Damage Control Management in the Polytrauma Patient

* Edited by pioneers in the field * Features multidisciplinary approach * Emphasizes decision-making process * Highlights indications for applying damage control method 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.Table of contentsThe 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.