Managing polytrauma patients.

Injury · Oct 2020 · Review

Berwin JT, Pearce O, Harries L, Kelly M

Department of Trauma & Orthopaedic Surgery, Southmead Hospital, North Bristol Trust, United Kingdom

Orthopaedic Trauma

SUMMARY — THE REDUCTIONOverview of current concepts for managing orthopaedic injuries in polytrauma, describing the shift from damage control orthopaedics versus early total care toward physiology-guided early appropriate care, which shortens stay and reduces cost.
Abstract, as published

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.

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