Current Practice And New Developments In Trauma

This book provides concise and updated information on trauma, consisting of current evidence-based techniques, practical guidelines, and new concepts and advancements in the field, including decision making from the golden hour to definitive treatment. It can serve as a reference book for doctors and those sitting for professional examinations, including general surgeons, orthopaedic surgeons, cardiothoracic surgeons, anaesthesiologists, neurosurgeons, radiologists, urologists, intensivists, and emergency physicians. It is also suitable for medical students and nurses.

This book provides concise and updated information on trauma, consisting of current evidence-based techniques, practical guidelines, and new concepts and advancements in the field, including decision making from the golden hour to definitive treatment. It can serve as a reference book for doctors and those sitting for professional examinations, including general surgeons, orthopaedic surgeons, cardiothoracic surgeons, anaesthesiologists, neurosurgeons, radiologists, urologists, intensivists, and emergency physicians. It is also suitable for medical students and nurses.

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.

Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women’s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients’ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.

Originally published by Viking Penguin, 2014.

Following a presentation of basic principles of fracture fixation and biomechanical principles the book turns to practical problemsolving areas, namely, the hand, wrist, elbow, shoulder, hip, knee, ankle and foot, and spine, and special problems in children. Internal fixation, including intramedullary nailing and the use of external fixation are described. Compound fractures are everyday problems, and the principles of their management and practical solutions deserve separate discussion. The value of microsurgical techniques has been underestimated by orthopaedic experts and the indications, choices, and procedures need to be put into proper perspectives.

From the origins of Carl Rogers’ person-centred approach to the cutting-edge developments of therapy today, The Person-Centred Counselling and Psychotherapy Handbook charts the journey of an ambitious vision to its successful reality. In this book, Lago and Charura bring together history, theory, research and practice to deliver a complete and unique perspective on the person-centred approach. Key topics include: •The groundbreaking journey of PCA’s early decades, spearheaded by Carl Rogers•Developments and extensions of the original theory and practice•The influence of PCA in developing new therapies and practice•The frontier of contemporary PCA, and therapists' work with client groups of difference and diversity With its broad view that explores the origins, variations and applications of PCA, The Person-Centred Counselling and Psychotherapy Handbook gives a comprehensive overview of the knowledge required and the issues faced by practitioners, making it an important resource for the seasoned and training practitioner alike.

Mahon provides a ‘how to’ approach to the systematic implementation of the Trauma Ecology Model for those working in both trauma specific, and non-specific organisations. He goes beyond the idea of trauma-informed care principles only, and incorporates trauma responsiveness at all levels, including leadership, supervision, and treatment.