Algorithm: Management of small bowel injury Open full size image Must-Know Essentials: Management of Small Bowel Injuries Anatomy of Small Bowel ■ Divisions of the small bowel ■ The small bowel is 4–6 meters long and divided into the duodenum,…
Algorithm: Management of stomach injury Open full size image Must-Know Essentials: Anatomy of the Stomach Parts of the Stomach ■ Cardia ■ Superior part of the stomach that contains the cardiac sphincter ■ Situated at T11 vertebra level ■ Fundus…
Illustration: Anatomy of spleen Open full size image Algorithm: Management of splenic injury Open full size image Must-Know Essentials: Evaluation and Management of Splenic Injury Anatomy of the Spleen ■ Location ■ Situated under the left diaphragm at the level…
Algorithm: Evaluation of pancreas injury Open full size image Algorithm: Management of pancreatic injury Open full size image Must-Know Essentials: Anatomy of the Pancreas Location ■ Retroperitoneum ■ Extends obliquely at the level of L1 and L2 vertebra Division of…
Illustration: Liver anatomy Open full size image Must-Know Essentials: Anatomy of the Liver (see illustration of liver anatomy) Ligaments of the Liver ■ Falciform ligament ■ Attaches the anterior surface of the liver to the anterior abdominal wall ■ Free…
Algorithm: Trauma exploratory laparotomy Open full size image Must-Know Essentials: Principles of Trauma Exploratory Laparotomy Preparation ■ Use broad-spectrum preoperative antibiotics. ■ Type and cross-match for blood. ■ Place a nasogastric tube. ■ Place a Foley catheter. ■ Prepare and…
Algorithm: Evaluation & management of hemodynamically stable abdominal penetrating/blunt trauma Open full size image Must-Know Essentials: Anatomy of the Abdomen Surface Anatomy ■ External abdomen extends from the diaphragm to the infragluteal fold. ■ Divided into: ■ anterior abdomen ■…
Algorithm: Management of hemodynamically unstable penetrating abdominal trauma Open full size image Algorithm: Management of hemodynamically unstable blunt abdominal trauma Open full size image Must-Know Essentials: Initial Evaluation and Management Unstable Patient ■ Persistent hypotension: Systolic blood pressure (SBP) <90…
Algorithm: Evaluation & management of severe thoracic injuries Open full size image Must-Know Essentials: Evaluation of Thoracic Injuries Initial Evaluation and Management ■ Airway ■ Assessment for definitive airway. ■ Endotracheal (ET) intubation/surgical airway if indicated ■ Breathing and Ventilation…
Algorithm: Approaches for emergency thoracotomies Open full size image Must-Know Essentials: Anatomy of the Chest Thoracic Mediastinal Structures (see Illustrations) ■ Ascending aorta ■ Two main coronary arteries originate from the root of the ascending aorta. ■ The left main…