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- Title
DAMAGE CONTROL FOR SKELETAL INJURIES IN POLYTRAUMA PATIENTS - EDUCATIONAL CHALLENGE FOR ORTHOPAEDIC SURGEONS.
- Authors
LUPESCU, OLIVERA; NAGEA, MIHAIL; DIMITRIU, ALEXANDRU LISIAS; GROSU, ALINA MARIA; LUPESCU, DORIANA; POPESCU, GHEORGHE ION; CIUREA, NICOLAE MARIAN
- Abstract
Polytrauma patients need special therapeutic algorithms as their pathophysiology has particular features; two main elements must be taken into consideration- the complex systemic reaction with a dominant inflammatory component, and the necessity to prevent the "Second Hit' phenomenon, thus generating supplementary rules to be followed adjacent to those addressed to each separate injury. When considering the skeletal trauma, certain landmarks must guide the treatment, such as: proper evaluation of the systemic impact of the skeletal injury, multidisciplinary approach of the patient and flexible monitoring and treatment of all injuries generating heamodinamical instability. Due to high mortality and morbidity in polytrauma patients, optimal treatment is crucial first of all for their survival, therefore the particular principles of treating skeletal injuries in polytrauma must represent a distinct component of training in orthopaedic surgery. Using the tools provided by the ERASMUS + research programme 2015-1-RO01-KA202-015230 « Collaborative learning for enhancing practical skills for patient-focused interventions in gait rehabilitation after orthopaedic surgery" (COR- skills), the authors underline which are the main aspects to be approached by modern orthopaedic training so as to improve the treatment of skeletal injuries in polytrauma patients.
- Subjects
TRAINING of surgeons; ACCIDENTS; DISEASES; MORTALITY; SURGEONS; PATIENT monitoring
- Publication
Acta Medica Transilvanica, 2018, Vol 23, Issue 4, p46
- ISSN
1453-1968
- Publication type
Article