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Fully revised and updated edition of the only currently available book on the subject
Invaluable for students and the multiple professions involved in the management of the multiply and severely injured
Practical guide written by cutting-edge contributors, providing the latest information on care of the polytrauma patient
This textbook is a fully updated and revised third edition of a highly successful practical guide to the care of the polytrauma patient. Broadening its readership to students, this new edition comprehensively describes the clinical course of multiple and severe injuries, from the accident scene to rehabilitation.
It provides essential practical information on the care of patients both with blunt and penetrating trauma to multiple body regions, and discusses the management of truncal injuries (head, chest, abdomen) as well as fractures of the extremities, pelvis and spine. Further, the book highlights associated injuries that may alter decisions concerning patients with polytrauma.
This new, revised edition takes full account of recent developments, including the increasing economic pressure on health care systems, prehospital treatment, changes in trauma systems and related education, and the improved survival of polytrauma patients. Also covering improved monitoring options along with issues in late patient outcomes and rehabilitation this work will greatly assist students, emergency personnel, trauma surgeons, orthopaedic traumatologists, and anesthesiologists.
Pages i-xii
Front Matter
Pages 1-1
Pages 3-9
Economic Aspects of Trauma Care
Pages 11-16
Pages 17-26
Front Matter
Pages 27-27
Trauma System and Rescue Strategies
Pages 29-39
Pages 41-58
Initial Assessment and Diagnostics
Pages 59-69
Pages 71-79
Resuscitative Endovascular Balloon Occlusion of the Aorta
Pages 81-90
Pages 91-99
Front Matter
Pages 101-101
Pathophysiology: Trauma-Induced Coagulopathy
Pages 103-112
The Inflammatory and Barrier Response After Polytrauma
Pages 113-125
Pathophysiology: Remote Organ Injury
Pages 127-134
Pages 135-144
Pages 145-160
Chest Trauma: Classification and Influence on the General Management
Pages 161-184
Pages 185-204
Penetrating Injuries of the Thorax
Pages 205-215
Pages 217-225
Pages 227-236
Pages 237-251
Pages 253-266
Urological Injuries in Polytraumatized Patients
Pages 267-280
Gyn. Injuries/Pregnant Patient in Polytrauma
Pages 281-306
Pages 307-315
Compartment Syndrome: Pathophysiology, Diagnosis, and Treatment
Pages 317-337
Damage Control in Abdomen and Thorax
Pages 339-358
Pages 359-375
Mangled Extremity: Management in Isolated Extremity Injuries and in Polytrauma
Pages 377-393
Surgical Management: Elderly Patient with Polytrauma
Pages 395-417
Pediatric Polytrauma Management
Pages 419-430
Surgical Management: Management of Traumatic Bone Defects
Pages 431-443
Surgical Management: Acute Soft Tissue and Bone Infections
Pages 445-470
Front Matter
Pages 471-471
ICU Management: Disseminated Intravascular Coagulation (DIC)
Pages 473-501
Early ICU Management of Polytrauma Patients Who Develop Sepsis
Pages 503-518
Polytrauma and Multiple Organ Dysfunction
Pages 519-540
ICU Management: General Management in the Elderly in ICU
Pages 541-545
ICU Management: Clearing Patients for Surgery
Pages 547-551
ICU Management: Venous Thromboembolism
Pages 553-563
Front Matter
Pages 565-565
Rehabilitation Strategies in Polytrauma
Pages 567-572
Treatment of Fracture-Related Infections
Pages 573-581
Management of Aseptic Malunions and Nonunions
Pages 583-605
Strategies for Visceral Complications
Pages 607-618
Rehabilitation: Soft Tissue Coverage
Pages 619-630
Principles of Surgical Patient Safety
Pages 631-640
Psychiatric Issues in the Treatment of Severe Trauma
Pages 641-659
Rehabilitation: Long-Term Outcome and Quality of Life
Pages 661-677
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