Resuscitation of traumatic cardiac arrest is typically considered futile. Recent evidence suggests that traumatic cardiac arrest is survivable. In this article key principles in managing traumatic cardiac arrest are discussed,…
Resilience is built, not born, and there is no single strategy that reliably manufactures resilient performance in all circumstances. Optimizing team performance in dynamic environments involves the complex interplay of…
Amal Mattu, MD, Consulting Editor When I began emergency medicine training, trauma care was considered exciting and “sexy” to my colleagues and me. There was excitement with every case, and…
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA www.emed.theclinics.com Consulting Editor AMAL MATTU February 2018 • Volume 36 • Number 1
Fig. 11.1 Left indirect inguinal hernia Fig. 11.2 Left direct inguinal hernia Fig. 11.3 Mixed hernia (pantaloon) on the right side 11.3.2 11.3.2 Dissection The preperitoneal space is entered through…
Fig. 13.1 Adoption of robotic inguinal hernia repair (courtesy of Intuitive Surgical Inc.) Fig. 13.2 Adoption of robotic ventral hernia repair (courtesy of Intuitive Surgical Inc.) Surgeons who regularly offer…
Fig. 10.1 Specific retractor Fig. 10.2 MOPP incision 10.2 10.2 Prosthesis and Instrumentation The prosthesis is selected according to the need to be unrolled in the preperitoneal space, through a…
Type Localization Features Technique R1 Near the internal inguinal ring First recurrence, reducible, thin patient, wall defect <2 cm Gilbert with plug repair R2 Above the pubic tubercle First recurrence,…
Fig. 12.1 Operating room set-up 12.7 12.7 Surgical Technique 12.7.1 12.7.1 Entering and creating the Preperitoneal Space There are few techniques to enter and create the preperitoneal space. A 10-mm…
BISMARCK MODEL Almost universal healthcare system based on mandatory social insurances. There are several funding sources such as social contributions and taxes to cover healthcare services/ treatments. To leave the…
