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> Center91FEMUR:INJURYFemoral headFemoral neckIntratrochantericfemurSubtrochantericfemurFemoral shaftSupracondylarfemurX-RAYSAP pelvis, AP/lat hipAP pelvis, AP/latboth hips (uninjuredside with templates)AP pelvis, AP/lat hipAP pelvis, AP/latfemurAP/lat femur, AP/latknee, AP pelvisAP/lat femur, AP/latknee, AP pelvisREDUCTION/IMMOBILZATIONDistal femoral traction,or nothingBuck’s traction, ornothingBuck’s traction, ornothingDistal femoral traction,tibial tractionHare traction splint, orSpeed SplintKnee immobilizer, ortibial tractionTREATMENTORIFORIFORIFORIFORIFORIFLOWER LEG:INJURYX-RAYSREDUCTION/IMMOBILZATIONTREATMENTPatella AP/lat knee Knee immobilizer ORIFAP/lat knee,TibialORIF, or spanningCT scan (after spanning Knee immobilizerplateauex-fixex-fix)Tibial shaft AP/lat tibiaPosterior sugar tongsplintORIFANKLE:INJURYPilonMalleolus(medial,lateral,posterior)X-RAYSAP/lat ankle, mortise view,AP/lat tibia, or CT scanafter spanning ex-fixAP/lat ankle, mortise viewREDUCTION/IMMOBILZATIONPosterior sugar tongsplint, calcaneal tractionPosterior sugar tongsplintTREATMENTORIFORIF