For more than 40 years, Rich's Vascular Trauma has been surgeons’ #1 reference for the diagnosis and treatment of vascular injury in both civilian and military settings across the globe. Published in association with the Society for Vascular Surgery (SVS), the fully updated 4th Edition reflects recent changes in vascular injury patterns, wounds, and trauma care, drawing from current research and a wide variety of peer-reviewed publications to keep you up to date with the latest evidence-based management strategies and techniques. Written and edited by vascular surgeons who are also trauma specialists—civilian and military experts who have proficiency in both open-surgical and endovascular techniques—this must-have reference offers a global perspective on every aspect of the broad spectrum of vascular trauma.
Covers all vascular surgery procedures required to stop hemorrhage and restore perfusion in vessels in the limbs, junctional areas, torso and neck, including damage control techniques such as shunting, and endovascular techniques such as REBOA and stenting.
Addresses pre-hospital, emergency department, surgical, and endovascular stages of treatment in developed, austere and deployed settings, including a rich section on vascular trauma in multiple international settings that provides important context for the global surgical community.
Includes nine new chapters covering prehospital management, endovascular suites, stent-grafts, selective aortic arch perfusion, extracorporeal systems and gathering evidence in vascular trauma, and more.
Presents surgical techniques in step-by-step, highly illustrated detail, as well as high level, strategic decision-making such as the logistics of setting up an endovascular trauma service.
Includes a new, rapidly digestible "Tips and Tricks" section summarizing how to execute essential vascular maneuvers and management steps to ensure that patients get the best outcomes.
Emphasizes the current management of civilian vascular injuries while drawing upon the best available evidence, experience, and lessons learned from Afghanistan, Iraq, and the “urban battlefield.
Contains an innovative chapter on the systems approach and quality improvement in vascular trauma, offering information and tactics for all providers wishing to understand how clinical systems underpin patient outcome and recovery.
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Copyright - p. IFC1 6. List of Contributors - p. iv 7. Foreword - p. iv 8. Preface to the Fourth Edition of Rich’s Vascular Trauma - p. xi 9. List of Illustrations - p. xiii 10. List of Tables - p. xiii 11. Chapter 1: Surgical Trainee’s Perspective - p. xiii 12. Section 1: Setting the Stage - p. 10 13. Chapter 2: The Vascular Injury Legacy - p. 10 14. Chapter 3: Epidemiology of Vascular Trauma - p. 21 15. Chapter 4: Systems of Care in the Management of Vascular Injury - p. 31 16. Chapter 5: Training Paradigms for Vascular Trauma - p. 40 17. Section 2: Immediate Management and Diagnostic Approaches - p. 51 18. Chapter 6: Prehospital Management of Vascular Injury - p. 51 19. Chapter 7: Damage Control and Immediate Resuscitation for Vascular Trauma - p. 67 20. Chapter 8: Diagnosis of Vascular Injury - p. 79 21. Chapter 9: Imaging for the Evaluation and Treatment of Vascular Trauma - p. 90 22. Section 3: Emerging Technologies and New Approaches to Vascular Trauma and Shock - p. 105 23. Chapter 10: Endovascular Suites and the Emergency Vascular Service - p. 105 24. Chapter 11: Stent-Grafts, Coils, and Plugs - p. 113 25. Chapter 12: Resuscitative Endovascular Balloon Occlusion of the Aorta - p. 123 26. Chapter 13: Endovascular Variable Aortic Control - p. 135 27. Chapter 14: Selective Aortic Arch Perfusion - p. 142 28. Chapter 15: Endovascular to Extracorporeal Organ Support for Vascular Trauma and Shock - p. 157 29. Chapter 16: Gathering the Evidence: Clinical Study of New Technologies - p. 164 30. Section 4: The Management of Vascular Trauma - p. 169 31. Chapter 17: Cardiac, Great Vessel, and Pulmonary Injuries - p. 169 32. Chapter 18: Blunt Thoracic Aortic Injury - p. 196 33. Chapter 19: Abdominal Aortic Trauma, Iliac and Visceral Vessel Injuries - p. 210 34. Chapter 20: Inferior Vena Cava, Portal, and Mesenteric Venous Systems - p. 225 35. Chapter 21: Neck and Thoracic Outlet - p. 239 36. Chapter 22: Upper Extremity and Junctional Zone Injuries - p. 250 37. Chapter 23: Lower Extremity Vascular Trauma - p. 270 38. Chapter 24: Surgical Damage Control and Temporary Vascular Shunts - p. 286 39. Chapter 25: Considerations for Conduit Repair of Vascular Injury - p. 298 40. Chapter 26: Management of Pediatric Vascular Injury - p. 310 41. Chapter 27: Soft-Tissue and Skeletal Wound Management in the Setting of Vascular Injury - p. 319 42. Chapter 28: Vascular Surgery in the Austere Environment - p. 330 43. Section 5: Global Perspectives on Vascular Trauma - p. 350 44. Chapter 29: Australia and New Zealand - p. 350 45. Chapter 30: Sri Lanka - p. 356 46. Chapter 31: Vascular Trauma in Finland - p. 364 47. Chapter 32: Sweden - p. 368 48. Chapter 33: Russia - p. 373 49. Chapter 34: Serbia - p. 376 50. Chapter 35: Israel - p. 386 51. Chapter 36: South Africa - p. 390 52. Chapter 37: Colombia: Don’t Dread the Popliteal and Axillary Fossa - p. 395 53. Chapter 38: Brazil - p. 400 54. Index - p. 406 55. Confidence is ClinicalKey - p. 406
For more than 40 years, Rich's Vascular Trauma has been surgeons’ #1 reference for the diagnosis and treatment of vascular injury in both civilian and military settings across the globe. Published in association with the Society for Vascular Surgery (SVS), the fully updated 4th Edition reflects recent changes in vascular injury patterns, wounds, and trauma care, drawing from current research and a wide variety of peer-reviewed publications to keep you up to date with the latest evidence-based management strategies and techniques. Written and edited by vascular surgeons who are also trauma specialists—civilian and military experts who have proficiency in both open-surgical and endovascular techniques—this must-have reference offers a global perspective on every aspect of the broad spectrum of vascular trauma.
Covers all vascular surgery procedures required to stop hemorrhage and restore perfusion in vessels in the limbs, junctional areas, torso and neck, including damage control techniques such as shunting, and endovascular techniques such as REBOA and stenting.
Addresses pre-hospital, emergency department, surgical, and endovascular stages of treatment in developed, austere and deployed settings, including a rich section on vascular trauma in multiple international settings that provides important context for the global surgical community.
Includes nine new chapters covering prehospital management, endovascular suites, stent-grafts, selective aortic arch perfusion, extracorporeal systems and gathering evidence in vascular trauma, and more.
Presents surgical techniques in step-by-step, highly illustrated detail, as well as high level, strategic decision-making such as the logistics of setting up an endovascular trauma service.
Includes a new, rapidly digestible "Tips and Tricks" section summarizing how to execute essential vascular maneuvers and management steps to ensure that patients get the best outcomes.
Emphasizes the current management of civilian vascular injuries while drawing upon the best available evidence, experience, and lessons learned from Afghanistan, Iraq, and the “urban battlefield.
Contains an innovative chapter on the systems approach and quality improvement in vascular trauma, offering information and tactics for all providers wishing to understand how clinical systems underpin patient outcome and recovery.
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Copyright - p. IFC1 6. List of Contributors - p. iv 7. Foreword - p. iv 8. Preface to the Fourth Edition of Rich’s Vascular Trauma - p. xi 9. List of Illustrations - p. xiii 10. List of Tables - p. xiii 11. Chapter 1: Surgical Trainee’s Perspective - p. xiii 12. Section 1: Setting the Stage - p. 10 13. Chapter 2: The Vascular Injury Legacy - p. 10 14. Chapter 3: Epidemiology of Vascular Trauma - p. 21 15. Chapter 4: Systems of Care in the Management of Vascular Injury - p. 31 16. Chapter 5: Training Paradigms for Vascular Trauma - p. 40 17. Section 2: Immediate Management and Diagnostic Approaches - p. 51 18. Chapter 6: Prehospital Management of Vascular Injury - p. 51 19. Chapter 7: Damage Control and Immediate Resuscitation for Vascular Trauma - p. 67 20. Chapter 8: Diagnosis of Vascular Injury - p. 79 21. Chapter 9: Imaging for the Evaluation and Treatment of Vascular Trauma - p. 90 22. Section 3: Emerging Technologies and New Approaches to Vascular Trauma and Shock - p. 105 23. Chapter 10: Endovascular Suites and the Emergency Vascular Service - p. 105 24. Chapter 11: Stent-Grafts, Coils, and Plugs - p. 113 25. Chapter 12: Resuscitative Endovascular Balloon Occlusion of the Aorta - p. 123 26. Chapter 13: Endovascular Variable Aortic Control - p. 135 27. Chapter 14: Selective Aortic Arch Perfusion - p. 142 28. Chapter 15: Endovascular to Extracorporeal Organ Support for Vascular Trauma and Shock - p. 157 29. Chapter 16: Gathering the Evidence: Clinical Study of New Technologies - p. 164 30. Section 4: The Management of Vascular Trauma - p. 169 31. Chapter 17: Cardiac, Great Vessel, and Pulmonary Injuries - p. 169 32. Chapter 18: Blunt Thoracic Aortic Injury - p. 196 33. Chapter 19: Abdominal Aortic Trauma, Iliac and Visceral Vessel Injuries - p. 210 34. Chapter 20: Inferior Vena Cava, Portal, and Mesenteric Venous Systems - p. 225 35. Chapter 21: Neck and Thoracic Outlet - p. 239 36. Chapter 22: Upper Extremity and Junctional Zone Injuries - p. 250 37. Chapter 23: Lower Extremity Vascular Trauma - p. 270 38. Chapter 24: Surgical Damage Control and Temporary Vascular Shunts - p. 286 39. Chapter 25: Considerations for Conduit Repair of Vascular Injury - p. 298 40. Chapter 26: Management of Pediatric Vascular Injury - p. 310 41. Chapter 27: Soft-Tissue and Skeletal Wound Management in the Setting of Vascular Injury - p. 319 42. Chapter 28: Vascular Surgery in the Austere Environment - p. 330 43. Section 5: Global Perspectives on Vascular Trauma - p. 350 44. Chapter 29: Australia and New Zealand - p. 350 45. Chapter 30: Sri Lanka - p. 356 46. Chapter 31: Vascular Trauma in Finland - p. 364 47. Chapter 32: Sweden - p. 368 48. Chapter 33: Russia - p. 373 49. Chapter 34: Serbia - p. 376 50. Chapter 35: Israel - p. 386 51. Chapter 36: South Africa - p. 390 52. Chapter 37: Colombia: Don’t Dread the Popliteal and Axillary Fossa - p. 395 53. Chapter 38: Brazil - p. 400 54. Index - p. 406 55. Confidence is ClinicalKey - p. 406
