CHAPTER 34 ACUTE GASTROINTESTINAL HEMORRHAGE CHRISTOPHER J. CARLSON AND GRANT E. O’KEEFE GENERAL CONSIDERATIONS, DEFINITIONS, AND EPIDEMIOLOGY Gastrointestinal (GI) hemorrhage is common and remains an important cause of morbidity and…
CHAPTER 64 PROCEDURES AMY J. GOLDBERG AND ABHIJIT S. PATHAK OPEN TRACHEOSTOMY Indications Obstruction at or above the larynx secondary to tumor edema trauma/fracture foreign body burns severe pharyngeal or…
CHAPTER 60 INFORMED SURGICAL CONSENT DAVID G. JACOBS “Patients should understand the indications for the operation, the risk involved, and the result that it is hoped to attain ” —ACS…
CHAPTER 27 CHEST INJURY AMY N. HILDRETH AND J. WAYNE MEREDITH Chest trauma is a significant contributor to patient morbidity and mortality. Thoracic injuries are often accompanied by substantial injuries…
CHAPTER 31 EXTREMITY VASCULAR INJURIES DAVID V. FELICIANO HISTORY Vascular injuries in the extremities have been reported since antiquity. Aulus Cornelius Celsus (25 BC-50 AD) first described that hemorrhage from…
CHAPTER 61 ADVANCE MEDICAL DIRECTIVES GRACE S. ROZYCKI AND WILLIAM R. SEXSON Advances in medical care have led to life-saving interventions, but extending a patient’s life in a severely compromised…
CHAPTER 17 DISASTER PREPAREDNESS AND MASS CASUALTY MANAGEMENT LEONARD J. WEIRETER JR Police find car bomb in Times Square A crude car bomb of propane, gasoline and fireworks was discovered…
CHAPTER 58 PALLIATIVE CARE RONALD M. STEWART In the face of critical surgical illness, palliative care focuses on a set of individualized goals aimed at reducing the suffering of the…
CHAPTER 36 INTESTINAL OBSTRUCTION AND DYSMOTILITY SYNDROMES LOUIS H. ALARCON Few clinical conditions are as common yet potentially perplexing as intestinal obstruction. Intestinal obstruction is a frequent presenting problem and…
CHAPTER 21 INITIAL EVALUATION OF THE TRAUMA PATIENT LESLIE KOBAYASHI, RAUL COIMBRA AND DAVID B. HOYT The assessment and management of the injured patient is a unique situation in which…
