By LD Britt MD, Andrew Peitzman MD, Phillip Barie MD, Gregory Jurkovich MD
Relying primarily on evidence-based content material instead of idea, all the sixty four chapters during this ebook highlights innovative advances within the box and underscores cutting-edge 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, serious care, and emergency room health care provider must convey on that principle.
• Editors and individuals are famous leaders of their respective components of interest
• extraordinary controversies are mentioned intimately and infrequently observed by means of data-driven resolutions
• Over four hundred illustrations
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Additional info for Acute Care Surgery
FUNDAMENTAL PRINCIPLES Chapter 1: Acute Care Surgery: General Principles Splenectomy Patients requiring urgent or emergent intervention for splenic hemorrhage may develop hypothermia, coagulopathy, and visceral edema. The most expeditious and safest course of action under these conditions is removal of the spleen. The general assumption of abdominal exploration for trauma is that there are known and, possibly, unknown injuries. The operative approach is via a midline vertical incision that allows the best exposure and facilitates temporary abdominal closure should visceral edema or damage control measures be necessary.
C AIS, Abbreviated Injury Score. 26-30 Irrespective of the name given to this strategy of surgically managing only immediate life-threatening injuries (along with intra-abdominal packing and rapid temporary closure of the abdominal cavity), the goal is the same—avoid the potential irreversibility of sustained acidosis, hypothermia, coagulopathy, and hemodynamic lability by delaying definitive operative management until the patient can be stabilized in the intensive care unit. Although “damage control” is most frequently used in association with severe hepatic wounds, other organ injuries, including vascular wounds, can necessitate this staged celiotomy approach with hepatic packing and a rapid, creative abdominal closure.
J Trauma. 1995;39(3):492-498; discussion 498-500. 35. Boulanger BR, et al. Emergent abdominal sonography as a screening test in a new diagnostic algorithm for blunt trauma. J Trauma. 1996;40(6):867-874. 36. Branney SW, et al. Ultrasound based key clinical pathway reduces the use of hospital resources for the evaluation of blunt abdominal trauma. J Trauma. 1997;42(6):1086-1090. 37. Livingston DH, et al. Admission or observation is not necessary after a negative abdominal computed tomographic scan in patients with suspected blunt abdominal trauma: results of a prospective, multi-institutional trial.