Book excerpt: 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.​