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9780387895079

Damage Control Management in the Polytrauma Patient

by
  • ISBN13:

    9780387895079

  • ISBN10:

    0387895078

  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2009-09-01
  • Publisher: SPRINGER
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Supplemental Materials

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Summary

This state-of-the-art guide to damage control surgery focuses on the decision-making process for managing polytrauma patients. Orthopedists, trauma surgeons, and emergency medicine physicians will learn how to effectively coordinate efforts and time surgical procedures when treating severe fractures and soft tissue injuries. Supported by the latest research, the book presents an overview of the damage control concept and the epidemiology of polytrauma injuries. Immunological changes, cascade reactions, and patient selection for the damage control approach are discussed in detail. Both isolated extremity trauma and polytrauma are considered. 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 the management of vascular injuries and the timing of secondary definitive procedures. Edited by authorities in orthopedic trauma and general surgery, this book is an unparalleled resource for improving outcomes and implementing the damage control approach in polytrauma care.

Table of Contents

Epidemiology and Pathophysiology
The Damage Control Approachp. 3
Epidemiology of Polytraumap. 13
Pathogenetic Changes: Isolated Extremity Trauma and Polytraumap. 25
Pathogenetic Changes: Secondary Abdominal Compartment Syndromep. 45
Impact of Head and Chest Trauma on General Conditionp. 53
Patient Selection: Orthopedic Approach in Isolated Injuriesp. 69
Patient Selection: Orthopedic Approach in Polytraumap. 83
Phases of Damage Control
Phase 0: Damage Control Resuscitation in the Pre-hospital and Emergency Department Settingsp. 101
Phase I: Abbreviated Surgeryp. 123
General
Orthopedicsp. 155
Phase II: The ICU Phase of Damage Control: Managing the Patient from Door to Doorp. 173
Phase III: Second Operation Repair of AH Injuries General and Orthopedicsp. 211
General
Orthopedicsp. 229
Phase IV: Late Reconstruction Abdominal Wall Closure: Staged Management Techniquep. 239
Phase IV: Late Reconstruction: Reconstruction of Posttraumatic Soft Tissue Defectsp. 249
The Role of Interventional Radiologyp. 265
Special Aspects of Damage Control
Head Injuries in Polytrauma Patientsp. 279
Spinal Injuries in Polytrauma Patientsp. 291
Pelvic Fractures in Polytrauma Patientsp. 299
Vascular Injuries in Polytrauma Patientsp. 315
Pediatric Trauma and Polytrauma Pediatric Patientsp. 331
Damage Control in Elderly Polytrauma Patientsp. 357
Mass Casualties: Military and Civilianp. 367
A Militarry Perspective
A Civilian Perspectivep. 387
Complications and Outcomes
Complications and Outcomes: Abdominal, General, and Extremity Complicationsp. 405
Critical Decision Points in Managing the Open Abdomenp. 425
Functional Long-Term Outcomes in Polytrauma Patients with Orthopedic Injuriesp. 439
Indexp. 453
Table of Contents provided by Ingram. All Rights Reserved.

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