Damage Control Management in the Polytrauma Patient

This book is an unparalleled source of cutting-edge information on every aspect of rescue, trauma management, and fracture care in the polytrauma/multiple injured patient. Damage control surgery is approached logically and systematically by dividing treatment into phases. The common goal of treating life-threatening conditions first, then treating major pelvic and extremity fractures, requires cooperation among all major disciplines and subspecialties involved in the care of polytrauma patients, and the book is accordingly multidisciplinary in nature. It is edited by pioneers in the field and the authors are all acclaimed experts. This second, revised and updated edition of Damage Control Management in the Polytrauma Patient will be invaluable for all clinicians who must weigh life-saving operations against limb-threatening conditions, including emergency personnel, trauma surgeons, orthopaedic traumatologists, and anesthesiologists.

Section A: Introduction – Pathophysiology.- 1. Evolution of trauma systems.- 2. Concept of DC.- 3. Epidemiology of polytrauma and life threatening injuries.- 4. Response to major injury (hem. shock vs traumatic shock / soft tissue injury.- 5. Defining the lethal triade Coagulopathy, hypothermia and acidosis.- Section B: General treatment principles.- 6. Blood and fluid resuscitation.- 7. Impact of head injury in the polytrauma patient.- 8. Chest trauma: Classification and influence on the general management
9. Abdominal compartment syndrome.- 10. Orthopaedic surgery approach to DC; decision making and indications.- 11. General surgery surgery approach to DC: decision making and indications.- 12. New technologies for vascular injuries and hemorrhage control.- Section C: Phases of damage control.- 13. Phase 0: Prehospital management.- 14. Phase I: abbreviated surgery- general surgery.- 15. Phase I: abbreviated surgery- orthopaedic surgery.- 16. Phase II: ICU management.- 17. Phase III: second operation – repair of all injuries; general surgery.- 18. Phase III: second operation – repair of all injuries; orthopaedic surgery.- 19. Phase IV: late reconstruction – abdominal / chest  wall closure .- 20. Phase IV: late reconstruction – plastic surgery for orthopaedics.- Section C: Special circumstances and outcomes.- 21. Principles of damage control for pelvic ring injuries.- 22. Principles of damage control for pediatric trauma.- 23. Principles of damage control in the elderly.- 24. Vascular injuries in polytrauma patients.- 25. Principles for damage control in military casualties.- 26. Penetrating injuries and Damage Control Surgery; considerations and treatment options.- 27. Complications after orthopaedic DC: pin tract infections.- 28. Complications post damage control for the General Surgeon.- 29. Outcomes of damage control surgery – general.- 30. Outcomes of damage controlsurgery – orthopaedic.