Fig. 8.1 The liver is packed with laparotomy pads to provide compression against the abdominal wall, diaphragm, and retroperitoneum Once the liver is packed, the abdomen is rapidly but systematically…
Fig. 4.1 Tourniquet Fig. 4.2 Digital compression used for acute hemorrhage control Fig. 4.3 Foley catheter used for bleeding control from subclavian vascular injury Fig. 4.4 Foley catheter used for…
Fig. 11.1 CT of a blunt pancreatic injury Fig. 11.2 CT of a gunshot wound of the liver and pancreas Endoscopic retrograde cholangiopancreatography (ERCP) is very useful in identifying injuries…
Fig. 2.1 Seat belt injury to the left flank As the next step in the work-up after the clinical examination, two imaging studies should be ordered: Ultrasound and computed tomography…
Grade Types of injury Details I Hematoma Laceration Single hematoma Partial thickness II Hematoma Laceration Distributed in more than one portion <50 % circumference III Lacerations 50–75 % D2 50–100…
and George Velmahos1 (1) Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA Abstract The vast majority of traumatic pulmonary injuries…
Fig. 20.1 Cardiac box Given the orientation of the heart in situ and relative size of the chambers, the right ventricle is at highest risk to an anterior penetrating injury,…
Fig. 19.1 Granulating tissue demonstrating the healing process The implementation in the use of BP has greatly facilitated the complex hernia treatment. This kind of ventral hernia repair represents a…
Upon entry into the left hemithorax, the six key goals of resuscitative thoracotomy include: 1. Confirmation of ETT placement 2. Direct control of intrathoracic hemorrhage 3. Pericardiotomy and release of…
Fig. 17.1 Zones of retroperitoneal injury. 1 zone I, central (injuries to aorta and caval vein and their main branches as well as duodenum and pancreas), 2 zone II, lateral…
