Unique Resuscitative Therapies: ETC, REBOA and EPR

Orthopedic injuries represent one of the most common indications for operative intervention in patients admitted following blunt trauma. High-energy mechanisms often result in multi-system injuries, including injuries to the head, chest and abdomen, as well as the pelvis and extremities. Furthermore, patients with extensive injuries may require multiple operative procedures and anesthetics. One of the common questions for the perioperative physician is, “Is this patient ‘cleared’ for the operating room?” While few true orthopedic emergencies exist in present day trauma care, the coordination of fracture management in the severely injured patient with multi-system, soft-tissue trauma is of significant relevance to the trauma anesthesiologist and perioperative physician. Timely management of these injuries, as well as a thorough understanding of concomitant and competing injuries, has led to the concept of “early appropriate care” or “early total care” (ETC). The ultimate outcome of severely injured patients with multi-system trauma is improved with early...