Clinical Management and Challenges in Polytrauma
Trauma is still a leading cause of death in patients below 40 years of age. Clinical management of severely injured patients is challenging in all phases of treatment during the clinical course. Numerous factors, such as injury severity, injury pattern, patient characteristics and trauma system, aff...
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| Format: | Online |
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| Idioma: | anglès |
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2022
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| Accés en línia: | ONIX_20220916_9783036551395_118 |
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| collection | Directory of Open Access Books |
| description | Trauma is still a leading cause of death in patients below 40 years of age. Clinical management of severely injured patients is challenging in all phases of treatment during the clinical course. Numerous factors, such as injury severity, injury pattern, patient characteristics and trauma system, affect the decision-making process in our patients. After the successful initial management of an unstable multiply injured patient, secondary definitive surgeries and reconstructions may have a risk for further systemic complications and the deterioration of the patient’s physiology. A “Safe Definitive Surgery” (SDS) concept considers the dynamics of the clinical course (prehospital, operations, complications, etc.) and the patient’s physiology. Due to the repeated re-evaluation and assessment of the patient’s clinical course, dynamics and adaptation of the treatment strategy, the safe management of polytraumatized patients is possible. Many unanswered questions still exist and need to be addressed in future studies: Which patients profit by the damage control strategy and which do not? When is it best to start with the definitive fixation of fractures in multiply injured patients? How can one improve the quality of life in polytraumatized patients? What are the strategies in elderly severely injured patients? With this Special Issue, we would like to stimulate research in the field of polytrauma in order to shed light on the above-mentioned questions |
| format | Online |
| id | doab-20.500.12854ir-92132 |
| institution | Directory of Open Access Books |
| language | eng |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| record_format | ojs |
| spelling | doab-20.500.12854ir-921322024-03-31T13:07:56Z Clinical Management and Challenges in Polytrauma Pfeifer, Roman pelvic ring fracture PCCD position associated injuries geriatric trauma scoring polytrauma ISS AIS geriatric patients orthogeriatric E-bike injuries outcome injury pattern comparison traumatic injury reactive oxygen species phagocytosis CD14 CD16 CD62L fMLP PMA emergency surgery trauma team competence trauma system life-saving intervention trauma non-invasive external pelvic stabilizers bleeding pelvic fractures post mortem analysis biomechanical force pneumatic pelvic sling VBM® T-POD® cloth sling SAM Sling® trauma victims prehospital death Injury Severity Score (ISS) hemorrhage shock resuscitation coagulopathy oxygen transport endotheliopathy microcirculation macrocirculation orthopaedic trauma nutritional deficiencies vitamins lower extremity wound complications nutrition wound healing platelets immune system posttraumatic organ failure posttraumatic lung dysfunction posttraumatic hyperinflammation I-FABP biomarker intestinal damage hemorrhagic shock major trauma thema EDItEUR::M Medicine and Nursing Trauma is still a leading cause of death in patients below 40 years of age. Clinical management of severely injured patients is challenging in all phases of treatment during the clinical course. Numerous factors, such as injury severity, injury pattern, patient characteristics and trauma system, affect the decision-making process in our patients. After the successful initial management of an unstable multiply injured patient, secondary definitive surgeries and reconstructions may have a risk for further systemic complications and the deterioration of the patient’s physiology. A “Safe Definitive Surgery” (SDS) concept considers the dynamics of the clinical course (prehospital, operations, complications, etc.) and the patient’s physiology. Due to the repeated re-evaluation and assessment of the patient’s clinical course, dynamics and adaptation of the treatment strategy, the safe management of polytraumatized patients is possible. Many unanswered questions still exist and need to be addressed in future studies: Which patients profit by the damage control strategy and which do not? When is it best to start with the definitive fixation of fractures in multiply injured patients? How can one improve the quality of life in polytraumatized patients? What are the strategies in elderly severely injured patients? With this Special Issue, we would like to stimulate research in the field of polytrauma in order to shed light on the above-mentioned questions 2022-09-16T13:48:01Z 2022-09-16T13:48:01Z 2022 book ONIX_20220916_9783036551395_118 9783036551395 9783036551401 https://directory.doabooks.org/handle/20.500.12854/92132 eng application/octet-stream Attribution 4.0 International https://mdpi.com/books/pdfview/book/6009 https://mdpi.com/books/pdfview/book/6009 10.3390/books978-3-0365-5140-1 10.3390/books978-3-0365-5140-1 MDPI - Multidisciplinary Digital Publishing Institute 9783036551395 9783036551401 158 Basel open access |
| spellingShingle | pelvic ring fracture PCCD position associated injuries geriatric trauma scoring polytrauma ISS AIS geriatric patients orthogeriatric E-bike injuries outcome injury pattern comparison traumatic injury reactive oxygen species phagocytosis CD14 CD16 CD62L fMLP PMA emergency surgery trauma team competence trauma system life-saving intervention trauma non-invasive external pelvic stabilizers bleeding pelvic fractures post mortem analysis biomechanical force pneumatic pelvic sling VBM® T-POD® cloth sling SAM Sling® trauma victims prehospital death Injury Severity Score (ISS) hemorrhage shock resuscitation coagulopathy oxygen transport endotheliopathy microcirculation macrocirculation orthopaedic trauma nutritional deficiencies vitamins lower extremity wound complications nutrition wound healing platelets immune system posttraumatic organ failure posttraumatic lung dysfunction posttraumatic hyperinflammation I-FABP biomarker intestinal damage hemorrhagic shock major trauma thema EDItEUR::M Medicine and Nursing Clinical Management and Challenges in Polytrauma |
| title | Clinical Management and Challenges in Polytrauma |
| title_full | Clinical Management and Challenges in Polytrauma |
| title_fullStr | Clinical Management and Challenges in Polytrauma |
| title_full_unstemmed | Clinical Management and Challenges in Polytrauma |
| title_short | Clinical Management and Challenges in Polytrauma |
| title_sort | clinical management and challenges in polytrauma |
| topic | pelvic ring fracture PCCD position associated injuries geriatric trauma scoring polytrauma ISS AIS geriatric patients orthogeriatric E-bike injuries outcome injury pattern comparison traumatic injury reactive oxygen species phagocytosis CD14 CD16 CD62L fMLP PMA emergency surgery trauma team competence trauma system life-saving intervention trauma non-invasive external pelvic stabilizers bleeding pelvic fractures post mortem analysis biomechanical force pneumatic pelvic sling VBM® T-POD® cloth sling SAM Sling® trauma victims prehospital death Injury Severity Score (ISS) hemorrhage shock resuscitation coagulopathy oxygen transport endotheliopathy microcirculation macrocirculation orthopaedic trauma nutritional deficiencies vitamins lower extremity wound complications nutrition wound healing platelets immune system posttraumatic organ failure posttraumatic lung dysfunction posttraumatic hyperinflammation I-FABP biomarker intestinal damage hemorrhagic shock major trauma thema EDItEUR::M Medicine and Nursing |
| topic_facet | pelvic ring fracture PCCD position associated injuries geriatric trauma scoring polytrauma ISS AIS geriatric patients orthogeriatric E-bike injuries outcome injury pattern comparison traumatic injury reactive oxygen species phagocytosis CD14 CD16 CD62L fMLP PMA emergency surgery trauma team competence trauma system life-saving intervention trauma non-invasive external pelvic stabilizers bleeding pelvic fractures post mortem analysis biomechanical force pneumatic pelvic sling VBM® T-POD® cloth sling SAM Sling® trauma victims prehospital death Injury Severity Score (ISS) hemorrhage shock resuscitation coagulopathy oxygen transport endotheliopathy microcirculation macrocirculation orthopaedic trauma nutritional deficiencies vitamins lower extremity wound complications nutrition wound healing platelets immune system posttraumatic organ failure posttraumatic lung dysfunction posttraumatic hyperinflammation I-FABP biomarker intestinal damage hemorrhagic shock major trauma thema EDItEUR::M Medicine and Nursing |
| url | ONIX_20220916_9783036551395_118 |