Adult Fracture/Dislocation Flashcards
1
Q
When should a pelvic Fracture be suspected?
A
- Blunt Trauma
AND - Pelvic Pain
- Haemodynamic instability
- Altered Conscious State
2
Q
When should a NOF be suspected?
A
- Limb shortening
- External rotation of the affected leg
- Pain in hip or groin
- Bruising/Swelling
3
Q
When should a soft tissue injury be suspected?
A
- No obvious deformity
- Normal Neurovascular observations
- No significant bony tenderness
- Mild pain
- Mild functional impairment
4
Q
What are the care objectives of Fracture/Dislocation?
A
- Haemorrhage control
- Pain relief
- Realignment if gross deformity or neurological/Vascular Compromise
- Splinting
5
Q
What are some risk factors for Fracture Dislocation
A
- Elderly
- Osteoporosis
- Chronic renal impairment
- Diabetes
- Malnutrition
- Endocrine Disorders
- Chronic use of steroids
6
Q
What is the Mx of a compound fracture?
A
- irrigate with 250-1000mL of fluid
- Reduce/Realign
- Cover with Saline soaked dressing
7
Q
What are the 5 steps of Redcuction/Re-alignment?
A
- Procedural analgesia
- Irrigate with large volume of saline
- Apply traction and gentle counter-traction in line with the limb
- If required, further manipulation should be done whilst the limb is still under traction
- Splint Following reduction
