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Lecture Mosby's paramedic textbook (4th ed) - Chapter 44: Orthopedic trauma

In this chapter you will learn about the following: Describe the basic structure of the legal system in the United States, relate how laws affect the paramedic’s practice, list situations that a paramedic is legally required to report in most states, describe the four elements involved in a claim of negligence, describe measures paramedics may take to protect themselves from claims of negligence. | 9/11/2012 1 Chapter 44 Orthopedic Trauma 2 Learning Objectives • Describe the features of each class of musculoskeletal injury. • Describe the features of bursitis, tendonitis, and arthritis. • Given a specific patient scenario, outline the prehospital assessment of the musculoskeletal system. 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/11/2012 Learning Objectives • Outline general principles of splinting. • Describe the significance and prehospital management principles for selected upper extremity injuries. • Describe the significance and prehospital management principles for selected lower extremity injuries. 4 Learning Objectives • Identify prehospital management priorities for open fractures. • Describe the principles of realignment of angular fractures and dislocations. 5 Review of Musculoskeletal System • Made up of – Bones – Nerves – Vessels – Muscles – Tendons – Ligaments – Joints 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/11/2012 Review of Musculoskeletal System • Skeletal system contains 206 individual bones – Divided into axial and appendicular skeleton – Axial skeleton • • • • Skull Hyoid bone Vertebral column Thoracic cage – Appendicular skeleton • Bones of upper and lower extremities • Girdles, by which extremities are attached to body 7 8 Review of Musculoskeletal System • Muscular system provides for – Movement – Postural maintenance (muscle tone) – Heat production • Major types of muscles – Skeletal • Most common type of muscle in body – Cardiac – Smooth muscle 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 3 9/11/2012 10 Classifications of Musculoskeletal Injuries • Injuries that result from traumatic forces to musculoskeletal – Fractures – Sprains – Strains – Joint dislocations • .