In 50 Landmark Papers every Trauma Surgeon Should Know, editors Stephen Cohn and Ara Feinstein have compiled a selection of the most influential contributions to the specialty of trauma surgery. This book comprises 50 thought-provoking reviews of carefully selected papers and explains how trauma surgery practice has changed as a result of this research.
The selection of key papers, the insights into the significance of each paper from trauma experts, and the opportunity to read the original authors' thoughts about their groundbreaking developments, make this a unique and fascinating resource. Of interest to surgical residents and trainees, Trauma and Surgical Critical Care fellows and all members of the Trauma team. This is both an informative and personal look at the foundation stones of modern Trauma care.
Unique commentaries by original authors and experts
Demonstrates how clinical practice has adapted following these landmark studies
Specialty-defining papers are brought to life, and their impact assessed
Shows how the insight and vision of individual surgeons propelled change
Table of Contents
Section One: Prehospital Trauma. 1. Systems of Trauma Care: A Study of Two Counties. 2. Relationship between Trauma Center Volume and Outcomes. 3. The Injury Severity Score: A Method for Describing Patients with Multiple Injuries and Evaluating Emergency Care. 4. Assessment of Coma and Impaired Consciousness. A Practical Scale. 5.The Preventive Treatment of Wound Shock. 6. Immediate versus Delayed Fluid Resuscitation for Hypotensive Patients with Penetrating Torso Injuries. 7. Effects of Tranexamic Acid on Death, Vascular Occlusive Events, and Blood Transfusion in Trauma Patients with Significant Hemorrhage (CRASH-2): A Randomized, Placebo-Controlled Trial. Section Two: Trauma Bay. 8. Base Deficit as a Guide to Volume Resuscitation. 9. The Ratio of Blood Products Transfused Affects Mortality in Patients Receiving Massive Transfusions at a Combat Support Hospital. 10. Hypothermia in Trauma Victims: An Ominous Predictor of Survival. 11. Defining the Limits of Resuscitative Emergency Department Thoracotomy: A Contemporary Western Trauma Association Perspective. 12. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as an Adjunct for Hemorrhagic Shock. 13. The Clinical Utility of Computed Tomographic Scanning and Neurologic Examination in the Management of Patients with Minor Head Injuries. 14. The Role of Secondary Brain Injury in Determining Outcome from Severe Head Injury. 15. Clearing the Cervical Spine in Multiple Trauma Victims: A Time-Effective Protocol Using Helical Computed Tomography. 16. Penetrating Neck Injuries: Helical CT Angiography for Initial Evaluation. 17. Blunt Cerebrovascular Injury Screening with 32-Channel Multidetector Computed Tomography: More Slices Still Don't Cut It. 18. Indications for Operation in Abdominal Trauma. 19. Evaluation of Abdominal Trauma by Computed Tomography. 20. Prospective Evaluation of Surgeons' Use of Ultrasound in the Evaluation of Trauma Patients. 21. Subxiphoid Pericardiotomy versus Echocardiography: A Prospective Evaluation of the Diagnosis of Occult Penetrating Cardiac Injury. 22. Noninvasive Vascular Tests Reliably Exclude Occult Arterial Trauma in Injured Extremities. 23. Evaluation of the Necessity of Clinical Observation of High-Energy Trauma Patients without Significant Injury after Standardized Emergency Room Stabilization. 24. Fluid and Electrolye Requirements in Severe Burns. 25. The Diagnosis of the Depth of Burning. Section Three: Operating Room. 26. Management of the Major Coagulopathy with Onset during Laparotomy. 27. Mortality in Retroperitoneal Hematoma. 28. A Technique for the Exposure of the Third and Fourth Portions of the Duodenum. 29. Management of Perforating Colon Trauma: Randomization between Primary Closure and Exteriorization. 30. Nonoperative Salvage of Computed Tomography-Diagnosed Splenic Injuries: Utilization of Angiography for Triage and Embolization for Hemostasis. 31. Arteriography in the Management of Hemorrhage from Pelvic Fractures. 32. Early versus Delayed Stabilization of Femoral Fractures: A Prospective Randomized Study. 33. The Use of Temporary Vascular Shunts as a Damage Control Adjunct in the Management of Wartime Vascular Injury. 34. Endovascular Stent Grafts and Aortic Rupture: A Case Series. 35. Open Wound Drainage versus Wound Excision in Treating the Modern Assault Rifle Wound. 36. Primary Excision and Grafting of Large Burns. Section Four: Hospital and Beyond. 37. Splenic Trauma in Children. 38. Status of Nonoperative Management of Blunt Hepatic Injuries in 1995: A Multicenter Experience with 404 Patients. 39. Gunshot Wound of the Abdomen: Role of Selective Conservative Management. 40. Pelvic Fracture in Multiple Trauma: Classification by Mechanism Is Key to Pattern of Organ Injury, Resuscitative Requirements, and Outcome. 41. Intra-Abdominal Hypertension after Life-Threatening Penetrating Abdominal Trauma: Prophylaxis, Incidence, and Clinical Relevance to Gastric Mucosal pH and Abdominal Compartment Syndrome. 42. Management of Flail Chest without Mechanical Ventilation. 43. Rib Fractures in the Elderly. 44. Efficacy of Short-Course Antibiotic Prophylaxis after Penetrating Intestinal Injury: A Prospective Randomized Trial. 45. A Multicenter, Randomized, Controlled Clinical Trial of Transfusion Requirements in Critical Care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. 46. Early Predictors of Postinjury Multiple Organ Failure. 47. Alcohol Interventions in a Trauma Center as a Means of Reducing the Risk of Injury Recurrence. 48. Post-Traumatic Stress Disorder in Vietnam Veterans. 49. Outcome after Major Trauma: 12-Month and 18-Month Follow-Up Results from the Trauma Recovery Project. 50. Battle Injuries of the Arteries in World War II: An Analysis of 2,471 Cases.
Stephen M. Cohn began his academic career at University of Massachusetts Medical School after studying at Baylor College of Medicine, the University of California, and Boston Univeristy/Boston City Hospital. He joined Yale University School of Medicine as Chief of the Trauma Service until he was called to serve with the US Army Medical Corp in Desert Storm.
Upon return to New Haven, Dr. Cohn assumed the position as Division Chief of Trauma and Surgical Critical Care where he established a successful ACS Level One Trauma Center, a surgical critical care fellowship, and an active research program. He subsequently moved to the University of Miami where he lead the Divisions of Trauma and Surgical Critical Care as the Medical Director of the Ryder Trauma Center.
Dr. Cohn later served as Chairman of the Department of Surgery at the University of Texas Health Science Center at San Antonio. He now lives in New York City where he recently transitioned to the faculty of the new Hackensack Meridian School of Medicine at Seton Hall as a clinician, educator and researcher.
Ara J. Feinstein is an Arizona native and graduated summa cum laude from the University of Arizona, Tucson. He received his MD from Yale University School of Medicine, New Haven, Connecticut, and trained in General Surgery at Massachusetts General Hospital. He completed an NIH-sponsored research fellowship and received a Masters in Public Health from the University of Miami, Coral Gables, Florida. His clinical fellowship in Trauma and Critical Care was at Ryder Trauma Center in Miami.
He is currently an Associate Professor of Surgery at the University of Arizona College of Medicine–Phoenix and serves as a Physician Executive, overseeing Specialty Care for Banner Medical Group.
‘This book identifies many of the studies that guide contemporary thinking about injury management. '
— David J. Dries, MD, University of Minnesota Medical School