Acute Care Surgery: Principles and Practice by L.D. Britt, Donald D. Trunkey, David V. Feliciano

By L.D. Britt, Donald D. Trunkey, David V. Feliciano

This booklet comprehensively provides the total spectrum of surgical emergencies. those contain trauma and non-traumatic acute surgical illnesses of the stomach, pelvic, and cardiothoracic organs in addition to the extremities, pores and skin and smooth tissue, and head and neck. administration of surgical infections is additionally mentioned. this can be the fitting reference textual content for surgical trainees in addition to training surgeons. Authoritative, accomplished, and effortless, the textual content positive aspects over forty chapters whole with case reviews in addition to query and resolution commentaries. The textual content is augmented by means of greater than 500 tables and illustrations.

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In the presence of shock, diminished breath sounds on one side of the chest with hyperresonance to percussion, possibly accompanied by shift of the tracheal to the contralateral side, and jugular venous distension, the diagnosis is made and treatment should be carried out immediately. Decompression of the affected pleural space should be performed immediately by the most expeditious manner. If a thoracostomy tube is not immediately available, needle decompression can temporize until a chest tube is inserted.

Base deficit stratifies mortality and determines therapy. J Trauma 1992; 33(3):417–423. 95. Siegel JH, Rivkind AI, Dalal S, Goodarzi S. Early physiologic predictors of injury severity and death in blunt multiple trauma. Arch Surg 1990; 125(4):498–508. 96. Davis JW, Parks SN, Kaups KL, Gladen HE, O’DonnellNicol S. Admission base deficit predicts transfusion requirements and risk of complications. J Trauma 1996; 41(5):769–774. 97. Rixen D, Raum M, Bouillon B, Lefering R, Neugebauer E. Base deficit development and its prognostic significance in posttrauma critical illness: an analysis by the trauma registry of the Deutsche Gesellschaft fur Unfallchirurgie.

Supranormal trauma resuscitation causes more cases of abdominal compartment syndrome. Arch Surg 2003; 138(6):637–642. Younes RN, Aun F, Accioly CQ, Casale LP, Szajnbok I, Birolini D. Hypertonic solutions in the treatment of hypovolemic shock: a prospective, randomized study in patients admitted to the emergency room. Surgery 1992; 111(4): 380–385. Mattox KL, Maningas PA, Moore EE, Mateer JR, Marx JA, Aprahamian C, et al. Prehospital hypertonic saline/ dextran infusion for post-traumatic hypotension.

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