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Emergency and Critical Care of Severely Injured Patients
Severe trauma is among the leading causes of death and morbidity in many age groups worldwide. The chain of survival in critically ill injured patients starts on the scene, continues in the emergency department, and carries on in the first surgical phase and the intensive care unit. The optimal care of such patients depends on both the medical treatment as well as the organizational management. Many medical problems in the care of severely injured patients might be similar in most parts of the world, while the organizational challenges on the trauma systems are quite diverse. Therefore, it appears essential to consider both the medical treatment and the organizational management to optimize the care of critically ill trauma patients in different world regions.
Trauma Patients with SARS-CoV-2 in German ICUs During the 2nd Wave of the COVID-19 Pandemic
Abstract: Purpose In January and February 2021, about 4000 severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) positive patients were treated daily in German intensive care units (ICUs). The number of SARS-CoV-2-positive ICU patients with trauma, however, is not known and neither whether the trauma itself or COVID-19 causes the critical illness. Methods A total of 173 German ICUs, representing 3068 ICU beds, participated in a survey developed by the Trauma Section of the German Interdisciplinary Association of Intensive Care Medicine (DIVI). Results Participating ICUs reported an overall 1-day prevalence of 20 and an overall 7-day prevalence of 35 SARS-CoV-2-positive trauma pat...
Multiple Organ Failure
Inflammation in itself is not to be considered as a disease . . . and in disease, where it can alter the diseased mode of action, it likewise leads to a cure; but where it cannot accomplish that solitary purpose . . . it does mischief - John Hunter, A Treatise on the Blood, ITfIlammation, and Gunshot Woundr (London, 1794)1 As we reached the millennium, we recognized the gap between our scientific knowledge of biologic processes and our more limited clinical capabilities in the care of patients. Our science is strong. Molecular biology is powerful, but our therapy to help patients is weaker and more limited. For this reason, this book focuses on the problems of multiple organ failure (MOF), m...
Rural Surgery
Incorporating and balancing advancing subspecialization is a significant challenge of modern surgery. The changes of surgical education and early subspecialization is a smaller spectrum of experience of graduating surgeons joining the rural workforce. Surgeons working in rural and remote hospitals, however, must be proficient in the great breadth of current surgical practice and face a number of challenges and demands that are specific to rural surgery. This textbook provides an update on the evidence and surgical techniques for the experienced rural surgeon and most importantly is a guideline for younger surgeons and surgical trainees joining the general surgical workforce in rural and remote areas around the world.
Health Data in the Information Society
MIE 2002 is the XVIIth international conference of the European Federation of Medical Informatics. Today, mankind builds up the information society, enabled by the underlying rapid development in computer technology. The significance of the spread of the internet is comparable to the significance of Gutenberg's invention. On one hand it both helps dissemination of data and knowledge and sharing of ideas. On the other hand the achievements may divide the society, as did non-literacy deprive many people from knowledge throughout centuries. Today millions of people are isolated from an incredibly large amount of information because of "computer non-literacy," and a new elite mastering the infor...
Damage Control Management in the Polytrauma Patient
This guide to damage control surgery focuses on the decision-making process for managing polytrauma. Orthopedists, trauma surgeons, and emergency medicine physicians will learn how to effectively coordinate efforts. The book presents an overview of the damage control concept and the epidemiology of polytrauma injuries. Immunological changes, cascade reactions, and patient selection are discussed. Indications for life-saving procedures, damage control for truncal injuries, and damage control for extremities and pelvic fractures are outlined as well. The text also covers vascular injuries and secondary definitive procedures.
Die Intensivmedizin
Der Klassiker der Intensivmedizin in 13. Auflage! In diesem großen Standardwerk für die Intensivmedizin finden Sie alle Themen der modernen, interdisziplinären Intensivmedizin zusammengetragen. Es bietet höchsten Standard für die ärztliche Weiterbildung und ist gleichzeitig ein wertvolles Nachschlagewerk im klinischen Alltag für Ärztinnen und Ärzte auf Intensivstationen aller Fachrichtungen, u.a. aus Anästhesiologie, Innere Medizin, Chirurgie und Neurologie. Dargestellt werden u.a. moderne Diagnostik, Monitoring - und Therapieverfahren, intensivmedizinisch relevante Krankheitsbilder und Notfälle, Intensivtherapie nach neurochirurgischen, herzchirurgischen, thoraxchirurgischen und abdominalchirurgischen Eingriffen sowie ethische, psychosoziale und pflegerische Aspekte. Weitere Themen sind: Teleintensivmedizin, Weiterbildung und Kompetenzvermittlung in der Intensivmedizin, Langzeitfolgen nach Intensivtherapie, Akut- und Frührehabilitation, Palliativmedizin in der Intensivmedizin, Risikomanagement und Fehlerkultur. Die 13. Auflage erscheint komplett überarbeitet und aktualisiert.
Die Intensivmedizin
Der Klassiker der Intensivmedizin in 11. Auflage! Das große Standardwerk unter interdisziplinärer Herausgeberschaft liegt komplett überarbeitet und erweitert vor. Alle Themen der modernen, interdisziplinären Intensivmedizin sind auf dem aktuellen Stand: Diagnostik und Therapie, (nicht-)invasive Monitoringverfahren, Kapitel zu relevanten Krankheitsbildern und Notfällen. Eigene Abschnitte zu speziellen Disziplinen (Kardiologie, Chirurgie, Gastroenterologie) sowie ethische, psychosoziale und pflegerische Aspekte helfen bei täglichen Fragen und schwierigen Entscheidungen. Neue Themen: Palliative Intensivmedizin, Die Schwangere auf der Intensivstation, Rheumatologische Notfälle, Hämatologisch-onkologische Störungen Ein unverzichtbares Nachschlagewerk für alle intensivmedizinischen Disziplinen.
