Orthopedic Emergencies
Life Threatening to Life Altering
- Speaker:
- Jodi Chambers, PA-C, AT
- Duration:
- 2 Hours 02 Minutes
- Format:
- Audio and Video
- Copyright:
-
May 07, 2024
- Product Code:
- POS078844
- Media Type:
- Digital Seminar
Description
Orthopedic emergencies are critical situations that necessitate immediate attention due to their potential life-threatening or limb-threatening consequences. Whether it’s a pelvic fracture from a high-velocity accident, a dislocated joint following a sports injury, or compartment syndrome complicating a limb injury, every moment counts in these scenarios. Recognizing the urgency of orthopedic emergencies requires a keen understanding of the key clinical indicators such as pain, deformity, and neurovascular compromise. You will be prepared to make a rapid assessment aided by imaging modalities that will enable you to make the correct diagnosis and appropriate treatment decisions.
Credit
Continuing education credit is not available on this product.
Handouts/Brochure
| File type | File name | Number of pages | |
|---|---|---|---|
| Manual - Orthopedic Emergencies (253.3 KB) | 8 Pages | Available after Purchase |
Speaker
Jodi Chambers, PA-C, AT Related seminars and products
Jodi Chambers, PA-C, AT specializes in orthopedic surgery, bringing expertise and compassion to patient care. Throughout her 24-year career, Jodi has started several orthopedic walk-in-clinics in the Northeast Indiana area. She has also worked with a sports medicine surgeon, covered call for a level 11 trauma center, served on the executive committee to support a team of ortho NP/PA providers, and delivered presentations around the country that draw from her specialty expertise.
Speaker Disclosures:
Financial: Jodi Chambers has an employment relationship with Physicians Immediate Care. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Jodi Chambers has no relevant non-financial relationships.
Additional Info
Access for Self-Study (Non-Interactive)Access never expires for this product.
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Objectives
- Respond to common orthopedic emergencies such as fractures, dislocations and compartment syndrome.
- Determine the mechanisms of injury for different types of orthopedic trauma.
- Recognize signs and symptoms of various orthopedic emergencies such as open book fracture and Slipped capital Femoral Epiphysis (SCFE) joint dislocations.
- Explore the different imaging modalities used in diagnosing orthopedic trauma such as x rays, CT scans, and MRI.
Outline
Pelvic Fractures
- Types of pelvic fractures
- Clinical exam findings: Unstable vital signs, visual and/or palpable deformity
- Diagnostic orders: CT scan
- Triage plan of care: Stabilize and transfer
Large Joint Dislocation of the Knee and Hip
- Knee: Traumatic high force injury. This is NOT a patella dislocation
- Limb threatening because of possible artery dissection
- Clinical exam finding-obvious deformity
- Diagnostic tests: Immediate x rays and MR arteriogram
- Triage: Immediate ortho consult and probable vascular consult
- Hip: Traumatic high force injury, typically from a MVA or motorcycle injury
- Hip dislocation alone can cause trauma to the head of the femur leading to AVN
- More importantly- associated acetabular fracture and /or pelvic ring inury
- Clinical exam leg length discrepancy
- CT scan
- Triage ortho consult hip reduction
Cauda Equina: Acute Dysfunction of the Lumbar and Sacral Nerves
- Etiology: herniated disc, gun shot wound, trauma
- Clinical exam: Peri anal numbness, bowel or bladder incontinence, decreased or absent rectal tone
- Diagnostic tests: Stat MRI
- Differential dx herniated disc
- Treatment: Emergent surgical decompression
Compartment Syndrome
- Etiology: crush injury, over anti-coagulated causing excessive pressure in isolated compartments
- Clinical exam: Pain, palor, paresthesia, pulselessness
- Diagnostic tests: Compartment pressure testing, x ray
- Differential dx Rhabdomyolisis
- Treatment: Ice elevation surgical fasciotomy
Rhabdomyolysis
- Etiology: Excessive breakdown of muscle tissue from excessive exercise (ie. crossfit)
- Proteins released damage kidney
- Clinical exam: Pain, extremely tight compartments, dark reddish urine
- Diagnostic tests: UA
- Treatment: Fluids, observation
Joint infection
- Etiology: Bacterial, viral or aseptic inflammation of a joint
- Clinical exam: Pain, febrile, joint swelling decreased range of motion
- Diagnostic tests: Labs, joint aspiration
- Treatment: Antibiotics, surgical joint lavage
Tenosynovitis- inflammation of a tendon sheath
- Etiology: Penetration of a tendon sheath (infectious), repetitive,
- Clinical exam: Pain, crepitus, fever, redness swelling of the tendon
- Diagnostic tests: X ray rule out foreign body, labs, MRI
- Treatment: Rest, NSAIDS, antibiotics, immobilization, surgical irrigation and debridement
Slipped Capital Femoral Epiphysis: Disruption of the Proximal Femoral Growth Plate in Adolescents
- Etiology: Boys more than girls, obese, left hip >right hip
- Clinical exam: Groin or knee pain reproducible with passive hip ROM
- Diff dx: Aseptic synovitis appendicitis, hernia, ovarian cyst
- Diagnostic tests: X Ray, Labs (if suspicious of infection)
- TIME SENSITIVE! Blood supply to the femoral head is compromised
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