Damage Control Management in the Polytrauma Patient (Paperback, 2, Softcover Repri)

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 control surgery - orthopaedic.