Trauma Intensive Care

An ideal resource for intensivists caring for trauma victims in the ICU, Trauma Intensive Care provides point-of-care guidelines for establishing the priorities of care, minimizing complications, and returning patients to the best possible functional outcome.

This book provides a systemic approach to acute trauma care in line with the ABCDE paradigm and up-to-date information on assessing and managing major trauma from the pre-hospital to the rehabilitation phase. The book's early sections are dedicated to identifying and managing pathology caused by massive haemorrhage, airway, breathing, circulation or neurological trauma and examining the current evidence base relating to their management. The book then builds from fundamental skills to advanced interventions so that each level of responder can identify and implement aspects of clinical practice that will be of benefit to them at their stage. This approach also explains advanced interventions that may be executed subsequently, explaining how each phase of care sits together. This has a further benefit of producing seamless care for patients by practitioners of different levels using this book as a reference point. Later sections deal with specifics of in-hospital trauma care by speciality, including the explanation of decision making processes by specialities, use of diagnostic and interventional radiology, rehabilitation and psychological aspects of trauma care. The Textbook of Acute Trauma Care also focuses on non-clinical issues relevant to trauma such as training and logistics of retrieval and repatriation, aviation considerations in HEMS, legal and forensic evidence considerations and ethical issues dealing with trauma patients. In addition, the book contains chapters from international experts on cognitive and human factors relating to healthcare and suggests strategies for training and minimising errors. This book is an essential resource for all grades of practitioner, from first responders to Consultant/Attending Physician level providers.

Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

Compiled by internationally recognized experts in trauma critical care,this sourcediscusses the entire gamut of critical care management of the trauma patient and covers several common complications and conditions treated in surgical intensive care units that are not specifically related to trauma. Utilizing evidence-based guidelines where they ex

This text is designed to provide a comprehensive and state-of-the-art overview of the major issues specific to technological advances the field trauma, critical care and many aspects of surgical science and practice. Care of these patients and clinical conditions can be quite complex, and materials have been collected from the most current, evidence-based resources. The sections of the text have been structured to review the overall scope of issues dealing with trauma, critical care and surgery, including cardiothoracic surgery, vascular surgery, urology, gynecology and obstetrics, fetal surgery and orthopedics. This volume represents the most comprehensive textbook covering a wide range of topics and technological advances including genomics and nanotechnologies that affect patients’ care and surgeons’ practice daily. The multidisciplinary authorship includes experts from all aspects of trauma, surgery and critical care. The volume highlights the dramatic changes in the field including hand held devices and smart phones used in daily medical and surgical practice, complex computers in the critical care units around the world, and robotics performing complex surgical procedures and tissue engineering. Technological Advances in Surgery, Trauma and Critical Care provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in trauma, critical care, and all the specialties of surgery. It provides a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts.

Produced by a world-renowned team of trauma specialists, this source reviews initial management considerations beginning in the pre-hospital phase, continues through the primary and secondary surveys of the hospital-based evaluation process, and proceeds to the perioperative management of trauma, burns, and associated conditions. This reference provides practical and expertly written chapters that specifically focus on problems unique to the trauma patient and delve into issues affecting future research and management perspectives.

The often complex problems of the trauma patient present manychallenges to front line emergency staff. Multiple injuriesinvolving many systems of the body require careful and timelyprioritisation and intervention in the emergency department. TraumaCare provides emergency nurses with a practical guide to thesystematic assessment and management of trauma patients, equippingthem with the clinical knowledge and practical skills necessary toinitially assess and care for the trauma patient in the emergencydepartment trauma environment. Trauma Care explores the concept of trauma assessment, focusing onpatient priorities and interprofessional trauma team working.Individual chapters look at the essential assessment and managementissues for each system of the body and specific age relatedcomplications. Emphasis is placed on key patient priorities, withacknowledgement to the common pitfalls in initial trauma care. Thistext will be essential for all emergency nurses, and those workingin the emergency department.

This handbook examines pediatric consultation-liaison psychology in pediatric medical settings. It offers a brief history of pediatric psychologists' delivery of consultation-liaison services. The handbook provides an overview of roles, models, and configurations of pediatric psychology practice in diverse inpatient and outpatient medical settings. Chapters discuss the most frequently seen major pediatric conditions encountered in consultation practice. Coverage includes evaluation, intervention, and treatment of each condition. Each clinical condition addresses the referral problem in the context of history and family dynamics. In addition, chapters address important aspects of the management of a consultation-liaison service and provide contextual issues in delivering evidence-based services in hospital and medical settings. Topics featured in this handbook include: The role of assessment in the often fast-paced medical environment. Modifications of approaches in the context of disorders of development. Consultation on pediatric gender identity. The presentation of child maltreatment in healthcare settings. The use of technological innovations in pediatric psychological consultation. Important ethical considerations in consultation-liaison practice. Clinical Handbook of Psychological Consultation in Pediatric Medical Settings is a must-have resource for clinicians and related professionals as well as researchers, professors, and graduate students in pediatric and clinical child and adolescent psychology, pediatrics, social work, developmental psychology, child and adolescent psychiatry, and related disciplines.

Manual of Definitive Surgical Trauma Care is an essential manual for all trainee and qualified surgeons. It covers every aspect of surgical trauma care.Provides clear access to all necessary information, from theory of injury through to individual organ system injury and resources such as injury scoringProvides clear surgical guidance on how to dea

The thoroughly updated Third Edition of this popular and widely used pocket reference guides the trauma team through every aspect of patient care after injury and before, during, and after acute care surgery—from prehospital care, to resuscitation, treatment of specific organ injuries, priorities in intensive care, and management of special situations. Designed for rapid, on-the-spot information retrieval, this manual will be a staple reference in emergency departments and trauma centers. Flow charts, algorithms, sequential lists, and tables throughout facilitate quick clinical decision-making. More than 200 illustrations demonstrate specific injuries and procedures. Appendices include organ injury scales, tetanus prophylaxis recommendations, and frequently used forms.