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Title The poly-traumatized patient with fractures : a multi-disciplinary approach / Hans-Christoph Pape, Roy Sanders, Joseph Borrelli, Jr., editors
Edition Second edition
Published Heidelberg : Springer, [2015]


Description 1 online resource (viii, 437 pages) : illustrations (some color)
Contents Preface; Contents; 1: The Impact of Trauma on Society; 1.1 Introduction; 1.2 The Psychological Implications of Trauma; 1.3 Chronic Pain and Disability Due to Trauma; 1.4 Return to Work After Trauma; 1.5 Global Trends and Perspectives on Trauma; Conclusion; References; 2: Economic Aspects of Trauma Care; 2.1 Introduction; 2.2 Cost of Illness; 2.3 Prevention; 2.4 Economic Evaluation of Health Technologies in Trauma Care; 2.5 Economic Aspects of Multiple/Severe Injuries in Hospital Care; References; 3: Evidence-Based Orthopaedic Trauma Care; 3.1 Origins; 3.2 Present State
3.3 Evidence-Based Approach3.3.1 Ask; 3.3.2 Acquire; 3.3.3 Appraise; 3.3.4 Apply; 3.3.5 Act; 3.4 Challenges; 3.5 Future Directions; 3.6 Models for Success in Orthopaedic Trauma Care; 3.7 Origins; 3.8 Formalization and Funding; 3.9 Commitment; 3.10 Research Coordinators; 3.11 Biannual Meetings; 3.12 Operationalization of the EBM Approach; Conclusion; References; 4: Inflammatory Changes and Coagulopathy in Multiply Injured Patients; 4.1 Introduction; 4.2 Damage-Associated Molecular Patterns; 4.3 Acute-Phase Reaction; 4.4 Immune Response After Multiple Injury
4.5 Activation and Dysfunction of the Serine Protease Systems4.5.1 The Coagulation System: Coagulopathy; 4.5.2 The Complement System: Complementopathy; 4.5.3 The Kallikrein-Kinin System; 4.6 Cytokines; 4.6.1 Pro-inflammatory Cytokines; 4.6.2 Anti-inflammatory Cytokines; 4.7 Reactive Oxygen Species (ROS); 4.8 Cells Implicated in Multiple Trauma; 4.8.1 Neutrophils; 4.8.2 Monocytes/Macrophages; 4.8.3 Natural Killer Cells; 4.9 Mechanisms of the Development of Organ Dysfunction; 4.9.1 Severity of Initial Injury (First Hit); 4.9.2 Two-Hit Theory; 4.9.3 Ischemia/Reperfusion Injury
4.9.4 Barrier Breakdown Conclusion; References; 5: Pathophysiology of Polytrauma; 5.1 Introduction; 5.2 Initial Response; 5.3 Inflammatory Response; 5.4 Clinical Course and Appropriate Actions; 5.5 Clinical Course and Immunomarkers; References; 6: Head Injuries: Neurosurgical and Orthopedic Strategies; 6.1 Introduction; 6.2 Pathophysiology of Head Injury; 6.3 The "Deadly Duo": Hypoxia and Hypotension; 6.4 Clinical Assessment and Management; 6.5 Strategies of Fracture Fixation in Head-Injured Patients; Conclusion; References; 7: Soft Tissue Injuries; 7.1 Introduction
7.2 Challenges of Soft Tissue Injury Associated with Fractures7.2.1 Principles and Classifications; 7.2.2 Hypoxia and Perfusion-related Complications; Tissue Hypoxia [11]; Compartment Syndrome; Venous Tissue Congestion and Thrombosis; Decubitus; 7.2.3 Life Threatening Early Wound Infections; 7.3 Surgical Management; 7.3.1 Acute Surgical Management; 7.3.2 Post-acute Surgical Phase; 7.3.3 Early-Intent Defect Coverage; 7.3.4 Peripheral Nerve System; Plexus Injury; Peripheral Nerve Injury; References; 8: Chest Trauma
Summary 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. ℗ℓ The new, revised edition takes full account of three major changes that have occurred in recent years. First, the increasing economic pressure on health care systems is impacting on the care of trauma patients. Second, there have been significant changes in trauma systems and the related education, in that while the United States appears to be approaching the European system, with the addition of a ℓ́ℓgeneralistℓ́ℓ education, some European countries are copying the hyperspecialization practiced in North America. Finally, there is a need to address the consequences of improved survival of polytrauma patients by focusing on the physical and psychological long-term sequelae of major injuries. Accordingly, post-traumatic stress disorder is discussed in depth in this new edition
Analysis chirurgie
intensive care
public health
Medicine (General)
Geneeskunde (algemeen)
Notes Includes index
Bibliography Includes bibliographical references and index
Notes English
Online resource; title from PDF title page (SpringerLink, viewed August 31, 2015)
Subject Fractures -- Treatment.
Bones -- Wounds and injuries -- Treatment
Fractures, Bone -- therapy
Fractures, Bone -- complications
Orthopedic Procedures -- methods
Trauma, Nervous System -- therapy
MEDICAL -- Surgery -- General.
Fractures -- Treatment
Genre/Form Electronic books
Form Electronic book
Author Pape, Hans-Christoph, 1962- editor.
Sanders, Roy (Roy W.), editor.
Borrelli, Joseph, Jr., editor.
ISBN 9783662472125