Tuesday, January 20, 2009

Wilderness 911 A Step by Step Guide for Medical Emergencies and Improvised Care in the Backcountry or The Health Professionals Guide to Dietary Supplements

Wilderness 911: A Step-by-Step Guide for Medical Emergencies and Improvised Care in the Backcountry

Author: Eric A Weiss

"Wilderness 911" takes all back country travelers from the basics of first aid to more advanced wilderness medicine with straightforward, step-by-step instructions. Readers will learn how to improvise with such items as dental floss, duct tape, honey, and plastic wrap. 6 photos, 80 illustrations.

Library Journal

Auerbach, former editor of Journal of Wilderness Medicine and author of several outdoor medicine books, has updated his classic text, first published in 1986, with instructions for handling almost any medical problem likely to arise. Divided into five sections, this book covers basic first aid, major medical emergencies, minor problems, those specific to particular environments such as high altitude or underwater settings, and miscellaneous topics like transporting the injured and performing procedures. Appendixes include medication dosages and conversion tables. Weiss, an emergency medicine physician and medical editor for Backpacker magazine, has written a compact guide for remote situations where professional medical care is not readily available, diagnosis must be rapid, and treatment may have to be improvised using whatever materials are at hand. Part 1 covers basic techniques such as CPR; Part 2, specific injuries or illnesses. For each problem Weiss lists signs and symptoms, general treatment guidelines, "when to worry" icons recommending prompt evacuation, and "backcountry tips" showing how to use what you have as makeshift medical supplies. Appendixes cover medications, evacuation of the injured, and what to include in a wilderness first-aid kit. Both physicians emphasize the need for preparation and prevention before embarking on any outdoor travel. Auerbach includes topics not covered in the shorter Weiss book, but in general they include much the same material. Both are well illustrated with excellent line drawings demonstrating techniques. (Indexes not seen.)--Anne C. Tomlin, Auburn Memorial Hosp. Lib., NY

Interesting book: Restaurant Recipes of the Ozarks Missouri or Make Mine Vodka

The Health Professionals Guide to Dietary Supplements

Author: Shawn Talbott

This quick-glance reference helps students and health professionals educate themselves and their patients/clients about the scientific evidence for and against more than 120 popular dietary supplements. Supplements are logically grouped into 12 chapters based on their primary desired effect, such as weight loss, joint support, and sports performance enhancement. The authors give each supplement a one-to-five-star rating based on the level of scientific substantiation for each of its major claimed effects. The book highlights crucial safety issues regarding each supplement and sets forth recommended dosages for particular effects. A quick-reference appendix lists all the supplements alphabetically with their star ratings.

Doody Review Services

Reviewer:Paul R Hutson, Pharm.D., M.S.(University of Wisconsin)
Description:This is an up-to-date summary and assessment of clinical studies of dietary supplements. Although the list of supplements is not exhaustive, the authors succeed in addressing those that are both most likely to have therapeutic benefit and to be accessible to most patients. The book is divided into rational groupings of supplements as chapters (e.g., "Heart Health Supplements") that contain short monographs of individual supplements. These monographs include a short overview, a summary of the scientific support for common applications, safety, and common doses. Each monograph begins with a qualitative rating of the quality of the evidence for the applications presented, and ends with separate clinical trial references and in some cases suggestions for additional reading.
Purpose:The purpose is to provide a synopsis of clinical studies of the more commonly used dietary supplements. The stated goal is to enable healthcare professionals to converse with patients or clients about the clinical evidence supporting or refuting the use of single dietary supplements. In reviewing the more than 120 supplements, the authors provide some discrimination in identifying applications of supplements that do not appear at this time to have strong merit. A strength of the book is the reference of foreign studies (e.g., German or Chinese) for supplements that do not yet have a clinical trial record in the English literature.
Audience:Although the book is intended as a tool for healthcare professionals to improve their appreciation of the peer-reviewed clinical researchliterature on dietary supplements, in fact, it appears most helpful for nutritionists, sports trainers, and nurses. Inadequate evaluation is provided for pharmacists to weigh the merits of specific combinations or criteria for product selection. Physicians are provided with little if any guidance on the added benefit of supplements with respect to prescribed medications, nor are they given specific monitoring or counseling guidelines.
Features:The scope of dietary supplements addressed is very practical. Coverage of the various uses of supplements is also generally complete, with qualitative assessments of the relative merits of the supplement in the monograph introduction and text. The text is not data-rich, with numbers found almost exclusively in the presentation of doses. There are no tables comparing the effects of similar or complementary therapies to obtain a quantitative understanding of the likely treatment effect. The authors reflect the level of scientific evidence with their overall ranking for various applications. Information that is not consistently presented that would be helpful in patient counseling includes laboratory and clinical monitoring criteria and time points for assessing benefit and/or toxicity of the supplement, particularly if combined with prescription drugs.
Assessment:This is an excellent source of summaries of clinical trials of single-agent dietary supplements in a host of applications. It provides the motivated practitioner with current citations of relevant clinical trials that can be consulted if additional details or information is needed. Other resources may be more helpful, depending on the information required. The Natural Medicines Comprehensive Database (Pharmacist's Letter, 2006) also provides grouping of supplements by indication, and an index of the known ingredients of combination products. Monographs available in the online version address the relative merits of supplements for various applications. However, this guide is a good value and a very helpful resource for many healthcare professionals who are seeking a readable, organized summary of the utility, common doses, and safety issues associated with common dietary supplements.

Table of Contents:

Weight Loss Supplements

Sports Supplements (Ergogenic Aids)

Energy Supplements

Bone Support Supplements

Joint Support Supplements

Brain and Mood Support Supplements

Heart Health Supplements

Immune Support Supplements

Antioxidant and Eye Health Supplements

Gastrointestinal Support Supplements

Supplements for "Male" and "Female" Health

Supplements for Diabetes and Blood Sugar Control

Appendix: Supplements and Their Star Rankings

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