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The Golden Hour is a well-established concept in emergency medicine, related to the critical period of one hour after an injury, accident or trauma. This term implies that the mortality rates increase substantially if efficient care is not provided within 60 minutes after the trauma. This book is intended as a practical manual in Trauma Care within the context of the golden hour, addressing all trauma types and all body parts. Readers will find essential decision-making algorithms and protocols with commentary for traumas, along with easily accessible information on how to treat patients in a very practical and handy fashion. Furthermore, the content is presented in a didactic way suitable for a wide audience, from medical students who want to learn about the basics of trauma care to experienced surgeons seeking a comprehensive guide to trauma-related interventions.The book combines contributions from experts at two renowned Trauma Centers, the Hospital do Trabalhador at Curitiba, Brazil, and the Ryder Trauma Center in Miami, USA. Therefore, considering the different local environments and resources, the book provides distinct perspectives for several injuries, presenting the state of the art in Trauma Care. The diversity of perspectives in this book contributes to a global health care approach suitable for trauma-related events from developed countries to remote areas. The Trauma Golden Hour – A Practical Guide celebrates the Centennial Anniversary of the Federal University of Parana (Brazil), the 25th Anniversary of the Ryder Trauma Center (USA) and the 20th Anniversary of the Hospital do Trabalhador (Brazil).
2021 Kirkus Prize Finalist • A Kirkus Best Book of 2021 • An SLJ Best Book of 2021 ★ “Exceptionally graceful and delightful” — Kirkus Reviews, starred review ★ “A beautiful story of resilience.” School Library Journal, starred review ★ “Meaningful and impactful ” — School Library Connection, starred review From the author of The Deep & Dark Blue comes a tender graphic novel, perfect for our time, that gently explores themes of self-discovery, friendship, healing from tragedy, and hope for a better tomorrow. Struggling with anxiety after witnessing a harrowing instance of gun violence, Manuel Soto copes through photography, using his cell-phone camera to find anchors that keep him grounded. His days are a lonely, latchkey monotony until he's teamed with his classmates, Sebastian and Caysha, for a group project. Sebastian lives on a grass-fed cattle farm outside of town, and Manuel finds solace in the open fields and in the antics of the newborn calf Sebastian is hand-raising. As Manuel aides his new friends in their preparations for the local county fair, he learns to open up, confronts his deepest fears, and even finds first love. This title will be simultaneously available in paperback.
A concise review of the essential elements in the anesthetic care of the severely injured trauma patient.
THE NATIONAL BESTSELLER A remarkable thriller debut of twenty-first-century espionage, by a former Deputy Assistant Secretary of State who “knows where all the bodies are buried—literally" (W. E. B. Griffin). The Golden Hour: In international politics, the hundred hours following a coup, when there is still a chance that diplomacy, a secret back channel, military action—something—may reverse the chain of events. As the director of the new State Department Crisis Reaction Unit, Judd Ryker gets a chance to prove that his theory of the Golden Hour actually works, when there’s a coup in Mali. But in the real world, those hours include things he’s never even imagined. As Ryker races from Washington to Europe and across the Sahara Desert, he finds that personalities, loyalties—everything he thought he knew—begin to shift beneath his feet, and that friends and enemies come in many forms.
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.
E-FAST (extended focused assessment by sonograpy for trauma) represents the basic ultrasonographic approach to any trauma patient. Identification or exclusion of free fluid and air in the abdominal and thoracic cavities plays a pivotal role in deciding the immediate diagnostic and therapeutic path. Learning E-FAST is mandatory for all acute care surgeons and all physicians involved in trauma management. The structure of the book and its practical approach will make it an easy-to-consult and quick reference tool for beginners and a useful support for more experienced professionals.
Colonel Warner "Rocky" Farr has made an important contribution to the body of SOF knowledge with this well-researched monograph. He advances the understanding of the many challenges and accomplishments related to guerrilla warfare medicine-care provided by predominantly indigenous medical personnel under austere conditions with limited evacuation capability-by providing a survey of the historical record in UW literature. Colonel Farr relates many historical experiences in the field, assesses their effectiveness, and lays a foundation for further in-depth study of the subject. The Joint Special Operations University is pleased to offer this monograph as a means of providing those scholars and operators, as well as policymakers and military leaders, a greater understanding of the complex and complicated field of guerrilla warfare medicine.
The all-new 2023 edition of The Communications Golden Hour®: The Essential Guide to Public Information When Every Minute Counts captures what Doug Levy and dozens of other experienced PIOs have learned the hard way in crises and emergencies of all kinds. With lessons from those who have been on the front lines and in the headlines, the all-new second edition teaches both government and corporate communicators how to be ready for anything. Updated with case studies on the Covid-19 pandemic, racial justice protests, and major disasters like the Florida building collapse.
The critical care unit manages patients with a vast range of disease and injuries affecting every organ system. The unit can initially be a daunting environment, with complex monitoring equipment producing large volumes of clinical data. Core Topics in Critical Care Medicine is a practical, comprehensive, introductory-level text for any clinician in their first few months in the critical care unit. It guides clinicians in both the initial assessment and the clinical management of all CCU patients, demystifying the critical care unit and providing key knowledge in a concise and accessible manner. The full spectrum of disorders likely to be encountered in critical care are discussed, with additional chapters on transfer and admission, imaging in the CCU, structure and organisation of the unit, and ethical and legal issues. Written by Critical Care experts, Core Topics in Critical Care Medicine provides comprehensive, concise and easily accessible information for all trainees.