Trauma and Orthopedic Surgery in Clinical Practice

By: Paul R. Wood, Peter F. Mahoney, Julian Cooper

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Paperback | 1 October 2009

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153 Pages

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20.3 x 12.7 x 1.02

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The orthopedic ward can be a challenging location for the recently qualified doctor. The demands and responsibilities in preparing patients for elective orthopedic and acute trauma surgery are often very different. The situation is not helped by the impressive comorbidity often seen in orthopedic patients or the increasing tendency for out-of-hours ward cover to be provided by resident doctors working "off their patch." In this book, the authors have attempted to provide a practical guide to the most common perioperative issues and medical pr- lems found during the day-to-day management of these patients. The model used is based on an earlier "in-house" publication written for the guidance of anesthetic trainees working in a trauma intensive care unit. The authors are all hardened observers of the speed at which today's recommendations become yesterday's history and so have made a particular effort to select references that will assist in readers remaining updated.

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Non-Fiction Medicine Other Branches of Medicine Accident & Emergency Medicine Clinical & Internal Medicine Surgery Orthopaedics & Fractures

Preface	p. v
Notes for the Reader	p. xi
The Orthopedic Ward, Orthopedic Patients, and Procedures
Patients and Procedures	p. 3
	p. 3
	p. 3
Orthopedic Glossary	p. 3
Radiology	p. 3
The Ward Team	p. 21
The Ward Round	p. 23
Patient Management
Preparing Patients for Operation	p. 29
Medical Preparation	p. 29
Consent and Identification	p. 52
Intravenous Fluids and Electrolytes	p. 57
Fluids Used in Routine Practice	p. 57
Fluid Management: Some Practical Observations	p. 60
Sodium and Potassium Disturbances on the Orthopedic Ward	p. 63
Analgesia	p. 65
Assessment of Pain	p. 65
Methods of Treating Pain	p. 66
Problems Associated With Analgesia	p. 68
Dressings, Drains, Plasters, and Tubes	p. 71
Special Patient Groups
The Patient With a Fractured Neck of Femur	p. 79
Surgical Classification of Proximal Femur Fractures	p. 79
Principles of Management	p. 81
Your Responsibilities	p. 83
Rheumatoid Arthritis	p. 87
General Considerations	p. 87
Preparation For Surgery	p. 87
Postoperative Care	p. 88
Hemophilia	p. 89
Background	p. 89
Orthopedic Presentation	p. 89
Preoperative Preparation	p. 90
Postoperative Care	p. 90
Problems and Complications: The Patient
Infection and Immunocompromise	p. 95
Definitions	p. 95
Vulnerability to Infection	p. 95
History and Examination	p. 96
Laboratory and Radiological Investigation of Infection	p. 96
Postoperative Infection	p. 96
Principles of Managing Infected or Immunocompromised Patients	p. 99
The Risk to Yourself	p. 101
Compartment Syndrome	p. 103
The Problem	p. 103
Causes	p. 103
Prevention	p. 104
Recognition	p. 104
Treatment	p. 105
Deep Venous Thrombosis and Pulmonary Embolism	p. 109
Deep Venous Thrombosis	p. 109
Pulmonary Embolus	p. 110
Fat Embolism	p. 113
Presentation	p. 113
Confirming the Diagnosis	p. 114
Treatment	p. 114
The Confused Patient	p. 115
Precipitating Factors	p. 115
The Alcoholic Patient	p. 116
Risks of Confusion	p. 116
Principles of Management of Confusion	p. 116
The Ill Patient and Medical Emergencies	p. 119
Principles of Management	p. 119
Medical Emergencies	p. 123
Problems With Blood Transfusion	p. 131
Pretransfusion	p. 132
Transfusion	p. 133
Posttransfusion	p. 133
Responding to a Transfusion Problem	p. 133
Problems and Complications: The Doctor
Medical Errors	p. 137
Background	p. 137
Causes of Medical Error and Avoiding Them	p. 137
What to Do If You Have Made a Mistake	p. 138
When Treatment Stops
Do Not Resuscitate Orders, Death Certification, and the Coroner	p. 143
When Further Treatment Is Thought Inappropriate	p. 143
Do Not Resuscitate Orders	p. 143
Certification of Death	p. 144
Cremation Certificates	p. 144
Postmortems	p. 144
Reporting to the Coroner	p. 144
Bibliography and Further Reading	p. 147
Index	p. 149
Table of Contents provided by Ingram. All Rights Reserved.

Trauma and Orthopedic Surgery in Clinical Practice

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Paperback

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