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Digital Seminar

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


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


* Credit Note - No CE Available

Continuing education credit is not available on this product.



Handouts/Brochure

Speaker

Jodi Chambers, PA-C, AT's Profile

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 employment relationships with Parkview Ortho Express Walk In Clinic and OrthoNortheast. She receives a speaking honorarium 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

  1. Respond to common orthopedic emergencies such as fractures, dislocations and compartment syndrome.  
  2. Determine the mechanisms of injury for different types of orthopedic trauma.  
  3. Recognize signs and symptoms of various orthopedic emergencies such as open book fracture and Slipped capital Femoral Epiphysis (SCFE) joint dislocations. 
  4. 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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