The Trauma Handbook of Massachusetts General Hospital

Synopsis

Written by a multidisciplinary team of residents, fellows, and faculty at the Massachusetts General Hospital, this new
addition to the LWW Handbook Series is a practical, accessible guide to the evaluation and management of trauma and
burn patients. In a format designed for quick reference, this pocket-sized book presents hospital tested guidelines and
procedures for pre-hospital care and transport, immediate assessment and interventions, and evaluation and management
of specific injuries at each anatomic site. Chapters on specific injuries follow a consistent structure: epidemiology
and mechanisms, important surgical anatomy, important physiology, initial evaluation, diagnostic methods, nonoperative
management, operative techniques, postoperative care, rehabilitation, and long-term follow-up.


Table of Contents
. Contributing Authors. .
. Preface. .
. Acknowledgments. .
1. A Brief History of Trauma Surgery. 1.
2. Trauma Systems and Injury Severity Scoring. 10.
3. Prehospital Care and Transport. 29.
4. Organization of the Emergency Department and Trauma Team. 50.
5. Disaster Planning. 58.
6. Initial Evaluation and Resuscitation: Primary Survey and Immediate Resuscitation. 71.
7. The Trauma Airway. 89.
8. Secondary Survey Evaluation of the Trauma Patient. 108.
9. Unique Critical Care Issues Related to Trauma. 120.
10. Transfusion and Coagulation Issues in Trauma. 128.
11. Initial Evaluation and Management of the Burn Patient. 148.
12. Trauma Anesthesia. 174.
13. Prevention Strategies: Thromboembolic Complications, Alcohol Withdrawal, Infection and Gastrointestinal Bleeding.
195.
14. Nervous System 1: Head Injury. 213.
15. Nervous System 2: Spinal Cord and Peripheral Nerve Injuries. 224.
16. Evaluation and Acute Management of Maxillofacial Trauma. 239.
17. Ocular and Adnexal Trauma. 258.
18. Neck Injuries. 284.
19. Chest Trauma 1: Chest Wall, Pleural Space, and Lung Parenchyma. 296.
20. Chest Trauma 2: Tracheobronchial and Esophageal Injuries. 314.
21. Chest Trauma 3: Blunt and Penetrating Injuries to the Heart and Central Vessels. 328.
22. Vascular Trauma 1: Cervicothoracic Vascular Trauma. 342.
23. Vascular Trauma 2: Abdominal Vascular Injuries. 351.
24. Vascular Trauma 3: Peripheral Vascular Injuries. 372.
25. Abdominal Trauma 1: Diagnostic Techniques. 385.
26. Abdominal Trauma 2: Diaphragm and Abdominal Wall. 402.
27. Abdominal Trauma 3: Hepatic and Biliary Tract Injuries. 413.
28. Abdominal Trauma 4: Splenic Injuries. 433.
29. Abdominal Trauma 5: Injuries to the Pancreas and Duodenum. 446.
30. Abdominal Trauma 6: Hollow Viscus Injuries. 462.
31. Abdominal Trauma 7: Damage Control and the Abdominal Compartment Syndrome. 475.
32. Genitourinary Trauma. 484.
33. Orthopedic Trauma 1: Spine Fractures. 509.
34. Orthopedic Trauma 2: Pelvic Fractures. 518.
35. Orthopedic Trauma 3: Extremity Fractures. 526.
36. Hand Injuries. 540.
37. Techniques of Soft Tissue Reconstruction. 558.
38. Pediatric Trauma 1: Resuscitation and Initial Evaluation. 571.
39. Pediatric Trauma 2: Definitive Care. 580.
40. Considerations in the Pregnant Woman. 592.
41. Geriatric Trauma. 608.
42. Trauma Radiology. 619.
43. Organ and Tissue Procurement in Trauma. 655.
44. Psychiatric Issues in Truma. 662.
45. Rehabilitation of the Trauma Patient. 682.
46. Medicolegal Considerations and Duties. 710.
. Subject Index. 733