The purpose of this book is to give providers of all levels a simple and essential source of practical information in treating the elderly trauma and emergency surgery patient. The Introduction instructs practitioners how to evaluate and assess risk including frailty and use this information in Goals of Care discussions to facilitate shared decision making so crucial to this population. The individual chapters consist of best practices and care guidelines from some of the most well-known thought leaders and best trauma centers in the country across the spectrum from geriatricians to trauma and acute care surgeons and nurses. Each chapter contains easy-to-read algorithms and references that the readers can use and adapt for their own setting. Chapters on Pre-hospital care will help guide EMS organizations and even systems in the right care and triage of the elderly. Each chapter also contains a Nursing Focus section for helpful nursing tips in caring for the elderly with those injuries and problems. These sections make this book a must-have for any center looking to improve its care of the elderly patient or just trying to be sure its care is already the best it can be. A special section on Post Acute Care will introduce the provider to the common issues surrounding particular disposition destinations for the elderly patient. This will facilitate discussions with families, case managers and facilities to help improve time to disposition.

Part of the Integrating Palliative Care series, this volume on surgical palliative care guides readers through the core palliative skills and knowledge needed to deliver high value care for patients with life-limiting, critical, and terminal illness under surgical care. Surgical Palliative Care is an ideal resource for surgeons, surgical nurses, intensivists, and other practitioners who wish to learn more about integrating palliative care into the surgical field.

The thoroughly updated Second Edition of this popular and widely used pocket reference guides the trauma team through every aspect of patient care after injury--from prehospital care, to resuscitation, treatment of specific organ injuries, priorities in intensive care, and management of special situations. Designed for rapid, on-the-spot information retrieval, The Trauma Manual, Second Edition will be a staple reference in emergency departments. Flow charts, algorithms, sequential lists, and tables throughout facilitate quick clinical decision-making. More than 100 illustrations demonstrate specific injuries and procedures. Appendices include injury scales, tetanus prophylaxis recommendations, commonly used formulae and values, and frequently used forms. This edition includes a new chapter on commonly missed injuries and common pitfalls.

Geriatric anesthesia is a rapidly growing and evolving field and this is the major revision of a classic anesthesia reference. The last few years have seen significant advancements and important new modalities for addressing the needs of an aging population. The editors of this second edition are uniquely situated to put together a text highlighting both essential knowledge and recent breakthroughs of importance to all who work with the elderly. This edition easily maintains the high standard for quality scholarship and useful material set by the first.

Acute Care Surgery is a comprehensive textbook covering the related fields of trauma, critical care, and emergency general surgery. The full spectrum of Acute Care Surgery is expertly addressed, with each chapter highlighting cutting-edge advances in the field and underscoring state-of-the-art management paradigms. In an effort to create the most definitive reference on Acute Care Surgery, an evidence-based approach is emphasized for all content included. Also, notable controversies are discussed in detail often accompanied by data-driven resolutions.

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.

An ideal resource for intensivists caring for trauma victims in the ICU, Trauma Intensive Care provides point-of-care guidelines for establishing the priorities of care, minimizing complications, and returning patients to the best possible functional outcome.

This volume is a “how-to guide” to treating thoracic trauma and emergencies for acute care surgeons. It highlights the diagnosis and management of thoracic disease and injuries, and each chapter includes algorithms that lead readers through the process of identifying and treating many common and some uncommon thoracic pathologies. The international team of authors provides readers with a unique and diverse approach to the operative and non-operative challenges encountered by ACS surgeons. The large number of figures offers readers insights into what they can expect to see when caring for these patients. The editors understand that the management of adults and children differ and have included a specific chapter on pediatrics. Given the broad audience and diverse settings in which the text can be used, the authors also provide details of care in limited-resource environments. The volume is a valuable tool for professionals interested in thoracic surgery and acute care surgery.

There is a growing need for a book on emergency general surgery in the elderly, as adults age 65 and older are the fastest growing segment of the population worldwide, and their number is expected to double to 89 million between now and 2050. Based on these changing demographics, it is expected that there will be a concurrent rise in the demand for a variety of surgical services, including vascular surgery (with a projected growth of 31%) and general surgery (with a projected growth of 18%), as well as in all sub-disciplines of surgery (thoracic, cardiac, oncology, hepatobiliary, transplant, plastic colorectal, orthopedic, gynecologic, urology and neurosurgery).In addition, older surgical patients often require a different level of care than younger patients during the preoperative, intraoperative and postoperative phases. Many of our geriatric population have multiple chronic illnesses beyond the one for which surgery is required, and therefore are prone to developing postoperative complications, functional decline, loss of independence, and other undesirable outcomes. In response, this book offers surgeons, geriatrists and nurses state-of-the-art surgical approaches and essential information on the complex perioperative care of the elderly.