Management of Pelvic Ring Injuries
Fig. 10.1 (a) Posterior view of the pelvis showing the strong posterior ligaments which provide critical stability of the pelvic ring. (b) Anterior view of the pelvis showing the important…
Chest Trauma
Acute life threatening Tension pneumothorax Open pneumothorax Flail chest and pulmonary contusion Massive hemothorax Cardiac tamponade Potentially life threatening thoracic injuries Simple pneumothorax Hemothorax Pulmonary contusion Tracheobronchial tree rupture Blunt…
Mangled Extremity: Management in Isolated Extremity Injuries and in Polytrauma
Type Characteristics Injuries Points Skeletal/soft-tissue Group 1 Low energy Stab wounds, simple closed fractures, small-caliber gunshot wounds 1 2 Medium energy Open or multiple-level fractures, dislocations, moderate crush…
Vascular Injuries: Indications for Stents, Timing for Vascular and Orthopedic Injuries
Absent distal pulses Expanding hematoma Pulsatile bleeding Palpable thrill Audible bruit In rare cases, with an expanding hematoma in an extremity, no further evaluation should take place, and the patient…
Posttraumatic Acute and Chronic Osteomyelitis
Fig. 26.1 The Cierny classification of adult osteomyelitis The osteomyelitis patient according to Cierny et al. can be staged by combining the type of osteomyelitis (I–IV) with the host comorbidities….
Management of Articular Fractures
A. Primary surgical procedures in the emergency setting 1. Limb-saving procedures: Reduction of large joints, such as hip, knee, by close or open means with temporary stabilization by splint or…
Abdominal Injuries: Indications for Surgery
Fig. 9.1 Algorithm for the initial evaluation of the patient with suspected blunt abdominal trauma (FAST focused abdominal sonography for trauma, DPA diagnostic peritoneal aspirate, CT computed tomography, Hct hematocrit)…
Polytrauma in Young Children
Age group Weight range (kg) Heart rate (beats/min) Blood pressure (mmHg) Respiratory rate (breaths/min) Urinary output (ml/kg/h) 0–12 months 3.5–10 <160 >60 <60 2.0 1–2 years 10–14 <150 >70 <40…
Soft Tissue Injuries
Fig. 7.1 Schematic: The dynamics of the initial response of various tissues following injury is often characterized by highly significant secondary cellular damage due to protracted ischaemia and a pro-inflammatory…
Urological Injuries in Polytraumatized Patients
1 Contusion or nonexpanding subcapsular hematoma. No laceration 2 Nonexpanding perirenal hematoma, cortical laceration < 1 cm deep w/o extravasation 3 Cortical laceration > 1 cm w/o urinary extravasation 4 Laceration: through…
