Color Atlas of Emergency Trauma
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The new edition of this full-color atlas presents nearly 900 images from one of the largest and busiest trauma centers in North America. The images bring the reader to the bedside of patients with the full spectrum of common and uncommon traumatic injuries including motor vehicle accidents, falls, lacerations, burns, impalements, stabbings and gunshot wounds. The clinical, operative and autopsy photographs; x-ray, ultrasound, magnetic resonance imaging and angiography radiographs; and original illustrations depicting injury patterns will help guide clinicians in recognizing, prioritizing and managing trauma patients. Organized by major body regions into separate chapters on the head, face, neck, chest, abdomen, musculoskeletal system, spine and soft tissue, this thorough text discusses management guidelines, emergency workup protocols and common pitfalls. The Color Atlas of Emergency Trauma is an essential resource for those involved in trauma care.
of major vascular or laryngotracheal injuries should be operated on without any delay for ancillary investigations. Specific investigations should be considered only in stable patients. 1. Plain chest and neck films: They can diagnose foreign bodies, fractures, pneumothorax, subcutaneous emphysema, and hematomas. 2. CT scan of the neck is the most valuable investigation in both blunt and penetrating trauma. 3. CT angiogram: It is the investigation of choice in suspected vascular or
other emergency medical conditions. Very often there is no clinical history available and the treatment is given before the definitive diagnosis. The physiological reserves of many trauma victims are limited and small errors can carry a heavy price. The comprehension and intuition required to treat traumatic injury is gained over many years of clinical experience at the bedside of critically injured patients. The aim of this atlas is to share the experience of the authors from one of the largest
recordings. Further investigations, such as CT scanning, serial white blood cell count, or diagnostic laparoscopy, should be performed in appropriate cases. If the patient develops hemodynamic instability or signs of peritonitis, an exploratory laparotomy should be performed. Patients who remain asymptomatic are discharged after 48–72 hours of observation. The selective nonoperative management policy can be applied in both stab wounds and gunshot wounds, provided the patient is clinically
injuries. A B Figure 6.25 Radiographs of humerus fractures: comminuted mid-shaft humerus fracture. (A) This fracture is at high risk for radial nerve injury. (B) This injury is often associated with brachial artery injury. 184 Musculoskeletal Injury 6.21 Shoulder Dislocation The shoulder is the most commonly dislocated joint. Shoulder dislocations can be classified as anterior, posterior, or inferior (luxatio erecta). Anterior dislocations constitute >90% of all shoulder dislocations. They
meningeal artery. Blood accumulates outside the dura mater, dissecting the dura from the inner table of the skull and compressing underlying brain as it expands under arterial pressure. The classical pattern is that of an initial head trauma with loss of consciousness due to concussion, followed by a lucid interval as the patient recovers from the concussion, with a subsequent decreased level of consciousness due to mass effect from the accumulating EDH. However, only 30% of patients with EDH