Penetrating Trauma

Part 1. Prehospital Care, Diagnostic Tools and Resuscitation Strategies.- 1. Prehospital Care of Penetrating Trauma.- 2. Airway Management in Penetrating Trauma.- 3. Damage Control Resuscitation in Penetrating Trauma: Rules of the Game.- 4. BLS Versus ALS.- 5. Prehospital Care and Transport.- 6. Prehospital Monitoring During Transport.- 7. Trauma Resuscitation.- 8. ABC Heuristics.- 9. Pediatric Trauma Resuscitation.- 10. Fluids, Blood Substitutes, and New Tools.- 11. Emergency Department Thoracotomy.- 12. Intensive Care: Principles and Therapy.- 13. Ventilation in the Trauma Patient: A Practical Approach.- 14. Practical approach to ECMO.- 15. Management of sepsis and septic shock.- 16. Endpoints of Resuscitation.- 17. Plain X-Rays for Penetrating Trauma.- 18. Computed Tomography in the Workup of Patients with Penetrating Trauma.- 19. Portable Ultrasound as an Adjunct in Penetrating Trauma.- 20. Laparoscopy and Penetrating Trauma.- 21. Angiography and Interventional Radiology.- 22. Imaging of Penetrating Urologic Trauma.- 23. Practical approach to REBOA.- 24. Video-Assisted Thoracic Surgery in Penetrating Chest Trauma.- 25. Diagnostic Peritoneal Lavage (DPL) Unplugged.- 26. Mass Casualties and Triage in Military and Civilian Environment.- 27. Ballistics in Trauma.- Part 2. Surgical Strategies in Penetrating Trauma to Head, Face, and Neck.- 28. Surgical Strategies in Trauma.- 29. Surgical Strategies in Trauma to the Head, Face, and Neck.- 30. Penetrating Injuries of the Face.- 31. Operative Strategies in Penetrating Trauma to the Neck.- 32. Access to the Neck in Penetrating Trauma.- 33. Penetrating Trauma to the Larynx and the Cervical Trachea.- 34. Penetrating Injury to the Pharynx and Cervical Esophagus.- 35. Carotid, Jugular and Vertebral Blood Vessel Injuries.- Part 3. Surgical Strategies in Penetrating Trauma to the Chest.- 36. Penetrating Trauma to the Subclavian Vessels.- 37. Penetrating Trauma to the Thoracic Oesophagus.- 38. Penetrating Trauma to the Mediastinal Trachea and Main Bronchi.- 39. Operative management of pulmonary injuries.- 40. Operative management of delayed complications of pulmonary and pleural injury.- 41. Penetrating Injuries to the Mediastinal Vessels.- 42. Penetrating Cardiac Trauma.- 43. Penetrating Injuries to the Diaphragm.- 44. Approach to Thoracoabdominal Injury.- 45. Loss of the Chest Wall.- Part 4. Surgical Strategies in Penetrating Trauma to the Abdomen and Pelvis.- 46. Access to the Abdomen: Emergency Laparotomy.- 47. Damage Control Surgery.- 48. Beyond Damage Control Surgery: Abdominal Wall Reconstruction and Complex Hernia Repair.- 49. Abdominal Esophagus and Stomach.- 50. Duodenum.- 51. Penetrating Trauma to the Pancreas.- 52. Liver and Extrahepatic Bile Ducts.- 53. Large and Small Bowel.- 54. Injury of the Kidney, Ureter, and Bladder.- 55. Lower Genitourinary Injuries.- 56. Major Abdominal Veins.- 57. Major Abdominal Arteries.- 58. Spleen.- 59. Penetrating Rectal Injuries.- 60. Abdominal Compartment Syndrome.- 61. SNOM: Conservative Management of Solid Viscera.- 62. Bleeding in the Pelvis.- Part 5. Neurological trauma.- 63. Gunshot Injuries to the Head.- 64. Approach to penetrating injury of the spinal cord.- 65. Early Neurotrauma Rehabilitation.- Part 6. Surgical Strategies in Penetrating Trauma and Orthopedic Injuries.- 66. Introduction to Orthopedic Injuries.- 67. Extremity Fractures.- 68. Compartment Syndrome of the Extremities.- 69. Trauma to the hand.- 70. Trauma to the foot.- 71. Penetrating Trauma: Amputations.- 72. Amputations of the Hand and Foot After Destructive Gunshot Injuries.- 73. Anterior Exposure of the Thoracic and Lumbar Spine.- Part 7. Peripheral Arterial Injuries.- 74. Peripheral Arterial Injuries from Penetrating Trauma.- 75. Axillary and Brachial Vessels.- 76. Femoral Vessels.- 77. Popliteal Vessels.- Part 8. Other Topics.- 78. Penetrating arterial injuries below elbow/knee.- 79. Management of Penetrating Soft Tissue Injuries.- 80. Burns and Inhalational Injury.- 81. Crush Injuries.- 82. Blast Injuries.- 83. The Elderly Patient.- 84. The Pediatric Patient.- 85. The Pregnant Patient.- 86. Emergency Cesarean Delivery in pregnant patient with penetrating trauma and in-theatre neonatal support.- 87. Anticoagulation in Penetrating Trauma.- 88. Approach to perioperative nutritional support.- 89. Perioperative pain management.- 90. Care Under Austere Conditions: Unlimited Restraints.- 91. The Impact of Trauma on the Psyche.- 92. Rehabilitation.- 93. “Rehabilitation Matters!”: Physical Rehabilitation as an Essential Process Post-acute Trauma Care.- 94. Penetrating Injury Prevention.- 95. Forensic Pathology and Trauma.- 96. Ethics in Severe Trauma.- 97. Organ Donation.- 98. The Economics of Trauma Care.

“The editors have expanded their focus on surgical techniques to include a more holistic assessment of patient care, with several areas of interest to anesthesiologists. … We highly recommend that anesthesiologists with responsibility for trauma patients read and utilize this book frequently. Velmahos, Degiannis, and Doll are giants in trauma surgery, and their surgical insight on evidencebased approaches to care of the patient with penetrating trauma will prove valuable to anesthesiologists caring for such patients.” (Markus M. Luedi and Richard P. Dutton, Anesthesia & Analgesia, Vol. 124 (3), March, 2017)

George Velmahos, MD, PhD, is Division Chief of Trauma, Emergency Surgery, and Surgical Critical Care at Massachusetts General Hospital, Boston, USA. He has been Professor of Surgery at Harvard Medical School since 2004, having previously been Associate Professor of Surgery at the University of Southern California. Dr. Velmahos is a Fellow of the American College of Surgeons, the Royal College of Surgeons of Edinburgh, the Royal College of Physicians and Surgeons of Glasgow, and the American College of Critical Care Medicine. He is Chair of the Education Committee and a Member of the Executive Committee of the American College of Surgeons Committee on Trauma. Alongside his clinical activities, Dr. Velmahos carries out research into traumatic injuries, shock and resuscitation, and bleeding control. He is the author or co-author of more than 250 publications, including four books and 40 book chapters.
Elias Degiannis, MD, PhD, is Head of the Trauma Directorate at the Chris Hani Baragwanath Academic Hospital, Johannesburg, Republic of South Africa. He graduated in Medicine from the Aristotelian University of Thessaloniki, Greece, and completed his training in General Surgery in the UK in 1984. In 1991 he was appointed Senior Lecturer at the University of the Witwatersrand and Senior Consultant at the Chris Hani Baragwanath Academic Hospital. He became an Associate Professor at the University of the Witwatersrand in 2001 and ad hominem Professor of Surgery in 2005. Dr. Degiannis is a member of the Royal College of Physicians and Surgeons of Glasgow, the American College of Surgeons, and the College of Surgeons of South Africa. He established a dedicated Trauma Unit in 2003 and has developed a special research interest in penetrating trauma. He has been decorated with the Silver Cross of the German Armed Forces for his contribution to the training of German military surgeons in penetrating trauma.
Dietrich Doll, MD, PhD, is Vice Head of Surgery and Head ofthe Coloproctology Department at St. Mary’s Hospital, Vechta, Germany. Dr. Doll is a board-certified general and visceral surgeon who also holds board certification in Proctology and Emergency Medicine and additional international qualifications in Disaster and Mass Casualty Medicine. He has previously worked as First Senior Consultant Surgeon and Vice Head of the Department of Visceral Surgery, Military Hospital Berlin and in the Department of Visceral, Thoracic, and Vascular Surgery at the Philipps University of Marburg, Germany. He obtained his Emergency Medicine Specialist Certificate in 2009 and in 2010 completed his Habilitation at the Philipps University of Marburg. Dr. Doll is a member of the editorial boards of various journals, including the Global Journal of Surgery, and is a reviewer for many leading journals.

This book provides clear practical guidance on all aspects of the surgical treatment of penetrating trauma and aims to foster the type of strategic thinking that can save patients’ lives. The coverage encompasses prehospital care, penetrating injuries to various body regions and specific organs, orthopedic injuries, peripheral arterial injuries, injuries to special groups of patients, including children and the elderly, military injuries, and a range of other topics. Based on their extensive personal experience, expert authors provide step-by-step instructions on evaluation, surgical techniques, and management of perioperative problems. Tips and tricks and technical pearls are highlighted and each chapter includes a list of the most important points to observe.

This second edition of Penetrating Trauma has been extensively revised and updated – with inclusion of some entirely new chapters – to take into account the most recent trends in resuscitation, diagnostics, and treatment. It will be an ideal resource for those looking for practical solutions on how to treat injuries surgically.

Provides clear guidance on surgical treatment of penetrating injuries of many types Focuses on strategic thinking that can help save lives Includes tips and tricks and technical pearls from experts with many years of experience