The Trauma Golden Hour

The Golden Hour is a well-established concept in emergency medicine, related to the critical period of one hour after an injury, accident or trauma. This term implies that the mortality rates increase substantially if efficient care is not provided within 60 minutes after the trauma. This book is intended as a practical manual in Trauma Care within the context of the golden hour, addressing all trauma types and all body parts. Readers will find essential decision-making algorithms and protocols with commentary for traumas, along with easily accessible information on how to treat patients in a very practical and handy fashion. Furthermore, the content is presented in a didactic way suitable for a wide audience, from medical students who want to learn about the basics of trauma care to experienced surgeons seeking a comprehensive guide to trauma-related interventions.The book combines contributions from experts at two renowned Trauma Centers, the Hospital do Trabalhador at Curitiba, Brazil, and the Ryder Trauma Center in Miami, USA. Therefore, considering the different local environments and resources, the book provides distinct perspectives for several injuries, presenting the state of the art in Trauma Care. The diversity of perspectives in this book contributes to a global health care approach suitable for trauma-related events from developed countries to remote areas. The Trauma Golden Hour – A Practical Guide celebrates the Centennial Anniversary of the Federal University of Parana (Brazil), the 25th Anniversary of the Ryder Trauma Center (USA) and the 20th Anniversary of the Hospital do Trabalhador (Brazil).

2021 Kirkus Prize Finalist • A Kirkus Best Book of 2021 • An SLJ Best Book of 2021 ★ “Exceptionally graceful and delightful” — Kirkus Reviews, starred review ★ “A beautiful story of resilience.” School Library Journal, starred review ★ “Meaningful and impactful ” — School Library Connection, starred review From the author of The Deep & Dark Blue comes a tender graphic novel, perfect for our time, that gently explores themes of self-discovery, friendship, healing from tragedy, and hope for a better tomorrow. Struggling with anxiety after witnessing a harrowing instance of gun violence, Manuel Soto copes through photography, using his cell-phone camera to find anchors that keep him grounded. His days are a lonely, latchkey monotony until he's teamed with his classmates, Sebastian and Caysha, for a group project. Sebastian lives on a grass-fed cattle farm outside of town, and Manuel finds solace in the open fields and in the antics of the newborn calf Sebastian is hand-raising. As Manuel aides his new friends in their preparations for the local county fair, he learns to open up, confronts his deepest fears, and even finds first love. This title will be simultaneously available in paperback.

A concise review of the essential elements in the anesthetic care of the severely injured trauma patient.

A frustrated artist with a traumatic past finds mystery and healing on a remote Maine island in this “richly told and hauntingly beautiful” novel (Heather Gudenkauf, New York Times bestselling author). Years ago on a spring afternoon, thirteen-year-old Wyn Davies took a shortcut through the woods in her New Hampshire hometown and became a cautionary tale. Now, twenty years later, she lives in New York, on the opposite side of a duplex from her ex, with their four-year-old daughter shuttling between them. Wyn makes her living painting commissioned canvases of birch trees to match her clients’ furnishings. But the nagging sense that she has sold her artistic soul is soon eclipsed by a greater fear. Robby Rousseau, who has spent the past two decades in prison for a terrible crime against her, may be released based on new DNA evidence—unless Wyn breaks her silence about that afternoon. To clear her head, Wyn agrees to be temporary caretaker for a friend’s new property on an island off the coast of Maine. The house has been empty for years, and in the basement Wyn discovers a box of film canisters labeled “Epitaphs and Prophecies.” Like time capsules, the photographs help her piece together the life of the house’s former owner, an artistic young mother. But there is a mystery behind the images too, and unraveling it will force Wyn to finally confront what happened in those woods—and perhaps escape them at last. “An emotionally charged novel with many layers, rounded out by a cast of memorable characters.”—Publishers Weekly

Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.

Standards in emergency care have improved dramatically over the past ten years and the trauma team is now seen as a vital component of care of seriously ill patients. Each chapter of this highly-illustrated book is written by a specialist and concentrates on care after the golden hour. The initial resuscitation of the trauma vicim by the trauma team is described and the management of patients in the early post-resuscitation phase is then dealt with in detail. Advice is given on communication and transfer of patients to trauma centres, and separate chapters discuss variations when dealing with special population groups and conditions.

Judith’s Story The story begins in the University of Wisconsin Hospital Emergency Room on a stormy November evening as doctors and nurses struggle to save Judith Von Trier’s life. Twenty minutes earlier Judith had crashed across the center line into oncoming headlights. Critically injured, under the brilliant operating lamp, Judith lifts and floats near the ceiling of the trauma room, looking down at herself in the scene below. Defibrillator paddles slapped in place jolt her like a blast of lightning sending her into an oppressive black void. In that moment, she realizes she is in "The Tunnel" looking to the far-off white light at the end of it. A small object begins to materialize out of the light and draws closer. Moments later, a newborn infant girl drops into her arms. Judith is struck with immediate understanding that she holds her future life, her next incarnation in her arms and she knows what she must do to survive. First, she must travel back forty-seven years to watch her life relived. It is April of 1954 again. Judith views her own birth through the eyes of a newborn. Her life revealed before her just as it happened; a happy early childhood, tragic losses, first love and heartbreak. She is driven to avoid any future pain and takes harsh control of her life and everyone in it until she reaches the moment of the crash again. "Baby’s" Story Then, more frightening, Judith must see into her possible future life as “Baby” should she die. Judith, wraithlike, is compelled to watch as surreal scenes unfold before her. For the second time in the span of one hour of her life, she sees the moment of her own birth. Judith must wait until Baby’s story is finished, knowing all this will happen if she dies, and the terrifying white light tries to claim her. She must stand by helplessly while trying to find her one chance to survive.