Incluye referencias bibliográficas e índice

Foreword by C.W. Schwab ; Preface by P.M. Rommens on behalf of theEuropean Society for Trauma andEmergency Surgery (ESTES); Contents; Part I: Introduction: Pathophysiology; 1: The Evolution of Trauma Systems; 1.1 Introduction; 1.2 The Process of Evolution; 1.3 The New Era; 1.3.1 Optimal Design Elements; 1.4 Barriers to Implementation; 1.5 The Road Ahead; References; 2: The Concept of Damage Control; 2.1 Historical Management of Injury; 2.2 Failure of a General Surgical Approach in Trauma; 2.3 The Development of the Abbreviated Laparotomy; 2.4 Basic Tenants of Damage Control.

2.4.1 Damage Control Part 0: Rapid Transport to Definitive Care2.4.2 Damage Control Part 1: Rapid Control of Hemorrhage and Contamination; 2.4.3 Damage Control Part 2: Resuscitation; 2.4.4 Damage Control Part 3: Return for Completion of Operative Repairs; 2.4.5 Damage Control Part 4: Definitive Abdominal Closure; 2.5 Indications for Damage Control; 2.5.1 Early Decision Making; 2.5.2 Triad of Death; 2.5.3 Associated Injuries; 2.5.4 Predicted or Present Abdominal Compartment Syndrome; 2.5.5 Planned Reoperation; 2.6 Expansion of Damage Control Principles; 2.7 Summary and Conclusion.

4.3.2 Monocytes/Macrophages4.3.3 Dendritic Cells; 4.4 Gut Barrier Failure and the SIRS Response; 4.5 Coagulation Cascade; 4.6 Complement Activation; 4.7 Multiple Organ Failure; References; 5: Defining the Lethal Triad; 5.1 Introduction; 5.2 History; 5.3 Hypothermia; 5.4 Acidosis; 5.5 Coagulopathy; 5.5.1 Activated Protein C; 5.5.2 Fibrinolysis; 5.5.3 Traumatic Brain Injury- Associated Coagulopathy; 5.6 ATC Identification; 5.7 Treatment; References; Part II: General Treatment Principles; 6: Damage Control Resuscitation; 6.1 Introduction; 6.1.1 Physiological Bleeding Control.

6.1.2 The Lethal Triad: Hypothermia, Acidosis and Coagulopathy6.2 Damage Control Resuscitation Before Bleeding Is Stopped; 6.2.1 Initial Assessment: Advanced Trauma Life Support (ATLS) Protocol; 6.2.2 Targeted Blood Pressure with Permissive Hypotension and Restrictive Fluid Administration; 6.2.3 Vasopressor Agents; 6.2.4 Red Blood Cell Transfusion; 6.2.5 Fibrinolysis Prevention; 6.2.6 Plasma and Platelet Transfusion in Haemostatic Resuscitation; 6.2.7 Viscoelastic Techniques and Administration of Concentrated Factors; 6.2.7.1 Principles of Clot Viscoelastic Property Studies.

This book is an unparalleled source of cutting-edge information on every aspect of rescue, trauma management, and fracture care in the polytrauma/multiple injured patient. Damage control surgery is approached logically and systematically by dividing treatment into phases. The common goal of treating life-threatening conditions first, then treating major pelvic and extremity fractures, requires cooperation among all major disciplines and subspecialties involved in the care of polytrauma patients, and the book is accordingly multidisciplinary in nature. It is edited by pioneers in the field and the authors are all acclaimed experts. This second, revised and updated edition of Damage Control Management in the Polytrauma Patient will be invaluable for all clinicians who must weigh life-saving operations against limb-threatening conditions, including emergency personnel, trauma surgeons, orthopaedic traumatologists, and anesthesiologists.