Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
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.
MCQs

High-yield practice questions

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Question 1

What is the primary goal of Damage Control Orthopaedics (DCO) in polytrauma patients?

Question 2

Which of the following indicates the need for Damage Control Orthopaedics?

Question 3

What does the 'second hit' phenomenon refer to in the context of polytrauma management?

Question 4

Which of the following is NOT a component of the lethal triad in trauma patients?

Question 5

In which scenario is Early Total Care (ETC) indicated?

Question 6

What is the recommended initial treatment for a patient classified as 'Border zone' in polytrauma?

Question 7

Which of the following is a physiological criterion for classifying a patient as 'Unstable'?

Question 8

What is the recommended time frame for converting external fixation to definitive fixation in 'Border zone' patients?

Question 9

What is the primary surgical intervention in Damage Control Orthopaedics?

Question 10

Who were the key figures that formalized the concept of Damage Control Orthopaedics?