Ortho Preferred Malpractice Insurance

Hand Fasciotomy

 C. Hands                         1. hand has 10 separate fascial compartments                                     a. 4 dorsal interossei                                     b. 3 volar interossei                                     c. thenar muscles                                     d. hypothenar muscles                                     e. adductor pollicis                                                            2. fasciotomy technique – consists of 4 incisions (see figure 7)                                     a. one incision on radial side of thumb … Read more

III. Extremity Soft Tissue Care and Amputation in an Austere Environment

MAJ Travis Burns, M.D.     A. Understand the factors that affect the care options for different patient groups (locals, detainees, foreigners/soldiers and those with evacuation options)   I. Introduction             A. Patient categories in an austere setting                         1. host-nation civilians                         2. foreign noncombatants (third country nationals)                         3. detainees/enemy combatants                         4. … Read more

disaster_preparedness_toolbox_explore

   Toolbox offerings: Journal – Special themed issues of the Journal of Surgical Orthopaedic Advances exclusively devoted to disaster preparedness and trauma care.   Online Textbook – Wheeless’ Textbook of Orthopaedic Surgery contains the Disaster Preparedness Toolbox tab. Information is presented in a textbook-like format to review and refresh your trauma skills.  The SOMOS Core Curriculum and … Read more

Disaster Preparedness Toolbox

DT MedSurg, LLC (a Data Trace company), with educational support provided by Stryker, presents the launch of  a new initiative, The Disaster Preparedness and Trauma Care Toolbox,  featuring the Society of Military Orthopaedic Surgeons (SOMOS)     The Disaster Preparedness and Trauma Care Toolbox   As a civilian orthopaedic surgeon you may never need to … Read more

I. Combat/Disaster Injuries

Tom Large, MD Ben Kam, MD   A. Define the spectrum of injury   I. Mechanisms             A. Combat/disaster injuries often via high energy mechanisms and of magnitude not frequently seen in everyday civilian sector                         1. improvised explosive devices (IEDs)                         2. land mines                         3. rockets or rocket-propelled grenades (RPGs)                         4. mortars                         … Read more

Disaster Injuries (continued)

Tom Large, MD Ben Kam, MD C. Demonstrate knowledge of the indications for and ability to implement emergent orthopedic interventions (tourniquet, etc.)   I. Tourniquets             A. Prehospital tourniquet use shown to have significant beneficial effect on blood loss, shock, and mortality without increased risk for amputation or conversion to higher amputation levels1, 2             B. Application … Read more

Orthopaedic Disaster Preparedness and Trauma Care Resource Library

Journal of Surgical Orthopaedic Advances  Editor: L. Andrew Koman, MD (The articles presented in the issues below were written by members of SOMOS and are exclusively devoted to disaster preparedness and trauma care.) Volume 21, Number 1 Special Issue Editor: Jonathan A. Forsberg, MD Combat Orthopaedics for the Civilian Provider, With Special Emphasis on the Dismounted … Read more

Debridement

B. Define and demonstrate debridement   I. Introduction             A. Debridement derived from French verb “débrider”             B. Initially used to denote action of “cutting certain parts which—like a bridle—constrict or strangulate the organs which they cover”2,3             C. Goal of surgical debridement                         1. save lives                         2. preserve function                         3. remove contaminants … Read more