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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 Trabalhadorat 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).
List of contents
A Brief History of Trauma.- Trauma Systems, Trauma Registries and Prehospital Triage.- Critical Care in Trauma.- Injury Severity Scoring.- Trauma Systems and Triage.- Initial Trauma Care.- Airway Management.- Management of Shock.- Resuscitative thoracotomy in Emergency Department.- Traumatic Brain Injury.- Penetrating Neck Trauma.- Blunt Cervical Trauma.- Spinal Cord Injuries.- Blunt Thoracic Trauma.- Penetrating Thoracic Trauma.- Main Airway Trauma.- Pulmonary Trauma.- Great Vessels and Cardiac Trauma.- Esophageal Trauma.- Diaphragmatic Trauma.- Exploratory Laparotomy in Trauma.- Blunt Abdominal Trauma.- Penetrating Abdominal Trauma.- Liver and Bile Duct Trauma.- Injury to the Spleen.- Gastric Injuries.- Small Bowel Injuries.- Pancreatic and Duodenal Trauma.- Colon Injuries.- Rectum and Perineum Injuries.- Abdominal Vascular Injury.- Traumatic Injuries to the Pelvic Ring.- Renal Trauma.- Urinary Tract Trauma.- Damage Control Surgery.- Upper Extremity Trauma.- Lower Extremity Injuries.- Burns Injuries.- Trauma in Pregnancy.- Children Violence.- Nutritional Therapy in Trauma.- Imaging in Trauma.
About the author
Phillipe Geraldo Teixeira de Abreu Reis, MD
MD by the Federal University of Parana – UFPR (2012, Brazil). Residency in general surgery at Botucatu Medical College – Sao Paulo State University – FMB-UNESP (2015, Brazil). Surgical oncology fellowship at Hospital Erasto Gertner - HEG (2018, Brazil). MSc and PhD in surgical research by the Santa Casa of Sao Paulo School of Medicine - FCMSCSP (Brazil). Postdoctoral Research Fellowship in Liver Surgery by the University of Toronto (Canada). Fellow of the Brazilian College of Surgeons. Associate member of the American College of Surgeons. Member of the Panamerican Trauma Society, the Brazilian Trauma Society, the Brazilian Society of Surgical Oncology and the National Association of Emergency Medical Technicians – NAEMT. Instructor of PHTLS and ATLS Programs – American College of Surgeons. Trauma attending physician at Hospital do Trabalhador – UFPR.
Flávio Daniel Saavedra Tomasich, MD, MSc, PhD.
MD by the Federal University of Parana – UFPR (1992, Brazil).
Residency in general surgery (1994), MSc (2001) and PhD in surgical research (2005) by the Santa Casa of Sao Paulo Medical School.
Surgical oncology fellowship at Hospital Erasto Gaertner (Brazil) (1999).
Associate Professor of Trauma Surgery and Surgical Skills –UFPR.
Ex-general director of the UFPR Clinics Hospital.
Regional director of the Brazilian College of Surgeons.
Trauma attending physician at Hospital do Trabalhador – UFPR.
Adonis Nasr, MD, PhD
MD by the Federal University of Parana – UFPR (1994, Brazil). Residency in general surgery by UFPR (2000). Fellowship in Trauma Surgery by the University of São Paulo Medical School (2001, Brazil). PhD in Surgical Research by the University of Sao Paulo (2005, Brazil). Associate professor of trauma surgery – UFPR. Associate Professor of Surgery of the Pontifical Catholic University ofParana - PUC-PR. Director of the UFPR Hospital of Clinics. Fellow and Regional Master of the Brazilian College of Surgeons. Acute care surgery attending physician at Hospital of Clinics, UFPR. Trauma attending physician at Hospital do Trabalhador – UFPR.
Iwan Augusto Collaço, MD, MSc
MD by the Federal University of Parana – UFPR (1975). Residency in general surgery (1977) and MSc (1989) by UFPR. Colorectal surgery fellowship at UFPR Hospital of Clinics. Distinguished Professor of Trauma Surgery – UFPR. Director of Hospital do Trabalhador – UFPR. Fellow of the Brazilian College of Surgeons. Founder and former trauma attending physician at Hospital do Trabalhador – UFPR.
Nicholas Namias, MD, MBA, FACS, FCCM
MD by the Medical Doctor Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey (1989). Professor of Surgery and Anesthesiology, DeWitt Daughtry Family Department of Surgery; Divisions of Burns and Trauma/Surgical Critical Care Chief, Division of Burns Medical Director, UM/JM Burn Center; Director of the Ryder Trauma Center, University of Miami Miller School of Medicine Miami, Florida
Antonio Carlos da Cunha Marttos Jr., MD
MD by the Santos School of Medicine (1993, Brazil). Residency in general surgery by Hospital Nossa Senhora de Lourdes (1997, Brazil). Digestive surgery fellowship at the Brazilian College of Digestive Surgery. Laparoscopic surgery fellowship at the Brazilian College of Digestive Surgery. Trauma surgery fellowship at University of Miami Miller School of Medicine. Director of Trauma Telemedicine Program: University of Miami (USA). Director of the William Lehman Injury Research Center – University of Miami. Fellow of the American College of Surgeons. Director of Global e-Health Program. Brazilian Olympics Committee Physician.
Summary
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 Trabalhadorat 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).
Additional text
“Providers of all levels will enjoy this book from an international group of authors. … This is a well-written guide that presents organization of care for many types of injury, rather than extensive management details for individual injuries.” (David J. Dries, Doody's Book Reviews, February 7, 2020)
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"Providers of all levels will enjoy this book from an international group of authors. ... This is a well-written guide that presents organization of care for many types of injury, rather than extensive management details for individual injuries." (David J. Dries, Doody's Book Reviews, February 7, 2020)
