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Multiple trauma – treatment of skeletal injuries with damage control orthopaedics


Authors: M. Šír 1,2;  L. Pleva 1,2;  V. Procházka 3
Authors place of work: Traumatologické centrum FN Ostrava, primář: Doc. MUDr. L. Pleva, CSc. 1;  Ústav medicíny katastrof, Lékařská fakulta OU, vedoucí ústavu: Doc. MUDr. L. Pleva CSc. 2;  Radiodiagnostický ústav FN Ostrava, přednosta: Doc. MUDr. P. Krupa, CSc. 3
Published in the journal: Rozhl. Chir., 2014, roč. 93, č. 5, s. 287-291.
Category: Various Specialization

Práce je určena k postgraduálnímu vzdělávání lékařů.

Summary

New methods of treating seriously injured patients have been introduced in the field of trauma surgery since 1993. These consist mostly of differentiated and rapid procedures of treatment of the injured skeleton, with the aim of preventing the development of severe haemorrhagic shock and exsanguination of the patient. The precondition for introducing these techniques is the study of the organism’s inflammatory response to trauma. Since 2000, this approach has been called damage control orthopaedics. The authors deal with the history of this method, the physiology of severe trauma, selection of patients eligible for this method and the appropriate timing of definitive treatment.

Key words:
multiple trauma – skeletal injuries – external fixators


Zdroje

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Štítky
Surgery Orthopaedics Trauma surgery
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