blood and loss
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A key factor in the treatment of the traumatized patients is the amount of blood lost since injury. This is relevant not simply from the point of view of transfusing blood but also in the body's response to the shock of blood loss. This book provides a framework for the understanding of the complex clinical effects of blood loss and outlines strategies for treatment in the trauma unit or intensive therapy unit. The international editorship and clinical research approach make this a unique, comprehensive and authoritative text which will be of use to everybody working in this field.
Textbook for EMT training. The DVD walks students through the skills necessary to pass the EMT-Basic practical exam.
FBI agent Ren Bryce takes on her most heart-wrenching case yet when a father’s work places his young daughter in terrible danger...
This two-volume set is an in-depth examination of the unique complexities that exist in transfusing pediatric patients. It thoroughly examines transfusion therapy in neonates, genetic hematologic disorders, and pediatric oncology, and it reviews risks and administration techniques unique to pediatrics.
The Clinical Use of Blood in Medicine, Obstetrics, Paediatrics, Surgery & Anaesthesia, Trauma & Burns
A module of learning material designed for use in education and training programmes.
A core reference for residents and practitioners for more than 40 years, this volume has been thoroughly revised and reorganized to provide complete, authoritative coverage of the modern clinical practice of obstetrics and gynecology.
With this DVD, you will learn how to successfully perform each skill and will find helpful information, tips, and pointers designed to facilitate your progression through the practical examination.
Within these pages you shall find the tale of Dahken Rael – a warrior who struggles to find purpose and meaning. With no small amount of blood shed from both he and his enemies, Rael plods across the world to find his people or even an inkling as to what his life should be about. Within these pages you shall find exploration and adventure, battle and death, villains and heroes to love and hate. And in the end, you will find the Chronicle of a warrior who loses all he could ever be to his destiny.
In the ancestral environment, a human female typically carried at least half a dozen babies to term. The fact that modern women are able to limit the number of children they bear has dramatic consequences for the incidence of uterine fibroids, as well as the clinical care of fibroids patients. "Fibroids, Menstruation, Childbirth, and Evolution" explores these connections, integrating a vast amount of medical knowledge about the uterus into one volume. During pregnancy, the mother's blood prepares for an enormous hemostatic event: the delivery of the placenta. That fetal organ is the vascular link between mother and offspring. At childbirth, one-tenth of mother's cardiac output flows through the placenta, feeding the growing child. When the placenta is sheared away from its attachment to the uterus, two hundred large uteroplacental arteries are ripped apart and bleed profusely into the uterine cavity. For many hours following delivery, uterine contractions slow blood flow within the uterus, allowing the high concentration of clotting factors built up in the mother's blood during pregnancy to solidify throughout the uterine circulation and stop blood loss. Then, hours later, the tide reverses, most of these uterine blood clots dissolve, and more normal blood flow returns to the uterus. This amazing process occurs with each pregnancy. During this process, the uterus is ischemic and hypoxic. Unlike brain and heart, which can only survive minutes of decreased blood flow, the uterus can withstand dramatically diminished blood flow for hours. In fact, it is natural for this to occur once every few years. Uterine ischemia and hypoxia are a natural part of every woman's genetic makeup. In 1995 a group of French physicians discovered that it was possible to emulate the physiology of childbirth by stopping blood flow to the uterus with small plastic particles. Initially, they injected these particles to diminish blood loss during subsequent fibroid surgery. However, they soon learned that the injection of these particles was therapeutic in and of itself for women with symptomatic fibroids. Unbeknownst to this French group, earlier, in 1964, an American physician surgically occluded the uterine arteries to treat women without fibroids who had excessive monthly menstrual blood loss. Subsequent physicians have occluded the uterine arteries in various ways to treat a third common disorder, adenomyosis. Finally, these clinical successes suggest that future episodes of endometriosis may be preventable in some women treated with uterine artery closure. Dr. Fred Burbank's comprehensive book provides insight into how physicians can use uterine artery closure techniques to more effectively treat uterine disorders. In addition, his book contains short courses on magnetic resonance imaging, hemodynamics, uterine artery embolization, and the hemostatic and hemolytic systems, making it possible for readers less familiar with these complex subjects to understand the text without referring to outside sources. About the Author Dr. Burbank is an epidemiologist, a psychiatrist, a diagnostic radiologist, a cardiovascular interventionalist, and an expert in women's health. He is also an inventor-entrepreneur. For recreation, he flies, swims, and reads. For more information, please visit his bio on www.saltcreekmedical.com.
Written in the easy-to-understand Incredibly Easy style, this handy reference provides a basic understanding of normal anatomy and physiology of women and neonates as well as the adaptations they make during the stages of pregnancy, birth, and the postpartum period. Includes two four-page, full-color inserts illustrating difficult-to-understand clinical concepts.
Low back pain is a very common problem that is increasingly being treated surgically. This book aims to evaluate carefully the possible surgical approaches to low back pain, with detailed appraisal of the factors leading to their success or failure. It begins by explaining the scientific basis for surgery and considering the different diagnostic techniques that may be employed, thereby elucidating the surgical rationale, indications, and contraindications. The value of conservative options is also assessed to help the reader weigh the need for surgery. The various surgical modalities, including the most recent, are then fully described and evaluated with the aid of numerous illustrations. The book concludes with a chapter devoted to evidence-based analysis of the outcome of surgery in patients with low back pain. This book will be invaluable to orthopaedic and neurosurgeons, rheumatologists, neurologists, and all who are concerned with the effective treatment of this often debilitating condition.
Simulating material flows. The modeling process. Simulating cyclical systems. Management flight simulators.
An in-depth understanding of a comprehensive approach to the management of radius fractures and their complications. The authors -- world renowned experts in the field -- present practical, clinical information from their extensive experience in the treatment of these fractures. Topics include the authors' classification as well as decision- making and tactics in the conservative and operative management of all types of radius fractures. Topics covered include: bending fractures of the metaphysis, shearing and compression fractures of the joint surface, avulsion fractures, radio-carpal fracture and dislocation, combined fractures, high velocity injury and malunions. In addition, chapters deal with surgical techniques and approach as well as with complications. With over 500 illustrations, this is the definitive volume on these challenging fractures, their complete treatment, and the management of complications.
The midwife's role is examined in the community and family-health context in this handbook on effective maternal and newborn care for midwives and other healthcare providers. The skills, competencies, and knowledge required to make informed decisions about neo- and postnatal care are covered, including anatomy and the physiology of reproduction, high-risk pregnancies, and labor and birth. Theoretical and practical issues illuminate a midwife's role in the prevention of illness in mothers and babies, with attention to the unique challenges of midwifery in developing nations. Insights from current research studies and critical questions about midwife practice will help those new to health care understand the unique challenges of this form of health-service delivery.
Divided into five sections focusing on perioperative, surgical, pediatric, endoscopic and laparoscopic, and miscellaneous complications, this guide supplies state-of-the-art strategies for the identification, prevention, and management of the myriad complications that can arise during urologic surgical treatment. With contributors from leading health centers across the United States, this source reviews the potential complications of the latest laparoscopic procedures, as well as those related to systemic conditions.
A clinical handbook designed for day to day use by critical care physicians, this first ever guide combines evidence based critical care medicine with qualitative and quantitative data to support the information on guidelines for patient care in the ICU. Additional in depth coverage includes nutrition, infections, multiorgan dysfunctional syndrome and more.