| Autor: |
Giannoudis VP; Major Trauma Centre, Leeds Teaching Hospitals NHS Trust.; Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom., Rodham P; Major Trauma Centre, Leeds Teaching Hospitals NHS Trust.; Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom., Giannoudis PV; Major Trauma Centre, Leeds Teaching Hospitals NHS Trust.; Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom., Kanakaris NK; Major Trauma Centre, Leeds Teaching Hospitals NHS Trust.; Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, United Kingdom. |
| Jazyk: |
angličtina |
| Zdroj: |
EFORT open reviews [EFORT Open Rev] 2023 May 09; Vol. 8 (5), pp. 382-396. Date of Electronic Publication: 2023 May 09. |
| DOI: |
10.1530/EOR-23-0053 |
| Abstrakt: |
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. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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