Front Line Surgery
A Practical Approach
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Beschreibung
Front Line Surgery is designed to provide practical insights for surgeons whose areas of practice demand quick best-outcome based solutions to complex and urgent clinical problems.
Both editors are active duty officers and surgeons with multiple tours in Iraq. Each chapter provides detailed instructions and combat/emergency surgical principles with multiple detailed illustrations. While the focus is clearly clinical, the authors also provide clinical pearls in both traditional and non-traditional narrative.
Top Ten Combat Trauma Lessons
1. Patients die in the ER, and
2. Patients die in the CT scanner;
3. Therefore, a hypotensive trauma patient belongs in the operating room ASAP.
4. Most blown up or shot patients need blood products, not crystalloid. Avoid trying “hypotensive resuscitation” – it’s for civilian trauma.
5. For mangled extremities and amputations, one code red (4 PRBC + 2 FFP) per extremity, started as soon as they arrive.
6. Patients in extremis will code during rapid sequence intubation, be prepared, and intubate these patients in the OR (not in the ER) whenever possible.
7. This hospital can go from empty to full in a matter of hours; don’t be lulled by the slow periods.
8. The name of the game here is not continuity of care, it is throughput. If the ICU or wards are full, you are mission incapable.
9. MASCALs live or die by proper triage and prioritization – starting at the door and including which x-rays to get, labs, and disposition.
10. No Personal Projects!!! They clog the system, waste resources, and anger others. See #8 above.
Reprinted from "The Volume of Experience (January 2008 edition)", a document written and continuously updated by U.S. Army trauma surgeons working at the Ibn Sina Hospital, Baghdad, Iraq.
This book features concisely written, practical knowledge written by veterans of combat surgery. It offers a large number of full-color images that illustrate difficult techniques and situations.
Both editors are active duty officers and surgeons in the U.S. Army. Dr. Martin is a fellowship trained trauma surgeon who is currently the Trauma Medical Director at Madigan Army Medical Center. He has served as the Chief of Surgery with the 47th Combat Support Hospital (CSH) in Tikrit, Iraq in 2005 to 2006, and most recently as the Chief of Trauma and General Surgery with the 28th CSH in Baghdad, Iraq in 2007 to 2008. He has published multiple peer-reviewed journal articles and surgical chapters. He presented his latest work analyzing trauma-related deaths in the current war and strategies to reduce them at the 2008 annual meeting of the American College of Surgeons. Dr. Beekley is the former Trauma Medical Director at Madigan Army Medical Center. He has multiple combat deployments to both Iraq and Afghanistan, and has served in a variety of leadership roles with both Forward Surgical Teams (FST) and Combat Support Hospitals (CSH).
Concisely written, practical knowledge written by veterans of combat surgery
A large number of full color images illustrate difficult techniques and situations
This handbook is designed to provide the most necessary and practical knowledge needed by Surgeons working on the front lines
Autor*in
Matthew J. Martin, MD, FACS
Themen in »Front Line Surgery«
combat surgery disaster recovery trauma surgery
Stimmen zu »Front Line Surgery«
From the reviews:
“The book is designed to provide surgeons deployed to a combat region with a well-organized, easy-to-read reference ‘to get or keep them out of trouble.’ Any surgeons treating trauma patients are an appropriate audience for this work … . Chapters are clearly written. … The table of contents lists chapter titles and authorship while the index provides good access to content. This is a superb introduction to battlefield conditions for surgeons or general medical officers preparing for deployment … .” (David J. Dries, Doody’s Review Service, February, 2011)()