Orthopedic Care and Consultation
Currently used scoring system is modified Hendrich’s Fall Risk Score and is termed as Hendrich II Fall Risk Model.
It takes into account following parameters and assigns a score to each parameter. Final score is calculated b and then calculating final score.by addition of all individual scores.
Here is a brief outline [Read more...]
A preestablished response to trauma patients is essential for organized care of injured patients. Levels of response have been established to mobilize personnel the personnel efficiently and effectively.
After the initial evaluation by emergency physician, a call for response is given whose level depends on the trauma patient and physician assessment.
Following response levels are known [Read more...]
Injury is a global public health problem and the dominant cause of death and disability of the young and active people, particularly in industrialized countries.
Injury is the seventh cause of death worldwide , and the number one cause of death in the young.
Injury is an unwanted side effect of industrialization. Automobiles form an integral part of our surrounding. It is projected that road traffic fatalities will rise to the third leading global cause of death by the year 2020.
Injury Severity Score is based on Abbreviated Injury Scale and is used in assessment of injury in adults an children both. It along with pediatric trauma score are quite reliable in predicting injury measure in children.
Abbreviated Injury Scale is an anatomical scoring system where injuries are ranked on a scale of 1 to 6, with 1 being minor, 5 severe, and 6 a nonsurvivable injury.
The objective of Abbreviated Injury Scale is to gauge threat to life associated with an injury and is not meant to represent a comprehensive measure of severity. [Read more...]
One of the most frightening situation for a person is inability to reach anyone for help. while it may be frightening, it is not uncommon.
Patients of trauma falls into minor injuries or major injuries. A person with major injuries can be conscious or unconscious. Minor injuries can be managed or help for them can be sought at later time.
If one id alone and unconscious, he/she would be helped only when someone discovers him [If he is fortunate enough to be discovered within time where help can be offered].
Our main focus of article is the third group. If you are injured and you are conscious, finding yourself alone with injury is a kind of nightmare. [Read more...]
An example of fracture of proximal phalanx of second ray or index finger [Thumb is the first ray]
Fracture of Proximal Phalanx of Index Finger
This fracture had occurred in 23 years old male following trauma.
Bilateral fracture neck of femur are quiet rare and are mostly seen in females with osteomalacia.
Following xray is of 47 years old female who had fracture of both the femoral neck femur following trauma.
Bilateral Neck Femur Fracture
The patient was advised osteosynthesis for both the fractues. She wanted another opinion and did not follow.
47 years old lady was hit by a tractor trolley resulting in fall. The lady was brought to casualty with complaints of pain in back and around the hip. She was not able to bear weight on right lower limb. Xrays of back and pelvis were done fter initial assessment.
The xray of spine was normal. Xray pelvis revealed following picture.
The xray showed fracture of pubis bone [Arrows show the extent].
The patient is being managed with analgesics, supportive therapy and rest and is showing imporvement.
Spine and spinal cord are vital and complex organs. therefore there initial evaluation is also complex and involves a multitude of signs and tests. Spinal examination cannot be straightforward examination. Rather it needs to be modified as more information about the patient becomes available.
Each subsequent event in the patient’s evaluation is influenced by the findings of the initial evaluation, both for diagnosis and management of the spinal injury and for management of other potential injuries.
Severe injuries require continuous or serial examinations to monitor and diagnose conditions because some conditions may not readily apparent early. [Read more...]
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