Acute Care Surgery and Trauma: Evidence-Based Practice by M. Cohn Stephen

By M. Cohn Stephen

This publication specializes in very important surgical administration concerns the place a number of difficulties are addressed utilizing clinical proof from the broadcast literature, and predominantly cites point I and II proof from the Oxford Scale. The eighty five chapters are with ease prepared into 3 sections; Trauma, Emergency basic surgical procedure, and Surgical serious Care difficulties. every one bankruptcy accommodates key questions about a specific subject and solutions are supplied besides the power of the advice in transparent tabular shape for fast reference and simple interpretation. Acute Care surgical procedure and Trauma: proof dependent perform is vital examining for all surgeons, fellows and citizens, specifically these operating in acute care, trauma, emergency and significant care medication.

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But what constitutes “early” and what is meant by “aggressive” have been the matter of some debate. Surprisingly, early advanced life support of trauma patients by welltrained paramedics in the field (including thorough assessment, invasive airway control, and prompt resuscitation with intravenous fluids), although intuitively appealing as a means to correct hypoxia and hypotension, has not consistently been shown to improve outcomes. In fact, several observational studies have suggested that increasing availability of prehospital intubation for airway protection Chapter 2: and ventilatory support is associated with similar or worse outcomes in trauma patients with head injuries (27–29) and hypovolemia (30).

18. Gentilello LM, Rivara FP, Donovan DM. Alcohol problems in women admitted to a Level I trauma center. J Trauma Inj Inf Crit Care 2000; 48: 108–14. 19. Saunders JB, Aasland OG, Babor TF, et al. Development of the Alcohol Use Disorders Identification test (AUDIT): WHO collaborative project on early detection of persons 6 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. Part I: Trauma with harmful alcohol consumption—II. Addiction 1993; 88: 791–804. Ewing JA Detecting alcohol: The CAGE questionnaire.

WHAT IS THE EVIDENCE FOR THE EFFECTIVENESS OF CLINICIAN COUNSELING REGARDING FIREARM SAFETY? , self-harm and suicide). Much of the research on evidenced-based prevention practices in health care settings has focused on domestic or intimate partner violence (IPV). 9 million IPV assaults (30). In a study of the prevalence of domestic violence victimization among women attending general practice, Richardson and In the United States during 1979–2004, firearm injury was the second leading cause of injury death (behind motor vehicle traffic deaths) (52).

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