Every Minute Is a Day

Every Minute Is a Day PDF Author: Robert Meyer, MD
Publisher: Crown
ISBN: 0593238605
Category : Social Science
Languages : en
Pages : 256

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Book Description
An urgent, on-the-scene account of chaos and compassion on the front lines of ground zero for Covid-19, from a senior doctor at New York City’s busiest emergency room “Remarkable and inspiring . . . We’re lucky to have this vivid firsthand account.”—A. J. Jacobs, bestselling author of The Year of Living Biblically When former New York Times journalist Dan Koeppel texted his cousin Robert Meyer, a twenty-year veteran of the emergency room at Montefiore Medical Center in the Bronx, at the beginning of the Covid-19 crisis in the United States, he expected to hear that things were hectic. On a scale of 1 to 10, 10 being overwhelmed, where do you think you are? Koeppel asked. Meyer’s grave reply—100—was merely the cusp of the crisis that would soon touch every part of the globe. In need of an outlet to process the trauma of his working life over the coming months, Meyer continued to update Koeppel with what he’d seen and whom he’d treated. The result is an intimate record of historic turmoil and grief from the perspective of a remarkably resilient ER doctor. Every Minute Is a Day takes us into a hospital ravaged by Covid-19 and is filled with the stories of promises made that may be impossible to keep, of life or death choices for patients and their families, and of selflessness on the part of medical professionals who put themselves at incalculable risk. As fast-paced and high-tempo as the ER in which it takes place, Every Minute Is a Day is at its core an incomparable firsthand account of unrelenting compassion, and a reminder that every human life deserves a chance to be saved.

Every Minute Is a Day

Every Minute Is a Day PDF Author: Robert Meyer, MD
Publisher: Crown
ISBN: 0593238605
Category : Social Science
Languages : en
Pages : 256

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Book Description
An urgent, on-the-scene account of chaos and compassion on the front lines of ground zero for Covid-19, from a senior doctor at New York City’s busiest emergency room “Remarkable and inspiring . . . We’re lucky to have this vivid firsthand account.”—A. J. Jacobs, bestselling author of The Year of Living Biblically When former New York Times journalist Dan Koeppel texted his cousin Robert Meyer, a twenty-year veteran of the emergency room at Montefiore Medical Center in the Bronx, at the beginning of the Covid-19 crisis in the United States, he expected to hear that things were hectic. On a scale of 1 to 10, 10 being overwhelmed, where do you think you are? Koeppel asked. Meyer’s grave reply—100—was merely the cusp of the crisis that would soon touch every part of the globe. In need of an outlet to process the trauma of his working life over the coming months, Meyer continued to update Koeppel with what he’d seen and whom he’d treated. The result is an intimate record of historic turmoil and grief from the perspective of a remarkably resilient ER doctor. Every Minute Is a Day takes us into a hospital ravaged by Covid-19 and is filled with the stories of promises made that may be impossible to keep, of life or death choices for patients and their families, and of selflessness on the part of medical professionals who put themselves at incalculable risk. As fast-paced and high-tempo as the ER in which it takes place, Every Minute Is a Day is at its core an incomparable firsthand account of unrelenting compassion, and a reminder that every human life deserves a chance to be saved.

The Emergency Room Crisis

The Emergency Room Crisis PDF Author: United States. Congress. House. Select Committee on Narcotics Abuse and Control
Publisher:
ISBN:
Category : Drug abuse
Languages : en
Pages : 120

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Book Description


The Crisis in America's Emergency Rooms and what Can be Done

The Crisis in America's Emergency Rooms and what Can be Done PDF Author: John S. O'Shea
Publisher:
ISBN:
Category :
Languages : en
Pages : 19

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Book Description


Crisis Standards of Care

Crisis Standards of Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309285526
Category : Medical
Languages : en
Pages : 217

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Book Description
Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

Emergency Care and the Public's Health

Emergency Care and the Public's Health PDF Author: Jesse M. Pines
Publisher: John Wiley & Sons
ISBN: 1118779797
Category : Medical
Languages : en
Pages : 230

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Book Description
As US health care systems undergo a period of transformative change, so too will emergency care, and more specifically emergency departments. This transformation will include: The development of new diagnostic, therapeutic, and information technologies A growing need to prepare and respond to emerging public health threats The expansion of the role of allied health professionals to address the workforce crisis Novel expectations for care coordination The fundamental economics of emergency care under new payment models, and The key relationship with American law. Emergency Care and the Public's Health explores the complex role of emergency care in the context of these changes and as an increasingly vital component of health care systems both within and outside the US. From an expert emergency medicine team, this new title is a reference for emergency care and critical care providers, allied health professionals and hospital administrators. It is also for relevant for public policy and healthcare policy professionals.

Helping Kids in Crisis

Helping Kids in Crisis PDF Author: Fadi Haddad
Publisher: American Psychiatric Pub
ISBN: 1585625477
Category : Medical
Languages : en
Pages : 230

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Book Description
Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents provides expert guidance to practitioners responding to high-stakes situations, such as children considering or attempting suicide, cutting or injuring themselves purposely, and becoming aggressive or violently destructive. Children experiencing behavioral crises frequently reach critical states in venues that were not designed to respond to or support them -- in school, for example, or at home among their highly stressed and confused families. Professionals who provide services to these children must be able to quickly determine threats to safety and initiate interventions to deescalate behaviors, often with limited resources. The editors and authors have extensive experience at one of the busiest and best regional referral centers for children with psychiatric emergencies, and have deftly translated their expertise into this symptom-based guide to help non-psychiatric clinicians more effectively and compassionately care for this challenging population. The book is designed for ease of use and its structure and features are helpful and supportive: The book is written for practitioners in hospital or community-based settings, including physicians in training, pediatricians who work in office-based or emergency settings, psychologists, social workers, school psychologists, guidance counselors, and school nurses -- professionals for whom child psychiatric resources are few. Clear risk and diagnostic assessment tools allow clinicians working in settings without access to child mental health professionals to think like trained emergency room child psychiatrists--from evaluation to treatment. The content is symptom-focused, enabling readers to swiftly identify the appropriate chapter, with decision trees and easy-to-read tables to use for quick de-escalation and risk assessment. A guide to navigating the educational system, child welfare system, and other systems of care helps clinicians to identify and overcome systems-level barriers to obtain necessary treatment for their patients. Finally, the book provides an extensive review of successful models of emergency psychiatric care from across the country to assist clinicians and hospital administrators in program design. An abundance of case examples of common emergency symptoms or behaviors provides professionals with critical, concrete tools for diagnostic evaluation, risk assessment, decision making, de-escalation, and safety planning. Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents is a vital resource for clinicians facing high-risk challenges on the front lines to help them intervene effectively, relieve suffering, and keep their young patients safe.

Crisis Standards of Care

Crisis Standards of Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030915037X
Category : Medical
Languages : en
Pages : 175

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Book Description
During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable health care providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them. Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges.

Emergency Department Treatment of the Psychiatric Patient

Emergency Department Treatment of the Psychiatric Patient PDF Author: Susan Stefan
Publisher: Oxford University Press
ISBN: 0195189299
Category : Law
Languages : en
Pages : 232

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Book Description
"In Emergency Department Treatment of the Psychiatric Patient Dr. Stefan uses research, surveys, and statutory and litigation materials to examine problems with emergency department care for clients with psychiatric disorders." "She relies on interviews with emergency department nurses, doctors, and psychiatrists, as well as surveys of people with psychiatric disabilities, to present the perspectives of both the individuals seeking treatment, and those providing it." "This eye-opening book explores the structural pressures on emergency departments and identifies the burdens and conflicts that undermine their efforts to provide compassionate care to people in psychiatric crisis." --Book Jacket.

Hospital-Based Emergency Care

Hospital-Based Emergency Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133777
Category : Medical
Languages : en
Pages : 424

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Book Description
Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Crisis Standards of Care

Crisis Standards of Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 9780309253468
Category : Medical
Languages : en
Pages : 0

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Book Description
Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.