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Ambulance Attendant: Passbooks Study Guide (Career Examination Series #C-1088)

by National Learning Corporation

The Ambulance Attendant Passbook® prepares you for your test by allowing you to take practice exams in the subjects you need to study. It provides hundreds of questions and answers in the areas that will likely be covered on your upcoming exam.

Ambulance Girl: How I Saved Myself By Becoming an EMT

by Jane Stern

Five years ago Jane Stern was a walking encyclopedia of panic attacks, depression, and hypochondria. Her marriage of more than thirty years was suffering, and she was virtually immobilized by fear and anxiety. As the daughter of parents who both died before she was thirty, Stern was terrified of illness and death, and despite the fact that her acclaimed career as a food and travel writer required her to spend a great deal of time on airplanes, she suffered from a persistent fear of flying and severe claustrophobia. But a strange thing happened one day on a plane that was grounded at the Minneapolis airport for six horrible, foodless, airless hours. A young man on a trip with his classmates suddenly became dizzy and pale because he hadn't eaten in many hours, and there was no food left on the plane. Without thinking about it, Jane gave him the candy bar that she had in her purse. A short time later the color had returned to his cheeks, the boy was laughing again with his friends, and Jane realized that this one small act of kindness--helping another person who was suffering--had provided her with comfort and a sense of well-being.It was shortly thereafter that this fifty-two-year-old writer decided to become an emergency medical technician, eventually coming to be known as Ambulance Girl. Stern tells her story with great humor and poignancy, creating a wonderful portrait of a middle-aged, Woody Allen-ish woman who was "deeply and neurotically terrified of sick and dead people," but who went out into the world to save other people's lives as a way of saving her own. Her story begins with the boot camp of EMT training: 140 hours at the hands of a dour ex-marine who took delight in presenting a veritable parade of amputations, hideous deformities, and gross disasters. Jane--overweight and badly out of shape--had to surmount physical challenges like carrying a 250-pound man seated in a chair down a dark flight of stairs. After class she did rounds in the emergency room of a local hospital, where she attended to a schizophrenic kickboxer who had tried to kill his mother that morning and a stockbroker who was taken off the commuter train to Manhattan with delirium tremens so bad it killed him. Each call Stern describes is a vignette of human nature, often with a life in the balance. From an AIDS hospice to town drunks, yuppie wife beaters to psychopaths, Jane comes to see the true nature and underlying mysteries of a town she had called home for twenty years. Throughout the book we follow her as she gets her sea legs and finally bonds with the burly, handsome firefighters who become her colleagues. At the end, she is named the first woman officer of the department--a triumph we joyously share with her.Ambulance Girl is an inspiring story by a woman who found, somewhat late in life, that "in helping others I learned to help myself." It is a book to be treasured and shared.From the Hardcover edition.

Ambulance Girls At War

by Deborah Burrows

Ambulance No. 10. Personal Letters Of A Driver At The Front [Illustrated Edition]

by Leslie Buswell

"Letters describing the daily life and activities of a section of the voluntary "American Ambulance Field Service in France", operating over a period of four months in 1915 in Lorraine in support of the French.These letters were written by a member of the American Ambulance Field Service in France, a voluntary organisation that came into existence soon after the outbreak of war and in 1916 had over 200 motor ambulances. They were driven by young American volunteers, most of them graduates of American universities, who got no salary but their living expenses were paid. The ambulances were grouped in sections of twenty to thirty vehicles, attached to the French Armies and carried the wounded between the front and Army Hospitals within the Army zone. They were particularly useful in Alsace where their light but powerful vehicles were able to cope with the steep mountain passes which French motor ambulances could not manage. The section in which the writer of these letters served and whose daily life and activities he describes was located in Lorraine. The letters cover a period of four months from June to October 1915 and were first published in 1915 under the title With the American Ambulance Field Service in France, changed to Ambulance No 10 for this 1916 edition, purely for the sake of brevity. There is plenty of action to read about in this correspondence and there are interesting photographs."-N&M Print Version.

Ambulance Services: Leadership and Management Perspectives

by Kevin Mackway-Jones Paresh Wankhade

This volume provides fresh insights and management understanding of the changing role of the ambulance services against the backdrop of massive cuts in health budgets around the world and the changing context of pre-hospital care within the wider healthcare networks. The challenges of funding, training and cultural transformation are now felt globally. The need to learn and adapt from suitable models of ambulance service delivery have never been greater. The book offers critical insights into the theory and practice of strategic and operational management of ambulance services and the leadership needs for the service. One of the highlight of this volume is to bring together scholarship using experts- academics, practitioners and professionals in the field, to each of the chosen topics. The chapters are based in the practical experiences of the authors and are written in a way that is accessible and suitable for a range of audiences. We are confident that this book will cater to a wider audience to inform policy and practice, both in the UK and internationally. Paresh Wankhade is Professor of Leadership and Management at Edge Hill University, UK Kevin Mackway-Jones is the Medical Director at North West Ambulance Service NHS Trust, UK Endorsements "This unique and valuable publication, charts the history and development of the ambulance service in England over the last hundred years or so. The role of this key emergency service has always been important, and arguably never more so than today. The contributing authors have not only provided the reader with great insights into where the service has come from and the leadership challenges it has, and continues to face; it also gives examples of how the future could look as our journey of transformation continues. " Peter Bradley CBE, MBA (and author of Taking Healthcare to the Patient 2005), Chief Executive Officer. St John National Headquarters, New Zealand "With a year on year increase in demand for emergency ambulances and over 9 million calls annually, the UK Ambulance Service must change from its emergency care and transport focus model. With the increase in professionalism of paramedics and an uplift in assessment and clinical skills the modern paramedic is increasingly able to treat at home, direct patients with alternative care pathways and avoid transportation to overburdened Emergency Departments. Whilst there is some historical and cultural resistance to change there is a need for further development in clinical skills and a new perspective for the future Ambulance Service. This book brings together practitioners, managers, academics and provides a broad understanding of the major management issues in the UK Ambulance Service. It includes the history of the Ambulance Service, quality and risk management issues, commissioning, leadership, intra-operability and shape of the future ambulance service. The content will be of interest to students, practitioners and academics". Sir Keith Porter, Professor of Clinical Traumatology, University Hospitals Birmingham NHS Foundation Trust, United Kingdom

Ambulances

by Anne E. Hanson

Discusses the parts and mechanics of amublances. Presents a brief history of early emergency medical care, the development of the ambulance, and ambulance rescue today.

Ambulances (Wild About Wheels)

by Keli Sipperley

A person needs to get a hospital quick! What vehicle can get them there fast? An ambulance! Ambulances carry the equipment needed to help people in an emergency. Young readers will find out about ambulances, their main parts, and how these important vehicles are used.

Ambulances to the Rescue Around the World

by Linda Staniford

How do the emergency services in different countries of the world rescue people? How do they travel and what equipment do they use? This book looks at the work of ambulance services around the world, including how they take sick and injured people to hospitals and how they care for patients during transport.

Ambulant erworbene Pneumonie

by Santiago Ewig

Dieses Buch bietet differenzierte Diagnostik und Therapie - was, wann, warum - zur sofortigen sicheren Anwendung. Entsprechend der neuesten Studien und Leitlinien aller wichtigen deutschen, europäischen und amerikanischen Fachgesellschaften. Es geht um eine der häufigsten akuten Erkrankungen in der Inneren Medizin in Deutschland mit erheblicher Hospital-Letalität von 4-10 % (höher als beim Myokardinfarkt). Oft wird die prognostische Bandbreite unterschätzt - auch Komplikationen und schwere Verläufe mit Multiorganversagen sind möglich. Grundlagen · Epidemiologie · Mikrobiologie und Immunologie (Differential-)Diagnostik, Prognose · Klinische Symptomatik und Untersuchungsbefunde · Radiologische Bildgebung · Labordiagnostik · Differentialdiagnostische Abgrenzung von Infektionen der unteren Atemwege (akute Bronchitis, akute Exazerbation der COPD) · Risikobeurteilung im Rahmen der Erstuntersuchung (Differential-)Therapie entsprechend Schweregrad Prävention, Nachsorge · Antimikrobiell · Adjunktiv · Bei Therapieversagen · Bei rezidivierender Pneumonie · Bei Aspirationspneumonie · In der Schwangerschaft · Als terminale Komplikation am Lebensende Strategie · Qualitätskontrolle der Behandlung · Arztbrief · Leitlinien Herausgeber Professor Dr. med. Santiago Ewig Chefarzt Thoraxzentrum Ruhrgebiet, Kliniken für Pneumologie und Infektiologie, EVK Herne und Augusta-Kranken-Anstalt Bochum.

Ambulante Pflege von A bis Z

by Martina Döbele Ute Becker

Sicher und kompetent pflegen Dieses kompakte Praxisbuch unterstützt Pflegefachkräfte in der ambulanten Pflege mit prägnanten Beschreibungen zur Vorbereitung und Durchführung von Pflegemaßnahmen, dazu zahlreiche Praxistipps. Ideal zum Nachschlagen und Auffrischen für Anfänger, Wiedereinsteiger und Umschüler. Aus dem Inhalt Tägliche Pflegemaßnahmen wie Haut-, Intim-, Abendpflege Spezielle Maßnahmen wie Absaugen, Katheteranlage, PEG- und Stomaversorgung Unterstützende Maßnahmen, z. B. Wickel, therapeutische Waschungen Prophylaxen, u. a. Dekubitus und Dysphagie Wundmanagement Handlungsanweisungen für Notfälle, z. B. Schock, Atemnot Rechtliche Hinweise, u. a. zur Schweigepflicht, Vorsorgevollmacht und freiheitsentziehenden Maßnahmen

Ambulantes Operieren in Klinik, Praxis und MVZ: Rahmenbedingungen - Organisation - Patientenversorgung (Erfolgskonzepte Praxis- & Krankenhaus-Management)

by Christoph Lussi Thomas Standl

In diesem Buch beschreibt ein erfahrenes Herausgeber- und Autorenteam, wie die praktische Umsetzung des ambulanten Operierens in der Klinik, in einer Praxis oder in einem medizinischen Versorgungszentrum effektiv und ökonomisch gelingt. Das Werk wendet sich an Ärzte aller Fachdisziplinen, die in ambulanten OP-Einrichtungen arbeiten sowie an Klinikdirektoren, Verwaltungsdirektoren und Gesundheitsökonomen. Die 3. Auflage erscheint inhaltlich und strukturell komplett überarbeitet und trägt den neuesten Entwicklungen Rechnung. Der Schwerpunkt des Werkes liegt dabei auf den strukturellen und organisatorischen Aspekten des ambulanten Operierens, wobei auch für Anästhesisten und Operateure vieler Fachrichtungen medizinisch relevante Aspekte dargestellt werden.

Ambulantes Operieren: Rahmenbedingungen - Organisation - Patientenversorgung (Erfolgskonzepte Praxis- And Krankenhaus-management Ser.)

by Christoph Lussi Thomas Standl

Um Kosten zu sparen, werden Operationen häufig ambulant durchgeführt. In dem Band erläutert ein erfahrenes Herausgeber- und Autoren-Team, wie ambulantes Operieren effektiv und ökonomisch umgesetzt werden kann. Mit dem Schwerpunkt auf strukturellen, organisatorischen, forensischen und ökonomischen Aspekten bietet der Band das notwendige Wissen, um ambulante OP-Einrichtungen aufzubauen und zu überprüfen. Mit Beispielen aus verschiedenen chirurgischen Fachgebieten. Die 2. Auflage wurde komplett überarbeitet und auf den neuesten Stand gebracht.

Ambulanzprotokolle chirurgische Notfälle (Operationsberichte)

by Olaf Richter Dirk Uhlmann Holger Siekmann Katharina Bolte Rüdiger Neef

Das Verfassen eines formal und inhaltlich korrekten und rechtlich einwandfreien Berichts in einer Notfallambulanz ist in diesem Buch an über 150 beispielhaften Berichten aus der Unfallchirurgie und Orthopädie sowie der Allgemein-, Viszeral-, Gefäß- und Thoraxchirurgie anschaulich dargestellt. Sowohl Berichte zur stationären Aufnahme wie auch solche zur ambulanten Weiterbehandlung haben Platz gefunden. Einführende Kapitel erläutern den systematischen Berichtsaufbau und die rechtlichen Hintergründe sowie fachspezifische Besonderheiten. Zudem bieten die Berichte durch ihre Realitätsnähe vor allem dem Chirurgen in der Weiterbildung die Möglichkeit, sich auf seine Tätigkeit in der Ambulanz vorzubereiten.

Ambulatory Colorectal Surgery

by Laurence R. Sands Dana R. Sands

A great single-source reference encompassing all aspects of colorectal surgery, Ambulatory Colorectal Surgery covers topics:patient evaluationanorectal anatomyanorectal ultrasoundbiofeedback techniquesfecal incontinence evaluation and managementwound managementstoma managementpain managementanal fissureanorectal abscessproctalgia fugax

Ambulatory Gynaecology

by Kevin Jones

A change from traditional care pathways to more cost-effective, patient-centred approaches to medical practice lies at the heart of modern health service management. A 'see and treat' management philosophy is developing, under the umbrella term of 'ambulatory gynaecology', with one-stop clinics and day surgery operations replacing traditional outpatient consultations and inpatient surgery. This book sets out how the concept of ambulatory gynaecology can be applied to the main areas of gynaecological practice. It covers analgesia and anaesthesia for outpatient gynaecology, colposcopy services, abnormal uterine bleeding, endometrial ablation, urogynaecology, infertility, early pregnancy units, emergency gynaecological services, pelvic ultrasound and interventional radiology.

Ambulatory Gynecology

by John V. Knaus Marko J. Jachtorowycz Allan A. Adajar Teresa Tam

Focus on evidence-based medicine sets this apart from the few other texts on the subject of ambulatory gynecology.<P><P> Applicable to all health professionals who treat patients with gynecologic disorders or symptoms.<P> Includes algorithms .<P> There are approximately 55,000 practicing ob/gyns in the United States. The obstetrics and gynecology residency training authority (the Accreditation Council for Graduate Medical Education) has now pushed ambulatory primary and preventative care to the top of its list for residency training. Interest in the area of ambulatory gynecology is not just growing in the field of ob/gyn, however; family and primary care practitioners, emergency room physicians, and advance practice nurses all must know how to diagnose, manage, and treat gynecological conditions. Since office technology has expanded and decision-making has become increasingly complex, physicians need a guide through the endless list of treatment options for commonly presenting gynecologic disorders. Ambulatory Gynecology gives practitioners tools for diagnosis, investigation and management of these disorders, including decision-making algorithms. The text is evidence-based. From endocrine disorders to breast disease, preventative measures for osteoporosis to management of an abnormal pap smear, from adolescent gynecology to menopause, this book is crucial for office-based physicians to feel confident practicing in all areas of gynecology.

Ambulatory Impedance Cardiography: The Systems and their Applications (Lecture Notes in Electrical Engineering #76)

by Gerard Cybulski

The book is divided in 4 parts. In the first one, the importance of the analysis of the cardiac dynamics using the ambulatory monitoring technique is presented. The second part contains the description of foundations of impedance cardiography (ICG), the models used to describe the ICG technique and the description of available systems for ambulatory monitoring of cardiac hemodynamics. The third part is devoted to the validation of the ambulatory ICG method, the verification of the quality of long term ICG recordings and the discussion of the limitations of this technique. In the last part, some clinical and research applications of the ICG ambulatory monitoring are presented. The simultaneous recordings of electrocardiogram (ECG) and ICG in the transient cardiac arrhythmia events illustrate the potential applications of that method for quantitative analysis of hemodynamics when the implementation of the stationary methods would be either difficult or not possible to do. The book is followed by references, alphabetical index and appendices containing the technical data of the available systems for portable monitoring of cardiac hemodynamics.

Ambulatory Phlebectomy (Basic and Clinical Dermatology)

by Mitchel P. Goldman Mihael Georgiev Stefano Ricci

The only text specifically devoted to the subject, this Second Edition serves as a complete and practical guide for office-based surgical treatment of varicose veins-providing numerous illustrations showcasing the anatomy of varicose veins, as well as step-by-step coverage of the ambulatory phlebectomy technique.

Ambulatory Urology and Urogynaecology

by Abhay Rane Ajay Rane

According to the International Association for Ambulatory Surgery (IAAS), ambulatory surgery should be defined as 'an operation/procedure, excluding an office or outpatient operation/procedure, where the patient is discharged on the same working day'. The rise of ambulatory surgery has been driven by technological advances that reduce the need for overnight hospital stays, enhanced recovery programmes that advocate early mobilisation, and the need for economic efficiency. Recent experience has shown that redistributing surgical procedures from the inpatient setting to ambulatory centres can be done without impacting quality. The majority of people requiring urologic surgery are now treated as day/outpatients – thus requiring a different level of care from inpatients. Ambulatory Urology and Urogynaecology is the only book that combines urology and urogynaecology focuses on outpatient management. Packed with learning points, practical hints and tips, and boasting an international group of contributing authors, this book is co-edited by world-leading pioneers in urologic and urogynaecological surgery. Ambulatory Urology and Urogynaecology is ideal for urologists, urogynaecologists and gynaecologists, as well as specialist urology nurses and surgeons. With more and outpatient procedures being performed, this book is the perfect step-by-step guide to consult time and time again.

Ambush Alley: The Most Extraordinary Battle of the Iraq War

by Tim Pritchard

March 23, 2003: U. S. Marines from the Task Force Tarawa are caught up in one of the most unexpected battles of the Iraq War. What started off as a routine maneuver to secure two key bridges in the town of Nasiriyah in southern Iraq degenerated into a nightmarish twenty-four-hour urban clash in which eighteen young Marines lost their lives and more than thirty-five others were wounded. It was the single heaviest loss suffered by the U. S. military during the initial combat phase of the war. On that fateful day, Marines came across the burned-out remains of a U. S. Army convoy that had been ambushed by Saddam Hussein's forces outside Nasiriyah. In an attempt to rescue the missing soldiers and seize the bridges before the Iraqis could destroy them, the Marines decided to advance their attack on the city by twenty-four hours. What happened next is a gripping and gruesome tale of military blunders, tragedy, and heroism. Huge M1 tanks leading the attack were rendered ineffective when they became mired in an open sewer. Then a company of Marines took a wrong turn and ended up on a deadly stretch of road where their armored personal carriers were hit by devastating rocket-propelled grenade fire. USAF planes called in for fire support play their own part in the unfolding cataclysm when they accidentally strafed the vehicles. The attempt to rescue the dead and dying stranded in "ambush alley" only drew more Marines into the slaughter. This was not a battle of modern technology, but a brutal close-quarter urban knife fight that tested the Marines' resolve and training to the limit. At the heart of the drama were the fifty or so young Marines, most of whom had never been to war, who were embroiled in a battle of epic proportions from which neither their commanders nor the technological might of the U. S. military could save them. With a novelist's gift for pace and tension, Tim Pritchard brilliantly captures the chaos, panic, and courage of the fight for Nasiriyah, bringing back in full force the day that a perfunctory task turned into a battle for survival. "Ambush Alley" is a gut-wrenching account of unadulterated terror that's hard to read yet impossible to put down. "London-based journalist and filmmaker Tim Pritchard, who was embedded with US troops during the initial stages of the American-led invasion of Iraq, paints a compelling picture of one of the costliest battles of the Iraq war that will at turns anger, horrify, and sadden, regardless of one's political views." --The Boston Globe.

Ambush Marketing & the Mega-Event Monopoly: How Laws are Abused to Protect Commercial Rights to Major Sporting Events (ASSER International Sports Law Series)

by Andre M. Louw

This book undertakes a critical examination of commercial rights to sports mega-events (focusing on sponsorship), the exclusivity of such rights and the legal implications of the modern mega-event sponsorship model. It examines ambush marketing of events and the law's treatment of ambushing (specifically in the form of sui generis event legislation) in a review of 10 major jurisdictions selected on the basis of the importance of the events they are to host in the near future or have hosted recently, and the relevant domestic legislation. It critically examines the legitimacy of such commercial rights protection by means of the use of laws in the context of accepted principles of intellectual property law, competition law and human rights law. Specifically, it questions the legitimacy of the creation of statutory 'association rights' to mega-events, and considers potential future developments in respect of the law's treatment of mega-event commercialisation. Valuable for practitioners and academics (in the fields of sportslaw/sponsorship/marketing/intellectual property law); sports administrators (sports governing bodies); corporate sponsors of sports and other events; potential mega-event host governments and law-makers; civil rights organisations.

Ambush Marketing in Sports

by Gerd Nufer

Ambush marketing is a strategy by which a company or organisation uses their marketing communications to associate themselves with an event without being an official sponsor or authorised partner or licensee. It has become a particular concern in the marketing of major sports events, with international sponsorship and branding properties worth many millions of dollars. Ambush Marketing in Sports is the first book to offer comprehensive analysis of the theoretical and practical implications of ambush marketing. Drawing on cutting-edge empirical research data, the book outlines an innovative model for understanding ambush marketing and offers practical advice for all stakeholders, from sponsors and event organisers to media organisations. The book examines the opportunities and the risks of ambush marketing, assesses the legal, ethical and business dimensions, and offers advice for preventing ambush marketing in a range of contexts. Fully supported throughout with examples and cases from major international sports events, such as the FIFA World Cup and the Olympic Games, this book is important reading for any student, researcher or practitioner with an interest in sport marketing, sport business or event management.

Ambush at Central Park: When the IRA Came to New York

by Mark Bulik

A compelling, action-packed account of the only officially sanctioned I.R.A attack ever conducted on American soil.In 1922, three of the Irish Republican Army’s top gunmen arrived in New York City seeking ven­geance. Their target: “Cruxy” O’Connor, a young Irishman who kept switching sides as revolution swept his country in the wake of World War I. Cruxy’s last betrayal dealt a stunning blow to Ireland’s struggle for independence: Six of his IRA comrades were killed when he told police the location of their safe house outside Cork. A year later, the IRA gunned him down in a hail of bullets before a crowd of horrified New Yorkers at the corner of 84th Street and Central Park West.Based primarily on first-hand accounts, most of them never before published, Ambush at Central Park is a cinematic exploration of the enigma of “Cruxy” O’Connor: Was he really a decorated war hero who became a spy for Britain? When he defected to the IRA, did his machine gun really jam in a crucial attack? When captured, did he give up his IRA comrades only under torture? Was he a British spy all along? Or was he pursuing a decades-old blood feud between his family and that of one of his comrades?A longtime editor at The New York Times, author Mark Bulik delved through Irish government archives, newspaper accounts, census data, and unpublished material from the families of the main actors. Together they add to the sensational story of a rebel ambush, a deadly police raid, a dinner laced with poison, a daring prison break, a boatload of tommy guns on the Hoboken waterfront, an unlikely pair of spies who fall in love, and an audacious assassination plot against the British cabinet.Gravely wounded and near death, Cruxy refused to cooperate with the detectives investigating the case. And so, the spy who stopped spying and the gunman who stopped shooting became the informer who wouldn’t inform, even at death’s door. Here is a forgotten chapter of Irish and New York history: the story of the only officially authorized IRA attack on American soil.

Ambush: Surprise Attack in Ancient Greek Warfare

by Rose Mary Sheldon

There are two images of warfare that dominate Greek history. The better known is that of Achilles, the Homeric hero skilled in face-to-face combat to the death. He is a warrior who is outraged by deception on the battlefield. The alternative model, equally Greek and also taken from Homeric epic, is Odysseus, the man of twists and turns of The Odyssey. To him, winning by stealth, surprise or deceit was acceptable.Greek warfare actually consists of many varieties of fighting. It is common for popular writers to assume that the hoplite phalanx was the only mode of warfare used by the Greeks. The fact is, however, that the use of spies, intelligence gathering, ambush, and surprise attacks at dawn or at night were also a part of Greek warfare, and while not the supreme method of defeating an enemy, such tactics always found their place in warfare when the opportunity or the correct terrain or opportunity presented itself.Ambush will dispel both the modern and ancient prejudices against irregular warfare and provides a fresh look at the tactics of the ancient Greeks.

Ambushed!: A Cartoon History of the George W. Bush Administration

by Walter C. Clemens Jr Jim Morin

A Pulitzer Prize-winning editorial cartoonist teams up with a noted political commentator. For everyone who loves to hate the Bush administration and is ready to laugh about it! Ambushed! recounts the exploits of the Bush administration, at home and abroad, 2001 to 2008, through the lens of a Pulitzer Prize-winning cartoonist for the Miami Herald and the analysis of a leading political scientist at Boston University and Harvard University. The book begins with the ways in which American voters were ambushed in two presidential elections and ranges widely among the ensuing disasters from Enron to Katrina to the budget deficit to the economy and finally to the "global war on terror" that lost America many friends and inspired enemies worldwide. Contrasting the Bush administration's lofty promises with its policy failures-from Baghdad to New Orleans-the book suggests that this has been not only the least effective but the most destructive presidency of the past century.

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