000838597 000__ 06479cam\a2200529Ki\4500 000838597 001__ 838597 000838597 005__ 20230306144551.0 000838597 006__ m\\\\\o\\d\\\\\\\\ 000838597 007__ cr\un\nnnunnun 000838597 008__ 180416s2018\\\\sz\\\\\\o\\\\\000\0\eng\d 000838597 019__ $$a1034548959$$a1038453170 000838597 020__ $$a9783319746722$$q(electronic book) 000838597 020__ $$a3319746723$$q(electronic book) 000838597 020__ $$z9783319746715 000838597 0247_ $$a10.1007/978-3-319-74672-2$$2doi 000838597 035__ $$aSP(OCoLC)on1031373843 000838597 035__ $$aSP(OCoLC)1031373843$$z(OCoLC)1034548959$$z(OCoLC)1038453170 000838597 040__ $$aN$T$$beng$$erda$$epn$$cN$T$$dN$T$$dGW5XE$$dEBLCP$$dOCLCF$$dAZU$$dUPM$$dUAB$$dOCLCQ 000838597 049__ $$aISEA 000838597 050_4 $$aRD93 000838597 08204 $$a617.1$$223 000838597 24500 $$aManaging dismounted complex blast injuries in military & civilian settings :$$bguidelines and principles /$$cJoseph M. Galante, Matthew J. Martin, Carlos J. Rodriguez, Wade Travis Gordon, editors. 000838597 264_1 $$aCham :$$bSpringer,$$c2018. 000838597 300__ $$a1 online resource. 000838597 336__ $$atext$$btxt$$2rdacontent 000838597 337__ $$acomputer$$bc$$2rdamedia 000838597 338__ $$aonline resource$$bcr$$2rdacarrier 000838597 347__ $$atext file$$bPDF$$2rda 000838597 5050_ $$aIntro; Contents; Contributors; 1: Introduction: Why We Do What We Do; Injury; Role 2 Care; Role 3; Role 4; Role 5; Outcome; Today; 2: Explosive Blasts: A Primer on a Multidimensional Mechanism of Injury; ABCs of Explosives; Injuries Following Explosive Blasts; Primary Blast Injuries; Secondary Blast Injuries; Tertiary Blast Injuries; Quaternary Blast Injuries; Dismounted Complex Blast Injury; Conclusions; References; 3: Initial Care of Blast Injury: TCCC and TECC; Tactical Combat Casualty Care (TCCC); Tenets of TCCC; Care Under Fire; Tactical Field Care; Tactical Evacuation Care; TCCC Summary 000838597 5058_ $$aTactical Emergency Casualty Care (TECC)Tenets of TECC; Direct Threat (Hot Zone); Indirect Threat (Warm Zone); Major Hemorrhage; Airway; Respiration; Circulation; Head Injury; Hypothermia; Everything Else; Evacuation Care (Cold Zone); Implementation of TECC; Conclusion; References; 4: MASCAL; Defining the Mission; Making Trauma Simple; Understanding Patient Movement, Treatment Personnel, and Space; The Biggest Bang for the Buck; The Triage Officer; Pitfalls of Choosing a Triage Officer; Triage Categories and Their Location; Emergent and Immediate; Delayed; Minimal; Expectant; Dead 000838597 5058_ $$aUnderstanding the Roles of the Command Group or Hospital LeadershipUnderstanding the Rate-Limiting Step; Mass Casualty Pitfalls; Chest X-Rays Only; ER Thoracotomy; Narcotic Administration; Communication; Lists; Suggested Reading; 5: Resuscitation; Introduction; Methods of Resuscitation; Resuscitation Fluids: Crystalloid and Colloid; Hypotensive Resuscitation; Damage Control Resuscitation; Whole Blood Resuscitation; Current Guidelines; Point-of-Care Management; Definitive Resuscitation; Considerations in Blast-Injured Patients; Conclusion; References 000838597 5058_ $$a6: Damage Control Surgery in the Blast-Injured PatientDismounted Complex Blast Injury; Damage Control Principles; Damage Control Resuscitation; Approach to the DCBI Patient; Control of Hemorrhage; Thoracic Damage Control; Abdominal Damage Control; Orthopedic and Soft Tissue Injuries; Genitourinary Injuries; Preparation for Transfer; The "Direct to OR" Option for Blast-­Injured Patients; Summary; References; 7: Hemorrhage Control; Introduction; Presurgical Hemorrhage Control; Tourniquet Application; Surgical Hemorrhage Control; Upper Extremity Vascular Exposure and Control; Subclavian Artery 000838597 5058_ $$aAxillary ArteryBrachial Artery; Lower Extremity Exposures and Vascular Control; Iliac Vessels; Common Femoral Artery; Popliteal Artery; Aorta; Thoracic Aorta; Left Anterolateral Thoracotomy and Clamshell Thoracotomy (Bilateral Anterolateral Thoracotomy); Posterolateral Thoracotomy; Median Sternotomy; Thoracoabdominal Incision; Abdominal Aorta; Supraceliac Aorta; Visceral Segment; Infrarenal Aorta; Retroperitoneal Approach; Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA); Background; Technique; Mechanics and Duration of Aortic Occlusion 000838597 506__ $$aAccess limited to authorized users. 000838597 520__ $$aThis text is designed to present a comprehensive and state-of the-art approach to dismounted complex blast injuries. Sections address care of these patients from the point of injury through rehabilitation. The specific areas addressed include blast mechanics, stabilization and hemorrhage control at the point of injury, early resuscitation at local hospitals, a systematic approach to surgical care, and finally reconstruction and rehabilitation. Specific chapters focus on operative management of pelvic, abdominal, genitourinary, orthopedic, neurological and thoracic injuries. The authors of each chapter, are experts in treating DCBIs that have had direct hands-on experience through military deployments in Iraq and Afghanistan. Each chapter describes patient presentation and an algorithm outlining treatment with support from the literature. The text will conclude with three chapters. The first explores new advances in care that can be applied to these injuries. The second highlights the organization and team approach to care of these patients. Finally, the last chapter describes an actual case, cared for by the editors, that encompasses points from the chapters in the text. Extensive illustrations and flow diagrams are used throughout the text. This text is specifically designed to be a “how to” guide for inexperienced military and civilian providers. The chapters are organized in a step-wise fashion that mirrors the patient’s course from point of injury through their hospital course. Combining authors’ experience with illustrations and algorithm diagrams creates a text that is easy to use as a reference text or basis of training for future military and civilian surgeons. 000838597 588__ $$aOnline resource; title from PDF title page (viewed April 17, 2018). 000838597 650_0 $$aExplosions$$xPhysiological effect. 000838597 650_0 $$aWounds and injuries$$xTreatment. 000838597 7001_ $$aGalante, Joseph M.,$$eeditor. 000838597 7001_ $$aMartin, Matthew J.,$$eeditor. 000838597 7001_ $$aRoguez, Carlos J.,$$eeditor. 000838597 7001_ $$aGordon, Wade Travis,$$eeditor. 000838597 77608 $$iPrint version: $$z9783319746715 000838597 852__ $$bebk 000838597 85640 $$3SpringerLink$$uhttps://univsouthin.idm.oclc.org/login?url=http://link.springer.com/10.1007/978-3-319-74672-2$$zOnline Access$$91397441.1 000838597 909CO $$ooai:library.usi.edu:838597$$pGLOBAL_SET 000838597 980__ $$aEBOOK 000838597 980__ $$aBIB 000838597 982__ $$aEbook 000838597 983__ $$aOnline 000838597 994__ $$a92$$bISE