Describe the pathophysiology and pharmacological treatment of acute spinal cord injury 4. In most centers, orthopaedic surgeons definitively manage fractures, but preliminary management, including washouts, splinting, reductions, and external fixations, may be performed by selected acute care surgeons. It is ideal for trauma patients presenting in an unstable or extremis physiological state. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from.
Damage control orthopaedics if the patient is in the or for lifesaving surgery do something. Management of orthopaedic injuries in polytrauma cases continues to challenge the orthopaedic traumatologist. This is characterized by early rapid temporary fracture stabilization to minimize blood loss followed by physiologic stabilization and. Download free orthopaedic treatment powerpoint presentation with slides on diseases of bone, orthopedic surgeons and orthopaedic specialist. Damage control orthopaedics dco definitionhistory definitive treatment delayed until physiology has improved. Damage control operations are performed in injured patients with profound hemorrhagic shock and preoperative or intraoperative metabolic sequelae that are known to adversely affect survival. Download free medical orthopaedic treatment powerpoint. A short ininroduction of the authors and a photograph will be put up on the webpage. Orthopedics powerpoint template free download free. Damage control orthopedics dco aids to adjust and optimize the overall condition of patients. Damage control surgery rapidly control hemorrhage with direct ligation, resection, or packing stop gi tract contamination, leakage reconstitute circulation effect abdominal wall closure primary or temporary return to the icu for further resuscitation warming, correction of. Recently there has been increasing evidence showing that damage control surgery has advantages that are absent in the early total care modality.
Ppt damage control resuscitation powerpoint presentation. In austere environments and in extremis, this facility is limited and fixation using anatomical. Damage control orthopedics five tricks for lower extremity. Dco is a surgical strategy that focuses on control of haemorrhage, soft tissue management, early temporary fracture stabilization and optimization of the patients physiology, avoidance of the second hit and the triad of hypothermia, acidosis and coagulopathy. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Damage control orthopedics management as vital procedure.
Damage control orthopaedics everything you need to know dr. Damage control surgery, abbreviated laparotomy, staged laparotomy, temporary abdominal closure are. All iorg members are invited to submit their powerpoint presentations to us. Damage control orthopaedics is the property of its rightful owner. Damage control orthopedics five tricks for lower extremity injury mike quackenbush resurgensorthopedics north fulton hospital history damage control originally coined by us navy reference to keeping afloat a badly damaged ship limit flooding, stabilize the vessel, isolate fires and explosions, and avoid their spreading. Evaluation and principles of management of fracture acetabulum 7.
If you want to download this powerpoint template, yes, no b. Small enteric injuries are closed with staples large ones are stapled on both sides with the gia stapling device and the damaged segment removed. Techniques include the use of external fixators, multiple limb fasciotomy and responses to. Rewat laxman is the best orthopedic surgeon in bangalore. Winner of the standing ovation award for best powerpoint templates from presentations magazine. Musculoskeletal s tructures and f unction the s keletal s tructures modern orthopaedics is concerned with the diagnosis and management of disorders of the musculoskeletal system, that is the skeleton and. Ppt the concept of damage control surgery powerpoint. Steps is damage control surgery bleeding raw surfaces, like that of the liver, are packed with laparotomy pads. How to control repetitive hand and wrist tasks ppt. Communication for all parties surgeons, staff, tnc, education communication. Case presentation on orthopedic trauma ppt xpowerpoint. If you continue browsing the site, you agree to the use of cookies on this website. The paramedics managed the patient according to the advanced trauma life support protocol while she was still hanging by her buttock on the railing spike. If so, share your ppt presentation slides online with.
Below are links to a set of lectures that you will be receiving during your rotation. Many clinicians believe in earlier surgery as preferable and providing better outcomes. Damage control orthopaedic trauma surgery dcots royal. At its core is the identification of patients unable to tolerate a traditional approach due to present or impending shock. Tissue damage, sufficient to cause pressure sores and skin necrosis, is believed to occur when a contact pressure above 9. They cover some general information about orthopaedics including history and physical exam, xray interpretation, evaluation of the trauma patient, compartment syndrome, and upper and lower extremity trauma.
Damage control and austere environment external fixation. We will be creating an individual webpage for displaying the power points on our websites. This medical powerpoint template does not have any watermarks or names on it, so feel free to use it however you want. Damage control orthopedics dco is a treatment strategy that is adaptive in nature and uses temporary stabilization i.
See the attached for a brief description of the concept of damage control surgery. Selection and timing of the surgical procedure of such patients is a serious challenge. This threshold was found to be exceeded at the binderskin interface at the anterior superior iliac spine, greater trochanters, and sacrum in a study on 10 healthy. Ppt damage control orthopaedics powerpoint presentation. Currently controversies persist between two orthopedic approaches.
Abdominal trauma cdr john p wei, usn mc md 4th medical battalion, 4th mlg bsrf12 abdominal trauma blunt abdominal trauma solid organ injuries including liver, spleen, kidneys, pancreas rupture of hollow viscus including small and large intestine, stomach, esophagus, and bladder vascular injuries bony fractures of pelvis and lumbar spine penetrating abdominal trauma. The argument for damage control orthopaedics dco is to minimize the second hit to systemic inflammatory system, which was due to surgical intervention caused by the surgical stabilization of fractures. Control of hemorrhage provisional stabilization of major skeletal fractures management of softtissue injuries minimizing the degree of surgical insult to the patient. The patient landed on a 20 cm railing spike which pierced her left buttock. Damage control orthopaedics dco is a staged approach for the management of multiply injured patients. The greater the effort to maintain control of a hand tool, the higher the potential for injury. The acute care surgeon should have a working knowledge. Damage control principles applied in orthopaedic surgery slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Mass disasters compound this challenge further due to delayed referral. Maximum authors categorize the multiple injured patients into 4 groups which are1. See more ideas about presentation templates, templates and presentation. Orthopaedics involves the treatment of musculoskeletal system, which is made up of your bodys bones, joints, ligaments, tendons and muscles.
This is a medical powerpoint template that will suit all orthopedics or osteology powerpoint presentations. It focuses on the rapid resuscitation of these patients by providing temporary stabilisation of fractures while at the same time reducing the. Damage control orthopaedics an approach to contain and stabilize an orthopaedic injury to improve patients physiology designed to avoid worsening pts condition due to second hit phenomenon delay definitive surgery until pt condition is optimized focuses on hemorrhagic control, management of softtissue injury and provisional. Associate medical director traumaorthopedics orthopedic associates of lancaster care of a trauma patient with multiple injuries can pose complex problems of prioritization. He specializes in joint replacement, custom fit knee surgery,and other expert orthopedic treatments.
Damage control surgery dcs multiple abdominal trauma thoracic injury vascular surgery orthopaedics abdominal sepsis damage control originated in the us navy, refers to the capacity of a ship to absorb damage and maintain mission integrity. Damage control orthopaedic trauma surgery dcots using unembalmed cadavers, you will practice a range of techniques with an emphasis on rapid control of exsanguinating haemorrhage and resuscitation. Damage control orthopaedic trauma surgery bota british. The management of the polytraumatized orthopedic patient remains a challenging issue. Multiply injured patients with fractures are comanaged by acute care surgeons and orthopaedic surgeons.
A 38yearold woman presented to our trauma centre following a left buttock injury after falling off a threestorey building. Use our complete collection of all the orthopaedic ppt templates,fracture presentation templates for creating medical ppt presentations. A minipowerpoint presentation on damage control surgery. Recently, the benefits of supraacetabular pins have been proven. Feb, 2016 check our excellent and completely customized orthopaedic powerpoint templates. Introduction displaced unstable pelvic injuries are life threatening and require rapid reduction and stabilisation, typically achieved with an external fixator. Damage control orthopaedics is an extension of the principles of damage control surgery as applied to musculoskeletal trauma. In recent years many efforts have been made to develop rescue techniques and to promote guidelines for the management of these patients.
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