Traumatic injuries to the thorax are common after both blunt and penetrating trauma. Emergency medicine physicians must be able to manage the initial resuscitation and diagnostic workup of these patients….
A standardized approach should be used with a patient with abdominal trauma, including primary and secondary surveys, followed by additional diagnostic testing as indicated. Specific factors can make the diagnosis…
Neurotrauma is a leading cause of death and is associated with many secondary injuries. A balance of mean arterial pressure (MAP) and intracranial pressure (ICP) is required to ensure adequate…
This review summarizes the evolution of trauma resuscitation from a one-size-fits-all approach to one tailored to patient physiology. The most dramatic change is in the management of actively bleeding patients,…
Trauma resuscitation is a complex and dynamic process that requires a high-performing team to optimize patient outcomes. More than 30 years ago, Advanced Trauma Life Support was developed to formalize and…
Resuscitation of traumatic cardiac arrest is typically considered futile. Recent evidence suggests that traumatic cardiac arrest is survivable. In this article key principles in managing traumatic cardiac arrest are discussed,…
Resilience is built, not born, and there is no single strategy that reliably manufactures resilient performance in all circumstances. Optimizing team performance in dynamic environments involves the complex interplay of…
Amal Mattu, MD, Consulting Editor When I began emergency medicine training, trauma care was considered exciting and “sexy” to my colleagues and me. There was excitement with every case, and…
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA www.emed.theclinics.com Consulting Editor AMAL MATTU February 2018 • Volume 36 • Number 1
Fig. 11.1 Left indirect inguinal hernia Fig. 11.2 Left direct inguinal hernia Fig. 11.3 Mixed hernia (pantaloon) on the right side 11.3.2 11.3.2 Dissection The preperitoneal space is entered through…
