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The Poly-Traumatized Patient with Fractures
This guide provides practical information on the care of patients with blunt injuries that will be invaluable for emergency personnel, trauma surgeons, orthopaedic traumatologists, and anesthesiologists. The management of both truncal injuries (head, chest, abdomen) and fractures of the extremities, the pelvis, and the spine is covered in a condensed fashion, emphasizing key information. Care is taken to highlight associated injuries that may alter the decision making in patients with polytrauma. The new, revised edition takes full account of three major developments of recent years, namely the increasing economic pressure on health care systems, including trauma care, the changes in trauma systems and related education, and the improved survival of polytrauma patients. In view of the greater recognition of the physical and psychological long-term sequelae of major injuries, post-traumatic stress disorder is discussed in depth in this new edition.
Practical Procedures in Orthopaedic Trauma Surgery
"Indications Open fracture. Painful non-union. Associated injury to the brachial plexus and/or subclavian artery. Floating shoulder. Bilateral fractures. Multiple injured patient. Soft tissue interposition between the fragments. Impending skin necrosis or penetration from a prominent fragment. Consideration for surgical fixation should be given to completely displaced, comminuted midshaft fractures that contain a transverse fragment (Z-shaped fractures). There is evidence in the current orthopaedic literature that these fractures have a high risk of non-union. For distal clavicle fractures, operative management is indicated in displaced type III, IV and V according to Neer's classification."--
Damage Control Management in the Polytrauma Patient
This guide to damage control surgery focuses on the decision-making process for managing polytrauma. Orthopedists, trauma surgeons, and emergency medicine physicians will learn how to effectively coordinate efforts. The book presents an overview of the damage control concept and the epidemiology of polytrauma injuries. Immunological changes, cascade reactions, and patient selection are discussed. Indications for life-saving procedures, damage control for truncal injuries, and damage control for extremities and pelvic fractures are outlined as well. The text also covers vascular injuries and secondary definitive procedures.
Practical Procedures in Orthopaedic Trauma Surgery
A highly illustrated practical guide for surgeons in training, comprehensively covering the range of common trauma procedures they will perform.
Compartment Syndrome
Compartment syndrome is a complex physiologic process with significant potential harm, and though an important clinical problem, the basic science and research surrounding this entity remains poorly understood. This unique open access book fills the gap in the knowledge of compartment syndrome, re-evaluating the current state of the art on this condition. The current clinical diagnostic criteria are presented, as well as the multiple dilemmas facing the surgeon. Pathophysiology, ischemic thresholds and pressure management techniques and limitations are discussed in detail. The main surgical management strategy, fasciotomy, is then described for both the upper and lower extremities, along wit...
Practical Procedures in Orthopaedic Trauma Surgery
This highly illustrated textbook provides an essential guide for surgeons in training. It follows a step-by-step approach to performing a surgical procedure. It includes details of positioning the patient, the approach and reduction technique, the implant to be inserted, protocols for postoperative mobilisation, complications to look for, when the patient should be seen in the outpatient clinic and whether the implant should be removed. Intraoperative pictures have been incorporated to make the surgeon aware of all the important issues involved. It covers the most common trauma procedures that surgeons in training are expected to perform during their residency. Each procedure has been written by an expert. This will be an invaluable resource for the resident in training during the long on-call nights in the hospital while preparing for operations.
Surgical and Medical Treatment of Osteoporosis
Osteoporosis is the most common bone disease and is associated with pathological fractures that can lead to significant morbidity. It represents an economic burden to the health care system, directly linked to an ageing population. Guidelines on osteoporosis prevention have been published but these do not provide the required specialised knowledge
Textbook of Polytrauma Management
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.
Patient Safety in Surgery
In general, surgeons strive to achieve excellent results and ideal patient outcomes, however, this noble task is frequently failed. For patients, surgical complications are analogous to “friendly fire” in wartime. Both scenarios imply that harm is unintentionally done by somebody whose aim was to help. Interestingly, adverse events resulting from surgical interventions are more frequently related to system errors and a communication breakdown among providers, rather than to the imminent threat of the surgical blade “gone wrong”. Patient Safety in Surgery aims to increase the safety and quality of care for patients undergoing surgical procedures in all fields of surgery. Patient Safety in Surgery, covers all aspects related to patient safety in surgery, including pertinent issues of interest to surgeons, medical trainees (students, residents, and fellows), nurses, anaesthesiologists, patients, patient families, advocacy groups, and medicolegal experts.
New Diagnostic and Therapeutic Approaches for the Care of the Severely Injured Patient
Trauma represents a leading cause of death, particularly in the younger population. Traumatic brain injury and hemorrhage are the most common causes of early death, whereas complications such as infections, (multi-)organ failure and “persistent inflammation, immunosuppression, and catabolism syndrome” (PICS) represent relevant factors for late adverse outcomes. Pre- and intra-hospital diagnostic and therapeutic standard operating procedures have been shown to beneficially influence posttraumatic outcome. However, development of patient-specific diagnostic and therapeutic strategies remains challenging due to uncertainties regarding the assessment of the individual risk profile. Furthermo...
