ortho emergenies Flashcards Preview

Undeleted > ortho emergenies > Flashcards

Flashcards in ortho emergenies Deck (17):
1

3 important predictors of outcome

1. mech of injury
2. post-injury performance
3. elapsed time

2

5 part of Phx

1. inspection
2. gentle palpation
3. neural status
4. vasc. status
5. soft tissue

3

4 reasons to immobilize

1. releive pain
2. safe transport
3. prevent further injury
4. minimize blood loss

4

3 keys to X-ray

1. 2 views
2. joint above and below injury
3. rarely special investigations

5

4 things that need to be described in a fracture

1. which bone
2. which part of bone
3. displaced
4. fracture morphology

6

4 types of discplacement

1. angulation
2. translation
3. rotations
4. impaction

7

how to describe angulation

varus-valgus
- degrees

8

what is translation

- sliding of bone ends
- any direction
- percent terms

9

what is rotation

- movement of bone around the long axis
- describe distal in relation to proximal

10

what is impaction

- bone ends crushed together
- usually cancellous bone
-

11

when is reduction indicated

- not if fracture not displaced
- children remodel

12

4 indications for open reduction

1. displaced intraarticular
2. correct defromtity
3. mobilixe the patient
4. allow treatment of open wounds

13

adv and dis of open reduction

adv
- accuracy
- rigid
- early mobilization
dis
- anasthetic
- infection
- intraoperative injury
- scarring

14

4 types of immobilization

1. cast
2. traction
3. external skeletal
4. interal - wires plates screws

15

3 keys to rehab

1. should start immed
2. moves adjacent joints
3. regain motion

16

what are open fractures

surgical emergy
- classify accordinf to amount of soft s=tissue injury

17

5 keys to open fracture treament

1. culture wound and splint limb
2. tetanus shot
3. AB prophylaxis
4. transfer to OR
5. debride, irrigate, fix fracture

Decks in Undeleted Class (589):