1 / 29

EXTREMITY TRAUMA

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.

rkimbrough
Download Presentation

EXTREMITY TRAUMA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. EXTREMITY TRAUMA

  2. OBJECTIVES Identify and treat fractures and soft tissue injuries in a tactical environment.

  3. Open Wounds

  4. Closed Wounds

  5. Musculoskeletal - Causes • Overuse • Acute sprains and strains • Trauma

  6. Overuse

  7. Acute Sprains and Strains

  8. Trauma Compound Fracture of the Ankle

  9. Musculoskeletal Presentation • Pain • Swelling • Discoloration • Temperature change • Numbness/tingling • Loss of function

  10. Musculoskeletal Evaluation • History • Physical examination • skin breaks • tenderness • swelling • discoloration • distal pulses • sensory exam • motor exam

  11. Musculoskeletal Treatment • Prevention • “RICE” • Analgesic • Tylenol • Analgesic & Anti-inflammatory • Aspirin • Ibuprofen (Motrin/Ranger Candy) • Naprosyn

  12. Fractures • Any break in the continuity of a bone • May vary from a simple crack to a completely shattered bone FX Femur

  13. Open Fracture Compound Fracture of the Ulna

  14. Other Injuries De-gloving Injury Blast Injury

  15. Ecchymosis • Discoloration caused by bleeding in tissue • Blood migrates toward skin and changes color with time

  16. Joints • Surrounded by joint capsule and ligaments, muscles and tendons

  17. Dislocations • Disruption of a joint such that the bone ends are no longer in contact • Torn ligaments and capsule

  18. Common Dislocations • Fingers • Shoulder • Hip • Elbow • Ankle Dislocated Elbow

  19. Knee Joint • Femur, Tibia, and Patella • Largest hinge joint in body • Held together by complex ligaments • Susceptible to injury

  20. Knee Injuries • Ligaments and cartilage injuries are common • Swelling, pain, limited ROM • Frequent athletic injury • Splint entire femur and tibia

  21. 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)

  22. Dislocation of the Knee

  23. Ankle Injuries • Usually result from twisting, indirect force • Fracture, dislocations, sprains can occur • Swelling and deformity • Note circulation • Immobilize with padding and splint

  24. Sprain • Partial, temporary joint dislocation • Ligaments torn or stretched • May produce discoloration

  25. SAM SPLINT

  26. Management of Closed Injuries • R - Rest • I - Ice • C - Compression • E - Elevation • S - Splint (SAM Splints and cravats or ACE wraps) • R/O fracture

  27. Soft Tissue Injuries • Open - Violation of overlying skin or mucous membrane

  28. Management Stop the bleeding and bandage

  29. 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

More Related