Orthopaedic Trauma in the Austere Environment: A Practical Guide to Care in the Humanitarian Setting

Front Matter....Pages i-xxiii
Front Matter....Pages 1-1
How to Prepare for a Mission in a Conflict or Disaster Zone....Pages 3-11
What Can I Do Here? Understanding Your Working Environment....Pages 13-21
Epidemiology of Fatalities and Orthopaedic Trauma in Armed Conflicts and Natural Disasters....Pages 23-61
Is Evidence-Based Orthopedic Traumatology Possible in the Low-Resource Environment?....Pages 63-68
Cultural, Legal, and Ethical Considerations....Pages 69-76
Front Matter....Pages 77-77
Motor Vehicle Accidents: The Scourge of the Developing World....Pages 79-86
Injuries After Natural Disasters....Pages 87-93
Orthopedic Ballistic Trauma....Pages 95-105
Orthopedic Blast and Shrapnel Trauma....Pages 107-120
Injury from Traditional Bonesetter Fracture Management....Pages 121-127
Front Matter....Pages 129-129
Malnutrition and Orthopedic Injuries....Pages 131-140
HIV/AIDS and Orthopaedic Trauma....Pages 141-147
Malunion, Non-union and Delayed Presentation: The Norm, Not the Exception....Pages 149-161
Osteomyelitis....Pages 163-174
Where Is My BMP? Managing Bone Defects in the Austere Environment....Pages 175-182
Front Matter....Pages 183-183
What? No Lab? Preparing the Patient for Operation....Pages 185-192
Anaesthesia in Austere Environments....Pages 193-212
Intensive Care in the Austere Environment....Pages 213-234
Management of Blood Loss in the Austere Environment....Pages 235-241
Venous Thromboembolism Prophylaxis....Pages 243-247
Front Matter....Pages 183-183
Microbiology in the Low-Resource Environment....Pages 249-272
Rehabilitation, Physiotherapy and Prosthetics....Pages 273-300
Imaging in the Austere Environment....Pages 301-311
Front Matter....Pages 313-313
Damage Control Orthopaedics in the Low Resource Environment....Pages 315-323
The Closed Treatment of Fractures....Pages 325-340
Minimal Requirements for Open Reduction Internal Fixation in Austere Environments....Pages 341-350
Management of Open Fractures in Austere Environments....Pages 351-361
Management of Compartment Syndrome and Crush Syndrome....Pages 363-368
Amputations....Pages 369-381
Pediatric Trauma Care in Austere Environments....Pages 383-394
Experience Using the IM Interlocking Screw System in Austere Environment....Pages 395-407
Front Matter....Pages 409-409
Management of Spine Injuries in the Austere Environment....Pages 411-429
Shoulder Girdle Injuries....Pages 431-452
Fractures of the Proximal Humerus....Pages 453-465
Diaphyseal and Distal Humerus Fractures....Pages 467-481
Elbow Injuries in the Austere Environment....Pages 483-495
Forearm Injuries....Pages 497-511
Hand and Wrist Orthopaedic Injuries....Pages 513-526
Pelvis and Acetabular Fractures....Pages 527-533
Hip Injuries in the Austere Environment....Pages 535-548
Front Matter....Pages 409-409
Femoral Injuries....Pages 549-564
Distal Femoral Fractures and Knee Injuries in the Austere Environment....Pages 565-582
The Management of Closed Tibia Shaft Fractures in the Austere Environment....Pages 583-595
The Management of Ankle Injuries in the Austere Environment....Pages 597-611
Foot Injuries in the Austere Environment....Pages 613-623
Soft Tissue Management and Reconstructive Options in the Austere Environment....Pages 625-638
Vascular Injuries....Pages 639-647
Tendon Injuries....Pages 649-654
Front Matter....Pages 655-655
So What Happened Then? Follow-Up and the Challenge of Measuring Results....Pages 657-667
Legacy: What Are You Leaving Behind?....Pages 669-676
Telemedicine and Smartphones: Is There a Role for Technology in the Austere Environment?....Pages 677-683
Military Orthopedic Trauma Experience: Civilian Applications in an Austere Environment....Pages 685-692
Back Matter....Pages 693-709