“Those who are dangerously wounded should receive the first attention, without regard to rank or distinction. They who are injured in a less degree may wait until their brethren in arms, who are badly mutilated, have been operated on and…
Bedside surgical procedures have become a standard in many intensive care units (ICUs), replacing the operating room (OR) as the preferred location for select procedures in critically ill patients. Performing appropriately selected procedures within the ICU limits the risk of…
Intensive care units (ICUs) represent a triumph of medicine: the ability to support and replace a large number of bodily functions. And yet, these actions are not cost free. Nearly every intervention has side effects and risks, all of which…
Snakebites Epidemiology Snakebites are a public health problem primarily in warm areas across the globe. The burden of injury is greatest in the tropical and subtropical regions of the world, primarily affecting Southeast Asia, India, Australia, South America, and parts…
General Considerations In 2017, approximately 400,000 people were burned in the United States, of whom 3400 died. The epidemiological trends from 2001 to 2017 demonstrate that the U.S. population has increased from 285,000,000 to 326,000,000 people, a nominal 14% increase.…
Epidemiology of Orthopedic Injuries Fractures occur when the applied load to the bone exceeds its load-bearing capacity. Fracture patterns relate to bone strength and the forces that cause the injury. The patient’s age and the mechanism of injury are both…
Although the midline laparotomy is a common incision used in abdominal surgery, there is little evidence to guide surgeons regarding the optimal closure of the abdominal wall. The goal of this chapter is to illustrate techniques of both temporary and…
Overview and History Injury management has been an important assignment of the practicing surgeon. Throughout the history of medical care, the treatment of trauma necessitates a mastery of diverse skills spanning all areas of anatomy and physiology. Because of the…
Preface Robotic surgery is arguably the most disruptive and perhaps the most enabling twenty-first century surgical innovation. Born of military technology, developed by industry, and championed by surgeon pioneers, robotic surgery is increasingly adopted as an alternative to laparoscopy to…
There has been a dramatic change in surgical care over the past 30 years with the introduction of digitization, miniaturization, improved optics, advanced diagnostic and therapeutic tools, and computerized information systems in the operating room (OR). Whereas surgery has traditionally…