For more than 40 years, Rich's Vascular Trauma has been surgeons’ #1 reference for the diagnosis and treatment of vascular injury in both civilian and military settings across the globe. Published in association with the Society for Vascular Surgery (SVS), the fully updated 4th Edition reflects recent changes in vascular injury patterns, wounds, and trauma care, drawing from current research and a wide variety of peer-reviewed publications to keep you up to date with the latest evidence-based management strategies and techniques. Written and edited by vascular surgeons who are also trauma specialists—civilian and military experts who have proficiency in both open-surgical and endovascular techniques—this must-have reference offers a global perspective on every aspect of the broad spectrum of vascular trauma.
Covers all vascular surgery procedures required to stop hemorrhage and restore perfusion in vessels in the limbs, junctional areas, torso and neck, including damage control techniques such as shunting, and endovascular techniques such as REBOA and stenting.
Addresses pre-hospital, emergency department, surgical, and endovascular stages of treatment in developed, austere and deployed settings, including a rich section on vascular trauma in multiple international settings that provides important context for the global surgical community.
Includes nine new chapters covering prehospital management, endovascular suites, stent-grafts, selective aortic arch perfusion, extracorporeal systems and gathering evidence in vascular trauma, and more.
Presents surgical techniques in step-by-step, highly illustrated detail, as well as high level, strategic decision-making such as the logistics of setting up an endovascular trauma service.
Includes a new, rapidly digestible "Tips and Tricks" section summarizing how to execute essential vascular maneuvers and management steps to ensure that patients get the best outcomes.
Emphasizes the current management of civilian vascular injuries while drawing upon the best available evidence, experience, and lessons learned from Afghanistan, Iraq, and the “urban battlefield.
Contains an innovative chapter on the systems approach and quality improvement in vascular trauma, offering information and tactics for all providers wishing to understand how clinical systems underpin patient outcome and recovery.
1. Cover image - p. Cover 2. Title page - p. iii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Copyright - p. iv 6. List of Contributors - p. iv 7. Foreword - p. xi 8. Preface to the Fourth Edition of Rich’s Vascular Trauma - p. xii 9. Surgical Trainee’s Perspective - p. 1 10. Section 1: Setting the Stage - p. 10 11. 1. The Vascular Injury Legacy - p. 12 12. 2. Epidemiology of Vascular Trauma - p. 23 13. 3. Systems of Care in the Management of Vascular Injury - p. 34 14. 4. Training Paradigms for Vascular Trauma - p. 42 15. Section 2: Immediate Management and Diagnostic Approaches - p. 51 16. 5. Prehospital Management of Vascular Injury - p. 56 17. 6. Damage Control and Immediate Resuscitation for Vascular Trauma - p. 70 18. 7. Diagnosis of Vascular Injury - p. 82 19. 8. Imaging for the Evaluation and Treatment of Vascular Trauma - p. 91 20. Section 3: Emerging Technologies and New Approaches to Vascular Trauma and Shock - p. 105 21. 9. Endovascular Suites and the Emergency Vascular Service - p. 108 22. 10. Stent-Grafts, Coils, and Plugs - p. 114 23. 11. Resuscitative Endovascular Balloon Occlusion of the Aorta - p. 126 24. 12. Endovascular Variable Aortic Control - p. 137 25. 13. Selective Aortic Arch Perfusion - p. 144 26. 14. Endovascular to Extracorporeal Organ Support for Vascular Trauma and Shock - p. 158 27. 15. Gathering the Evidence: Clinical Study of New Technologies - p. 166 28. Section 4: The Management of Vascular Trauma - p. 169 29. 16. Cardiac, Great Vessel, and Pulmonary Injuries - p. 171 30. 17. Blunt Thoracic Aortic Injury - p. 199 31. 18. Abdominal Aortic Trauma, Iliac and Visceral Vessel Injuries - p. 212 32. 19. Inferior Vena Cava, Portal, and Mesenteric Venous Systems - p. 226 33. 20. Neck and Thoracic Outlet - p. 241 34. 21. Upper Extremity and Junctional Zone Injuries - p. 252 35. 22. Lower Extremity Vascular Trauma - p. 273 36. 23. Surgical Damage Control and Temporary Vascular Shunts - p. 288 37. 24. Considerations for Conduit Repair of Vascular Injury - p. 300 38. 25. Management of Pediatric Vascular Injury - p. 312 39. 26. Soft-Tissue and Skeletal Wound Management in the Setting of Vascular Injury - p. 321 40. 27. Vascular Surgery in the Austere Environment - p. 332 41. Section 5: Global Perspectives on Vascular Trauma - p. 350 42. 28. Australia and New Zealand - p. 353 43. 29. Sri Lanka - p. 357 44. 30. Vascular Trauma in Finland - p. 365 45. 31. Sweden - p. 370 46. 32. Russia - p. 374 47. 33. Serbia - p. 377 48. 34. Israel - p. 388 49. 35. South Africa - p. 391 50. 36. Colombia: Don’t Dread the Popliteal and Axillary Fossa - p. 396 51. 37. Brazil - p. 401 52. Index - p. 407 53. Confidence is ClinicalKey - p. 416
For more than 40 years, Rich's Vascular Trauma has been surgeons’ #1 reference for the diagnosis and treatment of vascular injury in both civilian and military settings across the globe. Published in association with the Society for Vascular Surgery (SVS), the fully updated 4th Edition reflects recent changes in vascular injury patterns, wounds, and trauma care, drawing from current research and a wide variety of peer-reviewed publications to keep you up to date with the latest evidence-based management strategies and techniques. Written and edited by vascular surgeons who are also trauma specialists—civilian and military experts who have proficiency in both open-surgical and endovascular techniques—this must-have reference offers a global perspective on every aspect of the broad spectrum of vascular trauma.
Covers all vascular surgery procedures required to stop hemorrhage and restore perfusion in vessels in the limbs, junctional areas, torso and neck, including damage control techniques such as shunting, and endovascular techniques such as REBOA and stenting.
Addresses pre-hospital, emergency department, surgical, and endovascular stages of treatment in developed, austere and deployed settings, including a rich section on vascular trauma in multiple international settings that provides important context for the global surgical community.
Includes nine new chapters covering prehospital management, endovascular suites, stent-grafts, selective aortic arch perfusion, extracorporeal systems and gathering evidence in vascular trauma, and more.
Presents surgical techniques in step-by-step, highly illustrated detail, as well as high level, strategic decision-making such as the logistics of setting up an endovascular trauma service.
Includes a new, rapidly digestible "Tips and Tricks" section summarizing how to execute essential vascular maneuvers and management steps to ensure that patients get the best outcomes.
Emphasizes the current management of civilian vascular injuries while drawing upon the best available evidence, experience, and lessons learned from Afghanistan, Iraq, and the “urban battlefield.
Contains an innovative chapter on the systems approach and quality improvement in vascular trauma, offering information and tactics for all providers wishing to understand how clinical systems underpin patient outcome and recovery.
1. Cover image - p. Cover 2. Title page - p. iii 3. Table of Contents - p. iii 4. Any screen, Any time, Anywhere - p. iii 5. Copyright - p. iv 6. List of Contributors - p. iv 7. Foreword - p. xi 8. Preface to the Fourth Edition of Rich’s Vascular Trauma - p. xii 9. Surgical Trainee’s Perspective - p. 1 10. Section 1: Setting the Stage - p. 10 11. 1. The Vascular Injury Legacy - p. 12 12. 2. Epidemiology of Vascular Trauma - p. 23 13. 3. Systems of Care in the Management of Vascular Injury - p. 34 14. 4. Training Paradigms for Vascular Trauma - p. 42 15. Section 2: Immediate Management and Diagnostic Approaches - p. 51 16. 5. Prehospital Management of Vascular Injury - p. 56 17. 6. Damage Control and Immediate Resuscitation for Vascular Trauma - p. 70 18. 7. Diagnosis of Vascular Injury - p. 82 19. 8. Imaging for the Evaluation and Treatment of Vascular Trauma - p. 91 20. Section 3: Emerging Technologies and New Approaches to Vascular Trauma and Shock - p. 105 21. 9. Endovascular Suites and the Emergency Vascular Service - p. 108 22. 10. Stent-Grafts, Coils, and Plugs - p. 114 23. 11. Resuscitative Endovascular Balloon Occlusion of the Aorta - p. 126 24. 12. Endovascular Variable Aortic Control - p. 137 25. 13. Selective Aortic Arch Perfusion - p. 144 26. 14. Endovascular to Extracorporeal Organ Support for Vascular Trauma and Shock - p. 158 27. 15. Gathering the Evidence: Clinical Study of New Technologies - p. 166 28. Section 4: The Management of Vascular Trauma - p. 169 29. 16. Cardiac, Great Vessel, and Pulmonary Injuries - p. 171 30. 17. Blunt Thoracic Aortic Injury - p. 199 31. 18. Abdominal Aortic Trauma, Iliac and Visceral Vessel Injuries - p. 212 32. 19. Inferior Vena Cava, Portal, and Mesenteric Venous Systems - p. 226 33. 20. Neck and Thoracic Outlet - p. 241 34. 21. Upper Extremity and Junctional Zone Injuries - p. 252 35. 22. Lower Extremity Vascular Trauma - p. 273 36. 23. Surgical Damage Control and Temporary Vascular Shunts - p. 288 37. 24. Considerations for Conduit Repair of Vascular Injury - p. 300 38. 25. Management of Pediatric Vascular Injury - p. 312 39. 26. Soft-Tissue and Skeletal Wound Management in the Setting of Vascular Injury - p. 321 40. 27. Vascular Surgery in the Austere Environment - p. 332 41. Section 5: Global Perspectives on Vascular Trauma - p. 350 42. 28. Australia and New Zealand - p. 353 43. 29. Sri Lanka - p. 357 44. 30. Vascular Trauma in Finland - p. 365 45. 31. Sweden - p. 370 46. 32. Russia - p. 374 47. 33. Serbia - p. 377 48. 34. Israel - p. 388 49. 35. South Africa - p. 391 50. 36. Colombia: Don’t Dread the Popliteal and Axillary Fossa - p. 396 51. 37. Brazil - p. 401 52. Index - p. 407 53. Confidence is ClinicalKey - p. 416
