(1) Department of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, USA KeywordsCardiac woundBlunt cardiac ruptureGunshot wound (GSW)Stab woundTraumatic pericardial tamponadePericardiotomyAmerican Association…
Fig. 20.1 Common clinical question for a patient with polytrauma: Should the patient initially undergo external fixation, (a) damage control orthopedics, or definitive reamed intramedullary nail insertion, (b) early total…
(1) Trauma and Critical Care, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA (2) Center for Injury Prevention and Policy, RUniversity of Maryland School of Medicine, Baltimore, MD, USA…
(1) University of Texas Medical Center, Houston, TX, USA KeywordsPenetrating neck vascular injuries (PNVI)Blunt neck vascular injuries (BNVI)Gunshot wound (GSW)Stab wound (SW)Carotid injuriesVertebral arteriesInternal jugular veinsTracheaEsophagusPharynxSeatbelt sign Introduction of…
Fig. 10.1 (a) Posterior view of the pelvis showing the strong posterior ligaments which provide critical stability of the pelvic ring. (b) Anterior view of the pelvis showing the important…
Acute life threatening Tension pneumothorax Open pneumothorax Flail chest and pulmonary contusion Massive hemothorax Cardiac tamponade Potentially life threatening thoracic injuries Simple pneumothorax Hemothorax Pulmonary contusion Tracheobronchial tree rupture Blunt…
Absent distal pulses Expanding hematoma Pulsatile bleeding Palpable thrill Audible bruit In rare cases, with an expanding hematoma in an extremity, no further evaluation should take place, and the patient…
Type Characteristics Injuries Points Skeletal/soft-tissue Group 1 Low energy Stab wounds, simple closed fractures, small-caliber gunshot wounds 1 2 Medium energy Open or multiple-level fractures, dislocations, moderate crush…
Fig. 26.1 The Cierny classification of adult osteomyelitis The osteomyelitis patient according to Cierny et al. can be staged by combining the type of osteomyelitis (I–IV) with the host comorbidities….
A. Primary surgical procedures in the emergency setting 1. Limb-saving procedures: Reduction of large joints, such as hip, knee, by close or open means with temporary stabilization by splint or…
