دانلود کتاب مدیریت عملیاتی و پزشکی حوادث انفجاری

Welcome to the most comprehensive textbook in print on the management of explosion-related injuries. This ambitious project brought together world experts from across military and civilian systems and across different medical subspecialties to provide the definitive resource for those engaged in the care of victims of explosions. We, the editors, hand-selected each author based upon their contribution to the science of blast injury, their experience caring for victims of explosions, or their expertise in system design. Each author team is comprised of legends, pioneers, and experienced frontline providers. This work is the culmination of 2 years of labor from scientists, clinicians, and operators around the globe. As the editors, we would like to start with a note of thanks to the men and women who have taken time from their clinical practice, their intra-deployment downtime, and their families to join together and craft the most comprehensive book to date on the management of explosion-related injuries. Warriors, healers, scientists, and teachers all united by Hippocrates’ “purity of purpose” to share their knowledge. You have all sworn that the bloody and personal lessons you have learned in places like Baghdad, Helmand, Tel Aviv, Boston, and Madrid will inform our future trauma and emergency responders. Much has been written about the complex pathophysiology and physics of blast injuries. However, there are few resources that offer a bridge between cutting-edge blast science, clinical care for severely injured patients, and the operational knowledge required to actually implement systems-level strategies that reduce morbidity and mortality. Responders must understand individual effects, community impact, and system impact. And systems must support responders. The health system response to explosive incidents is complex. We cannot predict every variable – blast type, health system bed capacity, disruptions in EMS response, or weather. As a result, at the system level, there is no best practice. There is only good practice, emergent response, and resilience. In order to succeed, responders must be part of dynamic, multidisciplinary teams that are experts within their field but also understand the importance of their individual role in a broader system. This textbook, unlike any other in print, offers a blueprint for creating these high-functioning teams. We took on this project with the very ambitious goals of being able to craft a text that could be used at a variety of levels. First, the comprehensive nature of the book serves as a one-stop source for health system leaders and emergency managers – military and civilian – searching for guidance on how to best prepare for the increasing likelihood of explosive mass casualty incidents. Second, the specialty-specific sections are designed to be accessible across specialties in order to allow professionals to build integrated response plans. Finally, each section is designed to provide the most cutting-edge science and practice recommendations within a given specialty. The authors did an amazing job balancing these competing priorities. The introductory section of the book is a must read for anyone involved in trauma care or the management of emergency and trauma systems. This section provides a comprehensive overview of the critical role that civilian and military trauma systems play in response to mass casualty incidents related to explosions. The introduction also provides an overview of the most cutting-edge science in blast biophysics and pathophysiology from authors who have helped to create the current blast injury taxonomy and are global leaders in research and development efforts on blast injury. This book is subsequently divided into sections that address point of injury care through emergency department, operating theater, and intensive care unit. Each section specifically addresses the unique operational components of responding to an explosive incident as well as the most cutting-edge clinical care recommendations. Understanding that the operational context often shapes the clinical response, the chapters are designed to offer lessons learned from both international military experience and civilian response to terrorist attacks. The clinical chapters, all written by authors with hands-on experience caring for victims of explosions, lay out the best practices and evidence-based guidelines (where available) for the clinical care of explosion victims with complex poly-trauma. Case studies from civilian and military events augment these chapters and add ground truth to the recommendations.