To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
REBOA is an endovascular occlusion balloon, inserted through the femoral artery, designed to occlude the aorta in the setting of severe abdominal or pelvic hemorrhage (Figure 21.1).
Traffic collisions, followed by falls, are by far the most common cause of severe blunt abdominal trauma. Solid organs, usually the spleen and liver, are the most commonly injured organs. Hollow viscus perforations are fairly uncommon (about 3% of blunt abdominal trauma), and they are often associated with seat-belts or high-speed deceleration injuries.
The skin functions as a critical external barrier and serves a vital role in protecting against pathogens but also in thermoregulation, management of fluids and electrolytes, and protection from trauma. Small size burns cause relatively minor sequelae while larger burns can trigger a massive inflammatory response, secondary organ dysfunction, and result in death. The depth and extent of a burn will determine the severity of the response to this trauma.
Examining the complex dynamics of medical treatment options and the variable character of surgical technologies, this volume broadens and transcends the notion of technological innovation.
The third edition of the Color Atlas of Emergency Trauma brings the reader to the bedside of patients with traumatic injuries, at one of the largest and busiest trauma centers in North America. It includes over 1200 images, designed as a comprehensive visual and reference guide to emergency trauma care. Organized by major body regions, this atlas explores the full spectrum of common and uncommon traumatic injuries, including those caused by firearms, stab wounds, blunt trauma, crush injury, and burns. It also covers special patient groups, such as pregnant, pediatric and geriatric populations. Each chapter is augmented with patient images at presentation, radiographic, intraoperative and autopsy images, and color illustrations and photographs showing key anatomy from the cadaver laboratory. With common pitfalls discussed and invaluable tips from a multidisciplinary group of experienced trauma care providers, this book is a useful and practical resource for all those involved in trauma care.
This updated book continues the ABCDE chapter format from the second edition, incorporating an escalating level of diagnostic and management complexity and a concise bibliography in each chapter. It remains demarcated into two sections: the first (e.g. ABCDE chapters) equips surgical trainees in managing non-ICU-based patients, whilst the second provides a basic introduction to ICU care. The chapters introduce standard definitions, pathological processes, diagnostic features and common management plans. These are based on a range of updated recommended guidelines from NICE and SIGN and common ALS principles in critical care patients, as well as current ATLS® and CCrISP® standards. The most common causes of systemic complications in surgical patients are explained, e.g. updated sections on sepsis and major haemorrhage protocols, to name but a few. A must-have revision guide for all surgical trainees, from final-year medical students through to junior surgical registrars.
Blood pressure can be measured non-invasively (NIBP), e.g. sphygmomanometer or invasively by direct cannulation of a peripheral artery, e.g. invasive arterial blood pressure monitoring (see Arterial Lines: Intra-Arterial Blood Pressure Monitoring later in this chapter). The latter provides a continuous waveform trace after attachment to an electronic pressure transducer.
These simple methods are often unsuccessful when airway obstruction is caused by loss of muscle tone in the pharynx. Always check for intervention success after each manoeuvre using the Look, Listen and Feel sequence.
Thus, there is a potential reduction in the level of consciousness but retention of verbal communication. There is much variability in which permutations of these enhance individual agent effects. From a practical perspective, in ICU, they are used to permit tolerance of endotracheal tubes, oral suction and other bedside procedures.
These simple methods are often unsuccessful when airway obstruction is caused by loss of muscle tone in the pharynx. Always check for intervention success after each manoeuvre using the Look, Listen and Feel sequence.