Orthopaedic Trauma in the Austere Environment

1. Front Matter

   Pages i-xxiii

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2. Setting the Scene: The Austere Environment

   1. Front Matter

      Pages 1-1

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   2. How to Prepare for a Mission in a Conflict or Disaster Zone

      • Anthony Damien Redmond

      Pages 3-11

   3. What Can I Do Here? Understanding Your Working Environment

      • David Nott

      Pages 13-21

   4. Epidemiology of Fatalities and Orthopaedic Trauma in Armed Conflicts and Natural Disasters

      • S. E. Roberts, K. Thorne, A. Akbari

      Pages 23-61

   5. Is Evidence-Based Orthopedic Traumatology Possible in the Low-Resource Environment?

      • Saam Morshed, David Shearer

      Pages 63-68

   6. Cultural, Legal, and Ethical Considerations

      • Mike Krosin

      Pages 69-76

3. Causes of Trauma in the Austere Environment

   1. Front Matter

      Pages 77-77

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   2. Motor Vehicle Accidents: The Scourge of the Developing World

      • Iain Elliott, Richard A. Gosselin

      Pages 79-86

   3. Injuries After Natural Disasters

      • Richard A. Gosselin

      Pages 87-93

   4. Orthopedic Ballistic Trauma

      • Paul Ley

      Pages 95-105

   5. Orthopedic Blast and Shrapnel Trauma

      • Scott C. Wagner, Jean Claude G. D’Alleyrand, Romney C. Andersen

      Pages 107-120

   6. Injury from Traditional Bonesetter Fracture Management

      • Juan de Dios Robinson

      Pages 121-127

4. Management Challenges in the Austere Environment

   1. Front Matter

      Pages 129-129

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   2. Malnutrition and Orthopedic Injuries

      • Sandro Contini

      Pages 131-140

   3. HIV/AIDS and Orthopaedic Trauma

      • W. J. Harrison

      Pages 141-147

   4. Malunion, Non-union and Delayed Presentation: The Norm, Not the Exception

      • Deepa Bose

      Pages 149-161

   5. Osteomyelitis

      • Andrew J. Stevenson

      Pages 163-174

   6. Where Is My BMP? Managing Bone Defects in the Austere Environment

      • Deepa Bose

      Pages 175-182

5. Perioperative Management in the Austere Environment

   1. Front Matter

      Pages 183-183

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Orthopaedic trauma represents 75% of the casualties in a disaster. Many of these patients will be cared for by international volunteers, but good intentions are not always matched by good preparation. This book explains how best to prepare for missions, how to deal with injuries in austere conditions, how to ensure a positive legacy, and the need for cultural, political, and legal awareness. All of the most common orthopaedic presentations encountered in the austere environment are covered. In addition to evidence-based research, cases and actual experiences from the authors’ missions are included to illustrate and bring to life key points. This book, written by a team of international experts with extensive experience of challenging field missions, will be an ideal practical guide for volunteers and health care workers, helping them to deal with confusing, chaotic, and distressing situations with greater confidence and efficacy.​

• Conflict
• Disaster
• Earthquake
• Fracture
• Surgery
• Trauma Surgery

• Queen Elizabeth II Health Sci, Dalhousie University, Halifax, Canada

  Juan de Dios Robinson

Mr. Juan de Dios Robinson BA MBBS MRCS Dip SICOT FRCS (Tr and Orth) MSc (Trauma Surgery) is a consultant in trauma and orthopaedics at the Major Trauma Centre in St Mary’s Hospital, London. Mr. Robinson has had extensive experience in natural and man-made disasters. He has participated in rescue efforts and health projects following earthquakes and conflicts in Latin America and Asia. While working as an orthopaedic trauma consultant in the Médecins Sans Frontières (MSF) Kunduz Trauma Centre, Afghanistan, he carried out close to 500 surgeries in 5 months. An active member of the UK International Emergency Trauma Register, Mr. Robinson has lectured on civilian orthopaedic trauma in the conflict and low resource environment in Europe, North America, and Asia.

He was awarded an MBBS by the Imperial College School of Medicine, London, in 1999 and gained his membership from The Royal College of Surgeons of Edinburgh, UK, in 2006. He then passed the Intercollegiate Fellowship in Trauma and Orthopaedics and was elected as a Fellow of the Royal College of Surgeons of Edinburgh in 2011. Mr. Robinson completed prestigious Trauma Fellowships at Dalhousie University, Canada and Oxford. He also holds a Diploma from the International Society ofTrauma and Orthopaedics (SICOT) and an MSc in Trauma Surgery (Military) and in completing an MSc in Surgical Science and Practice at the University of Oxford.

Policies and ethics