Lower Genitourinary Injuries

Nov 7, 2017 by in General Surgery Comments Off on 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…

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Large and Small Bowel

Nov 7, 2017 by in General Surgery Comments Off on Large and Small Bowel

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….

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Abdominal Compartment Syndrome

Nov 7, 2017 by in General Surgery Comments Off on Abdominal Compartment Syndrome

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…

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Liver and Extrahepatic Bile Ducts

Nov 7, 2017 by in General Surgery Comments Off on Liver and Extrahepatic Bile Ducts

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…

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Care Under Austere Conditions: Unlimited Restraints

Nov 7, 2017 by in General Surgery Comments Off on Care Under Austere Conditions: Unlimited Restraints

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…

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Imaging of Penetrating Urologic Trauma

Nov 7, 2017 by in General Surgery Comments Off on Imaging of Penetrating Urologic Trauma

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…

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Laparoscopy and Penetrating Trauma

Nov 7, 2017 by in General Surgery Comments Off on Laparoscopy and Penetrating Trauma

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…

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Organ Donation

Nov 7, 2017 by in General Surgery Comments Off on Organ Donation

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…

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The Economics of Trauma Care

Nov 7, 2017 by in General Surgery Comments Off on The Economics of Trauma Care

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…

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