This book concentrates on problems generated by acute care in severely traumatized patients during the first 24 h after injury. During this hectic period, highly complicated problems have to be solved at the site of the accident, during transport to hospital, and in hospital. Multiple medical and paramedical disciplines are involved in providing care to the severely injured. This book endeavors to present a problem-oriented approach to the diagnostic, therapeutic, and organizational aspects that may be encountered.

Inhalt

Trauma Care in Europe 1995.- Methods of Registration and Injury Severity Scoring.- Extrication and Immobilization of the Severe Trauma Victim: How It Is Done.- Early Intubation in Trauma Patients.- Early Ventilation in Trauma Patients.- Analgesia and Sedatives in Emergencies.- Causes of Shock in the Severely Traumatized Patient: Emergency Treatment.- Volume Infusion in Traumatic Shock.- End-Points of Resuscitation.- Standard Diagnostic Workup of the Severely Traumatized Patient.- Radiology in Chest Trauma Patients.- The Role of Ultrasound in the Management of Blunt Abdominal Trauma.- Diagnostic Procedures in Abdominal and Retroperitoneal Injury.- Diagnostic Procedures in Spine, Pelvic, and Extremity Injuries.- Anesthesiological Management of the Severely Traumatized Patient in the Operating Theatre.- Therapeutic Sequences in the Acute Period in Unstable Patients.- Surgical Procedures in the Stabilized Patient.- Monitoring and Treatment of Acute Head Injury.- Treatment of Abdominal Injuries.- Treatment of Extremity Injuries in Polytraumatized Patients: Timing of Osteosynthesis and Other Important Factors.- Prevention of General Complications: Hypothermia, Coagulation Disorders, Infection and Acute Respiratory Distress Syndrome.- Prevention of Local Complications.- The Severe Trauma Patient in the ICU.