Trauma Guideline Manual - SUNY Upstate Medical University
Trauma Guideline Manual - SUNY Upstate Medical University
Trauma Guideline Manual - SUNY Upstate Medical University
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<strong>Trauma</strong> <strong>Guideline</strong> <strong>Manual</strong>______________<strong>Upstate</strong> <strong>Medical</strong> <strong>University</strong> <strong>Trauma</strong> Center89PRACTICE GUIDELINES: EMERGENCY TREATMENT OF DISLOCATIONS ANDFRACTURESOBJECTIVES:1. Define the major orthopedic injuries that will be seen in trauma patients.2. Provide a list of some radiographic studies that may be used to define specific injuries.3. Enumerate immobilization and reduction techniques that can be applied in the trauma roomuntil definitive treatment can be undertaken.4. Provide a list of potential definitive orthopedic procedures that will be considered for eachinjury.HAND:INJURYX-RAYSREDUCTIONIMMOBILZATIONTREATMENTDIP or PIPdislocationAP/Lat fingerDorsal splint in extension,orBuddy tapeClosed reductionMetacarpalfractureAP/Lat handDorsal-volar splintClosed reduction,wiresARM:INJURYWristDistalradiusForearm,radiusand/orulnaRadialheadOlecranonX-RAYSAP/LatwristAP/LatforearmAP/LatforearmAP/LatElbowAP/LatforearmAP/LatelbowAP/LatforearmREDUCTION/IMMOBILZATIONDorsal-volar splintSugar tong splintSugar tong splintPosterior elbowsplintPosterior elbowsplintTREATMENTClosedreductionClosedreduction, orORIFClosedreduction, orplatesClosedreduction, orORIFORIF