Professional Documents
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Multitrauma
Syndrome of multiple injuries with
sequential systemic traumatic
reactions which may lead to
dysfunction or failure of remote
organs and vitals systems, which
had not themselves been directly
injured.
Fracture is the most frequent
component of multitrauma.
Pathofisiologis
Wound around fracture
inflamatory (dead tissue & hypoxic).
Inflamatory release mediators and
cytokines into circulation.
Systemic traumatic reactions produce
a whole-body inflammation or a
Systemic Inflamatory Response
Syndrome (SIRS)
Pathofisiologi
SIRS condition demanding high energy
consumption and oxygen
(Hypermetabolic condition).
Hypermetabolic condition : muscle
wasting, nitrogen loss, protein
breakdown, and raise temperature.
Depletion of immunocompetent become
critical immunosupression and sepsis
more sell death MODS & MOF
Summary
Multitrauma must be considered as
a systemic surgical disease.
Successful management :
Understanding of pathology
Complete resuscitation
Correct triage and timing
Plans of care
Introduction :
It has long been recognized that, in
patients with severe abdominal injuries
initial management should avoid
complex operative procedures
It was believed that the polytraumatised
patient did not have the physiological
reserve to withstand prolonged
operations
DAMAGE CONTROL
ORTHOPAEDIC