July 7, 2009 | In: TRAUMA
SURGICAL ANATOMY OF THE LIVER 7. How many anatomic lobes are present in the liver? What is their topographic boundary? Show answer The liver is divided into two anatomic lobes, the right and the left. Their boundary lies in an oblique plane...
July 7, 2009 | In: TRAUMA
25 HEPATIC AND BILIARY TRAUMA Reginald J. Franciose M.D., Ernest E. Moore M.D. 1. How often is the liver injured in trauma? Show answer The liver is both big and central, so it is an easy target. 2. Do the liver and spleen respond...
July 7, 2009 | In: TRAUMA
CONTROVERSY 14. What is the role of laparoscopy and thoracoscopy after penetrating abdominal trauma? Show answer Although an intriguing diagnostic modality with additional therapeutic capabilities, laparoscopy thus far appears to have limited...
July 7, 2009 | In: TRAUMA
24 PENETRATING ABDOMINAL TRAUMA Clay Cothren M.D., Ernest E. Moore M.D. 1. Why is there a different approach to stab and gunshot wounds? Show answer Whereas one third of stab wounds to the anterior abdomen do not penetrate the peritoneum,...
July 7, 2009 | In: TRAUMA
23 BLUNT ABDOMINAL TRAUMA David J. Ciesla M.D., Ernest E. Moore M.D. 1. What elements of the history are important in evaluating a patient with suspected blunt abdominal trauma (BAT)? Show answer First, the mechanism of injury (e.g., motor...
July 7, 2009 | In: TRAUMA
22 PENETRATING THORACIC TRAUMA Jeffrey L. Johnson M.D., Ernest E. Moore M.D. 1. How often do patients with penetrating chest wounds need an operation? Show answer Surprisingly rarely. Most civilian penetrating injuries are from knives and...
July 7, 2009 | In: TRAUMA
21 BLUNT THORACIC TRAUMA Jeffrey L. Johnson M.D., Ernest E. Moore M.D. 1. How often do patients with isolated blunt chest trauma need an emergent operation? Show answer Rarely. In patients who arrive in the hospital alive, operative...
July 7, 2009 | In: TRAUMA
20 PENETRATING NECK TRAUMA Clay Cothren M.D., Ernest E. Moore M.D. 1. Why are penetrating neck wounds unique? Show answer Although comprising only a small percentage of body surface area, the neck contains a heavy concentration of vital...
July 7, 2009 | In: TRAUMA
19 SPINAL CORD INJURIES J. Paul Elliott M.D., Sanjay Misra M.D. 1. What is the difference between a spinal injury and a spinal cord injury? Show answer Spinal injuries include damage to the bone, disc, or ligaments. These injuries sometimes...
July 7, 2009 | In: TRAUMA
18 TRAUMATIC BRAIN INJURY J. Paul Elliott M.D., Sanjay Misra M.D. 1. Is traumatic brain injury (TBI) a common problem? Show answer Yes. In the United States, 1 in 12 deaths is due to injury. One third of traumatic deaths are associated with...
July 7, 2009 | In: TRAUMA
17 POSTTRAUMATIC HEMORRHAGIC SHOCK John B. Moore M.D., Ernest E. Moore M.D. 1. Are hemorrhagic shock and hypovolemic shock the same? Show answer Yes. 2. What is hemorrhagic shock? Show answer Shock exists when the cardiovascular...
July 7, 2009 | In: TRAUMA
CONTROVERSIES 28. What is the role of the pneumatic antishock garment? Show answer The military antishock trouser (MAST) has fallen out of favor in most instances. The MAST suit is valuable for patients requiring long-distance transfer who...
July 7, 2009 | In: TRAUMA
16 INITIAL ASSESSMENT Eric L. Sarin M.D., John B. Moore M.D. 1. What is the "golden hour"? Show answer The first hour after injury provides a unique opportunity to provide life-saving interventions. Because more than half of trauma deaths...
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