Orthonotes
Orthonotes
by the.bonestories
v4.1 Fusion X
v4.1 Fusion X
trauma topic hub

Polytrauma — Damage Control Orthopaedics

Concept: balance early fixation vs systemic insult. ETC = early total care in stable patients; DCO = staged for unstable. Indicators for DCO: ISS >40, hypothermia, acidosis, coagulopathy. DCO: temporary ex-fix → definitive fixation after stabilization. Goal: prevent ‘second hit’ phenomenon.

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Concept: balance early fixation vs systemic insult. ETC = early total care in stable patients; DCO = staged for unstable. Indicators for DCO: ISS >40, hypothermia, acidosis, coagulopathy. DCO: temporary ex-fix → definitive fixation after stabilization. Goal: prevent ‘second hit’ phenomenon.
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