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Trauma

Damage control orthopaedics and polytrauma

Damage control orthopaedics versus early total care, ISS scoring and staged care.

23 questions 2 source pages

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23 questions
Q1What do DCO, ETC and ISS stand for in this section title?▸
  • the source is titled DCO vs ETC ISS
  • Not covered in the speaker notes - the source only lists classifications
Q2Which classification is listed for open fractures?▸
  • Gustilo classification
Q3Which scores are listed for a mangled limb?▸
  • MESS
  • LEAP
Q4Which classifications are listed for pelvic fractures?▸
  • Young & Burgess
  • Tile
Q5Which classification is listed for acetabular fractures?▸
  • Judet & Letournel (Latournal) classification
Q6Which classifications are listed for hip dislocation?▸
  • Epstein
  • Pipkin
Q7Which classifications are listed for femoral neck fractures (NOF)?▸
  • Garden
  • Pauwel
  • Leighton
Q8Which classification is listed for trochanteric fractures (TOF)?▸
  • Kyle classification
Q9Which classification is listed for subtrochanteric fractures?▸
  • Russell Taylor classification
Q10Which body defines an atypical femoral fracture (AFF)?▸
  • American Society for Bone & Mineral Research
Q11Which classification is listed for femoral shaft fractures?▸
  • Winquist & Hansen
  • The list also includes NOF + shaft
Q12Which classification is listed for a floating knee?▸
  • Fraser classification
Q13Which classifications are listed for distal femur fractures?▸
  • AO
  • Hoffa
Q14Which classification is listed for tibial plateau fractures?▸
  • Schatzker classification
Q15Which classification is listed for pilon fractures?▸
  • Reudi & Allgowa classification
Q16Which classification is listed for ankle fractures?▸
  • Lauge Hansen classification
Q17Which classifications are listed for calcaneal fractures?▸
  • Essex Lopresti
  • Sander
  • Bohler
  • Gissane
  • Broden
Q18Which classifications are listed for talar neck fractures?▸
  • Hawkin
  • Canale
Q19Which classification is listed for Lisfranc injuries?▸
  • Myerson classification
Q20What is damage control orthopaedics (DCO)?▸
  • Staged operation in the poly-trauma patient to minimize the second hit
  • Aim to avoid the terrible triad: coagulopathy, acidosis, hypothermia
  • Minimal surgical intervention to achieve hemodynamic & skeletal stabilisation and nursing care
Q21What are the components of damage control surgery?▸
  • Haemostasis
  • Decontamination
  • Decompression
  • Stabilization
  • Revascularize
Q22Who should undergo DCO rather than early total care?▸
  • Decide according to hemodynamic status
  • Unstable/Borderline patient
  • Severe chest injury, ISS >40
  • Multiple fracture, shock
Q23What are the peaks of mortality after major trauma?▸
  • 1st peak: major bleeding, brain injury
  • 1 hr (golden hour): haemorrhage control
  • 2-3 week: sepsis, multi-organ failure
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