Overview Ultrasonography has undergone a transformation in the past 2 decades that is fundamentally changing the way that medicine is taught and practiced. Technologic advances have taken ultrasound to the bedside or point of care in the form of laptop…
Overview The approaches to examination of patients by clinical providers has evolved with the growth of medical knowledge and expectations of quality care. Though still primarily relying on their senses, physicians have been adding basic equipment (e.g., scale, stethoscope) and…
Overview This chapter presents research evidence on the effective utilization of picture archiving communication systems (PACSs) and computerized provider order entry (CPOE) systems in the intensive care unit (ICU). PACSs provide a centralized communication repository for all imaging data that…
Overview In 2004, in the first historical translational study of focused assessment with sonography for trauma (FAST) from humans to small animals, 101 dogs with severe blunt trauma after being hit by cars were evaluated. The authors reported that intraabdominal…
Overview Recent innovations in local tissue rearrangement and free tissue transfer have altered surgical approaches from simple wound care or amputation to optimal functional and aesthetic repair. Survival of transferred tissue remains a concern in trauma patients. , Apart from…
Overview Peripheral regional anesthesia and neuraxial anesthesia are well established in postoperative pain management following major orthopedic, thoracic, and abdominal procedures. Benefits include pain control superior to that achieved with systemic opioids, improved lung function after thoracic and abdominal procedures,…
Overview Percutaneous tracheostomy (PT) is a common bedside procedure in the intensive care unit (ICU). Successful outcome requires midline needle puncture between the second and fourth tracheal rings and avoidance of posterior wall and vascular trauma. Kearney et al reported…
Overview Besides encompassing specific focused techniques, the holistic approach (HOLA) ultrasound concept, introduced in Chapter 1 , promotes generic scanning of any body part (head-to-toe ultrasound imaging) as modulated by current clinical indications. Any ultrasound view obtained through the skin…
Throughout the 5 decades of human space flight, the space medical support systems provided for onboard treatment of minor medical events and evacuation of the seriously ill or injured to Earth. In the absence of adequate objective information, however, it…
Overview War zones are unpredictable and austere environments that present unique challenges to medical providers. The hazards of combat as well as common nontraumatic pathology must be cared for in a diverse range of settings, from the combat medic caring…