Injury of the Kidney, Ureter, and Bladder

Nov 7, 2017 by in General Surgery Comments Off on Injury of the Kidney, Ureter, and Bladder

Gradea Type of injury Description of injury ICD-9 AIS-90 I Contusion Microscopic or gross hematuria, urologic studies normal 866.01 2 Hematoma Subcapsular, nonexpanding without parenchymal laceration 866.11 2 II Hematoma…

read more

Damage Control Surgery

Nov 7, 2017 by in General Surgery Comments Off on Damage Control Surgery

Fig. 43.1 Resuscitation using blood products and fluid warmer 43.4.2 Haemostatic Resuscitation (Fig. 43.1) Early identification of patients with ongoing haemorrhage and the need for blood transfusion is essential so…

read more

Penetrating Trauma: Amputations

Nov 7, 2017 by in General Surgery Comments Off on Penetrating Trauma: Amputations

Active hemorrhage Large, expanding, or pulsatile hematoma Bruit or thrill over wound Absent distal palpable pulses Manifestations of distal ischemia (pain, pallor, paralysis, paresthesias, poikilothermy) 63.1.2 Deciding Primary Amputation Versus…

read more

Penetrating Injuries to the Diaphragm

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

read more

The Elderly Patient

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

read more

Burns and Inhalational Injury

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

read more
Get Clinical Tree app for offline access