ACCIDENT & TRAUMA SURGERY
Trauma can be characterized as severe wounds brought about by accidents and incidents with heavy impact. Trauma patients can be the recipients of a spectrum of injuries be it a simple slip and fall at home to complex wounds
as a result of road accidents. Trauma surgery is the medical stream which includes surgical treatment for severe injuries, particularly during emergency circumstances, for example, accident cases. A cumulative medical approach
including Doctors from different fortes and paramedical and emergency clinical staffs is important in tending to and reviving these patients in Emergency hospitals in Vijayawada.
Trauma patients normally present with various wounds which may include the brain, face, chest, midsection, pelvis, bone, veins, nerves and soft tissues. Instant addressing and diagnostic as well as revival is the key in saving
these patients which is conceivable only in places well equipped to handle round the clock emergencies like Accident emergency hospitals in Vijayawada, AP.
Once the patient is stabilized, the fractures and other injuries are addressed. The common orthopedic procedures performed are
When the patient is considered stable, the bone breaks, fractures and different wounds are tended to. The basic orthopedic procedures performed are
Nailing
It is a methodology the breaks of the long bones in the body are fixed with a long nail and screws. The cracks of the arms, thighs and legs are generally fixed with a nail. As the load is shared in this process, patients can
begin walking with help of support from the following day of surgery.
Compression Plating
The comparatively smaller bones in the body like the lower arm and hand are generally fixed with compression plates and screws. They help to align the breaks exceptionally are permitted early healing and movement of the influenced
part.
Locking plate fixation
It is a new progression in Orthopedic implant department to address breaks of the weaker bones. These plates give an extra stability and rigidity which subsequently prevent implant failure in older osteoporotic patients.
Minimally invasive fixation (MIPPO technique)
Another recent advancement in orthopedic trauma surgery is the negligibly intrusive medical procedures which are more cosmetic in nature on account of the utilization of miniscule entry points and less damage to the tissue.
They help in early mending of the injury as well as quicker recuperation in 24 hours emergency clinics in Vijayawada.
External fixation
Fractures which are more susceptible towards infection use this kind of technique. In such occasions where a standard plate or nail fix is impossible, external fixators are utilized to fix these breaks temporarily till the
soft tissues mend. They are not permanent but rather a transitory method of fracture treatment.
Illizarov fixation
This is another technique for external fixation in injuries which have been infected or terribly comminuted cracks where routine medical procedures can't be performed. They are additionally demonstrated in deformity correction
or procedures performed to lengthen the limbs.
Emergency treatment or First AID
The prompt investigation of an injury casualty assumes an essential part in saving them. Following an accident, emergency administrations should be intimated right away. The fundamental support that is to be given are
- If you have been harmed in an accident, first check yourself for any wounds. Attempt to evaluate how well you can move your limbs, and on the off chance that you experience side effects, for example, imbalance or dizzy
spells and so forth. Primarily, you need to be assure that you can help others.
- If others are harmed, first evaluate the degree of his/her wounds. For example blood from the head, neck, arms legs, abdomen, back and so forth. Treat the most silent individual first, they are generally more severely harmed
or can't breathe. Individuals who can talk or shout, then again, can inhale which therefore means they can be dealt with somewhat later. Request the patient's name, in the event that he reacts, it implies he can comprehend
the circumstance and has probably not endured a serious head injury.
- Next, check if the individual is breathing and in the event that he has a heartbeat.
- Immediately call for help such as an ambulance or take the individual to a medical center. When you find out about the patient's condition you will in a superior situation to inform the Orthopedic doctors in Vijayawada
concerning his/her condition.
- If you don't hear any breath sounds, check his/her mouth for any blockages or obstructions. In the event that there is something hindering the air route, utilize your index and center finger to clear the aviation route
- If there is no heartbeat, start CPR or EAR.
- Keep the individual's neck straight to begin EAR (External Air Resuscitation) or CPR (Cardio aspiratory revival). There are 3 sorts of EAR; Mouth-to-mouth, Mouth-to-Nose, Mouth-to-Mask.
- If there is seeping from the mouth or the patient is vomiting, turn the individual to his/her side. This will evade any odds of the individual choking. Position the individual's arm that is under him straight out and the
arm nearest to you across his chest.
- If there are huge injuries, attempt to control the bleeding utilizing pressure to the zone with the help of a cloth. Press down with your palms instead of your fingertips.
- Always suspect that there could be a spinal wound. On the off chance that the individual's neck is in an abnormal position (not ordinarily positioned) or the individual is unable to move, don't move the patient. Get help
right away. This could imply that the individual's neck is broken, and moving him/her in such a circumstance can cause more damage than good.
- Keep the individual warm. Normally trauma casualties feel exorbitantly cold because of shock. Subsequently keeping them warm is crucial for survival.
- Do not give water or anything through the mouth, it could prompt the patient to choke.
While moving a patient to the medical clinic for evaluation from Orthopedic specialists in Vijayawada, Dr. M.V. Hari Prasad, here are a couple of things you should remember:
- The patient ought to be moved on a cot or hardened board.
- Keep the individual's neck and back straight. You could put a rolled up towel or thick cloth under the neck for better help
- Ensure that the individual is resting flat.
- If there is just a limb injury, the patient can be moved in a sitting position.
- In instance of a bleeding, lift the harmed part over the body level and apply pressure.
- Make sure the individual has a heartbeat and is breathing en route to the medical clinic. In the event that he/she quits breathing, be set up to begin CPR or EAR in the vehicle.