Extremity trauma: Difference between revisions
m (Rossdonaldson1 moved page Extremity injury to Extremity trauma) |
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*Severity of shock | *Severity of shock | ||
==Workup== | ==Diagnosis== | ||
===Workup=== | |||
*ATLS | *ATLS | ||
*X-rays | *X-rays | ||
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==External Links== | ==External Links== | ||
http://www.mdcalc.com/mangled-extremity-severity-score-mess-score/ | *[http://www.mdcalc.com/mangled-extremity-severity-score-mess-score/ MDCalc Mangled Extremity Severity Score (MESS)] | ||
== | ==References== | ||
<References/> | |||
[[Category:Trauma]] | [[Category:Trauma]] | ||
[[Category:Ortho]] | [[Category:Ortho]] | ||
Revision as of 22:54, 4 September 2015
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
Diagnosis
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