0071643192.pdf

■ With open venous injuries, prevent venous air embolism with direct pres- sure and Trendelenburg position. SOFT-TISSUE TRAUMA A ...

■ Paresthesias with decreased sensation ■ Paresis ■ Distal pulses, perfusion, and capillary refill are unreliable (arterial insu ...

DIAGNOSIS ■ Elevated creatine phosphokinase (>5 times normal) is the most sensitive marker. ■ Myoglobinuria is pathognomonic, ...

DIAGNOSIS ■ Doppler of pulse may reveal complete loss, or change from triphasic to biphasic/monophasic sound. ■ Ankle-brachial i ...

High-Pressure Injection Injuries ■ Tend to have a benign appearance but high morbidity. ■ Must be referred to hand specialist or ...

TRAUMA TABLE 3.12. Burn Clinical Findings and Prognosis TYPE CLINICALFINDINGS PROGNOSIS Superficial Similar to sunburn: red, pai ...

■ Estimation of burn depth may be difficult on initial evaluation. ■ For this reason, burns should be reevaluated in 24 hours as ...

■ Partial-thickness 15–25% in 10- to 50-year-olds ■ Partial-thickness 10–20% in 50–years old ■ Full-thickness 2–10% ■ Minor: Out ...

TRAUMA TABLE 3.14. Chemical Burns WHEREFOUND DAMAGE TREATMENT SPECIAL Acids Acetic acid Hair wave Partial-thickness Water irriga ...

■ Tissue type: Inelastic tissue (brain, liver, spleen, and bone) is more prone to cavitation injury. By contrast, highly elastic ...

TRAUMA ■ Bullets lodged within the spinal canal may migrate and cause further damage. Consult Neurosurgery. Removal should be co ...

CHAPTER 4 Orthopedics Kim Fredericksen, MD Evaluation of Orthopedic Injuries 194 Injuries to the Upper Extremities 195 DIGITS 19 ...

ORTHOPEDICS EVALUATION OF ORTHOPEDIC INJURIES DEFINITIONS OFFRACTURES AND THEORTHOPAEDICTRAUMAASSOCIATION(OTA) CLASSIFICATIONSYS ...

ORTHOPEDICS The 5 Ps of com- partment syndrome: Pain (most common symptom) Paresthesias Pallor Paralysis Pulselessness (late fin ...

ORTHOPEDICS If the FDS is cut, the patient can still flex both the DIP and PIP joint. An untreated mallet finger can result in a ...

ORTHOPEDICS DIAGNOSIS ■ Unable to fully extend PIP with the wrist and metacarpophalangeal (MCP) joints fully flexed TREATMENT ■ ...

ORTHOPEDICS DIAGNOSIS ■ Swelling and tenderness over the ulnar side of the MP joint of the thumb. ■ Pinch strength is markedly r ...

ORTHOPEDICS TREATMENT Thumb spica splint, orthopedics referral COMPLICATIONS Avascular necrosis: The more proximal the fracture, ...

ORTHOPEDICS MECHANISM FOOSH DIAGNOSIS Suspect diagnosis if there is tenderness over middorsum of the wrist, worse with axial com ...

ORTHOPEDICS TREATMENT Reduction by orthopedist COMPLICATIONS Median nerve injuries, acute carpal tunnel syndrome, early arthriti ...