Recent advances and future directions in trauma care:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, PA
Saunders
2012
|
| Schriftenreihe: | Surgical clinics of North America
92,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index Foreword: Recent advances and future directions in trauma care [by Ronald F. Martin] -- Preface: Recent advances and future directions in trauma care [by LtCol Jeremy W. Cannon] -- Invited commentary: Recent advances and future directions in trauma care [by Col. H. Blackbourne] -- Prehospital emergency trauma care and management -- Noncompressible torso hemorrhage: a review with contemporary definitions and management strategies -- The evolution of damage control surgery -- Toward hemostatic resuscitation: the changing understanding of acute traumatic biology, massive bleeding, and damage-control resuscitation -- Improving trauma care in the ICU: best practices, quality improvement initiatives, and organization -- Advanced technologies in trauma critical care management -- Long-range critical care evacuation and reoperative surgery -- Spectrum of traumatic brain injury from mild to severe -- Evolving changes in the management of burns and environmental injuries -- Management of complex extremity injuries: tourniquets, compartment syndrome detection, fasciotomy, and amputation care -- Verification and regionalization of trauma systems: the impact of these efforts on trauma care in the United States -- Trauma system configurations in other countries: the Israeli model -- Research and analytics in combat trauma care: converting data and experience to practical guidelines -- Graduate medical education in trauma/critical care and acute care surgery: defining goals for a new workforce |
| Beschreibung: | XVIII S., S. 823 - 1076 Ill., graph. Darst. 24 cm |
| ISBN: | 9781455749645 1455749648 |
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| 490 | 1 | |a Surgical clinics of North America |v 92,4 | |
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| 500 | |a Foreword: Recent advances and future directions in trauma care [by Ronald F. Martin] -- Preface: Recent advances and future directions in trauma care [by LtCol Jeremy W. Cannon] -- Invited commentary: Recent advances and future directions in trauma care [by Col. H. Blackbourne] -- Prehospital emergency trauma care and management -- Noncompressible torso hemorrhage: a review with contemporary definitions and management strategies -- The evolution of damage control surgery -- Toward hemostatic resuscitation: the changing understanding of acute traumatic biology, massive bleeding, and damage-control resuscitation -- Improving trauma care in the ICU: best practices, quality improvement initiatives, and organization -- Advanced technologies in trauma critical care management -- Long-range critical care evacuation and reoperative surgery -- Spectrum of traumatic brain injury from mild to severe -- Evolving changes in the management of burns and environmental injuries -- Management of complex extremity injuries: tourniquets, compartment syndrome detection, fasciotomy, and amputation care -- Verification and regionalization of trauma systems: the impact of these efforts on trauma care in the United States -- Trauma system configurations in other countries: the Israeli model -- Research and analytics in combat trauma care: converting data and experience to practical guidelines -- Graduate medical education in trauma/critical care and acute care surgery: defining goals for a new workforce | ||
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Datensatz im Suchindex
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| adam_text | Titel: Recent advances and future directions in trauma care
Autor: Cannon, Jeremy W
Jahr: 2012
Recent Advances and Future Directions in Trauma Care
Contents
Foreword: Recent Advances and Future Directions in Trauma Care xiii
Ronald F. Martin
Preface: Recent Advances and Future Directions in Trauma Care xv
LtCOL Jeremy W. Cannon
Invited Commentary: Recent Advances and Future Directions in Trauma Care xvii
COL Lome H. Blackbourne
Prehospital Emergency Trauma Care and Management 823
Jeffrey D. Kerby and Marianne V. Cusick
Prehospital care of the trauma patient is continuing to evolve; however, the
principles of airway maintenance, hemorrhage control, and appropriate re-
suscitative maneuvers remain central to the role of the emergency medical
care provider. Recent changes in the regulations for research in emer-
gency settings will allow randomized trials to proceed to test new devices,
drugs, and resuscitative strategies in the prehospital environment. The
creation of prehospital research networks will provide the appropriate in-
frastructure to greatly facilitate the development of new protocols and
the execution of large-scale randomized trials with the potential to change
current prehospital practice.
Noncompressible Torso Hemorrhage: A Review with Contemporary Definitions
and Management Strategies 843
Jonathan J. Morrison and Todd E. Rasmussen
Trauma resulting in hemorrhage from vascular disruption within the torso is
a challenging scenario, with a propensity to be lethal in the first hour follow-
ing trauma. The term noncompressible torso hemorrhage (NCTH) was only
recently coined as part of contemporary studies describing the epidemiol-
ogy of wounding during the wars in Afghanistan and Iraq. This article pro-
vides a contemporary review of NCTH, including a unifying definition to
promote future study as well as a description of resuscitative and operative
management strategies to be used in this setting, and sets a course for re-
search to improve mortality following this vexing injury pattern.
The Evolution of Damage Control Surgery 859
John Chovanes, Jeremy W. Cannon, and Timothy C. Nunez
The philosophy of damage control surgery has developed tremendously
over the past 10 years. It has expanded outside the original boundaries
of the abdomen and has been applied to all aspects of trauma care, rang-
ing from resuscitation to limb-threatening vascular injuries. In recent years,
the US military has taken the concept to a new level by initiating a damage
Contents
control approach at the point of injury and continuing it through a transcon-
tinental health care system. This article highlights many recent advances in
damage control surgery and discusses proper patient selection and the
risks associated with this management strategy.
Towards Hemostatic Resuscitation: The Changing Understanding of Acute
Traumatic Biology, Massive Bleeding, and Damage-Control Resuscitation 877
Mitchell Jay Cohen
During the past decade there has been a profound change in the under-
standing of postinjury coagulation. Concurrently, new data suggest that
a resuscitative strategy to minimize large volumes of crystalloid while rec-
reating whole is associated with reduced morbidity and mortality. This
article outlines the history of resuscitation and transfusion practices in
trauma, the changing understanding of coagulation and inflammation,
and clinical data driving changes in resuscitative conduct. Finally, the cur-
rent state of the science suggests future basic science and clinical inves-
tigation that will drive changes in transfusion and resuscitation in severely
injured military personnel and civilian patients.
Improving Trauma Care in the ICU: Best Practices, Quality Improvement Initiatives,
and Organization 893
Mansoor Khan and Joseph J. DuBose
Optimal care of critically ill trauma patients remains a challenge within
modern medical systems. During the past decade, emerging technologies
and organizational improvements have greatly advanced the care of these
patients. The effective implementation of best practice initiatives has led to
measurable improvement in outcomes while also reducing health care
costs. Continued advances in the implementation of these initiatives and
ICU organization are required, however, to insure that optimal care is pro-
vided to this unique patient population.
Advanced Technologies in Trauma Critical Care Management 903
Jeremy W. Cannon, Kevin K. Chung, and David R. King
Care of critically injured patients has evolved over the 50 years since Shoe-
maker established one of the first trauma units at Cook County Hospital in
1962. Modern trauma intensive care units offer a high nurse-to-patient
ratio, physicians and midlevel providers who manage the patients, and
technologically advanced monitors and therapeutic devices designed to
optimize the care of patients. This article describes advances that have
transformed trauma critical care, including bedside ultrasonography, novel
patient monitoring techniques, extracorporeal support, and negative pres-
sure dressings. It also discusses how to evaluate the safety and efficacy of
future advances in trauma critical care.
Long-Range Critical Care Evacuation and Reoperative Surgery 925
David Zonies
Long-range critical care aeromedical evacuation has significantly contrib-
uted to the unprecedented survival during recent military operations. With
Contents
advances in critical care, patients with increased injury severity and overall
complexity are routinely evacuated while resuscitation is ongoing. Addi-
tional specialty teams now provide advanced pulmonary rescue therapies
for the most critically ill patients. As part of the continuum of trauma care,
an overseas fixed facility provides follow-on emergency surgical critical
care to optimize patient outcomes before final evacuation to the continen-
tal United States.
Spectrum of Traumatic Brain Injury from Mild to Severe 939
Michael DeCuypere and Paul Klimo Jr
Traumatic brain injury (TBI) involves significant damage of the brain paren-
chyma, and is the leading cause of morbidity and mortality after trauma. It
is thus essential for all physicians involved in acute care medicine and sur-
gery to have a thorough understanding of TBI. Management of the patient
with TBI is a rapidly advancing field, characterized by an improved under-
standing of intracranial pathophysiology and decreasing overall mortality
largely because of improved neurocritical and surgical care. This article
summarizes the classification system, management approaches, and re-
cent controversies in the care of mild, moderate, and severe TBI.
Evolving Changes in the Management of Burns and Environmental Injuries 959
Leopoldo C. Cancio, Jonathan B. Lundy, and Robert L. Sheridan
Burns and environmental injuries are common as primary or secondary
problems in survivors of natural disasters, terrorist incidents, and combat
operations. In recent years, intensive military medical experience has re-
sulted in substantial progress in treatment of these important problems.
This article reviews practical applications of this new knowledge.
Management of Complex Extremity Injuries: Tourniquets, Compartment Syndrome
Detection, Fasciotomy, and Amputation Care 987
Robert M. Rush Jr, Edward D. Arrington, and Joseph R. Hsu
Historically, complex extremity injuries, otherwise known as mangled ex-
tremities, have been difficult management problems. This is especially
true in multiply-injured patients where many priorities exist and where am-
putation is considered a failure of limb salvage. Over the past decade, ad-
vances in the total management of complex extremity injuries, from the
placement of life-saving and limb-saving tourniquets in the prehospital set-
ting to the advancement of prosthetics and rehabilitation months to years
later, have resulted in superb functional results regardless of whether limb
salvage or amputation is undertaken.
Verification and Regionalization of Trauma Systems: The Impact of These Efforts
on Trauma Care in the United States 1009
Jeffrey Bailey, Scott Trexler, Alan Murdock, and David Hoyt
Efforts to develop trauma systems in the United States followed the
publication of the landmark article, Accidental Death and Disability: The
Neglected Disease of Modem Society, by the National Academy of
Sciences (1966) and have resulted in the implementation of a system of
Contents
care for the seriously injured in most states and within the US military. In
2007, Hoyt and Coimbra published an article detailing the history, organi-
zation, and future directions of trauma systems within the United States.
This article provides an update of the developments that have occurred
in trauma systems in system verification and regionalization.
Trauma System Configurations in Other Countries: The Israeli Model 1025
Dror Soffer and Joseph M. Klausner
Israel is a small country with a unique trauma system that was developed
from the experience gained in peace and in war. That trauma system was
designed to fit the state s current health system, which is different from the
European and American systems. This article describes the infrastructure
of both prehospital and in-hospital trauma management, as well as the
main cornerstones of their development. The experience that was gained
from multiple mass casualty incidents is discussed. The protocols of mass
casualty management in the prehospital and in-hospital setup are
described.
Research and Analytics in Combat Trauma Care: Converting Data and
Experience to Practical Guidelines 1041
Jeremy G. Perkins, Laura R. Brosch, Alec C. Beekley, Kelly L. Warfield,
Charles E. Wade, and John B. Holcomb
Throughout history, wars have resulted in medical advancements, espe-
cially in trauma. Once clinical challenges are identified, they require doc-
umentation and analysis before changes to care are introduced. The
wars in Afghanistan and Iraq led to the collection of clinically relevant
data from the entire medical system into a formal trauma registry. Im-
provements in data collection and human research oversight have al-
lowed more effective and efficient techniques to capture and analyze
trauma data, which has enabled rapid development and dissemination
of clinical practice guidelines in the midst of war. These data-driven
experiences are influencing trauma practice patterns in the civilian
community.
Graduate Medical Education in Trauma/Critical Care and Acute Care Surgery:
Defining Goals for a New Workforce 1055
Edward Kelly and Selwyn O. Rogers Jr
The increasing need for skilled emergency surgical providers, coupled with
decreasing experience in emergency surgery among trainees, has led to
significant shortages in the availability of such surgeons. In response to
this crisis, surgical leaders have developed a comprehensive curriculum
and a set of professional standards to guide the training of a new special-
ist: the acute care surgeon. This article reviews the development and goals
for Fellowship training of this new specialty.
Index 1065
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| spelling | Recent advances and future directions in trauma care guest ed. Jeremy W. Cannon Philadelphia, PA Saunders 2012 XVIII S., S. 823 - 1076 Ill., graph. Darst. 24 cm txt rdacontent n rdamedia nc rdacarrier Surgical clinics of North America 92,4 Includes bibliographical references and index Foreword: Recent advances and future directions in trauma care [by Ronald F. Martin] -- Preface: Recent advances and future directions in trauma care [by LtCol Jeremy W. Cannon] -- Invited commentary: Recent advances and future directions in trauma care [by Col. H. Blackbourne] -- Prehospital emergency trauma care and management -- Noncompressible torso hemorrhage: a review with contemporary definitions and management strategies -- The evolution of damage control surgery -- Toward hemostatic resuscitation: the changing understanding of acute traumatic biology, massive bleeding, and damage-control resuscitation -- Improving trauma care in the ICU: best practices, quality improvement initiatives, and organization -- Advanced technologies in trauma critical care management -- Long-range critical care evacuation and reoperative surgery -- Spectrum of traumatic brain injury from mild to severe -- Evolving changes in the management of burns and environmental injuries -- Management of complex extremity injuries: tourniquets, compartment syndrome detection, fasciotomy, and amputation care -- Verification and regionalization of trauma systems: the impact of these efforts on trauma care in the United States -- Trauma system configurations in other countries: the Israeli model -- Research and analytics in combat trauma care: converting data and experience to practical guidelines -- Graduate medical education in trauma/critical care and acute care surgery: defining goals for a new workforce Wounds and injuries / Surgery Surgical emergencies Wounds and Injuries / sugery Critical Care / methods Cannon, Jeremy W. Sonstige oth Surgical clinics of North America 92,4 (DE-604)BV000003239 92,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025287999&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Recent advances and future directions in trauma care Surgical clinics of North America Wounds and injuries / Surgery Surgical emergencies Wounds and Injuries / sugery Critical Care / methods |
| title | Recent advances and future directions in trauma care |
| title_auth | Recent advances and future directions in trauma care |
| title_exact_search | Recent advances and future directions in trauma care |
| title_full | Recent advances and future directions in trauma care guest ed. Jeremy W. Cannon |
| title_fullStr | Recent advances and future directions in trauma care guest ed. Jeremy W. Cannon |
| title_full_unstemmed | Recent advances and future directions in trauma care guest ed. Jeremy W. Cannon |
| title_short | Recent advances and future directions in trauma care |
| title_sort | recent advances and future directions in trauma care |
| topic | Wounds and injuries / Surgery Surgical emergencies Wounds and Injuries / sugery Critical Care / methods |
| topic_facet | Wounds and injuries / Surgery Surgical emergencies Wounds and Injuries / sugery Critical Care / methods |
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