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Neglected trauma

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S
Sitanshu Barik
Health & Medicine
1 of 63
Dr.Vijayamohan.S, AIMS,Kochi
The team 2 orthopedic surgeons 2 plastic surgeons 2 maxillofacial surgeons 2 anesthetists 1 infectiologist
54 M 20 F 395 74
74 18 74 60 Poly trauma Plastic reconstruction
Extensive debridement External fixation Antibiotics based on bone culture Plastic intervention Nutritional care Internal fixation / Bone grafting Rehabilitation
Amikacine Gentamycine Cloxacilline Levofloxacinne Ofloxacine Clindamycine Ceftrioxone Imipenem Tazocilline Vancomycine
Continuous IV 15mg/kg 1hr 30mg/kg/dayVancomycine Continuous IV6gCeftazidime IV150 mg/KgCloxacilline IV /IM2g Cceftrioxone IV only200mg/KgAmoxicilline Posology
68 62 Internal fixationamputation Ex.fix / pop
Debridement is the key Don’t save skin, go for flap Don’t avoid scar, go for flap Antibiotics as per bone culture Pus cultures may be misleading Combination in MultiRh cases Ex Fix as a definitive tool Nutrition and rehabilitation
Neglected trauma

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