Titlebook: Difficult Decisions in Trauma Surgery; An Evidence-Based Ap Kenneth Wilson,Selwyn O. Rogers Book 2022 Springer Nature Switzerland AG 2022 R

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Is it Time for REBOA to be Considered as an Equivalent to Resuscitative Thoracotomy? is typically achieved by emergency surgery coupled with a resuscitative thoracotomy (RT). Recently, a non-invasive method, resuscitative endovascular balloon occlusion of the aorta (REBOA), has become a feasible consideration for hemorrhage control. REBOA has emerged as an attractive tool when comb

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Enterocutaneous Fistula Management in Traumadence in trauma patients, however, challenging with the different injury patterns and utilization of open abdomens. If fistulas do occur, it is important to remember to not panic, have patience, optimize nutrition, and find creative means for fistula management and ultimately closure. Though slow, m

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Does Prophylactic Antibiotics for Emergent Tube Thoracostomy Decrease Rates of Infection?tablished complications associated with tube thoracostomy. The administration of prophylactic antibiotics and its optimal duration for emergent tube thoracostomy have been subjects of debate for decades due to questionable clinical benefits. This chapter reviews all existing literature and provides

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Antibiotics Prophylaxis after Penetrating Colon Injuriesre costs. Studies over the decades have provided high-level evidence into the role, timing, and coverage of the antibiotics of choice. However, there still remain some questions to be answered. This chapter examines the existing body of high-quality evidence and the recommendations that can be made

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Nonselective Arterial Embolization for Pelvic Fracturesws the principles of hemostatic resuscitation, massive transfusion ratios, and timely definitive care. Clinical practice guidelines have been developed but are not universally accepted or adopted..Pelvic angiography with embolization is a safe, rapid, and effective technique for patients with pelvic

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Clinical Clearance of the Cervical Spine in the Presence of a Distracting Injurynsider a negative physical examination unreliable in patients with distracting injuries (DI) and require further radiographic imaging to rule out cervical spine injury. Recent literature advocates for more judicious radiographic criteria in patients with DI, citing resource utilization concerns and