An essential guide to important lessons in trauma surgery and critical care, First to Cut serves as a valuable companion to the famed Emergency War Surgery textbook. The introduction states: The first goal of this book is simple; to save lives. As all deployed combat surgeons know combat trauma is not your parent's civilian trauma. There is no equivalent to a patient with 100 fragmentation holes, above the knee amputation and a 10% burn in the civilian world. Being faced with these unique wounding patterns for the first time often results in mistakes that are not repeated due to experiencing it. We will document these experiences in a rapid format -in a conversational tone - so that combat surgeons can hopefully benefit from our mistakes and pearls of wisdom. To paraphrase Winston Churchill, these lessons can only be "forged in the fires of battle". Contents include: Fragmentation Wounds * Damage Control Resuscitation * Extremity and Vascular * Abdominal Injury * Urologic Injuries * Chest Injuries * Neck Injury * Brain and Spinal Injury * Burn Injury * Blast * Soft Tissue Injuries * Anesthesia * Triage * Military Unique * Intensive Care Unit * Post-Operative Complications * End of Life, Consent, Ethics * En Route Care * Field Expedient * Glossary of Terms.
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