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This unique and innovative title offers a comprehensive exploration of the intersection of ethics, violence, trauma, and trauma surgery. Underscoring that the causes of violence include a wide range of socioeconomic factors, including poverty and the lack of economic opportunity, and that violence often occurs in impoverished and underserved communities, various authors from a wide range of disciplines outline how intentional violence toward another person is multidimensional and complex. Many of the authors use Chicago as a framework for their chapter discussion, but there are similarities in many urban settings throughout the United States and abroad. Part I of the book, Ethical Issues Related to Violence, includes seven chapters that examine ethical issues related to violence. Each of these chapters discusses a different but intersecting aspect of how violence challenges ethical standards in medicine and health. Part II, Ethical Issues Related to Trauma and Trauma Surgery, offers eight chapters that address various aspects of ethical issues related to trauma and trauma surgery. Part III, Additional Concerns Relating to Violence and Trauma, describe a series of issues relating to violence and trauma, including surgical procedures, psychological distress, and geographic disparities in access to trauma care. Developed by nationally renowned thought leaders in the field, Violence, Trauma, and Trauma Surgery is a major and novel contribution to the clinical literature and will be of great interest to all physicians, clinicians, researchers, social scientists, students, policymakers, hospital administrators and community leaders concerned with understanding and improving outcomes relating to violence, trauma, and trauma surgery.
Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.
Part of the Mount Sinai Expert Guide series, this outstanding book provides rapid-access, clinical information on all aspects of Critical Care with a focus on clinical diagnosis and effective patient management. With strong focus on the very best in multidisciplinary patient care, it is the ideal point of care consultation tool for the busy physician.
Accompanying CD-ROM contains graphic footage of various war wound surgeries.
The incredible life story of the trauma surgeon who helped save Congresswoman Gabby Giffords­—from his upbringing in South Korea and Africa to the gripping dramas he faces in a typical day as a medical genius. Congresswoman Gabby Giffords is a household name: most people remember that awful day in Arizona in 2011 when she was a victim of an act of violence that left six dead and thirteen wounded. What many people don’t know is that it was Dr. Peter Rhee who played a vital role in her survival. Born in South Korea, Rhee moved with his family to Uganda where he watched his public health surgeon father remove a spear from a man’s belly—and began his lifelong interest in medicine. What came next is this compelling portrait of how one becomes a world class trauma surgeon: the specialized training, the mindset to make critical decisions, and the practiced ability to operate on the human body. Dr. Rhee is so eminent that when President Clinton traveled to China, he was selected to accompany the president as his personal physician. In Trauma Red we learn how Rhee’s experiences were born from the love and sacrifices of determined parents, and of Rhee’s own quest to become as excellent a surgeon as possible. Trauma Red chronicles the patient cases Dr. Rhee has handled over two decades on two distinct battle fronts: In Iraq and Afghanistan, where he served as a frontline US Navy surgeon trying to save young American soldiers, and the urban zones of Los Angeles and Washington, DC, where he has been confronted by an endless stream of bloody victims of civilian violence and accidents. Tough and outspoken, Dr. Rhee isn’t afraid to take on the politics of violence in America and a medical community that too often resists innovation. His story provides an inside look into a fascinating medical world, a place where lives are saved every day.
Injuries are the leading cause of death and disability among people under age 35 in the United States. Despite great strides in injury prevention over the decades, injuries result in 150,000 deaths, 2.6 million hospitalizations, and 36 million visits to the emergency room each year. Reducing the Burden of Injury describes the cost and magnitude of the injury problem in America and looks critically at the current response by the public and private sectors, including: Data and surveillance needs. Research priorities. Trauma care systems development. Infrastructure support, including training for injury professionals. Firearm safety. Coordination among federal agencies. The authors define the field of injury and establish boundaries for the field regarding intentional injuries. This book highlights the crosscutting nature of the injury field, identifies opportunities to leverage resources and expertise of the numerous parties involved, and discusses issues regarding leadership at the federal level.
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.
In this pulse-pounding medical memoir, trauma surgeon James Cole takes readers straight into the ER, where anything can and does happen. TRAUMA is Dr. Cole's harrowing account of his life spent in the ER and on the battlegrounds, fighting to save lives. In addition to his gripping stories of treating victims of gunshot wounds, stabbings, attempted suicides, flesh-eating bacteria, car crashes, industrial accidents, murder, and war, the book also covers the years during Cole's residency training when he was faced with 120-hour work weeks, excessive sleep deprivation, and the pressures of having to manage people dying of traumatic injury, often with little support. Unlike the authors of other medical memoirs, Cole trained to be a surgeon in the military and served as a physician member of a Marine Corps reconnaissance unit, United States Special Operations Command (USSOCOM), and on a Navy Reserve SEAL team. From treating war casualties in Afghanistan and Iraq to his experiences as a civilian trauma surgeon treating alcoholics, drug addicts, criminals, and the mentally deranged, TRAUMA is an intense look at one man's commitment to his country and to those most desperately in need of aid.
This revised fourth edition provides a concise guide to the clinical and operational issues surrounding the management of the ballistic casualty. This book utilises the knowledge and experience acquired by those dealing with ballistic trauma on a regular basis to help those who manage these patients less regularly. This book is a valuable reference tool for all medical and paramedical personnel involved in the care of patients with ballistic injury. It is 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.