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

You won’t discover a extra entire textbook masking the comparable fields of trauma, serious 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 e-book 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 e-book deals the reference fabric each trauma, severe care, and emergency room health professional must carry on that principle.

• Editors and members are well-known leaders of their respective parts of interest
• outstanding controversies are mentioned intimately and infrequently observed by way of data-driven resolutions
• Over four hundred illustrations

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Sample text

Moore EE, et al. Organ injury scaling: spleen, liver, and kidney. J Trauma. 1989;29(12):1664-1666. 40. Holmes JF, et al. Performance of helical computed tomography without oral contrast for the detection of gastrointestinal injuries. Ann Emerg Med. 2004;43(1):120-128. 41. Stafford RE, et al. Oral contrast solution and computed tomography for blunt abdominal trauma: a randomized study. Arch Surg. 1999;134(6): 622-626; discussion 626-627. 42. Allen TL, et al. Computed tomographic scanning without oral contrast solution for blunt bowel and mesenteric injuries in abdominal trauma.

1. Schematic showing sonographic windows for (1) subxiphoid, (2) left subcostal, (3) right subcostal and suprapubic areas. Distension of the urinary bladder either prior to Foley’s catheter placement or by installation of 150-200 mL normal saline will enhance sensitivity. (Redrawn from Rozycki GS, Ochsner MG, Schmidt JA, et al. A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment. J Trauma. ) Focused Abdominal Sonography for Trauma One of the most recent advances in the workup of the acutely injured patient is the use of bedside ultrasonography for detection of cardiac and intra-abdominal injury.

1992;215:476-483. 30. Hirschberg A, Mattox KL. Planned reoperation for severe trauma. Ann Surg. 1995;222:3-8. 31. MacKenzie EJ, et al. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med. 2006;354(4):366-378. 32. Branney SW, et al. Quantitative sensitivity of ultrasound in detecting free intraperitoneal fluid. J Trauma. 1995;39(2):375-180. 33. Hoff WS, et al. Practice management guidelines for the evaluation of blunt abdominal trauma: the East practice management guidelines work group.

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