BookAdonis Nasr... [et al.], editors.
Summary: 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).
Contents:
Intro; Foreword; Preface; Contents; Contributors;
1: A Brief History of Trauma; 1.1 The Evolution of Trauma; 1.2 The Historical Foundations of Trauma Care; 1.3 History and Development of Trauma Care Systems; References;
2: Trauma Epidemiology; References;
3: Critical Care in Trauma; 3.1 Introduction; 3.2 ICU Structures; 3.3 Basics of ICU Care; 3.3.1 Ventilatory Support; 3.3.2 When to Intubate; 3.3.3 How to Intubate; 3.3.4 Weaning and Extubation; 3.3.5 Principles and Goals of Sedation; 3.3.6 Prevention of Pneumonia 3.3.7 Deep Vein Thrombosis Pulmonary Embolism Prophylaxis and ManagementBibliography;
4: Injury Severity Scoring; 4.1 Introduction; 4.2 The Injury Scores; 4.2.1 Anatomic-Based Scores; 4.2.2 Physiologic-Based Scores; 4.2.3 Combined Scores; References;
5: Trauma Systems, Trauma Registries, and Prehospital Triage; 5.1 Trauma Systems; 5.2 Trauma Registries; 5.3 Prehospital Triage; 5.4 Special Considerations; Bibliography;
6: Initial Trauma Care; 6.1 Introduction; 6.2 Preparation; 6.3 Primary Evaluation and Management; 6.4 Airway with C-Spine Protection 6.5 Breathing and Ventilation6.6 Circulation with Hemorrhage Control; 6.7 Disability: Neurological Status; 6.8 Exposure and Environmental Control; References;
7: Airway Management; 7.1 Conclusion; Bibliography;
8: Management of Shock; 8.1 Introduction; 8.2 Hemorrhagic Shock; 8.3 Neurogenic Shock; 8.4 Septic Shock; 8.5 Cardiogenic Shock; 8.6 Obstructive Shock (Hypertensive Pneumothorax); 8.7 Algorithm; 8.8 Conclusion; Bibliography;
9: Resuscitative Thoracotomy in Emergency Department; 9.1 Introduction; References;
10: Traumatic Brain Injury; 10.1 Introduction; 10.2 Conclusion
17: Pulmonary Trauma17.1 Clinical Evaluation; 17.2 Thoracic Lesions; 17.3 Pain; 17.4 Pneumothorax; 17.5 Hemothorax; 17.6 Pulmonary Contusion; 17.6.1 Rib Fractures; 17.7 Associated Injuries; 17.8 Conclusion; Bibliography;
18: Great Vessels and Cardiac Trauma; 18.1 Introduction; Bibliography;
19: Esophageal Trauma; 19.1 Conclusion; Bibliography;
20: Diaphragmatic Trauma; 20.1 Introduction; 20.2 Types of Trauma; 20.3 Symptoms; 20.4 Diagnosis; 20.5 Nonoperative Treatment; 20.6 Operative Treatment; 20.7 Complications; 20.8 Conclusion; References