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As surgical specialization becomes more focused, there is a growing lack of expertise amongst surgeons in life-preserving management of severely injured patients. This comprehensively updated second edition provides an in-depth, visual guide to both commonly and uncommonly performed trauma procedures. It includes over 900 high-quality color photographs and illustrations of step-by-step procedures on fresh, perfused and ventilated cadavers. Practical surgical anatomy, procedural sequencing, and common technical pitfalls are all clearly outlined. A number of new techniques have been introduced since the first edition, from REBOA (resuscitative endovascular balloon occlusion of the aortic), to ribplating for flail chest and skin grafting. Informed by the editors' experience in some of the busiest trauma centres in the world, the text has been updated throughout and includes additional photographs. This Atlas is an essential resource for trainee and operating trauma surgeons, general surgeons distant from academic centres, as well as emergency medicine and critical care personnel.
On April 15, 2013, two improvised explosive devices (IEDs) exploded at the Boston Marathon and 264 patients were treated at 26 hospitals in the aftermath. Despite the extent of injuries sustained by victims, there was no subsequent mortality for those treated in hospitals. Leadership decisions and actions in major trauma centers were a critical factor in this response.
The objective of this investigation was to describe and characterize organizational dynamics and leadership themes immediately after the bombings by utilizing a novel structured sequential qualitative approach consisting of a focus group followed by subsequent detailed interviews and combined expert analysis.
Across physician leaders representing 7 hospitals, several leadership and management themes emerged from our analysis: communications and volunteer surges, flexibility, the challenge of technology, and command versus collaboration.
Disasters provide a distinctive context in which to study the robustness and resilience of response systems. Therefore, in the aftermath of a large-scale crisis, every effort should be invested in forming a coalition and collecting critical lessons so they can be shared and incorporated into best practices and preparations. Novel communication strategies, flexible leadership structures, and improved information systems will be necessary to reduce morbidity and mortality during future events. (Disaster Med Public Health Preparedness. 2015;9:489–495)
Using high-quality intra-operative photos of fresh, ventilated and perfused human cadavers, this atlas of surgical techniques creates a unique new resource for trauma surgeons. The critical aspects of each surgical exposure and procedure are clearly demonstrated step-by-step in these realistic models, allowing the reader rapidly to understand technical key points which can be complex to describe. With more than 600 illustrations, it provides a highly visual summary of the critical anatomy, procedural sequencing, and pitfalls associated with trauma procedures. Informed by the editors' decades of collective experience in the field of trauma, in some of the busiest trauma centers in the world, the book is an invaluable quick reference for both common and uncommonly performed procedures. As such, it is ideal for trainee trauma surgeons, as well as those in civilian or military practice. Also of interest to trauma fellows and emergency medicine physicians.