The Basics: MSK Trauma

In this podcast episode, Dennis talks with Mark, a trauma surgeon, about lower extremity trauma and limb salvage. They discuss the decision-making process for determining if a limb is salvageable or not, the risk vs reward of tourniquet approximation, assessing motor function and arterial supply, the importance of preserving limb length, and the use of traction in pelvic fractures. They also touch on the struggles medics face in making these decisions and the importance of training and experience.Takeaways

• Assessing motor function and arterial supply are key factors in determining if a limb is salvageable or not.
• Preserving as much length and soft tissue as possible is important for future prosthetic use.
• The risk vs reward of tourniquet approximation should be carefully considered, weighing the potential for continued bleeding against the need to preserve tissue.
• In cases of pelvic fractures with concomitant femur fractures, traction may be necessary but should be monitored to prevent skin necrosis.
• Training and experience are crucial in making informed decisions about limb salvage in traumatic injuries.