Advances in Trauma Surgery

By Matthew Spreadbury & Mark Mansingh

Why Trauma surgery in the UK?Trauma is the leading cause of death in the UK over the firstfour decades of life. Current war in Afghanistan – AIS scale Most common injures – IED/RPG/HVR

Applications to almost every area of healthcare

Third cause of death in all age groups (globally)

Applications to the NHSMicrobiological – Wound debridement and dressings.

Tissue grafting – engineering, histological research.

Blood transfusions : “blood protocols” London/Oslo/Copenhagen

Speed of admission to hospital (“the golden hour”)

Surgical Advances Reconstructive Surgery (case study)-“Serratus anterior flap with ribs procedure”- Maximillofacial reconstruction

Intraosseal devices:

Targeted anesthesia:-Portable ultrasound

Prosthetics :

Recovery

• Dedicated physical and psychological regimes in place to get the soldiers back to peak fitness.

Cybernetic limbs

Cybernetic Limbs

These are Limbs which can be synchronized with the body’s own natural motion.

The technique, called targeted muscle reinnervation

Electrodes are placed over the chest muscles, acting as antennae. When the person wants to move the arm, the brain sends signals that first contract the chest muscles, which send an electrical signal to the prosthetic arm, instructing it to move.

"The difference is I'm not really thinking about it, I kind of just do it."

Scientist are hailing this breakthrough as so good that the next further advancement would create a “Luke’s Skywalker” arm.

These cybernetic limbs are more expensive than the traditional limbs.

Sources • http://www.nhs.uk/Tools/Pages/militaryphoto.aspx• Pape H-C,Evaluation and outcome of patients after polytrauma – Can patients be

recruited for long-term follow up? Injury 2006;37(12):1197–1203,• Champion HC, Copes WS, Sacco WJ, Lawnick MM, Keast SC, Frey CF. The major

trauma outcome study: establishing national norms for trauma care. Journal of Trauma 1990;30:1356–1365

• http://www.bbc.co.uk/news/health-15741800• Trauma and Audit Research Network (2009). Modelling Trauma Workload: A Project

for the Department of Health.• Lecky FE. A new approach to outcome prediction in trauma: a comparison with the

TRISS model. Journal of Trauma 2006;61:701–710• http://www.yalemedlaw.com/2010/10/advances-in-prosthetic-limbs/• http://www.healthtechnica.com/blogsphere/2011/03/04/artificial-limbs-and-their-

advancements-in-the-last-10-years/• http://www.foxnews.com/story/0,2933,275029,00.html• http://en.wikipedia.org/wiki/Prosthesis