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.

Written by international leaders in trauma surgery, this comprehensive text spans the entire field of trauma, from the composition and practice of the trauma team to management of all injuries seen in a trauma setting. The fully searchable online text is also available on a companion Web site.

Injuries are estimated to become the number one cause of death for men and women under the age of 45 by the year 2020. Trauma patients present unique challenges to anesthesiologists. Acute injuries require resource intensive care and are often complex cases especially when coupled with underlying, pre-existing medical conditions. Anesthesiologists are involved with trauma patients beginning with airway and shock resuscitation, continuing with intra-operative care during surgery, and extending on to pain management and critical care post-operatively. This reference focuses on a broad spectrum of traumatic injuries and the procedures anesthesiologists perform to adequately care for trauma patients perioperatively, surgically, and post-operatively. Special emphasis is given to the assessment and treatment of coexisting disease. Numerous tables and 300 illustrations showcasing various techniques of airway management, shock resuscitation, echocardiography and use of ultrasound for the performance of regional anesthesia in trauma, provide an invaluable reference for the anesthesiologist.

Using the unique cycles of trauma framework, the 4th edition of this classic and highly acclaimed resource is thoroughly updated to bring you comprehensive coverage of cutting-edge research findings and current issues, trends, and controversies in trauma nursing. Detailed information guides you through all phases of care – from preventive care and the time of injury to the resuscitative, operative, critical, intermediate, and rehabilitative stages. Timely discussions on emerging topics such as mass casualty and rural trauma/telemedicine keep you up to date with the latest developments in the field. This practical, evidence-based reference is the most complete resource available for both novice and experienced trauma nurses working in a variety of care settings. - Comprehensive coverage includes practical, clinically relevant trauma information for nurses at all levels of knowledge and experience working in a variety of settings. - Evidence-based content ensures that you are using the latest and most reliable information available to provide state-of-the-art care for trauma patients. - A user-friendly format, logical organization, and helpful tables and illustrations help you find information quickly and clarify key concepts and procedures. - Detailed information guides you through all phases of care – from preventive care and the time of injury to the resuscitative, operative, critical, intermediate, and rehabilitative stages. - Special populations coverage prepares you to meet the unique needs of pregnant, pediatric, and elderly patients, as well as bariatric patients, burn victims, patients with substance abuse issues, and organ and tissue donors. - A section on Clinical Management Concepts gives you a solid understanding of key issues affecting all patients regardless of their injury, including mechanism of injury, traumatic shock, patient/family psychosocial responses to trauma, pain management, wound healing, and nutrition. - A new Mass Casualty chapter prepares you to act quickly and confidently in the event of a disaster, with guidelines for initial response and sustained response, lessons learned from recent disasters, government involvement, and hazmat, bioterrorism, and nuclear-radiological preparedness. - A new chapter on Rural Trauma/Telemedicine focuses on the unique nature of rural trauma care and offers strategies to help you improve healthcare delivery in this challenging environment. - A new Trauma in the Bariatric Patient chapter provides the specialized information you need to meet the challenges and needs of this growing patient population.

Emergency Medical Services: Clinical Practice and Systems Oversight is the official textbook of the National Association of EMS PhysiciansTM (NAEMSPTM) National EMS Medical Directors Course and PracticumTM. Now paired with a companion website featuring self-assessment exercises, audio and video clips of EMS best practices in action, and more, this essential study aid guides students through the core knowledge they need to successfully complete their training and begin their careers as EMS physicians. Emergency Medical Services: Clinical Practice and Systems Oversight consists of: Volume 1: Clinical Aspects of EMS Volume 2: Medical Oversight of EMS Companion website featuring supportive self-assessment exercises, audio and video clips

Injury is an increasingly significant health problem throughout the world, accounting for 16 per cent of the global burden of disease. The public health burden of death and disability from injury is particularly notable in low and middle income countries. These guidelines seek to establish practical and affordable standards applicable to injury or trauma care worldwide, whether in rural health posts, small hospitals, hospitals staffed by specialists or tertiary care centres. It sets out a list of key trauma treatment services designed to be achievable in all settings, and defines the various human and physical resources required. It also includes a number of recommendations for methods to promote such standards including training, performance improvement, trauma team organisation and hospital inspection.

Sabiston Textbook of Surgery is your ultimate foundation for confident surgical decision making. Covering the very latest science and data affecting your treatment planning, this esteemed medical reference helps you make the most informed choices so you can ensure the best outcome for every patient. Consult it on the go with online access at expertconsult.com, and get regular updates on timely new findings and advances. Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. Prepare for tests and exams with review questions and answers online. Keep up with the very latest developments concerning abdominal wall reconstruction, tumor immunology and immunotherapy, peripheral vascular disease, regenerative medicine, liver transplantation, kidney and pancreas transplantation, small bowel transplantation, the continually expanding role of minimally invasive and robotic surgery, and many other rapidly evolving areas. Weigh your options by reviewing the most recent outcomes data and references to the most current literature.

Injury is recognized as a major public health issue worldwide. In most countries, injury is the leading cause of death and disability for children and young adults age 1 to 39 years. Each year in the United States, injury claims about 170,000 lives and results in over 30 million emergency room visits and 2.5 million hospitalizations. Injury is medically defined as organ/tissue damages inflicted upon oneself or by an external agent either accidentally or deliberately. Injury encompasses the undesirable consequences of a wide array of events, such as motor vehicle crashes, poisoning, burns, falls, and drowning, medical error, adverse effects of drugs, suicide and homicide. The past two decades have witnessed a remarkable growth in injury research, both in scope and in depth. To address the tremendous health burden of injury morbidity and mortality at the global level, the World Health Organization in 2000 created the Department of Injury and Violence Prevention, which has produced several influential reports on violence, traffic injury, and childhood injury. The biennial World Conference on Injury Control and Safety Promotion attracts a large international audience and has been successfully convened nine times in different countries. In the United States, the National Center for Injury Prevention and Control became an independent program of the federal Centers for Disease Prevention and Control in 1997. Since then, each state health department has created an office in charge of injury prevention activities and over a dozen universities have established injury control research centers. This volume will fill an important gap in the scientific literature by providing a comprehensive and up-to-date reference resource to researchers, practitioners, and students working on different aspects of the injury problem and in different practice settings and academic fields.