07 musculoskeletal trauma

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07 musculoskeletal trauma

  1. 1. Musculoskeletal Trauma
  2. 2. Musculoskeletal Trauma OBJECTIVES <ul><li>Musculoskeletal Trauma </li></ul><ul><ul><li>Describe the primary and secondary surveys as related to extremity trauma. </li></ul></ul><ul><ul><li>List the five major pathophysiologic problems that require management in extremity injuries. </li></ul></ul><ul><ul><li>Indicate an understanding of the relationship between hemorrhage and open and closed fractures. </li></ul></ul><ul><ul><li>List the four primary signs and symptoms of extremity trauma; list other signs and symptoms that can indicate less obvious extremity injury. </li></ul></ul><ul><ul><li>Explain the management of extremity trauma, especially in the presence of life-threatening injuries. </li></ul></ul><ul><ul><li>Describe the management of amputations. </li></ul></ul>
  3. 3. Musculoskeletal Trauma Describe the primary survey as related to extremity trauma. <ul><li>Primary Survey </li></ul>
  4. 4. Musculoskeletal Trauma Describe the secondary survey as related to extremity trauma. <ul><li>Secondary Survey </li></ul>
  5. 5. Musculoskeletal Trauma List the five major pathophysiologic problems that require management in extremity injuries. <ul><li>Hemorrhage </li></ul><ul><li>Fractures & Dislocations </li></ul><ul><li>Sprains & Strains </li></ul><ul><li>Amputations </li></ul><ul><li>Compartment Syndrome </li></ul>
  6. 6. Musculoskeletal Trauma List the five major pathophysiologic problems that require management in extremity injuries. <ul><li>Hemorrhage </li></ul>
  7. 7. Musculoskeletal Trauma List the five major pathophysiologic problems that require management in extremity injuries. <ul><li>Fractures & Dislocations </li></ul>
  8. 8. Musculoskeletal Trauma List the five major pathophysiologic problems that require management in extremity injuries. <ul><li>Sprains and Strains </li></ul>
  9. 9. Musculoskeletal Trauma List the five major pathophysiologic problems that require management in extremity injuries. <ul><li>Amputations </li></ul>
  10. 10. Musculoskeletal Trauma List the five major pathophysiologic problems that require management in extremity injuries. <ul><li>Compartment Syndrome </li></ul>
  11. 11. Musculoskeletal Trauma Indicate an understanding of the relationship between hemorrhage and open and closed fractures. <ul><li>Open Fractures </li></ul><ul><li>Closed Fractures </li></ul>
  12. 12. Musculoskeletal Trauma List the primary signs and symptoms of extremity trauma; list other signs and symptoms that can indicate less obvious extremity injury. <ul><li>Primary Signs & Symptoms </li></ul><ul><li>DCAP-BTLS </li></ul><ul><ul><li>Deformity </li></ul></ul><ul><ul><li>Contusions </li></ul></ul><ul><ul><li>Abrasions </li></ul></ul><ul><ul><li>Penetrations </li></ul></ul><ul><ul><li>Burns </li></ul></ul><ul><ul><li>Tenderness </li></ul></ul><ul><ul><li>Lacerations </li></ul></ul><ul><ul><li>Swelling </li></ul></ul><ul><li>Other Signs & Symptoms </li></ul>
  13. 13. Musculoskeletal Trauma Explain the management of extremity trauma, especially in the presence of life-threatening injuries. <ul><li>Splints </li></ul>
  14. 14. Musculoskeletal Trauma Describe the management of amputations <ul><li>Bleeding </li></ul><ul><li>Splinting </li></ul><ul><li>Avulsed Part </li></ul><ul><li>Stump </li></ul>
  15. 15. Musculoskeletal Trauma Triage Concerns <ul><li>TRANSPORT TO A TRAUMA CENTER IF </li></ul><ul><li>Injuries to the extremities where the following physical findings are present: </li></ul><ul><li>(i) Amputations proximal to the wrist or ankle; </li></ul><ul><li>(ii) Visible crush injury; </li></ul><ul><li>(iii) Fractures of two or more proximal long bones; </li></ul><ul><li>(iv) Evidence of neurovascular compromise.; </li></ul><ul><li>Significant, penetrating trauma to extremities proximal to the knee or elbow with evidence of neurovascular compromise </li></ul><ul><li>“ Evidence of neurovascular compromise” means physiologic indicators of injury to blood vessels or nerves including, but not limited to, pallor, loss of palpable pulses, paralysis, paresthesia, or severe pain. </li></ul>TRAUMA CENTER
  16. 16. Musculoskeletal Trauma Summary <ul><li>Musculoskeletal Trauma </li></ul>
  17. 17. Musculoskeletal Trauma Case Study
  18. 18. Musculoskeletal Trauma QUESTIONS ?
  19. 19. References & Resources <ul><li>PHTLS </li></ul><ul><ul><li>Basic & Advanced Prehospital Trauma Life Support, 4 th Edition Mosby </li></ul></ul><ul><li>BTLS </li></ul><ul><ul><li>Basic Trauma Life Support, 4 th Edition, Brady </li></ul></ul><ul><li>ATLS </li></ul><ul><ul><li>Advanced Trauma Life Support, 6 th Edition, American College of Surgeons </li></ul></ul>

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