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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 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 ground-breaking 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.
Table of Contents
<b>Pre-hospital Trauma</b> 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 haemorrhage (CRASH-2): a randomised, placebo-controlled trial CRASH-2 trial collaborators. <b>Emergency Department</b> 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. The clinical utility of computed tomographic scanning and neurologic examination in the management of patients with minor head injuries. 13. The role of secondary brain injury in determining outcome from severe head injury. 14. Clearing the cervical spine in the multiple trauma victims: a time-effective protocol using helical computed tomography. 15. Penetrating neck injuries: helical CT angiography for initial evaluation. 16. Blunt cerebrovascular injury screening with 32-channel multidetector computed tomography: more slices still don't cut it. 17. Indications for operation in abdominal trauma. 18. Evaluation of abdominal trauma by computed tomography. 19. Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients. 20. Subxiphoid pericardiotomy versus echocardiography: a prospective evaluation of the diagnosis of occult penetrating cardiac injury. 21. Noninvasive vascular tests reliably exclude occult arterial trauma in injured extremities. 22. Evaluation of the necessity of clinical observation of high-energy trauma patients without significant injury after standardized emergency room stabilization. 23. Fluid and Elctrolye Requirements in Severe Burns. 24. The diagnosis of the depth of burning. <b>Operating Room</b> 25. Management of the major coagulopathy with onset during laparotomy. 26. Mortality in retroperitoneal hematoma. 27. A technique for the exposure of the third and fourth portions of the duodenum. 28. Management of perforating colon trauma: randomization between primary closure and exteriorization. 29.Nonoperative salvage of computed tomography-diagnosed splenic injuries: utilization of angiography for triage and embolization for hemostasis. 30. Arteriography in the Management of Hemorrhage from Pelvic Fractures 31. Early versus delayed stabilization of femoral fractures. A prospective randomized study. 32. The use of temporary vascular shunts as a damage control adjunct in the management of wartime vascular injury. 33. Endovascular stent grafts and aortic rupture: a case series. 34. Open wound drainage versus wound excision in treating the modern assault rifle wound. 35. Primary Excision and Grafting of Large Burns. <b>Post-Operating Room</b> 36. Splenic trauma in children. 37. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients. 38. Gunshot wound of the abdomen: role of selective conservative management. 39. Pelvic fracture in multiple trauma: classification by mechanism is key to pattern of organ injury, resuscitative requirements, and outcome. 40. Intra-abdominal hypertension after life-threatening penetrating abdominal trauma: prophylaxis, incidence, and clinical relevance to gastric mucosal pH and abdominal compartment syndrome. 41. Management of flail chest without mechanical ventilation. 42. Rib fractures in the elderly. 43. Efficacy of short-course antibiotic prophylaxis after penetrating intestinal injury. A prospective randomized trial. 44. A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group. 45. A comparison of low-dose heparin with low-molecular-weight heparin as prophylaxis against venous thromboembolism after major trauma. 46. 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, MD FACS
Professor of Surgery
Zucker School of Medicine at Hofstra/Northwell
Director of Trauma and Surgical Critical Care
Staten Island University Hospital
A native of Northern California, Dr. Cohn attended Baylor College of Medicine after completing a Biochemistry degree at University of California, Santa Barbara. He then completed his general surgical training and trauma/critical care fellowship at Boston City Hospital/Boston University and began his academic career at University of Massachusetts Medical School. He then joined Yale University School of Medicine as Chief of the Trauma Service, but within a few months was called to serve with the US Army Medical Corp in Desert Storm. Upon return to New Haven, Dr. Cohn was asked to assume the position as Division Chief of Trauma and Surgical Critical Care where he established a successful ACS Level One Trauma Center, and a surgical critical care fellowship. In addition, he started an active research program utilizing animal models of trauma. Subsequently, he assumed the role of Medical Director of the Ryder Trauma Center, as the Robert Zeppa Endowed Professor of Surgery at the University of Miami and ran the Divisions of Trauma and Surgical Critical Care. Dr. Cohn later served as Chairman of the Department of Surgery at the University of Texas Health Science Center at San Antonio. Recently, he moved to New York City to assume his role as Director of Trauma and Surgical Critical Care at Staten Island University Hospital. Dr. Cohn has produced about 300 manuscripts, multiple textbooks, has had extensive funded research, and is a member of many professional organizations, and served as a reviewer for numerous journals, among many other activities. He has been the recipient of many teaching awards. Dr. Cohn is most proud of the large number (>100) of ICU, Trauma, and Research Fellows and the numerous residents and students he has had the pleasure to help train.
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