Managing polytrauma patients

James T Berwin; Oliver Pearce; Luke Harries; Michael Kelly

doi:10.1016/j.injury.2020.07.051

Managing polytrauma patients

Injury. 2020 Oct;51(10):2091-2096. doi: 10.1016/j.injury.2020.07.051. Epub 2020 Jul 25.

Authors

James T Berwin¹, Oliver Pearce², Luke Harries², Michael Kelly²

Affiliations

¹ Department of Trauma & Orthopaedic Surgery, Southmead Hospital, North Bristol Trust, Southmead Road, Bristol BS10 5NB, United Kingdom. Electronic address: jtberwin@hotmail.com.
² Department of Trauma & Orthopaedic Surgery, Southmead Hospital, North Bristol Trust, Southmead Road, Bristol BS10 5NB, United Kingdom.

PMID: 32758368
DOI: 10.1016/j.injury.2020.07.051

Abstract

Embedding physiological markers into treatment algorithms has helped trauma teams rationalise interventions safely and signifies a departure from the dichotomy of damage control orthopaedics (DCO) and early total care (ETC) to early appropriate care (EAC). This has been shown to reduce length of stay and cost to treating centres. This article seeks to provide a clear summary of current concepts for managing orthopaedic injuries in the multiply injured patient.

Keywords: Damage control; Early appropriate care; Early total care; Polytrauma.

Publication types

Practice Guideline

MeSH terms

Humans
Multiple Trauma* / surgery
Orthopedic Procedures*
Orthopedics*