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  • Extremity Trauma

    Diunggah oleh

    Mark Cheney
    39 tayangan29 halaman
    This document discusses the evaluation and treatment of extremity trauma in tactical environments. It outlines the causes of musculoskeletal injuries including overuse, sprains/strains, and trauma. It describes presentations such as pain, swelling and loss of function. Treatment focuses on prevention, RICE therapy, analgesics, splinting fractures and injuries, and managing wounds, dislocations, and sprains. The overall goal is to identify and treat fractures and soft tissue injuries while following standard trauma management procedures.

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    extremity-trauma

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    This document discusses the evaluation and treatment of extremity trauma in tactical environments. It outlines the causes of musculoskeletal injuries including overuse, sprains/strains, and trauma. It describes presentations such as pain, swelling and loss of function. Treatment focuses on prevention, RICE therapy, analgesics, splinting fractures and injuries, and managing wounds, dislocations, and sprains. The overall goal is to identify and treat fractures and soft tissue injuries while following standard trauma management procedures.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PPT, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    39 tayangan29 halaman

    Extremity Trauma

    Diunggah oleh

    Mark Cheney
    This document discusses the evaluation and treatment of extremity trauma in tactical environments. It outlines the causes of musculoskeletal injuries including overuse, sprains/strains, and trauma. It describes presentations such as pain, swelling and loss of function. Treatment focuses on prevention, RICE therapy, analgesics, splinting fractures and injuries, and managing wounds, dislocations, and sprains. The overall goal is to identify and treat fractures and soft tissue injuries while following standard trauma management procedures.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PPT, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 29

    EXTREMITY TRAUMA

    OBJECTIVES
    Identify and treat fractures and soft tissue
    injuries in a tactical environment.
    Open Wounds
    Closed Wounds
    Musculoskeletal - Causes
    • Overuse

    • Acute sprains and strains

    • Trauma
    Overuse
    Acute Sprains and Strains
    Trauma

    Compound Fracture of the Ankle


    Musculoskeletal
    Presentation
    • Pain
    • Swelling
    • Discoloration
    • Temperature change
    • Numbness/tingling
    • Loss of function
    Musculoskeletal
    Evaluation
    • History
    • Physical examination
    – skin breaks
    – tenderness
    – swelling
    – discoloration
    – distal pulses
    – sensory exam
    – motor exam
    Musculoskeletal
    Treatment
    • Prevention
    • “RICE”
    • Analgesic
    – Tylenol
    • Analgesic & Anti-inflammatory
    – Aspirin
    – Ibuprofen (Motrin/Ranger Candy)
    – Naprosyn
    Fractures
    • Any break in the
    continuity of a bone

    • May vary from a


    simple crack to a
    completely shattered
    bone

    FX Femur
    Open Fracture

    Compound Fracture of the Ulna


    Other Injuries

    De-gloving Injury

    Blast Injury
    Ecchymosis
    • Discoloration caused
    by bleeding in tissue

    • Blood migrates
    toward skin and
    changes color with
    time
    Joints
    • Surrounded by joint capsule and
    ligaments, muscles and tendons
    Dislocations
    • Disruption of a joint such that the bone
    ends are no longer in contact
    • Torn ligaments and capsule
    Common Dislocations
    • Fingers
    • Shoulder
    • Hip
    • Elbow
    • Ankle

    Dislocated Elbow
    Knee Joint
    • Femur, Tibia, and Patella
    • Largest hinge joint in body
    • Held together by complex ligaments
    • Susceptible to injury
    Knee Injuries
    • Ligaments and cartilage injuries are common
    • Swelling, pain, limited ROM
    • Frequent athletic injury
    • Splint entire femur and tibia
    Dislocation of the Knee
    • Severe deformity
    • Popliteal artery commonly injured
    • If pulse is present, splint in deformed position
    • If pulse is absent, attempt once to realign limb
    and splint where pulse is strongest (RGR
    MEDIC)
    Dislocation of the Knee
    Ankle Injuries
    • Usually result from
    twisting, indirect force
    • Fracture, dislocations,
    sprains can occur
    • Swelling and deformity
    • Note circulation
    • Immobilize with padding
    and splint
    Sprain
    • Partial, temporary
    joint dislocation
    • Ligaments torn or
    stretched
    • May produce
    discoloration
    SAM SPLINT
    Management of Closed
    Injuries
    • R - Rest
    • I - Ice
    • C - Compression
    • E - Elevation
    • S - Splint (SAM Splints and cravats or
    ACE wraps)
    • R/O fracture
    Soft Tissue Injuries
    • Open - Violation of
    overlying skin or
    mucous membrane
    Management

    Stop the bleeding and bandage


    Summary
    • Although quite common, rarely life
    threatening

    • First priority in management same for all


    patients ( A,B,C’s)

    • RICES for most soft tissue injuries

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