Crush Injuries
Fig. 70.1 Blunt amputation after a patient attempted to jump onto a train and was dragged under the wheels. This illustrates why blunt amputations are generally not candidates for replantation…
Compartment Syndrome of the Extremities
Fig. 61.1 Cross-sectional anatomy of the midportion of the left lower leg depicting the four compartments that must be released when performing a lower leg fasciotomy It is important that…
Penetrating Injuries of the Face
Fig. 28.1 (a) Clinical picture of a high-energy penetrating injury. Notice the avulsive injury producing a composite defect characterized by loss of both soft and hard tissues. (b) CT demonstrating…
Emergency Department Thoracotomy
Fig. 11.1 Skin incision for emergency department thoracotomy in a male patient Fig. 11.2 Incision extended through the skin, subcutaneous tissue, and most thoracic musculature Fig. 11.3 Left anterolateral thoracotomy…
Penetrating Trauma to the Subclavian Vessels
Fig. 34.1 The anatomy of the thoracic outlet showing the relations of the subclavian vessels The Subclavian Artery On the right side, the subclavian artery arises from the innominate artery…
Ballistics in Trauma
Where KE = Kinetic energy, M = the mass of the bullet, and V = maximum velocity. When a bullet strikes tissue (e.g. the human body), wounding energy is transferred to the body according to the…
Gunshot Injuries to the Head
Fig. 27.1 Patient No. 1: a 22-year-old female crime victim, who sustained multiple GSW with a single non-penetrating GSW to the head. Entry wound at R cheek, exit wound on…
Beyond Damage Control Surgery: Abdominal Wall Reconstruction and Complex Hernia Repair
Fig. 44.1 Intestines are covered with a sterile plastic bag Fig. 44.2 Cuts are made on the plastic bag to allow better drainage of fluid Fig. 44.3 A moist Kerlix…
Pulmonary and Tracheobronchial Trauma
Fig. 36.1 (a, b) Repair of pulmonary laceration. Main sketch: wedge excision with stapler If you decide to also access the opposite thoracic cavity, you can proceed by transecting the…