In the wake of his girlfriend's suicide, Brody - a bright but naive high school senior - descends into a world of drugs, sex, and violence. Equally visceral, disturbing, and heartbreaking, When You Bleed to Death is an honest, unflinching look at the life of someone with Borderline Personality Disorder.
From a Harvard scholar and former Obama official, a powerful proposal for curtailing violent crime in America Urban violence is one of the most divisive and allegedly intractable issues of our time. But as Harvard scholar Thomas Abt shows in Bleeding Out, we actually possess all the tools necessary to stem violence in our cities. Coupling the latest social science with firsthand experience as a crime-fighter, Abt proposes a relentless focus on violence itself -- not drugs, gangs, or guns. Because violence is "sticky," clustering among small groups of people and places, it can be predicted and prevented using a series of smart-on-crime strategies that do not require new laws or big budgets. Bringing these strategies together, Abt offers a concrete, cost-effective plan to reduce homicides by over 50 percent in eight years, saving more than 12,000 lives nationally. Violence acts as a linchpin for urban poverty, so curbing such crime can unlock the untapped potential of our cities' most disadvantaged communities and help us to bridge the nation's larger economic and social divides. Urgent yet hopeful, Bleeding Out offers practical solutions to the national emergency of urban violence -- and challenges readers to demand action.
The first edition of this publication was aimed at defining the current concepts of trauma induced coagulopathy by critically analyzing the most up-to-date studies from a clinical and basic science perspective. It served as a reference source for any clinician interested in reviewing the pathophysiology, diagnosis, and management of the coagulopathic trauma patient, and the data that supports it. By meticulously describing the methodology of most traditional as well as state of the art coagulation assays the reader is provided with a full understanding of the tests that are used to study trauma induced coagulopathy. With the growing interest in understanding and managing coagulation in trauma, this second edition has been expanded to 46 chapters from its original 35 to incorporate the massive global efforts in understanding, diagnosing, and treating trauma induced coagulopathy. The evolving use of blood products as well as recently introduced hemostatic medications is reviewed in detail. The text provides therapeutic strategies to treat specific coagulation abnormalities following severe injury, which goes beyond the first edition that largely was based on describing the mechanisms causing coagulation abnormalities. Trauma Induced Coagulopathy 2nd Edition is a valuable reference to clinicians that are faced with specific clinical challenges when managing coagulopathy.
"Sudden, unexpected death notification stresses everyone involved. Grave Words: Notifying Survivors about Sudden, Unexpected Deaths provides a way to ease the pain a little - for notifier and survivor alike. It explains, step by step, how to relate tragic news to survivors by providing true-life case studies, in-depth information, and protocols tailored to a variety of situations." "Protocols for death notification by physicians, nurses, emergency medical services personnel, chaplains, medical examiners or coroners, and police officers are detailed in the book. Also included are bereavement resources and support groups, a death-notification course outline, police and military in-line-of-duty notification protocols, and airline disaster protocols."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved
This presentation describes various aspects of the regulation of tissue oxygenation, including the roles of the circulatory system, respiratory system, and blood, the carrier of oxygen within these components of the cardiorespiratory system. The respiratory system takes oxygen from the atmosphere and transports it by diffusion from the air in the alveoli to the blood flowing through the pulmonary capillaries. The cardiovascular system then moves the oxygenated blood from the heart to the microcirculation of the various organs by convection, where oxygen is released from hemoglobin in the red blood cells and moves to the parenchymal cells of each tissue by diffusion. Oxygen that has diffused into cells is then utilized in the mitochondria to produce adenosine triphosphate (ATP), the energy currency of all cells. The mitochondria are able to produce ATP until the oxygen tension or PO2 on the cell surface falls to a critical level of about 4–5 mm Hg. Thus, in order to meet the energetic needs of cells, it is important to maintain a continuous supply of oxygen to the mitochondria at or above the critical PO2 . In order to accomplish this desired outcome, the cardiorespiratory system, including the blood, must be capable of regulation to ensure survival of all tissues under a wide range of circumstances. The purpose of this presentation is to provide basic information about the operation and regulation of the cardiovascular and respiratory systems, as well as the properties of the blood and parenchymal cells, so that a fundamental understanding of the regulation of tissue oxygenation is achieved.
This book is written for individuals who have gone though many heartfelt hurts and life challenges while in leadership positions. Leading and not dealing with the onset of pains and disappointments can cause many malfunctions while leading. What we have learned is that you can lead while bleeding. We have seen this from many personal experiences and have witnessed many of our friends, family, and peers even die in that state. We've come to realize that it is crucial that you do the work and deal with matters; otherwise, it can cost you everything. Some say... this will be the leaders First Aid Kit!In this book we discuss real life personal experiences and issues we have seen other leaders face. When you don't give attention to the root of your pain, you can turn to many ways to cover it up and many ways to sedate yourself, with things like drugs alcohol, affairs, porno, a controlling spirit, adultery, rebellion against God's authority, lying, cheating-it goes on and on. Some say... finally a book that addresses and speaks to the pain of leadership! This book is dedicated to every leader, couple, and volunteer who are on the front lines of ministry and business; those who have been through the fire, through the storms of life, family and ministry, and found themselves bleeding while leading. Some say... finally a book that speaks to real people with real issues!We have all heard of leaders falling and failing both privately and publically but can you tell if you're bleeding to death or dying a slow death as a result of judgements, personal storms, betrayal, character failures or even unfulfilled dreams or desires that never happened?Some say... finally a book that challenges leaders, spouses, volunteers in church and businessmen to take off the mask and confront mental and emotional conflict! This book can be viewed as a kind of First Aid Kit to help stop or identify emotional bleeding, leaking or hemorrhaging that may be happening to you or others around you. Never before has there been a book written to help believers in both ministry or business address and overcome the pains and disappointments of leadership. The reader will find simple action steps and wisdom required to stop the bleeding, walk in heal and deliverance in order to move forward in faith and victory!
Historically, 20% of all injured combatants die on the battlefield before they can be evacuated to a field hospital. Blood lossâ€"hemorrhageâ€"is the single major cause of death among those killed in action whose lives might otherwise be saved. Fluid resuscitation and the treatment of hypovolemia (the abnormally decreased volume of circulating fluid in the body) offer the greatest opportunity for reducing mortality and morbidity associated with battlefield casualties. In Fluid Resuscitation, a committee of experts assess current resuscitation fluids and protocols for the treatment of combat casualties and make recommendations for future research. Chapters focus on the pathophysiology of acute hemorrhagic shock, experience with and complications of fluid resuscitation, novel approaches to the treatment of shock, protocols of care at the site of injury, and future directions for research. The committee explicitly describes the similarities and differences between acute medical care during combat and civilian emergency trauma care. Fluid Resuscitation should help energize and focus research in both civilian and military emergency care and help save the lives of citizens and soldiers alike.
"The Masque of the Red Death", originally published as "The Mask of the Red Death: A Fantasy", is an 1842 short story by American writer Edgar Allan Poe. The story follows Prince Prospero's attempts to avoid a dangerous plague, known as the Red Death, by hiding in his abbey. He, along with many other wealthy nobles, hosts a masquerade ballwithin seven rooms of the abbey, each decorated with a different color. In the midst of their revelry, a mysterious figure disguised as a Red Death victim enters and makes his way through each of the rooms. Prospero dies after confronting this stranger, whose "costume" proves to contain nothing tangible inside it; the guests also die in turn. Poe's story follows many traditions of Gothic fiction and is often analyzed as an allegory about the inevitability of death, though some critics advise against an allegorical reading. Many different interpretations have been presented, as well as attempts to identify the true nature of the titular disease. The story was first published in May 1842 in Graham's Magazineand has since been adapted in many different forms, including a 1964 film starring Vincent Price.
Medicine developed into a science in the 1800s, but it was a long evolution from folk remedies and superstition to a modern understanding of how the human body works and how disease is spread. Throughout much of the century, the life expectancy of the average American was decades shorter than it is now. A lack of understanding of simple hygiene contributed to the early death of many women after childbirth, and children routinely died of common childhood diseases like measles. An incorrectly treated broken arm could kill a healthy young man, and pain, disfigurement, and epidemic disease was the fate of many Americans. Traditional herbal remedies were sometimes the best treatments available, while patent medicines often contained toxic substances, and medical procedures were often painful, disgusting, and ultimately useless. The dedicated scientists and medical researchers of the 1800s made a tremendous contribution to the health and happiness of Americans.
This “comforting…thoughtful” (The Washington Post) guide to maintaining a high quality of life—from resilient old age to the first inklings of a serious illness to the final breath—by the New York Times bestselling author of Knocking on Heaven’s Door is a “roadmap to the end that combines medical, practical, and spiritual guidance” (The Boston Globe). “A common sense path to define what a ‘good’ death looks like” (USA TODAY), The Art of Dying Well is about living as well as possible for as long as possible and adapting successfully to change. Packed with extraordinarily helpful insights and inspiring true stories, award-winning journalist Katy Butler shows how to thrive in later life (even when coping with a chronic medical condition), how to get the best from our health system, and how to make your own “good death” more likely. Butler explains how to successfully age in place, why to pick a younger doctor and how to have an honest conversation with them, when not to call 911, and how to make your death a sacred rite of passage rather than a medical event. This handbook of preparations—practical, communal, physical, and spiritual—will help you make the most of your remaining time, be it decades, years, or months. Based on Butler’s experience caring for aging parents, and hundreds of interviews with people who have successfully navigated our fragmented health system and helped their loved ones have good deaths, The Art of Dying Well also draws on the expertise of national leaders in family medicine, palliative care, geriatrics, oncology, and hospice. This “empowering guide clearly outlines the steps necessary to prepare for a beautiful death without fear” (Shelf Awareness).