Death By Trauma

The first edition of this publication was aimed at defining the current concepts of trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It served as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader is provided with a full understanding of the tests that are used to study trauma induced coagulopathy. With the growing interest in understanding and managing coagulation in trauma, this second edition has been expanded to 46 chapters from its original 35 to incorporate the massive global efforts in understanding, diagnosing, and treating trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications is reviewed in detail. The text provides therapeutic strategies to treat specific coagulation abnormalities following severe injury, which goes beyond the first edition that largely was based on describing the mechanisms causing coagulation abnormalities. Trauma Induced Coagulopathy 2nd Edition is a valuable reference to clinicians that are faced with specific clinical challenges when managing coagulopathy.

Significant changes have taken place in the policy landscape surrounding cannabis legalization, production, and use. During the past 20 years, 25 states and the District of Columbia have legalized cannabis and/or cannabidiol (a component of cannabis) for medical conditions or retail sales at the state level and 4 states have legalized both the medical and recreational use of cannabis. These landmark changes in policy have impacted cannabis use patterns and perceived levels of risk. However, despite this changing landscape, evidence regarding the short- and long-term health effects of cannabis use remains elusive. While a myriad of studies have examined cannabis use in all its various forms, often these research conclusions are not appropriately synthesized, translated for, or communicated to policy makers, health care providers, state health officials, or other stakeholders who have been charged with influencing and enacting policies, procedures, and laws related to cannabis use. Unlike other controlled substances such as alcohol or tobacco, no accepted standards for safe use or appropriate dose are available to help guide individuals as they make choices regarding the issues of if, when, where, and how to use cannabis safely and, in regard to therapeutic uses, effectively. Shifting public sentiment, conflicting and impeded scientific research, and legislative battles have fueled the debate about what, if any, harms or benefits can be attributed to the use of cannabis or its derivatives, and this lack of aggregated knowledge has broad public health implications. The Health Effects of Cannabis and Cannabinoids provides a comprehensive review of scientific evidence related to the health effects and potential therapeutic benefits of cannabis. This report provides a research agendaâ€"outlining gaps in current knowledge and opportunities for providing additional insight into these issuesâ€"that summarizes and prioritizes pressing research needs.

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.

The Shame of Death presents a collection of unique and insightful essays sharing the common theme that shame is the central psychological and moral force in understanding death and mourning.

Psychological Maltreatment of Children is a brief introduction to the emotional abuse of children and youth metnal health professionals, child welfare specialists, and other professionals involved with research, education, practice, and policy de Copyright © Libri GmbH. All rights reserved.

List of Tables. List of Figures. Series Editor's Foreword. Preface. Prologue. Acknowledgements. What It Means to Be a Parent After a Child Had Died. The "Mothers Now Childless" Study: Research Design and Findings. When a Child Dies, Does Grieving Ever End? One Death - A Thousand Strands of Pain: Finding the Meaning of Suffering. Bereaved Parents' Search for Understanding: The Paradox of Healing. Confronting a Spiritual Crisis: Where is God When Bad Things Happen? Confronting an Existential Crisis: Can Life Have Purpose Again? Deciding to Survive: Reaching Bottom - Climbing Up. Remembering With Love: Bereaved Parents as Biographer. Reaching Out to Help Others: Wounded Healers. Reinventing the Self: Parents Ask, "Who Are We Now?". The Legacy of Loss. References. Resources. Appendices. Index.

Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.

First published in 1997. Although the fields of thanatology and traumatology have received robust attention during their parallel development, little effort has been made to address their overlapping territory. This volume is the first attempt to do so. Specifically, the purpose of this book is fourfold. First is to provide a theoretical bridge between the two fields by providing conceptual terminology, such as defining normal versus dysfunctional bereavement and the meaning and range of death-related PTSD. The second confirms and illustrates the identical patterns of reactions between those who survive the death of a loved one and those who survive other traumatic events. Next the book applies the most useful theoretical models to the bereavement experience, and in turn acknowledges the utility of generalizing bereavement models to other traumatic experiences; in doing so, the two fields can enrich each other. Similarly, the volume's final purpose is to identify and apply the most useful and effective approaches in traumatology literature to the study, diagnosis and treatment of traumatic stressors other than death.