This textbook is a fully updated and revised third edition of a highly successful practical guide to the care of the polytrauma patient. Broadening its readership to students, this new edition comprehensively describes the clinical course of multiple and severe injuries, from the accident scene to rehabilitation.

It provides essential practical information on the care of patients both with blunt and penetrating trauma to multiple body regions, and discusses the management of truncal injuries (head, chest, abdomen) as well as fractures of the extremities, pelvis and spine. Further, the book highlights associated injuries that may alter decisions concerning patients with polytrauma.

This new, revised edition takes full account of recent developments, including the increasing economic pressure on health care systems, prehospital treatment, changes in trauma systems and related education, and the improved survival of polytrauma patients. Also covering improved monitoring optionsalong with issues in late patient outcomes and rehabilitation this work will greatly assist  students, emergency personnel, trauma surgeons, orthopaedic traumatologists, and anesthesiologists.

I Introduction: 1 Impact of Trauma on Society

2: Economic Aspects of Trauma Care
3: Evidence-Based Trauma Care - the role of COTS
II ACUTE PERIOD (1 to 3 hours) / Prehospital Phase and Trauma Bay
4: Rescue Strategies and Trauma System
5: Preclinical Maganement
6: Initial Assessment and Diagnistics
7: Volume and Blood Management
8: Emergency Interventions
III PRIMARY PERIOD (First 72 hours) / Clinical Phase
PATHOPHYSIOLOGY, Ch 9: Coagulopathy
PATHOPHYSIOLOGY, Ch 10: Inflammation and Immunosupression
PATHOPHYSIOLOGY Ch 11: Remote Organ Injury
PATHOPHYSIOLOGY Ch 12: Polytrauma Scoring
CERTAIN INJURIES Ch 13: Head Injuries
CERTAIN INJURIES Ch 14: Injury of the Face
CERTAIN INJURIES, Ch 15: Chest Trauma
CERTAIN INJURIES, Ch 16: Abdominal Injuries
CERTAIN INJURIES, Ch 17: Penetrating Thorax and Abdominal Trauma
CERTAIN INJURIES Ch 18: Management of the Pelvic Ring
CERTAI INJURIES, Ch 19: Spine Fractures
CERTAININJURIES, Ch 20: Spinal Cord Injuries.-CERTAIN INJURIES, Ch 21: Urological Injuries in Polytrauma
CERTAIN INJURIES, Ch 22: Gynecological Injuries /Pragnant Patient in Polytrauma
CERTAIN INJURIES, Ch 23: Vascular Injuries
CERTAIN INJURIES, Ch 24: Compartment Syndrom
SURGICAL MANAGEMENT, Ch 25: Damage Control in Abdomen and Thorax
SURGICAL MANAGEMENT, Ch 26: Fracture Management / DCO
SURGICAL MANAGEMENT, Ch 27: Managled Extremity
SURGICAL MANAGEMENT, Ch 28:  Elderly Patient with Polytrauma
SURGICAL MANAGEMENT Ch 29: Polytrauma in Children
SURGICAL MANAGEMENT Ch 30: Management of Traumatic Bone Defects
SURGICAL MANAGEMENT Ch 31: Acute Soft Tissues and Bone Infections
III SECONDARY PERIOD (3 to 8 days)
ICU MANAGEMENT CH 32:  DIC
ICU MANAGEMENT CH 33:  Polytrauma and Sepsis
ICU MANAGEMENT CH 34:  Polytrauma and Multiple Organ Failure
ICU MANAGEMENT Ch 35:  General Management in the Elderly on ICU
ICU MANAGEMENT Ch 36:  Clearing Patients for Surgery
ICU MANAGEMENT Ch 37:  Complications
IV TERTIARY PERIOD (after 8 days) / Rehabilitation
Rehabilitation Ch 38 : Rehabilitation Strategies in Polytrauma
Rehabilitation Ch 39  : Outcome Scores
Rehabilitation Ch 40: Treatment of Acute and Chronic Osteomyelitis
Rehabilitation Ch 41: Management of Malunions and Nonunions in Patients with Multiple Injuries
Rehabilitation Ch 42: Reconstructive Strategies for Skeletal Complications
Rehabilitation Ch 43: Soft Tissue Coverage
Rehabilitation Ch 44: Treatment of Heterotopic Ossification
Rehabilitation Ch 45: Psychological Squelae After Severe Trauma
Rehabilitation Ch 46: General Outcome and Quality of Life.