Principles Of Fracture Management Flashcards
Septic arthritis results in?
No cartilage, fusion of bones
ACute handover?
ATMIST Age Time Mechanism Injuries Signs Treatment
Advanced trauma life support internationally recognised in how many countries?
47
What to do in airway?
Immobilise cervical spine
And give oxygen
How to maintain cervical spine?
Taping
Hands
Foam blocks
What is definitive airway?
A cuffed tube in the trachea
Immediately life threatening problems?
ATOM FC Air obstruction Tension Pneumothorax- lungs get squashed Open pneumothorax- hole in chest, so when diaphragm moves down pressure doesn’t become negative Massive heamothorax Flail chest- rib cage broken Cardiac tamponade- due to stabbings
Physiology of shock?
Tachycardia Decreased pulse pressure Altered conscious level Decreased urine output Reduced BP
Where can you bleed from enough to die?
Chest
Abdomen
Pelvis
Long bones
Compartment syndrome problem?
Muscle is separated by fascia, increased bleeding in compartment, if the swelling doesn’t stop venule will be compressed, outflow of venules will stop and arterial blood will build up
Treatment for compartment syndrome?
Fasciotomy, open box let pressure out
Volkmans ischaemic contracture?
Muscle die and contracts
History for fracture management?
AMPLE Allergies Medication Past medical history Last meal Environment
Fracture management treatment?
Analgesia- small amounts regularly iv Splint the bone Reduce dislocations Straighten bent limbs Re-establish circulation Relieve pressure on nerves
Comminuted?
Many bits of fracture
