Extremity vascular trauma poses several difficult dilemmas in diagnosis and treatment the increasing use of high energy weapons in modern warfare is associated with severe vascular injuries in the iraq war at the beginning of the 21st century the proportion of trauma victims attained 50 to 70. Fox c j gillespie d l odonnell s d et al contemporary management of wartime vascular trauma j vasc surg 2005 41638 644 carrick m m morrison a c pham h q et al modern management of traumatic subclavian artery injuries a single institutions experience in the evolution of endovascular repair. Our institution is a major referral and level i trauma center in an urban environment as such we manage a significant number of orthopedic and vascular injuries incurred from dog bites to our knowledge no reports exist that describe the management and outcomes of vascular injury from dog bites. The eastern association of the surgery of trauma approach to practice management guideline development using grading of recommendations assessment development and evaluation grade methodology j trauma acute care surg 2012 73 5 suppl 4 s283 s287 murad mh rizvi az malgor r carey j alkatib aa erwin pj lee wa fairman rm. The above named textbook is a broadly inclusive text about trauma management that contains 47 chapters that cover the spectrum of trauma care having read the first text it is my opinion that this edition has shown considerable improvements over its predecessor
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