Trauma Across the Continuum, An Issue of Surgical Clinics

1st Edition, Volume 104-2 - March 8, 2024
Editor: Marcie Feinman
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 3 1 0 3 - 5
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 3 1 0 4 - 2

In this issue of Surgical Clinics, guest editor Dr. Marcie Feinman brings her considerable expertise to the topic of Trauma Across the Continuum. Top experts discuss a full range… Read more

Trauma Across the Continuum, An Issue of Surgical Clinics

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In this issue of Surgical Clinics, guest editor Dr. Marcie Feinman brings her considerable expertise to the topic of Trauma Across the Continuum. Top experts discuss a full range of topics in trauma surgery, including demographics, triage, resuscitation, social disparities, as well as individual traumas such as head, chest, pelvis, and mangled extremity. Additional articles cover trauma in the elderly, nutritional support, and teaching and learning during trauma.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Trauma Demographics and Injury Prevention
Key points
Introduction
Epidemiology
Injury prevention
Clinics care points
Societal Burden of Trauma and Disparities in Trauma Care
Key points
Societal burden of trauma
Disparities in the prehospital phase of injury care
Disparities in the inhospital phase of injury care
Disparities in the post-acute phase of injury care
Strategies to mitigate disparities in injury care
Clinics care points
Prehospital Trauma Care
Key points
Emergency medical services systems
Prehospital evaluation
Prehospital interventions
Termination of resuscitation
Modes of transportation
Bystander engagement
Clinics care points
Resuscitation and Care in the Trauma Bay
Key points
Introduction
The resuscitation pendulum: the history behind resuscitating with blood
Enter the era of component therapy
Resuscitating the bleeding patient: crystalloid, component therapy, or whole blood?
Saltwater poisoning versus balanced resuscitation (1:1:1)
The return of whole blood
Prehospital resuscitation and triggers for massive transfusions
Prediction models
Trauma bay resuscitation
Transitioning to goal-directed resuscitation
Summary
Clinics care points
Funding
Trauma Bay Evaluation and Resuscitative Decision-Making
Key points
Introduction
Initial evaluation
Region-specific assessment and intervention
Crisis resource management
Clinics care points
The Role of Resuscitative Endovascular Balloon Occlusion of the Aorta
Key points
Introduction
The procedure
Resuscitative endovascular balloon occlusion of the aorta for blunt injury
Resuscitative endovascular balloon occlusion of the aorta for penetrating injury
Resuscitative endovascular balloon occlusion of the aorta for nontraumatic hemorrhage
Duration of aortic occlusion
Complications
Technology
Future directions
Clinics care points
Management of Head Trauma
Key points
Introduction and epidemiology
Evaluation and diagnosis
Management
Adjuncts
Mild traumatic brain injury/concussion
Prognosis
Current research
Clinics care points
Management of Blunt Chest Trauma
Key points
Introduction
Clinics care points
Authorship
Damage Control Laparotomy and Management of the Open Abdomen
Key points
Introduction and history of the open abdomen
Discussion
Types of temporary abdominal closure for open abdomen management
Open abdomen management in the ICU
Risks of open abdomen management
Timing of take back to OR
Closure of the open abdomen
Conclusion and recommendations
Clinic care points
Disclosure
Management of Pelvic Trauma
Key points
Introduction
Epidemiology
Relevant anatomy
Taxonomy of pelvic fractures
Patient evaluation
Penetrating pelvic trauma management
Blunt pelvic trauma management
Summary
Management of the Mangled Extremity
Key points
Introduction/classification and definition
Initial treatment
Long-term outcomes
Summary
Clinics care points
Nutritional Support in Critically Ill Trauma Patients
Key points
Introduction
Patient Selection—Whom to Feed?
Timing of Nutritional Support Initiation—When to Feed?
Dose of Supplemental Nutrition—How Much Should We Feed?
Feeding Route—How Should We Feed?
Controversies in Enteral Nutrition
Summary
Clinics care points
Management of the Geriatric Trauma Patient
Key points
Introduction
Changes in physiology
Frailty
Mechanisms of injury
Approach to management
Unique considerations
Summary
Clinics care points
The Role of Minimally Invasive Surgeries in Trauma
Key points
Introduction
Laparoscopy
Video-assisted thoracoscopic surgery
Contraindications
Complications
Concerns and controversies
Future directions
Summary
Clinics care points
Teaching Before, During, and After a Surgical Resuscitation
Key points
Introduction
Basic biophysiology of learning
Function of memory during a resuscitation
The learner’s brain during a resuscitation
Development of clinical reasoning
Educating residents before the resuscitation
Educating residents during the resuscitation
Educating residents after the resuscitation

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Trauma Across the Continuum, An Issue of Surgical Clinics

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Marcie Feinman