Drawing on the experience and knowledge of master world-renowned trauma surgeons, Current Therapy of Trauma and Surgical Critical Care, 3rd Edition, offers a comprehensive summary of optimal treatment and post-operative management of traumatic injuries. Ideally suited for everyday use, this practical, concise reference highlights the most important aspects of urgent surgical care, from damage control to noninvasive techniques to chemical and biological injuries. A focus on the surgical techniques required to manage even the most complex injuries makes it both an excellent resource for quick review before entering the operating room and a valuable review tool for board certification or recertification.
Covers the entire spectrum of Trauma Surgery and Surgical Critical Care—from initial evaluation, military and civilian field and trauma center evaluation and resuscitation, to diagnosis, operative, and postoperative critical care and outcomes—in nearly 100 print and 39 online-exclusive chapters, all newly streamlined to emphasize frontline procedural treatment.
Features extensive new data and updates to Cardiac, Thoracic, Vascular, and Military Surgery chapters, plus numerous new intraoperative photographs and high-quality line drawings that highlight the most important aspects of urgent surgical care.
Contains 14 new chapters, including Innovations in Trauma Surgery Simulation; Air Evacuation and Critical Care in Military Casualties; REBOA: Indications and Controversies; Penetrating Extracranial Vertebral Artery; Penetrating Arterio-Venous Fistulas; The Genomics of Profound Shock and Trauma; ECMO; and newer strategies, such as nerve blocks for pain management to combat the opioid epidemic.
Incorporates a wealth of military knowledge from both recent and past military conflicts, as well as from asymmetric warfare; many of the authors and co-authors have extensive past and present military experience.
Uses a consistent, easy-to-follow chapter format throughout, for quick and easy reference and review.
Reviews the essential principles of diagnosis and treatment, as well as the specifics of surgical therapy, making it useful for surgeons across all specialties.
Integrates evidence-based practice guidelines into the text whenever possible, as well as comprehensive utilization of the American Association for the Surgery of Trauma – Organ Injury Scales (AAST-OIS).
Contains such a wealth of operative photographs and line drawings, both in the printed version and many more in the electronic version, that it could be considered an Atlas of Trauma Surgery.
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Contributors - p. v 6. Preface - p. xvii 7. Foreword - p. xix 8. List of Illustrations - p. xxi 9. List of Tables - p. xxii 10. Trauma Systems - p. xxii 11. Development of trauma systems - p. 1 12. Trauma center organization and verification for current therapy of trauma and surgical critical care - p. 5.e2 13. Injury severity scoring: Its definition and practical application - p. 6 14. Role of alcohol and other drugs in trauma - p. 7.e15 15. Injury prevention: An evidence-based public health approach - p. 7.e23 16. Lessons learned in military trauma in Colombia - p. 7.e28 17. Trauma scoring - p. 7.e36 18. Simulation-based training for combat surgery - p. 7.e41 19. Prehospital Trauma Care - p. 7.e55 20. Prehospital trauma care: Influence of emergency medical services on trauma center patient outcomes - p. 8 21. Field triage in the military arena - p. 9.e5 22. Trauma systems on the battlefield - p. 10 23. Field triage in the civilian arena - p. 19 24. En route care - p. 22.e1 25. Prehospital airway management: Intubation, devices, and controversies - p. 32 26. Prehospital fluid resuscitation: What type, how much, and controversies - p. 39 27. Mass casualty events: The role of hospitals and trauma systems - p. 42.e2 28. Injuries from explosives - p. 43 29. Prehospital care of biologic agent–induced injuries - p. 48.e2 30. Wound ballistics: What every trauma surgeon should know - p. 48.e10 31. Common prehospital complications and pitfalls in the trauma patient - p. 48.e15 32. Initial Assessment and Resuscitation - p. 48.e20 33. Airway management: What every trauma surgeon should know, from intubation to cricothyroidotomy - p. 49 34. Resuscitation fluids - p. 62 35. REBOA: Resuscitative endovascular balloon occlusion of the aorta - p. 69 36. Resuscitative thoracotomy - p. 72.e1 37. Focused assessment with sonography for the trauma patient - p. 86.e5 38. Role of radiology in initial trauma evaluation - p. 103 39. Interventional radiology: Diagnostic and therapeutic roles - p. 125.e1 40. Interventional radiology management during intermediate and long-term phases of trauma care - p. 134.e1 41. Endpoints of resuscitation - p. 148 42. Head and Central Nervous System Injuries - p. 152.e1 43. Traumatic brain injury: Pathophysiology, clinical diagnosis, and prehospital and emergency center care - p. 153 44. Traumatic brain injury: Imaging, operative and nonoperative care, and complications - p. 161.e1 45. Spinal cord injury, blunt and penetrating, neurogenic and spinal shock - p. 168.e1 46. Maxillofacial and Ocular Injuries - p. 172.e1 47. Maxillofacial trauma - p. 173 48. Trauma to the eye and orbit - p. 173.e11 49. Neck Injuries - p. 173.e27 50. Penetrating neck injuries - p. 174 51. Blunt cerebrovascular injuries - p. 181.e1 52. Tracheal, laryngeal, and oropharyngeal injuries - p. 189 53. Thoracic Injuries - p. 202.e1 54. Pertinent surgical anatomy of the thorax and mediastinum - p. 203 55. Thoracic wall injuries: Ribs, sternal and scapular fractures, and hemothoraces and pneumothoraces - p. 227.e1 56. Diagnostic and therapeutic roles of bronchoscopy and video-assisted thoracoscopy in the management of thoracic trauma - p. 237.e1 57. Pulmonary contusion and flail chest - p. 245 58. Operative treatment of chest wall injury - p. 254.e1 59. Tracheal and tracheobronchial tree injuries - p. 259.e1 60. Operative management of pulmonary injuries: Lung-sparing and formal resections - p. 262 61. Complications of pulmonary and pleural injury - p. 284 62. Cardiac injuries - p. 292.e1 63. Thoracic vascular injury - p. 310 64. Thoracic aortic injury - p. 317 65. Esophageal injuries: Principles of management - p. 322.e1 66. Abdominal Injuries - p. 328 67. Diaphragmatic injury - p. 329 68. Surgical anatomy of the abdomen and retroperitoneum - p. 340 69. Diagnostic peritoneal lavage and laparoscopy in the evaluation of abdominal trauma - p. 346.e1 70. Nonoperative management of blunt and penetrating abdominal injuries - p. 350 71. Gastric injuries - p. 362.e1 72. Small bowel injury - p. 365.e1 73. Duodenal injuries - p. 372.e1 74. Pancreatic injuries and pancreaticoduodenectomy - p. 377.e1 75. Liver injury - p. 383.e4 76. Splenic injuries - p. 398 77. Abdominal vascular injury - p. 406 78. Colon and rectal injuries - p. 419 79. Genitourinary tract injuries - p. 423 80. Gynecologic injuries: Trauma to uterus, ovaries, and female genitalia - p. 431 81. Special Issues in Major Torso Trauma - p. 438 82. Multidisciplinary management of pelvic fractures: Operative and nonoperative management - p. 439 83. Current concepts in the diagnosis and management of hemorrhagic shock - p. 448 84. Exsanguination: Reliable models to indicate damage control - p. 456 85. Damage control resuscitation: An evidence-based report - p. 464 86. Newer strategies from the use of blood and blood products: Lessons learned from recent wars - p. 487 87. Surgical techniques for damage control operations for abdominal, thoracic, pelvic, and extremity trauma - p. 494.e1 88. Abdominal compartment syndrome, damage control, and the open abdomen - p. 500.e1 89. Torso trauma on the modern battlefield - p. 512 90. Peripheral Vascular Injury - p. 524 91. Vascular anatomy of the extremities - p. 525 92. Diagnosis of vascular trauma - p. 527 93. Penetrating carotid artery injuries - p. 531 94. Penetrating extracranial vertebral artery injuries - p. 542 95. Subclavian vessel injuries: Difficult anatomy and difficult territory - p. 552 96. Operative exposure and management of axillary vessel injuries - p. 559.e7 97. Brachial vessel injuries: High morbidity and low mortality injuries - p. 564 98. Iliac vessel injuries: Difficult injuries and dif ficult management problems - p. 572 99. Femoral vessel injuries: High mortality and low morbidity injuries - p. 579.e3 100. Popliteal vessel injuries: Complex anatomy and high amputation rates - p. 593.e1 101. Shank vessel injuries: The forgotten vascular injuries - p. 612.e7 102. Penetrating arteriovenous fistulas: Uncommon and challenging entities - p. 613 103. Temporary vascular shunts - p. 623 104. Musculoskeletal and Peripheral Central Nervous System Injuries - p. 626.e1 105. Upper extremity fractures: Orthopedic management - p. 627 106. Lower extremity and degloving injury - p. 640.e1 107. Cervical, thoracic, and lumbar spine fractures - p. 645.e1 108. Pelvic fractures - p. 654.e1 109. Wrist and hand fractures: Orthopaedic management - p. 662.e2 110. Scapulothoracic dissociation and degloving injuries of the extremities - p. 662.e5 111. Extremity replantation: Indications and timing - p. 662.e10 112. Special Issues and Situations in Trauma Management - p. 662.e15 113. Flap reconstruction in the management of complex musculoskeletal injuries - p. 663 114. What every surgeon should know about the traumatic airway - p. 664 115. Pediatric trauma - p. 669.e2 116. Trauma in pregnancy - p. 669.e8 117. Trauma in our “elders” - p. 669.e17 118. Burns - p. 669.e32 119. Soft tissue infections - p. 669.e46 120. Common errors in trauma care - p. 669.e60 121. Combat trauma care: Lessons learned from recent combat operations - p. 670 122. Danger associated molecular patterns, complements, and other novel biomarkers in trauma patient management - p. 682.e2 123. Microbiome and trauma - p. 682.e9 124. Genomics of profound shock and trauma - p. 682.e16 125. Critical Care I: Management of Organ Failures and Techniques for Support - p. 683 126. Cardiac hemodynamics: Pulmonary artery catheter and the meaning of its readings - p. 683.e1 127. Oxygen transport - p. 684 128. Pharmacologic support of cardiac failure - p. 687.e1 129. Diagnosis and management of cardiac dysrhythmias - p. 692.e1 130. Fundamentals of mechanical ventilation - p. 700 131. Advanced techniques in mechanical ventilation - p. 711.e1 132. Acute kidney injury and renal replacement therapy in the surgical intensive care unit - p. 717.e1 133. Management of coagulation disorders in the surgical intensive care unit - p. 723 134. Management of endocrine disorders in the surgical intensive care unit - p. 733.e1 135. Transfusion: Management of blood and blood products in trauma - p. 740.e1 136. Critical Care II: Special Issues and Treatments - p. 752.e1 137. Thromboelastography: Techniques and uses - p. 753 138. Acute respiratory distress syndrome - p. 758.e1 139. The evolving epidemiology of multiple organ failure - p. 763 140. Sepsis, septic shock, and its treatment - p. 770 141. The immunology of trauma - p. 783.e2 142. Overview of infectious diseases in trauma patients - p. 791.e1 143. Nosocomial pneumonia - p. 798.e1 144. Antibiotic use in the intensive care unit: The old and the new - p. 803.e1 145. Fungal colonization and infection during critical illness - p. 814.e1 146. Preoperative and postoperative nutritional support: Strategies for enteral and parenteral therapies - p. 824.e2 147. Venous thromboembolic events: Diagnosis, treatment, and filters as adjuncts - p. 825 148. Hypothermia and trauma - p. 832.e2 149. Surgical procedures in the surgical intensive care unit - p. 832.e10 150. Anesthesia in the critical care unit and pain management - p. 833 151. Anesthesia adjuncts in the management of pain in trauma patients: New blocks and other techniques to combat the opioid epidemic - p. 841 152. Extracorporeal membrane oxygenation for acute cardiopulmonary failure - p. 848.e2 153. Rehabilitation and Quality of Life After Trauma and Other Issues - p. 848.e14 154. Surgery during global pandemics: Focus on prioritization and resource allocation - p. 849 155. Diagnostic management of brain death in the intensive care unit and organ donation - p. 850.e16 156. Palliative care in the trauma intensive care unit - p. 850.e24 157. Trauma rehabilitation - p. 850.e28 158. Trauma outcomes - p. 850.e37 159. Index - p. 851
Drawing on the experience and knowledge of master world-renowned trauma surgeons, Current Therapy of Trauma and Surgical Critical Care, 3rd Edition, offers a comprehensive summary of optimal treatment and post-operative management of traumatic injuries. Ideally suited for everyday use, this practical, concise reference highlights the most important aspects of urgent surgical care, from damage control to noninvasive techniques to chemical and biological injuries. A focus on the surgical techniques required to manage even the most complex injuries makes it both an excellent resource for quick review before entering the operating room and a valuable review tool for board certification or recertification.
Covers the entire spectrum of Trauma Surgery and Surgical Critical Care—from initial evaluation, military and civilian field and trauma center evaluation and resuscitation, to diagnosis, operative, and postoperative critical care and outcomes—in nearly 100 print and 39 online-exclusive chapters, all newly streamlined to emphasize frontline procedural treatment.
Features extensive new data and updates to Cardiac, Thoracic, Vascular, and Military Surgery chapters, plus numerous new intraoperative photographs and high-quality line drawings that highlight the most important aspects of urgent surgical care.
Contains 14 new chapters, including Innovations in Trauma Surgery Simulation; Air Evacuation and Critical Care in Military Casualties; REBOA: Indications and Controversies; Penetrating Extracranial Vertebral Artery; Penetrating Arterio-Venous Fistulas; The Genomics of Profound Shock and Trauma; ECMO; and newer strategies, such as nerve blocks for pain management to combat the opioid epidemic.
Incorporates a wealth of military knowledge from both recent and past military conflicts, as well as from asymmetric warfare; many of the authors and co-authors have extensive past and present military experience.
Uses a consistent, easy-to-follow chapter format throughout, for quick and easy reference and review.
Reviews the essential principles of diagnosis and treatment, as well as the specifics of surgical therapy, making it useful for surgeons across all specialties.
Integrates evidence-based practice guidelines into the text whenever possible, as well as comprehensive utilization of the American Association for the Surgery of Trauma – Organ Injury Scales (AAST-OIS).
Contains such a wealth of operative photographs and line drawings, both in the printed version and many more in the electronic version, that it could be considered an Atlas of Trauma Surgery.
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iv 5. Contributors - p. v 6. Preface - p. xvii 7. Foreword - p. xix 8. List of Illustrations - p. xxi 9. List of Tables - p. xxii 10. Trauma Systems - p. xxii 11. Development of trauma systems - p. 1 12. Trauma center organization and verification for current therapy of trauma and surgical critical care - p. 5.e2 13. Injury severity scoring: Its definition and practical application - p. 6 14. Role of alcohol and other drugs in trauma - p. 7.e15 15. Injury prevention: An evidence-based public health approach - p. 7.e23 16. Lessons learned in military trauma in Colombia - p. 7.e28 17. Trauma scoring - p. 7.e36 18. Simulation-based training for combat surgery - p. 7.e41 19. Prehospital Trauma Care - p. 7.e55 20. Prehospital trauma care: Influence of emergency medical services on trauma center patient outcomes - p. 8 21. Field triage in the military arena - p. 9.e5 22. Trauma systems on the battlefield - p. 10 23. Field triage in the civilian arena - p. 19 24. En route care - p. 22.e1 25. Prehospital airway management: Intubation, devices, and controversies - p. 32 26. Prehospital fluid resuscitation: What type, how much, and controversies - p. 39 27. Mass casualty events: The role of hospitals and trauma systems - p. 42.e2 28. Injuries from explosives - p. 43 29. Prehospital care of biologic agent–induced injuries - p. 48.e2 30. Wound ballistics: What every trauma surgeon should know - p. 48.e10 31. Common prehospital complications and pitfalls in the trauma patient - p. 48.e15 32. Initial Assessment and Resuscitation - p. 48.e20 33. Airway management: What every trauma surgeon should know, from intubation to cricothyroidotomy - p. 49 34. Resuscitation fluids - p. 62 35. REBOA: Resuscitative endovascular balloon occlusion of the aorta - p. 69 36. Resuscitative thoracotomy - p. 72.e1 37. Focused assessment with sonography for the trauma patient - p. 86.e5 38. Role of radiology in initial trauma evaluation - p. 103 39. Interventional radiology: Diagnostic and therapeutic roles - p. 125.e1 40. Interventional radiology management during intermediate and long-term phases of trauma care - p. 134.e1 41. Endpoints of resuscitation - p. 148 42. Head and Central Nervous System Injuries - p. 152.e1 43. Traumatic brain injury: Pathophysiology, clinical diagnosis, and prehospital and emergency center care - p. 153 44. Traumatic brain injury: Imaging, operative and nonoperative care, and complications - p. 161.e1 45. Spinal cord injury, blunt and penetrating, neurogenic and spinal shock - p. 168.e1 46. Maxillofacial and Ocular Injuries - p. 172.e1 47. Maxillofacial trauma - p. 173 48. Trauma to the eye and orbit - p. 173.e11 49. Neck Injuries - p. 173.e27 50. Penetrating neck injuries - p. 174 51. Blunt cerebrovascular injuries - p. 181.e1 52. Tracheal, laryngeal, and oropharyngeal injuries - p. 189 53. Thoracic Injuries - p. 202.e1 54. Pertinent surgical anatomy of the thorax and mediastinum - p. 203 55. Thoracic wall injuries: Ribs, sternal and scapular fractures, and hemothoraces and pneumothoraces - p. 227.e1 56. Diagnostic and therapeutic roles of bronchoscopy and video-assisted thoracoscopy in the management of thoracic trauma - p. 237.e1 57. Pulmonary contusion and flail chest - p. 245 58. Operative treatment of chest wall injury - p. 254.e1 59. Tracheal and tracheobronchial tree injuries - p. 259.e1 60. Operative management of pulmonary injuries: Lung-sparing and formal resections - p. 262 61. Complications of pulmonary and pleural injury - p. 284 62. Cardiac injuries - p. 292.e1 63. Thoracic vascular injury - p. 310 64. Thoracic aortic injury - p. 317 65. Esophageal injuries: Principles of management - p. 322.e1 66. Abdominal Injuries - p. 328 67. Diaphragmatic injury - p. 329 68. Surgical anatomy of the abdomen and retroperitoneum - p. 340 69. Diagnostic peritoneal lavage and laparoscopy in the evaluation of abdominal trauma - p. 346.e1 70. Nonoperative management of blunt and penetrating abdominal injuries - p. 350 71. Gastric injuries - p. 362.e1 72. Small bowel injury - p. 365.e1 73. Duodenal injuries - p. 372.e1 74. Pancreatic injuries and pancreaticoduodenectomy - p. 377.e1 75. Liver injury - p. 383.e4 76. Splenic injuries - p. 398 77. Abdominal vascular injury - p. 406 78. Colon and rectal injuries - p. 419 79. Genitourinary tract injuries - p. 423 80. Gynecologic injuries: Trauma to uterus, ovaries, and female genitalia - p. 431 81. Special Issues in Major Torso Trauma - p. 438 82. Multidisciplinary management of pelvic fractures: Operative and nonoperative management - p. 439 83. Current concepts in the diagnosis and management of hemorrhagic shock - p. 448 84. Exsanguination: Reliable models to indicate damage control - p. 456 85. Damage control resuscitation: An evidence-based report - p. 464 86. Newer strategies from the use of blood and blood products: Lessons learned from recent wars - p. 487 87. Surgical techniques for damage control operations for abdominal, thoracic, pelvic, and extremity trauma - p. 494.e1 88. Abdominal compartment syndrome, damage control, and the open abdomen - p. 500.e1 89. Torso trauma on the modern battlefield - p. 512 90. Peripheral Vascular Injury - p. 524 91. Vascular anatomy of the extremities - p. 525 92. Diagnosis of vascular trauma - p. 527 93. Penetrating carotid artery injuries - p. 531 94. Penetrating extracranial vertebral artery injuries - p. 542 95. Subclavian vessel injuries: Difficult anatomy and difficult territory - p. 552 96. Operative exposure and management of axillary vessel injuries - p. 559.e7 97. Brachial vessel injuries: High morbidity and low mortality injuries - p. 564 98. Iliac vessel injuries: Difficult injuries and dif ficult management problems - p. 572 99. Femoral vessel injuries: High mortality and low morbidity injuries - p. 579.e3 100. Popliteal vessel injuries: Complex anatomy and high amputation rates - p. 593.e1 101. Shank vessel injuries: The forgotten vascular injuries - p. 612.e7 102. Penetrating arteriovenous fistulas: Uncommon and challenging entities - p. 613 103. Temporary vascular shunts - p. 623 104. Musculoskeletal and Peripheral Central Nervous System Injuries - p. 626.e1 105. Upper extremity fractures: Orthopedic management - p. 627 106. Lower extremity and degloving injury - p. 640.e1 107. Cervical, thoracic, and lumbar spine fractures - p. 645.e1 108. Pelvic fractures - p. 654.e1 109. Wrist and hand fractures: Orthopaedic management - p. 662.e2 110. Scapulothoracic dissociation and degloving injuries of the extremities - p. 662.e5 111. Extremity replantation: Indications and timing - p. 662.e10 112. Special Issues and Situations in Trauma Management - p. 662.e15 113. Flap reconstruction in the management of complex musculoskeletal injuries - p. 663 114. What every surgeon should know about the traumatic airway - p. 664 115. Pediatric trauma - p. 669.e2 116. Trauma in pregnancy - p. 669.e8 117. Trauma in our “elders” - p. 669.e17 118. Burns - p. 669.e32 119. Soft tissue infections - p. 669.e46 120. Common errors in trauma care - p. 669.e60 121. Combat trauma care: Lessons learned from recent combat operations - p. 670 122. Danger associated molecular patterns, complements, and other novel biomarkers in trauma patient management - p. 682.e2 123. Microbiome and trauma - p. 682.e9 124. Genomics of profound shock and trauma - p. 682.e16 125. Critical Care I: Management of Organ Failures and Techniques for Support - p. 683 126. Cardiac hemodynamics: Pulmonary artery catheter and the meaning of its readings - p. 683.e1 127. Oxygen transport - p. 684 128. Pharmacologic support of cardiac failure - p. 687.e1 129. Diagnosis and management of cardiac dysrhythmias - p. 692.e1 130. Fundamentals of mechanical ventilation - p. 700 131. Advanced techniques in mechanical ventilation - p. 711.e1 132. Acute kidney injury and renal replacement therapy in the surgical intensive care unit - p. 717.e1 133. Management of coagulation disorders in the surgical intensive care unit - p. 723 134. Management of endocrine disorders in the surgical intensive care unit - p. 733.e1 135. Transfusion: Management of blood and blood products in trauma - p. 740.e1 136. Critical Care II: Special Issues and Treatments - p. 752.e1 137. Thromboelastography: Techniques and uses - p. 753 138. Acute respiratory distress syndrome - p. 758.e1 139. The evolving epidemiology of multiple organ failure - p. 763 140. Sepsis, septic shock, and its treatment - p. 770 141. The immunology of trauma - p. 783.e2 142. Overview of infectious diseases in trauma patients - p. 791.e1 143. Nosocomial pneumonia - p. 798.e1 144. Antibiotic use in the intensive care unit: The old and the new - p. 803.e1 145. Fungal colonization and infection during critical illness - p. 814.e1 146. Preoperative and postoperative nutritional support: Strategies for enteral and parenteral therapies - p. 824.e2 147. Venous thromboembolic events: Diagnosis, treatment, and filters as adjuncts - p. 825 148. Hypothermia and trauma - p. 832.e2 149. Surgical procedures in the surgical intensive care unit - p. 832.e10 150. Anesthesia in the critical care unit and pain management - p. 833 151. Anesthesia adjuncts in the management of pain in trauma patients: New blocks and other techniques to combat the opioid epidemic - p. 841 152. Extracorporeal membrane oxygenation for acute cardiopulmonary failure - p. 848.e2 153. Rehabilitation and Quality of Life After Trauma and Other Issues - p. 848.e14 154. Surgery during global pandemics: Focus on prioritization and resource allocation - p. 849 155. Diagnostic management of brain death in the intensive care unit and organ donation - p. 850.e16 156. Palliative care in the trauma intensive care unit - p. 850.e24 157. Trauma rehabilitation - p. 850.e28 158. Trauma outcomes - p. 850.e37 159. Index - p. 851
