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The ABC and pain in trauma.

Andreas F Mavrogenis1, Vasilios G Igoumenou2, Andreas Kostroglou3

  • 1First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece. afm@otenet.gr.

European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie
|January 25, 2018
PubMed
Summary

Emergency musculoskeletal trauma requires prompt attention, especially when linked to thoracic injuries. Effective management prioritizes airway, breathing, and pain control, recognizing pain as a critical vital sign.

Keywords:
AnalgesiaEmergencyPainResuscitationTrauma

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Area of Science:

  • Orthopaedic Surgery
  • Emergency Medicine
  • Trauma Care

Background:

  • Musculoskeletal trauma presents significant challenges in emergency settings, often involving life- and limb-threatening extremity injuries.
  • Major musculoskeletal trauma can lead to substantial bleeding and is frequently associated with thoracic trauma.

Purpose of the Study:

  • To discuss the intricate relationship between musculoskeletal and thoracic trauma care.
  • To highlight the critical importance of pain monitoring and management in trauma patients.

Main Methods:

  • Review of current emergency trauma management protocols.
  • Emphasis on the multidisciplinary approach involving orthopaedic surgeons and anesthesiologists.

Main Results:

  • Prompt treatment of musculoskeletal trauma is crucial to mitigate bleeding risks.
  • Coordinated care is essential, with airway and breathing secured before addressing extremity injuries.

Conclusions:

  • Pain should be considered a vital sign in trauma assessment and management.
  • Integrated care pathways for combined musculoskeletal and thoracic trauma improve patient outcomes.