This book provides a practical guide to decision making within the realm of trauma surgery. Each chapter covers the ideal approach, rather than customary care, for the treatment of the chosen difficult decision or controversy. A broad range of topics are covered with particular attention given to resuscitation, wound management, thoracic and abdominal trauma, antimicrobial management, transplant considerations, vascular trauma, traumatic brain injury, pediatric trauma and ethics. Difficult Decisions in Trauma Surgery aims to help improve the treatment of trauma patients and is relevant to surgical trainees and practicing surgeons, and as well as medical professionals working within trauma medicine.
Social workers regularly make high-risk, high-impact decisions: determining that a child has been abused; that an individual may take their own life; or that someone with a history of violence poses harm to another. In the course of this work, social workers are exposed to acute and prolonged workplace trauma and stress that may result in posttraumatic stress, compassion fatigue, and burnout. These effects not only impact practitioners, but also the decisions that social workers make and ultimately the quality of the services that they provide. In this book, Cheryl Regehr explores the intersection between workplace stress, trauma exposure, and professional decision-making in social workers. She weaves together practice experience, research on the impact of stress and trauma on performance and decision-making in other high-risk professions including paramedics and police officers, and the empirical study of competence and decision-making in social work practice. Covering a wide range of research and theory, she surveys practical approaches to reducing stress and trauma exposure, mitigating their effects in social work practice, and improving decision-making. This book is critical reading for all social workers who engage in high-stakes decision-making, from those newly embarking on a career to expert practitioners.
Unique decision-tree format provides rapid decision-making tool covering a wide range of musculoskeletal injuries Few if any medical fields share the complexity of injuries and the number of available treatments that exist in orthopaedic trauma. Deciding on the most efficacious treatment can often be difficult. In this digital age with a tsunami of medical information and conflicting data on numerous approaches, practitioners who treat orthopaedic trauma often find it problematic to make "evidence-based" choices. Decision Making in Orthopaedic Trauma is the largest compendium of orthopaedic trauma algorithms assembled to date. The decision trees cover a broad spectrum of cases - from simple isolated fractures - to severe, life-threatening conditions. The decisions on which action to perform in each situation are largely based on the personal experiences of the individual authors, all members of the University of California, San Francisco (UCSF) / Zuckerberg San Francisco General (ZSFG) Orthopaedic Trauma Institute. When the decisions are supported by published scientific literature, the relevant publications are cited. Visually appealing, easy-to-comprehend decision trees detail underlying pathologies, suspected diagnoses, required imaging studies, possible treatment approaches, rehabilitation, expected outcomes, and postsurgical care. The format is more conducive to swiftly acquiring knowledge and making informed decisions than traditional texts and websites. Key Features Management of a wide range of emergencies including compartment syndrome, open fractures, peripheral nerve injuries, mangled extremities, and multiple trauma Perioperative care - from acute and chronic pain management - to venous thromboembolism prevention and the use of regional anesthesia Major sections organized by anatomic region cover upper extremity, lower extremity, pelvic, hip, and spine trauma Clinical pearls on the management of osteoporotic, neoplastic, and periprosthetic fractures and fracture complications Impacted anatomy, differential diagnoses, and possible approaches visualized through high-quality color illustrations and radiographs Consistent color scheme differentiates actions, imaging, and rehabilitation guidelines Appendices provide a quick reference on imaging, bracing, and rehabilitation recommendations This uniquely formatted, visually rich book will enable surgeons, physicians, and residents to understand and apply critical decisions to a wide range of fractures, dislocations, nerve injuries, and musculoskeletal complications.
1. Within trauma : an introduction / Eric Wertheimer and Monica J. Casper -- I. Politics -- 2. Trauma is as trauma does : the politics of affect in catastrophic times / Maurice E. Stevens -- 3. "She was just a Chechen" : the female suicide bomber as a site of collective suffering in wartime Chechen Republic / Francine Banner -- 4. Naming sexual trauma : on the political necessity of nuance in rape and sex offender discourses / Breanne Fahs -- 5. Conceptualizing forgiveness in the face of historical trauma / Carmen Goman and Douglas Kelley -- II. Poetics -- 6. Bahareh : singing without words in an Iranian prison camp / Shahla Talebi -- 7. Voices of silence : on speaking from within the void (a response to Shahla Talebi) / Gabriele M. Schwab -- 8. Future's past : a conversation about the Holocaust with Gabriele M. Schwab / Martin Beck Matuštík -- 9. "No other tale to tell" : trauma and acts of forgetting in The road / Amanda Wicks -- 10. Body animations (or, Lullaby for Fallujah) : a performance / Jackie Orr -- III. Praxis -- 11. First responders : a pedagogy for writing and reading trauma / Amy Hodges Hamilton -- 12. Answering the call : crisis intervention and rape survivor advocacy as witnessing trauma / Debra Jackson -- 13. Documenting disaster : Hurricane Katrina and one family's saga / Rebecca Hankins and Akua Duku Anokye -- 14. A cure for bitterness / Dorothy Allison
Developed for the International Association for Trauma Surgery and Intensive Care (IATSIC), the Manual of Definitive Surgical Trauma Care 6e is ideal for training all surgeons and anaesthetists who manage trauma on an infrequent basis. The Manual is updated every 4 years and reflects the most recent developments in patient management based on new evidence-based information. Its focus is on the importance of the multidisciplinary care of the trauma surgical patient. This sixth edition has evolved, and the all-important section on the Non-Technical Skills which are required has been expanded. A significant number of the original guidelines in trauma have been archived, as they are no longer pertinent or have been superseded. The increasing (and occasionally harmful) role of non-operative management (NOM) has been recognized. The ‘Military Environments’ and ‘Austere Environments’ chapters have been substantially revised to reflect current multinational combat experience, and broadened to reflect modern asymmetrical conflicts and the increased need for humanitarian intervention including military peacekeeping in which only one side wears a uniform. Military weapons are used in major cities against the civilian population. More recently, urban, non-military populations have been the targets and victims of heavy military combat including use of ultra-sophisticated weaponry. Each situation carries its own spectrum of injury and responsibility of care. Including website access to a selection of videos which provide an anatomic overview of surgical approaches, this resource provides a gold standard educational and training resource to help prepare the relatively fully trained surgeon to manage the difficult injuries that might present to a major trauma centre.
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.
Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women’s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients’ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.
An ideal resource for intensivists caring for trauma victims in the ICU, Trauma Intensive Care provides point-of-care guidelines for establishing the priorities of care, minimizing complications, and returning patients to the best possible functional outcome.
Here’s a unified evidence-based approach to problems encountered in trauma and critical care surgical situations. Comprehensive and concise, it is ideal for a quick overview before entering the operating room or ICU, or as a review for board certification or recertification. Be prepared for the unexpected with practical, concise coverage of major surgical problems in trauma and critical care. Get expert practical and up-to-date guidance on ventilator management, damage control, noninvasive techniques, imaging, infection control, dealing with mass casualties, treating injuries induced by chemical and biological agents, and much more. Find the information you need quickly and easily through numerous illustrations, key points boxes, algorithms, and tables.
