PROLOGUE
In the heart of every hospital, amidst the hum of machinery and the flurry of activity, there exists a realm where seconds can mean the difference between life and death. This is the world of trauma, emergency general surgery, and surgical critical care—a world that demands unwavering precision, rapid decision-making, and an unyielding commitment to saving lives.
As practitioners in these demanding fields, we are acutely aware of the challenges that come with the territory. The unpredictable nature of trauma cases, the complexity of emergency surgeries, and the delicate balance required in critical care settings place extraordinary demands on clinicians. It is within these high-stakes environments that the need for a reliable, comprehensive, and practical guide becomes most apparent.
This book was born out of a desire to meet that need. It is the culmination of countless hours of research, clinical experience, and collaboration among leading experts in the field. Our aim is simple yet profound: to provide a resource that empowers clinicians to deliver the highest standard of care, even in the most challenging circumstances.
In these pages, you will find a synthesis of the latest advancements and time-tested techniques, presented in a format designed for quick reference and practical application. Each chapter delves into critical topics, offering insights that are both deep and broad. We have included real-world case studies to illustrate the application of theoretical knowledge, ensuring that you are equipped not just with information, but with the wisdom of experience.
As you embark on this journey through the cutting-edge of trauma, emergency general surgery, and surgical critical care, we invite you to draw upon the collective expertise and shared knowledge contained within these chapters. Whether you are a seasoned practitioner or a newcomer to the field, we hope this book serves as a valuable tool in your quest to provide exceptional patient care.
Welcome to a compendium of knowledge designed to support you in the moments that matter the most. Welcome to a resource crafted to help you navigate the complexities of your practice with confidence and skill. Welcome to the cutting edge of surgical care.
Paula Ferrada, MD, FACS, FCCM, MAMSE
Table des matières
SECTION l. TRAUMA
1. Management of chest wall trauma
2. Trauma simulation and education — How we foster the future of our career
3. Circulation first in Trauma. Time to rethink the ABCs
4. Duodenal trauma — Tricks and tips
5. Extracorporeal membrane oxygenation (ECMO) in the management of trauma patients
6. Pediatric trauma update
7. REBOA – When how and who?
8. Vascular trauma
SECTION II. EMERGENCY GENERAL SURGERY
9. Non-operative management of acute appendicitis: choosing the right patient
10. The Difficult Gallbladder, tips and tricks
11. Necrotizing soft tissue infections
12. Robotics in Emergency General Surgery
13. Necrotizing pancreatitis
SECTION III. SURGERY AND TRAUMA INTENSIVE CARE UNIT
14. Update in neurocritical care of traumatic brain injury
15. Hocus POCUS. Ultrasound in Acute Care Surgery: Friend or foe?
16. Shock — Tips for diagnosis and treatment in the Surgery and Trauma Intensive Care Unit
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