Current Therapy of Trauma and Surgical Critical Care

Penetrating neck injuries

The neck has been a source of tremendous interest in the trauma surgical literature for several hundred years. Its anatomic compactness places vital anatomic structures in close proximity to each other, making the patient prone to multisystem injuries as the…

Trauma to the eye and orbit

Trauma surgeons and emergency physicians are frequently confronted with evaluating and managing severe eye injuries, most of which will require immediate consultation and referral to an ophthalmologist. Herein, we describe the breadth and depth of traumatic ocular emergencies that may…

Maxillofacial trauma

Maxillofacial trauma is frequently encountered by both trauma and plastic surgeons but fortunately rarely results in fatality. Maxillofacial trauma is readily apparent upon arrival to the emergency room. Such injuries should not be a distraction to the surgeon during initial…

Endpoints of resuscitation

Background Shock has been defined in a multitude of ways, but they all come down to inadequate tissue perfusion, and the diagnosis is made at the bedside using clinical judgment. Early identification of the type of shock, understanding of the…

Interventional radiology: Diagnostic and therapeutic roles

One of the most preventable causes of death in abdominal and pelvic trauma is arterial hemorrhage that goes untreated or unrecognized. Currently, interventional radiology has undergone many advances, particularly in noninvasive imaging and conventional angiography, resulting in the ability to…

Role of radiology in initial trauma evaluation

Radiology testing in the trauma setting including radiography, fluoroscopy, ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI) has increased substantially in the emergency room and trauma setting over the last decade. The use of CT, which is most…