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War and memorials : the age of nationalism and the Great War
War Memorials were an important element of nation building, for the invention of traditions, and the estab-lishment of historical traditions. Especially nationalist remembrance in the late 19th century and the memory of the First World War stimulated a memorial boom in the period which the present book is focusing on. The remembrance of war is nothing particularly new in history, since victories in decisive battles had been of interest since ancient times. However, the age of na-tionalism and the First World War triggered a new level of war remembrance that was expressed in countless memorials all over the world. The present volume pre-sents the research of international specialists from dif-ferent disciplines within the Humanities, whose research is dealing with the role of war memorials for the remem-brance of conflicts like the First World War and their perceptions within the analyzed societies. It will be shown how memorials - in several different chronologi-cal and geographical contexts - were used to remember the dead, remind the survivors, and warn the descendants.
eBook
The world don't owe me nothing : the life and times of Delta bluesman Honeyboy Edwards
This vivid oral snapshot of an America that planted the blues is full of rhythmic grace. From the son of a sharecropper to an itinerant bluesman, Honeyboy's stories of good friends Charlie Patton, Big Walter Horton, Little Walter Jacobs, and Robert Johnson are a godsend to blues fans. History buffs will marvel at his unique perspective and firsthand accounts of the 1927 Mississippi River flood, vagrancy laws, makeshift courts in the back of seed stores, plantation life, and the Depression.
eBook
The Capacity Conundrum in Emergency Medicine
• Patients are presumed to be capable of making choices for themselves, unless proven otherwise; the physician is required to determine incapacity. • Capacity is essential for valid consent for medical care and treatment. • Capacity is NOT a test result, diagnosis, or score on an assessment tool. • Capacity involves the process of decision making and does not depend on the specific choice that is made. • Capacity assessment focuses on the specific abilities that a patient requires to make a decision about a specific situation. • People who are capable can make rational decisions that are based on their values and goals, as well as on their knowledge and understanding of the issues they face. Capable people can identify and accept risks. • Capacity is not one ability that people have or do not have. People employ different abilities to make different types of choices. Capacity is specific to the task. • Assessment of capacity is domain-specific; six recognized domains are healthcare, nutrition, clothing, shelter, hygiene, and safety. Patients may have capacity in one domain but they may lack capacity in another. • Assessing capacity requires considering the whole person — it is not related to an illness, a diagnosis, or a living situation. Being homeless, being a resident of a long-term care facility, or abusing drugs or alcohol does not automatically render a patient incapable of medical decision making. • Assessment of capacity relates to two ethical principles: the need to balance autonomy (self-determination) and beneficence (protection). • Incapacity often is reversible. Illnesses and intoxications can temporarily impair capacity. Patients can regain capacity on recovery.
Journal Article
About Face: A Review of Facial Paralysis for Emergency Clinicians
Although the most common cause of facial nerve weakness is Bell’s palsy, pursue a careful history along with a detailed otolaryngologic and neurologic exam to avoid missing other causes.* The facial nerve is primarily a motor nerve; associated sensory and parasympathetic components of this nerve may produce symptoms when this nerve is diseased.* The long course of the facial nerve and its many branches may produce symptoms and physical findings in addition to facial weakness.* An important distinction when evaluating acute unilateral facial weakness is whether the weakness is confined to the lower face vs. weakness involving both the upper and lower face.* The inability to fully close the eyelid may lead to corneal dryness; initiate artificial tear ointment and nocturnal patching to prevent permanent damage.* Send serologic testing and initiate empiric antibiotic therapy for Lyme disease when facial nerve palsy presents from an endemic area.Emergency medicine clinicians routinely encounter patients with facial paralysis and need a straightforward way to filter through the wide range of differential diagnoses. Although the majority of these patients can be diagnosed and appropriately treated based on the results of the history and exam, clinicians must be confident they can identify those individuals with more serious and potentially life-threatening conditions presenting with facial palsy and understand the next steps in evaluation.This article reviews the fundamentals of facial paralysis, including its epidemiology, anatomy, and differential diagnosis. The article’s primary goal is to provide clinicians with a practical, straightforward approach to reaching the correct diagnosis and avoiding pitfalls along the way. The article also gives a state-of-the-science review of treatment modalities, with special attention to the treatment of Lyme disease — an increasingly major concern in endemic areas for patients who present with facial paralysis.
Journal Article
Code Melancholia: A Review of Depression for Emergency Physicians
* Depression is a clinical diagnosis that must be present for at least two weeks. It may be associated with suicidal thoughts. * Antidepressants generally are started by outpatient physicians, but they can be started in the ED if there is communication with an outpatient physician. * SNAGGLE is a mnemonic for serotonin syndrome, which can be seen after overdose (monoamine oxidase inhibitors) or with a combination of medications. * Ketamine appears to have antidepressant activity that starts shortly after infusion. In the future, this may become an ED medication.
Journal Article
Pitfalls in Treating Hand Emergencies
• Hand injuries are common, and there are a number of pitfalls for emergency physicians and providers who treat them. When in doubt, consult a hand surgeon for advice, and provide follow-up for patients. • A common injury is a \"bite\" to the metacarpals with tendon involvement. The injury is sustained when an individual punches another in the mouth, and the skin is lacerated by the teeth. Patients often are intoxicated or deny the mechanism of the injury. • High-pressure spray devices for paint or grease, or even pressure washers, can penetrate the skin with little to no external injury. Pain nearly always is present. Many of these will require surgical treatment. • A herpetic whitlow is an infection with the herpes virus. It can look like a paronychia on the finger. Be suspicious of this if there are vesicles present, particularly in healthcare workers, although the use of gloves has decreased this injury.
Journal Article