Acute Care Surgery and Trauma - Evidence-Based Practice by Stephen M. Cohn focuses on important surgical management issues where one or more problems are addressed using scientific evidence from the published literature. This foreword describes the criteria used for weighing the evidence provided by published research studies. Why evidencebased medicine? The primary use of evidence-based medicine (EBM) is to help make informed decisions by combining individual clinical expertise with the best available external clinical evidence. This approach optimizes decision making for the care of individual patients.
Using evidence-based studies, this textbook focuses on the critical management questions of the day. The book uses publications from the past decade and predominantly cites those published manuscripts that provide Level I and II evidence using the Oxford scale.
Each chapter is organized around the several key questions on the particular topic. These questions have been judged by the authors as essential in delineating the current status of evidence-based material related to the specific subject. A summary of these questions and answers along with the strength of the recommendations appear in each chapter. In many instances, there are little high-quality data found on these various topics. The evidence-based surgery reviews are submitted to stimulate the development of future clinical trials and provide credible answers to age-old surgical management questions.
Contents
Section I – Trauma
1. Evidence for Injury Prevention Strategies: From Private Practice to Public Policy
2. Trauma Systems
3. Evidence-Based Review of Trauma Outcomes
4. Evidence-Based Surgery: Military Injury Outcomes
5. Evidence-Based Surgery: Traumatized Airway
6. Monitoring of the Trauma Patient
7. Resuscitation of the Trauma Patient
8. Diagnosis of Injury in the Trauma Patient
9. An Evidence-Based Approach to Damage Control Laparotomy for Trauma
10. Evidence-Based Surgery: Coagulopathy in the Trauma Patient
11. Traumatic Brain Injury
12. Spine and Spinal Cord Injuries
13. Facial Injuries
14. Ocular Trauma: An Evidence-Based Approach to Evaluation and Management
15. Neck Trauma
16. Emergency Thoracotomy
17. Trauma to the Chest Wall
18. Evidence-Based Surgery: Injury to the Thoracic Great Vessels
19. Evidence-Based Surgery: Cardiac Trauma
20. Injury to the Esophagus, Trachea, and Bronchus
21. An Evidence-Based Approach to Spleen Trauma: Management and Outcomes
22. Injury to the Liver
23. Small Bowel and Colon Injuries
24. Diaphragmatic Injuries
25. Pancreatic and Duodenal Trauma
26. Abdominal Vascular Trauma
27. An Evidence-Based Approach to Pregnant Trauma Patients
28. Pelvic Fractures
29. An Evidence-Based Approach to Extremity Vascular Trauma
30. Surgery of Upper Extremity
31. Lower Extremity Injury
32. Limb Salvage for the Mangled Extremity
33. Critical Questions in Support of the Burned Patient
34. Burn Wound Management
35. Inhalation Injury
36. Electrical, Cold, and Chemical Injuries
37. Evidence-Based Wound Care Management
38. Viperidae Snakebite Envenomation
39. Evidence-Based Surgery: War Wounds
40. Evidence-Based Surgery: Pediatric Trauma
41. An Evidence-Based Approach to Geriatric Trauma
42. Rural Trauma
43. Reducing Patient Errors in Trauma Care
Section II – Emergency General Surgery
44. Small Bowel Surgery
45. An Evidence-Based Approach to Upper GI Bleed Management
46. Peptic Ulcer Disease
47. Enterocutaneous Fistula
48. Paraesophageal Hernia Repair
49. Appendicitis
50. Lower Gastrointestinal Bleeding
51. Diverticular Disease of the Colon
52. Large Bowel Obstruction
53. Acute and Chronic Mesenteric Ischemia
54. Ogilvie’s Syndrome and Colonic Volvulus
55. Hemorrhoids
56. Anal Fissure, Fistula, and Abscess
57. Evidence-Based Surgery: Pilonidal Disease
58. Rectal Prolapse: Evidence-Based Outcomes
59. Evidence-Based Practice: Acute Cholecystitis
60. Acute Cholangitis
61. Acute Pancreatitis
62. Pancreatic Pseudo-cysts
63. Liver Abscess
64. Diagnosis and Treatment of Variceal Hemorrhage due to Cirrhosis
65. Gangrene of the Foot
66. Acute Arterial Embolus
67. Ruptured Abdominal Aortic Aneurysm
68. Acute Aortic Dissection
69. Deep Venous Thrombosis
70. Pulmonary Embolism
71. Necrotizing Soft Tissue Infections
72. Incarcerated Hernias
73. Surgical Endocrine Emergencies
Section III – Surgical Critical Care Problems
74. Evidence-Based Surgery: Bacteremia
75. Prevention of Central Venous Catheter Infections
76. Ventilator-Associated Pneumonia
77. Management of Acute Myocardial Infarction and Cardiogenic Shock
78. Perioperative Arrhythmias
79. Feeds and Feeding Surgical Patients
80. Evidence-Based Surgery: Acute Lung Injury/Acute Respiratory Distress Syndrome
81. Acute Renal Failure
82. Hyperglycemia
83. Abdominal Compartment Syndrome
84. Agitation and Delirium in the ICU
85. Malignant Hypertension: An Evidence-based Surgery Review
Appendix
Index
Using evidence-based studies, this textbook focuses on the critical management questions of the day. The book uses publications from the past decade and predominantly cites those published manuscripts that provide Level I and II evidence using the Oxford scale.
Each chapter is organized around the several key questions on the particular topic. These questions have been judged by the authors as essential in delineating the current status of evidence-based material related to the specific subject. A summary of these questions and answers along with the strength of the recommendations appear in each chapter. In many instances, there are little high-quality data found on these various topics. The evidence-based surgery reviews are submitted to stimulate the development of future clinical trials and provide credible answers to age-old surgical management questions.
Contents
Section I – Trauma
1. Evidence for Injury Prevention Strategies: From Private Practice to Public Policy
2. Trauma Systems
3. Evidence-Based Review of Trauma Outcomes
4. Evidence-Based Surgery: Military Injury Outcomes
5. Evidence-Based Surgery: Traumatized Airway
6. Monitoring of the Trauma Patient
7. Resuscitation of the Trauma Patient
8. Diagnosis of Injury in the Trauma Patient
9. An Evidence-Based Approach to Damage Control Laparotomy for Trauma
10. Evidence-Based Surgery: Coagulopathy in the Trauma Patient
11. Traumatic Brain Injury
12. Spine and Spinal Cord Injuries
13. Facial Injuries
14. Ocular Trauma: An Evidence-Based Approach to Evaluation and Management
15. Neck Trauma
16. Emergency Thoracotomy
17. Trauma to the Chest Wall
18. Evidence-Based Surgery: Injury to the Thoracic Great Vessels
19. Evidence-Based Surgery: Cardiac Trauma
20. Injury to the Esophagus, Trachea, and Bronchus
21. An Evidence-Based Approach to Spleen Trauma: Management and Outcomes
22. Injury to the Liver
23. Small Bowel and Colon Injuries
24. Diaphragmatic Injuries
25. Pancreatic and Duodenal Trauma
26. Abdominal Vascular Trauma
27. An Evidence-Based Approach to Pregnant Trauma Patients
28. Pelvic Fractures
29. An Evidence-Based Approach to Extremity Vascular Trauma
30. Surgery of Upper Extremity
31. Lower Extremity Injury
32. Limb Salvage for the Mangled Extremity
33. Critical Questions in Support of the Burned Patient
34. Burn Wound Management
35. Inhalation Injury
36. Electrical, Cold, and Chemical Injuries
37. Evidence-Based Wound Care Management
38. Viperidae Snakebite Envenomation
39. Evidence-Based Surgery: War Wounds
40. Evidence-Based Surgery: Pediatric Trauma
41. An Evidence-Based Approach to Geriatric Trauma
42. Rural Trauma
43. Reducing Patient Errors in Trauma Care
Section II – Emergency General Surgery
44. Small Bowel Surgery
45. An Evidence-Based Approach to Upper GI Bleed Management
46. Peptic Ulcer Disease
47. Enterocutaneous Fistula
48. Paraesophageal Hernia Repair
49. Appendicitis
50. Lower Gastrointestinal Bleeding
51. Diverticular Disease of the Colon
52. Large Bowel Obstruction
53. Acute and Chronic Mesenteric Ischemia
54. Ogilvie’s Syndrome and Colonic Volvulus
55. Hemorrhoids
56. Anal Fissure, Fistula, and Abscess
57. Evidence-Based Surgery: Pilonidal Disease
58. Rectal Prolapse: Evidence-Based Outcomes
59. Evidence-Based Practice: Acute Cholecystitis
60. Acute Cholangitis
61. Acute Pancreatitis
62. Pancreatic Pseudo-cysts
63. Liver Abscess
64. Diagnosis and Treatment of Variceal Hemorrhage due to Cirrhosis
65. Gangrene of the Foot
66. Acute Arterial Embolus
67. Ruptured Abdominal Aortic Aneurysm
68. Acute Aortic Dissection
69. Deep Venous Thrombosis
70. Pulmonary Embolism
71. Necrotizing Soft Tissue Infections
72. Incarcerated Hernias
73. Surgical Endocrine Emergencies
Section III – Surgical Critical Care Problems
74. Evidence-Based Surgery: Bacteremia
75. Prevention of Central Venous Catheter Infections
76. Ventilator-Associated Pneumonia
77. Management of Acute Myocardial Infarction and Cardiogenic Shock
78. Perioperative Arrhythmias
79. Feeds and Feeding Surgical Patients
80. Evidence-Based Surgery: Acute Lung Injury/Acute Respiratory Distress Syndrome
81. Acute Renal Failure
82. Hyperglycemia
83. Abdominal Compartment Syndrome
84. Agitation and Delirium in the ICU
85. Malignant Hypertension: An Evidence-based Surgery Review
Appendix
Index