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Damage Control Management in the Polytrauma Patient

  • Book
  • © 2010


  • Edited by pioneers in the field
  • Features multidisciplinary approach
  • Emphasizes decision-making process
  • Highlights indications for applying damage control method
  • Includes supplementary material:

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About this book

Orthopedic trauma is largely limited to the stabilization and subsequent surgical management of fractures and dislocations, with most patients presenting to their local emergency departments with isolated injuries. Modern techniques and implants have made outcomes for these injuries more predictable. Intramedullary nailing, for example, has become standard treatment for a displaced fracture of the femoral shaft. These conditions can be managed by the majority of general ort- pedists being trained today. Interestingly, they most likely do not even understand or remember that this treatment evolved from the management of the polytrau- tized patient with fractures. The polytraumatized patient is, of course, a completely different matter. For many years, the only experience with these types of injuries was in casualties sustained by combatants during armed conflicts. Basic concepts such as anest- sia, blood transfusions, intravenous therapy, wound management, and even the development of nursing and the modern hospital were all learned and founded in armed conflicts such as the Crimean War, the Boer War, and World War I. The Second World War saw improvements in the management of both abdominal and extremity wounds, and this was further refined in the Korean and Vietnam Conflicts. These, however, were limited to saving lives and limbs that benefited from very basic care. Understanding even the most rudimentary physiological concepts now taken for granted eluded us, and this showed how limited kno- edge was at that time.

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Table of contents (24 chapters)

  1. Epidemiology and Pathophysiology

  2. Phases of Damage Control

  3. Special Aspects of Damage Control


From the reviews:

“This unique textbook, with 24 chapters and 58 authors, is both a technical manual and a clear illustration of the cultural challenges faced during a time of … radical transformation, especially by surgeons. … contains some excellent insights and clearly portrays the role of the surgeon throughout the injured patient’s journey, from resuscitation to reconstruction. … integrates damage control philosophy into a practical guide for managing the most severely injured patients. … a valuable resource for any clinicians, especially surgeons, involved in trauma care.” (Russell L. Gruen, Journal of the American Medical Association, Vol. 306 (5), August, 2011)

Editors and Affiliations

  • Department of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, USA

    Hans-Christoph Pape, Andrew Peitzman

  • Department of Surgery, University of Pennsylvania School of Medicine University of Pennsylvania Medical CenterUniversity of Pittsburgh, Pittsburgh, USA

    C. William Schwab

  • Leeds General Infirmary University Hospital Trauma and Orthopedic Surgery, University of Leeds, Leeds, UK

    Peter V. Giannoudis

Bibliographic Information

  • Book Title: Damage Control Management in the Polytrauma Patient

  • Editors: Hans-Christoph Pape, Andrew Peitzman, C. William Schwab, Peter V. Giannoudis

  • DOI:

  • Publisher: Springer New York, NY

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Science+Business Media, LLC, part of Springer Nature 2010

  • eBook ISBN: 978-0-387-89508-6Published: 12 August 2010

  • Edition Number: 1

  • Number of Pages: XXIV, 463

  • Topics: Orthopedics, Traumatic Surgery, Emergency Medicine, General Surgery

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