Rich’s Vascular Trauma
- 4th Edition - August 12, 2021
- Imprint: Elsevier
- Editors: Todd E. Rasmussen, Nigel R M Tai
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 6 9 7 6 6 - 8
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 6 9 7 6 7 - 5
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… Read more
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Request a sales quoteFor 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.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
vascular and general surgeons/trainees
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- List of Contributors
- Foreword
- Preface to the Fourth Edition of Rich’s Vascular Trauma
- Surgical Trainee’s Perspective
- Introduction
- Subject: Critical First Steps and Damage Control Resuscitation (Chapters 5 and 6)
- Subject: Injury Identification and Diagnostic Workup (Chapters 7 and 8)
- Subject: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) (Chapter 11)
- Subject: Temporary Vascular Shunts (Chapter 23)
- Subject: Neck Injury (Chapter 20)
- Subject: Upper Extremity and Junctional Zone Injuries (Chapter 21)
- Subject: Blunt Thoracic Aortic Injury (Chapter 17)
- Subject: Cardiac, Great Vessel and Pulmonary Injuries (Chapter 16)
- Subject: Aortic, Iliac and Visceral Arterial Injuries (Chapter 18)
- Subject: Inferior Vena Cava, Portal and Mesenteric Venous Injuries (Chapter 19)
- Subject: Lower Extremity Vascular Trauma (Chapter 22)
- Subject: Soft-Tissue and Skeletal Wound Management in the Setting of Vascular Injury (Chapter 26)
- Subject: Management of Pediatric Vascular Injury (Chapter 25)
- Section 1: Setting the Stage
- 1. The Vascular Injury Legacy
- Abstract
- Initial Control of Hemorrhage
- Early Vascular Surgery
- World War I Experience
- World War II Experience
- Experiences During the Korean War
- Vietnam via Gulf War 1991 to Afghanistan and Iraq
- Civilian Experience
- Conclusion
- References
- 2. Epidemiology of Vascular Trauma
- Abstract
- Principles of Vascular Epidemiology
- Context and Categorization of Vascular Trauma
- Summary
- References
- 3. Systems of Care in the Management of Vascular Injury
- Abstract
- Trauma Systems Overview
- Key Components of a Trauma System
- Trauma Center Function
- Trauma Systems in Combat Casualty Care
- Organization of the Joint Theater Trauma System
- Challenges of Vascular Injury Care
- Conclusion
- References
- 4. Training Paradigms for Vascular Trauma
- Abstract
- Introduction
- Graduate Medical Education
- Ways Forward for Vascular Trauma Training
- Summary
- References
- Section 2: Immediate Management and Diagnostic Approaches
- 5. Prehospital Management of Vascular Injury
- Abstract
- Introduction
- Stopping the Bleeding
- Replacing Lost Volume
- References
- 6. Damage Control and Immediate Resuscitation for Vascular Trauma
- Abstract
- Introduction
- Pathophysiology of Coagulopathy/Trauma-Induced Coagulopathy (TIC)
- Emergency Department Reception
- Ethics of Resuscitation
- Future Development of DCR
- Summary
- References
- 7. Diagnosis of Vascular Injury
- Abstract
- Introduction
- The Mechanism, Setting, and Patterns of Injury
- Injury Pattern Recognition
- Physical Examination
- Clearing the Trauma Patient for the Presence of Vascular Injury
- Definitive Diagnosis of Vascular Injury
- Compartment Syndrome
- Summary
- References
- 8. Imaging for the Evaluation and Treatment of Vascular Trauma
- Abstract
- Background
- Imaging Modalities
- References
- Section 3: Emerging Technologies and New Approaches to Vascular Trauma and Shock
- 9. Endovascular Suites and the Emergency Vascular Service
- Abstract
- Introduction
- Endovascular Suites
- Emergency Vascular Service
- Conclusions
- References
- 10. Stent-Grafts, Coils, and Plugs
- Abstract
- Introduction
- Principles of Endovascular Hemorrhage Control
- Embolization Agents
- Stents-Grafts
- Management of Solid Organ Injury
- Pelvic Bleeding
- Cervical Vascular Injury
- Junctional Vascular Trauma
- Extremity Vascular Trauma
- References
- 11. Resuscitative Endovascular Balloon Occlusion of the Aorta
- Abstract
- Introduction
- History of Thoracic Aortic Occlusion for Resuscitation
- History of REBOA
- Physiologic Limitations
- Clinical Outcomes
- Technical Aspects of REBOA
- Treatment Algorithm
- Extended Applications of REBOA
- Complications of REBOA
- Future Advances
- References
- 12. Endovascular Variable Aortic Control
- Abstract
- Introduction
- The Problems With REBOA
- EVAC Concept—Automated Partial Aortic Flow Control
- Future Directions
- Disclosure
- References
- 13. Selective Aortic Arch Perfusion
- Abstract
- Introduction
- A Description of SAAP
- The Rationale for SAAP
- Rationale for Endovascular Resuscitation
- Sequential SAAP Interventions
- Advantages and Limitations of SAAP
- Laboratory Animal SAAP Studies
- Where Does SAAP Fit in Endovascular Resuscitation
- Implications for Trauma and Vascular Surgery
- Summary
- References
- 14. Endovascular to Extracorporeal Organ Support for Vascular Trauma and Shock
- Abstract
- Introduction
- Advances in Renal Support
- Advances in Lung Support
- Combining Techniques
- Acknowledgments
- References
- 15. Gathering the Evidence: Clinical Study of New Technologies
- Abstract
- Why This Chapter?
- Medical Devices Are Not Parachutes
- The Evaluation of Surgical Innovation
- Methodological and Practical Challenges
- The Role of Innovative Clinical Trial Designs
- Conclusion
- References
- Section 4: The Management of Vascular Trauma
- 16. Cardiac, Great Vessel, and Pulmonary Injuries
- Abstract
- Introduction
- Evaluation and Management in the Emergency Center
- The Injured Heart
- Injuries to the Great Vessels
- Injuries to the Lungs
- Thoracic Damage Control
- References
- 17. Blunt Thoracic Aortic Injury
- Abstract
- Introduction
- History
- Epidemiology
- Site and Type of Aortic Injury
- Natural History of BTAI
- Screening and Diagnosis
- Management
- Summary
- References
- 18. Abdominal Aortic Trauma, Iliac and Visceral Vessel Injuries
- Abstract
- Introduction
- Mechanism of Injury
- Anatomy
- Clinical Presentation
- Investigations
- Surgical Techniques
- Aortic Injuries
- Injuries to the Visceral Arteries
- Injuries to the Iliac Artery
- Surgical Management
- Complications of Vascular Trauma
- Endovascular Treatment of Intra-abdominal Trauma
- References
- 19. Inferior Vena Cava, Portal, and Mesenteric Venous Systems
- Abstract
- Introduction
- Preoperative Preparation
- Operative Management
- Endovascular Options
- Pitfalls and Points
- Conclusion
- References
- 20. Neck and Thoracic Outlet
- Abstract
- Introduction
- Indications
- Preoperative Preparation
- Pitfalls and Danger Points
- Operative Strategy and Technique
- Postoperative Care, Complications, and Outcomes
- References
- 21. Upper Extremity and Junctional Zone Injuries
- Abstract
- Epidemiology of Upper Extremity Vascular Injury
- Addressing Complex Upper Extremity Vascular Injury
- Surgical Management for Upper Extremity Vascular Injury
- Upper Extremity Venous Injury
- Endovascular Management of Upper Extremity Vascular Injuries
- Nonoperative Management in Upper Extremity Injury
- Postoperative Care
- Complications After Upper Extremity Vascular Injury
- Outcomes after Treatment of Upper Extremity Vascular Injury
- Conclusion
- References
- 22. Lower Extremity Vascular Trauma
- Abstract
- Introduction and Scope
- Injury Characteristics
- Patient and Limb Outcomes
- Concomitant and Isolated Vein Injury
- Presentation, Diagnosis, and Workup
- Technical Aspects of Vascular Reconstruction
- References
- 23. Surgical Damage Control and Temporary Vascular Shunts
- Abstract
- Introduction
- Historical Use of Intravascular Shunts
- Modern Use of Intravascular Shunts
- Indications
- Shunt Materials
- Insertion Technique
- Dwell Time
- Special Considerations
- Conclusion
- References
- 24. Considerations for Conduit Repair of Vascular Injury
- Abstract
- Introduction
- Identification of the Optimal Vascular Conduit
- Types of Conduit
- Decision Making in the Choice of Conduit
- Conduit in Austere and Military Settings
- Future Considerations
- Conclusion
- References
- 25. Management of Pediatric Vascular Injury
- Abstract
- Introduction
- Epidemiology
- Anatomic and Physiologic Considerations
- Diagnosis and Evaluation
- Therapeutic Approach
- Special Situations
- Postinjury Surveillance and Outcomes
- Future Directions
- Conclusions
- References
- 26. Soft-Tissue and Skeletal Wound Management in the Setting of Vascular Injury
- Abstract
- Introduction
- Epidemiological Factors
- Grading of Open Fractures
- Salvage Versus Amputation
- Strategies in Managing the Severely Injured Limb
- Outcomes of Limb Salvage
- Summary
- References
- Bibliography
- 27. Vascular Surgery in the Austere Environment
- Abstract
- Introduction
- Fundamentals
- Neck Injuries
- Upper Limb Vascular Injuries
- Abdominal Vascular Injuries
- Resuscitative Thoracotomy
- Lower Limb Vascular Injuries
- Soft-Tissue Injury
- Forequarter Amputation
- Working in Austere Environments
- References
- Section 5: Global Perspectives on Vascular Trauma
- 28. Australia and New Zealand
- Abstract
- Region-Specific Epidemiology
- Region-Specific Systems of Care
- Surgical Training and Certification
- Access to Care
- Prehospital Care
- Region-Specific Considerations for Diagnosis
- Region-Specific Treatment Strategies
- Strategies to Sustain and Train the Next Generation of Trauma Surgeons
- References
- 29. Sri Lanka
- Abstract
- Introduction
- Epidemiology of Wartime Injury
- System of care
- Considerations for Diagnosis
- Treatment strategies
- Sustaining and Training the Next Generation
- Conclusion
- References
- 30. Vascular Trauma in Finland
- Abstract
- Introduction
- Finland as a Northern European Example in Trauma and Trauma Care
- Vascular and Trauma Surgery
- Vascular and Endovascular Trauma Surgery Training, Availability, and Challenges
- Summary
- References
- 31. Sweden
- Abstract
- Introduction
- The Swedish Trauma System
- The Swedish Trauma and Vascular Registries
- Trauma in Sweden
- Vascular Trauma in Sweden
- New Developments in Vascular Trauma Management: the Concept of Endovascular Resuscitation and Trauma Management (EVTM)
- Education in Vascular Trauma
- Future Aspects
- References
- 32. Russia
- Abstract
- Historical Background
- Epidemiology
- Specific Systems of Care
- Specific Considerations for Diagnosis
- Specific Treatment Strategies
- Strategies to Sustain and Train the Next Generation of Trauma Surgeons
- Conclusion
- References
- 33. Serbia
- Abstract
- Introduction
- Lesson 1: War Versus Civil Vascular Trauma
- Lesson 2: Strategy During Management of Vascular Trauma
- Lesson 3: Primary Bleeding Control
- Lesson 4: Vascular Repair or Primary Amputation?
- Lesson 5: Diagnosis
- Lesson 6: Vascular Repair
- Lesson 7: Venous Injury
- Lesson 8: Complex Injuries
- Lesson 9: Late Revascularization
- Lesson 10: Early Complications After Vascular Repair
- Lesson 11: Endovascular Repair of Injured Vessels
- Lesson 12: Pediatric Vascular Trauma
- Lesson 13: Long-Term Complications After Repair of Vascular Trauma
- Conclusion
- References
- 34. Israel
- Abstract
- References
- 35. South Africa
- Abstract
- Region-Specific Epidemiology
- Region-Specific Systems of Care
- Techniques of Care
- Region-Specific Considerations for Diagnosis
- Region-Specific Treatment Strategies
- Strategies to Sustain and to Train the Next Generation of Trauma Surgeons
- References
- 36. Colombia: Don’t Dread the Popliteal and Axillary Fossa
- Abstract
- Don’t Dread the Fossa: The Posterior Popliteal Artery Approach
- Don’t Dread the Fossa: The Axillary Artery Approach
- References
- 37. Brazil
- Abstract
- Introduction
- Epidemiology
- Evaluation and Diagnosis of Vascular Injury in Brazil
- Vascular Injury Patterns and Treatment Strategies
- Training the Next Generation of Trauma Surgeons
- References
- Index
- Confidence is ClinicalKey
- Edition: 4
- Published: August 12, 2021
- Imprint: Elsevier
- Language: English
- Hardback ISBN: 9780323697668
- eBook ISBN: 9780323697675
TR
Todd E. Rasmussen
Todd E Rasmussen, MD, FACS is Professor and Vice Chair of Education and Senior Associate Consultant in Vascular Surgery at Mayo Clinic in Rochester, Minnesota. Prior to joining the Mayo Clinic, Dr. Rasmussen had a 28 year career in the Air Force during which he directed the Department of Defense Combat Casualty Care Research Program and was Professor of Surgery and Associate Dean of Research at Walter Reed National Military Medical Center and the Uniformed Services University in Bethesda, Maryland.
Affiliations and expertise
Colonel (ret.) USAF MC, Professor and Vice Chair of Education, Senior Associate Consultant in Vascular Surgery, Mayo Clinic, Rochester, MinnesotaNT
Nigel R M Tai
Affiliations and expertise
Clinical Lead, Vascular Surgery and Consultant Vascular and Trauma Surgeon Royal London Hospital, Barts Health NHS Trust, London UK.
Head jHubMed and Assistant Head (Implementation), Research & Clinical Innovation, Defence Medical Services, UK Strategic Command.Read Rich’s Vascular Trauma on ScienceDirect