The minimally invasive approach in emergency and general trauma surgery is a key aspect of both scenarios. This book, the first comprehensive manual in the field, takes a global view of the subject and deals with it in depth, ranging from the historical perspective to the pathophysiological and therapeutic aspects in the various body compartments. Thanks to its user-friendly approach, this book will be a useful tool in the daily clinical practice of surgeons, doctors, anesthetists and nurses; thanks to its up-to-date review of the literature, it will remain relevant for several years. Finally, the participation of world opinion leaders in the field guarantees the comprehensive and scientific soundness of the work.

This text is designed to present a comprehensive, up to date and safe approach to managing emergency general surgery patients with a minimally invasive approach. This book bridges the gap between the minimally invasive surgery (MIS) expert who may not routinely be involved in the care of the acute care surgery patient and the ACS expert surgeon who may not have a routine MIS elective practice. The first section reviews the physiology of the acute care surgery patient and the physiologic impact of MIS techniques including pnemoperitoneum in critically ill patients. This review is crucial to assure that the surgeon has a clear understanding of when a MIS approach is safe and when it can be potentially dangerous to the patient. The illustrations are presented in an atlas-style format to describe the surgical procedures. The authors of the various sections are minimally invasive and acute care surgeons from prominent academic centers. The format represents a narrative review with appropriate illustrations and links to online videos.

This pocket manual is a practically oriented guide to abdominal and gastrointestinal emergencies in acute care surgery. It covers the most common injuries to the entire area, offering careful descriptions of diagnostic procedures, surgical techniques and non-operative management. The guide stems from collaboration with the World Society of Emergency Surgery (WSES) and aims to provide general surgeons, residents and trainees with a comprehensive and up-to-date overview of the most relevant operative techniques and with useful "tips and tricks" applicable in for their daily clinical practice. A second volume on other surgical emergencies, which also includes chapters on antibiotic management, nutrition and interventional radiology in acute care surgery, is also available.

This book provides a concise summation of current operative decision making and techniques for situations faced by the on-call general surgeon. This manual covers pertinent topics such as minimally invasive surgery in the trauma setting, surgical emergencies in the bariatric patient, and treatment of emergencies in pregnancy, cirrhotics, and anti-coagulated patients. The experts at SAGES pooled their knowledge and created this manual to describe the most up-to-date treatment options for the emergent surgical patient. The SAGES Manual of Acute Care Surgery aligns with the new SAGES UNIVERSITY MASTERS Program and supplements the Master’s Program Acute Care Pathway. Its goal is to help educate surgeons to bring the optimum care to the patients that they are called to see in their emergency rooms, and to help surgeons progress from the competent to the proficient and finally to the mastery level.

The purpose of this book is to give providers of all levels a simple and essential source of practical information in treating the elderly trauma and emergency surgery patient. The Introduction instructs practitioners how to evaluate and assess risk including frailty and use this information in Goals of Care discussions to facilitate shared decision making so crucial to this population. The individual chapters consist of best practices and care guidelines from some of the most well-known thought leaders and best trauma centers in the country across the spectrum from geriatricians to trauma and acute care surgeons and nurses. Each chapter contains easy-to-read algorithms and references that the readers can use and adapt for their own setting. Chapters on Pre-hospital care will help guide EMS organizations and even systems in the right care and triage of the elderly. Each chapter also contains a Nursing Focus section for helpful nursing tips in caring for the elderly with those injuries and problems. These sections make this book a must-have for any center looking to improve its care of the elderly patient or just trying to be sure its care is already the best it can be. A special section on Post Acute Care will introduce the provider to the common issues surrounding particular disposition destinations for the elderly patient. This will facilitate discussions with families, case managers and facilities to help improve time to disposition.

This book offers an overview of acute care surgery around the world, focusing on the four main branches of this novel subdiscipline: trauma, general emergencies, critical care, and rescue surgery. The book’s primary goal is to provide a general view of acute care surgery, while addressing the most important issues in depth. The content is divided into three parts, the first of which is dedicated to the general organization of trauma centers, including the composition of modern trauma teams. Protocols of activation and action for the trauma team, as well as damage control procedures both in the emergency room and in the surgical theatre, are described. The book also addresses the development of a trauma registry, together with the quality assessment process that can be applied. In turn, the second part describes the principal protocols for making diagnoses, with special attention to circumstances such as unstable hemodynamics, neurological deterioration, normal vital signs, and penetrating injuries. The book subsequently deals with the most important aspects of trauma to the abdomen, chest, and pelvis, with notes on both surgical and intensive care issues. Practical descriptions of how to treat principal injuries to various organs are also provided. Finally, the third part of the book is dedicated to the most frequent general surgical emergencies and rescue surgical approaches, and includes information on diagnostic support with point of care ultrasound and endoscopic advanced techniques. Presenting cutting-edge strategies, this book will be of interest to professionals involved in surgical and intensive care for emergency conditions, such as colonic perforations, obstructions, acute pancreatitis, biliary tree stones, and caustic injuries.

This comprehensive text will provide a state-of-the art review of the field of geriatric acute care surgery, reviewing new epidemiology data about risk factors for this type of trauma. Assessment of the geriatric trauma patient is unique, and this population requires special attention. Moreover, geriatric patients often suffer from mild to severe cognitive impairment, cardiovascular, and pulmonary insufficiency, which can complicate trauma. This comorbidity informs the evaluation, diagnosis and management of geriatric trauma and stresses the importance of team-based interprofessional care for affected patients. Opening chapters describe general principles of geriatric acute care, the physiology of aging, frailty, injury prevention, and goals of care. The main section of the book presents the latest treatment strategies for traumatic orthopedic, cardiovascular and gastrointestinal trauma, including sepsis, complications and critical care monitoring, before turning to nursing considerations for this ever-growing population. Additional chapters on outcomes and COVID management complete the presentation. Providing a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts, this text will serve as a very useful resource for physicians, medical students, residents, nurses, therapists, and researchers dealing with, and interested in this challenging type of trauma.

This text provides the reader a starting point for the most difficult and uncommon complications in acute care surgery. It is designed to provide options to that ubiquitous intra-operative or bedside question “Well, now what do we do with this?” The topics have been chosen for the extreme difficulty of management and the surprising regularity that they present and the lack of large volume of accumulated evidence, where expert experience remains vital. The volume editors present a list of clinical scenario’s, intra-operative findings, and ethical circumstances that few general surgeons in their career will see in their career. The authors represent the most prolific surgeons in practice today. They present how they wound manage these challenging acute care surgery problems based on their vast clinical experience. Here, these surgeons share their personal experience with the most difficult cases. The text is divided into 4 parts. The first part is “Global Patient Issues” when a singular surgical problem presents itself in a very complicated patient with an extensive list of unstable co-morbid diseases. The second part is “Specific Disease Issues”. This is a surgical text and as such each issue is an unexpected intra-operative finding and expert management. The third part is “Post-Operative Issues” and as any seasoned surgeon knows, is the most critical part of managing a complicated surgical case. The last section is “Challenging Ethical Scenarios.” The text is designed to provide the surgeon in training or the seasoned general surgeon unique clinical or operative options for the care of their patients.

The aim of this book is to identify and shed new light on the main surgical practices involved in acute care and trauma surgery. Adopting an evidence-based approach, a multidisciplinary team of surgeons and intensivists illustrate basic and advanced operative techniques, accompanied by a comprehensive and updated reference collection. Emerging surgical procedures in Acute Care Surgery are also explored step by step with the help of ample illustrations. Further, the book offers an overview of treatment options for acute organ failure, with a focus on peculiar clinical situations that call for special treatment, including: extracorporeal membrane oxygenation (ECMO), circulatory support and urgent liver transplantation. In order to identify the key determinants in decision-making and therapeutic support that can help avoid critical errors, authors not only define and discuss specific surgical techniques, but also present major issues and controversies related to it. In essence, the book can be considered a “What to do guide” that offers easy access to both basic and advanced lifesaving surgical procedures, due in part to text boxes highlighting “Tips, Tricks and Pitfalls” as well as advice on “Complications Management”. Many chapters are enriched by providing clinical case scenarios, an important educational resource including self–assessment questionnaires.

This volume is a “how-to guide” to treating thoracic trauma and emergencies for acute care surgeons. It highlights the diagnosis and management of thoracic disease and injuries, and each chapter includes algorithms that lead readers through the process of identifying and treating many common and some uncommon thoracic pathologies. The international team of authors provides readers with a unique and diverse approach to the operative and non-operative challenges encountered by ACS surgeons. The large number of figures offers readers insights into what they can expect to see when caring for these patients. The editors understand that the management of adults and children differ and have included a specific chapter on pediatrics. Given the broad audience and diverse settings in which the text can be used, the authors also provide details of care in limited-resource environments. The volume is a valuable tool for professionals interested in thoracic surgery and acute care surgery.