JUNIORBONES
Orthopaedics and trauma for junior orthopaedic trainees and medical students
  • Home
    • About
  • Patient evaluation
    • History
    • Examination >
      • Shoulder examination
      • Hip examination
      • Knee examination
      • Foot & ankle examination
      • Spine examination
  • Trauma
    • Orthopaedic emergencies
    • Common trauma referrals >
      • Proximal humerus injuries >
        • Shoulder dislocation
        • Proximal humerus (shoulder) fractures
      • Upper-limb long bone fractures
      • Elbow injuries >
        • Adult elbow fractures
        • Paediatric supracondylar elbow fracture
      • Distal radius fractures
      • Spine trauma
      • Pelvic & acetabular fractures
      • Proximal femur fracture
      • Lower-limb long bone fractures
      • Knee injuries >
        • Fractures at the knee
        • Soft tissue knee injuries
      • Foot & ankle injuries >
        • Ankle fractures
        • Foot fractures
      • Peri-prosthetic fractures
      • Paediatric trauma
      • Septic arthritis >
        • Septic native joints
        • Septic joint replacement
  • Orthopaedic conditions
    • Osteoarthritis
    • Inflammatory & infective arthritis
    • Other joint disorders
    • Spine
    • Paediatric orthopaedics
    • Orthopaedic pathology
  • Cases blog
  • Trauma guidelines
  • Book downloads
  • Authors
  • Contact

Trauma

The pages in this section are set out in a simple manner to aid in the assessment and management of trauma commonly experienced in an Emergency Department. We do not aim to provide detailed information on classifications or treatment options. We have set out to provide a simple formula for treating trauma safely along with guidance on when senior review should be sought.

As a basic principle for management of trauma:

Assess the patient
  • Assess for life threatening injuries and treat urgently, according to ATLS guidelines
  • If necessary, immobilise c-spine until cleared clinically and radiographically
  • Provide oxygen, fluids, analgesia as necessary
Assess the limb
  • Look for open fracture and perform distal neurovascular examination
  • If necessary, attempt correction of major deformity with in-line traction
  • Splint injury
  • Get x-rays of limb, including joint above and below
  • IV fluids, antibiotics, analgesia, DVT prophylaxis as necessary
  • Prepare for theatre - optimise medical condition/co-morbidities
  • Discuss with senior colleagues
Powered by Create your own unique website with customizable templates.