Developed for the International Association for Trauma Surgery and Intensive Care (IATSIC), the Manual of Definitive Surgical Trauma Care 6e is ideal for training all surgeons and anaesthetists who manage trauma on an infrequent basis. The Manual is updated every 4 years and reflects the most recent developments in patient management based on new evidence-based information. Its focus is on the importance of the multidisciplinary care of the trauma surgical patient. This sixth edition has evolved, and the all-important section on the Non-Technical Skills which are required has been expanded. A significant number of the original guidelines in trauma have been archived, as they are no longer pertinent or have been superseded. The increasing (and occasionally harmful) role of non-operative management (NOM) has been recognized. The 'Military Environments' and 'Austere Environments' chapters have been substantially revised to reflect current multinational combat experience, and broadened to reflect modern asymmetrical conflicts and the increased need for humanitarian intervention including military peacekeeping in which only one side wears a uniform. Military weapons are used in major cities against the civilian population. More recently, urban, non-military populations have been the targets and victims of heavy military combat including use of ultra-sophisticated weaponry. Each situation carries its own spectrum of injury and responsibility of care. Including website access to a selection of videos which provide an anatomic overview of surgical approaches, this resource provides a gold standard educational and training resource to help prepare the relatively fully trained surgeon to manage the difficult injuries that might present to a major trauma centre.