Emergency Trauma Care: Current Topics And Controversies, Volume III (Trauma CME) - $249.00
Includes 18 Trauma CME Credits!
This 5-chapter resource reviews aspects of emergency trauma care that you manage virtually every day: managing traumatic wounds and fractures, utilizing ultrasound in trauma, managing blast injuries and mass-casualty trauma, and utilizing nonopioid analgesics to manage acute traumatic pain. In addition to our distinguished authors’ discussions, we have included pertinent commentaries from the emergency medical services, nursing, surgical, and charting perspectives--to give a view of all aspects of trauma care.
New Features
In an effort to support your learning and provide tools to improve your practice, we have included a number of new features in this volume. Two instructional videos will help you build critical skills in using ultrasound in trauma and in diagnosing often-missed orthopedic injuries. Nine supplemental issues of Calculated Decisions that correspond with the chapter topics, and provide in-depth reviews of key medical calculators to help you better understand best practices for the risk scores and decision tools you use every day.
18 AMA PRA Category 1 CreditsTM. Included as part of the 18 credits, this CME activity is eligible for 18 trauma credits, 4.5 Pharmacology credits, and 3.5 Pain Management credits.
This activity is approved for 18 ANCC Contact Hours and 4.6 contact hours of pharmacotherapy credit for Advance Practice Registered Nurses.
Two instructional videos on utilizing ultrasound and identifying often-missed fractures
Nine supplemental issues of Calculated Decisions
Summarized information to help you keep up with current guidelines and best practices
Treatment recommendations to help you determine the critical actions required when caring for these patients
The 5 topics covered in this volume address some of the most pressing concerns for emergency clinicians:
Chapter 1: Traumatic Wound Care Management: Isolated soft-tissue wounds are rarely life-threatening, but the goals of care are to optimize pain control, hemostasis, cosmesis, prevention of infection, and rapid wound healing. This chapter will help emergency clinicians become facile and comfortable with the basics of complex wound repair.
Chapter 2: Utilizing Ultrasound in Trauma: As the number of applications of point-of-care ultrasound (POCUS) in the trauma patient has expanded, so have controversies related to how it should be used in different clinical scenarios. This chapter discusses the strengths and limitations of POCUS in the trauma setting in order to facilitate optimal care for your patients. In addition, a bonus video on using ultrasound in trauma—by Dr. Turandot Saul from Mount Sinai—is included.
Chapter 3: Blast Injuries and Mass-Casualty Trauma: The morbidity and mortality of blast events varies greatly, depending on several factors. In this chapter, you will learn the best approach to the management of blast injuries and mass-casualty events, which focuses on reducing morbidity and mortality.
Chapter 4: Fracture Care in Trauma: The goal for treatment of any fracture is realignment of bony fragments and re-establishment of neurovascular anatomy to promote healing and functional restoration. This chapter will help you identify frequently missed orthopedic injuries and manage various types of traumatic fractures. Also included is a bonus video by Dr. Melissa Leber from Mount Sinai that discusses the diagnosis and management of orthopedic trauma injuries.
Chapter 5: Nonopioid Analgesic Modalities for Management of Acute Traumatic Pain: Despite the fact that opioids are the traditional cornerstone of traumatic pain management in the ED, several factors make their utilization less than optimal. Broader use of combinations of nonopioid analgesics in managing acute traumatic injuries in the ED and a more refined and judicious use of opioids is encouraged; however, this must also be balanced with an understanding of the specific risks and benefits of nonopioid analgesia as well as consideration of each patient’s unique characteristics. This chapter will help you appropriately apply methods of nonopioid pharmacological pain management in trauma care.
Are there multiple clinicians at your institution who need trauma CME? We offer excellent group rates on our resources. Click here to learn more
Publication Information
Price: $249
Publication Date: March 1, 2018
CME Expiration Date: March 1, 2021
CME Credits: This enduring material includes 18 AMA PRA Category 1 CreditsTM. (Trauma CME)
CNE Credits: This activity is approved for 18 ANCC Contact Hours and 4.6 contact hours of pharmacotherapy credit for Advance Practice Registered Nurses.
Editors
Eric Legome, MD, FACEP
Chair of Emergency Medicine,
Mount Sinai West and Mount Sinai St. Luke's,
Vice Chair of Academic Affairs for Emergency
Medicine, Mount Sinai Health System, Icahn School
of Medicine at Mount Sinai, New York, NY
Lee W. Shockley, MD, MBA
Emergency Physician,
CarePoint PC and Rose
Medical Center,
Denver, CO
Authors
Nadia Baranchuk, MD
Department of Emergency Medicine, Division of Emergency Ultrasound, Mount Sinai St. Luke’s, Mount Sinai West, New York, NY
John Bedolla, MD, FACEP
Assistant Professor and Assistant Director of Research Education, University of Texas at Austin, Dell Medical School, Austin, TX
Moira Davenport, MD
Associate Professor of Emergency Medicine, Associate Residency Director, Emergency Medicine, Allegheny General Hospital, Pittsburgh, PA
Itamar Goldstein, MD
Department of Emergency and Internal Medicine, SUNY Downstate – Kings County Hospital Center, Brooklyn, NY
Michael Hilton, MD, MPH, FACEP, FAEMS
Assistant Professor, Associate Medical Director for EMS and Disaster Preparedness, Department of Emergency Medicine, Mount Sinai St. Luke’s, Mount Sinai West, New York, NY
Alexis LaPietra, DO
Medical Director of Emergency Medicine Pain Management, Fellowship Director of Emergency Medicine Pain Management Fellowship, St. Joseph’s Regional Medicine Center, Paterson, NJ
Elyse K. Lavine, MD
Assistant Professor, Director of Emergency Department Trauma Services, Department of Emergency Medicine, Mount Sinai St. Luke’s, Mount Sinai West, New York, NY
Melissa Leber, MD
Assistant Professor of Orthopedics and Emergency Medicine, Director of Emergency Department Sports Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Sergey Motov, MD, FAAEM
Associate Research Director, Department of Emergency Medicine, Maimonides Medical Center, Brooklyn, NY
Leslie Pendery, MD
Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
Gabriel Rose, DO
Assistant Professor of Emergency Medicine, Icahn School of Medicine at Mount Sinai, Ultrasound Division Associate Director, Department of Emergency Medicine, Mount Sinai St. Luke’s, Mount Sinai West, New York, NY
Turandot Saul, MD
Associate Professor of Emergency Medicine, Icahn School of Medicine at Mount Sinai, Ultrasound Division Director, Department of Emergency Medicine, Mount Sinai St. Luke’s, Mount Sinai West, New York, NY
Joshua Schechter, MD
Clinical Assistant Professor, Program Director Combined Emergency Medicine-Internal Medicine Residency, SUNY Downstate – Kings County Hospital Center, Brooklyn, NY
Ryan Tansek, MD
Department of Emergency Medicine, Division of Emergency Ultrasound, Mount Sinai St. Luke’s, Mount Sinai West, New York, NY
Peer Reviewer
Bonny J. Baron, MD
Associate Professor, Department of Emergency Medicine, SUNY Downstate Medical Center and Kings County Hospital; Emergency Department Trauma Liaison, Kings County Hospital, Brooklyn, NY
Commentary Experts
Jeffrey S. Rabrich, DO, FACEP
Chairman of Emergency Medicine, Montefiore Nyack Hospital, Nyack, NY
Michael Klein, MD
Assistant Professor, Department of Surgery, New York University School of Medicine, Bellevue Hospital Center, New York, NY
Cherisse Berry, MD
Assistant Professor of Surgery, Department of Surgery, Division of Acute Care Surgery, New York University School of Medicine, New York, New York
Mary Leas, RN, BSN, MSN-L, CCRN
Director of Emergency Nursing, Mount Sinai West Hospital, New York, NY
James B. Haering, DO, SFHM
Hospitalist, Sound Physicians, Tacoma, WA; Associate Professor, Department of Medicine, Michigan State University College of Human Medicine and College of Osteopathic Medicine, Lansing, MI
Table of Contents
Chapter 1: Traumatic Wound Care Management
Introduction
Epidemiology and Pathophysiology
Epidemiology
Anatomy
Pathophysiology and Classification
Emergency Department Evaluation
Initial Evaluation
Timing of Wound Repair
Physical Examination
Foreign Bodies Within a Wound
History and Physical Examination for Wound Foreign Bodies
Using Diagnostic Studies to Identify Wound Foreign Bodies
Management of Wound Foreign Bodies
Risk Management for Wound Foreign Bodies
Treatment
Anesthesia
Topical Anesthesia
Local infiltration
Regional Anesthesia
Irrigation
Irrigation Solutions
Irrigation Pressure
Hair Removal
Wound Repair
Sutures
Nonabsorbable Sutures
Absorbable Sutures
Staples
Tissue Adhesives
Surgical Tapes
Delayed Primary Closure
Dressing
Systemic Antibiotics
Advanced Wound-Closure Principles and Techniques
Advanced Wound-Closure Techniques
Tissue Handling
Running Sutures
Undermining and Defatting Wounds
Deep Dermal Subcutaneous Sutures and 2-Layer Repair
Running Subcuticular Suture
Wound Eversion with Mattress Sutures
Sharp Trimming of Ragged or Nonviable Edges
Advanced Closure Techniques in Difficult Scenarios
Stellate Lacerations or Ragged Edges
V-Shaped or Acute-Angle Corners
Wound Over a Joint or High-Tension Area
Missing Tissue
Parallel Lacerations
Beveled (Tangential) Lacerations
Varying-Depth Lacerations
Disposition
Emergency Medical Services Commentary
Charting Commentary
Clinical Pathway for Management of Wounds in the Emergency Department
Tables and Figures
Table 1. Risk Factors for Wound Infection
Table 2. Centers for Disease Control and Prevention Guidelines for Tetanus Wound Management
Table 3. Indications for Foreign Body Removal
Table 4. Topical Anesthetics
Table 5. Common Infiltrative Anesthetic Agents
Table 6. Types of Absorbable Sutures
Table 7. Suture Selection and Removal Times
Figure 1. Layer for Dissection to Undermine and Free the Skin
Figure 2. Subcutaneous Sutures and 2-Layer Repair Technique
Figure 3. Tangential Laceration Repair
Videos
Advanced Wound-Closure Techniques
Advanced Closure Techniques in Difficult Scenarios