Social Emergency Medicine

Social Emergency Medicine incorporates consideration of patients’ social needs and larger structural context into the practice of emergency care and related research. In doing so, the field explores the interplay of social forces and the emergency care system as they influence the well-being of individual patients and the broader community. Social Emergency Medicine recognizes that in many cases typical fixes such as prescriptions and follow-up visits are not enough; the need for housing, a safe neighborhood in which to exercise or socialize, or access to healthy food must be identified and addressed before patients’ health can be restored. While interest in the subject is growing rapidly, the field of Social Emergency Medicine to date has lacked a foundational text – a gap this book seeks to fill. This book includes foundational chapters on the salience of racism, gender and gender identity, immigration, language and literacy, and neighborhood to emergency care. It provides readers with knowledge and resources to assess and assist emergency department patients with social needs including but not limited to housing, food, economic opportunity, and transportation. Core emergency medicine content areas including violence and substance use are covered uniquely through the lens of Social Emergency Medicine. Each chapter provides background and research, implications and recommendations for practice from the bedside to the hospital/healthcare system and beyond, and case studies for teaching. Social Emergency Medicine: Principles and Practice is an essential resource for physicians and physician assistants, residents, medical students, nurses and nurse practitioners, social workers, hospital administrators, and other professionals who recognize that high-quality emergency care extends beyond the ambulance bay.

The ultimate emergency medicine textbook from the renowned Professor Gordian Fulde now in a new edition. Emergency Medicine 6e presents evidence-based clinical management and treatment advice for emergency medicine students and practitioners in Australasia. The vast range of topics include paediatric, geriatric, gynaecology, psychiatric, dental, rural and Indigenous presentations, ensuring readers are well prepared for any eventuality in the Emergency Department. This outstanding text combines expertise and experience with fully up-to-date content. It is authored by Professor Gordian Fulde, Emergency Department director at Sydney’s St Vincent's Hospital, with contributions from Dr Sascha Fulde and over 60 other notable emergency medicine clinicians. Readers will gain a solid understanding of effective procedural and management skills in the ED. Practical tips relate to: patient transport and retrieval; seriously ill patients; advanced nursing roles; general practitioners; working with IT; administration, legal matters, governance and quality care; and interns and students in the emergency department. The ideal complement to hands-on emergency medicine training, this new edition of Emergency Medicine also prepares readers to apply key emergency medicine skills to unique incidents such as mass casualty and chemical, biological and radiological hazard contingencies. Topics included in this edition of Emergency Medicine include: • securing the airway • resuscitation • arrhythmia management • pain management • imaging • dermatology • trauma • poisoning • envenomation • overdose Coverage of important controversies with evidence based recommendations. Editor comments contained in relevant chapters to provide clinical tips and advice for practice. Increased coverage of topical issues such as deep vein thrombosis (economy class syndrome) and street drugs. Practical rapid reference appendix. Detailed glossary and index. The Quick Reference Guide is updated and included in this book. It is also made available as an app Updating all chapters – particularly toxicology, IT, Paediatrics New resuscitation guidelines – Cardiopulmonary Resuscitation; External Automated Defibrillation in BLS; Compressions; Breathing; Airway; Unconsciousness; Priorities in an Emergency; Principles and Format for Developing Guidelines (all revised 12/2010 following ILCOR) More comprehensive content for Indigenous and Rural Emergencies chapter Moderate repetition arising from so many contributors The CT Brain and C spine Rules have been added to the Quick Reference Guide.

"A wonderful picture of an important period in the practice of medicine in the United States." (from the Foreword by Peter Rosen, MD) Here is the very first book to comprehensively explore the evolution of the field of emergency medicine -- from its origins following World War II, through the sociopolitical changes of the 1950s, 1960s, and 1970s, to the present. First-hand narratives from more than 45 founders and pioneers of emergency medicine provide a vivid portrayal of the important events and viewpoints that have given rise to today's practice. Represents the first comprehensive history of emergency medicine as a specialty. Provides first-hand oral histories from more than 45 of the key figures who witnessed and helped to shape the developments chronicled in the book. Offers keen insights into how the sociopolitical changes of the 1950s through 1970s influenced public health, health care delivery, and emergency medicine. Includes many unique photographs of important leaders in emergency medicine.

Emergency Medicine: Diagnosis and Management incorporates the latest ideas and evidence base underpinning best practice emergency medicine care. This book covers a wide variety of emergencies, including general medical, critical care, infectious disease, foreign travel, acid-base and electrolytes to surgical, orthopaedic, paediatric, obstretrics and gynaecology, ophthalmic, ENT and psychiatric, as well as toxicology, practical procedures and administrative and legal issues. Presented in an easy-to-read format, the book includes succinct bullet point text, synoptic tables, charts and diagrams to find key information quickly, in a new edition aimed as much for use at the bedside as it is for studying. Every emergency topic is approached in the same standardized format covering first the Diagnosis and then Management. Diagnosis includes essential knowledge to elicit in the history including background and epidemiology, characteristic features on examination including vital signs and organ-specific findings, and investigations such as bedside testing, laboratory testing, and radiology. Management then covers general supportive measures, specific treatment, and the disposal decision including whether time-critical, to which specialty and conversely who may safely go home. The text is supported by a wealth of additional online material at www.lifeinthefastlane.com including high-resolution clinical images, videos, case-based questions, examination material and links to online references. This edition is completely revised and contains up-to-date evidence on every topic, including the latest 2015 CPR guidelines, sepsis guidelines, major trauma management, HIV care and many other newly released treatment protocols.

"This open access book outlines the challenges of supporting the health and wellbeing of older adults around the world and offers examples of solutions designed by stakeholders, healthcare providers, and public, private and nonprofit organizations in the United States. The solutions presented address challenges including: providing person-centered long-term care, making palliative care accessible in all healthcare settings and the home, enabling aging-in-place, financing long-term care, improving care coordination and access to care, delivering hospital-level and emergency care in the home and retirement community settings, merging health and social care, supporting people living with dementia and their caregivers, creating communities and employment opportunities that are accessible and welcoming to those of all ages and abilities, and combating the stigma of aging. The innovative programs of support and care in Aging Well serve as models of excellence that, when put into action, move health spending toward a sustainable path and greatly contribute to the well-being of older adults."--Provided by publisher.

Dialogue and policy surrounding healthcare reform have drawn increasing interest to the social determinants of health (SDOH) that affect a wide range of health risks and outcomes for the urban medically underserved. Social emergency medicine expands the role of emergency department (ED) physicians by applying knowledge about SDOH to the bedside and developing effective systemic interventions. Since emergency rooms are often the only consistent source of medical care and information for this vulnerable population, technologies such as patient portals can keep these patients informed and reduce non-urgent visits to overburdened EDs. Utilizing a quantitative approach, the research objective was to examine the effect of social factors (social determinants of health), trust, and concern for information privacy as predictors in influencing behavior intentions of portal adoption by a medically underserved population who use the ED as their primary source of care. A survey was administered to a sample of emergency medicine patients at an urban Philadelphia hospital. Findings from existing literature identifying social factors that may contribute to health and healthcare disparities (e.g., age, income, education, health status, and health literacy) were not shown to influence behavior intentions to portal adoption in this unique medical context. Alternatively, trust, shown to be a strong predictor in information technology (IT) adoption, was well-supported in this study across the entire patient population. Concern for information privacy (CFIP) was shown to moderate patients' intentions, but only for men. Other significant findings emerging as factors influencing portal adoption were gender effects, where social relationships and interaction factors were significant for women, while independence and mastery of skill were significant for men. Intentions toward portal adoption was also affected by prior portal usage, with those patients who had used a portal being most likely to continue to use one and those not previously using a portal being less likely to adopt its usage. Differentiated marketing strategies and training were identified as key initiatives for achieving desired outcomes. Additionally, cultivating the patient-provider relationship may significantly influence behavioral intentions for portal acceptance and adoption that may provide value in improving health outcomes.

The eighth edition of this international bestselling emergency medicine handbook has been completely revised and updated to include the latest evidence-based guidelines and treatment protocols underpinning best practice in emergency medical care. Carefully designed to suit the needs of interns and resident doctors working in the emergency department as well as specialist trainees, the book covers the full range of emergencies - general medical, infectious disease and foreign travel-related, toxicological, surgical, paediatric, obstetric and gynaecological, ophthalmic and psychiatric - as well as practical procedures and administrative and legal issues.

Emergency Medicine is a brand new book focusing on the common pitfalls and mistakes that can occur when dealing with high-risk conditions during standard medical practice. Concise chapters focus on clinical relevance, addressing the mistakes, the consequences and the knowledge necessary to avoid high-risk mistakes. An essential book for all staff dealing with emergencies.

Updated for its Second Edition, this text provides the information emergency departments need about the medicolegal aspects of treating victims of violence, motor vehicle accidents, sexual assault, child abuse, elder abuse, and intimate partner abuse. It offers detailed guidelines on interviewing and examining the victim and collecting, preserving, and documenting evidence for legal proceedings. The book includes a chapter by an attorney on expert testimony and a chapter on forensic photography. A full-color photo insert illustrates injury patterns and key evidence. This edition provides increased coverage of motor vehicle accidents, DNA evidence, and new drugs of abuse.

The use of social media around the world has exploded in recent years, with the number of monthly active users of Facebook and Twitter estimated to be one billion and one quarter billion, respectively. Physicians and medical trainees are among the users of social media, raising questions of how Facebook, Twitter, and other novel online tools may best be harnessed to further medical research, patient care, and educational pursuits. Because social media enables an immediate exchange of information and ideas around shared areas of interest, it has fostered communication and collaboration among a global network of researchers, clinicians, patients, and learners. Social Media in Medicine reviews a range of topics, from research ethics to medical education, and includes personal reflections by clinicians and learners that represent diverse opinions about the role of social media in medicine. The book is relevant to all healthcare stakeholders and will hopefully encourage ideas and questions to generate more research into the use of social media in medical research, patient care, and education. This book was originally published as a special issue of the International Review of Psychiatry.