Multiple Trauma 3

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Musculo-skeletal Trauma

The mean excretion The mean excretion of 3-methylhistidine of 3-methylhistidine

in the urine in ten in the urine in ten injured patients injured patients

without without hyperketonaemiahyperketonaemia

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Musculo-skeletal Trauma

The variation in The variation in the phases of the phases of

injury according injury according to its natureto its nature

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Musculo-skeletal Trauma

Some effects of Some effects of burns on hormonal burns on hormonal

controlcontrol

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Musculo-skeletal Trauma

Fat can not be used as a source of glucoseFat can not be used as a source of glucose

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Musculo-skeletal Trauma

Relationship between hormones and Relationship between hormones and substrates in mansubstrates in man

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Musculo-skeletal Trauma

MethylhistidineMethylhistidine

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Musculo-skeletal Trauma

Metabolic pathways of animo acidsMetabolic pathways of animo acids

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Musculo-skeletal Trauma

The central position of the liver as a transformer The central position of the liver as a transformer between fuel supply and fuel consumersbetween fuel supply and fuel consumers

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Musculo-skeletal Trauma

Diagrammatic representation of some changes in Diagrammatic representation of some changes in body composition induced by severe injurybody composition induced by severe injury

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•Multiple fractures especially when involving long bones, especially in lower extremities.

•Spinal injuries with its risk to the neural elements.

•Pelvic injuries with its impact on the contained viscera.

•Complicated fractures by vascular, neurological and soft tissue damage.

Musculoskeletal trauma has a special Musculoskeletal trauma has a special consideration and challenges in:consideration and challenges in:

Musculo-skeletal Trauma

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•Open fractures especially grade II, III A,B,C.

•Contamination yielding to infections.

•Fractures involving joints.

•Fractures with bone losses.

•Mismanaged bones and joints after injury.

Musculoskeletal trauma has a special Musculoskeletal trauma has a special consideration and challenges in:consideration and challenges in:

Musculo-skeletal Trauma

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•Complications of fracture healing.

•Medical diseases imposing variable threats to the victims of bone and joint injury.

•The availability versus lack of instrumentation, implants, expertise, medical and paramedical staff.

Musculoskeletal trauma has a special Musculoskeletal trauma has a special consideration and challenges in:consideration and challenges in:

Musculo-skeletal Trauma

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•First aid and ATLS measures provided in situ at the site of accident.

•Access and effective transfer into a trauma center.

•Thorough and careful assessment of the patient using different score systems.

•Detailed study of the type of fractures, plan and timing of intervention.

Management will depend on:Management will depend on:Musculo-skeletal Trauma

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•Reduction (closed vs. open).

•Immobilization (closed vs. open).

•Rehabilitation.

Based on this, treatment will proceed to:Based on this, treatment will proceed to:Musculo-skeletal Trauma

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•The aim of treatment will be:

CONCLUSION:CONCLUSION:

•Prevention of accidents and trauma to occur.

•Prevention of further damage to the human skeleton.

•Prevention of recurrence of trauma.

Musculo-skeletal Trauma

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•Prevention of the risk factors causing injuries.These can be accessible in 30% of the cases, whereas the rest of them need public and governmental support.

CONCLUSION:CONCLUSION:Musculo-skeletal Trauma

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•A trauma center is a mandatory factor in managing trauma patients to improve the mortality and morbidity rates of injuries.

RECOMMENDATION:RECOMMENDATION:Musculo-skeletal Trauma

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Thank you Thank you From

Dr. Abdullah H.A. JumaFRCS(Ed.)

Associate Professor and Consultant Orthopedic surgery