By LD Britt MD, Andrew Peitzman MD, Phillip Barie MD, Gregory Jurkovich MD

You won’t discover a extra complete textbook protecting the similar fields of trauma, serious care, and emergency basic surgery than Acute Care Surgery.

Relying primarily on evidence-based content material instead of conception, all the sixty four chapters during this ebook highlights innovative advances within the box and underscores cutting-edge administration paradigms.

The overarching precept of acute care surgical procedure is early and expedient medical/surgical intervention and this e-book bargains the reference fabric each trauma, serious care, and emergency room medical professional must carry on that principle.

• Editors and members are famous leaders of their respective components of interest
• outstanding controversies are mentioned intimately and sometimes followed through data-driven resolutions
• Over four hundred illustrations

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Ann Surg. 2000;232(3):324-330. 63. Meredith JW, et al. Nonoperative management of blunt hepatic trauma: the exception or the rule? J Trauma. 1994;36(4):529-534; discussion 534-535. 64. Pachter HL, et al. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients. J Trauma. 1996;40(1):31-38. 65. Wahl WL, et al. The need for early angiographic embolization in blunt liver injuries. J Trauma. 2002;52(6):1097-1101. 66. Johnson JW, et al. Hepatic angiography in patients undergoing damage control laparotomy.

Oral contrast solution and computed tomography for blunt abdominal trauma: a randomized study. Arch Surg. 1999;134(6): 622-626; discussion 626-627. 42. Allen TL, et al. Computed tomographic scanning without oral contrast solution for blunt bowel and mesenteric injuries in abdominal trauma. J Trauma. 2004;56(2):314-322. 43. Bee TK, et al. Failures of splenic nonoperative management: is the glass half empty or half full? J Trauma. 2001;50(2):230-236. 44. Peitzman AB, et al. Blunt splenic injury in adults: Multi-institutional Study of the Eastern Association for the Surgery of Trauma.

A 15% for liver bleeding. b 13% for liver bleeding. indd 19 3/2/2012 5:53:02 PM 20 Section 1: Fundamental Principles If a Pringle’s maneuver does not adequately decrease liver bleeding, then concern for hepatic vein or retrohepatic caval injury should be entertained. Obtaining adequate exposure in deep liver wounds or in juxtahepatic caval injuries is of utmost importance. The falciform ligament is taken off the diaphragm posteriorly to the bare area. The right and left triangular ligaments are dissected with the cautery, along extension to the corresponding coronary ligaments.

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