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Trauma

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Surgical Intensive Care Medicine

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Abstract

The purpose of this chapter is to review general concepts in the evaluation and management of adults admitted to the SICU following trauma. This chapter is not intended to be an all-inclusive discussion of the care of the traumatized patient; a number of excellent books address trauma care more completely. Initial evaluation and resuscitation recommendations are based upon concepts emphasized in the American College of Surgeons Advanced Trauma Life Support Course™, completion of which is strongly recommended for anyone involved in the care of trauma patients.

This chapter focuses on: (1) prioritization in resuscitation and diagnosis of injuries, (2) the concept of staged resuscitation of the critically injured patient and the role of the SICU in this approach, (3) the implication of specific documented or potential injuries in the care of the patient while in the SICU, and (4) special considerations associated with the trauma patient.

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Authors and Affiliations

  1. Department of General Surgery, Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA, 01805, USA

    Michael S. Rosenblatt MD, MPH, MBA & Theodore R. Delmonico MD

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  1. Michael S. Rosenblatt MD, MPH, MBA
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  2. Theodore R. Delmonico MD
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Correspondence to Michael S. Rosenblatt MD, MPH, MBA .

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Editors and Affiliations

  1. Department of Surgical Critical Care; Lahey Hospital and Medical Center, Division of Surgery, Burlington, Massachusetts, USA

    John M. O'Donnell

  2. Surgical Critical Care Medicine, Pr�-Card�o Hospital, Critical Care Medicine, University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

    Flávio E. Nácul

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Rosenblatt, M.S., Delmonico, T.R. (2016). Trauma. In: O'Donnell, J., Nácul, F. (eds) Surgical Intensive Care Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-19668-8_44

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