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[Diagnostics and Treatment Strategies for Multiple Trauma Patients]

Overview
Journal Chirurg
Specialty General Surgery
Date 2016 Feb 3
PMID 26830303
Citations 11
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Abstract

Severe trauma is still one of the leading causes of death worldwide. The initial treatment and diagnostics are of immense importance in polytraumatized patients. The initial approach mainly focuses on the advanced trauma life support (ATLS) concept. This includes the identification of life-threatening conditions and application of life-saving interventions. Depending on the physiological condition of the patient, the surgical treatment strategies of early total care (ETC) or damage control orthopedics (DCO) can be chosen. Appropriate surgical management can reduce the incidence of associated delayed systemic complications. This review summarizes the most commonly used definitions of polytrauma (including the Berlin polytrauma definition) and classification systems of severely injured patients. Moreover, the recently introduced treatment strategy of the safe definitive surgery concept for severely injured patients is also discussed in this article.

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References
1.
Pape H, Pfeifer R . Safe definitive orthopaedic surgery (SDS): repeated assessment for tapered application of Early Definitive Care and Damage Control?: an inclusive view of recent advances in polytrauma management. Injury. 2014; 46(1):1-3. DOI: 10.1016/j.injury.2014.12.001. View

2.
Pfeifer R, Tarkin I, Rocos B, Pape H . Patterns of mortality and causes of death in polytrauma patients--has anything changed?. Injury. 2009; 40(9):907-11. DOI: 10.1016/j.injury.2009.05.006. View

3.
RISKA E, von Bonsdorff H, Hakkinen S, Jaroma H, Kiviluoto O, Paavilainen T . Primary operative fixation of long bone fractures in patients with multiple injuries. J Trauma. 1977; 17(2):111-21. DOI: 10.1097/00005373-197702000-00005. View

4.
Sturm J, Wisner D, Oestern H, Kant C, Tscherne H, Creutzig H . Increased lung capillary permeability after trauma: a prospective clinical study. J Trauma. 1986; 26(5):409-18. DOI: 10.1097/00005373-198605000-00001. View

5.
Pape H, Schmidt R, Rice J, van Griensven M, Das Gupta R, Krettek C . Biochemical changes after trauma and skeletal surgery of the lower extremity: quantification of the operative burden. Crit Care Med. 2000; 28(10):3441-8. DOI: 10.1097/00003246-200010000-00012. View