Acute Care Surgery by LD Britt MD, Andrew Peitzman MD, Phillip Barie MD, Gregory

By LD Britt MD, Andrew Peitzman MD, Phillip Barie MD, Gregory Jurkovich MD

You won’t discover a extra entire textbook masking the similar fields of trauma, severe care, and emergency normal surgery than Acute Care Surgery.

Relying primarily on evidence-based content material instead of idea, all of the sixty four chapters during this booklet highlights innovative advances within the box and underscores state of the art administration paradigms.

The overarching precept of acute care surgical procedure is early and expedient medical/surgical intervention and this ebook bargains the reference fabric each trauma, serious care, and emergency room general practitioner must convey on that principle.

• Editors and individuals are famous leaders of their respective parts of interest
• amazing controversies are mentioned intimately and infrequently followed through data-driven resolutions
• Over four hundred illustrations

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Surg Gynenol Obstet. 1986;162:337. 9. Root HD, Hauser CW, McKinley CR, et al. Dianostic peritioneal lavage. Surgery. 1965;57:633. 10. Merlotti GJ, et al. Use of peritoneal lavage to evaluate abdominal penetration. J Trauma. 1985;25:228. 11. Thal ER. Peritoneal lavage: reliability of RBC count in patients with stab wounds to the chest. Arch Surg. 1984;119:579. 12. Oreskovich MR, Crrico CJ. Stab wounds of the anterior abdomen: analysis of management plan using local wound exploration and quantative peritoneal lavage.

53. Zarzaur BL, et al. The real risk of splenectomy after discharge home following nonoperative management of blunt splenic injury. J Trauma. 2009;66(6):1531-1536; discussion 1536-1538. 54. Savage SA, et al. The evolution of blunt splenic injury: resolution and progression. J Trauma. 2008;64(4):1085-1091; discussion 1091-1092. 55. Holdsworth RJ, Irving AD, Cuschieri A. Postsplenectomy sepsis and its mortality rate: actual versus perceived risks. Br J Surg. 1991;78(9):1031-1038. 56. American Academy of Pediatrics.

40 A high index of suspicion is predicated on mechanism of injury and physical exam findings such as abdominal wall tattooing or seat belt sign. CT findings may be direct such as extravasation of oral contrast or pneumoperitoneum, or more commonly, indirect such as bowel wall thickening, stranding of the mesentery, or free fluid in the absence of solid organ injury. Indirect findings may be fairly nonspecific and secondary to bowel edema from resuscitation or preexisting ascites. Reproductive-age females may have a small amount of normal or “physiologic” pelvic fluid present, sometimes adding to the complexity of the evaluation.

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