Aiming to stimulate future research in ocular disorders that occur in specific environments presenting unique hazards to the eye, systemic health, or both, this book assists in identification and effective treatment for these cases. Ophthalmology in Extreme Environments identifies common approaches to the care of disease and injury in these conditions, recognizing gaps in knowledge and working toward better informing the reader. Topics covered include high altitude and vision changes, night vision and military operations, undersea environmental medicine, and modern eye trauma surgery and outcomes.

POLYMERS AND ADDITVES IN EXTREME ENVIRONMENTS Uniquely catalogs polymers and additives for uses in extreme applications such as in high or low pressure, high or low temperature, deep water and other special applications. The book includes chapters on aqueous environments including polymeric membranes for water purification and wastewater treatment; extreme pressure environments such as oils and lubricants for combustion engines as well as materials used for deep drilling such as surfactants, scale inhibitors, foaming agents, defoamers, propellants, fracturing fluids; extreme temperatures is subdivided in high and low temperature applications including gasketing materials, fuel tank sealants, expulsion bladders, fuel cell materials, and on the other hand, cold weather articles and thermoregulatory textiles; electrical applications include solar cell devices, triboelectric generators, fuel cell applications, electrochromic materials and batteries; medical applications include polymers for contact lenses, materials for tissue engineering, sophisticated drug delivery systems; aerospace applications include outer space applications such as low temperature and pressure, also cosmic rays, outgassing, and atomic erosion, as well as materials for electrostactic dissipative coatings and space suits; a final chapter detailing materials that are used in other extreme environments, such as adhesives, and polymeric concrete materials. Audience Materials and polymer scientists working in manufacturing and plastics, civil and mechanical engineers in various industries such as automotive, aircraft, space, marine and shipping, electronics, construction, electrical, etc. will find this book essential. The book will also serve the needs of engineers and specialists who have only a passing contact with polymers and additives in industrial setting need to know more.

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

This book summarizes current understanding of the scientific, clinical, and technical issues surrounding the use of contact lenses. It discusses the special occupational conditions experienced by military personnel, particularly in extreme environments, that give rise to the question of whether or not to use contact lenses. Experts in optometry, ophthalmology, visual psychophysics, and engineering describe recent developments in design and use; and representatives of the military services provide examples of actual situations in aerospace settings. Considerations in Contact Lens Use Under Adverse Conditions will be of particular interest to those involved in the design of contact lenses and those responsible for occupational safety and health matters in the private sector.

Learn to provide state-of-the-art care to any patient in any setting with the most comprehensive trauma nursing resource available. Using the unique cycles of trauma framework, Trauma Nursing: From Resuscitation Through Rehabilitation, 5th Edition features coverage of cutting-edge research findings and current issues, trends, and controversies in trauma nursing. The thoroughly updated fifth edition guides you through all phases of care - from preventive care and the time of injury to the resuscitative, operative, critical, intermediate, and rehabilitative stages. Plus, new chapters address unique trauma patient populations including pregnant women, children, the elderly, bariatric individuals, burned patients, those with a history of substance abuse and organ donors. With timely discussions on emerging topics such as mass casualty events and rural trauma, this is the most complete resource available for both students and experienced trauma nurses. UPDATED! Disaster preparedness, response and recovery for mass casualty incidents prepares students to act quickly and confidently in the event of a disaster, with guidelines for initial response and sustained response. UPDATED! The latest sepsis protocols, opioid use and pain/sedation protocols, and treating injured patients with diabetes. Special populations coverage prepares you to meet the needs of unique trauma patient populations including pregnant women, children, the elderly, bariatric individuals, burn patients, those with a history of substance abuse and organ donors. Coverage of specific issues that affect all patients regardless of their injury, gives you a solid understating of mechanism of injury, traumatic shock, patient/family psychosocial responses to trauma, pain, anxiety, delirium and sleep management; infection; wound healing, and nutrition. Tables and illustrations throughout add clarity to the content being discussed. NEW! Information on a team-centered, interdisciplinary approach to care. NEW! Up-to-date evidence-based information about issues that affect trauma care systems, includes injury pathophysiology, and state-of-the-art care for the trauma patient during all phases of care. NEW! All new content includes information on cultural sensitivity, care for caregivers, and how to handle self-harm injuries and suicide. NEW! Certification review questions help you to prepare for certification by listing the correct answers and rationales. NEW! Current recommendations for measuring fluid administration responsiveness.

Deliver quality healthcare in the most challenging field conditions Comprehensive yet compact, practical, and enduring, Improvised Medicine: Providing Care in Extreme Environments, Second Edition, is the one book to toss into your bag when going to practice medicine in global, disaster, or other resource-poor settings, including theaters of war, regions of civil unrest, and economically deprived areas. Full of practical clinical pearls and field-tested strategies, this indispensable guide provides detailed instructions on how to work successfully outside of your comfort zone. It demonstrates how to devise effective treatment solutions when the traditional tools (medications, equipment, and staff) are unavailable or when providing care outside your primary area of expertise. In any crisis, from power failures and computer crashes to floods, tsunamis, and earthquakes, knowing how to deal with the unique challenges encountered saves lives and communities. This reference gives you that knowledge and inspires innovative crisis resolution. FROM REVIEWS OF THE FIRST EDITION: "Dr Iserson has given us a most remarkable book. Many readers may be familiar with David Werner's lay healthworker book, Where There Is No Doctor; this new volume could be titled Where There Is a Doctor–But No Stuff. Drawing from his experience providing care in international, wilderness, and disaster settings, he has compiled an impressive collection of bare-bones equipment and work-around strategies to provide the best possible care in resource-poor settings. While presenting many creative examples, the purpose of the book is not to offer an exhaustive list of solutions to missing resource challenges but to inspire creativity in readers who may find themselves needing to improvise." -- Family Medicine “There is a lot of material here and, if nothing else, it may motivate more people to practice low-tech medicine and be willing to go where health care is dependent more on caring than on cost. I recommend this book to anyone who must practice in austere environments, and it will be in my rucksack when I respond to the next disaster.” – The Journal of Emergency Medicine FEATURES: ·Simple-to-follow directions, diagrams, and illustrations describing practical techniques and 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 ·Covers situational analysis and basic needs in a crisis; specific triage, diagnosis, and stabilization efforts; medical interventions for surgical and non-surgical problems; and debunks some commonly reported improvised techniques ·Features public health measures, basic disaster communication techniques, post-disaster forensics, a model hospital disaster plan, and innovative patient-transport methods ·New to the second edition: More concisely written, more extensively illustrated, and updated improvisations and references 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 ·Build an evaporative refrigerator ·Make esophageal and precordial stethoscopes ·Quickly improvise a saline lock ·Make ECG electrode/defibrillator pads and ultrasound gel ·Evacuate patients easily from high-rise hospitals

This Volume 2 of a two-volume work is the first textbook to offer a practical yet comprehensive approach to clinical ophthalmology in wild and exotic mammals. A phylogenetic approach is used to introduce the ecology and importance of vision across the entire diversity of mammal species before focusing on both the diverse aspects of comparative anatomy and clinical management of ocular disease from one animal group to the next. Edited by three of the most esteemed authorities in exotic animal ophthalmology, this two-volume work is separated into non-mammalian species (Volume 1: Invertebrates, Fishes, Amphibians, Reptiles, and Birds) and Mammals (Volume 2: Mammals). Wild and Exotic Animal Ophthalmology, Volumes 1 and 2 is an essential collection for veterinary ophthalmologists and other veterinary practitioners working with wild and exotic animals.