Manual of definitive surgical trauma care

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Bibliographic Information

Manual of definitive surgical trauma care

edited by Kenneth D. Boffard

CRC Press, c2016

4th edition

Other Title

Manual of definitive surgical trauma care : incorporating definitive anaesthetic trauma care

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Note

Includes bibliographical references and index

Description and Table of Contents

Description

Few surgeons can both attain and sustain the necessary level of skill for decision making in major trauma without the necessary training. Surgical training in the technical aspects of surgical care of the trauma patient allows for the development of appropriate judgement and decision-making skills when treating traumatized patients with multiple injuries. Developed for the International Association for Trauma Surgery and Intensive Care (IATSIC), the Manual of Definitive Surgical Trauma Care is ideal for training all surgeons who encounter major surgical trauma on an infrequent basis. It is designed to support general surgeons who, whether by choice or necessity, are confronted with major surgical injury but may not necessarily have the experience or expertise required. This edition is updated to incorporate recent developments and covers every aspect of surgical trauma care covered by the Definitive Surgical Trauma Care (DSTC) course. It provides additional emphasis on anaesthesia and military components, reflecting changes in worldwide surgical trauma experience. Written by faculty who teach the DSTC Course, this book will give you the confidence to focus on life-saving surgical techniques when faced with challenging and unfamiliar incidents of trauma.

Table of Contents

TRAUMA SYSTEM AND COMMUNICATION PRINCIPLES Overview Resuscitation in the Emergency Department Management of Major Trauma Emergency Department Surgery Communication and Non-Technical Skills in Major Trauma Overview Communication in the Trauma Setting Leadership in Trauma Care Communication in Damage Control PHYSIOLOGY AND THE BODY'S RESPONSE TO TRAUMA Resuscitation Physiology Metabolic Response to Trauma Shock Transfusion in Trauma Indications for Transfusion Transfusion Fluids Effects of Transfusing Blood and Blood Products Autotransfusion Red Blood Cell Substitutes Massive Haemorrhage/Massive Transfusion Damage Control Surgery Introduction Damage Control Resuscitation (DCR) Damage Control Surgery (DCS) The Neck Overview Management Principles Treatment Access to the Neck PHYSIOLOGY AND THE BODY'S RESPONSE TO TRAUMA The Chest Overview Emergency Department Thoracotomy Surgical Approaches to the Thorax Emergency Department Thoracotomy Technique Definitive Procedures The Abdomen Trauma Laparotomy Bowel and Diaphragm The Liver and Biliary System Spleen Pancreas The Duodenum Abdominal Vascular Injury The Urogenital System The Pelvis Introduction Anatomy Classification Clinical Examination and Diagnosis Resuscitation Pelvic Packing Associated Injuries Compound Pelvic Injuries Extremity Trauma Overview Management of Severe Injury to the Extremity Management of Vascular Injury of the Extremity Crush Syndrome Management of Open Fractures Massive Limb Trauma: Life versus Limb Compartment Syndrome Fasciotomy Complications of Major Limb Injury Head Trauma Introduction Injury Patterns and Classification Measurable Physiological Parameters of Brain Function Pathophysiology of Traumatic Brain Injury (TBI) Initial Management of TBI Cerebral Perfusion Threshold Intracranial Pressure (ICP) Threshold and Indications for Monitoring Imaging Indications for Surgery Adjuncts to Care Paediatric Considerations Pearls and Pitfalls Burns Overview Anatomy Depth of the Burn Total Body Surface Area (TBSA) Burned Management Special Areas Adjuncts in Burn Care Criteria for Transfer Special Patient Situations Paediatrics The Elderly Futile Care Critical Care of the Trauma Patient Introduction Goals of Trauma Intensive Care Unit (ICU) Care Phases of ICU Care Hypothermia Systemic Inflammatory Response Syndrome Multisystem Organ Dysfunction Syndrome (MODS) or Multiple Organ Failure (MOF) Coagulopathy of Major Trauma Recognition and Treatment of Raised Intracranial Pressure Recognition of Acute Renal Failure (ARF) and Acute Kidney Injury (AKI) Evaluation of Metabolic Disturbances Pain Control/Sedation/Delirium Family Contact and Support ICU Tertiary Survey Nutritional Support Preventive Measures in the ICU Antibiotics Respiratory Support Surviving Sepsis Guidelines Abdominal Compartment Syndrome (ACS) Organ Donation DIAGNOSTIC AND THERAPEUTIC TECHNOLOGY Minimally Invasive Surgery in Trauma Technique Thoracic Injury Diaphragmatic Injury Abdominal Injury After Non-Operative Management Risks of Laparoscopy in Trauma Radiology in Trauma Introduction Radiation Doses and Protection from Radiation Pelvic Fractures Blunt Splenic Injuries Liver Injuries Aortic Rupture and Injury to Middle-Sized Arteries Ultrasound in Trauma Applications of Ultrasound in Trauma - Introduction Extended Focussed Assessment by Sonography for Trauma (E-FAST) Other Applications of Ultrasound in Trauma Training and Pitfalls ASPECTS OF SPECIALIZED CARE Austere or Military Environments Introduction Injury Patterns Emergency Medical Services Systems Triage Mass Casualties Evacuation Resuscitation Blast Injury Battlefield Analgesia Battlefield Anaesthesia Critical Care Translating Military Experience to Civilian Trauma Care Trauma Anaesthesia Introduction Preparation for Damage Control Damage Control Resuscitation (DCR) Damage Control Surgery Anaesthesia Induction in Hypovolaemic Shock Battlefield Anaesthesia APPENDICES Appendix A Trauma Systems Introduction Inclusive Trauma System Components of an Inclusive Trauma System Management of the Injured Patient within a System Steps in Organizing a System Results and Studies Appendix B Trauma Scores and Scoring Systems Introduction Physiological Scoring Systems Anatomical Scoring Systems Co-morbidity Scoring Systems Outcome Analysis Trauma Scoring Systems Appendix C The Definitive Surgical Trauma Care Course: Course Requirements and Syllabus Background Course Development and Testing Course Details IATSIC Recognition Course Information Appendix D Definitive Surgical Trauma Care Course - Core Surgical Skills The Neck The Chest The Abdominal Cavity The Liver The Spleen The Pancreas The Duodenum The Genitourinary System Abdominal Vascular Injuries Peripheral Vascular Injuries Appendix E Briefing for Operating Room Scrub Nurses Introduction Preparing the Operating Room Surgical Procedure Abdominal Closure Instrument and Swab Count Medicolegal Aspects and Communication Skills Critical Incident Stress Issues Conclusion

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