Damage Control Management in the Polytrauma Patient

Damage Control Management in the Polytrauma Patient


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This guide to damage control surgery focuses on the decision-making process for managing polytrauma. Orthopedists, trauma surgeons, and emergency medicine physicians will learn how to effectively coordinate efforts. The book presents an overview of the damage control concept and the epidemiology of polytrauma injuries. Immunological changes, cascade reactions, and patient selection are discussed. Indications for life-saving procedures, damage control for truncal injuries, and damage control for extremities and pelvic fractures are outlined as well. The text also covers vascular injuries and secondary definitive procedures.

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Product details

  • Hardback | 487 pages
  • 155 x 235 x 30mm | 888g
  • Springer-Verlag New York Inc.
  • New York, NY, United States
  • English
  • 90 black & white illustrations
  • 0387895078
  • 9780387895079
  • 1,490,265

Review quote

From the reviews: `This unique textbook, with 24 chapters and 58 authors, is both a technical manual and a clear illustration of the cultural challenges faced during a time of ! radical transformation, especially by surgeons. ! contains some excellent insights and clearly portrays the role of the surgeon throughout the injured patient's journey, from resuscitation to reconstruction. ! integrates damage control philosophy into a practical guide for managing the most severely injured patients. ! a valuable resource for any clinicians, especially surgeons, involved in trauma care.` (Russell L. Gruen, Journal of the American Medical Association, Vol. 306 (5), August, 2011)

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Back cover copy

Damage control surgery was developed as a management technique for severely injured patients whose immune systems are too weak to mount an adequate response to multiple extended procedures. The common goal of treating life-threatening conditions first, then treating major pelvic and extremity fractures requires cooperation between all major subspecialties involved in the care of polytrauma patients. The editors of this book have focused on approaching damage control surgery logically and systematically by dividing treatment into phases. Other vital topics discussed include patient selection, management of vascular injuries, and the timing of secondary definitive procedures. Damage Control Management in the Polytrauma Patient is an unparalleled resource for any clinician who must weigh life-saving operations against limb-threatening conditions.

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Table of contents

The damage control approach.- Epidemiology of polytrauma.- Pathogenetic chanes: Isolated extremity trauma and polytrauma.- Pathogenetic changes: Secondary abdominal compartment syndrome.- Impact of head and chest trauma on general condition.- Patient selection: Orthopedic approach in isolated injuries.- Patient selection: Orthopedic approach in polytrauma.- Phase 0: Damage control resuscitation in the pre-hospital and emergency deparatment settings.- Phase I: Abbreviated surgery (General).- Phase 1: Abbreviated surgery (Orthopedics).- Phase II: The ICU phase of damage cotnrol: Managing the patient from door to door.- Phase III: Second operation, repair of all injuries (General).- Phase III: Second operation, repair of all injuries (Orthopedic).- Phase IV: Late reconstruction, abdominal wall closure: Staged management technique.- Phase IV: Late reconstruction, reconstruction of post-traumatic soft tissue defects.- The role of interventional radiology.- Head injuries in polytrauma patients.- Spinal injuries in polytrauma patients.- Pelvic fractures in polytrauma patients.- Vascular injuries in polytrauma patients.- Pediatric trauma and polytrauma pediatric patients.- Damage control in elderly polytrauma patients.- Mass casualties: A military perspective.- Mass casualties: Civilian.- Abdominal, general, and extremity complications.- Critical decision points in managing the open abdomen.- Functional long-term outcomes in polytrauma patients with orthopedic injuries.

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