Ortho Tut #1 Flashcards
1
Q
what is damage control orthopaedics
A
contains and stabilises ortho injuries to allow physiology to heal
2
Q
Common ED ortho emergencies?
A
VON CHOP Vascular compromise Open fractures neurologic compromise/cauda equina compartment syndrome hip dislocation (fracture in young person) Osteomyelitis unstable pelvic of long bone #s
3
Q
what to describe in #s
A
location what part of bone open v closed complete/incomplete # pattern displacement, angulation/translation/rotation dislocation soft tissues and neurological status
4
Q
what is gustillo anderson classification?
A
for open fractures and infection risk
5
Q
gustillo-anderson needs two meds
A
tetanus Abx - grade 1 - cephazolin grade 2 - add gentamicin if dirty: add a penicillin
6
Q
what to look for in fracture re: imaging?
A
2 views
joints up and joint below
7
Q
when would you not want to internally fixate?
A
if really dirty open wound
8
Q
early complications of #s
A
bleeding infection compartment syndrome fat embolism wound neurovascular
9
Q
reasons for non-union or malunion?
A
infection?
diabetes, smoking?
on steroids?
10
Q
What is the golden hour?
A
first hour after trauma
high salvage rate
