Orthopaedic Trauma in the Austere Environment

A Practical Guide to Care in the Humanitarian Setting

  • Juan de Dios Robinson

Table of contents

  1. Front Matter
    Pages i-xxiii
  2. Setting the Scene: The Austere Environment

  3. Causes of Trauma in the Austere Environment

    1. Front Matter
      Pages 77-77
    2. Iain Elliott, Richard A. Gosselin
      Pages 79-86
    3. Richard A. Gosselin
      Pages 87-93
    4. Paul Ley
      Pages 95-105
    5. Scott C. Wagner, Jean Claude G. D’Alleyrand, Romney C. Andersen
      Pages 107-120
    6. Juan de Dios Robinson
      Pages 121-127
  4. Management Challenges in the Austere Environment

    1. Front Matter
      Pages 129-129
    2. Sandro Contini
      Pages 131-140
    3. W. J. Harrison
      Pages 141-147
    4. Andrew J. Stevenson
      Pages 163-174
  5. Perioperative Management in the Austere Environment

    1. Front Matter
      Pages 183-183
    2. Christine du Maine
      Pages 193-212
    3. Christine du Maine
      Pages 213-234
    4. Zachary J. Kastenberg, Sherry M. Wren
      Pages 235-241
    5. Zachary J. Kastenberg, Sherry M. Wren
      Pages 243-247
    6. Sandro Contini
      Pages 249-272
    7. Bérangère Gohy
      Pages 273-300
    8. Andy Creeden
      Pages 301-311
  6. Principles of Orthopaedic Traumatology in the Austere Environment

    1. Front Matter
      Pages 313-313
    2. A. Doorgakant, Steve Mannion
      Pages 325-340
    3. Richard A. Gosselin
      Pages 369-381
    4. Ashok K. Banskota
      Pages 383-394
  7. Practical Guides to Orthopaedic Trauma Management in the Austere Environment

    1. Front Matter
      Pages 409-409
    2. Peter A. Cole, Ryan Horazdovsky
      Pages 431-452
    3. Paul S. Whiting
      Pages 453-465
    4. Paul S. Whiting
      Pages 467-481
    5. Steve Hodgson
      Pages 483-495
    6. David Solfelt
      Pages 497-511
    7. Rishee Parmar
      Pages 513-526
    8. Richard A. Gosselin
      Pages 527-533
    9. Raman Mundi, Bonnie Chien, Mohit Bhandari
      Pages 535-548
    10. Sven Young
      Pages 549-564
    11. Samir Ayobi, Juan de Dios Robinson
      Pages 583-595

About this book


Orthopaedic trauma represents 75% of the casualties in a disaster. Many of these patients will be cared for by international volunteers. Unfortunately, good intentions are not always matched by good preparation, often resulting in further complications for patients.

This book has been written by a team of international experts with extensive experience of field missions to the most precarious and austere environments in the world, such as Afghanistan, Sierra Leone, Haiti, and Syria.  After reading the text, volunteers will be able to face situations that are confusing, chaotic, and distressing with a greater sense of direction and confidence. Health care workers involved in the care of the traumatized patient will find in the book answers and guidance that will help them to negotiate their way through the myriad of unfamiliar cases they will face in the field.

The text is divided into sections, each addressing a theme: definition of the austere environment, how best to prepare for missions, how to deal with injuries in austere conditions, how to ensure a positive legacy, and the need for cultural, political, and legal awareness. All of the most common orthopaedic presentations encountered in the austere environment are covered. In addition to evidence-based research, cases and actual experiences from the authors’ missions are included to illustrate and bring to life key points.


Conflict Disaster Earthquake Fracture Surgery

Editors and affiliations

  • Juan de Dios Robinson
    • 1
  1. 1.Queen Elizabeth II Health SciDalhousie UniversityHalifaxCanada

Bibliographic information

  • DOI
  • Copyright Information Springer International Publishing Switzerland 2016
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Print ISBN 978-3-319-29120-8
  • Online ISBN 978-3-319-29122-2
  • Buy this book on publisher's site