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Severely injured patients: modern management strategies

Management of severely injured patients remains a challenge, characterised by a number of advances in clinical practice over the last decades. This evolution refers to all different phases of patient treatment from prehospital to the long-term rehabilitation of the survivors. The spectrum of injurie...

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Autores principales: Giannoudis, Vasileios P, Rodham, Paul, Giannoudis, Peter V, Kanakaris, Nikolaos K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bioscientifica Ltd 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233811/
https://www.ncbi.nlm.nih.gov/pubmed/37158332
http://dx.doi.org/10.1530/EOR-23-0053
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author Giannoudis, Vasileios P
Rodham, Paul
Giannoudis, Peter V
Kanakaris, Nikolaos K
author_facet Giannoudis, Vasileios P
Rodham, Paul
Giannoudis, Peter V
Kanakaris, Nikolaos K
author_sort Giannoudis, Vasileios P
collection PubMed
description Management of severely injured patients remains a challenge, characterised by a number of advances in clinical practice over the last decades. This evolution refers to all different phases of patient treatment from prehospital to the long-term rehabilitation of the survivors. The spectrum of injuries and their severity is quite extensive, which dictates a clear understanding of the existing nomenclature. What is defined nowadays as polytrauma or major trauma, together with other essential terms used in the orthopaedic trauma literature, is described in this instructional review. Furthermore, an analysis of contemporary management strategies (early total care (ETG), damage control orthopaedics (DCO), early appropriate care (EAC), safe definitive surgery (SDS), prompt individualised safe management (PRISM) and musculoskeletal temporary surgery (MuST)) advocated over the last two decades is presented. A focused description of new methods and techniques that have been introduced in clinical practice recently in all different phases of trauma management will also be presented. As the understanding of trauma pathophysiology and subsequently the clinical practice continuously evolves, as the means of scientific interaction and exchange of knowledge improves dramatically, observing different standards between different healthcare systems and geographic regions remains problematic. Positive impact on the survivorship rates and decrease in disability can only be achieved with teamwork training on technical and non-technical skills, as well as with efficient use of the available resources.
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spelling pubmed-102338112023-06-02 Severely injured patients: modern management strategies Giannoudis, Vasileios P Rodham, Paul Giannoudis, Peter V Kanakaris, Nikolaos K EFORT Open Rev Instructional Lecture: Trauma Management of severely injured patients remains a challenge, characterised by a number of advances in clinical practice over the last decades. This evolution refers to all different phases of patient treatment from prehospital to the long-term rehabilitation of the survivors. The spectrum of injuries and their severity is quite extensive, which dictates a clear understanding of the existing nomenclature. What is defined nowadays as polytrauma or major trauma, together with other essential terms used in the orthopaedic trauma literature, is described in this instructional review. Furthermore, an analysis of contemporary management strategies (early total care (ETG), damage control orthopaedics (DCO), early appropriate care (EAC), safe definitive surgery (SDS), prompt individualised safe management (PRISM) and musculoskeletal temporary surgery (MuST)) advocated over the last two decades is presented. A focused description of new methods and techniques that have been introduced in clinical practice recently in all different phases of trauma management will also be presented. As the understanding of trauma pathophysiology and subsequently the clinical practice continuously evolves, as the means of scientific interaction and exchange of knowledge improves dramatically, observing different standards between different healthcare systems and geographic regions remains problematic. Positive impact on the survivorship rates and decrease in disability can only be achieved with teamwork training on technical and non-technical skills, as well as with efficient use of the available resources. Bioscientifica Ltd 2023-05-09 /pmc/articles/PMC10233811/ /pubmed/37158332 http://dx.doi.org/10.1530/EOR-23-0053 Text en © the author(s) https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Instructional Lecture: Trauma
Giannoudis, Vasileios P
Rodham, Paul
Giannoudis, Peter V
Kanakaris, Nikolaos K
Severely injured patients: modern management strategies
title Severely injured patients: modern management strategies
title_full Severely injured patients: modern management strategies
title_fullStr Severely injured patients: modern management strategies
title_full_unstemmed Severely injured patients: modern management strategies
title_short Severely injured patients: modern management strategies
title_sort severely injured patients: modern management strategies
topic Instructional Lecture: Trauma
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233811/
https://www.ncbi.nlm.nih.gov/pubmed/37158332
http://dx.doi.org/10.1530/EOR-23-0053
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