Surgery During Natural Disasters Combat Terrorist Attacks And Crisis Situations

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Surgery During Natural Disasters, Combat, Terrorist Attacks, and Crisis Situations

Author : COL Robert B. Lim
Publisher : Springer
ISBN 13 : 3319237187
Total Pages : 234 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Surgery During Natural Disasters, Combat, Terrorist Attacks, and Crisis Situations by : COL Robert B. Lim

Download or read book Surgery During Natural Disasters, Combat, Terrorist Attacks, and Crisis Situations written by COL Robert B. Lim and published by Springer. This book was released on 2015-12-11 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: The lessons from this book help surgeons prepare for emergency events that require disaster preparedness usually handled by the United States military, including chemical attacks and massive casualty events. Written by experts in the field perspectives that come from various combat zones and disaster sites, this book highlights the pitfalls to avoid, the organization that is essential for success, and the tips to help perform surgery in the most austere conditions . The book will address situations where surgeons may have to operate on wanted criminals, operate wearing chemical protective equipment, operate in a collapsed building, or even remove an unexploded device. The book includes cases from the battlefield that are designed to guide surgeons facing these scenarios in the civilian world. There are also chapters detailing the lessons learned from the Boston Marathon Bombing, airline disasters, and the Oklahoma City bombing. Unlike any other current text, Surgery During Natural Disasters, Combat, Terrorist Attacks, and Crisis Situations is an excellent resource for all surgeons who might be faced with these events.

Surgery, An Issue of Physician Assistant Clinics

Author : Courtney Fankhanel
Publisher : Elsevier Health Sciences
ISBN 13 : 0323757782
Total Pages : 169 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Surgery, An Issue of Physician Assistant Clinics by : Courtney Fankhanel

Download or read book Surgery, An Issue of Physician Assistant Clinics written by Courtney Fankhanel and published by Elsevier Health Sciences. This book was released on 2021-03-02 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Clinics in Chest Medicine, guest-edited by Dr. Aaron B Waxman and Dr. Inderjit Singh, is focused on Pulmonary Hypertension. Topics discussed in this issue include but are not limited to: Integrative omics to characterize and classify pulmonary vascular disease, Contemporary Pharmacotherapeutic Approach in Pulmonary Arterial Hypertension, Personalized Medicine: The Future Management of Pulmonary Hypertension Requires A New Taxonomy, Sex differences in Pulmonary Hypertension and Pulmonary Hypertension in Pregnancy.

Medical Response to Major Incidents and Disasters

Author : Sten Lennquist
Publisher : Springer Science & Business Media
ISBN 13 : 3642218954
Total Pages : 428 pages
Book Rating : 4.6/5 (422 download)

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Book Synopsis Medical Response to Major Incidents and Disasters by : Sten Lennquist

Download or read book Medical Response to Major Incidents and Disasters written by Sten Lennquist and published by Springer Science & Business Media. This book was released on 2011-12-07 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book, written by members of the core faculty responsible for European courses on Medical Response to Major Incidents (MRMI), is a practical guide for all medical staff on how to respond to a wide range of disaster scenarios. The entire spectrum of knowledge is covered, from command and coordination through to the management of individual casualties. Central importance is attached to the key component of decision making by explaining what needs to be done for patients in particular situations and the required order and timing of treatment measures. Simplified methods receive due attention, as it is often necessary for medical staff to administer primary treatment outside of their own specialty. This book will prove an invaluable aid to all who may be involved in the response to major accidents and disasters, including medical and nursing students, ambulance crew, and military personnel as well as medical specialists.

Koenig and Schultz's Disaster Medicine

Author : Kristi L. Koenig
Publisher : Cambridge University Press
ISBN 13 : 1107040752
Total Pages : 785 pages
Book Rating : 4.1/5 (7 download)

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Book Synopsis Koenig and Schultz's Disaster Medicine by : Kristi L. Koenig

Download or read book Koenig and Schultz's Disaster Medicine written by Kristi L. Koenig and published by Cambridge University Press. This book was released on 2016-04-18 with total page 785 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the definitive reference on disaster medicine, outlining areas of proficiency for health care professionals handling mass casualty crises.

Guide for All-Hazard Emergency Operations Planning

Author : Kay C. Goss
Publisher : DIANE Publishing
ISBN 13 : 078814829X
Total Pages : 277 pages
Book Rating : 4.7/5 (881 download)

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Book Synopsis Guide for All-Hazard Emergency Operations Planning by : Kay C. Goss

Download or read book Guide for All-Hazard Emergency Operations Planning written by Kay C. Goss and published by DIANE Publishing. This book was released on 1998-05 with total page 277 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meant to aid State & local emergency managers in their efforts to develop & maintain a viable all-hazard emergency operations plan. This guide clarifies the preparedness, response, & short-term recovery planning elements that warrant inclusion in emergency operations plans. It offers the best judgment & recommendations on how to deal with the entire planning process -- from forming a planning team to writing the plan. Specific topics of discussion include: preliminary considerations, the planning process, emergency operations plan format, basic plan content, functional annex content, hazard-unique planning, & linking Federal & State operations.

Front Line Surgery

Author : Matthew J. Martin,
Publisher : Springer
ISBN 13 : 3319567802
Total Pages : 913 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Front Line Surgery by : Matthew J. Martin,

Download or read book Front Line Surgery written by Matthew J. Martin, and published by Springer. This book was released on 2017-07-21 with total page 913 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of Front Line Surgery expands upon the success of the first edition, providing updated discussion of practical management of commonly encountered combat injuries.This edition reflects the cutting edge of combat casualty care, refined principles of surgical management of specific injury patterns, and incorporation of the spectrum of recent research advancements in trauma care. Each chapter continues to follow the same organization as the first edition. The “BLUF”, or bottom line up front, headlines each topic, providing the critical pearls for the reader, followed by a focused and straight forward discussion of management, pitfalls, and recommendations. In addition, select chapters conclude with a section discussing the application of this topic in civilian practice, as potentially encountered by the rural or humanitarian relief surgeon. Additional new topics include: REBOA and endovascular techniques for hemorrhage control, updates in transfusion and resuscitation practice, active shooter situations, rural trauma management in developed nations, advancements in prehospital care and the Tactical Combat Casualty Care (TC3) course, and discussion of the newest generations of topical hemostatic agents and tourniquets. These additions serve to both enhance the breadth and depth of the material relevant to military surgeons, but should also further expand the applicability and interest in this work to all civilian trauma surgeons.

Managing Dismounted Complex Blast Injuries in Military & Civilian Settings

Author : Joseph M. Galante
Publisher : Springer
ISBN 13 : 3319746723
Total Pages : 299 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis Managing Dismounted Complex Blast Injuries in Military & Civilian Settings by : Joseph M. Galante

Download or read book Managing Dismounted Complex Blast Injuries in Military & Civilian Settings written by Joseph M. Galante and published by Springer. This book was released on 2018-04-11 with total page 299 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text is designed to present a comprehensive and state-of the-art approach to dismounted complex blast injuries. Sections address care of these patients from the point of injury through rehabilitation. The specific areas addressed include blast mechanics, stabilization and hemorrhage control at the point of injury, early resuscitation at local hospitals, a systematic approach to surgical care, and finally reconstruction and rehabilitation. Specific chapters focus on operative management of pelvic, abdominal, genitourinary, orthopedic, neurological and thoracic injuries. The authors of each chapter, are experts in treating DCBIs that have had direct hands-on experience through military deployments in Iraq and Afghanistan. Each chapter describes patient presentation and an algorithm outlining treatment with support from the literature. The text will conclude with three chapters. The first explores new advances in care that can be applied to these injuries. The second highlights the organization and team approach to care of these patients. Finally, the last chapter describes an actual case, cared for by the editors, that encompasses points from the chapters in the text. Extensive illustrations and flow diagrams are used throughout the text. This text is specifically designed to be a “how to” guide for inexperienced military and civilian providers. The chapters are organized in a step-wise fashion that mirrors the patient’s course from point of injury through their hospital course. Combining authors’ experience with illustrations and algorithm diagrams creates a text that is easy to use as a reference text or basis of training for future military and civilian surgeons.

The High-risk Surgical Patient

Author : Paolo Aseni
Publisher : Springer Nature
ISBN 13 : 3031172736
Total Pages : 952 pages
Book Rating : 4.0/5 (311 download)

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Book Synopsis The High-risk Surgical Patient by : Paolo Aseni

Download or read book The High-risk Surgical Patient written by Paolo Aseni and published by Springer Nature. This book was released on 2023-03-07 with total page 952 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is well known that certain diseases and patient conditions are associated with increased perioperative risk. The aim of this book is to define and identify the clinical factors that warrant a broader and more detailed assessment of pre-operative surgical risk in difficult and unusual clinical settings. One of the sections is dedicated to the main pathway of peri- and post-surgical critical care based on the patient-specific deterioration risk and associated diseases; here, a panel of selected experts describes the correct patient-oriented pathways for complex or unscheduled surgical operations in order to reduce the operative risk. In addition, the book describes the latest trends in minimally invasive surgical techniques that are associated with peri- and post-operative risk reduction, and provides an overview of recent advances in surgical simulation, focusing on perspectives in surgical research to increase patient safety. Guidance is also provided on extracorporeal membrane oxygenation (ECMO), Left Ventricular Assist Devices (LVADs), and their management in patients requiring emergency surgery. The book will help surgical trainees recognize cases with the highest surgical risk and identify the most common complications at an early stage.

The Future of Nursing 2020-2030

Author : National Academies of Sciences Engineering and Medicine
Publisher :
ISBN 13 : 9780309685061
Total Pages : pages
Book Rating : 4.6/5 (85 download)

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Book Synopsis The Future of Nursing 2020-2030 by : National Academies of Sciences Engineering and Medicine

Download or read book The Future of Nursing 2020-2030 written by National Academies of Sciences Engineering and Medicine and published by . This book was released on 2021-09-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Hospital and Healthcare Security

Author : Tony W York
Publisher : Butterworth-Heinemann
ISBN 13 : 0080886027
Total Pages : 760 pages
Book Rating : 4.0/5 (88 download)

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Book Synopsis Hospital and Healthcare Security by : Tony W York

Download or read book Hospital and Healthcare Security written by Tony W York and published by Butterworth-Heinemann. This book was released on 2009-10-12 with total page 760 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospital and Healthcare Security, Fifth Edition, examines the issues inherent to healthcare and hospital security, including licensing, regulatory requirements, litigation, and accreditation standards. Building on the solid foundation laid down in the first four editions, the book looks at the changes that have occurred in healthcare security since the last edition was published in 2001. It consists of 25 chapters and presents examples from Canada, the UK, and the United States. It first provides an overview of the healthcare environment, including categories of healthcare, types of hospitals, the nonhospital side of healthcare, and the different stakeholders. It then describes basic healthcare security risks/vulnerabilities and offers tips on security management planning. The book also discusses security department organization and staffing, management and supervision of the security force, training of security personnel, security force deployment and patrol activities, employee involvement and awareness of security issues, implementation of physical security safeguards, parking control and security, and emergency preparedness. Healthcare security practitioners and hospital administrators will find this book invaluable. - Practical support for healthcare security professionals, including operationally proven policies, and procedures - Specific assistance in preparing plans and materials tailored to healthcare security programs - Summary tables and sample forms bring together key data, facilitating ROI discussions with administrators and other departments - General principles clearly laid out so readers can apply the industry standards most appropriate to their own environment NEW TO THIS EDITION: - Quick-start section for hospital administrators who need an overview of security issues and best practices

Crisis Standards of Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309285526
Total Pages : 217 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Crisis Standards of Care by : Institute of Medicine

Download or read book Crisis Standards of Care written by Institute of Medicine and published by National Academies Press. This book was released on 2013-10-27 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

Front Line Surgery

Author : Matthew J. Martin, MD, FACS
Publisher : Springer Science & Business Media
ISBN 13 : 1441960791
Total Pages : 536 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Front Line Surgery by : Matthew J. Martin, MD, FACS

Download or read book Front Line Surgery written by Matthew J. Martin, MD, FACS and published by Springer Science & Business Media. This book was released on 2010-12-13 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: Both editors are active duty officers and surgeons in the U.S. Army. Dr. Martin is a fellowship trained trauma surgeon who is currently the Trauma Medical Director at Madigan Army Medical Center. He has served as the Chief of Surgery with the 47th Combat Support Hospital (CSH) in Tikrit, Iraq in 2005 to 2006, and most recently as the Chief of Trauma and General Surgery with the 28th CSH in Baghdad, Iraq in 2007 to 2008. He has published multiple peer-reviewed journal articles and surgical chapters. He presented his latest work analyzing trauma-related deaths in the current war and strategies to reduce them at the 2008 annual meeting of the American College of Surgeons. Dr. Beekley is the former Trauma Medical Director at Madigan Army Medical Center. He has multiple combat deployments to both Iraq and Afghanistan, and has served in a variety of leadership roles with both Forward Surgical Teams (FST) and Combat Support Hospitals (CSH).

Operational Templates and Guidance for EMS Mass Incident Deployment

Author : U. S. Department of Homeland Security Federal Emergency Management Agency
Publisher : CreateSpace
ISBN 13 : 9781484168882
Total Pages : 168 pages
Book Rating : 4.1/5 (688 download)

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Book Synopsis Operational Templates and Guidance for EMS Mass Incident Deployment by : U. S. Department of Homeland Security Federal Emergency Management Agency

Download or read book Operational Templates and Guidance for EMS Mass Incident Deployment written by U. S. Department of Homeland Security Federal Emergency Management Agency and published by CreateSpace. This book was released on 2013-04-20 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency Medical Services (EMS) agencies regardless of service delivery model have sought guidance on how to better integrate their emergency preparedness and response activities into similar processes occurring at the local, regional, State, tribal, and Federal levels. This primary purpose of this project is to begin the process of providing that guidance as it relates to mass care incident deployment.

Option B

Author : Sheryl Sandberg
Publisher : Knopf
ISBN 13 : 1524732699
Total Pages : 241 pages
Book Rating : 4.5/5 (247 download)

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Book Synopsis Option B by : Sheryl Sandberg

Download or read book Option B written by Sheryl Sandberg and published by Knopf. This book was released on 2017-04-24 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: #1 NEW YORK TIMES BEST SELLER • From authors of Lean In and Originals: a powerful, inspiring, and practical book about building resilience and moving forward after life’s inevitable setbacks After the sudden death of her husband, Sheryl Sandberg felt certain that she and her children would never feel pure joy again. “I was in ‘the void,’” she writes, “a vast emptiness that fills your heart and lungs and restricts your ability to think or even breathe.” Her friend Adam Grant, a psychologist at Wharton, told her there are concrete steps people can take to recover and rebound from life-shattering experiences. We are not born with a fixed amount of resilience. It is a muscle that everyone can build. Option B combines Sheryl’s personal insights with Adam’s eye-opening research on finding strength in the face of adversity. Beginning with the gut-wrenching moment when she finds her husband, Dave Goldberg, collapsed on a gym floor, Sheryl opens up her heart—and her journal—to describe the acute grief and isolation she felt in the wake of his death. But Option B goes beyond Sheryl’s loss to explore how a broad range of people have overcome hardships including illness, job loss, sexual assault, natural disasters, and the violence of war. Their stories reveal the capacity of the human spirit to persevere . . . and to rediscover joy. Resilience comes from deep within us and from support outside us. Even after the most devastating events, it is possible to grow by finding deeper meaning and gaining greater appreciation in our lives. Option B illuminates how to help others in crisis, develop compassion for ourselves, raise strong children, and create resilient families, communities, and workplaces. Many of these lessons can be applied to everyday struggles, allowing us to brave whatever lies ahead. Two weeks after losing her husband, Sheryl was preparing for a father-child activity. “I want Dave,” she cried. Her friend replied, “Option A is not available,” and then promised to help her make the most of Option B. We all live some form of Option B. This book will help us all make the most of it.

Ciottone's Disaster Medicine

Author : Gregory R. Ciottone
Publisher : Elsevier Health Sciences
ISBN 13 : 0323286658
Total Pages : 1050 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Ciottone's Disaster Medicine by : Gregory R. Ciottone

Download or read book Ciottone's Disaster Medicine written by Gregory R. Ciottone and published by Elsevier Health Sciences. This book was released on 2015-11-05 with total page 1050 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most comprehensive resource of its kind, Ciottone's Disaster Medicine, 2nd Edition, thoroughly covers isolated domestic events as well as global disasters and humanitarian crises. Dr. Gregory Ciottone and more than 200 worldwide authorities share their knowledge and expertise on the preparation, assessment, and management of both natural and man-made disasters, including terrorist attacks and the threat of biological warfare. Part 1 offers an A-to-Z resource for every aspect of disaster medicine and management, while Part 2 features an exhaustive compilation of every conceivable disaster event, organized to facilitate quick reference in a real-time setting. Quickly grasp key concepts, including identification of risks, organizational preparedness, equipment planning, disaster education and training, and more advanced concepts such as disaster risk reduction, tactical EMS, hazard vulnerability analysis, impact of disaster on children, and more. Understand the chemical and biologic weapons known to exist today, as well as how to best manage possible future events and scenarios for which there is no precedent. Be prepared for man-made disasters with new sections that include Topics Unique to Terrorist Events and High-Threat Disaster Response and Operational Medicine (covering tactical and military medicine). Get a concise overview of lessons learned by the responders to recent disasters such as the earthquake in Haiti, Hurricane Sandy, the 2014 Ebola outbreak, and active shooter events like Sandy Hook, CT and Aurora, CO. Learn about the latest technologies such as the use of social media in disaster response and mobile disaster applications. Ensure that everyone on your team is up-to-date with timely topics, thanks to new chapters on disaster nursing, crisis leadership, medical simulation in disaster preparedness, disaster and climate change, and the role of non-governmental agencies (NGOs) in disaster response - a critical topic for those responding to humanitarian needs overseas. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

Oxford Textbook of Critical Care

Author : Webb
Publisher : Oxford University Press
ISBN 13 : 0198855435
Total Pages : 1961 pages
Book Rating : 4.1/5 (988 download)

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Book Synopsis Oxford Textbook of Critical Care by : Webb

Download or read book Oxford Textbook of Critical Care written by Webb and published by Oxford University Press. This book was released on 2020-01-10 with total page 1961 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now in paperback, the second edition of the Oxford Textbook of Critical Care is a comprehensive multi-disciplinary text covering all aspects of adult intensive care management. Uniquely this text takes a problem-orientated approach providing a key resource for daily clinical issues in the intensive care unit. The text is organized into short topics allowing readers to rapidly access authoritative information on specific clinical problems. Each topic refers to basic physiological principles and provides up-to-date treatment advice supported by references to the most vital literature. Where international differences exist in clinical practice, authors cover alternative views. Key messages summarise each topic in order to aid quick review and decision making. Edited and written by an international group of recognized experts from many disciplines, the second edition of the Oxford Textbook of Critical Careprovides an up-to-date reference that is relevant for intensive care units and emergency departments globally. This volume is the definitive text for all health care providers, including physicians, nurses, respiratory therapists, and other allied health professionals who take care of critically ill patients.

Disaster Nursing

Author : Tener Goodwin Veenema
Publisher : Springer Publishing Company
ISBN 13 : 9780826121448
Total Pages : 680 pages
Book Rating : 4.1/5 (214 download)

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Book Synopsis Disaster Nursing by : Tener Goodwin Veenema

Download or read book Disaster Nursing written by Tener Goodwin Veenema and published by Springer Publishing Company. This book was released on 2007-06-18 with total page 680 pages. Available in PDF, EPUB and Kindle. Book excerpt: Read a fascinating interview with editor Tener Goodwin Veenema! Tener Veenema Interview Disaster planning and emergency preparedness have never been more critical to the nurses who serve as our front-line response. Today's pandemic threats of global terrorism, disease, and natural disasters make this comprehensive handbook of best practices a necessity--meeting the need for a nursing workforce that is adequately prepared to respond to any disaster or public health emergency. In addition to a thorough update based on the most recent recommendations, this second edition contains six new chapters: Emergency Health Services (EMS and other first responders) Burn Assessment and Management Explosive & Traumatic Terrorism Caring for High-Risk, High-Vulnerability Patients Emerging Infectious Disease (avian and other flu pandemics) Chemical Decontamination All content reflects the guidelines provided in the Federal Disaster Response Plan and the National Incident Management System (NIMS) and therapeutic recommendations from the national Centers for Disease Control and Prevention. Disaster Nursing will prepare any nurse or EMS team to provide health care under a variety of disaster conditions.