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Extreme Medicine

Extreme Medicine
Author: Kevin Fong, M.D.
Publisher: Penguin
Total Pages: 306
Release: 2015-03-31
Genre: History
ISBN: 0143126296

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Little more than one hundred years ago, maps of the world still boasted white space: places where no human had ever trod. Within a few short decades the most hostile of the world’s environments had all been conquered. Likewise, in the twentieth century, medicine transformed human life. Doctors took what was routinely fatal and made it survivable. As modernity brought us ever more into different kinds of extremis, doctors pushed the bounds of medical advances and human endurance. Extreme exploration challenged the body in ways that only the vanguard of science could answer. Doctors, scientists, and explorers all share a defining trait: they push on in the face of grim odds. Because of their extreme exploration we not only understand our physiology better; we have also made enormous strides in the science of healing. Drawing on his own experience as an anesthesiologist, intensive care expert, and NASA adviser, Dr. Kevin Fong examines how cuttingedge medicine pushes the envelope of human survival by studying the human body’s response when tested by physical extremes. Extreme Medicine explores different limits of endurance and the lens each offers on one of the systems of the body. The challenges of Arctic exploration created opportunities for breakthroughs in open heart surgery; battlefield doctors pioneered techniques for skin grafts, heart surgery, and trauma care; underwater and outer space exploration have revolutionized our understanding of breathing, gravity, and much more. Avant-garde medicine is fundamentally changing our ideas about the nature of life and death. Through astonishing accounts of extraordinary events and pioneering medicine, Fong illustrates the sheer audacity of medical practice at extreme limits, where human life is balanced on a knife’s edge. Extreme Medicine is a gripping debut about the science of healing, but also about exploration in its broadest sense—and about how, by probing the very limits of our biology, we may ultimately return with a better appreciation of how our bodies work, of what life is, and what it means to be human.


Improvised Medicine: Providing Care in Extreme Environments

Improvised Medicine: Providing Care in Extreme Environments
Author: Kenneth V. Iserson
Publisher: McGraw Hill Professional
Total Pages: 593
Release: 2012-04-05
Genre: Medical
ISBN: 0071770011

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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 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 Evacuate patients easily for high-rise hospitals Make esophageal and precordial stethoscopes Quickly improvise a saline lock Make ECG electrode/defibrillator pads and ultrasound gel


Extreme Sports Medicine

Extreme Sports Medicine
Author: Francesco Feletti
Publisher: Springer
Total Pages: 461
Release: 2016-09-19
Genre: Medical
ISBN: 3319282654

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This technically oriented book on medicine as applied to extreme sports offers broad coverage of the field extending well beyond the usual focus on major trauma and acute injuries. In addition to the injuries and diseases associated with individual extreme sports, this book also addresses the topics of psychology, dermatology, ophthalmology, infectious diseases, physiology, nutrition, training, injury prevention strategies, rehabilitation, doping, treatment in hostile environments, and legal aspects. Innovative and less frequently considered topics are also discussed, such as recent advances in protective equipment and materials, the effects of exposure on whole-body vibration, and cold exposure risk management. More than 60 of the most authoritative experts from across the world have contributed to this book, drawing on their personal experiences and including practical examples whenever relevant. Both subject matter and illustrations have been selected with the utmost care, the latter including photographs of world-class athletes.The book’s multidisciplinary approach to the subject ensures that it will be relevant to a wide readership.


Human Physiology in Extreme Environments

Human Physiology in Extreme Environments
Author: Hanns-Christian Gunga
Publisher: Academic Press
Total Pages: 376
Release: 2020-10-18
Genre: Science
ISBN: 012815943X

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Human Physiology in Extreme Environments, Second Edition, offers evidence on how human biology and physiology is affected by extreme environments, also highlighting technological innovations that allow us to adapt and regulate environments. Covering a broad range of extreme environments, including high altitude, underwater, tropical climates, desert climates, arctic climates and space travel, the book also includes case studies that can be used to illustrate practical application. Graduate students, medical students and researchers will find this to be an interesting, informative and useful resource for human physiology, environmental physiology and medical studies. Includes coverage of current global challenges and their consequences on human physiology and performance Presents human physiological challenges in extreme environments Provides an excellent source of information on paleontological and anthropological aspects Offers practical medical and scientific uses of current concepts


Extreme Measures

Extreme Measures
Author: Dr. Jessica Nutik Zitter, M.D.
Publisher: Penguin
Total Pages: 353
Release: 2021-08-24
Genre: Medical
ISBN: 0525533419

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For readers of Being Mortal and Modern Death, an ICU and Palliative Care specialist offers a framework for a better way to exit life that will change our medical culture at the deepest level In medical school, no one teaches you how to let a patient die. Jessica Zitter became a doctor because she wanted to be a hero. She elected to specialize in critical care—to become an ICU physician—and imagined herself swooping in to rescue patients from the brink of death. But then during her first code she found herself cracking the ribs of a patient so old and frail it was unimaginable he would ever come back to life. She began to question her choice. Extreme Measures charts Zitter’s journey from wanting to be one kind of hero to becoming another—a doctor who prioritizes the patient’s values and preferences in an environment where the default choice is the extreme use of technology. In our current medical culture, the old and the ill are put on what she terms the End-of-Life Conveyor belt. They are intubated, catheterized, and even shelved away in care facilities to suffer their final days alone, confused, and often in pain. In her work Zitter has learned what patients fear more than death itself: the prospect of dying badly. She builds bridges between patients and caregivers, formulates plans to allay patients’ pain and anxiety, and enlists the support of loved ones so that life can end well, even beautifully. Filled with rich patient stories that make a compelling medical narrative, Extreme Measures enlarges the national conversation as it thoughtfully and compassionately examines an experience that defines being human.


Life at the Extremes

Life at the Extremes
Author: Frances Ashcroft
Publisher: Univ of California Press
Total Pages: 354
Release: 2002-03-18
Genre: Science
ISBN: 9780520234208

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Explores the limits of human survival and the physiological adaptations that enable us to exist under extreme conditions. The author reviews limits to human life underwater, at high altitudes, at high speeds, at micro levels, and at freezing and hot temperatures.


Extreme Medical Services

Extreme Medical Services
Author: Jamie Davis
Publisher: Createspace Independent Publishing Platform
Total Pages: 216
Release: 2015-08
Genre:
ISBN: 9781517145552

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Read the book described by one reader as "Like Grimm With Paramedics." Follow the exploits of new paramedic Dean Flynn as he gets assigned to a backwater station no one has ever heard of, Station U. He soon learns that his unusual patients are far from normal. They are the creatures of myth and legend. His tough, experienced paramedic trainer Brynne is determined to teach him everything she knows. With vampires, werewolves, witches and fairies as patients, will he survive? Will they?


Attribution of Extreme Weather Events in the Context of Climate Change

Attribution of Extreme Weather Events in the Context of Climate Change
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 187
Release: 2016-07-28
Genre: Science
ISBN: 0309380979

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As climate has warmed over recent years, a new pattern of more frequent and more intense weather events has unfolded across the globe. Climate models simulate such changes in extreme events, and some of the reasons for the changes are well understood. Warming increases the likelihood of extremely hot days and nights, favors increased atmospheric moisture that may result in more frequent heavy rainfall and snowfall, and leads to evaporation that can exacerbate droughts. Even with evidence of these broad trends, scientists cautioned in the past that individual weather events couldn't be attributed to climate change. Now, with advances in understanding the climate science behind extreme events and the science of extreme event attribution, such blanket statements may not be accurate. The relatively young science of extreme event attribution seeks to tease out the influence of human-cause climate change from other factors, such as natural sources of variability like El Niño, as contributors to individual extreme events. Event attribution can answer questions about how much climate change influenced the probability or intensity of a specific type of weather event. As event attribution capabilities improve, they could help inform choices about assessing and managing risk, and in guiding climate adaptation strategies. This report examines the current state of science of extreme weather attribution, and identifies ways to move the science forward to improve attribution capabilities.


Extreme Clinic

Extreme Clinic
Author: Thomas N. Laurence, MD
Publisher: Elsevier Health Sciences
Total Pages: 148
Release: 2003-07-09
Genre: Medical
ISBN: 9781560536031

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An authority from the front lines of outpatient medicine explains how to take control of a patient's visit, create an agenda for every encounter, and focus immediately and continually on the essence of the patient's illness. Abundant examples of problem-patients, potential disasters, and symptoms enable the reader to make the most of their limited time. Offers hints, tips, and tricks on patient management to facilitate efficient, effective care. Presents non-conventional techniques such as combining history and physical, remaining close to the patient for the whole visit, artfully interrupting, and planning disposition at outset. Features abundant examples of problem-patients, potential disasters, and symptoms. Provides the technique and strategy needed to revitalize and revamp a medical practice.


Definition of Serious and Complex Medical Conditions

Definition of Serious and Complex Medical Conditions
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 127
Release: 1999-10-19
Genre: Medical
ISBN: 0309172608

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In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.