Manual of definitive surgical trauma care:
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
London
Hodder Arnold
2011
|
Ausgabe: | 3. ed. |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | Includes bibliographical references and index |
Beschreibung: | xxvi, 278 p. Ill., graph. Darst. 25 cm |
ISBN: | 9781444102826 1444102826 |
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245 | 1 | 0 | |a Manual of definitive surgical trauma care |c ed. by Kenneth D. Boffard |
250 | |a 3. ed. | ||
264 | 1 | |a London |b Hodder Arnold |c 2011 | |
300 | |a xxvi, 278 p. |b Ill., graph. Darst. |c 25 cm | ||
336 | |b txt |2 rdacontent | ||
337 | |b n |2 rdamedia | ||
338 | |b nc |2 rdacarrier | ||
500 | |a Includes bibliographical references and index | ||
650 | 4 | |a Surgical emergencies | |
650 | 4 | |a Traumatology | |
650 | 4 | |a Wounds and injuries / Surgery | |
650 | 4 | |a Surgical Procedures, Operative / methods | |
650 | 4 | |a Critical Care / methods | |
650 | 4 | |a Decision Making | |
650 | 4 | |a Emergency Medical Services / methods | |
650 | 4 | |a Resuscitation | |
650 | 4 | |a Wounds and Injuries / surgery | |
650 | 0 | 7 | |a Traumatologie |0 (DE-588)4137775-8 |2 gnd |9 rswk-swf |
650 | 0 | 7 | |a Unfallchirurgie |0 (DE-588)4061694-0 |2 gnd |9 rswk-swf |
689 | 0 | 0 | |a Traumatologie |0 (DE-588)4137775-8 |D s |
689 | 0 | |5 DE-604 | |
689 | 1 | 0 | |a Unfallchirurgie |0 (DE-588)4061694-0 |D s |
689 | 1 | |5 DE-604 | |
700 | 1 | |a Boffard, Kenneth D. |e Sonstige |0 (DE-588)173638724 |4 oth | |
856 | 4 | 2 | |m Digitalisierung UB Regensburg |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024844272&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |3 Inhaltsverzeichnis |
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Datensatz im Suchindex
_version_ | 1804148973999489024 |
---|---|
adam_text | Contents
Board
of contributors
xvii
Preface
xxi
Introduction
xxiii
Injury prevention
Training in the management of severe trauma
xxiii
The Advanced Trauma Life Support® course
xxiii
Surgical trauma training beyond ATLS®
xxiii
Surgical training courses in trauma
xxiv
The DSTC course
xxv
Summary
xxv
References
xxv
Part
1:
OVERVIEW
_______________________________________________________________________________1
1
Overview
3
1.1
Resuscitation in the emergency department
3
1.2
Management of major trauma
3
1.2.1
Resuscitation
3
1.2.2
Management of penetrating trauma
7
1.3
Emergency department surgery
8
1.3.1
Craniofacial injuries
8
1.3.2
Chest trauma
9
1.3.3
Abdominal trauma
9
1.3.4
Pelvic trauma
10
1.3.5
Long bone fractures
10
1.3.6
Peripheral vascular injuries
10
1.4
Summary
10
1.5
References
11
1.6
Recommended reading
11
Part
2:
PHYSIOLOGY AND METABOLISM
__________________________________________________________13
2
Resuscitation physiology IS
2.1
Metabolic response to trauma
15
2.1.1
Definition of trauma
15
2.1.2
Initiating factors
15
2.1.3
Immune response
16
2.1.4
Hormonal mediators
18
2.1.5
Effects of the various mediators
20
2.1.6
The anabolic phase
22
vi
I Manual of Definitive Surgical Trauma Care
2.1.7
Clinical and therapeutic relevance
22
2.2
Shock
22
2.2.1
Definition of shock
22
2.2.2
Classification of shock
22
2.2.3
Measurements in shock
25
2.2.4
End points in shock resuscitation
29
2.2.5
Post-shock and multiple organ failure syndromes
30
2.2.6
Management of the shocked patient
30
2.2.7
Prognosis in shock
34
2.2.8
Recommended protocol for shock
35
2.3
References
35
2.4
Recommended reading
36
Part
3:
TRANSFUSION IN TRAUMA
__________________________________________________________37
3
Transfusion in trauma
39
3.1
Indications for transfusion
39
3.1.1
Oxygen-carrying capacity
39
3.1.2
Volume expansion
39
3.2
Transfusion fluids
39
3.2.1
Fresh whole blood
39
3.2.2
Component therapy (platelets,
FFP, cryoprecipitate)
40
3.3
Effect of transfusing blood and blood products
40
3.3.1
Metabolic effects
41
3.3.2
Effects of microaggregates
41
3.3.3
Hyperkalaemia
41
3.3.4
Coagulation abnormalities
41
3.3.5
Other risks of transfusion
41
3.4
Action
42
3.4.1
Current best standards of practice
42
3.4.2
Reduction in the need for transfusion
43
3.4.3
Transfusion thresholds
43
3.4.4
Transfusion ratios
43
3.4.5
Adjuncts to enhance clotting
43
3.4.6
Monitoring the coagulation status
44
3.5
Autotransfusion
45
3.6
Red blood cell substitutes
46
3.6.1
Perfluorocarbons
46
3.6.2
Haemoglobin solutions
46
3.7
Massive haemorrhage/massive transfusion
47
3.7.1
Definition 47
3.7.2
Protocol 47
3.8
References
49
3.9
Recommended reading
$0
Part
4:
DAMAGE CONTROL SURGERY
_______________________________________________________
Ц
4
Damage control surgery
4.1
Damage control
4.1.1
Stage
1:
Patient selection ^
4.1.2
Stage
2:
Operative haemorrhage and contamination control
54
Contents
I
vii
4.1.3
Stage
3:
Physiological restoration in the ICU
56
4.1.4
Stage
4:
Operative definitive surgery
56
4.1.5
Stage
5:
Abdominal wall reconstruction if required
56
4.1.6
Re-laparotomy
56
4.1.7
Delayed closure
57
4.1.8
Outcomes
57
4.2
Abdominal compartment syndrome
57
4.2.1
Definition of ACS
57
4.2.2
Pathophysiology
58
4.2.3
Causes of raised IAP
58
4.2.4
Effect of raised IAP on individual organ function
59
4.2.5
Measurement of IAP
59
4.2.6
Treatment
60
4.2.7
Surgery for raised IAP
61
4.2.8
Management algorithm
61
4.2.9
World Society of the Abdominal Compartment Syndrome
61
4.3
References
63
4.4
Recommended reading
63
4.4.1
Damage control
63
4.4.2
Abdominal compartment syndrome
63
Part
5:
SPECIFIC ORGAN INJURY
65
The neck
67
5.1
Overview
67
5.2
Management principles
67
5.2.1
Initial assessment
67
5.2.2
Use of diagnostic studies
68
5.3
Treatment
69
5.3.1
Mandatory versus selective neck exploration
69
5.3.2
Treatment based on anatomical zones
69
5.3.3
Rules
70
5.4
Access to the neck
70
5.4.1
Incision
71
5.4.2
Carotid artery
71
5.4.3
Midline visceral structures
72
5.4.4
Root of the neck
72
5.4.5
Collar incisions
72
5.4.6
Vertebral arteries
72
5.5
Recommended reading
72
The chest
73
6.1
Overview
73
6.1.1
Introduction: the scope of the problem
73
6.1.2
The spectrum of thoracic injury
73
6.1.3
Pathophysiology of thoracic injuries
74
6.1.4
Applied surgical anatomy of the chest
74
6.1.5
Paediatric considerations
76
6.1.6
Diagnosis
77
6.1.7
Management
77
viiij
Manual
of Definitive Surgical Trauma Care
6.1.8
Emergency department thoracotomy
6.1.9
Surgical approaches to the thorax
6.2
Access
to the thorax
6.2.1
Anterolateral thoracotomy
6.2.2
Median sternotomy
6.2.3
The clamshell thoracotomy
6.2.4
Posterolateral thoracotomy
6.2.5
Trapdoor thoracotomy
6.3
Emergency department thoracotomy
6.3.1
Requirements
6.3.2
Approach
6.3.3
Emergency procedures
6.3.4
Definitive procedures
6.4
Summary
6.5
References
6.6
Recommended reading
The abdomen
7.1
The trauma laparotomy
7.1.1
Overview
7.1.2
The trauma laparotomy
7.1.3
Closure of the abdomen
7.1.4
Haemostatic adjuncts in trauma
7.1.5
Briefing for operating room scrub nurses
7.1.6
Summary
7.2
The bowel
7.2.1
Stomach
7.2.2
Small bowel
7.2.3
Large bowel
7.2.4
Mesentery
7.2.5
Adjuncts
7.3
The liver and biliary system
7.3.1
Overview
7.3.2
Resuscitation
7.3.3
Diagnosis
7.3.4
Liver injury scale
7.3.5
Management
7.3.6
Surgical approach
7.3.7
Complications
7.3.8
Injury to the retrohepatic
vena cava
7.3.9
Injury to the bile ducts and gallbladder
7.4
The spleen
7.4.1
Overview
7.4.2
Anatomy
7.4.3
Diagnosis
7.4.4
Splenic injury scale
7.4.5
Management
7.4.6
Surgical approach
7.4.7
Complications
7.4.8
Outcome
85
87
87
87
88
89
89
89
89
89
90
90
91
92
92
92
93
93
93
93
94
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101
102
102
102
103
103
103
104
104
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105
105
105
106
106
107
111
112
113
113
113
113
114
114
114
115
116
117
Contents
I
ix
7.5
The pancreas
7.5.1
Overview
7.5.2
Anatomy
7.5.3
Mechanisms
ofinjury
7.5.4
Diagnosis
7.5.5
Pancreas injury scale
7.5.6
Management
7.5.7
Surgical approach
7.5.8
Adjuncts
7.5.9
Pancreatic injury in children
7.5.10
Complications
7.5.11
Summary of evidence-based guidelines
7.6
The duodenum
7.6.1
Overview
7.6.2
Mechanism
ofinjury
7.6.3
Diagnosis
7.6.4
Duodenal injury scale
7.6.5
Management
7.6.6
Surgical approach
7.7
Abdominal vascular injury
7.7.1
Overview
7.7.2
Injuries of the aorta and
vena cava
7.7.3
Rerroperitoneal haematoma in the abdomen
7.7.4
Surgical approach
7.7.5
Shunting
7.8
The
urogenital
system
7.8.1
Overview
7.8.2
Renal injuries
7.8.3
Ureteric injuries
7.8.4
Bladder injuries
7.8.5
Urethral injuries
7.8.6
Scrotal injury
7.8.7
Gynaecological injury and sexual assault
7.8.8
Injury of the pregnant uterus
7.9
References
7.10
Recommended reading
7.10.1
The trauma laparotomy
7.10.2
The liver
7.10.3
The spleen
7.10.4
The pancreas
7.10.5
The duodenum
7.10.6
Abdominal vascular injury
7.10.7
Urogenital
system
The pelvis
8.1
Introduction
8.2
Anatomy
8.3
Classification
8.3.1
Type A
8.3.2
Type
В
117
117
117
117
118
119
119
120
123
123
123
124
124
124
125
125
126
126
127
130
130
130
130
131
134
135
135
135
139
140
141
142
142
143
143
146
146
147
147
147
147
147
147
148
148
148
148
149
149
Manual
of Definitive
Surgical
Trauma
Care
8.3.3
Туре С
149
8.4
Clinical examination and diagnosis
149
8.5
Resuscitation
150
8.5.1
Haemodynamically normal patients
150
8.5.2
Haemodynamically stable patients
150
8.5.3
Haemodynamically unstable patients
150
8.5.4
Laparotomy
150
8.6
Pelvic packing
151
8.6.1
Technique of extraperitoneal pelvic packing
151
8.7
Complex pelvic injuries
152
8.7.1
Diagnosis
152
8.7.2
Surgery
152
8.8
Associated conditions
152
8.8.1
Head injuries
152
8.8.2
Intra-abdominal injuries
152
8.8.3
Urethra] injuries
152
8.8.4
Anorectal injuries
153
154
154
154
155
155
155
155
155
155
155
156
156
157
158
159
160
160
161
161
161
162
162
162
Part
6:
ADDITIONAL (OPTIONAL) MODULES
________________________________________________
J63
10
Critical care of the trauma patient
165
10.1
Introduction 16^
10.2
Goals of trauma ICU care 165
10.3
Phases of ICU care 16S
10.3.1
Resuscitative phase (first
24
hours post-injury) I*
10.3.2
Early life support phase
(24-72
hours post-injury)
166
8.9
Summary
8.10
References
8.11
Recommended reading
Extremity trauma
9.1
Overview
9.2
Management of severe injury to the extremity
9.3
Key issues
9.3.1
Management of open fractures
9.3.2
Severity
ofinjury
(Gustilo
classification)
9.3.3
Sepsis and antibiotics
9.3.4
Venous thromboembolism
9.3.5
Timing of skeletal fixation in polytrauma patients
9.4
Massive limb trauma; life versus limb
9.4.1
Management
9.4.2
Scoring systems
9.5
Compartment syndrome
9.6
Fasciotomy
9.6.1
Four-compartment fasciotomy
9.6.2
Fibulectomy
9.7
Complications of major limb injury
9.8
Summary
9.9
References
9.10
Recommended reading
Contents
]
x¡
10.3.3
Prolonged life
supporr
(>72 hours post-injury)
166
10.3.4
Recovery phase (separation from the ICU)
167
10.4
Hypothermia
167
10.4.1
Rewarming
167
10.5
Systemic inflammatory response syndrome
168
10.6
Multisystem organ dysfunction syndrome
169
10.7
Coagulopathy of major trauma
169
10.7.1
Management
170
10.8
Recognition and treatment of raised ICP
170
10.9
Recognition of acute renal failure
170
10.10
Evaluation of metabolic disturbances
170
10.11
Pain control
170
10.12
Family contact and support
171
10.13
ICU tertiary survey
171
10.13.1
Evaluation for occult injuries
171
10.13.2
Assess co-morbid conditions
171
10.14
Nutritional support
171
10.14.1
Access for
enterai
nutrition
172
10.15
Preventive measures in the ICU
172
10.15.1
Stress
ulcération
172
10.15.2
Deep vein thrombosis and pulmonary embolus
172
10.15.3
Infection
172
10.16
Antibiotics
173
10.17
Respiration
174
10.18
Organ donation
174
10.19
References
174
10.20
Recommended reading
175
11
Austere conditions and battlefield surgery
176
11.1
Introduction
176
11.2
Injury patterns
176
11.3
Emergency medical service systems
177
11.3.1
Incident management and multiple casualties
178
11.4
Triage
179
11.4.1
Forward surgical teams and triage
180
11.5
Mass casualties
180
11.6
Evacuation
181
11.7
Resuscitation
181
11.7.1
Overview
181
11.7.2
Damage control resuscitation
183
11.7.3
Damage control surgery in the military setting
183
11.8
Blast injury
184
11.8.1
Diagnosis and management of primary blast injuries
184
11.9
Battlefield analgesia
185
11.10
Battlefield anaesthesia
185
11.10.1
Damage control anaesthesia in the military setting
186
11.11
Critical care
186
11.12
Translating military experience to civilian trauma care
186
11.13
Summary
187
11.14
References
187
xii
j
Manual of Definitive Surgical Trauma Care
11.15
Recommended reading
187
11.15.1
Ballistics: history , mechanisms, ballistic protection and casualty management
187
11.15.2
Blast injury
188
11.15.3
War surgery
188
12
Ultrasound in trauma
189
12.1
Focused abdominal sonography for trauma
189
12.2
Applications of ultrasound in trauma
189
12.2.1
Ultrasound in abdominal trauma
189
12.2.2
Ultrasound in thoracic trauma
189
12.2.3
Other applications of ultrasound
190
12.3
Pitfalls
190
12.4
Summary
190
12.5
Recommended reading
190
13
Minimally invasive surgery in trauma
191
13.1
Thoracic injury
191
13.2
Diaphragmatic injury
191
13.3
Abdominal injury
191
13.3.1
Screening for intra-abdominal injury
191
13.3.2
Splenic injury
192
13.3.3
Liver injury
192
13.3.4
Bowel injury
190
13.4
Risks of laparoscopy in trauma
192
13.5
Summary
192
13.6
References
192
13.7
Recommended reading
193
14
Burns
194
14.1
Overview
194
14.2
Anatomy
194
14.3
Depth of the burn
195
14.3.1
Superficial burn (erythema)
195
14.3.2
Superficial partial thickness burn
195
14.3.3
Deep partial thickness burn
195
14.3.4
Indeterminate partial thickness burn
195
14.3.5
Full thickness burn
196
14.4
Area of the burn
196
14.5
Management
196
14.5.1
Safe retrieval
196
14.5.2
First aid
196
14.5.3
Emergency department
197
14.5.4
Definitive management
199
14.6
Special areas
201
14.6.1
Face 201
14.6.2
Hands 201
14.6.3
Perineum 201
14.6.4
Feet 202
14.7
Adjuncts in burn care 202
14.7.1
Nutrition in the burned patients 2^2
Contents
І
xiii
Head trauma
15.1
Injury patterns
15.2
Depressed skull fractures
15.3
Penetrating injury
15.4
Adjuncts to care
15.5
Burr holes
15.6
Summary
15.7
References
14.7.2
Ulcer prophylaxis
202
14.7.3
Venous thromboembolism prophylaxis
202
14.7.4
Antibiotics
202
14.8
Criteria for transfer
203
14.9
Summary
203
14.10
References
203
14.11
Recommended reading
203
14.11.1
Websites
203
15
Head trauma
204
204
204
204
204
206
207
207
15.8
Recommended reading
207
16
Special patient situations
208
16.1
Paediatrics
208
16.1.1
Introduction
208
16.1.2
Injury patterns
208
16.1.3
Pre-hospital
208
16.1.4
Resuscitation room
208
16.1.5
Specific organ injury
209
16.1.6
Analgesia
210
16.2
The elderly
210
16.2.1
Definition and response to trauma
210
16.2.2
Physiology
210
16.2.3
Influence of co-morbid conditions
211
16.2.4
Multiple medications
-
polypharmacy
211
16.2.5
Analgesia
211
16.2.6
Outcome
211
16.3
Futile care
211
16.4
Recommended reading
212
17
Interventíonal
radiology in trauma
213
17.1
Introduction
213
17.2
Pelvic fractures
213
17.3
Blunt splenic injuries
213
17.4
Liver injuries
213
17.5
Aortic rupture and injury to middle-sized arteries
213
17.6
Recommended reading
213
APPENDICES
__________________________________________________________________________________215
Appendix A Trauma systems
217
A.1 Introduction
217
xiv
I Manual of Definitive Surgical Trauma Care
A.2 The inclusive trauma system
A.3 Components of an inclusive trauma system
A.3.1 Administration
A.
3.2
Prevention
A.3.3 Public education
A.4 Management of the injured patient within a system
A.5 Steps in organizing a system
A.5.1 Public support
A.5.2 Legal authority
A.5.3 Establish criteria for optimal care
A.5.4 Designation of trauma centres
A.5.5 System evaluation
A.6 Results and studies
A.6.1 Panel review
A.6.2 Registry study
A.6.3 Population-based studies
A.7 Summary
A.8 References
A.9 Recommended reading
Appendix
В
Trauma scores and scoring systems
B.I Introduction
B.2 Physiological Scoring Systems
B.2.1 Glasgow Coma Scale
B.2.2 Revised Trauma Score
B.2.3 Paediatric Trauma Score
B.3 Anatomical Scoring Systems
B.3.
1
Abbreviated Injury Scale
B.3.
2
Injury Severity Score
B.3.3 New Injury Severity Score
B.3.
4
Anatomic Profile
B.3.S ICD-based Injury Severity Score
B.3.6 Organ Injury Scaling System
B.3.7 Penetrating Abdominal Trauma index
B.4 Outcome analysis
B.4.
1
Glasgow Outcome Scale
B.4.2 Major Trauma Outcome Study
B.4.3 A Severity Characterization of Trauma
Summary
Scaling System for Organ-specific Injuries
References
B.5
B.6
B.7
Appendix
С
C.I
C.2
C.3
Definitive Surgical Trauma Care™ course: course requirements and syllabus
Background
Course development and testing
Course details
C.3.1 Ownership
C.3.2 Mission statement
C.3.3 Application to hold a course
C.3.4 Eligibility to hold a course
217
218
218
218
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219
219
219
219
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225
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226
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241
241
241
242
242
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242
242
Contents
І
xv
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243
:al
skills
244
244
244
244
245
245
245
245
245
246
246
247
247
247
247
247
248
248
248
248
249
249
249
249
249
250
250
250
250
250
Index 251
C.3.5
Course material and overview
C.3.6 Course director
C.3.7 Course faculty
C.3.8 Course participants
C.3.9 Practical skill stations
C.3.10 Course syllabus
C.3.
11
Course certification
C.4
IATSIC recognition
C.5
Course information
Appendix
D
Definitive
Surgical Trauma Care™ course: core si
D.I
The neck
D.2
The chest
D.3
The abdominal cavity
D.4
The liver
D.5
The spleen
D.6
The pancreas
D.7
The duodenum
D.8
The genitourinary system
D.9
Abdominal vascular injuries
D.
10
Peripheral vascular injuries
Appendix
E:
Bríefíng
for operating room scrub nurses
E.I
Introduction
E.2
Preparing the operating room
E.2.1 Environment
E.2.2 Blood loss
E.2.3 Instruments
E.2.
4
Cleaning
E.2.5 Draping
E.2.6 Adjuncts
E.3
Surgical procedure
E.3.1 Instruments
E.3.2 Special instruments and improvised gadgets
E.4
Abdominal closure
E.5
Instrument and swab count
E.6
Critical incident stress issues
E.7
Conclusion
E.8
References
E.9
Recommended reading
|
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id | DE-604.BV039987056 |
illustrated | Illustrated |
indexdate | 2024-07-10T00:15:39Z |
institution | BVB |
isbn | 9781444102826 1444102826 |
language | English |
oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-024844272 |
oclc_num | 785860040 |
open_access_boolean | |
owner | DE-355 DE-BY-UBR |
owner_facet | DE-355 DE-BY-UBR |
physical | xxvi, 278 p. Ill., graph. Darst. 25 cm |
publishDate | 2011 |
publishDateSearch | 2011 |
publishDateSort | 2011 |
publisher | Hodder Arnold |
record_format | marc |
spelling | Manual of definitive surgical trauma care ed. by Kenneth D. Boffard 3. ed. London Hodder Arnold 2011 xxvi, 278 p. Ill., graph. Darst. 25 cm txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Surgical emergencies Traumatology Wounds and injuries / Surgery Surgical Procedures, Operative / methods Critical Care / methods Decision Making Emergency Medical Services / methods Resuscitation Wounds and Injuries / surgery Traumatologie (DE-588)4137775-8 gnd rswk-swf Unfallchirurgie (DE-588)4061694-0 gnd rswk-swf Traumatologie (DE-588)4137775-8 s DE-604 Unfallchirurgie (DE-588)4061694-0 s Boffard, Kenneth D. Sonstige (DE-588)173638724 oth Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024844272&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Manual of definitive surgical trauma care Surgical emergencies Traumatology Wounds and injuries / Surgery Surgical Procedures, Operative / methods Critical Care / methods Decision Making Emergency Medical Services / methods Resuscitation Wounds and Injuries / surgery Traumatologie (DE-588)4137775-8 gnd Unfallchirurgie (DE-588)4061694-0 gnd |
subject_GND | (DE-588)4137775-8 (DE-588)4061694-0 |
title | Manual of definitive surgical trauma care |
title_auth | Manual of definitive surgical trauma care |
title_exact_search | Manual of definitive surgical trauma care |
title_full | Manual of definitive surgical trauma care ed. by Kenneth D. Boffard |
title_fullStr | Manual of definitive surgical trauma care ed. by Kenneth D. Boffard |
title_full_unstemmed | Manual of definitive surgical trauma care ed. by Kenneth D. Boffard |
title_short | Manual of definitive surgical trauma care |
title_sort | manual of definitive surgical trauma care |
topic | Surgical emergencies Traumatology Wounds and injuries / Surgery Surgical Procedures, Operative / methods Critical Care / methods Decision Making Emergency Medical Services / methods Resuscitation Wounds and Injuries / surgery Traumatologie (DE-588)4137775-8 gnd Unfallchirurgie (DE-588)4061694-0 gnd |
topic_facet | Surgical emergencies Traumatology Wounds and injuries / Surgery Surgical Procedures, Operative / methods Critical Care / methods Decision Making Emergency Medical Services / methods Resuscitation Wounds and Injuries / surgery Traumatologie Unfallchirurgie |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=024844272&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
work_keys_str_mv | AT boffardkennethd manualofdefinitivesurgicaltraumacare |