Lower Genitourinary Injuries
Fig. 51.1 (a) Often with penetrating injuries, the testicular injury is obvious, as is seen here where the tunica albuginea has been disrupted (arrow). (b) Repair the defect with a…
Fig. 51.1 (a) Often with penetrating injuries, the testicular injury is obvious, as is seen here where the tunica albuginea has been disrupted (arrow). (b) Repair the defect with a…
Fig. 49.1 To control injuries at the base of the mesentery, begin by placing the root of the mesentery between the index and middle fingers of the nondominant hand Fig….
Fig. 35.1 (a) We repair the oesophagus in one layer of Vicryl 1 intermitted horizontal mattress sutures. (b) Then we reinforce our suture line by putting a 2.0 interrupted Vicryl…
Primary abdominal compartment syndrome Secondary abdominal compartment syndrome Severe penetrating abdominal trauma + shock Severe extra-abdominal bleeding requiring massive resuscitation Aortic, mesenteric, portal cross-clamping Extra-abdominal sepsis requiring massive resuscitation Abdominal sepsis as…
Fig. 48.1 First step in controlling liver bleeding: completely mobilize the liver from the diaphragm Fig. 48.2 Second step in controlling liver bleeding: manual compression with hands compressing both lobes…
Resource Prehospital Hospital After discharge Equipment Tourniquets Topical hemostatic agents Splints Beds/mattresses Sterile attire Sutures Surgical instruments X-ray machines Vascular shunts Anesthesia machine Prosthetic limbs Walking aids Wound care supplies…
Fig. 20.1 (a) Grade IV right kidney injury with retroperitoneal hematoma (zone II) after multiple gunshot injuries to the back. IV contrast-enhanced CT scan of the abdomen is highly sensitive…
Fig. 18.1 Trocar positions for best overview Fig. 18.2 Lift and inspect the bowels from both sides from the Ligament of Treitz to the rectum 18.2 Technical Considerations In the…
Fig. 84.1 Algorithm for optimizing recovered organs 84.6 Brain Death-Related Complications Early identification and management of brain death-related complications such as disseminated intravascular coagulation (DIC), diabetes insipidus (DI), neurogenic pulmonary…
Fig. 83.1 A simplified model of potential trauma service revenue This approach can be modified to work in settings beyond the United States. All medical systems have some method of…