus dans les 24 heures suivant une plongée
Book Synopsis Prise en charge des accidents de décompression en plongée sous-marine, les traitements associés et le rôle du pharmacien d'officine dans la prévention by : Steven Wangen
Download or read book Prise en charge des accidents de décompression en plongée sous-marine, les traitements associés et le rôle du pharmacien d'officine dans la prévention written by Steven Wangen and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depuis la nuit des temps, l'homme rêve de pouvoir respirer sous l'eau comme un poisson. L'évolution technologique et physiologique des cent dernières années permet la pratique de ce sport extrême dans des conditions sécurisées. Il n'en demeure pas sans risques. S'immerger à des dizaines de mètres de profondeur reste très perturbant pour le corps humain, soumis à des variations de pressions importantes. Tout aussi dangereux que passionnant, ce sport nous montre à quel point la sécurité et l'apprentissage sont deux règles essentielles à ne surtout pas mettre de côté. Il ne faut pas non plus négliger la forme physique qui nous permet de supporter les conditions extrêmes propres à ce milieu. Le rôle du médecin et du pharmacien est central quant à la pratique de la plongée sous-marine. De la délivrance du certificat de non contre-indications à l'éducation thérapeutique du plongeur, le professionnel de santé est en grande partie responsable du bon déroulement de l'activité́. Cependant, les connaissances dans les domaines de la médecine, des produits pharmaceutiques et de la science plus globalement sont en perpétuelle évolution. Les données scientifiques peuvent être valables pendant un certain temps avant de devenir obsolètes dès les années suivantes. La plongée sous-marine ne fait pas exception à la règle. En effet, les connaissances sont en constante évolution dans ce secteur. Par ailleurs, ces dernières années, de plus en plus de chercheurs tentent de répondre à cette question : “la plongée serait-elle bénéfique pour la santé ?”Plusieurs études ont déjà prouvé les bienfaits de ce sport sur le stress, l'angoisse, la tachycardie... La plongée pourrait devenir une thérapie à part entière !
Book Synopsis Accidents de plongée : épidémiologie et prise en charge pré hospitalière sur la région marseillaise. Étude descriptive entre 2012 et 2017 by : Olivier Lepennetier
Download or read book Accidents de plongée : épidémiologie et prise en charge pré hospitalière sur la région marseillaise. Étude descriptive entre 2012 et 2017 written by Olivier Lepennetier and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : les accidents de plongée sont une cause de lourds handicaps chez des sujets jeunes en bonne santé. La démocratisation de ce sport entraine une modification des profils des victimes. Une étude des accidentés permet de mieux organiser leur prise en charge. Méthode : une étude rétrospective monocentrique sur 6 ans a regroupé les dossiers traités au centre de médecine hyperbare de l'hôpital sainte marguerite à Marseille. Une étude épidémiologique descriptive et des modalités de pris en charge pré hospitalière est conduite. Résultats : les accidentés sont majoritairement une population masculine (75.8%), jeune (44 ans) avec un Indice de Masse Corporelle de 24.6 +/- 0.4 et pour 77% non-fumeurs. Dans la majorité des cas ils n'ont pas d'antécédents ni de traitements en cours. Chez les plongeurs loisir, les plus accidentés sont de niveau III (42.7%) et chez les professionnels se sont les MF1 (33%). Conclusion : les accidents de plongées touchent une population jeune en bonne santé. Lors de la rédaction du certificat de contre-indication des situations à risque doivent être identifiées. La prise en charge des accidents est variable. La mise en place de registres nationaux doit permettre l'analyse des facteurs de risque et l'uniformisation des prises en charge.
Book Synopsis Plongée subaquatique et premiers secours en mer by : Icone Graphic
Download or read book Plongée subaquatique et premiers secours en mer written by Icone Graphic and published by . This book was released on 2012-11-22 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Primary Pediatric Care by : Robert A. Hoekelman
Download or read book Primary Pediatric Care written by Robert A. Hoekelman and published by Mosby Incorporated. This book was released on 2000-10-01 with total page 1936 pages. Available in PDF, EPUB and Kindle. Book excerpt: -- An outstanding offer, both the New Hoekelman book & CD! -- Important new information at your fingertips, whether at the office or home.
Book Synopsis What Nazism Did to Psychoanalysis by : Laurence Kahn
Download or read book What Nazism Did to Psychoanalysis written by Laurence Kahn and published by Taylor & Francis. This book was released on 2022-09-09 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: What Nazism Did to Psychoanalysis explores the impact Nazism had on the evolution of psychoanalysis and tackles the enigma of the transformation of individual hate into mass psychosis and of the autocratic creation of a neo-reality. Addressing the effects of the Holocaust on the psychoanalytic world, this book does not focus on the suffering of the survivors but the analysis of the concrete mechanisms of destruction that affected language and thought, their impact on the practice of psychoanalysis and the defences that psychoanalysts tried to find against the linguistic, legal and symbolic chaos that struck the foundations of reality. Laurence Kahn discusses the struggle against the appropriation, by the Nazi language, of key terms such as demonic nature, drives, ideals and, above all, the Selbsterhaltungstrieb (the self-preservation drive), which became, with Hitler, the axis of the living space policy, the "Lebensraum". Covering key topics such as trauma, transgenerational issues, silence and secrecy and the depredation of culture, this is an essential work for psychoanalysts and anyone wishing to understand how strongly the development of psychoanalysis was affected by Nazism.
Book Synopsis Transformational Processes in Clinical Psychoanalysis by : Lawrence J. Brown
Download or read book Transformational Processes in Clinical Psychoanalysis written by Lawrence J. Brown and published by Routledge. This book was released on 2018-10-09 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, Lawrence J. Brown offers a contemporary perspective on how the mind transforms, and gives meaning to, emotional experience that arises unconsciously in the here-and-now of the clinical hour. Brown surveys the developments in theory and practice that follow from Freud’s original observations and traces this evolution from its conception to contemporary analytic field theory. Brown emphasizes that these unconscious transformational processes occur spontaneously, in the blink of an eye, through the "unconscious work" in which the analyst and patient are engaged. Though unconscious, these processes are accessible and the analyst must train himself to become aware of the subtle ways he is affected by the patient in the clinical moment. By paying attention to one’s reveries, countertransference manifestations and even supposed "wild" or extraneous thoughts, the analyst is able to obtain a glimpse of how his unconscious is transforming the ambient emotions of the session in order to formulate an interpretation. Brown casts a wide theoretical net in his exploration of these transformational processes and builds on the contributions of Freud, Theodor Reik, Bion, Ogden, the Barangers, Cassorla, Civitarese and Ferro. Bion’s theories of alpha function, transformations, dreaming and his clinical emphasis on the present moment are foundational to this book. Brown’s writing is clear and aims to describe the various theoretical ideas as plainly as possible. Detailed clinical material is given in most chapters to illustrate the theoretical perspectives. Brown applies this theory of transformational processes to a variety of topics, including the analyst’s receptivity, countertransference as transformation, the analytic setting, the paintings of J.M.W. Turner, "autistic transformations" and other clinical situations in the analysis of children and adults. Transformational Processes in Clinical Psychoanalysis will be of great interest to all psychoanalysts and psychoanalytic psychotherapists.
Book Synopsis Introduction to Clinical Examination by : Michael J. Ford
Download or read book Introduction to Clinical Examination written by Michael J. Ford and published by Elsevier Health Sciences. This book was released on 2005-01-01 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most important core skills for medical students to master are history taking and clinical examination. This extensively revised, eighth edition has been written with the philosophy that the acquisition of clinical skills is most effectively undertaken at the bedside. This pocketbook should be used as a companion, to be taken onto the wards and into consulting rooms where the information is most needed. The book begins with a system of history taking followed by a new chapter on the analysis of key symptoms. The remaining chapters cover physical examination of each of the major systems. Each stage of the examination starts with a detailed, step-by-step description of the examination method complemented by relevant illustrations, diagrams and tables on the facing page. This book is intended primarily for use at the outset of clinical training; once students have achieved proficiency in the basic skills of interviewing and examining, the book should also prove useful for revision. An invaluable starter book concentrating purely on the fundamentals of performing a patient examination. Covers each body system and outlines the principles of: - taking a history - how to conduct a physical examination - specific examination points as appropriate Concentrates only on the main symptoms of disease and then the normal and abnormal physical findings. Mention of specific diseases is confined to those most commonly encountered. Compact and pocket-sized to be carried around easily. · Now in full colour double-page format · Clear simple colour line drawings covering the essentials of a clinical examination. · Published simultaneously with the Eleventh Edition of Macleod's Clinical Examination
Book Synopsis The Analyst's Reveries by : Fred Busch
Download or read book The Analyst's Reveries written by Fred Busch and published by Routledge. This book was released on 2019-03-04 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: While the use of the analyst’s own reveries in work with patients has increased in recent times, there has been little critical inquiry into its value, and the problems it may lead to. The Analyst's Reveries finds increasing veneration for the analyst’s use of their reveries, while revealing important differences amongst post-Bionians in how reverie is defined and used clinically. Fred Busch ponders if it has been fully recognized that some post-Bionions suggest a new, radical paradigm for what is curative in psychoanalysis. After searching for the roots of the analyst’s use of reverie in Bion’s work and questioning whether in this regard Bion was a Bionian, Busch carefully examines the work of some post-Bionians and finds both convincing ways to think about the usefulness and limitations of the analyst’s use of reverie. He explores questions including: From what part of the mind does a reverie emerge? How does its provenance inform its transformative possibilities? Do we over-generalize in conceptualizing what is unrepresented, with the corresponding problem of false positives? Do dreams equal understanding and what about the generalizability of the co-created reverie? Busch concludes that it is primarily through the analyst’s own associations that the reverie’s potential is revealed, which further helps the analyst distinguish it from many other possibilities, including the analyst’s countertransference. He believes in the importance of converting reveries into verbal interpretations, a controversial point amongst post-Bionians. Busch ends with the difficult task of classifying the analyst’s reveries based on their degree of representation. The Analyst's Reveries will be of great interest to psychoanalysts and psychoanalytic psychotherapists.
Book Synopsis In the Analyst's Consulting Room by : Antonino Ferro
Download or read book In the Analyst's Consulting Room written by Antonino Ferro and published by Psychology Press. This book was released on 2002 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complements and develops Antonino Ferro's new model of the relationship between patient and analyst, by concentrating on adults.
Book Synopsis The Bereaved Child Analysis, Education and Treatment by : Gillian S. Mace
Download or read book The Bereaved Child Analysis, Education and Treatment written by Gillian S. Mace and published by Springer. This book was released on 1981-06-30 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Bereaved Child: Analysis, Education, and Treatment. An ab stracted bibliography is a comprehensive abstracted bibliography focusing on the reactions and coping mechanisms of children and adolescents to the death of parents, siblings, friends, teachers, pets or even presidents. Publication~ dealing with both normative and pathological stages of bereavement are reviewed. Materials covering childhood concepts/attitudes toward death are included. Citations appear which explore child death education/counseling issues for parents and educators when they involve actual or antic ipated death. Articles are reviewed which deal with the importance of the adult role in the mourning process of the child. For example, decisions such as whether a child should attend a funeral or return to school are examined. Publications are included which explore the short and l'ong term developmental consequences of childhood death experience. It is important to note that the topic of the dying child was excluded. The Bereaved Child contains over 550 citations in author alphabetized and abstracted form. Only English-written books and periodicals are represented. A quick glance will reveal that the bulk of the material is post-1960. This reflects the recency of in terest and study in the area of childhood bereavement. Literature across multiple disciplines was scanned and included. Psychology, medicine, social work, and education are heavily represented, while no theological, literary, or popular sources were examined.
Book Synopsis Acupuncture in Practice by : Hugh MacPherson (Ph. D.)
Download or read book Acupuncture in Practice written by Hugh MacPherson (Ph. D.) and published by . This book was released on 1997 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by THE leading lights in the field of integrating acupuncture into a Western medical system, this book bridges the gap between the theoretical foundations of acupuncture and its application in a modern Western clinical context. Each case history focuses on the complexities and dilemmas of treatment that are tackled, providing valuable insights by experienced practitioners into the management of a course of acupuncture treatment.
Book Synopsis Psychoanalytic Studies on Dysphoria by : Marion M. Oliner
Download or read book Psychoanalytic Studies on Dysphoria written by Marion M. Oliner and published by Routledge. This book was released on 2018-11-12 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychoanalytic Studies on Dysphoria: The False Accord in the Divine Symphony depicts the profound dysphoria afflicting certain individuals, and includes the author's own personal experience of this as a German Jewish child during the Holocaust. Marion M. Oliner explores the impact of catastrophic events on the lives of individuals and their descendants from a broadly psychoanalytic perspective. The book focuses on the interplay between the experience and the unconscious meaning attributed to the trauma, and the ways in which patients may feel guilt, and blame themselves for the events and effects of their trauma. Drawing on the work of Freud and Winnicott, and with emphasis on the traumas suffered during the Second World War, Oliner offers new ways of understanding how resistant to treatment such traumas can be, and how the analyst can understand the experiences. The chapters span the evolution undergone in the nearly four decades of practice by the author. The book references a range of works including some taken from the German and French psychoanalytic literature, some never published in English. Taken together they aim at keeping the vitality of psychoanalysis without idealization, while discarding concepts whose essence is static, and therefore unhelpful. Psychoanalytic Studies on Dysphoria will appeal to psychoanalysts as well as other mental health professionals working with self-defeating behavior as a result of trauma.
