
Excerpt:
This book focuses on anesthesia care during the 24 hours following battle wounds. It is written by British and American physicians who began this collaboration while providing acute care to injured Soldiers of both countries at Camp Bastion and Fort Leatherneck in the Helmand province of Afghanistan. These authors, having deployed throughout Afghanistan and Iraq, address the ways in which care was delivered by U.S. and British trauma teams working together and sharing their competence. This is a story of how these expert physicians organized care and improved in-hospital patient outcomes. The principles presented in this book are also relevant to trauma care in non-military hospitals in the United States, Britain, and beyond.
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Table of Contents:
Contributors xiii
Foreword by The Surgeon General xix
Prologue xxi
Preface xxiii
Section I. Background Knowledge 1
1. Physiology of Injury and Early Management of Combat Casualties 3
Diego Vicente, Benjamin K. Potter, and Alexander Stojadinovic
2. Preparing the Team 31
Simon Mercer, Scott Frazer, and darin via
3. Military Prehospital Medicine 41
Craig D. Pope, Christopher Wright, Jonathan B. Lundy, Giles R. Nordmann, Daniel Gower, Samuel Fricks,
Larry N. Smith, and Stephen Rush
Section II. Practical Aspects of Anesthesia for Complex Military Trauma 57
4. Conducting a Complex Trauma Anesthetic 59
Paul Wood, Christopher J. Nagy, Tom Woolley, and Allison A. Cogar
5. Vascular Access and Infusion Devices for Combat Anesthesia 63
Andrew G. Haldane and Lance R. Hoover
6. Managing the Airway 75
Simon Mercer and John Breeze
7. Damage Control Resuscitation 85
Rob Dawes, Rhys Thomas, and Mark Wyldbore
8. Massive Transfusion in the Field 95
Matthew Roberts, Mark H. Chandler, and W. Jonathan Mayles
9. Perioperative and Interoperative Critical Care 107
C.L. Park and P.J. Shirley
10. Head and Neck Trauma 121
Ryan Keneally, Michael Shigemasa, and Arthur R. Mielke
11. Thoracic Injury 133
Jonathan A. Round, Adrian J. Mellor, and W. Andrew Owens
12. Extremity, Junctional, and Pelvic Trauma 143
Victoria Pribul, Richard Reed, and Paul Moor
13. Critical Care and Anesthetic Care of Military Burn Casualties at Role 3 Facilities 163
Christopher V. Maani, Michael K. Tiger, and Jacob J. Hansen
14. Imaging 175
Richard Heames and George Evetts
15. Management of Stable Casualties 181
Stephen Lewis and S. Jagdish
Section III. Pain Management 191
16. The Physiology of Acute Pain 193
Guy James Sanders
17. Why Pain Relief Is Important: The Physiological Response 199
Dan E. Roberts and Dominic Aldington
18. Multimodal Analgesia for Specific Injury Patterns 205
R. Scott Frazer
19. Scoring Pain 213
Jemma Looker and Dominic Aldington
20. Pain Medications 219
Matthew Pena, Michael Kent, Christopher J. Spevak, and Taylor Atchley
21. Advanced Pain Management Techniques 229
K. Woods and Gregory K. Applegate
22. Regional Anesthesia and Coagulopathy of Trauma Shock 241
Dan Connor
23. Acute Presentations of Chronic Pain Conditions 245
Mark Davies and Steven P. Cohen
24. The Deployed Pain Service 261
Michael Ingram
25. Prehospital Analgesia 267
Michael Lee, Michael Kent, Charlotte Small, C.L. Park, and Claire Sandberg
26. Combat Trauma Outcomes Tracking and Research 275
Chester “Trip” Buckenmaier III and Kevin T. Galloway
Section IV. Field Critical Care: Immediate Postoperative Management, Organ Preservation, and
Preparation for Transfer 283
27. Receiving the Critical Care Patient 285
Bryce Randalls
28. Damage Control Philosophy in Critical Care: Patient Management and Organ Support 295
Robin D. Berry
29. Mechanical Ventilation of the Trauma Patient in the First 24 Hours 303
Karen Smyth and James J.K. McNicholas
30. Ventilation for Tracheal Disruption and Bronchopleural Fistula 315
Jeffrey A. Mikita and Douglas Powell
31. Renal Support in Military Operations 321
Ian Nesbitt and Michael K. Almond
32. Diagnosis and Management of Hypotension and Shock in the Intensive Care Unit 327
Jessica Bunin
33. Differential Diagnosis and Management of Fever in Trauma 339
Christian Popa
34. Thromboembolic Disease and Management of Anticoagulation in Trauma 351
Aaron B. Holley
35. Intensive Care Unit Sedation in the Trauma Patient 359
Timothy Jardeleza
36. Nutritional Support in the Intensive Care Unit 371
Jan O. Jansen, S. Turner, and Andrew McD. Johnston
37. Management of Infection and Sepsis in the Intensive Care Unit 381
Timothy Scott, Andrew Matheson, and Andrew D. Green
38. Air Transport of the Critical Care Patient 391
Robert D. Tipping, Sean M. MacDermott, Clinton Davis, and Todd E. Carter
39. Basics of Pediatric Trauma Critical Care Management 401
Christopher M. Watson and Downing Lu
40. Multidrug-Resistant Organisms and Infection Control Practice in the US Military Medical System 431
Michael Zapor
Section V. Special Circumstances 445
41. Humanitarian Operations and Aid Agency Anesthesia 447
Laura L. Roberts, Jeyasankar Jeyanathan, John H. Chiles, and Peter F. Mahoney
42. Ethical Challenges of Deployed Military Critical Care 459
Deborah Easby, David P. Inwald, and James J.K. McNicholas
43. Military Pediatric Anesthesia 469
Giles R. Nordmann, Deborah Easby, and H.E.J. Pugh
44. Anesthesia Considerations in the Elderly Population 485
Paul Wood and Peter F. Mahoney
45. Obstetric Anesthesia 491
Ben Siggers, Harriet Edgar, Christopher Tebrock, and Harold Gelfand
46. Anesthesia Following Chemical, Biological, Radiological, and Nuclear Exposure 505
T.C. Nicholson-Roberts, Elspeth J. Hulse, and Scott M. Croll
Section VI. Resources and Further Information 525
47. Current Anesthesia Equipment 527
R. Scott Frazer and J.C. Wright
48. Specialist Equipment for Pain Management 545
Michael Ingram, Anthony Plunkett, and Indy Wilkinson
49. Resuscitation Guidelines 551
Nicholas T. Tarmey and R. Scott Frazer
50. The Home Base: Landstuhl, Germany, and Hospitals in the Continental United States 561
Craig C. McFarland and Christopher J. Spevak
51. The Home Base: Queen Elizabeth Hospital Birmingham and Other Hospitals in the United
Kingdom 567
Paul Wood
Abbreviations and Acronyms xxv
Index xxix
This textbook is intended to be educational for military healthcare providers and first responders. The content may also be useful to some civilian healthcare providers, as well.