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| Author | : American College of Surgeons. Committee on Trauma |
| Publisher | : |
| Total Pages | : 90 |
| Release | : 1990 |
| Genre | : Medical |
| ISBN | : |
| Author | : National Academies of Sciences, Engineering, and Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 531 |
| Release | : 2016-10-12 |
| Genre | : Medical |
| ISBN | : 0309442850 |
Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.
| Author | : Jeffrey S. Young |
| Publisher | : Springer Nature |
| Total Pages | : 141 |
| Release | : 2021-03-26 |
| Genre | : Medical |
| ISBN | : 3030710483 |
Managing a trauma center involves complex clinical care, long nights and days, administrative work, self-examination, critical review of patient care and significant regulatory requirements. Performance improvement is the key element of trauma center effectiveness. No trauma center provides flawless care, thus all centers have opportunities to improve. A competent performance improvement program is critical to trauma center outcomes. This book provides key information on all aspects of trauma PI and program management. In some ways, PI is an art more than a science, so the more interaction program leaders have with strong PI programs, the more they can learn about how to improve their processes. The book outlines the generally accepted processes for identification of opportunities for improvement, which are the key component of performance improvement. This includes: rounding with care teams, contemporaneous chart review, audit filters, and voluntary submissions to the trauma program for review. This book explains how to triage opportunities for improvement, analyze them, form corrective actions, and finally achieve loop closure. The book covers the roles of the personnel in the PI program, what is required to dissect the opportunity to determine action plans, how to document the entire process, and how to keep track of opportunities for improvement to ensure that your program is progressively improving care. The final sections of the book deal with specific opportunities for improvement, action plans, and loop closure through the use of case studies. The book serves as a follow-up to Dr. Jeffrey Young’s recently published book Trauma Centers, which serves as a quick guide to the key components of trauma center administration, management, and patient care.
| Author | : Laurie Barkin |
| Publisher | : |
| Total Pages | : 364 |
| Release | : 2011 |
| Genre | : Language Arts & Disciplines |
| ISBN | : 9780984496549 |
The Comfort Garden: Tales from the Trauma Unit When the Caregiver Needs Solace The Comfort Garden is Laurie Barkin's account of the five years she worked as a psychiatric nurse on the surgical/trauma unit at San Francisco General Hospital. Told against the backdrop of patients who survived motor vehicle accidents, falls, fires, fists, bullets, and knives, The Comfort Garden is a metaphor for the emotional support caregivers need. The story illuminates the issues of compassion fatigue and vicarious trauma that may develop in caregivers when exposure to tragedy becomes routine. The Comfort Garden will appeal to health care professionals, firefighters, police, war veterans, social workers, journalists, students, and anyone whose life is touched by trauma. "The Comfort Garden reveals the real world of human-to-human caring at its highest level." Jean Watson, RN, PhD, author of Human Caring Science: A Theory of Nursing "Laurie is that rare health professional with a gift for narrative and a story to tell. This is an important book for any health care worker, but especially for those of us who consider ourselves traumatic stress specialists. It reinforces the values and the spirit that brought us into the field. And it reminds us of the obstacles we face every day: human cruelty, social injustice, dwindling resources. Read this. You'll be better for it." Frank M Ochberg MD, Clinical Professor of Psychiatry, Michigan State University Laurie Barkin "sensitively documents the process of vicarious trauma how caregivers like herself internalize their patients trauma." San Francisco Chronicle "In an age when hospitals have been turning to quicker-acting medications, faster discharges, and fewer deep and meaningful conversations with patients, Laurie Barkin takes the opposite position. She urges us to make the time to use our knowledge of psychodynamic psychotherapy to help traumatized people early in the course of their distress." Lenore Terr MD, psychiatrist, author of Too Scared to Cry "Whenever we walk into a hospital or a doctor's office we often assume that the patients are somehow broken, sick or frightened and that the nurses and doctors are whole, healthy and brave. In stories that prove these assumptions false, Laurie Barkin shows us how permeable the line actually is between the cared for and the caregiver." Cortney Davis, author of The Heart's Truth: Essays on the Art of Nursing
| Author | : Osvaldo Chiara |
| Publisher | : Springer Nature |
| Total Pages | : 262 |
| Release | : 2021-10-15 |
| Genre | : Medical |
| ISBN | : 3030731553 |
This book offers an overview of acute care surgery around the world, focusing on the four main branches of this novel subdiscipline: trauma, general emergencies, critical care, and rescue surgery. The book’s primary goal is to provide a general view of acute care surgery, while addressing the most important issues in depth. The content is divided into three parts, the first of which is dedicated to the general organization of trauma centers, including the composition of modern trauma teams. Protocols of activation and action for the trauma team, as well as damage control procedures both in the emergency room and in the surgical theatre, are described. The book also addresses the development of a trauma registry, together with the quality assessment process that can be applied. In turn, the second part describes the principal protocols for making diagnoses, with special attention to circumstances such as unstable hemodynamics, neurological deterioration, normal vital signs, and penetrating injuries. The book subsequently deals with the most important aspects of trauma to the abdomen, chest, and pelvis, with notes on both surgical and intensive care issues. Practical descriptions of how to treat principal injuries to various organs are also provided. Finally, the third part of the book is dedicated to the most frequent general surgical emergencies and rescue surgical approaches, and includes information on diagnostic support with point of care ultrasound and endoscopic advanced techniques. Presenting cutting-edge strategies, this book will be of interest to professionals involved in surgical and intensive care for emergency conditions, such as colonic perforations, obstructions, acute pancreatitis, biliary tree stones, and caustic injuries.
| Author | : Committee on Injury Prevention and Control |
| Publisher | : National Academies Press |
| Total Pages | : 336 |
| Release | : 1999-01-04 |
| Genre | : Medical |
| ISBN | : 0309593468 |
Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.
| Author | : Jeffrey S. Young |
| Publisher | : Springer Nature |
| Total Pages | : 222 |
| Release | : 2020-01-27 |
| Genre | : Medical |
| ISBN | : 3030346072 |
This book is a quick guide to the key components of trauma center administration, management, and patient care. This book provides essential information for hospitals working toward trauma center designation, and for established trauma centers who want to improve their performance. This book provides trauma center personnel with a comprehensive overview of trauma center administrative structure, basic clinical operations, performance improvement and site visit preparation and examines the most common critical injuries seen by trauma centers to demonstrate how a properly functioning center addresses multiple priorities in critically ill patients. This book provides critical information for hospitals looking toward becoming a trauma center and established trauma centers that wants to improve their performance.
| Author | : Adonis Nasr |
| Publisher | : Springer Nature |
| Total Pages | : 234 |
| Release | : 2019-11-27 |
| Genre | : Medical |
| ISBN | : 3030264432 |
The Golden Hour is a well-established concept in emergency medicine, related to the critical period of one hour after an injury, accident or trauma. This term implies that the mortality rates increase substantially if efficient care is not provided within 60 minutes after the trauma. This book is intended as a practical manual in Trauma Care within the context of the golden hour, addressing all trauma types and all body parts. Readers will find essential decision-making algorithms and protocols with commentary for traumas, along with easily accessible information on how to treat patients in a very practical and handy fashion. Furthermore, the content is presented in a didactic way suitable for a wide audience, from medical students who want to learn about the basics of trauma care to experienced surgeons seeking a comprehensive guide to trauma-related interventions.The book combines contributions from experts at two renowned Trauma Centers, the Hospital do Trabalhador at Curitiba, Brazil, and the Ryder Trauma Center in Miami, USA. Therefore, considering the different local environments and resources, the book provides distinct perspectives for several injuries, presenting the state of the art in Trauma Care. The diversity of perspectives in this book contributes to a global health care approach suitable for trauma-related events from developed countries to remote areas. The Trauma Golden Hour – A Practical Guide celebrates the Centennial Anniversary of the Federal University of Parana (Brazil), the 25th Anniversary of the Ryder Trauma Center (USA) and the 20th Anniversary of the Hospital do Trabalhador (Brazil).
| Author | : Peter Rhee |
| Publisher | : Simon and Schuster |
| Total Pages | : 237 |
| Release | : 2014-06-03 |
| Genre | : Biography & Autobiography |
| ISBN | : 1476727317 |
The incredible life story of the trauma surgeon who helped save Congresswoman Gabby Giffords—from his upbringing in South Korea and Africa to the gripping dramas he faces in a typical day as a medical genius. Congresswoman Gabby Giffords is a household name: most people remember that awful day in Arizona in 2011 when she was a victim of an act of violence that left six dead and thirteen wounded. What many people don’t know is that it was Dr. Peter Rhee who played a vital role in her survival. Born in South Korea, Rhee moved with his family to Uganda where he watched his public health surgeon father remove a spear from a man’s belly—and began his lifelong interest in medicine. What came next is this compelling portrait of how one becomes a world class trauma surgeon: the specialized training, the mindset to make critical decisions, and the practiced ability to operate on the human body. Dr. Rhee is so eminent that when President Clinton traveled to China, he was selected to accompany the president as his personal physician. In Trauma Red we learn how Rhee’s experiences were born from the love and sacrifices of determined parents, and of Rhee’s own quest to become as excellent a surgeon as possible. Trauma Red chronicles the patient cases Dr. Rhee has handled over two decades on two distinct battle fronts: In Iraq and Afghanistan, where he served as a frontline US Navy surgeon trying to save young American soldiers, and the urban zones of Los Angeles and Washington, DC, where he has been confronted by an endless stream of bloody victims of civilian violence and accidents. Tough and outspoken, Dr. Rhee isn’t afraid to take on the politics of violence in America and a medical community that too often resists innovation. His story provides an inside look into a fascinating medical world, a place where lives are saved every day.
| Author | : Stephen M. Cohn |
| Publisher | : |
| Total Pages | : 0 |
| Release | : 2023 |
| Genre | : MEDICAL |
| ISBN | : 9789798887703 |
"For all the hospital dramas that dominate the ratings on television or awe-inspiring medical stories we might hear, most of us have no conception of the daily, herculean efforts of trauma surgeons. A good trauma surgeon must be a conductor presiding over an orchestra of healthcare providers as their patients cling to life by a thread. They are also a steely quarterback who can't be rattled when they throw an interception-lingering on a past failure would only ruin their ability to care for the next patient, and the next. They have an encyclopedic knowledge of medical science and are practiced in the art of instinctively reacting to whatever emergency comes flying at them on a stretcher. All of this is in addition to doing anything they can to comfort distraught family and friends receiving some of the worst news of their lives. Dr. Cohn gives readers an intimate look at the controlled chaos that goes on inside a trauma center. Having lived and breathed trauma for four decades, Dr. Cohn is an ideal guide to demystify the role of the trauma surgeon and their place in a hospital. He pulls back the curtain to clarify such questions as: What exactly is a trauma surgeon, and what does one do? How does a trauma center function, and what really goes on in the operating room? How do you mold a medical student into a surgeon who can stay cool and act decisively when a patient's life hangs in the balance? How have trauma care experts mobilized to respond to COVID-19 and the opioid epidemic? His answers are infused with sobering tales from his career as a military surgeon and in trauma centers across the country as well as his descriptions of high-profile medical stories"--
