Trauma Centers

This book offers an overview of acute care surgery around the world, focusing on the four main branches of this novel subdiscipline: trauma, general emergencies, critical care, and rescue surgery. The book’s primary goal is to provide a general view of acute care surgery, while addressing the most important issues in depth. The content is divided into three parts, the first of which is dedicated to the general organization of trauma centers, including the composition of modern trauma teams. Protocols of activation and action for the trauma team, as well as damage control procedures both in the emergency room and in the surgical theatre, are described. The book also addresses the development of a trauma registry, together with the quality assessment process that can be applied. In turn, the second part describes the principal protocols for making diagnoses, with special attention to circumstances such as unstable hemodynamics, neurological deterioration, normal vital signs, and penetrating injuries. The book subsequently deals with the most important aspects of trauma to the abdomen, chest, and pelvis, with notes on both surgical and intensive care issues. Practical descriptions of how to treat principal injuries to various organs are also provided. Finally, the third part of the book is dedicated to the most frequent general surgical emergencies and rescue surgical approaches, and includes information on diagnostic support with point of care ultrasound and endoscopic advanced techniques. Presenting cutting-edge strategies, this book will be of interest to professionals involved in surgical and intensive care for emergency conditions, such as colonic perforations, obstructions, acute pancreatitis, biliary tree stones, and caustic injuries.

Injuries cause more than half of all childhood deaths and a large proportion of pediatric trauma care is provided by non-pediatric specialists. This book provides an update of current practice, backed by evidence-based recommendations, in four sections: 1) Trauma systems for children, including epidemiology, organization of pediatric trauma care, disaster planning and systems for mass pediatric casualties and community injury prevention programs. 2) General principles of resuscitation and supportive care. 3) Specific injuries commonly seen in children, including from child abuse. 4) Rehabilitation, communication, long-term outcomes and performance improvement methods to monitor outcomes.

Written by physicians from Toronto's internationally renowned Hospital for Sick Children, this manual presents practical, evidence-based guidelines on the evaluation and management of a wide range of traumatic injuries in children. The authors' recommendations are based on their extensive clinical experience and reviews of the most recent literature, and presented in a concise, accessible format. Chapters are written in bulleted outline format and include boxed and highlighted "Trauma Pearls," as well as detailed and up-to-date algorithms and flow charts. Numerous illustrations and tables help the reader understand key points. Extensive reading lists appear at the end of each chapter.

Hospitals: What They Are and How They Work, Fourth Edition, guides healthcare students through the inner workings of one of today's most complex organizations: the modern acute-care hospital. From a history of hospitals and health care; to an explanation of the roles of management, physicians, nurses, and staff; to administrative and financial services, this essential text walks readers through every facet of the hospital organization. Today's hospital is an exercise in integrative care, interweaving multiple disciplines to deliver superior patient care. Hospitals: What They Are and How They Work, Fourth Edition, explores the vital collaboration between healthcare providers and diverse practices including clinical laboratory science, pharmacy, physical therapy, and social services, while evaluating the relationship of quality, efficiency, and cost. In this revised edition, new contributing experts augment each chapter with new material on subjects including hospital finance, medical records, nursing, and more. Hospitals: What They Are and How They Work, Fourth Edition, provides: -A macro view of the modern hospital organization -A resource for healthcare students of all types, including those studying medicine, nursing, administration, or management -An examination of every hospital department and how they all collaborate -A consistent, seamless chapter framework for easy instruction

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.

Here’s a unified evidence-based approach to problems encountered in trauma and critical care surgical situations. Comprehensive and concise, it is ideal for a quick overview before entering the operating room or ICU, or as a review for board certification or recertification. Be prepared for the unexpected with practical, concise coverage of major surgical problems in trauma and critical care. Get expert practical and up-to-date guidance on ventilator management, damage control, noninvasive techniques, imaging, infection control, dealing with mass casualties, treating injuries induced by chemical and biological agents, and much more. Find the information you need quickly and easily through numerous illustrations, key points boxes, algorithms, and tables.

With the expertise of an author panel of leading clinicians in the field of surgery, trauma, critical care and geriatrics the new edition of this text addresses the explosion in knowledge on the impact aging has on injury, acute illness and critical care management. The text covers the physiologic changes associated with aging, as well as the clinical assessment, stratification, and management of acute illness and injury. Furthermore, the new edition discusses the full spectrum of critical care management of the elderly. Part I explores the impact of aging on health and the healthcare system. There will be detailed discussion on the physiologic effects of aging and the impact on clinical management. The management of common surgical emergencies in the elderly is addressed in Part II. Part III addresses the evaluation and management of trauma and injury. Finally, Part IV explores the specific challenges of critical care management, including end-of-life and ethics, in the geriatric population. Updated information, reflective of the expansive literature, is addressed in all sections. New to the second edition are chapters on prehospital care, burns, nursing concerns, and abdominal solid organ injury. Appropriate chapters will include case vignettes and clinical algorithms. All chapters include a bullet-point summary. Geriatric Trauma and Critical Care, 2nd Edition will be of great value to trauma surgeons, acute care surgeons, critical care specialists, emergency medicine physicians, geriatricians, general surgeons, and trainees in surgery, critical care, and emergency medicine. Advanced practice nurses, critical care nurses, and physician assistants will also find this a useful and practical resource.

This book offers the first comprehensive insight into hospital-based injury and violence prevention programs and describes a public health approach for the integration of population-based injury prevention into trauma centers. This book meets the need for a public health informed approach, as a majority of hospital-based injury and violence prevention programs are positioned within hospital systems driven by patient-centered, acute care models. Significant variability in administration, staffing and reimbursement structures across trauma centers has historically hindered standardization of injury prevention program structure and the role of the injury prevention professional. Topics in the book include the history and development of hospital-based programs, the need and process for developing data-driven and evidence-based injury prevention interventions, building trauma center capacity for outreach through partnerships, developing prevention efforts using trauma-informed care approach, community based research and program evaluation, and the role of advocacy in injury and violence prevention. The multidisciplinary team of authors offers a collaborative approach to the implementation and development of Hospital-based Injury and Violence Prevention Programs which will serve acute care nurses, trauma program managers, hospital administrators, trauma surgeons, hospital-based injury prevention professionals, and local public health professionals.