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This is the third, fully revised edition of a well received book that provides clear practical guidance on all aspects of the penetrating trauma surgical treatment. It aims at fostering the type of strategic thinking that can save patients'lives. The coverage encompasses prehospital care and operative management in penetrating injuries to various body regions and specific organs. Tips, tricks and technical pearls are highlighted by experienced doctors and each chapter includes a list of the most important points to observe. This third edition of Penetrating Trauma has been extensively revised and updated – with inclusion of some entirely new chapters – to take into account the most recent trends in resuscitation, diagnostics, and treatment. It will be an ideal resource for all physicians managing penetrating trauma.

This comprehensive text will provide a state-of-the art review of the field of geriatric acute care surgery, reviewing new epidemiology data about risk factors for this type of trauma. Assessment of the geriatric trauma patient is unique, and this population requires special attention. Moreover, geriatric patients often suffer from mild to severe cognitive impairment, cardiovascular, and pulmonary insufficiency, which can complicate trauma. This comorbidity informs the evaluation, diagnosis and management of geriatric trauma and stresses the importance of team-based interprofessional care for affected patients. Opening chapters describe general principles of geriatric acute care, the physiology of aging, frailty, injury prevention, and goals of care. The main section of the book presents the latest treatment strategies for traumatic orthopedic, cardiovascular and gastrointestinal trauma, including sepsis, complications and critical care monitoring, before turning to nursing considerations for this ever-growing population. Additional chapters on outcomes and COVID management complete the presentation. Providing a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts, this text will serve as a very useful resource for physicians, medical students, residents, nurses, therapists, and researchers dealing with, and interested in this challenging type of trauma.

This book provides a practical guide to decision making within the realm of trauma surgery. Each chapter covers the ideal approach, rather than customary care, for the treatment of the chosen difficult decision or controversy. A broad range of topics are covered with particular attention given to resuscitation, wound management, thoracic and abdominal trauma, antimicrobial management, transplant considerations, vascular trauma, traumatic brain injury, pediatric trauma and ethics.Difficult Decisions in Trauma Surgery aims to help improve the treatment of trauma patients and is relevant to surgical trainees and practicing surgeons, and as well as medical professionals working within trauma medicine.

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 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.

This atlas is the collaborative work of surgeons from Latin America and North America and describes techniques that can aid in the treatment of trauma patients. Trauma surgeons need to perform procedures efficiently and expeditiously for patients that are crashing. The surgeries and exposures are narrated by experts in the field, and include pitfalls and complications, as well as ways to avoid and treat them. Detailed illustrations add clarity to each procedure and help surgeons improve their technique when treating trauma patients. Atlas of Trauma provides a visual aid to the trauma surgeon and acts as a great asset for the training of these specialists.

This book focuses on the medical and surgical management of the spine. This book is divided into two volumes. This new two-volume book on Spine Surgery is to be recommended for bringing a true ‘evidence-based state of the art'on a vast array of spine topics. These two volume book consists of 15 sections, which include general, developmental disorders, metabolic disorders, bone grafting, cervical spine, spinal cord injury, lumbar spine 1, lumbar spine 2, motion preservation, thoracic spine, pediatrics, adult deformity, tumor, vascular malformations, and infection, complications, and minimally invasive surgery and navigation, which are further divided into 135 chapters. The 135-chapter evidence-based text was then edited by the nine spine surgeons representing Brazil, Canada, China, Egypt, Germany, India, Japan, and the United States. Whether someone is a trainee or an expert spine surgeon, our hope is that this international textbook of spinal surgery is a glimpse into how the rest of the world is effectively caring for their patients.

The aim of this book is to identify and shed new light on the main surgical practices involved in acute care and trauma surgery. Adopting an evidence-based approach, a multidisciplinary team of surgeons and intensivists illustrate basic and advanced operative techniques, accompanied by a comprehensive and updated reference collection. Emerging surgical procedures in Acute Care Surgery are also explored step by step with the help of ample illustrations. Further, the book offers an overview of treatment options for acute organ failure, with a focus on peculiar clinical situations that call for special treatment, including: extracorporeal membrane oxygenation (ECMO), circulatory support and urgent liver transplantation. In order to identify the key determinants in decision-making and therapeutic support that can help avoid critical errors, authors not only define and discuss specific surgical techniques, but also present major issues and controversies related to it. In essence, the book can be considered a “What to do guide” that offers easy access to both basic and advanced lifesaving surgical procedures, due in part to text boxes highlighting “Tips, Tricks and Pitfalls” as well as advice on “Complications Management”. Many chapters are enriched by providing clinical case scenarios, an important educational resource including self–assessment questionnaires.

Dieses Buch thematisiert das gesamte Spektrum des Managements polytraumatisierter Patienten. Dabei liegt der Schwerpunkt auf der Praxis:Die standardisierte Erstversorgung im Schockraum (ABCD-Schema) und die Schockraumversorgung nach dem Advanced Trauma Life Support (ATLS).Die aktuellen Standards in der Notfalldiagnostik.Die Akutversorgung in den ersten Stunden (OP-Timing anhand von Kriterien des Damage Control und Safe definitive Surgery): Schädel-Hirn-Trauma, Stammverletzungen von Thorax, Abdomen, Becken, Wirbelsäule, obere Extremität, untere Extremität und die Besonderheiten von offenen Verletzungen und urologischen Begleitverletzungen.Die intensivmedizinische Versorgung und das Management von Komplikationen, die in dieser Phase auftreten können.Darüber hinaus werden wichtige allgemeine Aspekte wie das Traumanetzwerk der DGU, das berufsgenossenschaftliche Heilverfahren und die Scoringsysteme zur Einschätzung und Prognoseschwer traumatisierter Patienten vorgestellt. Die Darstellungen von Präklinik (Erstmaßnahmen des Notarztes) und Outcome (PTS, Depressionen…) runden das Werk ab.Damit ist das Buch ideal als systematische Einführung oder als Nachschlagewerk für alle Mediziner, die an der Versorgung polytraumatisierter Patienten beteiligt sind.

The purpose of this book is to give providers of all levels a simple and essential source of practical information in treating the elderly trauma and emergency surgery patient. The Introduction instructs practitioners how to evaluate and assess risk including frailty and use this information in Goals of Care discussions to facilitate shared decision making so crucial to this population.The individual chapters consist of best practices and care guidelines from some of the most well-known thought leaders and best trauma centers in the country across the spectrum from geriatricians to trauma and acute care surgeons and nurses. Each chapter contains easy-to-read algorithms and references that the readers can use and adapt for their own setting. Chapters on Pre-hospital care will help guide EMS organizations and even systems in the right care and triage of the elderly. Each chapter also contains a Nursing Focus section for helpful nursing tips in caring for the elderly with those injuries and problems. These sections make this book a must-have for any center looking to improve its care of the elderly patient or just trying to be sure its care is already the best it can be.A special section on Post Acute Care will introduce the provider to the common issues surrounding particular disposition destinations for the elderly patient. This will facilitate discussions with families, case managers and facilities to help improve time to disposition.

La carie précoce du jeune enfant est une forme sévère de la maladie carieuse qui touche les jeunes enfants. Elle est considérée par de nombreux auteurs comme la maladie chronique la plus répandue chez les enfants d'âge préscolaire. Cet ouvrage détaille cette pathologie et explique comment prendre en charge ces jeunes patients dès les premiers signes de la maladie, mais aussi comment mettre en place au sein de leur entourage les comportements propices à un non-développement de la maladie carieuse.

This book provides clear practical guidance on all aspects of the surgical treatment of penetrating trauma and aims to foster the type of strategic thinking that can save patients'lives. The coverage encompasses prehospital care, penetrating injuries to various body regions and specific organs, orthopedic injuries, peripheral arterial injuries, injuries to special groups of patients, including children and the elderly, military injuries, and a range of other topics. Based on their extensive personal experience, expert authors provide step-by-step instructions on evaluation, surgical techniques, and management of perioperative problems. Tips and tricks and technical pearls are highlighted and each chapter includes a list of the most important points to observe. This second edition of Penetrating Trauma has been extensively revised and updated – with inclusion of some entirely new chapters – to take into account the most recent trends in resuscitation, diagnostics, and treatment. Itwill be an ideal resource for those looking for practical solutions on how to treat injuries surgically.

This third edition text has been largely rewritten to include the many important advances that have been made and the controversies that have arisen in the past years. New topics have been added including Oxygen Transport, Tissue Oxygenation Evaluation, Echocardiography in the Critically Ill, Bedside Ultrasonography, Critical Care Issues in Oncological Surgery Patients, Long-Term Outcome after Intensive Care, Therapeutic Hypothermia, Delirium, and Post-Operative Gastrointestinal Dysfunction. Chapters are written by high-quality contributors, many of whom are nationally and internationally recognized researchers, speakers, and practitioners in Critical Care Medicine. Another important feature of this edition is the geographical diversity of its authors, including notable contributions from colleagues in Australia, Belgium, Brazil, Canada, Denmark, France, Germany, Norway, Portugal, Sweden, and the United Kingdom.Surgical Intensive Care Medicine, Third Edition provides a comprehensive, state-of-the art review of the field, and will serve as a valuable resource for medical students, residents, critical care fellows in training, surgeons, anesthesiologists and physicians caring for the critically ill. ​

The Fourth Edition of Chassin's Operative Strategy in General Surgery: An Expositive Atlas is designed to expand this comprehensive and unique general surgery reference while remaining true to the special character of the work. This unique text continues to provide an emphasis on surgical strategy that is unmatched by other textbooks of surgical technique. It continues to comprehensively cover all non-vascular operations commonly performed by general surgeons. As always, Chassin's explains the conceptual basis of each operation, outlines strategies to avoid common pitfalls, and carefully describes and beautifully illustrates the technical steps of each operation. The Fourth Edition has been expanded and updated by adding both new procedures and new features. A significant new feature, “Documentation Basics” has been added to each chapter, providing a bulleted list of key features that need to be listed in the operative note to accurately describe extent of procedure and enhance accuracy of coding.General surgery continues to evolve. Procedures are added and many operations are done through new minimal access approaches. However, as a surgeon may be called upon to perform an operation that has become rare, Chassin's unique “legacy” material has been retained for reference. In addition, 17 new chapters have been added, including 4 new chapters on colorectal surgery. Over 1100 elegant illustrations and new radiographs accompany detailed textual explanations. More than ever, Chassin's Operative Strategy in General Surgery: An Expositive Atlas, Fourth Edition is an indispensable reference for all surgical residents and practicing surgeons.

The book of PEDIATRIC DENTISTRY discusses about the approach to patient care and actual preventive treatment techniques required to treat various dental diseases. It gives a description on the medical emergencies including causes, signs and symptoms, pathophysiology, diagnoses, treatment and prognosis thus improving the medical conditions and diseases. The book is divided into 19 sections which include introduction to pediatric dentistry, diagnosis in pediatric dentistry, growth and development, developmental aspects of dentition, behavioral pedodontics, preventive pedodontics, pediatric orthodontics, cariology, restorative dentistry, pediatric endodontics, gingiva and periodontium in children, oral surgical procedures in children, hospital dentistry, dentistry for the special child, pediatric oral pathology, forensic pedodontics, lasers in pediatric dentistry, advancements in pediatric dentistry, and research methodology in pedodontics. The book will provide an important guidance for undergraduate students and postgraduates to the modern concepts of dentistry for children and adolescents.

had a dream. My dream was to assemble the current and future leaders in surgery and ask them to develop an evidence-based surgical textbook that would provide the reader with the most up-to-date and relevant information on which to base decisions in modern surgical practice. In other words, the dream was to create the best, most comprehensive textbook of surgery. Fortunately, I met Laura Gillan of Springer-Verlag New York, who had a similar dream. As our editor, she has provided the foundation and structure for this dream. She has made this dream a reality. Because surgery is a highly specialized and diverse discipline with significant complexity, I also needed a commitment from outstanding sur­ geons to serve as coeditors. I was fortunate to have a diverse group of exceptional, young-in-spirit, en­ ergetic, cutting-edge, surgical investigators share in this project, and I wish to thank them for their in­ valuable contribution to this undertaking. The Editorial Board, including Randy Bollinger, Fred Chang, Steve Lowry, Sean Mulvihill, Harvey Pass, and Robert Thompson, met for the first time at the Ameri­ can College of Surgeons meeting in Chicago in October 1997 (Fig. 1). There, this book was conceived. Each of us developed the plan and content for his specific surgical discipline. The common thread is that all decisions and recommendations are based on the best available evidence and that the reader can clearly see the evidence in our'E-tables'(evidence-based tables) specifically marked for the reader's reference.

Surgery needs skill. Skill needs knowledge. Knowledge of tricks, moves, and tools. This book is about such knowledge. Expert authors have contributed technical pearls, gained by years of experience. The short “how-I-do-it” chapters offer the reader a quick and effective guide that will be invaluable when addressing any penetrating injury. The book is not intended to serve as a comprehensive volume of pathophysiology and management in trauma; rather the goal is to provide practical solutions on how to treat injuries surgically. It describes the steps that you must take when, in the middle of the night, confronted with devastating bleeding, you will have only one chance to save a life!

Ryan's Ballistic Trauma 3rd Edition provides a concise guide to the clinical and operational issues surrounding the management of the ballistic casualty. This book crystallizes the knowledge and experience accrued by those dealing with ballistic trauma on a regular basis and extends this to those who have to manage these patients on an occasional basis only. Ryan's Ballistic Trauma 3rd Edition is a valuable reference tool for all medical and paramedical personnel involved in the care of patients with ballistic injury. It is especially relevant for consultants and senior trainees in surgery, anesthesia and emergency medicine who are likely to be involved in the management of these unique injuries. This book is essential reading for pre-hospital care providers and nurses working in the emergency room, as well as military surgeons and medical and nursing staff on deployment in regions of conflict.

The genesis of this project is a direct result of the fact that there is no substantive textbook that addresses the full-spectrum of surgical emergencies. Even in a?eld in which there is a plethora of excellent textbooks on a variety of surgical topics (including trauma), there is no one reference book with a dedicated emphasis on both traumatic and nontraumatic conditions potentially necessitating surgical int- vention in the acute setting.This project became even more unique when its st- wise development paralleled the evolution of a new specialty–acute care surgery. This was far from a serendipitous link.On the contrary,my editorial colleagues and I, along with many of the contributors, have recently been part of a major effort to build the foundation for this new specialty.As with any proposed new specialty, there have been a few rough interfaces with some of the other surgical specialties regarding the scope of practice of the acute care surgeon. Fortunately, the key to this con?ict resolution will revolve around what is best for the patient. However, irrespective of these dynamics,there is a worsening crisis in acute care in this nation.

Written by many of the world's leading colorectal surgeons, this evidence-based text investigates the risks and benefits of colorectal surgeries. By using clinical pathways, algorithms, and case discussions, the authors identify the best practices for patient safety and positive outcomes to ensure that physicians correctly recognize potential probl

This book focuses on important surgical management issues where one or more problems are addressed using scientific evidence from the published literature, and predominantly cites Level I and II evidence from the Oxford Scale. The 85 chapters are conveniently arranged into three sections; Trauma, Emergency General Surgery, and Surgical Critical Care Problems. Each chapter incorporates key questions on a particular topic and answers are provided along with the strength of the recommendation in clear tabular form for quick reference and easy interpretation. Acute Care Surgery and Trauma: Evidence Based Practice is essential reading for all surgeons, fellows and residents, in particular those working in acute care, trauma, emergency and critical care medicine.

El proposito de esta obra es informar al anestesiologo no oncologo acerca del tratamiento anestesico del paciente con cancer. Se describen temas como la evaluacion psicologica del paciente oncologico, valoracion preoperatoria del paciente, y manejo del dolor posoperatorio en cirugia de cancer.

Carpal Tunnel Syndrome, with its surgical profile, is a must for those specialising in this condition (hand surgeons, orthopaedic surgeons, plastic surgeons, physiatrists and hand physical therapists), for both experts and newcomers to this field. For the young surgeon just starting out, the book explains the technical modalities of surgical treatment for this condition and describes alternative non-surgical procedures. It also depicts the complications that can arise in treatment. For more experienced surgeons, this book is an instrument for deepening their knowledge of this condition and its management. It can be considered a moment for reflection on a condition that is erroneously considered simple to treat and easy to resolve. The surgical chapters compare various complications as well as various conservative and rehabilitative treatment options, thus underlining that this condition must not be underestimated. Incorrect treatment can have many negative ramifications: not only that the patient is dissatisfied but it can also lead to the hand's functional loss and render the patient an invalid. This book is also intended for all physicians and medical students interested in this subject, presenting the broad range of problems caused by this condition and how best to manage them.

Why write a book on emergency radiology? In many coun- decline. There is an increasing trend towards the use of tries, hospital emergency departments have become a MDCT to evaluate traumatic injuries and non-traumatic major part of the healthcare safety net. In the last decade emergencies. The use of workstations for reporting and for economically-driven structural changes in health care further image reconstruction becomes standard practice. delivery have caused a dramatic increase in emergency On the occasion of the European Congress of Radiology department visits. In response to capacity and staffing (ECR) 2003 and 2004 a Categorical Course on “Emergency pressures, hospitals are developing and implementing a Radiology”has been organized to assess current devel- variety of strategies designed to improve patient flow and ments and concepts in this rapidly growing field. reduce overcrowding in the emergency department. Numerous radiologists,all outstanding and international- Several factors are considered critical for success, such as ly renowned experts in their field,have made superb c- having the right multidisciplinary teams in place and opti- tributions in an ECR syllabus. These authors have now mizing the use of imaging tests. For a critical care physi- made a second effort and updated their contributions for cian it is paramount to obtain the images quickly and for this book. The chapters in the book mirror the topics p- them to be interpreted accurately. sented in the ECR course, encompassing imaging ap- To accomplish this, the emergency radiology division proaches as well as interventional aspects.

Infection Control in the Intensive Care Unit has been entirely rewritten in this second edition. All statements are justified by the best available evidence, avoiding unsubstantiated expert opinion. The book contains a new section dedicated to the microbiology of the critically ill; specifically, how to process and interpret surveillance cultures to distinguish the ‘normal'from the ‘abnormal'carrier state. There are five totally new chapters dealing with evidence-based infection control molecular techniques for outbreak analysis; clinical virology in neonatal, paediatric and adult intensive care; the six basic principles of the therapy of an infection; and the role of the pharmacist in infection control. Attention is given to special topics such as nutrition, gut mucosal protection, and the control of antimicrobial resistance. The addition of enteral to parenteral antimicrobials contributes to the control of multi-resistant micro-organisms. This completely revised second edition is a must-have for anyone requiring in-depth knowledge in the ever expanding field of infection control.

Ballistic Trauma: A Practical Guide provides a concise guide to the clinical and operational issues surrounding the management of the ballistic casualty. The book crystallizes the knowledge and experience accrued by those dealing with ballistic trauma on a regular basis and extends this to those who have to manage these patients on an occasional basis only. This book is aimed at all medical and paramedical personnel involved in the care of patients with ballistic injury. It will be especially relevant for consultants and senior trainees in surgery, anesthesia and emergency medicine who are likely to be involved in the management of these unique injuries. It will be an essential reference for pre-hospital care providers and nurses working in the emergency room and intensive care. Military surgeons and medical and nursing staff on deployment in regions of conflict will find the book a valuable resource.

A condensed version of the critically acclaimed'Surgery: Basic Science and Clinical Evidence,'Essential Practice of Surgery provides a state-of-the-art, evidence-based approach to surgery for surgeons, residents and medical students. The book is divided into 8 comprehensive sections, providing the most succinct coverage of critical topics: Care of the Surgical Patient; Gastrointestinal & Abdominal Disease; Endocrine Surgery; Vascular Surgery; Cardiothoracic Surgery; Transplantation; Cancer; and Associated Disciplines. Over 250 illustrations and 340 tables, including 62 evidence-based tables, complement the text. Reviews of'Surgery':'...a fresh approach... [the book] emphasizes the basic science underlying the practice of surgery and the evidence supporting clinical decisions. The text is clearly written and the chapters are well-illustrated. There is also a unique feature: several hundred evidence-based tables. These tables allow the reader to reach conclusions on the basis of data.'( New England Journal of Medicine)'Is it different from the existing textbooks of surgery? Did the authors achieve their principal goal of providing an evidence-based approach to surgical decision making? Would I recommend it to the surgical residents in my program?...the answer to all these questions is yes. The ambitious undertaking of creating an evidence-based textbook of surgery has largely succeeded and I heartily recommend it.'(Journal of the American Medical Association)