The Hip book

V. Axial Skeleton Injuries in an Austere Environment – I

CPT Jeanne Patzkowski, M.D. CPT Chad Krueger, M.D.     A. Describe the initial management, resuscitation, and stabilization of pelvic fractures   Pelvic Fractures I. Epidemiology             A. High energy mechanism of injury requires instantaneous deceleration of 30 mph to injure pelvic ring             B. Large association with other injuries including head, chest, abdomen, and extremity trauma … Read more

V. Axial Skeleton Injuries in an Austere Environment – II (continued)

V. Axial Skeleton Injuries in an Austere Environment (continued) CPT Jeanne Patzkowski, M.D. CPT Chad Krueger, M.D.     A. Describe the initial management, resuscitation, and stabilization of pelvic fractures   III. Resuscitation             A. Mortality rates as high as 40% with hemodynamic instability                         1. major cause of death in first 24 hours: exsanguinating … Read more

V. Axial Skeleton Injuries in an Austere Environment – III (continued)

V. Axial Skeleton Injuries in an Austere Environment (continued)   CPT Jeanne Patzkowski, M.D. CPT Chad Krueger, M.D.     A. Describe the initial management, resuscitation, and stabilization of pelvic fractures      IV. Stabilization             A. Provisional                         1. may be performed at echelon II or III                         2. sheet/binder                                     a. easy to … Read more

V. Axial Skeleton Injuries in an Austere Environment – IV (continued)

V. Axial Skeleton Injuries in an Austere Environment (continued)   CPT Jeanne Patzkowski, M.D. CPT Chad Krueger, M.D. B. Define the initial management, resuscitation, and stabilization of spine injuries with associated neurological injuries     Spinal Fractures with Associated Neurologic Injuries I. Epidemiology             A. Overall spine injury from Operation Iraqi Freedom (OIF)/Operation Enduring Freedom (OEF) … Read more

V. Axial Skeleton Injuries in an Austere Environment – V (continued)

  CPT Jeanne Patzkowski, M.D. CPT Chad Krueger, M.D.     B. Define the initial management, resuscitation, and stabilization of spine injuries with associated neurological injuries IV. Stabilization             A. Maintain rigid spinal immobilization until mechanical instability has been ruled out                         1. may need CT scan to evaluate entire spine completely                         2. majority … Read more

Product Information

Stryker provides educational support to Wheeless’ Textbook of Orthopaedics.  Please see below for Stryker’s products of interest. Stryker Trauma & Extremities Surgical Technique Library   All Stryker Trauma & Extremities Products        Hip Fracture & Pelvis        Upper Extremity and Hand        Lower Extremities        Foot and Ankle        Peripheral Nerve Repair  

Orthopaedic Disaster Preparedness and Trauma Care Curriculum

SOMOS Core Curriculum and Critical Skills List The Society of Military Orthopaedic Surgeons (SOMOS) teaches the “Combat Extremity Surgical Course” (CESC) to military surgeons prior to deployment. The SOMOS Core Curriculum and Critical Skills List are derived from the CESC objectives and are presented as part of the Orthopaedic Disaster Preparedness and Trauma Care Tool Box initiative.       … Read more

IV. Extremity Fractures in an Austere Environment

CPT Jessica D. Cross CPT Daniel R. Possley     A. Describe the initial non-surgical and surgical management of extremity fractures   I. Introduction             A. Majority of wounds sustained by soldiers in combat zone are to the extremities, largely due to the nature of modern body armor1             B. Similarly, high energy extremity injuries are … Read more