Pelvic Fractures

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Pelvic Fractures

Fig. 7.1 Type A pelvic ring injuries. The pelvic ring is mechanically stable Fig. 7.2 Type B pelvic ring injuries. The pelvic ring is rotationally unstable but the posterior SI…

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Femur Fractures

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Femur Fractures

Fig. 6.1 These are examples of inadequate plain radiographs of a femur fracture. (a) AP radiograph; (b) lateral radiograph. As the knee joint is not included on the radiograph, a…

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Closed Head Injury

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Closed Head Injury

Fig. 13.1 Pathophysiology of the inflammatory cascade and iatrogenic “2nd hit” insults leading to secondary brain injury Consequently, alternative strategies to provide early fracture stabilization of long bones, while avoiding…

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Chest Trauma and Lung Contusions

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Chest Trauma and Lung Contusions

Injury description AIS Pulmonary contusion 3 Fracture <3 ribs 1–2 Flail chest, unilateral 3 Blunt cardiac injury, minor ECG changes 3 Torn descending thoracic aorta 4–5 Epidemiology Thoracic injury is…

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Perioperative Management

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on Perioperative Management

Scene and situation   Kinematics and  mechanisms Height of fall, death of other passengers  Use of safety  devices Airbag, helmet or other protective gear  Time of injury  Initial patient status   Vitals…

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The Multiply Injured Patient

Feb 19, 2017 by in MUSCULOSKELETAL MEDICINE Comments Off on The Multiply Injured Patient

ISS > 40 Body temperature below 95 °F Multiple injuries (ISS > 20) in combination with thorax trauma Multiple injuries in combination with severe abdominal or pelvic injury and hemorrhagic shock in the moment…

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