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Emergency and Critical Care of Severely Injured Patients
Severe trauma is among the leading causes of death and morbidity in many age groups worldwide. The chain of survival in critically ill injured patients starts on the scene, continues in the emergency department, and carries on in the first surgical phase and the intensive care unit. The optimal care of such patients depends on both the medical treatment as well as the organizational management. Many medical problems in the care of severely injured patients might be similar in most parts of the world, while the organizational challenges on the trauma systems are quite diverse. Therefore, it appears essential to consider both the medical treatment and the organizational management to optimize the care of critically ill trauma patients in different world regions.
Guidelines for Essential Trauma Care
Injury is an increasingly significant health problem throughout the world, accounting for 16 per cent of the global burden of disease. The public health burden of death and disability from injury is particularly notable in low and middle income countries. These guidelines seek to establish practical and affordable standards applicable to injury or trauma care worldwide, whether in rural health posts, small hospitals, hospitals staffed by specialists or tertiary care centres. It sets out a list of key trauma treatment services designed to be achievable in all settings, and defines the various human and physical resources required. It also includes a number of recommendations for methods to promote such standards including training, performance improvement, trauma team organisation and hospital inspection.
Universal Health Coverage for Inclusive and Sustainable Development
The book synthesizes the experiences from Bangladesh, Brazil, France, Ethiopia, Ghana, Indonesia, Japan, Peru, Thailand, Turkey and Vietnam in implementing policies to achieve and sustain Universal Health Coverage. The study focuses on three aspects of UHC reforms: political economy, health financing, and human resources for health.
Immune Landscape of Kidney Pathology
Topic Editor Dr. Patrick Tang holds patents related to anticancer therapy and diabetic prevention. All other Topic Editors declare no competing interests with regards to the Research Topic.
Surgical Care at the District Hospital
Many patients who present to district (first-referral) level hospitals require surgical treatment for trauma, obstetric, abdominal or orthopedic emergencies. Often surgery cannot be safely postponed to allow their transfer to a secondary or tertiary-level hospital but many district hospitals in developing countries have no specialist surgical teams and are staffed by medical, nursing, and paramedical personnel who perform a wide range of surgical procedures often with inadequate training. The quality of surgical and acute care is often further constrained by poor facilities, inadequate low-technology apparatus and limited supplies of drugs, materials, and other essentials. The mission of the...
Infections in Surgery
Although most clinicians are aware of the problem of antimicrobial resistance, most also underestimate its significance in their own hospital. The incorrect and inappropriate use of antibiotics and other antimicrobials, as well as poor prevention and poor control of infections, are contributing to the development of such resistance. Appropriate use of antibiotics and compliance with infection prevention and control measures should be integral aspects of good clinical practice and standards of care. However, these activities are often inadequate among clinicians, and there is a considerable gap between the best evidence and actual clinical practice. In hospitals, cultural determinants influen...
AFRICA THE WAY FORWARD
The hour of reawakening is now. Mother Africa beckons to her children in love. Africa moves forward and there will be happiness once more. Her beauty will radiate in harmony with the Will of the Creator. She will cry no more. True leaders will arise in this time of judgement and the noble woman of Africa will recognize her calling and she will be called the true mother. True knowledge shall once more descend on the inhabitants, spiritual maturity will be seen in the nobility and deeds of her sons. Africa the way forward clarifies and readdresses the confusion that surrounds the African lands today. From governance to spirituality and religion, it tries to simplify and re directs the seeker to the eternal unchangeable Truth which can only break the stronghold of the darkness and destroy it. This book directs he who reads without prejudice to the right path of freedom and liberation.
