By M. Cohn Stephen
This booklet specializes in vital surgical administration concerns the place a number of difficulties are addressed utilizing clinical proof from the printed literature, and predominantly cites point I and II proof from the Oxford Scale. The eighty five chapters are with ease prepared into 3 sections; Trauma, Emergency basic surgical procedure, and Surgical severe Care difficulties. each one bankruptcy accommodates key questions about a selected subject and solutions are supplied besides the energy of the advice in transparent tabular shape for fast reference and straightforward interpretation. Acute Care surgical procedure and Trauma: proof established perform is key examining for all surgeons, fellows and citizens, particularly these operating in acute care, trauma, emergency and demanding care drugs.
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Extra resources for Acute Care Surgery and Trauma: Evidence-Based Practice
Surgeon General’s Workshop on Violence and Public Health. S. Department of Health and Human Services, 1986. 54. Longjohn MM, Christoffel KK. Are medical societies developing a standard for gun injury prevention? Inj Prev 2004; 10: 169–73. 55. American Academy of Pediatrics, Committee of Practice and Ambulatory Medicine. Recommendations for preventive pediatric health care. Pediatrics 2000; 105: 645–6. 56. Dowd MD. Firearm injury prevention: Reasons for optimism. Arch PediatrAdolesc Med 2005; 159: 1081–2.
Trauma surgeons are in a unique position to identify the determinants of injury and to inform the development of effective injury prevention strategies. Perhaps the best example of trauma center–led injury prevention is provided by a prospective randomized controlled trial of a brief intervention for alcohol abuse that demonstrated substantial reductions in alcohol consumption (22 versus 7 drinks per week) and reinjury risk (47%) in the intervention group (11). 42) (12). Progress such as this has prompted the ACS-COT to recognize injury prevention as a priority for all trauma centers, and require Level I and II trauma centers to recruit prevention coordinators.
Recommendation grade: B. Do Trauma Systems Save Lives? Access to trauma centers is important because these centers are widely considered to improve outcomes. But do we know this for sure? Numerous investigators have explored this question from three different angles: structure, process and outcome. The structure of trauma centers include the presence of in-house trauma attendings and multidisciplinary 12 Part I: Trauma trauma teams, well-equipped trauma bays, ready access to operating theaters, the presence of clinical protocols and educational curricula, research capacity and injury prevention activity, and participation in external review and designation.
Acute Care Surgery and Trauma: Evidence-Based Practice by M. Cohn Stephen