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Improvised medicine : providing care in extreme environments
- Format:
- Book
- Author/Creator:
- Iserson, Kenneth V., Author.
- Series:
- McGraw-Hill's AccessMedicine
- Language:
- English
- Subjects (All):
- Medicine.
- Disease Attributes.
- Public Health.
- Health Services.
- Therapeutics.
- Environment.
- Disasters.
- Health Care Facilities Workforce and Services.
- Health Occupations.
- Environment and Public Health.
- Ecological and Environmental Phenomena.
- Pathologic Processes.
- Analytical, Diagnostic and Therapeutic Techniques and Equipment.
- Delivery of Health Care.
- Pathological Conditions, Signs and Symptoms.
- Disciplines and Occupations.
- Biological Phenomena.
- Disease.
- Phenomena and Processes.
- Emergencies.
- Emergency Treatment.
- Wilderness.
- Wilderness Medicine.
- Emergency Medical Services.
- Medical Subjects:
- Medicine.
- Disease Attributes.
- Public Health.
- Health Services.
- Therapeutics.
- Environment.
- Disasters.
- Health Care Facilities Workforce and Services.
- Health Occupations.
- Environment and Public Health.
- Ecological and Environmental Phenomena.
- Pathologic Processes.
- Analytical, Diagnostic and Therapeutic Techniques and Equipment.
- Delivery of Health Care.
- Pathological Conditions, Signs and Symptoms.
- Disciplines and Occupations.
- Biological Phenomena.
- Disease.
- Phenomena and Processes.
- Emergencies.
- Emergency Treatment.
- Wilderness.
- Wilderness Medicine.
- Emergency Medical Services.
- Physical Description:
- 1 online resource (593 pages)
- Edition:
- 1st ed.
- Other Title:
- Improvised Medicine
- Place of Publication:
- [Place of publication not identified] McGraw Hill Medical 2012.
- Language Note:
- English
- Summary:
- Deliver quality healthcare in the most challenging field conditions Full of practical clinical pearls and proven strategies, this indispensible guide shows you how to operate outside your comfort zone and devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable-or when you need to provide care outside of your specialty. Improvised Medicine is a must for anyone who plans to work in global, disaster, or other resource-poor settings. FEATURES: Simple-to-follow directions, diagrams, and illustrations describe practical techniques and the improvised equipment necessary to provide quality care during crises. Contains improvisations in anesthesia and airway management, dentistry, gynecology/obstetrics, infectious disease/laboratory diagnosis, internal medicine, otolaryngology, pediatrics and malnutrition, orthopedics, psychiatry, and surgery. Also includes basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods. LEARN HOW TO: Make an endotracheal tube in secondsPerform digital-oral and blind-nasotracheal intubationsMake plaster bandages for splints/castsGive open-drop ether, ketamine drips, and halothaneUse subcutaneous/intraperitoneal rehydration/transfusionMake ORS and standard nutrition formulasClean, disinfect, and sterilize equipment for reuseWarm blood units in seconds inexpensivelyTake/view stereoscopic x-rays with standard equipmentQuickly and easily stop postpartum hemorrhageFashion surgical equipment from common itemsEvacuate patients easily for high-rise hospitalsMake esophageal and precordial stethoscopesQuickly improvise a saline lockMake ECG electrode/defibrillator pads and ultrasound gel.
- Contents:
- Cover
- Contents
- Preface: How the Book Is Organized
- Acknowledgments
- Section I: The Situation
- 1 What Is Improvised Medicine?
- Methods and Equipment
- Elegant Improvisation
- References
- 2 What Are Resource-Poor Situations?
- Introduction
- Isolated Settings
- Remote Locations
- Least-developed Countries
- Disasters/Post-disaster
- Disaster Myths
- Ethics
- Section II: Basic Needs
- 3 Communications
- Post-disaster Communication Needs
- General Problem
- Command and Control
- Telephones
- Patient-Clinician Communication
- Local-area Communication
- Patient Information
- Intra-institutional and Regional Communication
- Long-distance Communication
- 4 Preventive Medicine/Public Health
- Water
- Sanitation
- 5 Basic Equipment
- Availability and Improvisation
- Facilities
- Essential Equipment
- Diagnostic Equipment
- Treatment Supplies/Equipment
- Patient Transport
- Equipment Safety/Maintenance
- Measurement Equivalents
- 6 Cleaning and Reusing Equipment
- Policies on Reusing Medical Equipment
- Risk Stratification
- Decontamination
- Cleaning
- Disinfection
- Sterilization
- Reusing Specific Equipment-Methods and Safety
- Soap Production
- Section III: Patient Assessment/Stabilization
- 7 Vital Signs, Measurements, and Triage
- Age (Pediatrics)
- Height
- Weight
- Measuring Temperature Without a Thermometer
- Pulse and Respirations
- Blood Pressure
- Pediatric Vital Signs
- Measuring Length, Area, and Volume
- Color
- Blood Loss
- Monitoring Patients
- Disaster Triage
- Diagnosing Death
- 8 Airway
- Basic Airway Management
- Evaluate for Difficult intubations
- Improvised Non-intubation Airways
- Indications to Intubate
- Improvised Intubation Equipment
- Non-laryngoscopic Intubation.
- Laryngoscopic Intubation
- Tests for ETT in Trachea
- Post-intubation Management
- Surgical Airways
- 9 Breathing/Pulmonary
- Lung Sounds
- Pulmonary Treatment
- Makeshift Spirometers
- Makeshift Bi-level Positive Airway Pressure
- Oxygen
- Ventilation
- 10 Circulation/Cardiovascular
- Diagnosis: ECG
- Treatment
- Disinfecting CPR Manikins
- 11 Dehydration/Rehydration
- Assessment
- Rehydration Plan
- Rapid Realimentation
- Oral Rehydration
- Nasogastric Rehydration
- Intravenous Hydration
- Alternatives to IV Hydration
- 12 Medications/Pharmacy/Envenomations
- Seven Problems Involving Medication
- The Pharmacy
- Treatment of Venomous Bites and Stings
- 13 Analgesics
- Assessing Pain
- Treating Pain
- Uncommon Analgesics and Adjuvants
- Alternative Administration Methods
- 14 Anesthesia-Local and Regional
- Topical Anesthetics
- Local Anesthetic Infiltration
- Regional Blocks
- Refrigeration Anesthesia: Amputations
- Testing an Anesthetic Block
- Spinal Anesthesia
- Epidural Blocks
- Hypnosis
- 15 Sedation and General Anesthesia
- General Anesthesia Guidelines
- Anesthesia in Special Circumstances
- Procedural Sedation
- Intravenous General Anesthesia
- General Inhalation Anesthetics
- Rectal Anesthesia
- Anesthesia for Cesarean Sections
- Anesthesia Delivery Systems
- Postoperative Recovery
- 16 Anesthesia: Ketamine, Ether, and Halothane
- Why This Chapter?
- Ketamine
- Ether
- Halothane
- 17 Transfusion
- Dangers in Blood Supply
- Avoiding Blood Transfusion
- Deciding When to Transfuse
- How to Transfuse Autologous Blood
- Typing Blood
- Walking Blood Bank
- Blood Bank
- Blood Warming
- Alternatives to Standard Transfusion
- References.
- 18 Radiology/Imaging
- Non-image Diagnoses
- Essentials
- Viewing X-Rays
- Estimating the Size of a Pneumothorax
- Contrast Studies
- Stereoscopic Imaging
- Ultrasound
- 19 Laboratory
- Laboratory Services
- Equipment and Materials
- Conversion Factors
- Sputum
- Blood
- Urine
- Stool
- Cerebrospinal Fluid
- Bedside/Home Tests
- 20 Patient Transport/Evacuations
- Medical Transport in Austere Circumstances
- Transport the Patient?
- IVs During Transport
- Transporting Patients Without Litters
- Litters
- Vertical Transport
- Non-ambulance Transportation
- Aeromedical Transport
- Hospital/Health Care Facility Evacuation
- Section IV: Surgical Interventions
- 21 Surgery/Trauma
- Austere Surgical Situations
- Surgical Equipment
- Neck
- Abdomen
- Chest
- Injuries
- Hyperthermia, Hypothermia, and Frostbite
- 22 Wounds and Burns
- Wound Care
- Burns
- 23 Dental: Diagnosis, Equipment, Blocks, and Treatment
- Basic Dental Anatomy
- Prevention/Cleaning
- Pain Without Trauma
- Dental Instruments and Equipment
- Cyanoacrylate for Dental Emergencies
- Anesthesia and Analgesia
- 24 Dental: Fillings, Extractions, and Trauma
- Filling Cavities
- Extractions
- Oral Trauma
- 25 Otolaryngology (ENT)
- Headrest
- Regional Nerve Blocks
- Ear
- Nose
- Mouth/Pharynx
- Trauma
- 26 Neurology/Neurosurgery
- Evaluation/Diagnosis/Treatment
- 27 Ophthalmology
- Diagnostic Examination and Equipment
- Treatment and Equipment
- 28 Obstetrics/Gynecology
- Gynecology
- Obstetrics
- 29 Orthopedics
- Diagnosis of Fractures and Dislocations
- Reduction and Treatment of Fractures and Dislocations
- Other Treatment
- Splints and Casts.
- Traction
- Management of Complex Fractures
- Fracture Healing Times
- Analgesia
- Rehabilitation
- 30 Urology
- Bladder Drainage/Tubes
- Penis and Prostate
- Section V: Non-Surgical Interventions
- 31 Gastroenterology
- Procedures
- 32 Infectious Diseases
- Epidemics/Outbreaks
- Prevention
- Diagnosis
- Skin Lesions
- 33 Malnutrition
- Recognizing Malnutrition
- Classification of Malnutrition
- Malnutrition Management
- Preventable Nutritional Disorders
- 34 Pediatrics and Neonatal
- General Approach to Children
- Hospitalized and Very Ill Children
- Neonates/Infants
- Equipment
- Children
- 35 Psychiatry
- Basic Approach
- Mental Health Triage
- 36 Rehabilitation
- Therapy
- Mobility and Activities of Daily Living
- 37 Death and Survivors
- Risk of Disease from Corpses
- Body Recovery and Disposition
- Post-disaster Forensics
- Survivors
- Section VI: Appendices
- Appendix 1: Hospital Disaster Plan
- Appendix 2: Medical Kits
- Index.
- Notes:
- Bibliographic Level Mode of Issuance: Monograph
- Description based on publisher supplied metadata and other sources.
- ISBN:
- 1-280-11757-5
- 9786613521866
- 0-07-177001-1
- OCLC:
- 1024275887
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