Got an 84% on my first attempt comp predictor using this and this only! **** 52 pages of comprehensive notes that are straight to the point & easy to follow!
y. CMS, CMS, CMS: This is VERY IMPORTANT IN FRACTURES. Wha
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Got an 84% on my first attempt comp predictor using this and this only! **** 52 pages of comprehensive notes that are straight to the point & easy to follow!
y. CMS, CMS, CMS: This is VERY IMPORTANT IN FRACTURES. What does it stand for and how do you measure it?
i. CMS stands for: Circulation, Motion, Sensation
1. Circulation: pulses, capillary refill
2. Motion: can they move?
3. Sensation: N/T, feeling
z. RICE: What is it? What do we use it for? (almost all injuries, right)?
i. RICE stands for: Rest, Ice, Compression, Elevation
ii. Helps prevent swelling. Vasoconstriction.
aa. Hip Surgery. Knee Surgery. What are the risks? What things do you assess for? Why?
i. Circulation, sensation and motion distal to the affected area.
ii. PT is at risk for: DVT, wound infection, hematoma, hip dislocation, and neurovascular compromise.
ab. What is the difference between an open or closed fracture? What do you place on an open fracture?
i. Open Fractures: skin is broken, bone is showing
1. Cover with a sterile saline soaked gauze dressing
2. Stop the bleeding. Analgesia, ABX, Tetanus shot
3. Immobilize & elevate
ii. Closed Fractures: skin is still intact. Bone does NOT penetrate skin. ac. Do you use a cold pack (ice) and the rest of RICE with a fracture?
i. YES! Absolutely!
ad. What is compartment syndrome and what would you assess if it was compartment syndrome? What are the risks to your kidneys (condition that starts with an “r”)?
i. Compartment Syndrome:
1. Swelling in tissues that compromises perfusion
2. Monitor for the 6P’s
a. Pain
b. Paresthesia
c. Paresis
d. Pressure
e. Pallor
f. Pulse
3. First sign is Extreme pain disproportionate to the injury, along with change in sensation distal to the affected compartment
4. Can be prevented by…
a. Reducing bleeding and inflammation to site of injury. For fractures this could be traction, early splinting, early immobilization, elevation of the limb TO THE LEVEL of the heart (NOT above it!).
5. Rhabdomyolysis can adversely impact the kidneys because of all the breakdown of the muscles and the myoglobin into the blood.
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