The goals of emergency wound treatment are to restore function, repair tissue integrity with strength and optimal cosmetic appearance, and minimize risk of infection. Risk of infection depends on the location, mechanism, host, and care. The risk for a clean facial wound produced by incision is less than 1%, whereas a dirty crush injury to the lower extremity may have more than a 20% risk. Wound...

CHEST WALL If a segment of chest wall becomes unstable (e.g. due to multiple rib fractures), particularly when associated with lung contusion, it may be impossible to sustain adequate ventilation (see Chapter 10). Similarly, if the thorax is deformed (e.g. due to kyphoscoliosis), lung expansion will be impaired. These patients may eventually develop ventilatory failure and are prone to recurren...

Researching and understanding customer needs and expectations. Ensuring that the objectives of the organization are linked to customer needs and expectations. Communicating customer needs and expectations throughout the organization. Measuring customer satisfaction and acting on the results. Systematically managing customer relationships. Ensuring a balanced approach between satisfying customer...

This book comprises a widespread and useful series of reviews on many aspects of malabsorption. The chapter authors are largely from the USA with a sprinkling of gastroenterologists from other parts of the world. The individual chapters are well-referenced. Many individual topics are discussed in detail, including intestinal immunity and malabsorption, and the relationship of alcohol, nutrition...

integrated into all the implementation (development, production, and delivery) and operational processes for systems. It involves more than applying risk assessment methods to identify and evaluate system risks. To explain this broad approach to risk management, this article discusses the way in which “Planguage” (a planning language and set of system engineering methods) contributes to handlin...