Military Vascular Injuries
Location/vascular Injury Suture Patch End-end Prosthetic SV interposition SV bypass Ligation Thrombectomy Total Abdomen Splenic 1 2 3 Renal 1 1 Iliac 1 1 5 2 9 Hypogastric 1 1 …
Anticoagulation, Resuscitation, and Hemostasis
Fig. 2.1 Thromboelastograph (TEG) parameters Fig. 2.2 Schematic presentation of various TEG tracings in trauma: (a) normal, (b) hypercoagulability, (c) hypocoagulability (thrombocytopenia/thrombocytopathy), and (d) primary hyperfibrinolysis Reduced clot stability correlates…
Urogenital and Retroperitoneal Injuries
Kidney injury scale Gradea Type of injury Description of injury I Contusion Microscopic or gross hematuria, urologic studies normal Hematoma Subcapsular, nonexpanding without parenchymal laceration II Hematoma Nonexpanding perirenal hematoma…
Overview of Vascular Trauma
Fig. 1.1 The three zones of the neck. Zone I is located below the cricoid cartilage. Zone II is located between the cricoid cartilage and the angle of the mandible….
Surgical Critical Care
Injury grade Description I Luminal irregularity or dissection with <25 % luminal narrowing II Dissection or intramural hematoma with ≥25 % luminal narrowing, intraluminal thrombus, or raised intimal flap III…
The Mangled Extremity
Fig. 5.1 (a) Photograph of a mangled left upper extremity following a motor vehicle collision. (b) Initial placement of an external fixator to stabilize the arm in a triangular fashion,…
Vascular Scoring Systems
Anahita Dua, Sapan S. Desai, John B. Holcomb, Andrew R. Burgess and Julie Ann Freischlag (eds.)Clinical Review of Vascular Trauma201410.1007/978-3-642-39100-2_4 © Springer-Verlag Berlin Heidelberg 2014 4. Vascular Scoring Systems Mark L. Shapiro1 (1) Department of Trauma, Duke University Medical Center,…
Portal Hypertension
Category Disease Key diagnostic test Prehepatic Portal vein thrombosis CT Congenital extrahepatic portal vein obstruction CT Extrinsic compression of portal vein CT Arteriovenous fistula in portal vein system CT, US…
Vasculitis
Fig. 10.1 Magnetic resonance imaging demonstrating a 5.0 cm thoracic aortic aneurysm in a patient with long-standing giant cell arteritis. Pathophysiology The cause of GCA remains unknown. Evidence from the…
Upper Limb Ischemia
Upper limb ischemia etiologies 1. Atherosclerosis 2. Autoimmune/connective tissue disorders 3. Buerger’s Disease 4. Embolization 5. Vibration/occupational 6. Dialysis access steal 7. Thoracic Outlet Syndrome (TOS) 8. Trauma 9. Frostbite…
