To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Heather A. Vallier, Department of Orthopedic Surgery, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio,
Mark D. Jenkins, Department of Orthopedic Surgery, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio
Define goals in the management of musculoskeletal trauma.
Discuss the potential advantages and disadvantages of early fracture fixation.
Describe patient and injury characteristics necessary to formulate a treatment plan.
Develop treatment strategies for urgent and emergent musculoskeletal problems.
GENERAL APPROACH TO MUSCULOSKELETAL TRAUMA CARE
Trauma is the leading cause of death and disability in the United States in people under the age of 45 years, accounting for more than 100,000 deaths each year, and annual medical expenses of more than $200 billion [1–3]. Most trauma-related deaths are associated with closed-head injuries or exsanguination shortly after the injury. Patients who survive the initial traumatic event are at risk for various life-threatening complications, many of which are directly related to their musculoskeletal injuries. Trauma care is evolving to address the initial musculoskeletal insult and treat or avoid secondary complications. Essential goals of treatment include resuscitation, pain relief, improved stability and alignment, enhanced mobility, and ultimately restoration of function.
Goals of treatment
The American College of Surgeons Committee on Trauma has developed Advanced Trauma Life Support (ATLS) protocols to aid in the initial evaluation and resuscitation of the trauma patient . These validated protocols are practiced at trauma centers throughout the United States and involve primary, secondary, and tertiary surveys of the patient. The primary survey is a stepwise evaluation of airway, breathing, circulation, disability, and exposure. This primary survey is followed by a secondary survey in which a detailed history and physical examination is completed.
Email your librarian or administrator to recommend adding this to your organisation's collection.