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Trauma surgery is a surgical specialty that utilizes both operative and non-operative management to treat traumatic injuries, typically in an acute setting. Trauma surgeons generally complete residency training in general surgery [1] [2] and often fellowship training in trauma or surgical critical care. The trauma surgeon is responsible for ...
Usually those who undergo resuscitative thoracotomy do not recover—only 10% of those receiving it after sustaining a blunt injury, and 15–30% of those with penetrating trauma survive. [10] [11] [2]: 240 Patients with thoracic stab wounds and patients who arrive at the emergency department with signs of life are associated with the highest ...
R Adams Cowley (July 25, 1917 – October 27, 1991) was an American surgeon considered a pioneer in emergency medicine and the treatment of shock trauma. [1] Called the "Father of Trauma Medicine", [2] he was the founder of the United States' first trauma center at the University of Maryland in 1958, after the United States Army awarded him $100,000 to study the effects of shock in wounded ...
When it comes to managing injuries, head and neck injuries require the most care post surgery. Head injuries are one of the major causes of trauma related death and disabilities worldwide. It is important for patients of head trauma to get CT scans post surgery to insure that there are no problems. [4]: 28–30
[3] [4] The concept of the "Golden Hour" may have been derived from the French military's World War I data. [5] The R Adams Cowley Shock Trauma Center section of the University of Maryland Medical Center's website quotes Cowley as saying, "There is a golden hour between life and death. If you are critically injured you have less than 60 minutes ...
The first 24 hours often require a significant amount of resources (i.e., blood products) and investment of time from personnel within the critical care team. In many circumstances, especially trauma patients, require that other specialties address a variety of injuries. Moving the patient early on, unless absolutely necessary, can be detrimental.
Focused assessment with sonography in trauma (commonly abbreviated as FAST) is a rapid bedside ultrasound examination performed by surgeons, emergency physicians, and paramedics as a screening test for blood around the heart (pericardial effusion) or abdominal organs (hemoperitoneum) after trauma. [1] [2] There is also the extended FAST (eFAST ...
Major trauma sometimes is classified by body area; injuries affecting 40% are polytrauma, 30% head injuries, 20% chest trauma, 10%, abdominal trauma, and 2%, extremity trauma. [4] [6] Various scales exist to provide a quantifiable metric to measure the severity of injuries. The value may be used for triaging a patient or for statistical analysis.