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This book provides a comprehensive overview of the medical and operational management of blast and explosive incidents affecting civilian populations. It incorporates global lessons learned from first responders, emergency medicine providers, surgeons, intensivists, and military specialists with deep experience in handling blast injuries from point of injury through rehabilitation. The book begins with background and introductory information on blast physics, explosion types, frequency, and perspectives from the military. This is followed by a section on prehospital management focusing on medical and trauma responses, triage, psychological consequences, and operational considerations. It then examines the roles of the emergency department and ICU with chapters on planning and training, surge capacity, resilience, management of common injury types, contamination, and ventilator strategies. The next section covers surgical treatment of a variety of blast injuries such as thoracoabdominal, extremity and vascular, and orthopedic injuries. The book then discusses medical treatment of various injury patterns including lung, abdominal, extremity, and traumatic brain injury. The final section of the book covers post-hospital considerations such as rehabilitation, mental health, and community resilience. Throughout, case studies of recent incidents provide real-life examples of operational and medical management. Operational and Medical Management of Explosive and Blast Incidents is an essential resource for physicians and related professionals, residents, nurses, and medical students in emergency medicine, traumatic surgery, intensive care medicine, and public health as well as civilian and military EMS providers.
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
Explosion and Blast-Related Injuries is an authoritative text that brings together diverse knowledge gained from both the experience of clinicians treating blast casualties and the insights of scientists obtained from research and modeling of blast exposures. By providing information on explosion and blast injury patterns, as well as the mechanism of blast-induced injuries, it is a useful reference for both physicians and researchers. With contributions by experts from around the globe, the book covers topics such as the epidemiology of blast and explosion injury, pathology and pathophysiology, and the modeling and mechanism of injury. Finally, this book might stimulate additional studies into ways to improve our current mass casualty response systems.* Contains contributions from experts who had first hand experience dealing with explosion and blast injuries. * Provides a diverse global experience derived from both military operations and terrorist attacks in civilian settings from the US, Europe and the Middle East. * Covers such topics as epidemiology of blast and explosion injury, pathology and pathophysiology, modeling and mechanism of injury, and finally presents the global experiences of blast injury and mass casualty management.
This reference is a comprehensive work in the field of neurotrauma and critical care. It incorporates the fields of head injury, spinal injury and basic neurotrauma research into one source. The major emphasis is on the treatment of patients with head and spinal cord injury, including the management of all other problems that bear upon the care of these patients.
This book discusses examples of crime scenes in the archaeological past, their detection and interpretation with the help of modern science; readers will find cases of historic and prehistoric ‘crimes scenes’ known from various contexts: (pre)historic (mass) graves, lethal violent acts related to warfare, ritual killings, or possible murder cases.
With the contribution from more than one hundred CNS neurotrauma experts, this book provides a comprehensive and up-to-date account on the latest developments in the area of neurotrauma including biomarker studies, experimental models, diagnostic methods, and neurotherapeutic intervention strategies in brain injury research. It discusses neurotrauma mechanisms, biomarker discovery, and neurocognitive and neurobehavioral deficits. Also included are medical interventions and recent neurotherapeutics used in the area of brain injury that have been translated to the area of rehabilitation research. In addition, a section is devoted to models of milder CNS injury, including sports injuries.
Proceedings of the AHFE International Conference on Human Factors in Design, Engineering, and Computing (AHFE 2023 Hawaii Edition), Honolulu, Hawaii, USA 4-6, December 2023
This manual is aimed to provide health care professionals, at the scene and at hospitals, as well as allied organizations, a practical and operational approach for planning the response to mass casualty incidents (MCI’s), with emphasis to the types of events that are sudden in nature, resulting in a number of injured or contaminated patients that overwhelm the local health care system. From activation of the MCI plan to the specific medical care of multiple simultaneous patients, the manual offers checklists and algorithms of “what to do” during the first minutes after a MCI occurred. The manual is designed to be adapted and modified for specific institutions according to their size and capabilities. Written by a world expert in the field of MCI management, Mass Casualty Incidents: The Nuts and Bolts of Preparedness and Response for Acute Disasters is a valuable resource for all health care professionals and institutions that deal with mass casualty incidents.
The Path of Flames: Understanding and Responding to Fatal Wildfires is an edited volume covering the complexities of response and recovery issues relative to catastrophic wildfires. As wildfires become more frequent throughout the world—and the loss of life greater, especially among residents trapped in the path of the flames—it is essential that agencies in fire-prone areas understand the complexity of the response as it relates to finding and identifying the remains of those who perished. While covering wildfire dynamics, risks for vulnerable populations, and the emergency response to wildfires, this book focuses largely on the recovery of human remains within the context of the overall response to mass disasters resulting from wildfires. As such, search protocols, staffing needs, pre-event coordination and organization, and logistical support are addressed. The scientific basis for understanding how fire will affect human remains—as well as how the level of destruction can be interpreted—is also addressed. Recognizing the multidisciplinary nature of the field, this volume covers forensic issues relating to the recovery of remains, forensic anthropology, DNA analysis, forensic odontology, and forensic pathology. The book also includes contributions from international wildfire response professionals looking at global best practices in wildfire response and human remains recovery. Specifically, several chapters cover the lessons learned from the devasting Camp Fire of 2018 in California that led to the deaths of 85 people. The Camp Fire burned nearly 19,000 structures and was ultimately the most destructive—and deadly—in California’s history. The Path of Flames is a one-of-a-kind reference that serves as a valuable resource for professionals working in the areas of emergency services, search and rescue, law enforcement, fire service, disaster planning and response, victim recovery and identification, and mass disaster and mass fatality response.