Damage Control Management in the Polytrauma Patient

1. Front Matter

   Pages i-xxiv

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2. Epidemiology and Pathophysiology

   1. Front Matter

      Pages 1-1

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   2. The Damage Control Approach

      • Claudia E. Goettler, Michael F. Rotondo, Peter V. Giannoudis

      Pages 3-12

   3. Epidemiology of Polytrauma

      • Fiona E. Lecky, Omar Bouamra, Maralyn Woodford, Roxana Alexandrescu, Sarah Jane O’Brien

      Pages 13-24

   4. Pathogenetic Changes: Isolated Extremity Trauma and Polytrauma

      • Martijn van Griensven

      Pages 25-44

   5. Pathogenetic Changes: Secondary Abdominal Compartment Syndrome

      • Rao R. Ivatury, Ajai K. Malhotra, Michel B. Aboutanos, Therèse M. Duane, Julie A. Mayglothling

      Pages 45-52

   6. Impact of Head and Chest Trauma on General Condition

      • Otmar Trentz, Philipp M. Lenzlinger

      Pages 53-68

   7. Patient Selection: Orthopedic Approach in Isolated Injuries

      • Brad A. Prather, Craig S. Roberts

      Pages 69-82

   8. Patient Selection: Orthopedic Approach in Polytrauma

      • Hans-Christoph Pape, Christopher C. Tzioupis, Peter V. Giannoudis

      Pages 83-98

3. Phases of Damage Control

   1. Front Matter

      Pages 100-100

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   2. Phase 0: Damage Control Resuscitation in the Pre-hospital and Emergency Department Settings

      • Andrew B. Peitzman, Babak Sarani

      Pages 101-122

   3. Phase I: Abbreviated Surgery

      • Gary Lombardo, John P. Pryor

      Pages 123-172

   4. Phase II: The ICU Phase of Damage Control: Managing the Patient from Door to Door

      • Bryan A. Cotton, C. William Schwab

      Pages 173-210

   5. Phase III: Second Operation Repair of All Injuries General and Orthopedics

      • Benjamin Braslow, C. William Schwab

      Pages 211-238

   6. Phase IV: Late Reconstruction Abdominal Wall Closure: Staged Management Technique

      • Timothy C. Fabian

      Pages 239-248

   7. Phase IV: Late Reconstruction: Reconstruction of Posttraumatic Soft Tissue Defects

      • Jörn Redeker, Peter M. Vogt

      Pages 249-264

   8. The Role of Interventional Radiology

      • Thomas M. Scalea, Patrick C. Malloy

      Pages 265-276

4. Special Aspects of Damage Control

   1. Front Matter

      Pages 278-278

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   2. Head Injuries in Polytrauma Patients

      • James M. Schuster

      Pages 279-290

   3. Spinal Injuries in Polytrauma Patients

      • Clinton James Devin, Gbolahan O. Okubadejo, Joon Y. Lee

      Pages 291-298

Orthopedic trauma is largely limited to the stabilization and subsequent surgical management of fractures and dislocations, with most patients presenting to their local emergency departments with isolated injuries. Modern techniques and implants have made outcomes for these injuries more predictable. Intramedullary nailing, for example, has become standard treatment for a displaced fracture of the femoral shaft. These conditions can be managed by the majority of general ort- pedists being trained today. Interestingly, they most likely do not even understand or remember that this treatment evolved from the management of the polytrau- tized patient with fractures. The polytraumatized patient is, of course, a completely different matter. For many years, the only experience with these types of injuries was in casualties sustained by combatants during armed conflicts. Basic concepts such as anest- sia, blood transfusions, intravenous therapy, wound management, and even the development of nursing and the modern hospital were all learned and founded in armed conflicts such as the Crimean War, the Boer War, and World War I. The Second World War saw improvements in the management of both abdominal and extremity wounds, and this was further refined in the Korean and Vietnam Conflicts. These, however, were limited to saving lives and limbs that benefited from very basic care. Understanding even the most rudimentary physiological concepts now taken for granted eluded us, and this showed how limited kno- edge was at that time.

• Multiple
• Multitrauma
• Polytrauma
• Surgery
• abdominal wall
• complication
• complications
• emergency
• fracture
• general surgery
• orthopaedics
• orthopedics
• radiology
• trauma
• Trauma Surgery

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)

• Department of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, USA

  Hans-Christoph Pape, Andrew Peitzman

• Department of Surgery, University of Pennsylvania School of Medicine University of Pennsylvania Medical CenterUniversity of Pittsburgh, Pittsburgh, USA

  C. William Schwab

• Leeds General Infirmary University Hospital Trauma and Orthopedic Surgery, University of Leeds, Leeds, UK

  Peter V. Giannoudis

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