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For more than40 years, Rich'sVascular Trauma has been surgeons #1 reference for the diagnosis and treatment ofvascular injury in both civilian and militarysettings across the globe. The fully updated 4th Edition reflects recent changes in vascular injury patterns, wounds, and trauma care, drawing from currentresearch and a wide variety ofpeer-reviewed publications to keep youup to date with the latest evidence-based management strategies and techniques. Written and edited by vascular surgeons who are also trauma specialistscivilian and militaryexperts who have proficiency in both open-surgical and endovascular techniquesthis must-have referenceoffers a global perspectiveon every aspect of thebroad spectrum of vascular trauma.
· Covers all vascularsurgery procedures required to stop hemorrhage and restore perfusion in vessels in the limbs, junctional areas, torso and neck, including damage control techniques such as shunting, and endovascular techniques such as REBOA and stenting.
· Addresses pre-hospital, emergency department, surgical, and endovascular stages of treatmentin developed, austere and deployed settings,including a rich section on vascular trauma in multiple international settings that providesimportant context for the global surgical community.
· Includes nine new chapters covering prehospital management, endovascular suites, stent-grafts, selective aortic arch perfusion, extracorporeal systems and gathering evidencein vascular trauma, and more.
· Presents surgical techniques in step-by-step, highlyillustrated detail, as well as high level, strategic decision-making such as the logisticsof setting up an endovascular trauma service.
· Includes a new, rapidlydigestible "Tips andTricks" section summarizinghow to execute essential vascular maneuvers and management steps to ensurethat patients get the best outcomes.
· Emphasizes the current management of civilianvascular injuries while drawingupon the best available evidence, experience, and lessons learned from Afghanistan, Iraq, and theurban battlefield.
· Contains an innovative chapteron the systems approach and quality improvement invascular trauma, offering informationand tactics for all providerswishing to understand how clinical systems underpin patient outcome and recovery.
· Enhanced eBook version included with purchase. Your enhanced eBook allows you toaccess all of the text,figures, and references from the bookon a variety of devices.
Edited by Todd E Rasmussen,MD, FACS, Colonel USAF MC, Director, U.S. CombatCasualty Care Research Program,Fort Detrick, Maryland;Harris B Shumacker, Jr. Professorof Surgery, The Norman M. Rich Department of Surgery, UniformedServices University of the Health Sciences,Bethesda, Maryland; Attending Vascular & Trauma Surgeon, Veterans Administration Medical Center& University ofMaryland, Shock Trauma Center, Baltimore, Maryland and Nigel R M Tai, QHS, MS, FRCS(Gen), Colonel, L/RAMC, Clinical Director, TraumaServices, Royal London Hospital, BartsHealth NHS Trust, London, United Kingdom; Senior Lecturer, Academic Department of MilitarySurgery and Trauma, RoyalCentre for DefenceMedicine, Birmingham, United Kingdom; Consultant Surgeon, 16 Medical Regiment, Colchester, Essex, United Kingdom
TABLE OF CONTENTS
1 TheVascular Injury Legacy
2 Epidemiology of Vascular Trauma
3 Systems of Care in the Management of Vascular Injury
4 Training Paradigms for Vascular Trauma
5 PrehospitalManagement of Vascular Injury
6 Damage Control and Immediate Resuscitationfor Vascular Trauma
7 Diagnosis ofVascular Injury
8 Imaging for the Evaluation and Treatment ofVascular Trauma
9 EndovascularSuites and the Emergency Vascular Service
10 Stentgrafts, Coils and Plugs
11 Resuscitative Endovascular Balloon Occlusion of theAorta (REBOA)
12 Endovascular Variable Aortic Control (EVAC)
13 Selective Aortic Arch Perfusion(SAAP)
14 Extracorporeal Systems for Injury andShock
15 Gathering the Evidence: ClinicalStudy of New Technologies
16 Cardiac, Great Vessel, and PulmonaryInjuries
17 Blunt ThoracicAortic Injury
18 Abdominal Aortic Trauma, Iliac and Visceral Vessel Injuries
19 Inferior Vena Cava, Portal, andMesenteric Venous Systems
20 Neck andThoracic Outlet
21 Upper Extremityand Junctional Zone Injuries
22 Lower Extremity Vascular Trauma
23 Surgical Damage Control and Temporary Vascular Shunts
24 Considerations for Conduit Repairof Vascular Injury
25 Management of Pediatric Vascular Injury
26 Soft-Tissueand Skeletal Wound Management in the Setting of Vascular Injury
27 Vascular Surgery in the Austere Environment
28 Australia and New Zealand
29 Sri Lanka
30 Croatia
30 Finland
31 Qatar
31 Sweden
32 Russia
33 Serbia
34 Israel
35 South Africa
36 Colombia
37 Brazil
Index andfront matter
ClinicalPearls
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