By John B. McCraw
ISBN-10: 0939789000
ISBN-13: 9780939789009
Each one full-color quantity during this three-book sequence indicates the reconstructive strategies for a selected anatomical region. As within the unique McCraw and Arnold's Atlas of Muscle and Musculocutaneous Flaps (1986), every one flap is tested in cadaver dissection and medical case images, and the textual content is in an easy-to-read define structure to function a prepared reference for the anatomical foundation and medical program of every flap. Highlights of this sequence are the full-color images and the huge bibliographies.
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Additional info for McCraw and Arnold's Atlas of Muscle and Musculocutaneous Flaps
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3 Triage triangle system used for field triage of multiple casualties and prioritization for evacuation you have reliable methods in place (pagers, runners, public address system) to activate a full recall of all key off-duty personnel. Close proximity of living areas for personnel can minimize notification and response times. MASCALs rarely happen when your hospital is empty, so you must incorporate a plan for expanding bed capacity as well as relocation or discharge of current inpatients. Security forces can be deployed and the manpower pool can be mobilized in advance to be ready as runners, litter bearers, blood donors, and other non-provider responders.
The antibiotic carried in the packs presently is moxifloxacin. This is an ideal agent, as quinolones are 99% bio-available orally, have a very low incidence of allergy, and cover the standard bacteria initially encountered in wounds. In cases where an individual cannot take oral agents, IV antibiotics can be given if time allows. Do not delay transport to do so. 14 I. Wedmore Pain Control Pain control should be given if at all possible to all casualties. As mentioned, combat wound pill packs are being utilized by some units.
Prehospital chest tubes or needle decompression extenders should be considered in cases where: evacuation is significantly delayed or will be extremely prolonged, in cases where needle decompression is ineffective despite multiple attempts, or when catheters recurrently clog or kink. Needle decompression extenders are smaller-sized devices used in lieu of a needle decompression or full-size chest tube. The Urosil, an 11 French trocar-placed device (FDA-approved for treatment of spontaneous PTX), has been used by at least one SOF unit.
McCraw and Arnold's Atlas of Muscle and Musculocutaneous Flaps by John B. McCraw
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