Ballistic Trauma Clinical Relevance in Peace and War

by Ryan, James M.; Rich, Norman M.; Dale, Richard F.; Morgans, Brian T.; Cooper, Graham J.

• ISBN13: 9780340581148
• ISBN10: 034058114X
• Format: Hardcover
• Copyright: 1997-05-22
• Publisher: Hodder Education Publishers

Summary

An authoritative, yet concise reference book for medical personnel facing the treatment of victims of ballistic trauma, this book is designed both for those working under the arduous conditions of war and for physicians in a hospital. Ballistic trauma is becoming an increasingly important area as every emergency department will encounter victims of civil violence, and during times of war all those involved in military surgery need to be able to treat the wounded. Therefore this book aims to bring together the science behind the management of ballistic trauma. The intention is to provide surgeons with an understanding of the fundamentals of this area and its mechanisms and some insight into the significance of new weapons as well as the variations of the principles of management. Ballistic Trauma will enable the clinician facing a clinical problem to feel sufficiently informed to make coherent choices appropriate to the circumstances.

Table of Contents

Contributors	vii	(4)
Foreword	xi	(1)
Howard R Champion
Charles G Rob
Donald D Trunkey
Preface	xii	(1)
Acknowledgements	xiii	(1)
Special acknowledgements	xiv
PART 1 Epidemiology and basic science	3	(72)
1. Ballistic trauma -- an overview	3	(6)
James M Ryan
Norman M Rich
2. Historical overview and epidemiology	9	(22)
Gavin W Bowyer
Leslie Payne
Simon G Mellor
Peter M Rhee
Peter Roberts
3. Biophysics and pathophysiology of penetrating injury	31	(16)
James M Ryan
Norman M Rich
David G Burris
M Gage Ochsner
4. Ballistic and other implications of blast	47	(14)
Simon G Mellor
Kenneth T Dodd
John W Harmon
Graham J Cooper
5. Wound contamination and antibiotics	61	(14)
Simon G Mellor
Charles SF Easmon
Jay P Sanford
PART 2 Early management and general principles	75	(48)
6. Initial assessment and resuscitation	75	(10)
David V Skinner
Bernard Riley
Sean Tighe
Donald L Sturtz
7. Investigations and preoperative management	85	(10)
JW Rodney Peyton
Lionel J Jarvis
John E Hutton Jr
Peter Roberts
8. Triage	95	(10)
Daniel Wallis
Manolis Gavalas
Donald L Sturtz
9. General principles of wound management	105	(18)
Gavin W Bowyer
James M Ryan
Christoph R Kaufmann
M Gage Ochsner
PART 3 Regional injury	123	(126)
10. Limb injury	123	(10)
Michael A Farquharson-Roberts
Douglas W Somerville
Nigel D Rossiter
11. Vascular injuries	133	(16)
John SP Lumley
Norman M Rich
Peter Roberts
12. Amputations	149	(12)
Jonathan B Hull
Charles G Rob
13. Spinal injury	161	(6)
Michael A Foy
David W Polly Jr
14. Abdomen and pelvis	167	(12)
Richard F Dale
Ari K Leppaniemi
Anthony P Wetherall
JW Rodney Peyton
Kenneth L Mattox
15. Urogenital trauma	179	(14)
Brian T Morgans
Graham P Howell
John EA Wickham
Judd W Moul
16. Ballistic injury to the chest	193	(14)
Stephen Westaby
F William Blaisdell
17. Head injury	207	(14)
Colin Shieff
Nigel B Corner
Ronald W Hargraves
Morris W Pulliam
18. Maxillofacial injuries	221	(14)
Michael J Newell
Iain M Laws
William E Bolger
Kweon I Stambaugh
19. Ocular trauma on the battlefield: epidemiology, ballistics and management	235	(14)
Paul J McCormack
D Virgil Alfaro III
PART 4 Special aspects of injury	249	(36)
20. Stabilization and evacuation	249	(12)
Richard J Fairhurst
Ian Spencer
Norman E McSwain Jr
21. Multisystem injury	261	(4)
Bernard Riley
William R Drucker
22. Combined injury	265	(12)
Hilary ML Johnston
Simon G Mellor
Timothy JW Spalding
Erwin F Hirsch
23. Terrorist injury	277	(6)
JW Rodney Peyton
Carl L Griffiths
Daniel P Rignault
24. Postscript	283	(2)
Norman M Rich
R Peter Craig
Index	285