The thoroughly updated Third Edition of this popular and widely used pocket reference guides the trauma team through every aspect of patient care after injury and before, during, and after acute care surgery--from prehospital care, to resuscitation, treatment of specific organ injuries, priorities in intensive care, and management of special situations. Designed for rapid, on-the-spot information retrieval, this manual will be a staple reference in emergency departments and trauma centers. Flow charts, algorithms, sequential lists, and tables throughout facilitate quick clinical decision-making. More than 200 illustrations demonstrate specific injuries and procedures. Appendices include organ injury scales, tetanus prophylaxis recommendations, and frequently used forms.

Contributing Authors
Foreword
Foreword
Preface

1 Introduction to Trauma Care 1
2A Patterns of Blunt Injury 6
2B Mechanisms of Injury: Penetrating Trauma 12
3 The Physiologic Response to Injury 17
4 Shock 22
5 Measurement of Injury Severity 31
6 Prehospital Triage and Traumatic Arrest 36
7 Prehospital Therapy 44
8 Field Teams: Composition, Direction, and Communication with the Trauma Center 57
9 Air Medical Transport 61
10 Interhospital Transport 65
11 Trauma Team Activation 68
12 Organization Prior to Trauma Patient Arrival 72
13 Trauma Resuscitation 82
14 Trauma Airway Management 91
15 Vascular Access 100
16 Imaging of Trauma Patients 111
17 Trauma Documentation 120
18 Intrahospital Transport of Trauma Patients 127
19 Operating Room Practice 131
20 Head Injury 134
21 Injuries of the Spinal Cord and Spinal Column 142
22A Treatment of Soft-Tissue Wounds of the Face 156
22B Bony Oral-Maxillofacial Injuries 166
23 Ophthalmic Injuries 180
24A Penetrating Neck Trauma 187
24B Blunt Neck Injury 195
25 Thoracic Injury 199
26 Abdominal Injury 226
27A Abdominal Vascular Injury 265
27B Damage Control 275
27C Abdominal Compartment Syndrome 281
28 Genitourinary Injuries 285
29 Orthopedic Injuries 293
30 Pelvic Fractures 307
31 Hand Trauma 315
32A Compartment Syndrome 331
32B Rhabdomyolysis 335
33 Peripheral Vascular Injuries 338
34 Soft-Tissue Injuries 348
35 Priorities in the ICU Care of the Adult Trauma Patient 351
36 Anesthesia for the Trauma Patient 376
37 Pain Management in the Trauma Patient 386
38 Hypothermia, Cold Injury, and Drowning 394
39 Blood Transfusion and Complications 401
40 Nutrition/Metabolism in the Trauma Patient 410
41 Support of the Potential Organ Donor 418
42 Burns/Inhalation Injury 423
43 Pediatric Trauma/Child Abuse 431
44 Care of the Pregnant Trauma Patient 443
45 Geriatric Trauma 451
46 Rehabilitation 459
47 Deep Vein Thrombosis/Prophylaxis 466
48 Injury Prevention/Epidemiology 473
49 Housestaff Responsibilities 477
50 Legal, Ethical, and Family Issues: Support Services 483
51 Miscellaneous Procedures 490
App. A Drug Formulary 494
App. B Injury Scales 548
App. C Commonly Used Formulas and Values 563
App. D Tetanus Prophylaxis 568
App. E Frequently Used Forms 572

Subject Index 581