Podcast
Questions and Answers
What is the total number of bones in the human skeletal system?
What is the total number of bones in the human skeletal system?
What is the first step in the general assessment of a traumatic injury?
What is the first step in the general assessment of a traumatic injury?
What is a sign of compartment syndrome?
What is a sign of compartment syndrome?
What is included in the ABCDEFGHI trauma assessment?
What is included in the ABCDEFGHI trauma assessment?
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What is a characteristic of muscles in the musculoskeletal system?
What is a characteristic of muscles in the musculoskeletal system?
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What should you beware of in the general assessment of a traumatic injury?
What should you beware of in the general assessment of a traumatic injury?
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What is a type of injury that may be associated with compartment syndrome?
What is a type of injury that may be associated with compartment syndrome?
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What is an important aspect of the focused assessment in the presence of trauma?
What is an important aspect of the focused assessment in the presence of trauma?
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What is the typical color progression of ecchymosis?
What is the typical color progression of ecchymosis?
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What is the difference between a strain and a sprain?
What is the difference between a strain and a sprain?
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What is the purpose of intermittent elevation of the limb in treating strains and sprains?
What is the purpose of intermittent elevation of the limb in treating strains and sprains?
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What is the typical treatment for a quadriceps tear?
What is the typical treatment for a quadriceps tear?
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What is the purpose of the Thompson Test?
What is the purpose of the Thompson Test?
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What is a common complication of crush injuries?
What is a common complication of crush injuries?
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What is the recommended approach to impaling objects in the treatment of impaling injuries?
What is the recommended approach to impaling objects in the treatment of impaling injuries?
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What is a potential complication of crush injuries that can lead to renal failure?
What is a potential complication of crush injuries that can lead to renal failure?
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What should be done to a toe dislocation?
What should be done to a toe dislocation?
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What is a complication of hip dislocation if not relocated within 4-6 hours?
What is a complication of hip dislocation if not relocated within 4-6 hours?
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What is true about radial head subluxation (nursemaid's elbow)?
What is true about radial head subluxation (nursemaid's elbow)?
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What is a type of hip dislocation?
What is a type of hip dislocation?
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What is unique about patellar dislocation?
What is unique about patellar dislocation?
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What is the first step in managing a dislocation?
What is the first step in managing a dislocation?
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What is a common complication associated with knee dislocations?
What is a common complication associated with knee dislocations?
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What intervention is recommended immediately after a knee dislocation?
What intervention is recommended immediately after a knee dislocation?
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Which statement is true regarding ankle dislocations?
Which statement is true regarding ankle dislocations?
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What is one of the primary interventions for both knee and ankle dislocations?
What is one of the primary interventions for both knee and ankle dislocations?
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What should be monitored closely in patients with knee dislocations?
What should be monitored closely in patients with knee dislocations?
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Which of the following is an intervention specifically mentioned for ankle dislocations?
Which of the following is an intervention specifically mentioned for ankle dislocations?
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What is a primary complication associated with pelvic fractures?
What is a primary complication associated with pelvic fractures?
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Which intervention is appropriate for managing clavicular fractures?
Which intervention is appropriate for managing clavicular fractures?
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In the treatment of forearm and wrist fractures, which is a common intervention?
In the treatment of forearm and wrist fractures, which is a common intervention?
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What condition is characterized by respiratory distress and altered mental status following orthopedic injuries?
What condition is characterized by respiratory distress and altered mental status following orthopedic injuries?
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A common complication following a femur fracture is:
A common complication following a femur fracture is:
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Which of the following is NOT typically treated with splinting?
Which of the following is NOT typically treated with splinting?
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For which type of fracture is urgent external fixation most necessary?
For which type of fracture is urgent external fixation most necessary?
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What is one of the key assessments to perform when dealing with dislocations?
What is one of the key assessments to perform when dealing with dislocations?
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Which of the following injuries typically occurs in children and adolescents?
Which of the following injuries typically occurs in children and adolescents?
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What is a significant risk associated with ankle and foot fractures?
What is a significant risk associated with ankle and foot fractures?
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Study Notes
Orthopedic Trauma Emergencies
- Knowledge of skeletal system anatomy and physiology is crucial for assessment and treatment.
- The musculoskeletal system comprises 206 bones, joints, tendons, ligaments, muscles, vessels, and nerves.
General Assessment in Trauma
- Always secure Airway, Breathing, and Circulation (ABC's) before further assessment.
- Conduct a trauma assessment using ABCDEFGHI, focusing on:
- Mechanism of injury
- Onset and duration of symptoms
- Type of injury (blunt or penetrating)
- Preexisting conditions and associated symptoms.
- Perform a focused neurovascular evaluation when trauma is present:
- Assess pain, pulses, paralysis, paresthesia, pallor, and temperature.
Compartment Syndrome
- Identified by disproportionate pain, decreased mobility, paresthesia, cool temperature, and pallor compared to surrounding skin.
- Overlying skin may appear tense; signs and symptoms can evolve in color over days.
Strains and Sprains
-
Strain: Overstretching or weakening of muscle at the tendon attachment.
- Patients often report snapping sound, local pain, and slight muscle spasms.
-
Sprain: Joint exceeds normal limits, damaging ligaments.
- Presents with pain, swelling, and history of a popping sound.
Treatment Interventions
- Compression bandaging, intermittent limb elevation, cold packs (limited to 15 minutes), and light to no weight bearing as tolerated.
- For tendon injuries:
- Incomplete tears may require rest and alternating ice/heat.
- Complete tears, such as Achilles ruptures, often necessitate surgical intervention.
Impaling Injuries
- Stabilize the impaled object; do not remove it unless surgical intervention is required.
Fracture Management
- Clavicular Fractures: Common in children; complications include pneumothorax, hemothorax, and brachial plexus injuries.
- Scapular Fractures: Uncommon, often due to direct trauma; require neurovascular assessment and potential immobilization.
- Upper Arm Fractures: Common in children and older adults; may risk radial nerve damage.
Pelvic and Hip Injuries
- Pelvic Fractures: Can lead to severe complications including nerve injury, blood loss, and organ damage.
- Hip Fractures: Common in the elderly; complications include hypovolemia and avascular necrosis. Early traction is essential.
Tibial/Fibular and Ankle Injuries
- These injuries can lead to significant blood loss, risk of infections, and compartment syndrome.
- Common treatment involves splinting and cautious reduction only if necessary.
Fat Embolism Syndrome
- Can occur following multiple orthopedic injuries; manifests as respiratory distress and altered mental status.
- Treatment focuses on supportive care and early fixation of fractures.
Dislocations
- Occurs when a joint exceeds its normal motion range; may be partial (subluxation) or complete.
- High risk for ischemia and necrosis; assess neurovascular status urgently.
Specific Joint Dislocations
- Shoulder Dislocations: Commonly require reduction; immobilization necessary post-reduction.
- Knee Dislocations: High risk of popliteal artery injury; require splinting and likely admission for monitoring.
- Ankle Dislocations: Often associated with fractures; require splinting and ice application.
Conclusion
- Detailed knowledge of orthopedic trauma, assessment techniques, and intervention protocols are essential for optimal patient outcomes in emergency scenarios.
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Description
Assess and treat skeletal system injuries with knowledge of anatomy and physiology. Learn ABCDEFGHI trauma assessment and more.
