![]() compartment syndrome - assess compartment pressures and neurovascular status, remove constrictions,arrange for fasciectomy.open fractures - clean and cover wounds, reduce fracture, splint and elevate limb, antibiotics.crush syndrome - fluid resuscitation to keep urine output > 1-2 mL/kg/h, treat hyperkalemia.major arterial hemorrhage - direct pressure, tourniquet, elevate, hemostatic resuscitation, correct coagulopathy.pelvic fracture with major hemorrhage - apply pelvic binder, hemostatic resuscitation, correct coagulopathy.ABCDE approach with cervical spine immobilisation if indicated.Concurrent assessment and management in an appropriately staffed and equipped trauma bay, involving activation of the trauma team and a coordinated team-based approach.They are usually but not always open injuries causing exposure of the underlying structures and are associated with high morbidity)ĪPPROACH TO TRAUMA PATIENT WITH SIGNIFICANT EXTREMITY INJURIES Degloving injuries (involve separation of the skin and underlying subcutaneous connective tissue from the underlying fascia.Neurological compromise due to limb injury.Traumatic amputation (an injury that results in loss of the extremity distal to the wound) and severe vascular injuries. ![]() Crush syndrome (the complex of electrolyte disturbances, metabolic acidosis and rhabdomyolysis resulting from crush injury).Pelvic disruption with massive hemorrhage.The most important extremity injuries are those that are either life-threatening or limb-threatening in nature
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