This book discusses different aspects of trauma surgery, ranging from the various types of trauma and their management, infection, sepsis and inflammation to tissue injury and repair in trauma. It discusses cellular, molecular and genetic research findings and their role in pathogenesis in trauma and injury. In addition, it highlights the translational application of advanced theories and technologies in the management of trauma patients. This book is a valuable resource for anyone involved in the management of severe trauma damage to tissues wanting to reduce early mortality and improve patients' quality of life.
This book offers an overview of acute care surgery around the world, focusing on the four main branches of this novel subdiscipline: trauma, general emergencies, critical care, and rescue surgery. The book’s primary goal is to provide a general view of acute care surgery, while addressing the most important issues in depth. The content is divided into three parts, the first of which is dedicated to the general organization of trauma centers, including the composition of modern trauma teams. Protocols of activation and action for the trauma team, as well as damage control procedures both in the emergency room and in the surgical theatre, are described. The book also addresses the development of a trauma registry, together with the quality assessment process that can be applied. In turn, the second part describes the principal protocols for making diagnoses, with special attention to circumstances such as unstable hemodynamics, neurological deterioration, normal vital signs, and penetrating injuries. The book subsequently deals with the most important aspects of trauma to the abdomen, chest, and pelvis, with notes on both surgical and intensive care issues. Practical descriptions of how to treat principal injuries to various organs are also provided. Finally, the third part of the book is dedicated to the most frequent general surgical emergencies and rescue surgical approaches, and includes information on diagnostic support with point of care ultrasound and endoscopic advanced techniques. Presenting cutting-edge strategies, this book will be of interest to professionals involved in surgical and intensive care for emergency conditions, such as colonic perforations, obstructions, acute pancreatitis, biliary tree stones, and caustic injuries.
Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.
This book is aimed at surgeons faced with the immediate management of acute surgical problems in a variety of resource settings. The topics covered are common in both developed and developing countries as well as in tropical and non-tropical settings. The book offers an introduction to trauma, which includes primary, secondary and tertiary surveys, trauma resuscitation, and multidisciplinary care followed by a short section on acute burns management and a discussion of a range of specific surgical topics including various of acute abdomen, upper and lower gastrointestinal bleeding, perianal conditions, oncological issues that require acute intervention, abdominal wall problems, urological emergencies and neck swellings. It also addresses the rational use of antibiotics and medications and the role of high dependency units. Each chapter includes a flow chart algorithm with multiple endpoints that relate to the resource situations available to the surgeon. The book is of interest to clinicians dealing with changes in acute surgery and the increasing disparity between developed and developing countries
Whether you are a physician or surgeon with only occasional trauma duties, a resident rotating in trauma, or part of a full-time trauma team, this handbook will help keep your procedures and practices in line with the latest evidence-based guidelines. Included is current information for alternative airway management, ultrasound in the trauma setting, laparoscopic surgery in trauma, terrorism preparedness, damage control, the trauma systems quality improvement process, bedside procedures in the surgical intensive care unit, massive transfusion protocol, diagnosis of blunt cervical vascular injury, and much more. Presents an evidence- and experience-based guide to the evaluation and initial management of the trauma patient. Provides a comprehensive but concise trauma reference you can carry in your pocket. Consists of information direct from the residents on the frontlines at Parkland Memorial Hospital. Provides “Fast Facts and “Pearls and Pitfalls in each chapter that emphasize key points to help you find information quickly and easily. Incorporates “Evidence boxes highlighting evidence-based guidelines, when available, to help you make more rational judgments about the issues at hand. Contains up-to-date coverage of timely issues in trauma and critical care including damage control, ultrasound, bedside procedures in the ICU, and terrorism preparedness. Reflects the numerous advances made in trauma care since the last edition.
This text is designed to provide a comprehensive and state-of-the-art overview of the major issues specific to technological advances the field trauma, critical care and many aspects of surgical science and practice. Care of these patients and clinical conditions can be quite complex, and materials have been collected from the most current, evidence-based resources. The sections of the text have been structured to review the overall scope of issues dealing with trauma, critical care and surgery, including cardiothoracic surgery, vascular surgery, urology, gynecology and obstetrics, fetal surgery and orthopedics. This volume represents the most comprehensive textbook covering a wide range of topics and technological advances including genomics and nanotechnologies that affect patients’ care and surgeons’ practice daily. The multidisciplinary authorship includes experts from all aspects of trauma, surgery and critical care. The volume highlights the dramatic changes in the field including hand held devices and smart phones used in daily medical and surgical practice, complex computers in the critical care units around the world, and robotics performing complex surgical procedures and tissue engineering. Technological Advances in Surgery, Trauma and Critical Care provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in trauma, critical care, and all the specialties of surgery. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts.
Unless dealing with injury regularly, few surgeons can attain and sustain the level of skill necessary for decision making in major trauma. This includes both the intellectual decisions and the manual dexterity required to perform all the manoeuvres needed for surgical access and control. These can be particularly challenging, and may be infrequently required, yet rapid access to and control of sites of haemorrhage following trauma can be life-saving surgical intervention. Many situations require specialist trauma expertise, yet often this is simply not on hand within the available time frame. Manual of Definitive Surgical Trauma Care, Second Edition, is written by the editorial board of the DSTCTM, which is a short course focusing on the life-saving surgical techniques and surgical decision-making required for surgeons who deal with major surgical trauma on an infrequent basis. This course supplements the well-recognized and accepted American College of Surgeons' Advanced Trauma Life Support (ATLS®) course. This manual is published in association with IATSIC (the International Association for the Surgery of Trauma and Surgical Intensive Care), and is written by an Editorial Board of surgeons who belong to that society. IATSIC are broadening their reach and running more and more courses worldwide. This new second edition has been updated to incorporate all recent developments in this rapidly progressing area. It emphasizes how practical 'real-life' decisions on the care of the injured patient should be made and then covers in practical terms the surgical techniques required. Every aspect of surgical trauma care is covered, including: ·the causation of injuries - aids rapid understanding of presented trauma; ·the initial, pre-hospital and emergency department care of the patient - all of which may determine eventual outcome; ·the resources required, both physical and intellectual, within the hospital to deal with the specific problems associated with patients with multiple injuries; the limitations in providing specialist expertise within the time frame required. It is an ideal practical manual for both trainees and qualified surgeons.
