Orthonotes
Orthonotes
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Polytrauma — Damage Control vs Early Total Care

ETC: definitive fixation within 24 h for stable patients. DCO: temporary stabilization in unstable patients; definitive fixation after stabilization. Second hit phenomenon: surgery can worsen SIRS/ARDS in unstable patients. DCO techniques: external fixation, splinting, traction. Completion after normalization of lactate, coagulation, and temperature.