BookMartin D. Zielinski, Oscar Guillamondegui, editors.
Summary: Emergency General Surgery has become a cornerstone of Acute Care Surgery over the past decade. Once the scope of community general surgeons, the growing complexity of patients with acute surgical diseases has increasingly driven their care to tertiary referral centers. The aging population confounds this problem further as these patients present with more complex comorbidities, life-threatening physiology, and progressively severe anatomic disease severity. To ensure better outcomes, the practice has evolved to focus on evidence-based practice management guidelines in order to standardize care and optimize outcomes. This text provides a comprehensive volume for any surgeon who treats patients with acute surgical diseases. The first section is a comprehensive analysis of the background of Emergency General Surgery. The goal of this section is to provide the reader background into the acute surgical practice and to introduce the reader to the important concepts discussed in the remainder of the text. The second section discuss specific acute surgical diseases. Individual chapters outline the diagnostic approach, current treatment standards, operative approaches, and expected outcomes with an emphasis on practice management guideline implementation into practice. As acute surgical diseases and surgical critical care are integral to each other, the last section will be Critical Care for the Acute Care Surgeon. These topics focus on the critical care concepts essential to surgeons who care for acute diseases. This comprehensive text is targeted to any surgeon who takes emergency calls for any of the listed diseases including community and referral general and vascular surgeons. In addition, this would be an excellent resource for all general surgery residents. Lastly, this would also serve as a resource to intensivists who care for acute surgical patients.
Contents:
History and Evolution of Emergency General Surgery
Examination of the Acute Abdomen
Development of the AAST Disease Severity Stratification System
Infectious Disease Considerations
Primer on Practice Management Guidelines
Concepts in Emergency Research (Exception from Informed Consent)
Inter-hospital Transfers of Emergency General Surgery Patients
Emergency General Surgery as a Team Sport
Small Bowel Obstruction
Large Bowel Obstruction
Abdominal Wall Hernias
Acute Cholecystitis
Appendicitis
Acute Colonic Diverticulitis
Intestinal Ischemia
Perforated Peptic Ulcer
Gastrointestinal Hemorrhage
Complications of Acute Pancreatitis
Acute and Chronic Enterocutaneous Fistula Management
Soft Tissue Infection
Perirectal Abscess
Sepsis Resuscitation
Hemorrhage Resuscitation
Ventilator Management
Nutrition Considerations
Geriatrics and End of Life Care.