This monograph summarizes the lessons from the Czech mass methanol poisoning outbreak with 137 cases and more than 50 deaths, one of the largest methanol “epidemics” in XXI century throughout the world. The specific field of the study is defined by a number of challenges the health systems face during the outbreaks: delayed presentation and diagnosis, non-specific clinical signs and features at admission, need for gas chromatography method to detect methanol, limited availability of treatment resources in local hospitals, insufficient evidence of clinical effectiveness and safety of out-of-hospital and hospital therapeutic measures, high mortality rate and underestimated prevalence of long-term health sequelae in the survivors.

Chemical health threats can have impacts across national borders and so may be more effectively tackled by international cooperation than by individual governments acting alone. As such, in November 2013, the European Union published the EU Decision for Serious Cross Border Threats to Health establishing a number of mechanisms for a coordinated, Europe-wide response with regards to preparedness, risk assessment, risk management, risk communication and international cooperation. Comprising a series of chapters from leading international researchers, this book covers recent developments in the field which support the implementation of these European legal instruments. It begins by contextualising the need for data that surveillance of toxic threats can deliver, before going on to examine some of the tools that have been developed to facilitate toxicosurveillance in Europe as well as current toxicosurveillance networks outside the EU. In addition, this book covers the European Union regulation concerning the Registration, Evaluation, Authorisation and Restriction of Chemicals (REACH), and the work of the Alerting System for Chemical Health Threats (ASHT) project to improve the risk assessment and management of chemical health threats in Europe. The volume provides a vital resource for researchers, educators, policy-makers and practitioners with an interest in key questions facing global hazardous substance control.

Introductory Science of Alcoholic Beverages provides readers an engaging introduction to the science behind beer, wine, and spirits. It illustrates not only the chemical principles that underlie what alcoholic beverages are, why they are the way they are and what they contain, but also frames them within the context of historical and societal developments. Discussed chapter topics include introductions to beer, wine, and spirits; the principles behind fermentation and distillation; and overviews of how each beverage class is made. The chapters highlight the unique chemistries that lend beer, wine, and spirits their individuality, as well as the key chemicals that impart their characteristic aroma and flavor profiles. This book goes beyond focused descriptions of individual alcoholic beverages by summarizing their common chemical lineage and illuminating the universal scientific principles that underpin them. It will be of interest to students of physics and chemistry, as well as enthusiasts and connoisseurs of beer, wine, and spirits.

Now fully revised and updated, Textbook of Adult Emergency Medicine provides clear and consistent coverage of this rapidly evolving specialty. Building on the success of previous editions, it covers all the major topics that present to the trainee doctor in the emergency department. It will also prove invaluable to the range of other professionals working in this setting - including nurse specialists and paramedics - who require concise, highly practical guidance, incorporating latest best practices and current guidelines. For the first time, this edition now comes with access to addtional ancillary meterial, including practical procdure videos and self-assessment material. Updates throughout reflect latest practice developments, curricula requirements and essential guidelines Key point boxes highlight topic ‘essentials’ as well as controversial areas of treatment An expanded list of leading international contributors ensures comprehensive coverage and maximizes worldwide relevance New and enhanced coverage of important and topical areas - including latest imaging in emergency medicine; organ donation; massive transfusion protocols; medico legal issues; patient safety and quality measures All new accompanying electronic ancillariy material, including procedure videos and self-assessment materials to check your understanding and aid exam preparation Expansion of administration section - especially patient safety New and enhanced coverage of important and topical areas - including latest imaging in emergency medicine; organ donation; massive transfusion protocols; medico legal issues; patient safety and quality measures All new accompanying electronic ancillary materials - including practical procedures videos and self-assessment materials

Emergency and Trauma Care for nurses and paramedics is a highly respected emergency care text for nursing and paramedicine students and clinicians in Australia and New Zealand. Now in its fourth edition, it provides the most up-to-date and comprehensive coverage of the spectrum of emergency and trauma care. The text spans prehospital and hospital care, enabling students to understand the patient journey and equipping them for their role in a multidisciplinary team. Coverage includes assessment, triage and management of trauma, physiology of emergency care, and the recognition and management of specific body system emergencies, as well as the fundamentals of emergency care such as quality and safety, ethics, leadership, research and patient education. Fully revised to reflect the dynamic and evolving nature of emergency and trauma care, this book is ideal for students, prehospital care providers, rural, remote and urban emergency and trauma care nurses, and other disaster management clinicians. Endorsed by the College of Emergency Nursing Australasia Written by internationally recognised clinicians, researchers and leaders in emergency care Latest evidence-based research and practice across the emergency care continuum Case studies to consolidate knowledge apply theory to practice Practice tips highlight cultural considerations and communication issues Aligns to NSQHSS 2e, NMBA and PBA Standards Includes Elsevier Adaptive Quizzing for Emergency and Trauma Care for Nurses and Paramedics 4e Instructor resources: Image collection PowerPoint slides Case study questions and answers Additional case studies with answers and rationales Additional paramedic case studies with answers and rationales Paramedic test bank Test bank Instructor and student resources: Additional case studies Additional paramedic case studies Videos

The revised, updated Fourth Edition of this popular handbook provides practical, accessible information on all aspects of dialysis, with emphasis on day-to-day management of patients. Chapters provide complete coverage of hemodialysis, peritoneal dialysis, special problems in dialysis patients, and problems pertaining to various organ systems. This edition reflects the latest guidelines of the National Kidney Foundation's Kidney Disease Outcomes Quality Initiative (KDOQI) on hemodialysis and peritoneal dialysis adequacy and on nutrition. New chapters cover chronic kidney disease management in predialysis patients, frequent daily or nocturnal hemodialysis, and hemodiafiltration. Chapters on venous and arteriovenous access have been completely revised. Each chapter provides references to relevant Web sites.

THE ESSENTIAL WORK IN TRAVEL MEDICINE -- NOW COMPLETELY UPDATED FOR 2018 As unprecedented numbers of travelers cross international borders each day, the need for up-to-date, practical information about the health challenges posed by travel has never been greater. For both international travelers and the health professionals who care for them, the CDC Yellow Book 2018: Health Information for International Travel is the definitive guide to staying safe and healthy anywhere in the world. The fully revised and updated 2018 edition codifies the U.S. government's most current health guidelines and information for international travelers, including pretravel vaccine recommendations, destination-specific health advice, and easy-to-reference maps, tables, and charts. The 2018 Yellow Book also addresses the needs of specific types of travelers, with dedicated sections on: · Precautions for pregnant travelers, immunocompromised travelers, and travelers with disabilities · Special considerations for newly arrived adoptees, immigrants, and refugees · Practical tips for last-minute or resource-limited travelers · Advice for air crews, humanitarian workers, missionaries, and others who provide care and support overseas Authored by a team of the world's most esteemed travel medicine experts, the Yellow Book is an essential resource for travelers -- and the clinicians overseeing their care -- at home and abroad.