Emergency vascular and endovascular practice comprises almost half the workload undertaken by the majority of vascular surgeons. Most vascular emergencies are characterised by the sudden occlusion, rupture or injury of a blood vessel placing organ, limb and life at risk. An attitude of urgency and of good judgement, both in diagnostic assessment and the application of evidence-based vascular and endovascular techniques, is crucial to the achievement of optimal outcomes. This book is structured with the emphasis on clinical presentation, the objective being to provide accessible and highly practical advice to the vascular surgeon faced with a particular emergency. Distinguished vascular surgeons, vascular radiologists and other specialists around the world have enriched this book with authoritative contributions reflecting their experience and expertise. For ease of reference the text is divided into nine sections, leading with introductory chapters on general considerations such as pathophysiology, preoperative diagnosis, risk assessment and medico-legal aspects of vascular emergencies. That is followed by a series of clinical sections covering acute cerebrovascular syndromes, acute limb ischaemic states, the acutely swollen limb, thoraco-abdominal catastrophes, acute complications of endovascular aortic repair, regional vascular trauma and iatrogenic injuries. It concludes with a section on miscellaneous, but important, acute vascular challenges. Throughout the book, wherever appropriate, modern endovascular techniques are given full coverage. International in its approach, this book will fast become established as the text devoted to the surgical management of vascular and endovascular emergencies. It is essential reading for vascular surgeons and radiologists and a useful reference source for general and trauma surgeons, angiologists and emergency physicians.

This book provides clear, concise guidance on the surgical management of all kinds of emergent vascular problems and focuses in particular on open surgical strategies. The aim is to provide a combined text and hands-on guide that will permit rapid retrieval of information when treating vascular surgical patients in the emergency room. Emergency Vascular Surgery: A Practical Guide is organized into two sections, on specific body areas and general concepts. The first section covers the body from head to toe, with separate chapters for injuries and non-traumatic disease, while the second discusses general principles relating to emergent vascular surgical practice and provides broad vascular surgical guidelines for the inexperienced surgeon. Chapters in the first section are uniformly organized, addressing incidence, etiology, and pathophysiology; clinical presentation; suggestions for workup and diagnosis; and management and treatment. Initial management, selection of pati ents for emergent surgery, and the performance of common vascular surgical procedures are all carefully explained. The focus on a hands-on approach and practical tips will be invaluable in the clinical setting for both more experienced surgeons and newcomers to the field.

With the introduction of the European Working Time Directive and changes to doctors’ contracts, junior doctors are increasingly expected to cross-cover surgical specialties whilst on-call. Often these are specialties in which they have limited, or no, post-graduate experience. Furthermore, this is often out-of-hours, when senior supervision is less readily available. This survival guide, written by junior doctors for junior doctors, provides a concise and easy to read tool for doctors delivering this care. It covers each surgical speciality in turn, addressing speciality specific emergencies; when to admit patients; and when to call for senior help, as well as offering guidance on common referrals and questions, post-operative complications and common medical emergencies in surgical patients. In addition, it outlines key practical skills often required in surgical specialties, providing a summary of necessary skills and tips and tricks for performing them safely and successfully. Lastly, with increasing availability of high-quality Apps and websites, it summarises key online resources available for junior doctors within surgical specialties. This book is the ideal companion for any junior doctor, or member of the multidisciplinary team, involved in the cross-cover of surgical specialties, helping them to deliver high-quality patient care with confidence.

This manual explains how to make the right decisions on the timing and selection of investigations and surgical procedures in emergency and urgent surgical settings and describes the most widely used procedures step by step with the aid of high-quality illustrations. The goal is to address the situations that can arise in almost any emergency department throughout the world, enabling the surgeon on call to acquire or sharpen the knowledge and skills needed to deal with acute surgical problems in the most appropriate way. The reader will gain a sound understanding of the most efficient diagnostic modalities, pre-, intra-, and postoperative decision-making, and surgical techniques and issues in particular circumstances. The manual stems from an initiative by members of the European Society of Trauma and Emergency Surgery (ESTES) and the American Association for the Surgery of Trauma (AAST) to set up and formalize Emergency Surgery Courses to provide specific training in emergency and acute care surgery. It represents a didactic accompaniment to the course that will guide the beginner and maintain a certain degree of standardization among the more experienced.

This text aims to provide a comprehensive review of general emergency surgery, the branch of medicine that treats patients presenting to the hospital with a wide variety of emergency conditions. It includes a section focusing on clinical aspects, management, logistics, patient cohorts and perioperative considerations in the context of general emergency surgery and trauma. Other sections describe various conditions and diseases in specific anatomical structures to enable readers to easily find the information they need. Written and edited by international experts and opinion leaders in the field, this book is a valuable reference resource for general and emergency surgeons, trauma surgeons, emergency physicians and nurses. It will also be of interest to residents, students and all other healthcare professionals involved in the management of emergency surgical patients.

Of all of the clinical entities within the discipline of medicine, vascular emergencies are the most time sensitive, and the patients with these conditions are amongst the most severely ill. Emergency care providers encounter these entities on a day-to-day basis in the emergency department. Vascular emergencies by their very nature are limb and life threatening, and emergency physicians and other providers have to be expert in the care and disposition of this group of patients. Vascular Emergencies focuses on the acute presentation in the emergency department. Each chapter includes a discussion on diagnosis and treatment when resources are limited, a list of critical actions, pearls and pitfalls, and definitive care. Written by emergency physicians with unique understanding of the pertinent issues in the emergency department, this book provides practical advice for all acute care providers caring for patients with vascular emergencies.

A collaboration of ESTES (European Society for Trauma and Emergency Surgery) and AAST (American Association for the Surgery of Trauma), The ESTES/AAST Emergency Surgery Course Handbook: A Practical Reference in Expecting the Unexpected presents authoritative, unified treatment guidelines in emergency general surgery (EGS). Global experts in the field, led by the Emergency Surgery Course Steering Committee, address common issues such as delayed recognition and delayed or inappropriate treatment, while helping readers hone their EGS skills and improve patient outcomes.

There is a large influx of trauma, general surgical, pediatric, neurosurgical and obstetric emergencies as the hospital is one of the major public hospitals located in a densely populated region sitting amidst major routes in the city. It also provides services for emergency cardiovascular, cerebrovascular interventions and cadaver transplants. Daily lessons from this tremendous emergency work inspired us to bring out this book. There is plethora of reference material available in basic sciences related to anesthesiology, namely physiology, pharmacology, physics and anatomy. Similarly, a large number of textbooks are on techniques such as general, regional, monitored anesthesia care as well as super specialties like cardiac, neurosurgical and pediatric anesthesia, etc. But there is a limited availability of books and references for emergency anesthesia. One has to scan and integrate parts from various sources. This book is an attempt to assimilate the scattered information and add clinical expertise. Contents of this book have been divided into nine sections to cover majority of the emergencies. General considerations for adults, obstetric and pediatric sections have been written separately to avoid duplication. An additional challenge is cases with various medical disorders for emergency surgeries. Efforts have been taken to accommodate them in first section and obstetric section. The contributors of this book work together at LTMMC and LTMGH and have a well-balanced team with fresh talent bringing the latest technological knowledge and tenured practitioners supplementing it with applied experience. Part of the team worked on collection of the matter from different sources for an ideal scenario, while the senior faculty members used their vast clinical experience for a more practical and realistic application. These combined efforts have been truly beneficial to achieve our goal to rationally mix latest technology with clinical experience and identify potential ways to conduct anesthesia with best results, at least costs and minimum risk.

Vascular Surgery: Cases, Questions and Commentaries second edition is a unique collection of real life case histories written by experts to highlight the diversity of problems encountered in vascular surgery. Each case scenario is interspersed with questions that aim to engage the readers to the management of the patient and give them an opportunity to test their knowledge. The comments are formulated upon evidence-based medicine and provide answers to the questions. This book is an essential teaching resourse for vascular trainees or practitioners who are reviewing for the oral board exam or practitioners who wish to refresh their expertise with an interactive source of information. It also provides established practitioners the wherewithal to review the current standards of practice in vascular surgery.

Winner of a HIGHLY COMMENDED AWARD in the Surgery category of the 2007 BMA Medical Book Competition. The first edition published in 1999, was described as a "longed for addition to the literature", and as a text that "cannot be compared with any other book on vascular surgery" (Lancet 2000; 355: 1918). At the time it was different; a book to help busy clinicians sift through surgical research and use it to make sensible decisions for their clinical practice. The challenge for this second edition is to produce something better still. The new edition is larger and more comprehensive, thanks to valuable suggestions from colleagues and reviewers. The text is as accessible as possible, with short chapters, recommendations for management, comprehensive referencing and full colour illustration. It belongs on the shelf, or in the briefcase of everyone who has to treat patients with vascular disease.