(EBOOK PDF)Improvised Medicine Providing Care in Extreme Environments 2nd edition by Kenneth Iserson 9780071847636 0071847634 full chapters

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• ISBN 10:0071847634 

• ISBN 13:9780071847636

• Author:Kenneth Iserson 

 Improvised Medicine: Providing Care in Extreme Environments, 2nd edition
Deliver quality healthcare in the most challenging field conditions Comprehensive yet compact, practical, and enduring, Improvised Medicine: Providing Care in Extreme Environments, Second Edition, is the one book to toss into your bag when going to practice medicine in global, disaster, or other resource-poor settings, including theaters of war, regions of civil unrest, and economically deprived areas. Full of practical clinical pearls and field-tested strategies, this indispensable guide provides detailed instructions on how to work successfully outside of your comfort zone. It demonstrates how to devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable or when providing care outside your primary area of expertise. In any crisis, from power failures and computer crashes to floods, tsunamis, and earthquakes, knowing how to deal with the unique challenges encountered saves lives and communities. This reference gives you that knowledge and inspires innovative crisis resolution. FROM REVIEWS OF THE FIRST EDITION: “Dr Iserson has given us a most remarkable book. Many readers may be familiar with David Werner’s lay healthworker book, Where There Is No Doctor; this new volume could be titled Where There Is a Doctor–But No Stuff. Drawing from his experience providing care in international, wilderness, and disaster settings, he has compiled an impressive collection of bare-bones equipment and work-around strategies to provide the best possible care in resource-poor settings. While presenting many creative examples, the purpose of the book is not to offer an exhaustive list of solutions to missing resource challenges but to inspire creativity in readers who may find themselves needing to improvise.” — Family Medicine “There is a lot of material here and, if nothing else, it may motivate more people to practice low-tech medicine and be willing to go where health care is dependent more on caring than on cost. I recommend this book to anyone who must practice in austere environments, and it will be in my rucksack when I respond to the next disaster.” – The Journal of Emergency Medicine FEATURES: ·Simple-to-follow directions, diagrams, and illustrations describing practical techniques and 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 ·Covers situational analysis and basic needs in a crisis; specific triage, diagnosis, and stabilization efforts; medical interventions for surgical and non-surgical problems; and debunks some commonly reported improvised techniques ·Features public health measures, basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods ·New to the second edition: More concisely written, more extensively illustrated, and updated improvisations and references LEARN HOW TO: ·Make an endotracheal tube in seconds ·Perform digital-oral and blind-nasotracheal intubations ·Make plaster bandages for splints/casts ·Give open-drop ether, ketamine drips, and halothane ·Use subcutaneous/intraperitoneal rehydration/transfusion ·Make ORS and standard nutrition formulas ·Clean, disinfect, and sterilize equipment for reuse ·Warm blood units in seconds inexpensively ·Take/view stereoscopic x-rays with standard equipment ·Quickly and easily stop postpartum hemorrhage ·Fashion surgical equipment from common items ·Build an evaporative refrigerator ·Make esophageal and precordial stethoscopes ·Quickly improvise a saline lock ·Make ECG electrode/defibrillator pads and ultrasound gel ·Evacuate patients easily from high-rise hospitals

Improvised Medicine Providing Care in Extreme Environments 2nd Table of contents:

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
Reducing Medical Improvisation
Disaster Myths
Ethics
References
Section II: Basic Needs
3 Communications
Post-disaster Communication Needs
On-scene Command and Control
Telephones
Patient–Clinician Communication
Local-area Communication
Transferring Patient Information
Teleconsultations
Intra-institutional and Regional Communication
Long-distance Communication
References
4 Preventive Medicine/Public Health
Water
Sanitation
References
5 Basic Equipment
Availability and Improvisation
Facilities
Essential Equipment
Diagnostic Equipment
Treatment Supplies/Equipment
Patient Transport
Equipment Safety/Maintenance
Measurement Equivalents
References
6 Cleaning and Reusing Equipment
Policies on Reusing Medical Equipment
Risk Stratification
Decontamination
Cleaning
Disinfection
Sterilization
Reusing Specific Equipment—Methods and Safety
References
Section III: Patient Assessment/Stabilization
7 Vital Signs, Measurements, and Triage
Pediatrics
Adults
Measuring Temperature Without a Thermometer
Pulse and Respirations
Blood Pressure
Geriatric Vital Signs
Pediatric Vital Signs
Measuring Length, Area, and Volume
Color
Blood Loss
Monitoring Patients
Disaster Triage
Diagnosing Death
References
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 Endotracheal Tube in Trachea
Post-intubation Management
Surgical Airways
References
9 Breathing/Pulmonary
Lung Sounds
Quantifying Pleural Fluid Using Ultrasound
Pulmonary Treatment
Makeshift Spirometers
Oxygen
Ventilation
References
10 Circulation/Cardiovascular
Diagnosis: Electrocardiogram
Treatment
Cardiopulmonary Resuscitation
References
11 Dehydration/Rehydration
Assessment
Rehydration Plan
Rapid Realimentation
Oral Rehydration
Nasogastric Rehydration
Intravenous Fluids
References
12 Vascular Access—Intravenous, Intraossseous, Clysis, and Peritoneal
Intravenous Hydration
Methods of Locating and Dilating Peripheral Veins
Securing Intravenous Catheters
Intraosseous Infusion
Alternative Parenteral Hydration
References
13 Medications/Pharmacy/Envenomations
Six Problems Involving Medication
The Pharmacy
Toxicology Treatment
Venomous Bites and Stings
References
14 Analgesics
Assessing Pain
Treating Pain
Uncommon Analgesics and Adjuvants
Alternative Administration Methods
References
15 Anesthesia—Local and Regional
Topical Anesthetics
Local Anesthetic Infiltration
Regional Blocks
Refrigeration Anesthesia: Amputations
Testing an Anesthetic Block
Spinal Anesthesia
Epidural Blocks
Hypnosis
References
16 Sedation and General Anesthesia
Introduction
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
References
17 Anesthesia: Ketamine, Ether, and Halothane
Why This Chapter?
Ketamine
Ether
Halothane
References
18 Transfusion
Dangers in Blood Supply
Avoiding Blood Transfusion
Deciding When to Transfuse
Transfusing Blood
How to Transfuse Autologous Blood
Typing Blood
Walking Blood Bank
Blood Bank
Blood Warming
Alternatives to Standard Transfusion
References
19 Radiology/Imaging
Nonimage Diagnoses
Essentials
Viewing X-Rays
Detecting Pneumothoraces on Supine Chest Radiographs
Estimating the Size of a Pneumothorax
Contrast Studies
Stereoscopic Imaging
Ultrasound
References
20 Laboratory
Laboratory Services
Essentials
Equipment and Materials
Conversion Factors
Sputum
Blood
Urine
Stool
Cerebrospinal Fluid
Point-of-Care and Home Tests
Restoring Equipment’s Operating Temperature
References
21 Patient Transport/Evacuations
Medical Transport in Austere Circumstances
Transport the Patient?
Prehospital Fluid Therapy
Ivs During Transport
Transporting Patients Without Litters
Litters
Vertical Transport
Non-ambulance Transportation
Aeromedical Transport
Hospital/Health Care Facility Evacuation
References
Section IV: Surgical Interventions
22 Surgical Equipment
Wound Glues
Staples
Binding/Taping
Suture Materials
Suture Needles
Needle Holders
Scalpels
Skin Hooks
Mayo Safety Pin
Sponges/Lap Pads/Gauze Substitutes
Cautery
Sucker
Petroleum Jelly Gauze
Retractors
Tweezers
Improvised Curettes from Clamps
Wound Bolsters–Urinary Catheter or Nasogastric Tube
Marking Surgical Sites
Sterile Drapes
Surgical Table
Cotton-tipped Applicators
Disposal of Small Surgical Waste
Protection from Injection Backspray
Protection Against “Sharps”
Needle Safety
References
23 Surgery: Non-Trauma and Environmental Injuries
Austere Surgical Situations
Abdomen
Environmental Injuries
References
24 Surgery: Trauma
Prioritizing Patients for the Operating Room
Raking and Sweeping for Undetected Wounds
Neck
Abdomen
Chest
Injuries
References
25 Wounds and Burns
Wound Care
Burns
References
26 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
References
27 Dental: Fillings, Extractions, and Trauma
Filling Cavities
Extractions
Oral Trauma
References
28 Otolaryngology (Ear, Nose, and Throat)
Headrest
Regional Nerve Blocks
Ear
Nose
Mouth/Pharynx
Trauma
References
29 Neurology/Neurosurgery
Evaluation/Diagnosis/Treatment
Trauma
References
30 Ophthalmology
Diagnostic Examination and Equipment
Treatment and Equipment
References
31 Obstetrics/Gynecology
Gynecology
Obstetrics
References
32 Orthopedics
Diagnosis of Fractures, Dislocations, and Soft-tissue Injuries
Reduction and Treatment of Fractures and Dislocations
Other Treatment
Splints and Casts
Traction
Management of Complex Fractures
Fracture Healing Times
Analgesia
Rehabilitation
References
33 Urology
Bladder Drainage/Tubes
Diagnosis
Penis and Prostate
References
Section V: Nonsurgical Interventions
34 Gastroenterology
Treatment
Procedures
References
35 Infectious Diseases
Epidemics/Outbreaks
Prevention
Diagnosis
Skin Lesions
Treatment
References
36 Malnutrition
Recognizing Malnutrition
Malnutrition in Elderly Adults
Classification of Pediatric Malnutrition
Malnutrition Management in Children
Preventable Nutritional Disorders
References
37 Pediatrics and Neonatal
General Approach to Children
Hospitalized and Very Ill Children
Neonates/Infants
Equipment
Procedures
Children
References
38 Psychiatry
Basic Approach
Diagnosis
Treatment
References
39 Rehabilitation
Therapy
Mobility and Activities of Daily Living
References
40 Death and Survivors
Risk of Disease from Corpses
Body Recovery and Disposition
Post-disaster Forensics
Survivors
References
Section VI: Appendices
Appendix 1: Hospital Disaster Plan
Appendix 2: Medical Kits
Index
 

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