General Assessment and Initial Management of Polytrauma Patients

Hyoung Keun Oh

doi:10.12671/jkfs.2013.26.3.230

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Oh: General Assessment and Initial Management of Polytrauma Patients

Review Article

Journal of the Korean Fracture Society 2013; 26(3): 230-240.

Published online: 15 July 2013

DOI: https://doi.org/10.12671/jkfs.2013.26.3.230

General Assessment and Initial Management of Polytrauma Patients

Hyoung Keun Oh, M.D.

Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.

Address reprint requests to: Hyoung Keun Oh, M.D. Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, 170 Juhwa-ro, Ilsanseo-gu, Goyang 411-706, Korea. Tel: 82-31-910-7968, Fax: 82-31-910-7967, osd11@paik.ac.kr

(open-access):

This is anOpen Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figures and Tables

Fig. 1

(A) A 52-year-old male who had open femoral fracture and unstable pelvic ring injury was managed with temporary external fixation.

(B) After patient's condition was optimized, conversion to internal fixation using intramedullary nail was performed for femoral fracture.

Fig. 2

(A) A 43-year-old female was sustaind from hemodynamically unstable pelvic ring injury. Angiography and embolization was performed as primary treatment for hemorrhage control (arrow).

(B) Pelvic external fixation was carried out for provisional fixation of unstable pelvic ring injury. After patient's condition was optimized, convertsion to internal fixation was performed.

Table 1

Clinical Parameters Influencing Management after Major Trauma27)

ATLS: Advanced trauma life support, AIS: Abbreviated injury scale, TTS: Thoracic trauma score, DCO: Damage control orthopedicsm, ETC: Early total care.

Table 2

Parameters to Consider When Deciding to Implement Damage Control Orthopedic Protocols25)

BP: Blood pressure.

Table 3

End Points For Damage Control Resuscitation33)

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