FAT EMPOLISM

Question 1

What’s fat empolism

Answer 1

fatty globules from the medullary cavity after the bone breaks which will enter open vessels to the circulation and aggregate as fatty globules .

Question 2

Source of fat emboli…

Answer 2

bone marrow

Question 3

fat globules will develop…

Answer 3

POST TRAUMATIC RESPIRATORY DYSFUNCTION

Question 4

HOW CAN WE DETECT IT?

Answer 4

•Usually young adults with LL fracture

•Early warning signs (72 hrs. of injury) Rise in temperature and pulse rate

•More pronounced case Breathlessness Mild mental confusion Petechia (chest & conjuntival fold)

•Most severe case

Marked respiratory distress ,coma , ARDS

Question 5

HOW TO TREAT IT?

Answer 5

•Mild case

Monitoring of blood PO2 Signs of hypoxia give Oxygen

•If severe

• Intensive care with sedation and assisted ventilation
• Fluid balance - Supportive Heparin-thromboembolism Steroids-pulmonary oedema Aprotinin-prevent aggregation of chylomicrons Definitive treatment is fix the fracture