By LD Britt MD, Andrew Peitzman MD, Phillip Barie MD, Gregory Jurkovich MD
Relying primarily on evidence-based content material instead of concept, 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 publication bargains the reference fabric each trauma, serious care, and emergency room health care provider must convey on that principle.
• Editors and members are well-known leaders of their respective parts of interest
• remarkable controversies are mentioned intimately and sometimes followed by means of data-driven resolutions
• Over four hundred illustrations
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Extra resources for Acute Care Surgery
Each fellow must have ample opportunity and responsibility for the care of patients with acute surgical problems, and the operative experience must be consistent with developing competency in technical skills and procedures required to provide acute surgical care. 3. Elective general surgery is an essential component of the training of acute care surgeons. 4. Emergency surgical call and trauma call are mandatory components of the training curriculum. Fellows will take a minimum of 52 trauma and emergency surgery night calls during the 2-year fellowship.
44 Patients selected for nonoperative management must have stable vital signs, be free of peritoneal signs or other concern for hollow viscus injury, and have no evidence of free extravasation of IV contrast from the splenic parenchyma. Considerable debate remains regarding risk factors for failure of nonoperative management. Higher American Association for the Surgery of Trauma (AAST) splenic injury grade, age >55 years, moderate to large hemoperitoneum, subcapsular hematoma, and portal hypertension have all been suggested to increase the risk of failure.
34. Rozycki GS, et al. A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment. J Trauma. 1995;39(3):492-498; discussion 498-500. 35. Boulanger BR, et al. Emergent abdominal sonography as a screening test in a new diagnostic algorithm for blunt trauma. J Trauma. 1996;40(6):867-874. 36. Branney SW, et al. Ultrasound based key clinical pathway reduces the use of hospital resources for the evaluation of blunt abdominal trauma. J Trauma. 1997;42(6):1086-1090.