Ballistic Trauma : A Practical Guide

"This revised fourth edition provides a concise guide to the clinical and operational issues surrounding the management of the ballistic casualty. This book utilises the knowledge and experience acquired by those dealing with ballistic trauma on a regular basis to help those who manage these patients less regularly. This book is a valuable reference tool for all medical and paramedical personnel involved in the care of patients with ballistic injury. It is especially relevant for consultants and senior trainees in surgery, anesthesia, and emergency medicine who are likely to be involved in the management of these unique injuries"--Publisher's description Front Matter ....Pages i-ix A Personal Experience (Benoît Vivien)....Pages 1-5 Firearms and Bullets (Jowan G. Penn-Barwell, Aimee E. Helliker)....Pages 7-20 Fragmenting Munitions (John Breeze, Arul Ramasamy)....Pages 21-28 Suicide Bombs (Piers Page, Johno Breeze)....Pages 29-33 The Effect of Projectiles on Tissues (Jowan G. Penn-Barwell, Tom Stevenson)....Pages 35-46 Personal Armour Used by UK Armed Forces and UK Police Forces (Eluned A. Lewis, Johno Breeze, Chris Malbon, Debra J. Carr)....Pages 47-62 Triage (Ed Barnard, Jamie Vassallo)....Pages 63-74 Prehospital Management of Ballistic Injury (Ravi Chauhan, Damian Keene)....Pages 75-85 Emergency Department Management (Jason Smith)....Pages 87-94 Radiology and Ballistic Trauma (David Gay, Iain Gibb)....Pages 95-109 Damage Control Resuscitation (Damian Keene)....Pages 111-124 Anaesthesia and Analgesia (Mark Davies, Jeyasankar Jeyanathan)....Pages 125-149 Damage Control Surgery and Ballistic Injury to the Trunk (David O’Reilly)....Pages 151-173 Management of Ballistic Trauma to the Head (Stuart A. G. Roberts)....Pages 175-199 Penetrating Ballistic Spinal Injury (Stuart Harrisson)....Pages 201-214 Ophthalmic Injury (Richard J. Blanch)....Pages 215-236 Ballistic Maxillofacial Trauma (Johno Breeze, Darryl Tong, Andrew Gibbons)....Pages 237-255 Penetrating Neck Injury (Johno Breeze, David Powers)....Pages 257-273 Management of Vascular Trauma (Claire Webster, Thomas C. König)....Pages 275-307 Ballistic Genitourinary Trauma (Angus Campbell, Davendra Sharma)....Pages 309-336 Ballistic Wound Management and Infection Prevention (Jowan G. Penn-Barwell, C. Anton Fries, R. F. Rickard)....Pages 337-345 Human Factors in Ballistic Trauma (Simon J. Mercer)....Pages 347-356 Management of Paediatric Trauma in an Austere Environment (William Tremlett, Johno Breeze, G. Suren Arul)....Pages 357-372 Ballistic Trauma in Pregnancy (Tracy-Louise Appleyard)....Pages 373-389 Managing Ballistic Injury in the NGO Environment. A Personal View (David Nott)....Pages 391-408 Forensic Aspects of Ballistic Injury (Jeanine Vellema, Hendrik Scholtz)....Pages 409-435 Critical Care for Ballistic Trauma (Andrew McDonald Johnston)....Pages 437-443 Transfer and Evacuation (Ian Ewington)....Pages 445-462 Soft Tissue Reconstruction (C. A. Fries, M. R. Davis, R. F. Rickard)....Pages 463-472 Skeletal Reconstruction (Daniel J. Stinner, David J. Tennent)....Pages 473-490 Amputation (Jowan G. Penn-Barwell, Jon Kendrew, Ian D. Sargeant)....Pages 491-503 Conflict Rehabilitation (Alex Scott, John Etherington)....Pages 505-523 Back Matter ....Pages 525-537 Ryan's Ballistic Trauma 3rd Edition provides a concise guide to the clinical and operational issues surrounding the management of the ballistic casualty. This book crystallizes the knowledge and experience accrued by those dealing with ballistic trauma on a regular basis and extends this to those who have to manage these patients on an occasional basis only. Ryan's Ballistic Trauma 3rd Edition is a valuable reference tool for all medical and paramedical personnel involved in the care of patients with ballistic injury. It is especially relevant for consultants and senior trainees in surgery, anesthesia and emergency medicine who are likely to be involved in the management of these unique injuries. This book is essential reading for pre-hospital care providers and nurses working in the emergency room, as well as military surgeons and medical and nursing staff on deployment in regions of conflict.