Trauma Surgery Clerkship A Guide for Senior Medical Students

This quick-reference guide is the first book written specifically for the many third- and fourth-year medical students rotating on the trauma surgery service. The book focuses on the diagnosis and management of the most common pathologic entities. Each chapter covers history, physical examination, imaging, and common diagnoses. For each diagnosis, the book sets out the typical presentation, options for non-operative and operative management, and expected outcomes. Chapters include key illustrations, quick-reference charts, tables, diagrams, and bulleted lists. Students can read the text from cover to cover to gain a general foundation of knowledge that can be built upon when they begin their rotation, then use specific chapters to review a sub-specialty before starting a new rotation or seeing a patient with a sub-specialty attending. Topics covered include trauma systems and teams, resuscitation and transfusion, chest tubes and E-FAST, operating room practices and approaches, specificinjuries arranged anatomically, special populations, and much more.

Part I. Introduction to Trauma Care.- Epidemiology of trauma.- Injury prevention.- Trauma systems.- Trauma team activation and response.- Disasters and mass casualty incidents.- Part II. Trauma Physiology.- Physiologic response to injury and shock.- Initial resuscitation of the trauma patient.- Blood and transfusion.- Part III. Initial Approaches to the management of the trauma patient.- The Primary Survey.- Secondary and Tertiary Surveys.- Initial imaging of the trauma patient.- Post trauma bay considerations: OR, CT, IR?- Part IV. Procedures in the emergency department.- Cricothyroidotomy.- Chest Tubes.- ED Thoracotomy.- E-FAST.- REBOA.- Part V. Post Trauma Bay Imaging.- Imaging choices, findings and considerations.- Part VI. Interventional Radiology.- Interventions and limitations.- Part VII. Operating Room.- Operating room practices.- Operative approaches neck.- Operative approaches chest.- Operative approaches abdomen.- Operative approaches extremity/other.- Damage control surgery.- Part VIII. Post Admission Considerations.- Nutrition.- Wound management, dressings and vacuum devices.- Tubes, lines, and drains.- Venous thromboembolism and DVT prophylaxis in trauma patients.- Principles of pain management in trauma patients.- Part IX. Specific Injuries.- Traumatic brain injury.- Ophthalmic injury.- Spinal cord and spine injury.- Maxillofacial injury.- Cardiac and major vascular injury of the chest.- Lung and non-cardiac thoracic injury.- Diaphragm injury.- Liver and biliary tract injury.- Spleen injury.- Stomach and small bowel injury.- Duodenum and pancreas injury.- Colon injury.- Abdominal vascular injury.- Renal injury.- Ureteral and bladder injury.- Rectum injury.- Peripheral vascular injury.- Orthopedic Trauma, Fractures, and Dislocations.- Burns and Inhalation Injury.- Part X. Special populations.- Care of the pregnant trauma patient.- Trauma in children.- Trauma in the geriatric population.- Rehabilitation concerns in the trauma setting.- Palliative care.

Tejal S. Brahmbhatt, MD, Department of Acute Care and Trauma Surgery, Boston Medical Center, Boston, MA, USA