Trauma Fractures Archives : Page 31 of 60 : Wheeless' Textbook of Orthopaedics

Management of Pneumonia

References for Pneumonia: Concepts in Emergency and Critical Care: Ventilator-Associated Pneumonia. A Multivariate Analysis. Increased incidence of nosocomial pneumonia in mechanically ventilated patients with subclinical aspiration. Role of gastric colonization in the development of pneumonia in critically ill trauma patients: results of a prospective randomized trial. Continuous lateral rotational therapy and nosocomial pneumonia. Enteral hyperalimentation as a source of … Read more

Management of Renal Failure / Renal Trauma

– General Orders for the Renal Failure Patient – Renal Trauma / Urogenital Trauma – Fluids Electrolytes and Nutrition – Renal / Dialysis – Hematology – Neuro – MSK – ID: frequent UA and UCx to rule out infection, esp w/ foley; … Read more

Management of Head Injury

– Outside Link: – An Approach to the Head Injured Patient by Paul Marik, MD – Trauma Menu: – Spine / C-spine – Orders for the Spine Injured Patient: Anesthesia in the Spinal Cord Injured Patient: Fluids in the Head Injured Pt: Hyperventilation Glasgow Coma Scale Head … Read more

Management of Hypocalcemia

– Discussion: – physical properties – state in body fluids – physiologic roles of calcium are well established; – abnormally low concentrations of Ca permit spontaneous discharges of both sensory & motor fibers in peripheral nerves, leading to tetany; – w/ elevated levels, … Read more

Management of Acute Chest Pain / Myocardial Infarct

– See: blunt cardiac trauma – Initial Management: – determine whether the chest pain is of cardiac origin: – sublingual nitroglycerin should improve chest pain (at least partial relief) if the pain is of cardiac origin; – EKG changes in MI: … Read more

Management of Burns

– See: – Burns of the Hand – Chemical Burns – Electrical Burns – Frost Bite – Initial Management: – trauma management: – patients require a generalized trauma assessment w/ all clothing removed; – determine nature of the burn (flame, chemical, electrical); … Read more

Madelung’s Deformity

– Discussion: – known as carpus curves, is result of epiphyseal arrest on ulnar & volar half of the distal radius, which causes articular surface to be directed ulnarward and volarward; – genetics: it is inhertited as autosomal dominant trait w/ variable expressivity; – females are affected four … Read more

Lumbrosacral Plexus

– See: Lumbar Plexus: – Anatomy: – lumbosacral plexus is derived from L4, L5, S1, S2, S3 & S4 roots, each giving rise to anterior and posterior branches; – anterior branches supply flexor muscles of limb, & posterior branches supply extensor and abductor muscles; – superior gluteal nerve (L4 … Read more

Lisfranc’s Fracture / TarsoMetatarsal Injuries

– See: Midfoot/Forefoot Fractures – Discussion: – anatomy of the midfoot – mechanism: – because 2nd metatarsal is the longest metatarsal proximally, it will often be frxed at its base, with the other metatarsals dislocated; – dorsal capsule of Lisfranc’s joint, lacking sufficienct reenforcement, will to support the load and will collapse, resulting in dorsal … Read more

Limb Lengthening: Distraction Histiogenesis

– See: – Discussion of Limb Lengthening – Limb Lengthening Fixators – Post Op Care in the Ilizarov Method: (by Dr. Mangal Parihar) – management of tibial bone defects – Osteotomy Considerations: – first described by DM Bosworth (SGO 1938), which … Read more