Penetrating Injuries to the Diaphragm
Fig. 39.1 A left lower penetrating chest wound: the high likelihood of diaphragm penetration requires further investigation Fig. 39.2 Air-filled stomach incarcerated in the chest Fig. 39.3 The left diaphragm…
The Elderly Patient
Fig. 72.1 Incidence of firearm-related injuries stratified by age groups (Zit.) 72.2 Age-Related Physiology and Effect on Trauma: What You Should Know Functional changes with age, preexisting diseases, and pre-injury…
Burns and Inhalational Injury
Partial-thickness burn >10 % Any full-thickness burn Burns to the face/hands/feet/joints/genitalia/perineum Electrical or chemical burns Inhalational injury Associated trauma Significant comorbidities 69.1 Initial Management of the Burned Patient: The Emergency Room…
Portable Ultrasound as an Adjunct in Penetrating Trauma
Fig. 17.1 Probe positions for FAST Fig. 17.2 (a) Schematic drawings of scans. RV right ventricle, RA right atrium, LV left ventricle, LA left ventricle. (b) Four normal scans. (c)…
Operative Strategies in Penetrating Trauma to the Neck
Fig. 29.1 Neck incision through the platysmal layer; then retract the SCM muscle laterally Trick Always approach a neck hematoma medial to the SCM. Once you divide the platysma and…
Diagnostic Peritoneal Lavage (DPL) Unplugged
Fig. 22.1 Grasp the abdominal wall with towel clips and inject saline You should confirm that you are in the peritoneal cavity by watching saline flow easily from the needle…
ABC Heuristics
Fig. 8.1 Ways to reestablish patency or protect the airway Treatment of A with no equipment, chin lift and jaw thrust, can be practiced “in the street,” requires 10 s…
Access to the Neck in Penetrating Trauma
Fig. 30.1 Zones of the neck Some situations require a definitive maneuver prior to formal exploration. Tracheal injuries require definitive airway control. Laryngoscopic or fiber-optic endotracheal intubation is often possible…
“Rehabilitation Matters!”: Physical Rehabilitation as an Essential Process Post-acute Trauma Care
1. Death Severe injury or death without recovery of consciousness 2. Persistent vegetative state Severe damage with prolonged state of unresponsiveness and a lack of higher mental functions 3. Severe…
Early Neurotrauma Rehabilitation
Fig. 78.1 Due to the enormous complexity of physical, cognitive, and behavioral dysfunction in the setting of potential premorbidy such as alcoholism, mental health disorders, and/or social challenges, regular communication…
