Titlebook: Managing Dismounted Complex Blast Injuries in Military & Civilian Settings; Guidelines and Princ Joseph M. Galante,Matthew J. Martin,Wade T

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Resuscitation,critical, as both under- and over-resuscitation can result in a number of fatal complications. Consideration must be given to the choice of resuscitative fluid, the volume of resuscitation, the timing of resuscitation relative to definitive surgical management, and the determination of endpoints at

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Damage Control Surgery in the Blast-Injured Patient,ic fracture. This chapter describes the damage control approach to patients injured by blast or explosive mechanisms and outlines key surgical concepts and lessons learned from the recent high-volume military experiences. A rapid, focused, and team-based approach to the diagnostic workup, resuscitat

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Hemorrhage Control, The emergency surgeon will undoubtedly encounter dramatic and troubling extremity injuries that may occur in conjunction with a multitude of apparent or occult concomitant injuries. Advancements in hemorrhage control and resuscitation have allowed hundreds of patients to survive injuries previously

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Blast-Related Pelvic Fractures,d genitourinary trauma. The majority of patients with a blast-injured pelvis will die at the point of injury. Maximizing chances of survival depends on rapid hemodynamic stabilization through the use of a pelvic binder or external fixator, resuscitation with crystalloids and blood products, and ofte

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Thoracic Injuries,s report an increased incidence of thoracic combat injuries, many of which are caused by blast events. Although most thoracic injuries can be managed non-operatively, blast injuries more often require some combination of operative management and/or critical care management because of the complex inj

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Soft Tissue Infection,ous complications. The nature of invasive pathogens found in these casualties appears fairly unique in the spectrum of infectious disease as are the atypical treatment algorithms deployed to battle them. Serious bacterial and fungal infections with microbes generally not seen in the general populati