Ballistic Trauma

by Mahoney, Peter F.; Ryan, James M.; Brooks, Adam J.; Schwab, C. William

• ISBN13: 9781852336783
• ISBN10: 1852336781
• Edition: 2nd
• Format: Hardcover
• Copyright: 2005-03-17
• Publisher: Springer Verlag

Summary

Ballistic Trauma: A Practical Guide provides a concise guide to the clinical and operational issues surrounding the management of the ballistic casualty. The book crystallizes the knowledge and experience accrued by those dealing with ballistic trauma on a regular basis and extends this to those who have to manage these patients on an occasional basis only.This book is aimed at all medical and paramedical personnel involved in the care of patients with ballistic injury. It will be especially relevant for consultants and senior trainees in surgery, anesthesia and emergency medicine who are likely to be involved in the management of these unique injuries. It will be an essential reference for pre-hospital care providers and nurses working in the emergency room and intensive care. Military surgeons and medical and nursing staff on deployment in regions of conflict will find the book a valuable resource.

Table of Contents

Foreword	p. v
Preface to the Second Edition: Why This Book, Why Now?	p. vii
Preface to the First Edition, Ballistic Trauma: Clinical Relevance in Peace and War	p. ix
Contributors	p. xv
Introduction, Background, and Science
The International Small Arms Situation: A Public Health Approach	p. 3
Guns and Bullets	p. 31
How Guns Work	p. 31
The Effects of Bullets	p. 40
Bombs, Mines, Blast, Fragmentation, and Thermobaric Mechanisms of Injury	p. 45
Ballistic Protection	p. 67
Forensic Aspects of Ballistic Injury	p. 91
Ballistic Trauma, Armed Violence, and International Law	p. 122
Clinical Care
Prehospital Care	p. 137
Resuscitation and Anesthesia for the Ballistic Casualty	p. 151
Clinical Ballistics: Surgical Management of Soft-Tissue Injuries-General Principles	p. 168
Damage Control	p. 180
Neck Injury	p. 209
Thoracic Injury	p. 241
Penetrating Genitourinary Trauma: Management by the Nonspecialist Surgeon	p. 270
Abdomen and Pelvis	p. 299
Management of Ballistic Trauma to the Head	p. 325
Spinal Injury	p. 348
Limb Injuries	p. 356
Vascular Injury	p. 381
Ballistic Trauma in Children	p. 396
Injuries in Pregnancy	p. 418
Burns	p. 424
Intensive Care of the Trauma Patient with Ballistic Injuries	p. 445
Imaging Triage for Ballistic Trauma	p. 465
Training to Manage Ballistic Trauma	p. 486
Resource Limited Situations
Hospital and System Assessment	p. 513
Triage	p. 527
Managing Ballistic Injury in the Military Environment: The Concept of Forward Surgical Support	p. 535
Managing Ballistic Injury in the NGO Environment	p. 541
Expert Tutorials and Hard Lessons
Ballistic Missile Injuries in the Siege of Sarajevo 1992-1995	p. 569
Vascular Injuries in the Groin	p. 576
Conflict Surgery	p. 579
Surgery in the Camps	p. 585
Ballistics-Lessons Learned	p. 592
African Education	p. 594
The Role of Intensive Care in the Management of Ballistic Trauma in War	p. 596
Survivors and Shooters	p. 599
Rectal Examination Revisited	p. 606
And Finally
Where a Trauma Surgeon Can Go Ballistic?	p. 611
Index	p. 627
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