Muutke küpsiste eelistusi

Manual of Definitive Surgical Trauma Care 3E 3rd New edition [Pehme köide]

(Johannesburg Hospital Trauma Unit, Houghton, South Africa)
  • Formaat: Paperback / softback, 304 pages, kõrgus x laius: 246x189 mm, kaal: 680 g, 30 b/w line drawings; 5 b/w halftones
  • Ilmumisaeg: 26-Aug-2011
  • Kirjastus: Hodder Education
  • ISBN-10: 1444102826
  • ISBN-13: 9781444102826
Teised raamatud teemal:
  • Pehme köide
  • Hind: 84,24 €*
  • * saadame teile pakkumise kasutatud raamatule, mille hind võib erineda kodulehel olevast hinnast
  • See raamat on trükist otsas, kuid me saadame teile pakkumise kasutatud raamatule.
  • Kogus:
  • Lisa ostukorvi
  • Tasuta tarne
  • Lisa soovinimekirja
Manual of Definitive Surgical Trauma Care 3E 3rd New editionSuurem pilt
  • Formaat: Paperback / softback, 304 pages, kõrgus x laius: 246x189 mm, kaal: 680 g, 30 b/w line drawings; 5 b/w halftones
  • Ilmumisaeg: 26-Aug-2011
  • Kirjastus: Hodder Education
  • ISBN-10: 1444102826
  • ISBN-13: 9781444102826
Teised raamatud teemal:
Püsilink: https://www.kriso.ee/db/9781444102826.html
Märksõnad:
A manual for the trainee and qualified surgeon, covering every aspect of surgical trauma care.

Unless dealing with injury regularly, few surgeons can attain and sustain the level of skill necessary for decision making in major trauma. This includes both the intellectual decisions and the manual dexterity required to perform all the maneuvers needed for surgical access and control. These can be particularly challenging, and may be infrequently required, yet rapid access to and control of sites of hemorrhage following trauma can be life-saving surgical intervention. Many situations require specialist trauma expertise, yet often this is simply not on hand within the available time frame.

This new edition has been updated to incorporate all recent developments. It covers every aspect of surgical trauma care, including:
* The causation of injuries - aids rapid understanding of presented trauma;
* The initial, pre-hospital and emergency department care of the patient - all of which may determine eventual outcome
* The resources required, both physical and intellectual, within the hospital to deal with the specific problems associated with patients with multiple injuries

The Manual of Definitive Surgical Trauma Care is written by the editorial board of the DSTC Course, developed for the International Association for Trauma Surgery and Intensive Care (IATSIC), which is a short course focusing on the life-saving surgical techniques and decision-making required for surgeons who deal with major surgical trauma on an infrequent basis.

Manual of Definitive Surgical Trauma Care is an essential manual for all trainee and qualified surgeons. It covers every aspect of surgical trauma care.

  • Provides clear access to all necessary information, from theory of injury through to individual organ system injury and resources such as injury scoring
  • Provides clear surgical guidance on how to deal with major trauma
  • Updated to incorporate all recent developments including massive transfusion and current surgical techniques of exposure and repair
  • Contains hints, tips and tricks, while highlighting the pitfalls that can occur when dealing with major trauma

A truly global perspective based on the IATSIC approved DSTC course, Manual of Definitive Surgical Trauma Care will give you the confi dence to focus on life-saving surgical techniques when faced with challenging and unfamiliar incidents of trauma. Written by the faculty who teach the DSTC Course, developed for the International Association for Trauma Surgery and Intensive Care (IATSIC), it is ideal for all surgeons who deal with major surgical trauma on an infrequent basis.

Board of contributors xvii
Preface xxi
Introduction xxiii
Injury prevention Training in the management of severe trauma
xxiii
The Advanced Trauma Life Support® course
xxiii
Surgical trauma training beyond ATLS®
xxiii
Surgical training courses in trauma
xxiv
The DSTC course
xxv
Summary
xxv
References
xxv
Part 1: Overview 1(12)
1 Overview
3(10)
1.1 Resuscitation in the emergency department
3(1)
1.2 Management of major trauma
3(5)
1.2.1 Resuscitation
3(4)
1.2.2 Management of penetrating trauma
7(1)
1.3 Emergency department surgery
8(2)
1.3.1 Craniofacial injuries
8(1)
1.3.2 Chest trauma
9(1)
1.3.3 Abdominal trauma
9(1)
1.3.4 Pelvic trauma
10(1)
1.3.5 Long bone fractures
10(1)
1.3.6 Peripheral vascular injuries
10(1)
1.4 Summary
10(1)
1.5 References
11(1)
1.6 Recommended reading
11(2)
Part 2: Physiology And Metabolism 13(24)
2 Resuscitation physiology
15(22)
2.1 Metabolic response to trauma
15(7)
2.1.1 Definition of trauma
15(1)
2.1.2 Initiating factors
15(1)
2.1.3 Immune response
16(2)
2.1.4 Hormonal mediators
18(2)
2.1.5 Effects of the various mediators
20(2)
2.1.6 The anabolic phase
22(1)
2.1.7 Clinical and therapeutic relevance
22(1)
2.2 Shock
22(13)
2.2.1 Definition of shock
22(1)
2.2.2 Classification of shock
22(3)
2.2.3 Measurements in shock
25(4)
2.2.4 End points in shock resuscitation
29(1)
2.2.5 Post-shock and multiple organ failure syndromes
30(1)
2.2.6 Management of the shocked patient
30(4)
2.2.7 Prognosis in shock
34(1)
2.2.8 Recommended protocol for shock
35(1)
2.3 References
35(1)
2.4 Recommended reading
36(1)
Part 3: Transfusion In Trauma 37(14)
3 Transfusion in trauma
39(12)
3.1 Indications for transfusion
39(1)
3.1.1 Oxygen-carrying capacity
39(1)
3.1.2 Volume expansion
39(1)
3.2 Transfusion fluids
39(1)
3.2.1 Fresh whole blood
39(1)
3.2.2 Component therapy (platelets, FFP, cryoprecipitate)
40(1)
3.3 Effect of transfusing blood and blood products
40(2)
3.3.1 Metabolic effects
41(1)
3.3.2 Effects of microaggregates
41(1)
3.3.3 Hyperkalaemia
41(1)
3.3.4 Coagulation abnormalities
41(1)
3.3.5 Other risks of transfusion
41(1)
3.4 Action
42(3)
3.4.1 Current best standards of practice
42(1)
3.4.2 Reduction in the need for transfusion
43(1)
3.4.3 Transfusion thresholds
43(1)
3.4.4 Transfusion ratios
43(1)
3.4.5 Adjuncts to enhance clotting
43(1)
3.4.6 Monitoring the coagulation status
44(1)
3.5 Autotransfusion
45(1)
3.6 Red blood cell substitutes
46(1)
3.6.1 Perfluorocarbons
46(1)
3.6.2 Haemoglobin solutions
46(1)
3.7 Massive haemorrhage/massive transfusion
47(2)
3.7.1 Definition
47(1)
3.7.2 Protocol
47(2)
3.8 References
49(1)
3.9 Recommended reading
50(1)
Part 4: Damage Control Surgery 51(14)
4 Damage control surgery
53(12)
4.1 Damage control
53(4)
4.1.1 Stage 1: Patient selection
53(1)
4.1.2 Stage 2: Operative haemorrhage and contamination control
54(2)
4.1.3 Stage 3: Physiological restoration in the ICU
56(1)
4.1.4 Stage 4: Operative definitive surgery
56(1)
4.1.5 Stage 5: Abdominal wall reconstruction if required
56(1)
4.1.6 Re-laparotomy
56(1)
4.1.7 Delayed closure
57(1)
4.1.8 Outcomes
57(1)
4.2 Abdominal compartment syndrome
57(6)
4.2.1 Definition of ACS
57(1)
4.2.2 Pathophysiology
58(1)
4.2.3 Causes of raised IAP
58(1)
4.2.4 Effect of raised IAP on individual organ function
59(1)
4.2.5 Measurement of IAP
59(1)
4.2.6 Treatment
60(1)
4.2.7 Surgery for raised IAP
61(1)
4.2.8 Management algorithm
61(1)
4.2.9 World Society of the Abdominal Compartment Syndrome
61(2)
4.3 References
63(1)
4.4 Recommended reading
63(4)
4.4.1 Damage control
63(1)
4.4.2 Abdominal compartment syndrome
63(2)
Part 5: Specific Organ Injury 65(98)
5 The neck
67(6)
5.1 Overview
67(1)
5.2 Management principles
67(2)
5.2.1 Initial assessment
67(1)
5.2.2 Use of diagnostic studies
68(1)
5.3 Treatment
69(1)
5.3.1 Mandatory versus selective neck exploration
69(1)
5.3.2 Treatment based on anatomical zones
69(1)
5.3.3 Rules
70(1)
5.4 Access to the neck
70(2)
5.4.1 Incision
71(1)
5.4.2 Carotid artery
71(1)
5.4.3 Midline visceral structures
72(1)
5.4.4 Root of the neck"
72(1)
5.4.5 Collar incisions
72(1)
5.4.6 Vertebral arteries
72(1)
5.5 Recommended reading
72(1)
6 The chest
73(20)
6.1 Overview
73(14)
6.1.1 Introduction: the scope of the problem
73(1)
6.1.2 The spectrum of thoracic injury
73(1)
6.1.3 Pathophysiology of thoracic injuries
74(1)
6.1.4 Applied surgical anatomy of the chest
74(2)
6.1.5 Paediatric considerations
76(1)
6.1.6 Diagnosis
77(1)
6.1.7 Management
77(8)
6.1.8 Emergency department thoracotomy
85(2)
6.1.9 Surgical approaches to the thorax
87(1)
6.2 Access to the thorax
87(2)
6.2.1 Anterolateral thoracotomy
87(1)
6.2.2 Median sternotomy
88(1)
6.2.3 The 'clamshell' thoracotomy
89(1)
6.2.4 Posterolateral thoracotomy
89(1)
6.2.5 'Trapdoor' thoracotomy
89(1)
6.3 Emergency department thoracotomy
89(3)
6.3.1 Requirements
89(1)
6.3.2 Approach
90(1)
6.3.3 Emergency procedures
90(1)
6.3.4 Definitive procedures
91(1)
6.4 Summary
92(1)
6.5 References
92(1)
6.6 Recommended reading
92(1)
7 The abdomen
93(55)
7.1 The trauma laparotomy
93(9)
7.1.1 Overview
93(1)
7.1.2 The trauma laparotomy
94(6)
7.1.3 Closure of the abdomen
100(1)
7.1.4 Haemostatic adjuncts in trauma
101(1)
7.1.5 Briefing for operating room scrub nurses
102(1)
7.1.6 Summary
102(1)
7.2 The bowel
102(3)
7.2.1 Stomach
103(1)
7.2.2 Small bowel
103(1)
7.2.3 Large bowel
103(1)
7.2.4 Mesentery
104(1)
7.2.5 Adjuncts
104(1)
7.3 The liver and biliary system
105(8)
7.3.1 Overview
105(1)
7.3.2 Resuscitation
105(1)
7.3.3 Diagnosis
105(1)
7.3.4 Liver injury scale
106(1)
7.3.5 Management
106(1)
7.3.6 Surgical approach
107(4)
7.3.7 Complications
111(1)
7.3.8 Injury to the retrohepatic vena cava
112(1)
7.3.9 Injury to the bile ducts and gallbladder
113(1)
7.4 The spleen
113(4)
7.4.1 Overview
113(1)
7.4.2 Anatomy
113(1)
7.4.3 Diagnosis
114(1)
7.4.4 Splenic injury scale
114(1)
7.4.5 Management
114(1)
7.4.6 Surgical approach
115(1)
7.4.7 Complications
116(1)
7.4.8 Outcome
117(1)
7.5 The pancreas
117(7)
7.5.1 Overview
117(1)
7.5.2 Anatomy
117(1)
7.5.3 Mechanisms of injury
117(1)
7.5.4 Diagnosis
118(1)
7.5.5 Pancreas injury scale
119(1)
7.5.6 Management
119(1)
7.5.7 Surgical approach
120(3)
7.5.8 Adjuncts
123(1)
7.5.9 Pancreatic injury in children
123(1)
7.5.10 Complications
123(1)
7.5.11 Summary of evidence-based guidelines
124(1)
7.6 The duodenum
124(6)
7.6.1 Overview
124(1)
7.6.2 Mechanism of injury
125(1)
7.6.3 Diagnosis
125(1)
7.6.4 Duodenal injury scale
126(1)
7.6.5 Management
126(1)
7.6.6 Surgical approach
127(3)
7.7 Abdominal vascular injury
130(5)
7.7.1 Overview
130(1)
7.7.2 Injuries of the aorta and vena cava
130(1)
7.7.3 Retroperitoneal haematoma in the abdomen
130(1)
7.7.4 Surgical approach
131(3)
7.7.5 Shunting
134(1)
7.8 The urogenital system
135(8)
7.8.1 Overview
135(1)
7.8.2 Renal injuries
135(4)
7.8.3 Ureteric injuries
139(1)
7.8.4 Bladder injuries
140(1)
7.8.5 Urethral injuries
141(1)
7.8.6 Scrotal injury
142(1)
7.8.7 Gynaecological injury and sexual assault
142(1)
7.8.8 Injury of the pregnant uterus
143(1)
7.9 References
143(3)
7.10 Recommended reading
146(2)
7.10.1 The trauma laparotomy
146(1)
7.10.2 The liver
147(1)
7.10.3 The spleen
147(1)
7.10.4 The pancreas
147(1)
7.10.5 The duodenum
147(1)
7.10.6 Abdominal vascular injury
147(1)
7.10.7 Urogenital system
147(1)
8 The pelvis
148(7)
8.1 Introduction
148(1)
8.2 Anatomy
148(1)
8.3 Classification
148(1)
8.3.1 Type A
149(1)
8.3.2 Type B
149(1)
8.3.3 Type C
149(1)
8.4 Clinical examination and diagnosis
149(1)
8.5 Resuscitation
150(1)
8.5.1 Haemodynamically normal patients
150(1)
8.5.2 Haemodynamically stable patients
150(1)
8.5.3 Haemodynamically unstable patients
150(1)
8.5.4 Laparotomy
150(1)
8.6 Pelvic packing
151(1)
8.6.1 Technique of extraperitoneal pelvic packing
151(1)
8.7 Complex pelvic injuries
152(1)
8.7.1 Diagnosis
152(1)
8.7.2 Surgery
152(1)
8.8 Associated conditions
152(2)
8.8.1 Head injuries
152(1)
8.8.2 Intra-abdominal injuries
152(1)
8.8.3 Urethral injuries
152(1)
8.8.4 Anorectal injuries
153(1)
8.9 Summary
154(1)
8.10 References
154(1)
8.11 Recommended reading
154(1)
9 Extremity trauma
155(8)
9.1 Overview
155(1)
9.2 Management of severe injury to the extremity
155(1)
9.3 Key issues
155(2)
9.3.1 Management of open fractures
155(1)
9.3.2 Severity of injury (Gustilo classification)
155(1)
9.3.3 Sepsis and antibiotics
155(1)
9.3.4 Venous thromboembolism
156(1)
9.3.5 Timing of skeletal fixation in polytrauma patients
156(1)
9.4 Massive limb trauma; life versus limb
157(3)
9.4.1 Management
158(1)
9.4.2 Scoring systems
159(1)
9.5 Compartment syndrome
160(1)
9.6 Fasciotomy
160(1)
9.6.1 Four-compartment fasciotomy
161(1)
9.6.2 Fibulectomy
161(1)
9.7 Complications of major limb injury
161(1)
9.8 Summary
162(1)
9.9 References
162(1)
9.10 Recommended reading
162(1)
Part 6: Additional (Optional) Modules 163(52)
10 Critical care of the trauma patient
165(11)
10.1 Introduction
165(1)
10.2 Goals of trauma ICU care
165(1)
10.3 Phases of ICU care
165(2)
10.3.1 Resuscitative phase (first 24 hours post-injury)
165(1)
10.3.2 Early life support phase (24-72 hours post-injury)
166(1)
10.3.3 Prolonged life support (>72 hours post-injury)
166(1)
10.3.4 Recovery phase (separation from the ICU)
167(1)
10.4 Hypothermia
167(1)
10.4.1 Rewarming
167(1)
10.5 Systemic inflammatory response syndrome
168(1)
10.6 Multisystem organ dysfunction syndrome
169(1)
10.7 Coagulopathy of major trauma
169(1)
10.7.1 Management
170(1)
10.8 Recognition and treatment of raised ICP
170(1)
10.9 Recognition of acute renal failure
170(1)
10.10 Evaluation of metabolic disturbances
170(1)
10.11 Pain control
170(1)
10.12 Family contact and support
171(1)
10.13 ICU tertiary survey
171(1)
10.13.1 Evaluation for occult injuries
171(1)
10.13.2 Assess co-morbid conditions
171(1)
10.14 Nutritional support
171(1)
10.14.1 Access for enteral nutrition
172(1)
10.15 Preventive measures in the ICU
172(1)
10.15.1 Stress ulceration
172(1)
10.15.2 Deep vein thrombosis and pulmonary embolus
172(1)
10.15.3 Infection
172(1)
10.16 Antibiotics
173(1)
10.17 Respiration
174(1)
10.18 Organ donation
174(1)
10.19 References
174(1)
10.20 Recommended reading
175(1)
11 Austere conditions and battlefield surgery
176(13)
11.1 Introduction
176(1)
11.2 Injury patterns
176(1)
11.3 Emergency medical service systems
177(2)
11.3.1 Incident management and multiple casualties
178(1)
11.4 Triage
179(1)
11.4.1 Forward surgical teams and triage
180(1)
11.5 Mass casualties
180(1)
11.6 Evacuation
181(1)
11.7 Resuscitation
181(3)
11.7.1 Overview
181(2)
11.7.2 Damage control resuscitation
183(1)
11.7.3 Damage control surgery in the military setting
183(1)
11.8 Blast injury
184(1)
11.8.1 Diagnosis and management of primary blast injuries
184(1)
11.9 Battlefield analgesia
185(1)
11.10 Battlefield anaesthesia
185(1)
11.10.1 Damage control anaesthesia in the military setting
186(1)
11.11 Critical care
186(1)
11.12 Translating military experience to civilian trauma care
186(1)
11.13 Summary
187(1)
11.14 References
187(1)
11.15 Recommended reading
187(2)
11.15.1 Ballistics: history, mechanisms, ballistic protection and casualty management
187(1)
11.15.2 Blast injury
188(1)
11.15.3 War surgery
188(1)
12 Ultrasound in trauma
189(2)
12.1 Focused abdominal sonography for trauma
189(1)
12.2 Applications of ultrasound in trauma
189(1)
12.2.1 Ultrasound in abdominal trauma
189(1)
12.2.2 Ultrasound in thoracic trauma
189(1)
12.2.3 Other applications of ultrasound
190(1)
12.3 Pitfalls
190(1)
12.4 Summary
190(1)
12.5 Recommended reading
190(1)
13 Minimally invasive surgery in trauma
191(3)
13.1 Thoracic injury
191(1)
13.2 Diaphragmatic injury
191(1)
13.3 Abdominal injury
191(1)
13.3.1 Screening for intra-abdominal injury
191(1)
13.3.2 Splenic injury
192(1)
13.3.3 Liver injury
192
13.3.4 Bowel injury
190(2)
13.4 Risks of laparoscopy in trauma
192(1)
13.5 Summary
192(1)
13.6 References
192(1)
13.7 Recommended reading
193(1)
14 Burns
194(10)
14.1 Overview
194(1)
14.2 Anatomy
194(1)
14.3 Depth of the burn
195(1)
14.3.1 Superficial burn (erythema)
195(1)
14.3.2 Superficial partial thickness burn
195(1)
14.3.3 Deep partial thickness burn
195(1)
14.3.4 'Indeterminate partial thickness burn
195(1)
14.3.5 Full thickness burn
196(1)
14.4 Area of the burn
196(1)
14.5 Management
196(5)
14.5.1 Safe retrieval
196(1)
14.5.2 First aid
196(1)
14.5.3 Emergency department
197(2)
14.5.4 Definitive management
199(2)
14.6 Special areas
201(1)
14.6.1 Face
201(1)
14.6.2 Hands
201(1)
14.6.3 Perineum
201(1)
14.6.4 Feet
202(1)
14.7 Adjuncts in burn care
202(1)
14.7.1 Nutrition in the burned patients
202(1)
14.7.2 Ulcer prophylaxis
202(1)
14.7.3 Venous thromboembolism prophylaxis
202(1)
14.7.4 Antibiotics
202(1)
14.8 Criteria for transfer
203(1)
14.9 Summary
203(1)
14.10 References
203(1)
14.11 Recommended reading
203(1)
14.11.1 Websites
203(1)
15 Head trauma
204(4)
15.1 Injury patterns
204(1)
15.2 Depressed skull fractures
204(1)
15.3 Penetrating injury
204(1)
15.4 Adjuncts to care
204(2)
15.5 Burr holes
206(1)
15.6 Summary
207(1)
15.7 References
207(1)
15.8 Recommended reading
207(1)
16 Special patient situations
208(5)
16.1 Paediatrics
208(2)
16.1.1 Introduction
208(1)
16.1.2 Injury patterns
208(1)
16.1.3 Pre-hospital
208(1)
16.1.4 Resuscitation room
208(1)
16.1.5 Specific organ injury
209(1)
16.1.6 Analgesia
210(1)
16.2 The elderly
210(1)
16.2.1 Definition and response to trauma
210(1)
16.2.2 Physiology
210(1)
16.2.3 Influence of co-morbid conditions
211(1)
16.2.4 Multiple medications - polypharmacy
211(1)
16.2.5 Analgesia
211(1)
16.2.6 Outcome
211(1)
16.3 Futile care
211(1)
16.4 Recommended reading
212(1)
17 Interventional radiology in trauma
213(2)
17.1 Introduction
213(1)
17.2 Pelvic fractures
213(1)
17.3 Blunt splenic injuries
213(1)
17.4 Liver injuries
213(1)
17.5 Aortic rupture and injury to middle-sized arteries
213(1)
17.6 Recommended reading
213(2)
Appendices 215(36)
Appendix A Trauma systems
217(4)
A.1 Introduction
217(1)
A.2 The inclusive trauma system
217(1)
A.3 Components of an inclusive trauma system
218(1)
A.3.1 Administration
218(1)
A.3.2 Prevention
218(1)
A.3.3 Public education
218(1)
A.4 Management of the injured patient within a system
219(1)
A.5 Steps in organizing a system
219(1)
A.5.1 Public support
219(1)
A.5.2 Legal authority
219(1)
A.5.3 Establish criteria for optimal care
219(1)
A.5.4 Designation of trauma centres
219(1)
A.5.5 System evaluation
219(1)
A.6 Results and studies
219(1)
A.6.1 Panel review
220(1)
A.6.2 Registry study
220(1)
A.6.3 Population-based studies
220(1)
A.7 Summary
220(1)
A.8 References
220(1)
A.9 Recommended reading
220(1)
Appendix B Trauma scores and scoring systems
221(20)
B.1 Introduction
221(1)
B.2 Physiological Scoring Systems
221(1)
B.2.1 Glasgow Coma Scale
221(1)
B.2.2 Revised Trauma Score
221(1)
B.2.3 Paediatric Trauma Score
222(1)
B.3 Anatomical Scoring Systems
222(2)
B.3.1 Abbreviated Injury Scale
222(1)
B.3.2 Injury Severity Score
223(1)
B.3.3 New Injury Severity Score
223(1)
B.3.4 Anatomic Profile
223(1)
B.3.5 ICD-based Injury Severity Score
224(1)
B.3.6 Organ Injury Scaling System
224(1)
B.3.7 Penetrating Abdominal Trauma index
224(1)
B.4 Outcome analysis
224(2)
B.4.1 Glasgow Outcome Scale
224(1)
B.4.2 Major Trauma Outcome Study
225(1)
B.4.3 A Severity Characterization of Trauma
226(1)
B.5 Summary
226(1)
B.6 Scaling System for Organ-specific Injuries
226(13)
B.7 References
239(2)
Appendix C Definitive Surgical Trauma Care™ course: course requirements and syllabus
241(3)
C.1 Background
241(1)
C.2 Course development and testing
241(1)
C.3 Course details
242(1)
C.3.1 Ownership
242(1)
C.3.2 Mission statement
242(1)
C.3.3 Application to hold a course
242(1)
C.3.4 Eligibility to hold a course
242(1)
C.3.5 Course material and overview
242(1)
C.3.6 Course director
242(1)
C.3.7 Course faculty
242(1)
C.3.8 Course participants
243(1)
C.3.9 Practical skill stations
243(1)
C.3.10 Course syllabus
243(1)
C.3.11 Course certification
243(1)
C.4 IATSIC recognition
243(1)
C.5 Course information
243(1)
Appendix D Definitive Surgical Trauma Care™ course: core surgical skills
244(3)
D.1 The neck
244(1)
D.2 The chest
244(1)
D.3 The abdominal cavity
244(1)
D.4 The liver
245(1)
D.5 The spleen
245(1)
D.6 The pancreas
245(1)
D.7 The duodenum
245(1)
D.8 The genitourinary system
245(1)
D.9 Abdominal vascular injuries
246(1)
D.10 Peripheral vascular injuries
246(1)
Appendix E Briefing for operating room scrub nurses
247(4)
E.1 Introduction
247(1)
E.2 Preparing the operating room
247(2)
E.2.1 Environment
247(1)
E.2.2 Blood loss
247(1)
E.2.3 Instruments
248(1)
E.2.4 Cleaning
248(1)
E.2.5 Draping
248(1)
E.2.6 Adjuncts
248(1)
E.3 Surgical procedure
249(1)
E.3.1 Instruments
249(1)
E.3.2 Special instruments and improvised gadgets
249(1)
E.4 Abdominal closure
249(1)
E.5 Instrument and swab count
249(1)
E.6 Critical incident stress issues
250(1)
E.7 Conclusion
250(1)
E.8 References
250(1)
E.9 Recommended reading 250
250(1)
Index 251
Kenneth D. Boffard BSc(Hons), FRCS, FRCPS FCS(SA), Professor & Clinical Head, Dept of Surgery, Johannesburg Hospital and University of the Witwatersrand, South Africa