Download e-book for iPad: Acute Care Surgery by LD Britt MD, Andrew Peitzman MD, Phillip Barie MD, Gregory

By LD Britt MD, Andrew Peitzman MD, Phillip Barie MD, Gregory Jurkovich MD

ISBN-10: 1608314286

ISBN-13: 9781608314287

You won’t discover a extra entire textbook overlaying the comparable fields of trauma, severe care, and emergency normal surgery than Acute Care Surgery.

Relying primarily on evidence-based content material instead of conception, all of the sixty four chapters during this publication highlights innovative advances within the box and underscores state of the art administration paradigms.

The overarching precept of acute care surgical procedure is early and expedient medical/surgical intervention and this booklet bargains the reference fabric each trauma, severe care, and emergency room general practitioner must bring on that principle.

• Editors and members are well-known leaders of their respective parts of interest
• awesome controversies are mentioned intimately and infrequently followed through data-driven resolutions
• Over four hundred illustrations

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Sample text

In addition to the vasculature and the kidneys (plus ureters) highlighted above, the retroperitoneum contains the second, third, and fourth portion of the duodenum, along with the pancreas, the adrenals, and the intrapelvic portion of the colon and rectum. 4 underscores the management principles of trauma-related retroperitoneal hematomas. Ideally, proximal (and when applicable, distal) control needs to be achieved prior to exploration of a retroperitoneal hematoma. For retroperitoneal hematomas in Zone 1, irrespective of a penetrating or blunt mechanism, mandatory exploration is required.

6. It is difficult to tell the specific cause of immediate surgery in the earlier reports because laparotomy for all causes, such as associated splenic hemorrhage, was included. 71 If bleeding appears to originate from the retrohepatic vena cava or hepatic veins and it is ongoing, emergent exploration is the only option because arterial embolization is ineffective in these scenarios. Patients with labile blood pressure and parenchymal injury may be better served with emergent exploration depending on the time necessary to assemble the angiography team.

A successful national emphasis on injury prevention lessened the injuries from motor vehicle crashes, and the operative management for blunt torso trauma became infrequent. Penetrating trauma, at one time the most prevalent indication for thoracic, abdominal, and vascular operations in urban trauma centers, became much less common for reasons that are still debated in social science circles. The emergence of other surgical specialists (thoracic, vascular, otolaryngology) additionally diverted many injuries away from trauma surgery, and angioembolization and endovascular stenting further decreased operative intervention.

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Acute Care Surgery by LD Britt MD, Andrew Peitzman MD, Phillip Barie MD, Gregory Jurkovich MD

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