classification of soft tissue injuries. gustilo anderson classification, tscheren classification, hanover fracture scale and ao soft tissue grading system, types of wounds. orthopedic open fracture classification for management of soft tissue injuries
classification of soft tissue injuries. gustilo anderson classification, tscheren classification, hanover fracture scale and ao soft tissue grading system, types of wounds. orthopedic open fracture classification for management of soft tissue injuries
Cast and immobilization techniques in orthopaedics by Dr O.O. AfuyeAlade Olubunmi
Cast, similar in function to splints are used to immobilize broken bones. The principles of its application and cast care most be followed for effectiveness.
The management of pediatric polytrauma -a simple reviewEmergency Live
This Clinical review, published by Libertas Academica, is an interesting commentary about the management of pediatric polytrauma.
This research was realized by
H. Mevius, M. van Dijk, A. Numanogluand A.B. van As between the MC-Sophia Childen's Hospital, Rotterdam, and the Red Cross War memorial Children's Hospital in Cape Town, South Africa.
H. Mevius1, M. van Dijk2–4, A. Numanoglu2,3 and A.B. van As2,3
1Medical Student, Department of Pediatric Surgery, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands. 2Department
of Paediatric Surgery, Red Cross War Memorial Children’s Hospital, Cape Town, South Africa. 3University of Cape Town, Cape Town,
South Africa. 4Department of Pediatric Surgery, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands.
1Medical Student, Department of Pediatric Surgery, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands. 2Department
of Paediatric Surgery, Red Cross War Memorial Children’s Hospital, Cape Town, South Africa. 3University of Cape Town, Cape Town,
South Africa. 4Department of Pediatric Surgery, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands.
ABSTRACT: Polytrauma is a major cause of mortality and morbidity in both developed and developing countries. The primary goal of this review is to provide a comprehensive overview on current knowledge in the management of pediatric polytrauma patients (PPPs). A database review was conducted based on a search in the Embase, Medline OVID-SP, Web of Science, Cochrane central, and Pubmed databases. Only studies with “paediatric population” and “polytrauma” as criteria were included. A total of 3310 citations were retrieved. Of these, 3271 were excluded after screening, based on title and abstract. The full texts of 39 articles were assessed; further selection left 25 articles to be included in this review. The most crucial point in the
management of PPPs is preparedness of the staff and an emergency room furnished with age-appropriate drugs and equipment combined with a systemic
approach.
KEY WORDS: pediatric population, polytrauma, multiple injuries, current management, review
Introduction
Polytrauma is a medical term that describes the condition of a patient subjected to multiple traumatic injuries and can be a life-threatening condition. These (life threatening) injuries typically affect two or more body regions and present a challenge for diagnosis and treatment.1,2 However, there is no consensus yet about the term polytrauma in both literature and practice.3
Polytrauma is a major cause of mortality and morbidity in both developed and developing countries. Despite its preventability, trauma remains the most common cause of death and disability in children.2 In fact, all over the world, more than 700,000 children under the age of 15 years die each year due to accidental injury.4 Leading causes of polytrauma are road traffic crashes, falls from heights, and
Cast and immobilization techniques in orthopaedics by Dr O.O. AfuyeAlade Olubunmi
Cast, similar in function to splints are used to immobilize broken bones. The principles of its application and cast care most be followed for effectiveness.
The management of pediatric polytrauma -a simple reviewEmergency Live
This Clinical review, published by Libertas Academica, is an interesting commentary about the management of pediatric polytrauma.
This research was realized by
H. Mevius, M. van Dijk, A. Numanogluand A.B. van As between the MC-Sophia Childen's Hospital, Rotterdam, and the Red Cross War memorial Children's Hospital in Cape Town, South Africa.
H. Mevius1, M. van Dijk2–4, A. Numanoglu2,3 and A.B. van As2,3
1Medical Student, Department of Pediatric Surgery, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands. 2Department
of Paediatric Surgery, Red Cross War Memorial Children’s Hospital, Cape Town, South Africa. 3University of Cape Town, Cape Town,
South Africa. 4Department of Pediatric Surgery, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands.
1Medical Student, Department of Pediatric Surgery, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands. 2Department
of Paediatric Surgery, Red Cross War Memorial Children’s Hospital, Cape Town, South Africa. 3University of Cape Town, Cape Town,
South Africa. 4Department of Pediatric Surgery, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands.
ABSTRACT: Polytrauma is a major cause of mortality and morbidity in both developed and developing countries. The primary goal of this review is to provide a comprehensive overview on current knowledge in the management of pediatric polytrauma patients (PPPs). A database review was conducted based on a search in the Embase, Medline OVID-SP, Web of Science, Cochrane central, and Pubmed databases. Only studies with “paediatric population” and “polytrauma” as criteria were included. A total of 3310 citations were retrieved. Of these, 3271 were excluded after screening, based on title and abstract. The full texts of 39 articles were assessed; further selection left 25 articles to be included in this review. The most crucial point in the
management of PPPs is preparedness of the staff and an emergency room furnished with age-appropriate drugs and equipment combined with a systemic
approach.
KEY WORDS: pediatric population, polytrauma, multiple injuries, current management, review
Introduction
Polytrauma is a medical term that describes the condition of a patient subjected to multiple traumatic injuries and can be a life-threatening condition. These (life threatening) injuries typically affect two or more body regions and present a challenge for diagnosis and treatment.1,2 However, there is no consensus yet about the term polytrauma in both literature and practice.3
Polytrauma is a major cause of mortality and morbidity in both developed and developing countries. Despite its preventability, trauma remains the most common cause of death and disability in children.2 In fact, all over the world, more than 700,000 children under the age of 15 years die each year due to accidental injury.4 Leading causes of polytrauma are road traffic crashes, falls from heights, and
Content will be helpful for B.Sc. and M.Sc. nursing students as it describes causes, signs and symptoms, diagnosis,emergency mangement , medical and nursing management.
Fractures
Description
A disruption or break in the continuity of the structure of boneTraumatic injuries account for the majority of fractures
Description
Described and classified according to:
Type
Communication or noncommunication with external environment
Anatomic location
Types of Fractures
Fig. 61-4
Classification by Communication with
External Environment
Fig. 61-5
Classification by Fracture Location
Fig. 61-6
Description
Described and classified according to:
Appearance, position, and alignment of the fragments
Classic names
Stable or unstable
Description
Closed (also called simple) skin remain intactOpen (also called compound) skin is breeched.
Description
Stable fractures
Occur when a piece of the periosteum is intact across the fracture
External or internal fixation has rendered the fragments stationary
Description
Unstable fractures
Grossly displaced
Poor fixation
Clinical Manifestations
Immediate localized pain
Function
Inability to bear weight or use affected part
Guarding
May or may not see obvious bone deformity
Fracture HealingReparative process of self-healing (union) occurs in the following stages:
Fracture hematoma (d/t bleeding, edema)
Granulation tissue → osteoid (3 – 14 days post injury)
Callus formation (minerals deposited in osteoid)
Fracture HealingReparative process of self-healing (union) occurs in the following stages:
Ossification (3 wks – 6 mos)
Consolidation (distance between fragments decreases → closes).
Remodeling (union completed; remodels to original shape, strength)
Bone Healing
Fig. 61-7
Collaborative CareOverall goals of treatment:
Anatomic realignment of bone fragments (reduction)
Immobilization to maintain alignment (fixation)
Restoration of normal function
Collaborative Care
Fracture ReductionClosed reduction
Nonsurgical, manual realignmentOpen reduction
Correction of bone alignment through a surgical incision
Collaborative Care
Fracture ReductionTraction (with simultaneous counter-traction)
Application of pulling force to attain realignment
Skin traction (short-term: 48-72 hrs)
Skeletal traction (longer periods)
See Table 61-7
Collaborative Care
Fracture ImmobilizationCasts
Temporary circumferential immobilization device
Common following closed reduction
Casts
Fig. 61-9
Collaborative Care
Fracture ImmobilizationExternal fixation
Metallic device composed of pins that are inserted into the bone and attached to external rods
Collaborative Care
Fracture ImmobilizationInternal fixation
Pins, plates, intramedullary rods, and screws
Surgically inserted at the time of realignment
Collaborative Care
Fracture ImmobilizationTraction
Application of a pulling force to an injured part of the body while countertraction pulls in the opposite direction
Collaborative Care
Fracture ImmobilizationPurpose of traction:
Prevent or reduce muscle spasm
Immobilization
Reduction
Treat a pathologic condition
Nursing Manage ...
Introduction
Achilles Tendon, the largest and strongest tendon in the human body is formed by fusion of the tendinous portion of calf muscles; the gastrocnemius and soleus [1,2]. Achilles tendon can largely with stand tensional forces of locomotion. The incidence of Achilles tendon injuries has increased considerably during the pastdecade [1-5]. Such injuries account for 45% of all sports related injuries among athletes and general public. Achilles tendon complaints generally represent most tendon problems in any population and can be divided into “Spontaneous ruptures” (excessive loadinginduced injury/degeneration of tendon without any predisposing systemic diseases); and “Overuse injuries” (traced to sports and exercise-related overuse). Sometimes, a systemic disease, such as rheumatoid arthritis may manifest with Achilles tendon symptoms, but this represents only a minority (~2%) of all cases [1,6].
For more information about knee sprains, watch this presentation. Here you will find four ligaments in the knee joint, any of which can be sprained.
URL:- www.metrophysio.co.uk
The uploaded content is related to Arthritis.In this, more emphasized topics are Rehabilitation and Nursing care of patients who are suffering from disabilities and developed deformities due to arthritis.This content have many related images , videos etc so that learners will get a better idea of the disease condition, also it will be helpful to all nursing students to serve the patients with comprehensive care.