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Kenneth Mattox - Trauma, Seventh Edition

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The definitive guide to trauma surgerynow in full color! The seventh edition, Trauma reaffirms its status as the leading comprehensive textbook in the field. With a new full-color design and a rich atlas of anatomic drawings and surgical approaches, Trauma, 7e takes you through the full range of injuries the trauma surgeon is likely to encounter. The book also features timely coverage that explains how to care for war victims who may require acute interventions such as amputation. Supported by numerous x-rays, CT scans, plus informative tables throughout, this trusted reference begins with an informative look at kinematics and the mechanisms of trauma injury. Subsequent chapters provide useful background information on the epidemiology of trauma injury prevention the basics of trauma systems, triage, and transport and much more. The next section meticulously reviews generalized approaches to the trauma patient, from pre-hospital care and managing shock, to emergency department thoracotomy and the management of infections. Trauma then delivers a clear organ-by-organ survey of treatment protocols designed to help you respond to any critical care situation with confidence, no matter what body system is involved. The remaining sections of the book will help you successfully handle specific challenges in traumaincluding alcohol and drug abuse, and combat-related woundsin addition to post-traumatic complications such as multiple organ failure. FEATURES NEW! Trauma Atlas contains precise, concept-clarifying anatomical illustrations and proven surgical techniques that make common procedures more accessible than ever before High-yield section on specific approaches to the trauma patient prepares you for the wide spectrum of cases in trauma/critical surgery care, including: Disaster and mass casualty Rural trauma Management of shock Post-injury hemotherapy and hemostasis Emergency department thoracotomy Diagnostic and interventional radiology Surgeon-performed ultrasound Anesthesia and pain management Infection A-to-Z overview of the management of specific traumatic injuries Detailed discussion of the management of complications

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NOTICE

Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.


Copyright 2013 by The McGraw-Hill Companies Inc All rights reserved Except - photo 1

Copyright 2013 by The McGraw-Hill Companies Inc All rights reserved Except - photo 2

Copyright 2013 by The McGraw-Hill Companies, Inc. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher.

ISBN: 978-0-07-171784-7
MHID: 0-07-171784-6

The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-166351-9, MHID: 0-07-166351-7.

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TERMS OF USE

This is a copyrighted work and The McGraw-Hill Companies, Inc. (McGraw-Hill) and its licensors reserve all rights in and to the work. Use of this work is subject to these terms. Except as permitted under the Copyright Act of 1976 and the right to store and retrieve one copy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify, create derivative works based upon, transmit, distribute, disseminate, sell, publish or sublicense the work or any part of it without McGraw-Hills prior consent. You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated if you fail to comply with these terms.

THE WORK IS PROVIDED AS IS. McGRAW-HILL AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free. Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom. McGraw-Hill has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-Hill and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise.

DEDICATION

The editors of Trauma, Seventh Edition, gratefully dedicate this edition to our five unique families: our spouses, children, grandchildren, and extended families; our trainees, who now dot the globeour lasting legacy; our medical schools and academic anchors; our organizations and associations; and our patients, who continue to teach us so very much.

CONTENTS

SECTION 1
TRAUMA OVERVIEW

SECTION 2
GENERALIZED APPROACHES TO THE TRAUMATIZED PATIENT

SECTION 3
MANAGEMENT OF SPECIFIC INJURIES

SECTION 4
SPECIFIC CHALLENGES IN TRAUMA

SECTION 5
MANAGEMENT OF COMPLICATIONS AFTER TRAUMA

SECTION 6
ATLAS OF TRAUMA

CONTRIBUTORS

Charles A. Adams, Jr., MD, FACS

Assistant Professor of Surgery

Alpert Medical School of Brown University

Chief

Division of Trauma and Surgical Critical Care

Department of Surgery

Rhode Island Hospital

Providence, Rhode Island

: Wounds, Bites, and Stings

David H. Ahrenholz, MD, FACS

Associate Professor of Surgery

University of Minnesota Medical School

St. Paul, Minnesota

: Temperature-Related Syndromes: Hyperthermia, Hypothermia, and Frostbite

Louis H. Alarcon, MD

Associate Professor of Surgery and Critical Care Medicine

Medical Director of Trauma Surgery

University of Pittsburgh

Pittsburgh, Pennsylvania

: Management of Shock

Vishal Bansal, MD, FACS

Assistant Professor of Surgery

Assistant Director

Trauma Services

University of California, San Diego

San Diego, California

: Trauma Systems, Triage, and Transport

: Principles of Critical Care

Maneesh Bawa, MD

San Diego Orthopaedic Associates/Mercy Hospital

San Diego, California

Assistant Professor

Chief of Trauma Spine Surgery

Emory University Department of Orthopaedic Surgery

Atlanta, Georgia

: Vertebrae and Spinal Cord

Robert D. Becher, MD

Howard H. Bradshaw Surgical Research Fellow

Department of General Surgery

Wake Forest University School of Medicine

Winston-Salem, North Carolina

: Injury Severity Scoring and Outcomes Research

Tiffany K. Bee, MD

Associate Professor of Surgery

University of Tennessee Health Science Center

Memphis, Tennessee

: Liver and Biliary Tract

Peleg Ben-Galim, MD

Assistant Professor

Department of Orthopedic Surgery

Baylor College of Medicine

Houston, Texas

: Upper Extremity

Walter L. Biffl, MD

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