| Description |
1 online resource |
| Contents |
Intro; Contents; Contributors; 1: Introduction: Why We Do What We Do; Injury; Role 2 Care; Role 3; Role 4; Role 5; Outcome; Today; 2: Explosive Blasts: A Primer on a Multidimensional Mechanism of Injury; ABCs of Explosives; Injuries Following Explosive Blasts; Primary Blast Injuries; Secondary Blast Injuries; Tertiary Blast Injuries; Quaternary Blast Injuries; Dismounted Complex Blast Injury; Conclusions; References; 3: Initial Care of Blast Injury: TCCC and TECC; Tactical Combat Casualty Care (TCCC); Tenets of TCCC; Care Under Fire; Tactical Field Care; Tactical Evacuation Care; TCCC Summary |
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Tactical Emergency Casualty Care (TECC)Tenets of TECC; Direct Threat (Hot Zone); Indirect Threat (Warm Zone); Major Hemorrhage; Airway; Respiration; Circulation; Head Injury; Hypothermia; Everything Else; Evacuation Care (Cold Zone); Implementation of TECC; Conclusion; References; 4: MASCAL; Defining the Mission; Making Trauma Simple; Understanding Patient Movement, Treatment Personnel, and Space; The Biggest Bang for the Buck; The Triage Officer; Pitfalls of Choosing a Triage Officer; Triage Categories and Their Location; Emergent and Immediate; Delayed; Minimal; Expectant; Dead |
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Understanding the Roles of the Command Group or Hospital LeadershipUnderstanding the Rate-Limiting Step; Mass Casualty Pitfalls; Chest X-Rays Only; ER Thoracotomy; Narcotic Administration; Communication; Lists; Suggested Reading; 5: Resuscitation; Introduction; Methods of Resuscitation; Resuscitation Fluids: Crystalloid and Colloid; Hypotensive Resuscitation; Damage Control Resuscitation; Whole Blood Resuscitation; Current Guidelines; Point-of-Care Management; Definitive Resuscitation; Considerations in Blast-Injured Patients; Conclusion; References |
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6: Damage Control Surgery in the Blast-Injured PatientDismounted Complex Blast Injury; Damage Control Principles; Damage Control Resuscitation; Approach to the DCBI Patient; Control of Hemorrhage; Thoracic Damage Control; Abdominal Damage Control; Orthopedic and Soft Tissue Injuries; Genitourinary Injuries; Preparation for Transfer; The "Direct to OR" Option for Blast-ƯInjured Patients; Summary; References; 7: Hemorrhage Control; Introduction; Presurgical Hemorrhage Control; Tourniquet Application; Surgical Hemorrhage Control; Upper Extremity Vascular Exposure and Control; Subclavian Artery |
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Axillary ArteryBrachial Artery; Lower Extremity Exposures and Vascular Control; Iliac Vessels; Common Femoral Artery; Popliteal Artery; Aorta; Thoracic Aorta; Left Anterolateral Thoracotomy and Clamshell Thoracotomy (Bilateral Anterolateral Thoracotomy); Posterolateral Thoracotomy; Median Sternotomy; Thoracoabdominal Incision; Abdominal Aorta; Supraceliac Aorta; Visceral Segment; Infrarenal Aorta; Retroperitoneal Approach; Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA); Background; Technique; Mechanics and Duration of Aortic Occlusion |
| Summary |
This text is designed to present a comprehensive and state-of the-art approach to dismounted complex blast injuries. Sections address care of these patients from the point of injury through rehabilitation. The specific areas addressed include blast mechanics, stabilization and hemorrhage control at the point of injury, early resuscitation at local hospitals, a systematic approach to surgical care, and finally reconstruction and rehabilitation. Specific chapters focus on operative management of pelvic, abdominal, genitourinary, orthopedic, neurological and thoracic injuries. The authors of each chapter, are experts in treating DCBIs that have had direct hands-on experience through military deployments in Iraq and Afghanistan. Each chapter describes patient presentation and an algorithm outlining treatment with support from the literature. The text will conclude with three chapters. The first explores new advances in care that can be applied to these injuries. The second highlights the organization and team approach to care of these patients. Finally, the last chapter describes an actual case, cared for by the editors, that encompasses points from the chapters in the text. Extensive illustrations and flow diagrams are used throughout the text. This text is specifically designed to be a "how to" guide for inexperienced military and civilian providers. The chapters are organized in a step-wise fashion that mirrors the patient's course from point of injury through their hospital course. Combining authors' experience with illustrations and algorithm diagrams creates a text that is easy to use as a reference text or basis of training for future military and civilian surgeons |
| Notes |
Online resource; title from PDF title page (EBSCO, viewed April 17, 2018) |
| Subject |
Explosions -- Physiological effect.
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Wounds and injuries -- Treatment.
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Blast Injuries -- therapy
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Wounds and Injuries -- therapy
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Critical care surgery.
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General surgery.
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MEDICAL -- Surgery -- General.
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Explosions -- Physiological effect
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Wounds and injuries -- Treatment
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| Form |
Electronic book
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| Author |
Galante, Joseph M., editor
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Martin, Matthew J., editor
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Rodriguez, Carlos J., editor
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Gordon, Wade Travis, editor
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| ISBN |
9783319746722 |
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3319746723 |
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3319746715 |
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9783319746715 |
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