The deafening thrum of the helicopter announces the unknown perils and potential havoc that await. A critical care and emergency flight nurse, Culkin treats patients who are most often in mortal danger. Aboard the Agusta, she is entrusted with the life of a seventeen-year-old pulled from the wreckage of a headon collision as his father calls out a wrenching plea from below; she cares for a middle-aged man who is bleeding to death internally, remembering the four daughters who have kissed him goodbye, possibly for the last time. It is the arduous and acute struggle to keep her patients alive en route to the hospital that is Jennifer Culkin's most profound duty.Culkin is no stranger to death and its dramas, or the urgency that accompanies them. Her memoir pulls us into the neonatal intensive care unit, where she labors to ventilate an eleven-ounce preemie, the smallest human she has ever cared for. The tenuous lines between life and death lead us to the pediatric intensive care unit, where she looks after children seemingly too small to contain their devastating illnesses.As her personal life begins to mirror the intensity of her work, Culkin writes poignantly of attending her dying mother, who refuses to decide whether to prolong her life. She recounts with tenderness and exasperation the experience of looking after her widowed father, who faces death with dramatic stubbornness, ignoring medical advice and rejecting even basic treatment. Tempering her profound insights with humor, Culkin relates her taste for the edge, her own risky gambles, and her ongoing battle with multiple sclerosis. Finally, Culkin takes us back to flying, with the dramatic and redemptive stories of her colleagues who have perished in helicopter crashes in their very exceptional line of duty.A Final Arc of Sky does more than plunge readers into the chaos of emergency medicine; it is also a masterful reflection on the pivotal moments of our lives, on the beautiful fragility of our mortality.

    It includes many clear, colorful examples and describes the five stages of skill acquisition, the nature of clinical judgement and experiential learning and the seven major domains of nursing practice. The narrative method captures content and contextual issues that are often missed by formal models of nursing knowledge. KEY TOPICS: The book uncovers the knowledge embedded in clinical nursing practice and provides the Dreyfus model of skill acquisition applied to nursing, an interpretive approach to identifying and describing clinical knowledge, nursing functions, effective management, research and clinical practice, career development and education, plus practical applications. MARKET: For nurses and healthcare professionals.

    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.

    The first communication guidebook designed expressly for nurses, From Silence to Voice helps nurses understand and overcome the self-silencing that often leads RNs to downplay their own expertise and their contributions to the care of the sick and the health of the public. Bernice Buresh and Suzanne Gordon teach nurses, nurse educators, and nurse researchers critical skills they can use to explain their work to other health-care professionals, journalists, policymakers, and political representatives.From Silence to Voice features stories about nurses who ensure that patients receive appropriate, timely, and even life-saving care, nurses who make all the difference while crises are underway but whose contributions are neglected in medical charts and thank-you notes, nurses who are left out altogether or obscured by the generic "nurse." However, the book also provides detailed accounts of nurses who do make their voices heard, who do make their concerns public- and it shows how those successes can be duplicated. Buresh and Gordon draw on real-world examples that will help nurses to gain respect for themselves as professionals, communicate well with both patients and health-care colleagues, understand how the news media work, collaborate with public relations professionals, write effective letters to the editor and publish op-ed pieces, appear on television and radio, and promote research on nursing About the Authors:Bernice Buresh writes and lectures on health care, nursing and the media. She has been a reporter for the Milwaukee Sentinel, a professor of journalism at Boston University and an adjunct professor of American Studies at Brandeis University. Buresh is president of the Writers' Room of Boston, Inc, which provides affordable workspace for writers.Suzanne Gordon is an award-winning journalist. She is the author of Life Support: Three Nurses on the Front Lines and co-editor of Caregiving: Readings in Knowledge, Practice, Ethics and Politics. She is an adjunct professor in the school of nursing at McGill University. Gordon is a health care commentator on Public Radio International's "Marketplace," and a popular lecturer on nursing and health care.

    The recipes in this cookbook can help you enjoy flavorful meals while losing up to a pound a day on the "HCG Phase" The HCG Diet Gourmet Cookbook features delicious soups and salads, chicken, beef, and seafood entrees, and sweet desserts and beverages. Enjoy these easy and delicious recipes and add variety, spice, and a touch of gourmet to your weight loss journey.

    There followed a sequence of extraordinary events that led to David being prosecuted and convicted for the patient’s death and sent to prison. His licence to practise medicine was suspended, his career cut short. Events that took place later showed that this was an unfair trial with tinges of racism, and he won an appeal against his conviction and is now a free man. But the damage had already been done. This book tells his extraordinary story for the first time, in his own words.

    More than 1,000 questions cover everything from the fundamentals of gross and microscopic pathology to the latest findings in molecular biology and genetics. Based on two of the best-selling, most authoritative pathology textbooks-Robbins and Cotran Pathologic Basis of Disease, 7th Edition and Basic Pathology, 7th Edition-Robbins and Cotran Review of Pathology, 2nd Edition is an ideal aid for coursework, self-assessment, and examinations in pathology.Offers more than 1,000 questions that follow the clinical vignette style, emphasizing problem solving over rote memorization. Presented in both single-best-answer and extended-matching formats, they reflect levels of difficulty that prepare students for both examinations and the practice of medicine.Provides an answer and a detailed explanation for every question at the end of each chapter.Includes page references and a parallel organization to both Robbins and Cotran Pathologic Basis of Disease and Basic Pathology, making additional information easy to locate.Presents correlative laboratory, radiologic, and physical diagnostic data to enhance readers' understanding of pathophysiology and to integrate pathology with other medical disciplines.Uses numerous full-color illustrations to test readers' diagnostic skills.Delivers a 73-question chapter covering all subjects that mimics a comprehensive final examination.

    Now she gives readers an up close look at her adventures in emergency medicine in her memoir, The Other Side of the Gurney.After twenty years working as an EMT and paramedic, Carson-Romano becomes a registered nurse specializing in critical care. She shares what it's like to be an "accidental hero" and offers these stories as a tribute to those invited into people's homes and lives during the most frightening times imaginable. Carson-Romano crafts her stories with compassion and humor while covering a wide range of experiences, including childbirths in dramatic situations, traumatic accidents, and patients nearing the ends of their lives.The sad, funny, and feel good times are all here—and will make readers appreciate the emergency medical responders who risk their own lives to save ours.

    Cole's harrowing account of his life spent in the ER and on the battlegrounds, fighting to save lives. In addition to his gripping stories of treating victims of gunshot wounds, stabbings, attempted suicides, flesh-eating bacteria, car crashes, industrial accidents, murder, and war, the book also covers the years during Cole's residency training when he was faced with 120-hour work weeks, excessive sleep deprivation, and the pressures of having to manage people dying of traumatic injury, often with little support.Unlike the authors of other medical memoirs, Cole trained to be a surgeon in the military and served as a physician member of a Marine Corps reconnaissance unit, United States Special Operations Command (USSOCOM), and on a Navy Reserve SEAL team. From treating war casualties in Afghanistan and Iraq to his experiences as a civilian trauma surgeon treating alcoholics, drug addicts, criminals, and the mentally deranged, TRAUMA is an intense look at one man's commitment to his country and to those most desperately in need of aid.

    I turned and raced off the front porch, out onto Sixth Street. Where would I go? What would I do? I had no choice." "If I didn’t want to freeze to death, I’d have to head back home. And at least for now I’d changed my mind about wanting to die. Yet I didn’t want to go back home either. I never wanted to go there again...."This is the story about a little boy named Zachary Thomas. A little boy grew up with a very abusive father and a mother who couldn't care less about him. In the eyes of his parents, he was never good enough, no matter how hard he tried. Zachary's whole life was controlled by his father, his hobbies and interests, his friends and even how he thought. Daddy was always right. His father had absolute control over him. It was more than just emotional abuse though. Sometimes daddy would get mad and this resulted in severe punishments for young Zachary, resulting in head beatings, choking and much, much more. Read the story that has been never told before, released to the public for the first time. Read the book and find out what the true story of what happened to young Zachary Thomas.

    These professionals have opened their hearts to submit the sad, the funny, and the 'WTF?!' stories we've all come to love and expect from the series. Included is what author Kerry Hamm calls her 'craziest, most outrageous' submission out of the entire series so far, sure to make you cringe and wonder what the heck was going through the minds of those involved. You know the drill, folks: grab a blanket, some tissues, and get ready for another wild ride!

     Develop the skills and knowledge you need to make evidence-based practice (EBP) an integral part of your clinical decision-making and everyday nursing practice with this proven, approachable text. Written in a straightforward, conversational style, Evidence-Based Practice in Nursing & Healthcare delivers real-world examples and meaningful strategies in every chapter to help you confidently meet today’s clinical challenges and ensure positive patient outcomes.NEW! Making Connections: An EBP Exemplar opens each unit, immersing you in an unfolding case study of EBP in real-life practice.NEW! Chapters reflect the most current implications of EBP on health policy and the context, content, and outcomes of implementing EBP competencies in clinical and academic settings.NEW! Learning objectives and EBP Terms to Learn at both the unit and chapter levels help you study efficiently and stay focused on essential concepts and vocabulary.Making EBP Real features continue to end each unit with real-world examples that demonstrate the principles of EBP applied.EBP Fast Facts reinforce key points at a glance.Clinical Scenarios clarify the EBP process and enhance your rapid appraisal capabilities.

     New Orleans, 1982. Voodoo spells, prostitutes, prisoners, and veterans who are adamant about the size of their manhood—it’s all just another day at Charity Hospital, also known as The Big Free. It’s a medical free-for-all with the toughest trauma surgery in America, and Elizabeth—fresh from medical school in Charleston, wearing pearls and pink plaid socks—is one of the first women to work there.   Half of the doctors who start the surgery program never finish. Nothing in her proper Southern upbringing prepared Elizabeth for the gritty and gruesome world she now experiences on a daily basis. And even if she’s tougher than anyone first expected, the question remains . . . will she make the cut?   Full of drama, humor, and New Orleans flavor, The Big Free is a young doctor’s coming of age story as only a true medical insider can tell it.

    Most of the cases are modern or have recently been reopened, often as a result of advances in forensic science.

     Since being left in the custody of her abusive step-father, her life had gone from being a mere blur to something of a perpetual nightmare. Forced to endure the kinds of depravities that would shock even the most hardened of therapists, she had become too scared to even contemplate running away. But there comes a point in every such situation where the victim no longer has anything to lose. A point where the will to escape trumps the will to live. This book is that point. This is her shocking true story. DISCLAIMER: This book is based upon a true story of child abuse, and as such contains passages that some readers may find disturbing.