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Trauma
intermediate
X-Type

Polytrauma and Damage Control Orthopaedics

Polytrauma Management

A 28-year-old motorcyclist is brought to the emergency department after a high-speed collision. He has bilateral femoral shaft fractures, a pelvic ring injury, and a closed head injury with GCS 12. BP is 85/60 despite 2L crystalloid. Temperature is 35.2°C and pH 7.18. Regarding polytrauma management and damage control orthopaedics:

Mark each as TRUE or FALSE

A

The "lethal triad" in polytrauma consists of hypothermia, acidosis, and coagulopathy; these are self...

B

Damage control orthopaedics is indicated when patients demonstrate physiological instability: base d...

C

Definitive internal fixation should always be performed immediately in polytrauma regardless of phys...

D

Early Total Care (ETC) with immediate definitive fixation is appropriate for stable patients without...

E

Conversion from external fixation to definitive internal fixation should occur within 2 weeks to min...

Answer the questions to see explanations

Click T (True) or F (False) for each option