Difficult Decisions in Trauma Surgery: An Evidence-Based Approach

ISBN-13: 9783030816698 / Angielski / Miękka / 2022 / 459 str.

Kenneth Wilson; Selwyn O. Rogers

Opis

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.

Spis treści

Part I: Resuscitation

Difficult Decisions in Trauma – Is ABC the Right Mantra?

What is the Clinical Impact of Whole Blood as Compared to Component Therapy in Civilian Trauma?

Does Helicopter Transport to Level I Trauma Centers Improve Mortality

Futility of Care in Hemorrhagic Shock: When Prolonging the Massive Transfusion Protocol is of No Benefit.

In the exsanguinating trauma patient does REBOA, compared with resuscitative thoracotomy (RT), result in lower complications, morbidity, and mortality?

Part II: Wound Management

In Patients with Traumatic Extremity Wounds is Negative Pressure Wound Therapy Superior as Compared to Standard Dressing Changes?

Enterocutaneous Fistula Management in Trauma

Part III: Antimicrobial Management

Does prophylactic antibiotics for emergent tube thoracostomy decrease rates of infection?

Antibiotics Prophylaxis after Penetrating Colon Injuries

Antibiotic Regimen in Treating Complicated Intra-abdominal Infections

Is Vaccine Prophylaxis Necessary for Patients Undergoing Splenic Embolization?

Part IV: Trauma Imaging

The Trauma Pan-Scan: Who Benefits from Immediate Whole-Body Imaging?

Non-Selective Arterial Embolization for Pelvic Fractures 

Clinical clearance of the cervical spine in the presence of a distracting injury

MRI Clearance for the Cervical Spine

Part V: Traumatic Brain Injury

Difficult Decisions in Surgery: An Evidence-Based Approach ECMO safety in the setting of traumatic brain injury

Can Abdominal Decompression Improve Refractory Intracranial Hypertension?

Is there an Optimal Screening tool to Best Diagnose and Treat Blunt Cerebrovascular Injury (BCVI)?

Part VI: Abdominal Trauma

Does specific sequencing of operative interventions in thoracoabdominal trauma improve outcomes? 

Selective Nonoperative Management for Abdominal Gunshot Wounds

What is the optimal management of traumatic duodenal injury?

Timing of Ostomy Reversal in Trauma and Acute Care Surgery

Part VII: Thoracic Trauma

Resuscitative Thoracotomy

Extracorporeal Membrane Oxygenation for Patients with Traumatic Injury and Respiratory Failure 

Is There a Gold Standard for Screening Blunt Cardiac Injury?

Optimal Chest Tube Size for Hemothorax Evacuation

Should Intrapleural Fibrinolytic Therapy be a First-Line Therapy for Post-Traumatic Retained Hemothoraces?

Rib Plating in the Acute Trauma Setting

Does Thoracic Irrigation at the Time of Chest Tube Placement Decrease the Incidence of a Retained Hemothorax?

The Timing of VATS for a Retained Hemothorax

Part VIII: Ethics

Donation after Cardiac Death in the Emergency Department

Resuscitative Thoracotomy for Organ Donation

Resilience training for the trauma surgeon

Youth Violence Prevention:  Violence Recovery Programs

Part IX: Peripheral Vascular Trauma

Are Temporary Vascular Shunts (TVS) Effective Damage Control Adjuncts for Limb Salvage?

Difficult Decisions in Surgery: An Evidence-Based Approach Limb salvage for the mangled extremity 

Part X: Pediatric Trauma

The use of FAST in the Pediatric Trauma Setting

Selective Nonoperative Management of Children with Penetrating Abdominal Trauma

Are outcomes equivalent for injured children treated at pediatric or adult trauma centers, and what are the implications with respect to the design of optimal trauma systems?

O autorze

Kenneth L. Wilson, MD, FACS, COL, MC USAR is a Professor of Surgery at the University of Chicago. He serves as the Trauma Medical Director at the University of Chicago Medicine Trauma Center.

Selwyn O. Rogers Jr., MD, MPH, FACS, Professor of Surgery is the founding director of the University of Chicago Medicine Trauma Center.  As Executive Vice President for Community Health Engagement, Dr. Rogers works with faculty across the University of Chicago as well as members of the community to develop a multidisciplinary approach to trauma care and health disparities.