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Review Article
General Assessment and Initial Management of Polytrauma Patients
Hyoung Keun Oh, M.D.
Journal of the Korean Fracture Society 2013;26(3):230-240.
DOI: https://doi.org/10.12671/jkfs.2013.26.3.230
Published online: July 15, 2013

Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.

Address reprint requests to: Hyoung Keun Oh, M.D. Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, 170 Juhwa-ro, Ilsanseo-gu, Goyang 411-706, Korea. Tel: 82-31-910-7968, Fax: 82-31-910-7967, osd11@paik.ac.kr

Copyright © 2013 The Korean Fracture Society. All rights reserved.

This is anOpen Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 1
(A) A 52-year-old male who had open femoral fracture and unstable pelvic ring injury was managed with temporary external fixation.
(B) After patient's condition was optimized, conversion to internal fixation using intramedullary nail was performed for femoral fracture.
jkfs-26-230-g001.jpg
Fig. 2
(A) A 43-year-old female was sustaind from hemodynamically unstable pelvic ring injury. Angiography and embolization was performed as primary treatment for hemorrhage control (arrow).
(B) Pelvic external fixation was carried out for provisional fixation of unstable pelvic ring injury. After patient's condition was optimized, convertsion to internal fixation was performed.
jkfs-26-230-g002.jpg
Table 1
Clinical Parameters Influencing Management after Major Trauma27)
jkfs-26-230-i001.jpg

ATLS: Advanced trauma life support, AIS: Abbreviated injury scale, TTS: Thoracic trauma score, DCO: Damage control orthopedicsm, ETC: Early total care.

Table 2
Parameters to Consider When Deciding to Implement Damage Control Orthopedic Protocols25)
jkfs-26-230-i002.jpg

BP: Blood pressure.

Table 3
End Points For Damage Control Resuscitation33)
jkfs-26-230-i003.jpg

Figure & Data

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    General Assessment and Initial Management of Polytrauma Patients
    Image Image
    Fig. 1 (A) A 52-year-old male who had open femoral fracture and unstable pelvic ring injury was managed with temporary external fixation. (B) After patient's condition was optimized, conversion to internal fixation using intramedullary nail was performed for femoral fracture.
    Fig. 2 (A) A 43-year-old female was sustaind from hemodynamically unstable pelvic ring injury. Angiography and embolization was performed as primary treatment for hemorrhage control (arrow). (B) Pelvic external fixation was carried out for provisional fixation of unstable pelvic ring injury. After patient's condition was optimized, convertsion to internal fixation was performed.
    General Assessment and Initial Management of Polytrauma Patients

    Clinical Parameters Influencing Management after Major Trauma27)

    ATLS: Advanced trauma life support, AIS: Abbreviated injury scale, TTS: Thoracic trauma score, DCO: Damage control orthopedicsm, ETC: Early total care.

    Parameters to Consider When Deciding to Implement Damage Control Orthopedic Protocols25)

    BP: Blood pressure.

    End Points For Damage Control Resuscitation33)

    Table 1 Clinical Parameters Influencing Management after Major Trauma27)

    ATLS: Advanced trauma life support, AIS: Abbreviated injury scale, TTS: Thoracic trauma score, DCO: Damage control orthopedicsm, ETC: Early total care.

    Table 2 Parameters to Consider When Deciding to Implement Damage Control Orthopedic Protocols25)

    BP: Blood pressure.

    Table 3 End Points For Damage Control Resuscitation33)


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