Main description:

This book provides a practical guide to decision making within the realm of trauma surgery. Each chapter covers the ideal approach, rather than customary care, for the treatment of the chosen difficult decision or controversy. A broad range of topics are covered with particular attention given to resuscitation, wound management, thoracic and abdominal trauma, antimicrobial management, transplant considerations, vascular trauma, traumatic brain injury, pediatric trauma and ethics.
Difficult Decisions in Trauma Surgery aims to help improve the treatment of trauma patients and is relevant to surgical trainees and practicing surgeons, and as well as medical professionals working within trauma medicine.

Contents:

Part I: ResuscitationDifficult Decisions in Trauma - Is ABC the Right Mantra?What is the Clinical Impact of Whole Blood as Compared to Component Therapy in Civilian Trauma?Does Helicopter Transport to Level I Trauma Centers Improve MortalityFutility of Care in Hemorrhagic Shock: When Prolonging the Massive Transfusion Protocol is of No Benefit.In the exsanguinating trauma patient does REBOA, compared with resuscitative thoracotomy (RT), result in lower complications, morbidity, and mortality?Part II: Wound ManagementIn Patients with Traumatic Extremity Wounds is Negative Pressure Wound Therapy Superior as Compared to Standard Dressing Changes?Enterocutaneous Fistula Management in TraumaPart III: Antimicrobial ManagementDoes prophylactic antibiotics for emergent tube thoracostomy decrease rates of infection?Antibiotics Prophylaxis after Penetrating Colon InjuriesAntibiotic Regimen in Treating Complicated Intra-abdominal InfectionsIs Vaccine Prophylaxis Necessary for Patients Undergoing Splenic Embolization?Part IV: Trauma ImagingThe Trauma Pan-Scan: Who Benefits from Immediate Whole-Body Imaging?Non-Selective Arterial Embolization for Pelvic Fractures Clinical clearance of the cervical spine in the presence of a distracting injuryMRI Clearance for the Cervical SpinePart V: Traumatic Brain InjuryDifficult Decisions in Surgery: An Evidence-Based Approach ECMO safety in the setting of traumatic brain injuryCan Abdominal Decompression Improve Refractory Intracranial Hypertension?Is there an Optimal Screening tool to Best Diagnose and Treat Blunt Cerebrovascular Injury (BCVI)?Part VI: Abdominal TraumaDoes specific sequencing of operative interventions in thoracoabdominal trauma improve outcomes? Selective Nonoperative Management for Abdominal Gunshot WoundsWhat is the optimal management of traumatic duodenal injury?Timing of Ostomy Reversal in Trauma and Acute Care SurgeryPart VII: Thoracic TraumaResuscitative ThoracotomyExtracorporeal Membrane Oxygenation for Patients with Traumatic Injury and Respiratory Failure Is There a Gold Standard for Screening Blunt Cardiac Injury?Optimal Chest Tube Size for Hemothorax EvacuationShould Intrapleural Fibrinolytic Therapy be a First-Line Therapy for Post-Traumatic Retained Hemothoraces?Rib Plating in the Acute Trauma SettingDoes Thoracic Irrigation at the Time of Chest Tube Placement Decrease the Incidence of a Retained Hemothorax?The Timing of VATS for a Retained HemothoraxPart VIII: EthicsDonation after Cardiac Death in the Emergency DepartmentResuscitative Thoracotomy for Organ DonationResilience training for the trauma surgeonYouth Violence Prevention: Violence Recovery ProgramsPart IX: Peripheral Vascular TraumaAre Temporary Vascular Shunts (TVS) Effective Damage Control Adjuncts for Limb Salvage?Difficult Decisions in Surgery: An Evidence-Based Approach Limb salvage for the mangled extremity Part X: Pediatric TraumaThe use of FAST in the Pediatric Trauma SettingSelective Nonoperative Management of Children with Penetrating Abdominal TraumaAre outcomes equivalent for injured children treated at pediatric or adult trauma centers, and what are the implications with respect to the design of optimal trauma systems?