Extremity trauma: Difference between revisions
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*Consider adding Gentamycin | *Consider adding Gentamycin | ||
Additional treatments depending on specific findings | Additional treatments depending on specific findings | ||
==See Also== | ==See Also== | ||
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*[[Fractures (Main)]] | *[[Fractures (Main)]] | ||
*[[Open Fracture]] | *[[Open Fracture]] | ||
==External Links== | |||
http://www.mdcalc.com/mangled-extremity-severity-score-mess-score/ | |||
==Sources== | ==Sources== | ||
Revision as of 06:28, 30 December 2014
Background
In traumatic limb injuries can result in soft tissue, neurovascular, muscular, and ligamentous damage. There are a few principles that apply to these injuries that differ from management of more common conditions.
Clinical Features
Limb salvage is based of several features (See calculator below):
- Age
- Severity of skeletal and soft tissue injury
- Severity of limb ischemia
- Duration of limb ischemia
- Severity of shock
Workup
- ATLS
- X-rays
- Trauma labs with close attention to K, Creat, and CK
- Consider CTA or conventional angiography if evidence for vascular compromise
Management
ATLS protocols if unstable Tourniquet
- Can be an excellent adjunct to control bleeding
Tetanus Antibiotics
- Cefazolin 2g IV
- Consider adding Gentamycin
Additional treatments depending on specific findings
See Also
External Links
http://www.mdcalc.com/mangled-extremity-severity-score-mess-score/
Sources
Uptodate