Damage control in orthopaedical and traumatology.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Conflict of interest: The authors declare that they have conflict s of interest. 2. Injury. 2020 Oct;51(10):2091-2096. doi: 10.1016/j.injury.2020.07.051. Epub 2020 Jul 25. Managing polytrauma patients. Berwin JT(1), Pearce O(2), Harries L(2), Kelly M(2). Author information: (1)Department of Trauma & Orthopaedic Surgery, Southmead Hospital, North Bristol Trust, Southmead Road, Bristol BS10 5NB, United Kingdom. Electronic address: jtberwin@hotmail.com. (2)Department of Trauma & Orthopaedic Surgery, Southmead Hospital, North Bristol Trust, Southmead Road, Bristol BS10 5NB, United Kingdom. Comment in Injury. 2021 Nov;52(11):3551. doi: 10.1016/j.injury.2020.10.042. Injury. 2021 Nov;52(11):3543-3544. doi: 10.1016/j.injury.2021.02.084. 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. Copyright © 2020. Published by Elsevier Ltd. DOI: 10.1016/j.injury.2020.07.051