Splinting
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This document outlines 3 skills assessment stations for an EMT-B exam: 1) Long bone immobilization for injuries like the radius or tibia. Candidates must immobilize the isolated injury within 10 minutes. 2) Shoulder joint immobilization for non-complicated injuries. Again, candidates have 10 minutes to immobilize the isolated injury. 3) Application of a traction splint for a mid-shaft femur fracture with assistance from an EMT. Candidates are tested on properly immobilizing the isolated femur injury within the 10 minute time limit.
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Synthes at that time was not into lending out the instrument sets even if you were buying their implants. The alternative was to make do with Indian implants and local instrument sets.
These included the bare essential forceps. There was no bending press for the implants, so essential as there were no pre-bent plates. Screw sets were grossly inadequate and deficient, all of which I was to realize to my chagrin.
Reconstruction of eyelids defects
This document discusses reconstruction of eyelid defects. It begins by describing the anatomy and functions of the eyelids. Eyelid defects can be anatomical, involving the structure of the eyelid, or functional, affecting eyelid movement. The objectives of reconstruction are to restore anatomical integrity, physiological function, and acceptable cosmetic appearance. Various surgical techniques are described for reconstructing different types and sizes of defects in the upper and lower eyelids. Key principles include documenting the defect, avoiding tension, and using similar tissue when possible. The timing, planning and postoperative care of reconstruction are also outlined.
LOWER LIMB PROSTHETIC CHECKOUTS
This document provides guidance on checking various aspects of a lower limb prosthesis. It discusses checking the prosthesis and patient's stump in general, as well as when sitting, standing, walking, and with the prosthesis removed. Checks include ensuring proper fit and alignment of socket components, comfort and stability of the patient, and identification of any potential issues. The document focuses on checkouts for above knee prosthetics but also briefly discusses below knee prosthetics. The goal of prosthetic checkouts is to assess proper functioning and make any necessary adjustments before training the patient.
(Knee plc surg tech) la prade rf
1) The document provides a surgical technique for an anatomic posterolateral knee reconstruction.
2) It describes making an incision centered over the posterior iliotibial band and performing a common peroneal nerve neurolysis to decompress the nerve.
3) The technique involves identifying the attachment sites of the fibular collateral ligament, popliteus tendon, and popliteofibular ligament on the fibular head in order to drill reconstruction tunnels for graft placement and restore the anatomic structures.
Revision TKR: Why Knee Fails Basic Surgical Principles Dr.Sandeep Agrawal Agr...
Revision TKR: Why Knee Fails Basic Surgical Principles Dr.Sandeep Agrawal Agr...AGRASEN Fracture Arthritis Hospital, Ganesh Nagar,Gondia,Maharashtra,INDIA
Revision TKR: Why Knee Fails Basic Surgical Principles Dr.Sandeep Agrawal Agrasen Hospital Gondia Maharashtra India
Infection,Quadriceps Rupture,Loosening,Periprosthetic Fractures,Patellar Maltracking,Constrained Prosthesis Rotating Hinged ProsthesisSpan_Scan_Plan.pdf
The document discusses the management of peri-articular fractures through a span-scan-plan approach. It emphasizes using spanning external fixation initially to stabilize the fracture and joint, allowing time for soft tissue healing and improved radiographic evaluation through CT scanning. This helps formulate an optimal surgical plan to address the fracture based on its characteristics, available techniques, implants, and patient factors. Proper planning is important for achieving desired objectives like anatomical reduction while preserving soft tissues.
ACL Recon.pptx
The document discusses operative procedures for knee injuries, specifically ACL reconstruction and PCL surgery. It provides details on different graft options for ACL reconstruction including autografts from the patellar tendon, hamstrings and quadriceps tendon as well as allografts. It discusses techniques for graft harvesting, preparation and fixation. Complications of ACL reconstruction and their prevention are outlined. The document also discusses evaluation and treatment of PCL injuries as well as the anatomy and examination of the posterolateral corner complex of the knee.
Muscloskeletal Ultrasound of the knee (basic level)
This document provides an overview of musculoskeletal ultrasound of the knee at a basic level. It describes scanning protocols for evaluating the various anatomical structures of the knee, including ligaments, tendons, bursae, and menisci. Common abnormalities that can be identified on ultrasound such as effusions, synovitis, tendinosis, cartilage damage, and meniscal tears are also outlined. The goal of the overview is to describe the appropriate scanning positions and images that should be obtained when performing a basic musculoskeletal ultrasound exam of the knee.
Fatigue Analysis of a Bone Implant Construct
This document discusses a graduation project report on fatigue analysis of a bone implant construct. It provides background on limb lengthening procedures using intramedullary devices and discusses reliability issues with the distal locking screw. The aim of the project is to apply a sample fatigue analysis calculation to the distal interlocking screw of an intramedullary nail placed in the femur bone of a 1.90m tall patient weighing 80kg. The analysis will involve load, stress, and fatigue calculations to evaluate the reliability of the implant construct.
Special_test_for_all_joints.pdf
The document provides descriptions of special tests for various musculoskeletal joints including the hip, knee, ankle, foot, lumbar spine, shoulder, elbow, wrist, hand, and cervical spine. For each joint, 2-10 special tests are described, including the aim of the test, patient positioning, and what constitutes a positive finding. The special tests are used to identify tightness, laxity, nerve irritation, and other dysfunctions of the joints and surrounding tissues.
Segmental Fractures of the Forearm- Outcome Analysis of Various Management St...
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Common pitfalls in orthopedics
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Clavicle fracture
1. The clavicle is the only long bone that lies horizontally in the body and connects the thorax to the shoulder girdle.
2. Clavicle fractures are classified based on their location as medial, middle, or lateral thirds. Common causes are falls on an outstretched hand or lateral shoulder.
3. Treatment depends on the fracture type and patient factors, ranging from sling immobilization to surgical fixation with plates or screws.
Emergency response issues in sport- John Boulay - CSTS MArch 2011
1. Emergency responders at sporting events need to keep their skills up-to-date as standards regularly change. Responders should maintain at least a First Responder level of training and be prepared to handle issues like airway management, spinal injuries, and sports equipment removal.
2. When responding at away venues, emergency personnel may have fewer resources and need to be prepared to be self-sufficient. Training for scenarios without local emergency support is important.
3. Regular practice with simulations and equipment mock-ups helps emergency responders maintain and improve their skills for real-game situations at home venues as well.
P1Sporting Goods(a)Resource Requirements per Unit(c-1)Resource Req.docx
P1Sporting Goods(a)Resource Requirements per Unit(c-1)Resource Requirements per UnitProductRubber (lb.)Leather (ft2)ProductRubber (lb.)Leather (ft2)Basketball2.83.7Basketball2.83.7Football1.55.2Football1.55.2input ConstraintsTotal resources available600900Total resources available1000900BasketballFootballBasketballFootballProfits ($)1115Profits ($)1115BasketballDecision variablesBasketballFootballFootballMaximized profitsObjective functionMaximized profits(b)Resource Requirements per Unit(C-2)Resource Requirements per UnitProductRubber (lb.)Leather (ft2)ProductRubber (lb.)Leather (ft2)Basketball2.83.7Basketball2.83.7Football1.55.2Football1.55.2input ConstraintsTotal resources available600900Total resources available6001500BasketballFootballBasketballFootballProfits ($)1215Profits ($)1115BasketballDecision variablesBasketballFootballFootballMaximized profitsObjective functionMaximized profitsPlease use computer method to solve the problemPlease enter your solution in Yellow cells
P2A & B products(a)Hours/ UnitProductLine 1Line2A115B69ConstraintsTotal Hours6540ABProfits ($)1115Product Adecision variablesProduct BMaximized profitsObjective function(b)Sensitivity Range for the coefficient of # of units of product A in the objectivefunctionSensitivity Range for the coefficient of # of units of product B in the objectivefunction(c')Shadow Price for additional hours of production time on Line 1Shadow Price for additional hours of production time on Line 2Which one of the two the company would prefer (Line 1 or Line 2?)
P3Irwin textile mills(a)CorduroydenimProfits for each product3.252.5ResourcesAvailable ResourcesCotton86<=6500Labor43<=3000DemandsCorduroy<=510denim<=1000000Maximized profitsWrite the standard form of the LP model in the space provided below(b)How much extra cotton and processing time are left at the optimal solution?CottonProcessing TimeIs the demand for Corduroy met? ('c)If Irwin Mills can obtain additional cotton or processing time, but not both, which should it select? How much?Processing Time or additional cottone? How much?
P4Bradley Family(a)Let X1 = # of acres of corn and X2 = # of acres of tobaccoCornTobaccoResources Available300520Land11<=410Budget105210<=52500Govt. Restriction01<=100Government RestrictionX1X2Decision VariablesObjective function(b)How many acres of farm land will not be cultivated at the optimal solution? Do the Bradleys use the entire 100 acre tobacco allotment?('c)Should the Bradleys' lease extral land from their neighbor at $110 per acre? What is the maximum price the Bradleys' should pay their neighbor? And how much land shoud they lease?maximum price # of acres of land(d) For each dollar they borrow , how much additional profit will they make?If they borrowed a additional $1000, would the number of acres of corn and tobacco they plant change?
Musculoskeletal
Case study
Part 1: Presentation
Patient admission
A 22-year-old female was admitted to the emergency
department after being involv.
Amputation
Amputation involves the surgical removal of a limb or part of a limb. It is one of the oldest surgical procedures, historically performed without anesthesia to control bleeding from traumatic injuries or as treatment for gangrene, tumors, or other conditions. The goals of amputation are to remove dead, dangerous, or dysfunctional tissue while preserving maximum limb length and function. It requires consideration of various factors like the level of injury, adequate tissue margins, circulation, soft tissues, and infection control. Various techniques and postoperative management aim to provide a healed stump that can accommodate a prosthesis and restore mobility. Complications can include bleeding, wound healing issues, infections, phantom limb sensations and pain.
Evaluation of Results of Intramedullary Fixation of Paediatric Fracture Shaft...
Evaluation of Results of Intramedullary Fixation of Paediatric Fracture Shaft...SSR Institute of International Journal of Life Sciences
ABSTRACT- Background: Femoral shaft fractures are most common fractures in paediatric orthopaedic age
group. There are distinct methodologies to treat them. Elastic stable intramedullary nailing is one in every of them and a
longtime and reliable methodology for treating these fractures.
Aims: To evaluate the clinical, functional and radiological outcome of intramedullary fixation of displaced fracture
shaft femur in skeletally immature children using titanium elastic intramedullary nails.
Material and Methods: 65 Femoral shaft fracture in 60 children aged 6-14 years were fixed with titanium
intramedullary elastic nail under image intensifier control between July 2013 and June 2017.Two nails of proper and
equal diameter were used for fracture fixation. No external splint was used after surgery. Outcomes assessed on the
basis of Flynn et al scoring criterion.
Results: All patients achieved complete healing at a mean of 9.5 weeks. 51 fracture reduced by closed means but 14
needs open reduction. Common size of elastic nail used was 3mm. no major complication was recorded all were minor
and can be taken care off. Most common was entry site skin irritation recorded in 10 patients. 90% had excellent result
and 10% had satisfactory.
Conclusion: Elastic stable intramedullary nailing is the method of choice for the Femoral shaft fracture in paediatric
patients, because it is minimally invasive and provide six point fixation and shows very good functional and cosmetic
result. It allows early ambulation and shorter hospital stay and higher parent satisfaction. ESIN also provide flexural,
translational and rotational stability as well.
Key-words- Elastic stable intramedullary nailing (ESIN), Titanium elastic nail (TEN), Femoral shaft fracture,
PaediatricElderly Oa.docx
This document provides information on evaluating knee injuries through special tests as an athletic trainer. It discusses the history, observation, palpation, and special tests (HOPS) scheme for evaluation. Specifically, it focuses on demonstrating and describing the technique, purpose, evaluated ligament, and results of 4 special tests: [1] Anterior and Posterior Drawer Tests, and [2] Valgus and Varus Stress Tests. Partners are instructed to perform these tests on each other, discuss their findings, and individually describe the key details of each test.
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Revision TKR: Why Knee Fails Basic Surgical Principles Dr.Sandeep Agrawal Agr...
Revision TKR: Why Knee Fails Basic Surgical Principles Dr.Sandeep Agrawal Agr...
Muscloskeletal Ultrasound of the knee (basic level)
Muscloskeletal Ultrasound of the knee (basic level)
Segmental Fractures of the Forearm- Outcome Analysis of Various Management St...
Segmental Fractures of the Forearm- Outcome Analysis of Various Management St...
Emergency response issues in sport- John Boulay - CSTS MArch 2011
Emergency response issues in sport- John Boulay - CSTS MArch 2011
P1Sporting Goods(a)Resource Requirements per Unit(c-1)Resource Req.docx
P1Sporting Goods(a)Resource Requirements per Unit(c-1)Resource Req.docx
Evaluation of Results of Intramedullary Fixation of Paediatric Fracture Shaft...
Evaluation of Results of Intramedullary Fixation of Paediatric Fracture Shaft...
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Splinting
- 1. NYS EMT-B Skills Assessment Stations 6a – Long Bone 6b – Joint Injury 6c – Traction Splint Immobilization Skills
- 2. 6a – Long Bone
- 3. The Scenario (Long Bone) This station is designed to test your ability to properly immobilize a closed, non-angulated long bone injury. You are required to treat only the specific, isolated injury to the extremity. The scene size-up and initial assessment have been completed and during the focused assessment a closed, non-angulated injury of the (radius, ulna, tibia, fibula) was detected. Ongoing assessment of the patient’s airway, breathing and central circulation is not necessary. You may use any equipment available in this room. You have ten (10) minutes to complete this station. Do you have any questions?
- 4. The Skill Sheet (Long Bone)
- 5. 6b – Joint Injury
- 6. The Scenario (Joint) This station is designed to test your ability to properly immobilize a non-complicated shoulder injury. You are required to treat only the specific, isolated injury to the shoulder. The scene size-up and initial assessment have been completed and during the focused assessment a shoulder injury was detected. Ongoing assessment of the patient’s airway, breathing and central circulation is not necessary. You may use any equipment available in this room. You have ten (10) minutes to complete this station. Do you have any questions?
- 7. The Skill Sheet (Joint)
- 8. 6c – Traction Splinting
- 9. The Scenario (Traction) This station is designed to test your ability to properly immobilize a mid-shaft femur injury with a traction splint. You will have an EMT assistant to help you in the application of the device by applying manual traction when directed to do so. You are required to treat only the specific, isolated injury to the femur. The scene size-up and initial assessment have been completed and during the focused assessment a mid-shaft femur deformity was detected. Ongoing assessment of the patient’s airway, breathing and central circulation is not necessary. You may use any equipment available in this room. You have ten (10) minutes to complete this station. Do you have any questions?
- 10. The Skill Sheet (Traction)
- 11. The Skill Sheet (Traction)