Mass Casualty events may occur as a result of natural or human-caused disasters or after an act of terrorism. The planning and response to disasters and catastrophes needs to take into consideration the distinction between progressive and sudden events. Insidious or slowly progressive disasters produce a large number of victims but over a prolonged time period, with different peaks in the severity of patients presenting to the hospital. For example, radiation events will produce a large number of victims who will present days, weeks, months, or years after exposure, depending on the dose of radiation received. The spread of a biological agent or a pandemic will produce an extremely high number of victims who will present to hospitals during days to weeks after the initial event, depending on the agent and progression of symptoms. On the other hand, in a sudden disaster, there is an abrupt surge of victims resulting from an event such as an explosion or a chemical release. After the sarin gas attack in a Tokyo subway in 1995, a total of 5500 victims were injured and required medical attention at local hospitals immediately after the attack. The car bomb that exploded near the American Embassy in Nairobi, Kenya, killed 213 people and simultaneously produced 4044 injured patients, many requiring medical care at local hospitals. The Madrid train bombing in March 2004 produced more than 2000 injured victims in minutes, overwhelming the city’s healthcare facilities. More than 500 injured patients were treated at local hospital after the mass shooting in Las Vegas. Finally, earthquakes may produce a large number of victims in areas in which the medical facilities are partially or completely destroyed. Sudden events bring an immediate operational challenge to community healthcare systems, many of which are already operating at or above capacity. The pre-hospital as well as hospital planning and response to sudden mass casualty incidents (SMCI’s) is extremely challenging and requires a standard and protocol driven approach. Many textbooks have been published on Disaster Medicine; although they may serve as an excellent reference, they do not provide a rapid, practical approach for management of SMCI’s. The first edition of “Mass Casualty Incidents: The Nuts and Bolts of Preparedness and Response for Acute Disasters” dealt exclusively with sudden mass casualty incidents. The second edition will expand its focus and include planning and response for insidious and protracted disasters as well. This new book is designed to provide a practical and operational approach to planning, response and medical management of sudden as well as slow progressive events. The target audience of the second edition will be health care professionals and institutions, as well as allied organizations, which respond to disasters and mass casualty incidents. Parts I and II are essentially the first edition of the book and consist of planning of personnel, logistic support, transport of patients and equipment and response algorithms. These 2 parts will be revised and updated and include lessons learned from major mass shootings that occurred recently in the United States and other parts of the world Part III will describe the planning process for progressive disasters and include response algorithms and checklists. Part IV will handle humanitarian and mental health problems commonly encountered in disaster areas. Part V will deal with team work and communication both critical topics when handling catastrophes and mass casualty incidents. This new book will be a comprehensive tool for healthcare professionals and managers and should perform demonstrably better in sales and downloads. It will be of value at the pre-hospital as well as the hospital level, to plan and respond to the majority of catastrophes and mass casualty incidents.

The first book in a new series spanning worlds and ages. A war is raging between gods and demons, with an unstoppable interdimensional terror - THE BLEED - destroying everything it touches. From ancient alien civilisations through to modern day London, through to deep space and beyond, nothing and no one is safe. The Bleed wants flesh. It wants to destroy life. It wants to be worshipped.London: next week.The Bleed strains at the edges of reality, and God has come to help Earth make a stand against the demons from beyond, but it's going to come down to one frightened kid to save the entire planet from a blood-soaked fate. The moon: sometime in the future.A covert mission to colonize the moon is Earth's last chance. The mission is going well, until the brand-new technology used to operate the colony begins failing mysteriously. Will the survivors of Earth's civil war be caught up in a larger conflict they couldn't ever know anything about?Another world: another time.The gods of this world left to fight the Bleed. The war raged on the horizon, at the very edge of this reality. One morning there are screams at the shore and the red tide arrives. The war against the monsters of the Bleed is no longer forgotten history, it's happening now.

This full-color atlas presents over 1200 images from one of the largest trauma centers in North America. Photos, x-rays and illustrations depicting a variety of common and rare traumatic injuries are accompanied by recommendations and advice from a multidisciplinary group of experienced trauma care providers.

The author, an Indian himself, profiles the lives of many Native Americans and how people treat them just because of their race. Even in today's society the uneasy relations between Indians and white's is still fueled by mistrust, stereo-types and casual violence.

The Tactical Emergency Casualty Care Course Manual is the printed component for the NAEMTs 16-hour continuing education Tactical Emergency Casualty Care (TECC) Course. It may be used by both instructors and students as a resource to prepare for the TECC course and as a reference that discusses the current best practices for EMS providers to utilize in the response to and care of patients in a civilian tactical environment. The TECC Course does not offer certification as a tactical medic it is intended to teach all EMS providers the best patient care and safety practices in a civilian tactical environment, such as an active shooting hostile event. Composed of 10 lessons, The TECC Course Manual will: Cover the phases of care in a civilian tactical environment, Describe step-by-step the life-saving skills that may be performed in a civilian tactical environment, Provide safety and survival strategies for EMS providers and their patients In addition to the TECC Course Manual, instructors may also purchase the TECC Online Instructors Toolkit (9781284483888). This resource features 10 lesson presentations in PPT, as well as interactive patient simulations and skill stations that allow students to gain experience in a safe environment monitored by experienced EMS providers.

The first edition of this publication was aimed at defining the current concepts of trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It served as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader is provided with a full understanding of the tests that are used to study trauma induced coagulopathy. With the growing interest in understanding and managing coagulation in trauma, this second edition has been expanded to 46 chapters from its original 35 to incorporate the massive global efforts in understanding, diagnosing, and treating trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications is reviewed in detail. The text provides therapeutic strategies to treat specific coagulation abnormalities following severe injury, which goes beyond the first edition that largely was based on describing the mechanisms causing coagulation abnormalities. Trauma Induced Coagulopathy 2nd Edition is a valuable reference to clinicians that are faced with specific clinical challenges when managing coagulopathy.

The streets thought KASH was gone forever when he was convicted and sentenced to life in prison. But what no one knew was his brother from a different mother, GANGSTA, would sacrifice his own life to set his partner free. Now the notorious Kash has returned to right all wrongs and to deliver quick street justice to those who violated the codes of the game. Some will be dealt a gruesome murder while others like ERICA, his detective girlfriend, and EBONY, his son's mother, will do everything in their power to atone for their betrayal. But will there be room for forgiveness in a thug's heart? While settling old scores, Kash is also left with the task of taking his team to new heights. Backed by the new, powerful drug connection that Gangsta left him, Kash seems to be headed straight to the top. But in the insidious game of drug dealing, a man's downfall lurks behind every closed door and every wide smile. Unfettered by the possibility of death, destruction or demise, Kash's sole mission is to conquer the drug game and prove to Gangsta that Loyalty Has No Limits. Everybody and everything will be tested when THE STREETS BLEED MURDER like never before.

From a Harvard scholar and former Obama official, a powerful proposal for curtailing violent crime in America Urban violence is one of the most divisive and allegedly intractable issues of our time. But as Harvard scholar Thomas Abt shows in Bleeding Out, we actually possess all the tools necessary to stem violence in our cities. Coupling the latest social science with firsthand experience as a crime-fighter, Abt proposes a relentless focus on violence itself -- not drugs, gangs, or guns. Because violence is "sticky," clustering among small groups of people and places, it can be predicted and prevented using a series of smart-on-crime strategies that do not require new laws or big budgets. Bringing these strategies together, Abt offers a concrete, cost-effective plan to reduce homicides by over 50 percent in eight years, saving more than 12,000 lives nationally. Violence acts as a linchpin for urban poverty, so curbing such crime can unlock the untapped potential of our cities' most disadvantaged communities and help us to bridge the nation's larger economic and social divides. Urgent yet hopeful, Bleeding Out offers practical solutions to the national emergency of urban violence -- and challenges readers to demand action.

In the wake of his girlfriend's suicide, Brody - a bright but naive high school senior - descends into a world of drugs, sex, and violence. Equally visceral, disturbing, and heartbreaking, When You Bleed to Death is an honest, unflinching look at the life of someone with Borderline Personality Disorder.

"What a pretty flower to keep locked in a big, rocky tower." Nineteen years ago, I was plucked from the heart of a bloody massacre that spared nobody else. Small. Fragile. An enigma. Now ward to a powerful High Master who knows too much and says too little, I lead a simple life, never straying from the confines of an imaginary line I've drawn around the castle grounds. Stay within. Never leave. Out there, the monsters lurk. Inside, I'm safe...though at a cost far greater than the blood I drip into a goblet daily. Toxic, unreciprocated love for a man who's utterly unavailable. My savior. My protector. My almost executioner. I can't help but be enamored with the arcane man who holds the power to pull my roots from the ground. When voracious beasts spill across the land and threaten to fray the fabric of my tailored existence, the petals of reality will peel back to reveal an ugly truth. But in a castle puddled with secrets, none are greater than the one I've kept from myself. No tower is tall enough to protect me from the horror that tore my life to shreds. To Bleed a Crystal Bloom is a dark Rapunzel reimagining full of immersive imagery and breathtaking angst.