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Titlebook: Neurotrauma Management for the Severely Injured Polytrauma Patient; James M. Ecklund,Leon E. Moores Book 2017 Springer International Publi

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Rural and Austere Environmentste of the art treatment under austere conditions. Strategies to assist in assuring the competency of the staffs in rural facilities are discussed along with the use of telemedicine and various other modalities in the management of the polytraumatized patient.
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Laparotomy for Refractory ICPthe abdominal compartment may lead to improvement in refractory ICP. The concept of “multiple compartment syndrome” in recent years has helped to outline a strategy for the management of refractory ICP in a last-ditch effort to improve an otherwise dire outcome [.].
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Initial Evaluation and Managementince 60 % of polytrauma patients die within the first hour of hospitalization due to loss of airway, excessive blood loss, or from major injury of central nervous system, primary or secondary. Traumatic injury remains the major cause of possible preventable death in patients under 40 years.
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The Difficult Conversation Nowhere is this more evident than with the severely injured trauma patient. In the vast majority of instances the physicians and team members have no established relationship or credibility with a family trying to rapidly process complex information in a life changing scenario involving a loved one
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