We all have one, but most of us will never see one. The heart surgeon now has that privilege but, for centuries, the heart was out of reach even for surgeons. So when a surgeon nowadays opens up a ribcage and mends a heart, it remains something of a miracle, even if, to some, it is merely plumbing. As with plumbers, the quality of surgeons’ work varies. As with plumbers, surgeons’ opinion of their own prowess and their own attitude to risk are not always reliable. Measurement is key. We’ve had a century of effective evidence-based medicine. We’ve had barely a decade of thorough monitoring of clinical outcomes. Thanks to the ground-breaking risk modelling of pioneering surgeons like Samer Nashef, we at last know how to judge whether an operation is in a patient’s best interest, which hospital and surgeon would be best for that operation, when it might best be performed and what the exact level of risk is. We have at last made what is important in surgery measurable. But how should surgeons, and their patients, use these newfound insights? Ever since his days as a medical student, Samer Nashef has challenged the medical profession to be more open and more accurate about the success of surgical procedures, for the sake of the patients. In The Naked Surgeon, he unclothes his own profession to demonstrate to his reader (and prospective patient) many revelations, such as the paradox at the heart of the cardiac surgeon’s craft: the more an operation is likely to kill you, the better it is for you. And he does so with absolute clarity, fluency and not a little wit.

    Fjestad has been expanded to 2,432 pages, easily making it the highest page count of any firearms book currently in print. New 2012 makes and models have been included, along with updated values on discontinued firearms and antiques. The new Blue Book of Gun Values cover features NRA Executive Vice President Wayne LaPierre one of the firearms industry's most passionate advocates. Wayne gives Blue Book an exclusive, in-depth interview with sidebars from NRA-ILA's Chris Cox and journalist Tony Makris!Once again, the 80-page Photo Percentage Grading System provides high resolution color images that are the last word to help ascertain any firearm's correct condition factor based on the percentage of original condition. Revolvers, pistols, rifles, and shotguns are also shown separately, in addition to NRA Antique Condition Factors.

    Designed as a field textbook for the NOLS wilderness first aid curriculum, it helps train outdoor leaders to prevent, recognize, and treat common medical problems and to stabilize a severely ill or injured patient for evacuation. A vital resource for outdoor enthusiasts, this book covers fundamental topics in first aid--patient assessment, shock, soft tissue injury, burns, fractures and dislocations, and chest, head, and abdominal injury. It explains how to handle environmental problems posed by heat, cold, water, altitude, and poisonous plants and animals. Also discussed are issues related to expedition medicine as well as leadership, teamwork, and communication for rescue groups. While risk can be minimized through good judgment, skills, and experience, being prepared for emergencies in the wild is an essential component of good outdoor leadership.

    But after falling backwards into the specialty, Dr. Fulkerson found neurosurgery to be a field filled with joy, sadness, a little humor, and courageous and inspiring patients.In an honest and compelling retelling of his long and winding road to train and then practice as a pediatric neurosurgeon, Dr. Fulkerson guides others through his journey from medical school to service on a small military base, through residency training, and finally, to a practice in a highly specialized children's hospital. The journey reveals the dramatic swings of emotions experienced by both patients and doctors in an increasingly hostile medical environment. Dr. Fulkerson also shares stories of dedicated professors who train medical students and resident surgeons to care for the tiniest neurosurgical patients.Nothing Good Happens at ... The Baby Hospital offers a compelling glimpse into the joys, tragedies, and hopeful moments that surround the highly specialized and sometimes silly world of pediatric neurosurgery.

    When hearts stop working, when blood alcohol levels exceed limits we shouldn't contemplate, when bodies are extricated from car wrecks, he's been there to pick up the pieces, save our lives, and watch us slip away. His touching stories of life and death and the hilarious ones of times in between are here to give us an insight of what happens after we call 911, the ambulance doors close, or even what happens inside the ER when the nurse shows the family to the waiting room.

    

    Pennie combines her personal experience with the latest research to answer your most pressing questions about the gastric sleeve. Questions include: Why did you choose the sleeve instead of other weight loss surgery options? How do I begin looking for a sleeve surgeon? What does a typical pre-op diet look like? What is surgery day like? What will my diet look like after surgery? How do you handle the stigma of weight loss surgery? How is my goal weight determined? How many calories do you eat, on average? Are there any foods you can’t eat? How much food can you eat in one sitting? Does hunger come back? Can the sleeve get stretched out? How do you deal with weight loss stalls? How many vitamins do you take every day? How much weight should I expect to lose with the sleeve? What does a maintenance diet look like?

    They always keep a bag packed. They seldom have more than twenty-four hours' notice before they are dispatched. The phone calls that tell them to head to the airport, sometimes in the middle of the night, may give them no more information than the country they are traveling to and the epidemic they will tackle when they get there.The universal human instinct is to run from an outbreak of disease. These doctors run toward it.They are the disease detective corps of the U.S. Centers for Disease Control and Prevention (CDC), the federal agency that tracks and tries to prevent disease outbreaks and bioterrorist attacks around the world. They are formally called the Epidemic Intelligence Service (EIS) -- a group founded more than fifty years ago out of fear that the Korean War might bring the use of biological weapons -- and, like intelligence operatives in the traditional sense, they perform their work largely in anonymity. They are not household names, but over the years they were first to confront the outbreaks that became known as hantavirus, Ebola virus, and AIDS. Now they hunt down the deadly threats that dominate our headlines: West Nile virus, anthrax, and SARS.In this riveting narrative, Maryn McKenna -- the only journalist ever given full access to the EIS in its fifty-three-year history -- follows the first class of disease detectives to come to the CDC after September 11, the first to confront not just naturally occurring outbreaks but the man-made threat of bioterrorism. They are talented researchers -- many with young families -- who trade two years of low pay and extremely long hours for the chance to be part of the group that has helped eradicate smallpox, push back polio, and solve the first major outbreaks of Legionnaires' disease, toxic shock syndrome, and "E. coli" O157.Urgent, exhilarating, and compelling, "Beating Back the Devil" goes with the EIS as they try to stop epidemics -- before the epidemics stop us.

    Special Forces Captain and outdoor survival expert Mykel Hawke provides the most practical and accessible survival skills and information necessary to survive in the outdoors. These methods are based on Hawke's 25-year career as a Captain in the U.S. Army, as founder of the survival training company Special Ops Inc, and as a popular survival expert on television-including his Discovery Channel series Man Woman Wild. Geared to the untrained civilian, Hawke's Special Forces Survival Handbook provides illustrated how-to info on shelter, water, fire, food, first aid, tools, navigation, signaling, and survival psychology. Now with a flexibind cover and small format perfect for the glove compartment and backpack, this edition gives readers the tools necessary to survive the worst circumstances and make it out alive.

    

    In desperate attempts to cure their patients, physicians injected them with deadly medications, cut holes in their heads, and sterilized them. Years of insufficient funding caused the hospital to decay into a crumbling facility with too few staff, as seen in the 1975 film "One Flew Over the Cuckoo's Nest." Today, after a $360 million makeover, Oregon State Hospital is a modern treatment hospital for the state's civil and forensic mentally ill. In this compelling account of the institution's tragedies and triumphs, author Diane Goeres-Gardner offers an unparalleled look at the very human story of Oregon's historic asylum.

    You’ll be there as Dr. Kristine Guleserian, noted pediatric cardiothoracic surgeon, fixes the tiny hearts of the tiniest children. Follow the young boy who gets a new heart and then, three weeks later, joins Dr. Guleserian on the mound at Fenway Park to throw out the first pitch at a World Series game. Discover the years of training Dr. G went through to become the highly respected surgeon she is today. See how her warmth, humor, intelligence and dedication provide a shining example of what is good about the American health care system. To get a closer look than this, you’d have to scrub in.

    It may feel as if your world has shifted on its axis, and you'll never get your bearings. Navigating your way through the morass of doctors, medical terms, and the healthcare system can be daunting, especially when you want only what's best for the person you love. Dr. John Cassidy has devoted the past twenty-five years to helping families cope with traumatic brain injury; Mindstorms is his compassionate, comprehensive manual to demystifying this often frightening and life-changing condition. More than 6.3 million Americans live with a severe disability caused by a traumatic brain injury. In fact, because it's so commonplace, but little talked of, TBI is often referred to as the "silent epidemic." In these pages, Dr. Cassidy walks you through the different types of brain injury; explodes the common myths surrounding it; demonstrates the ways in which TBI may affect memory, behavior, and social interaction; explores the newest options in treatment and rehabilitation; and shows you how to hold on to your own sense of self as you journey through. Along with the practical information you'll need, Mindstorms offers a constellation of instructive, moving stories from families and patients who are slowly, but surely, finding their way back. Their experiences are sure to inspire you and yours.

    With extensive treatment of the heart of epidemiology-from study designs to descriptive epidemiology to quantitative measures-this reader-friendly text is accessible and interesting to a wide range of beginning students in all health-related disciplines. A unique focus is given to real-world applications of epidemiology and the development of skills that students can apply in subsequent course work and in the field. The text is also accompanied by a complete package of instructor and student resources available through a companion Web site.

    The 5th edition has been completely updated and includes a Companion CD-ROM that contains animations, NCLEX(R) examination-style review questions, printable IV therapy and medication safety checklists, drug calculation problems, and convenient electronic calculators.A separate drug calculations section - Medications and Calculations - features 65 pages of math review and step-by-step instructions for dosage calculations using the four primary methods - basic formula, ratio and proportion, dimensional analysis, and fractional equation. Nursing Process sections relate nursing care to drug therapy. Each step of the nursing process includes concise actions for the plan of care in relation to treatment for selected drug prototypes.A chapter on Principles of Drug Administration features comprehensive coverage of the procedures for administering drugs. It addresses all routes of administration and various settings.Unit openers for drug therapy chapters include an illustrated overview of normal anatomy and physiology, giving readers the foundation for understanding how the drug works in that body system.Herbal Alert boxes highlight various herbal products and their interactions with drugs.More than 100 detailed Prototype Drug Charts list the following information: dosage, indication, contraindication, drug-lab-food interactions, pharmacokinetics, pharmacodynamics, therapeutic effects, side effects, and adverse reactions.Highlighted Client Teaching, Cultural Considerations, and Herbal Alerts are included in the Nursing Process sections to emphasize key implications for nurses.Client Teaching in the nursing process sections guide readers through instructions for teaching patients about medication, self-administration, dietary concerns, and side effects.Includes a separate Transcultural and Genetic Considerations chapter.Critical Thinking Case Studies and Study Questions at the end of each chapter present readers with a clinical scenario and several questions that reinforce key concepts and encourage critical thinking.A new chapter on substance abuse addresses this important aspect of the nurse's role in pharmacology. Preventing Medication Errors boxes draw attention to important safety considerations and present guidelines from the Institute for Safe Medication Practice (ISMP).Critical Thinking Case Study boxes provide clinical scenarios and questions to sharpen analytical and critical thinking skills.Now includes step-by-step instructions for dosage calculations using dimensional analysis.Web sites, organizations, and research database information are available at the end of clinical chapters for further review and research.The newest JCAHO guidelines for medication safety are applied throughout the text and the abbreviations appendix has been revised to reflect these updates.Includes a new Herb/Drug Interaction chart, as well as new sugar-free and alcohol-free drug lists.Features updated coverage of pain as the fifth vital sign.Look-alike/sound-alike drugs are highlighted throughout to promote safe drug administration.Includes a list of the 200 most frequently prescribed drugs.Electronic Resources boxes at the beginning of each chapter direct readers to additional learning activities available on the Companion CD and the Evolve website.