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.
Practised by MCQ
10What is the primary goal of Damage Control Orthopaedics (DCO) in polytrauma patients?
mcqWhich of the following indicates the need for Damage Control Orthopaedics?
mcqWhat does the 'second hit' phenomenon refer to in the context of polytrauma management?
mcqWhich of the following is NOT a component of the lethal triad in trauma patients?
mcqIn which scenario is Early Total Care (ETC) indicated?
mcqWhat is the recommended initial treatment for a patient classified as 'Border zone' in polytrauma?
mcqWhich of the following is a physiological criterion for classifying a patient as 'Unstable'?
mcqWhat is the recommended time frame for converting external fixation to definitive fixation in 'Border zone' pa...
mcqWhat is the primary surgical intervention in Damage Control Orthopaedics?
mcqWho were the key figures that formalized the concept of Damage Control Orthopaedics?