This document discusses musculo-skeletal trauma. It defines trauma and lists common causes including road traffic accidents, falls, sports injuries, and war or natural disasters. It describes priorities in trauma management and classifications systems used to assess injury severity. Supportive care needs for trauma patients are outlined. The challenges of treating musculoskeletal injuries are also discussed.

1. الذين اذا أصابتهم مصيبة قالوا انا لله وانا اليه راجعون 0 أولئك عليهم صلوات من ربهم ورحمة وأولئك هم المهتدون 0 ( البقرة الآية : 156-157) بسم الله الرحمن الرحيم

2. Dr. Abdullah H.A. Juma FRCS(Ed.) Associate Professor and Consultant Orthopedic surgery Musculo-Skeletal Trauma

6. Musculo-skeletal Trauma RTA & MVA

7. Musculo-skeletal Trauma

8. Musculo-skeletal Trauma

9. Musculo-skeletal Trauma Domestic

10. Musculo-skeletal Trauma

11. Musculo-skeletal Trauma Sports

12. Musculo-skeletal Trauma

13. Musculo-skeletal Trauma

14. Musculo-skeletal Trauma Occupational

15. Musculo-skeletal Trauma

16. Musculo-skeletal Trauma Industrial

17. Musculo-skeletal Trauma

18. Musculo-skeletal Trauma War

19. Musculo-skeletal Trauma

20. Musculo-skeletal Trauma Natural disasters

21. Musculo-skeletal Trauma

22. Open fracture

26. Musculo-skeletal Trauma Injury Severity Score (ISS) (Baker et al., 1997): Baker SP, O’neill B, Haddow W and Long WB (1974): The injury severity score : A method for describing patients with multiple injuries and evaluating emergency care. J.Trauma, 14:187-196.

27. Musculo-skeletal Trauma Triage Score (Champion et al., 1980): Champion HR, Sacco WJ, Hannan DS, Lepper RL, Atzinger ES, Copes WS and Proll RH(1980): Assessment of injury severity: The Triage Index. Critical Care Medicine, 8: 201-208.

28. Musculo-skeletal Trauma Glasgow Coma Scale (Teasdale and Jennet, 1974) Teasdale G and Jennet B (1974): Assessment of coma and impaired consciousness. Lancet, 2: 81-84.

31. Musculo-skeletal Trauma Dr. Soliman Fakeeh hospital has the full calibre of providing medical services with all medical and surgical specialities, taking care of injured patients. Example of an advanced trauma center:

39. Musculo-skeletal Trauma Relationship between mean daily urine nitrogen excretion for 7 days postoperatively, the blood level of branched chain a.a. on the 7th after injury and the initial ketone body levels.

40. Musculo-skeletal Trauma The concentrated ketone bodies in the blood of patients after injury

41. Musculo-skeletal Trauma Changes in the blood brached chain a.a. after injury

42. Musculo-skeletal Trauma The mean excretion of 3-methylhistidine in the urine in ten injured patients without hyperketonaemia

43. Musculo-skeletal Trauma The variation in the phases of injury according to its nature

44. Musculo-skeletal Trauma Some effects of burns on hormonal control

45. Musculo-skeletal Trauma Fat can not be used as a source of glucose

46. Musculo-skeletal Trauma Relationship between hormones and substrates in man

47. Musculo-skeletal Trauma Methylhistidine

48. Musculo-skeletal Trauma Metabolic pathways of animo acids

49. Musculo-skeletal Trauma The central position of the liver as a transformer between fuel supply and fuel consumers

50. Musculo-skeletal Trauma Diagrammatic representation of some changes in body composition induced by severe injury

58. Thank you From Dr. Abdullah H.A. Juma FRCS(Ed.) Associate Professor and Consultant Orthopedic surgery