Textbook © 2022

Hardcover ISBN 978-3-030-95905-0  Published: 01 June 2022

Edition Number 3

Number of Pages XII, 677

Number of Illustrations 82 b/w illustrations, 126 illustrations in colour

Hardcover Book

• Fully revised and updated edition of the only currently available book on the subject

• Invaluable for students and the multiple professions involved in the management of the multiply and severely injured

• Practical guide written by cutting-edge contributors, providing the latest information on care of the polytrauma patient

About this book

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.

Table of contents (47 chapters)

Front Matter

Pages i-xii

General Aspects of Trauma Care

Front Matter

Pages 1-1

Impact of Trauma on Society

Hans-Peter Simmen, Carina Eva Maria Pothmann, Hans-Christoph Pape, Valentin Neuhaus

Pages 3-9

Economic Aspects of Trauma Care

Yousif Atwan, Emil H. Schemitsch

Pages 11-16

Evidence-Based Trauma Care

Daniel Axelrod, Marianne Comeau-Gauthier, Taylor Woolnaugh, Herman Johal, Mohit Bhandari

Pages 17-26

Acute Period (1–3 h)/Prehospital Phase and Trauma Bay

Front Matter

Pages 27-27

Trauma System and Rescue Strategies

Beat Schnüriger, Wolf E. Hautz

Pages 29-39

Preclinical Management/Rescue

Gerhard Achatz, Björn Hossfeld, Benedikt Friemert

Pages 41-58

Initial Assessment and Diagnostics

Philip F. Stahel, Adrian W. Olson

Pages 59-69

Volume and Blood Management

Alexander Kaserer, Julian Rössler, Donat R. Spahn

Pages 71-79

Resuscitative Endovascular Balloon Occlusion of the Aorta

Charles J. Fox, Ernest E. Moore

Pages 81-90

Preperitoneal Pelvic Packing

Julia R. Coleman, Ernest E. Moore, Clay Cothren Burlew

Pages 91-99

Primary Period (First 72 h)/Clinical Phase

Front Matter

Pages 101-101

Pathophysiology: Trauma-Induced Coagulopathy

Navin Ganesh Vigneshwar, Hunter B. Moore, Ernest E. Moore

Pages 103-112

The Inflammatory and Barrier Response After Polytrauma

Ebru Karasu, Markus Huber-Lang

Pages 113-125

Pathophysiology: Remote Organ Injury

Martijn van Griensven

Pages 127-134

Polytrauma Scoring

Sascha Halvachizadeh, Hans-Christoph Pape

Pages 135-144

Head Injuries

Philip F. Stahel, Colin Buchanan

Pages 145-160

Chest Trauma: Classification and Influence on the General Management

Ümit Mert, Hagen Andruszkow, Frank Hildebrand

Pages 161-184

Blunt Abdominal Trauma

Alain Corcos, Andrew B. Peitzman

Pages 185-204

Primary Period (First 72 h)/Clinical Phase

Penetrating Injuries of the Thorax

Areg Grigorian, Kenji Inaba

Pages 205-215

Penetrating Abdominal Trauma

Ning Lu, Walter L. Biffl

Pages 217-225

Pelvic Ring Injuries

Philip F. Stahel, Darryl A. Auston

Pages 227-236

Spine Fractures

Philip F. Stahel, Sebastian Weckbach

Pages 237-251

Spinal Cord Injury

Philip F. Stahel, Grégoire P. Chatain, Michael A. Finn

Pages 253-266

Urological Injuries in Polytraumatized Patients

Patricia John, David Pfister, Axel Heidenreich

Pages 267-280

Gyn. Injuries/Pregnant Patient in Polytrauma

Axel Gänsslen, Annelie Weinberg

Pages 281-306

Vascular Injuries

1. P. H. Leenen

Pages 307-315

Compartment Syndrome: Pathophysiology, Diagnosis, and Treatment

Joseph Borrelli Jr., David Donohue

Pages 317-337

Damage Control in Abdomen and Thorax

Andrew Nguyen, Raul Coimbra

Pages 339-358

Fracture Management

Roman Pfeifer, Hans-Christoph Pape

Pages 359-375

Mangled Extremity: Management in Isolated Extremity Injuries and in Polytrauma

Peter Kloen, Mark L. Prasarn, Craig Klinger, David L. Helfet

Pages 377-393

Surgical Management: Elderly Patient with Polytrauma

Conor N. O’Neill, Stephen L. Kates

Pages 395-417

Pediatric Polytrauma Management

Thomas Lustenberger, Ingo Marzi

Pages 419-430

Surgical Management: Management of Traumatic Bone Defects

Nikolaos Patsiogiannis, Peter V. Giannoudis

Pages 431-443

Surgical Management: Acute Soft Tissue and Bone Infections

Lena M. Napolitano

Pages 445-470

Secondary Period (3–8 Days)

Front Matter

Pages 471-471

ICU Management: Disseminated Intravascular Coagulation (DIC)

Satoshi Gando, Takeshi Wada

Pages 473-501

Early ICU Management of Polytrauma Patients Who Develop Sepsis

Frederick A. Moore

Pages 503-518

Polytrauma and Multiple Organ Dysfunction

Barclay T. Stewart, Ronald V. Maier

Pages 519-540

Secondary Period (3–8 Days)

ICU Management: General Management in the Elderly in ICU

Basil Andreas Hatz, Franziska Ziegenhain, Kai Oliver Jensen

Pages 541-545

ICU Management: Clearing Patients for Surgery

Max Lempert, Hans-Christoph Pape

Pages 547-551

ICU Management: Venous Thromboembolism

Takahiro Niikura

Pages 553-563

Tertiary Period (After 8 Days)/Rehabilitation

Front Matter

Pages 565-565

Rehabilitation Strategies in Polytrauma

Roman Pfeifer

Pages 567-572

Treatment of Fracture-Related Infections

Mario Morgenstern, Martin Clauss, Parham Sendi, Dieter Cadosch, Rik Osinga, Willem-Jan Metsemakers

Pages 573-581

Management of Aseptic Malunions and Nonunions

Jeffrey O. Anglen

Pages 583-605

Strategies for Visceral Complications

Hans-Peter Simmen, Carina Eva Maria Pothmann, Florin Allemann, Hans-Christoph Pape, Valentin Neuhaus

Pages 607-618

Rehabilitation: Soft Tissue Coverage

Inga S. Besmens, Maurizio Calcagni

Pages 619-630

Principles of Surgical Patient Safety

Philip F. Stahel, Vincent P. Stahel

Pages 631-640

Psychiatric Issues in the Treatment of Severe Trauma

Carol S. North, Fatih Canan

Pages 641-659

Rehabilitation: Long-Term Outcome and Quality of Life

Boris A. Zelle, Jose M. Gutierrez-Naranjo, Gautham Prabhakar, Gustavo J. Almeida

Pages 661-677

Correction to: Preclinical Management/Rescue

Gerhard Achatz, Björn Hossfeld, Benedikt Friemert

Pages C1-C1

Keywords

fracture managment in polytrauma

severly injured

interdisciplinary trauma managment

severe trauma

soft tissue injury managment

Editors and Affiliations

Department of Trauma Surgery, University Hospital Zürich, Zürich, Switzerland

Hans-Christoph Pape

Department of Orthopaedic Surgery & Sports Medicine, The University of South Florida Morsani College of Medicine, Tampa, USA

Joseph Borrelli Jr.

Ernest E. Moore Shock Trauma Center at Denver Health, University of Colorado, Denver, USA

Ernest E. Moore

Klinik für Traumatologie, University Hospital of Zürich, Zürich, Switzerland

Roman Pfeifer

Rocky Vista University, College of Osteopathic Medicine, Parker, USA

Philip F. Stahel

About the editors

Hans-Christoph Pape graduated in 1988 from Hannover Medical School, where he then completed a residency in trauma surgery. He was appointed Full Professor of Trauma Surgery at the School in 2000. Between 2003 and 2005 Dr. Pape was also a Visiting Professor at Harvard Medical School, the University of Alabama, and the University of Texas. In 2005 he was appointed Associate Professor in Traumatology at the University of Pittsburgh Medical Centre, and he is currently W. Pauwels Professor and Chairman of the Department of Orthopaedic/Trauma Surgery at the University of Aachen Medical Center, Germany. During his career, Dr. Pape has received many awards of note, including the Novartis Prize (2005), the Swiss AO Foundation Annual Award (2006), and the Kappa Delta Award from the American Academy of Orthopedic Surgeons (2008). He is the Editor in Chief for Open Access Emergency Medicine and a Section Editor for Injury and the European Journal of Trauma. Dr. Pape has been the lead author on 81 publications in peer-reviewed journals and co-author of a further 220. He is also the editor or author of several important books and has led many courses on polytrauma management.

Joseph Borrelli Jr graduated from the University of South Florida, College of Medicine in 1988, while gaining membership of the Alpha Omega Alpha Medical Honor Society. He subsequently specialized in orthopaedic trauma, becoming Assistant Professor and then Associate Professor, Orthopaedic Surgery, and Chief of the Orthopaedic Trauma Service at Washington University School of Medicine, in St. Louis, MO. In 2006 he was awarded the Dr. Charles F. Gregory Chair in Orthopaedic Surgery and the W.B. Carrell Professorship of Orthopaedic Surgery at University of Texas – Southwestern Medical Center. In 2011 Dr. Borrelli was appointed Chair of Orthopaedic Surgery at Texas Health Arlington Memorial Hospital. While at Washington University, Dr. Borrelli was awarded the Palma Chironis Award for Excellence in Teaching, the Lee T. Ford Award for Academic Achievement and the Jerome J. Gilden Distinguished Physician Award. During his time at WU he was awarded  the ASG (Austria, Switzerland, Germany)  Traveling Fellowship sponsored by the American Orthopaedic Association. He is a member of several editorial boards and is currently the Section Editor for Value Based Care Journal of Orthopaedic Trauma. Dr. Borrelli is a Fellow of the AAOS, a long-time member of the Orthopedic Trauma Association and was recently nominated as a Fellow of International OTA). Dr. Borrelli has authored and published dozens of  peer-reviewed articles, multiple book chapters, and has been a Co-editor of several text books of orthopedic surgery.

Ernest Moore has been the editor of the Journal of Trauma and Acute Care Surgery since 2012, and was the chief of trauma at the Denver General Hospital for 36 years, chief of surgery for 28 years, and the first Bruce M. Rockwell Distinguished Chair in Trauma Surgery. He continues to serve as vice chairman for Research and is a Distinguished Professor of Surgery at the University of Colorado Denver. Dr. Moore has served as president of 10 academic societies, including the Society of University Surgeons, American Association for the Surgery of Trauma, International Association for the Trauma and Surgical Intensive Care, and the World Society of Emergency Surgery.

Roman Pfeifer, MD is consultant of Trauma Surgery at the Department of Traumatology, University Hospital Zurich, Switzerland. He studied medicine at Hannover Medical School (MHH, Germany) and performed a scholarship at the University of Pittsburgh Medical Center, Pittsburgh, USA. He was resident at the Department of Orthopedic Trauma Surgery, University Hospital Aachen, Germany, and is board certified trauma surgeon (2017) and became a Fellow of European Board of Surgeons (FEBS, EBSQ exam).

Philip F. Stahel is the Chief Medical Officer at The Medical Center of Aurora in Colorado, and Professor of Orthopedics and Neurosurgery at Rocky Vista University College of Osteopathic Medicine. Phil trained at the University Hospital of Zurich, University Hospital of Berne, Switzerland, and at Charité University Medical Center in Berlin, Germany, and he accomplished a research fellowship in Neuroimmunology at the University of Alabama at Birmingham (UAB). Phil is the founder and Editor-in-Chief of the peer-reviewed journal Patient Safety in Surgery and the editor of several textbooks in the field of patient safety, including “Patient Safety in Surgery” (2014), “Blood, Sweat and Tears – Becoming a Better Surgeon” (2016), and “Surgical Patient Safety: A case-based approach” (2018).