ABC Heuristics

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

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Access to the Neck in Penetrating Trauma

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

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Early Neurotrauma Rehabilitation

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

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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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