Ortho Emergencies

Question 1

immediate complications of fractures and dislocations

Answer 1

Hemorrhage

Vascular injuries

Nerve Injuries

Associated Soft Tissue/Visceral injuries

Question 2

what is the 1st and 2nd highest potential for blood loss

Answer 2

1) pelvic

2) femur

Question 3

5 Ps of compartment syndrome

Answer 3

severe Pain (out of proportion to the injury) 
Paresthesia 
Pallor 
Paralysis 
Pulselessness

Question 4

mmHg for compartment syndrome that is dangerous

Answer 4

> 30

Question 5

MC pathogens for necrotizing faciitis

Answer 5

Group A β-hemolytic Streptococcus (GAS)

Question 6

gangrenous cellulitis and myonecrosis MC pathogen

Answer 6

clostridial species

Question 7

leading cause of death in pelvic ring fractures

Answer 7

Hemorrhage

Question 8

MC bleeding site in pelvic fractures

Answer 8

Sacral Venous Plexus and Internal Iliac Arteries

Question 9

what type of shoulder dislocation is MC (anterior/posterior)

Answer 9

anterior

Question 10

neuropraxia

Answer 10

transient episode of motor paralysis involving median or ulnar nerve in 20% of elbow dislocations

Question 11

typical 1st line abx used for open fracture

Answer 11

1st gen cephalosporins