Main description:

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.

Contents:

I Introduction: 1 Impact of Trauma on Society.- 2: Economic Aspects of Trauma Care.- 3: Evidence-Based Trauma Care - the role of COTS.- II ACUTE PERIOD (1 to 3 hours) / Prehospital Phase and Trauma Bay.- 4: Rescue Strategies and Trauma System.- 5: Preclinical Maganement.- 6: Initial Assessment and Diagnistics.- 7: Volume and Blood Management.- 8: Emergency Interventions.- III PRIMARY PERIOD (First 72 hours) / Clinical Phase.- PATHOPHYSIOLOGY, Ch 9: Coagulopathy.- PATHOPHYSIOLOGY, Ch 10: Inflammation and Immunosupression.- PATHOPHYSIOLOGY Ch 11: Remote Organ Injury.- PATHOPHYSIOLOGY Ch 12: Polytrauma Scoring.- CERTAIN INJURIES Ch 13: Head Injuries.- CERTAIN INJURIES Ch 14: Injury of the Face.- CERTAIN INJURIES, Ch 15: Chest Trauma.- CERTAIN INJURIES, Ch 16: Abdominal Injuries.- CERTAIN INJURIES, Ch 17: Penetrating Thorax and Abdominal Trauma.- CERTAIN INJURIES Ch 18: Management of the Pelvic Ring .- CERTAI INJURIES, Ch 19: Spine Fractures.- CERTAININJURIES, Ch 20: Spinal Cord Injuries.- CERTAIN INJURIES, Ch 21: Urological Injuries in Polytrauma.- CERTAIN INJURIES, Ch 22: Gynecological Injuries /Pragnant Patient in Polytrauma.- CERTAIN INJURIES, Ch 23: Vascular Injuries.- CERTAIN INJURIES, Ch 24: Compartment Syndrom.- SURGICAL MANAGEMENT, Ch 25: Damage Control in Abdomen and Thorax.- SURGICAL MANAGEMENT, Ch 26: Fracture Management / DCO.- SURGICAL MANAGEMENT, Ch 27: Managled Extremity.- SURGICAL MANAGEMENT, Ch 28: Elderly Patient with Polytrauma.- SURGICAL MANAGEMENT Ch 29: Polytrauma in Children.- SURGICAL MANAGEMENT Ch 30: Management of Traumatic Bone Defects.- SURGICAL MANAGEMENT Ch 31: Acute Soft Tissues and Bone Infections.- III SECONDARY PERIOD (3 to 8 days).- ICU MANAGEMENT CH 32: DIC.- ICU MANAGEMENT CH 33: Polytrauma and Sepsis.- ICU MANAGEMENT CH 34: Polytrauma and Multiple Organ Failure.- ICU MANAGEMENT Ch 35: General Management in the Elderly on ICU.- ICU MANAGEMENT Ch 36: Clearing Patients for Surgery.- ICU MANAGEMENT Ch 37: Complications.- IV TERTIARY PERIOD (after 8 days) / Rehabilitation.- Rehabilitation Ch 38 : Rehabilitation Strategies in Polytrauma.- Rehabilitation Ch 39 : Outcome Scores.- Rehabilitation Ch 40: Treatment of Acute and Chronic Osteomyelitis.- Rehabilitation Ch 41: Management of Malunions and Nonunions in Patients with Multiple Injuries.- Rehabilitation Ch 42: Reconstructive Strategies for Skeletal Complications.- Rehabilitation Ch 43: Soft Tissue Coverage.- Rehabilitation Ch 44: Treatment of Heterotopic Ossification.- Rehabilitation Ch 45: Psychological Squelae After Severe Trauma.- Rehabilitation Ch 46: General Outcome and Quality of Life.